How to Answer Older Adult Multiple Questions (Complete Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to older adult multiple and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves older adult multiple. A strong answer should include explanation, application, and examples.

Original Question

OLDER ADULT – MULTIPLE MEDICAL PROBLEMS You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an urban hospital. The unit 7A to 3P staff consists of a nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit secretary. A geriatric nurse practitioner is assigned to this unit and the Geriatric clinic. Interns and residents make rounds and are available by page of on call. You arrive and receive the following information in a report from the night nurse regarding your assignment. Becky Thomas, Age: 85 Admitting Diagnosis: Cellulitis Right lower leg Past History: HTN, Osteoporosis, CABG x 3 (6 years ago), hysterectomy, Cholecystectomy Alert and oriented OOB to chair with help – elevate lower legs Dressing lower leg – change twice a day Surgical consult today for debridement and wound vacuum therapy IV saline Lock Antibiotic Ancef 1 Gm IVPB q8h (8 am, 4 pm, 12 mn) discontinue this am 2Gm Na diet Bowel sounds x4 Lungs clear Voiding – stress incontinence BM last evening – hard Retired actress with pension and insurance, lives alone with cat Antonio Banderos, Age: 57 (no beds elsewhere) Admitting Diagnosis: Renal colic Past Hx: HTN, DM2, Hyperlipidemia, colonoscopy – polyps removed IV 5% D/W – KVO (keep vein open) NPO Morphine Sulfate 1 mg IV q1h prn pain 3 – 6 (0 – 10 scale) Morphine Sulfate 2 mg IV q1h prn pain 7 – 10 Metformin 500mg BID Last dose pain med 0600 Voiding – strained – no stone No BM x2 days Bowel sounds positive x 4, Blood glucose 71 Possible OR today Married, no kids, both him and wife employed, only speaks Spanish Doris Day, Age: 95 Admitting Diagnosis: Contusion Right Shoulder (fall), hematoma right eye, Confusion CT head without contrast no bleed Past Hx: CHF, HTN, A-Fib, Osteoarthritis, Fx, Left radius Lung sounds rales on inspiration, clear with deep breathing and coughing O2 sats 91 room air, 95 with O2 2 L NC Bowel sounds hyperactive – 1 loose stool this AM Taking liquids only – sore face Voiding, some incontinence Shoulder with ice and rest on pillow, ice to face/eye Percocet 5/325 mg 1 PO for pain q 4 h 2- 10 (0-10 scale) Not OOB yet – PT consult Lives with son and daughter-in-law at home Christine Nichols, Age: 64 Admitting Dx: Abd pain, cholecystitis Past History: High cholesterol, HTN, obesity, gastric bypass IV Saline Lock, IVPB Antibiotics Lap cholecystectomy yesterday Bowel sounds hypoactive X4 – 1 soft BM yesterday AM VS stable Morphine 2mg IVP q6H PRN pain, recent dose at 0600 Lives with sister, still sings at a retirement pub occasionally, no medical insurance – discuss prioritization and corresponding rationale; identify needs of each patient and develop a staffing plan to provide care based on the patient and staffing data presented in each week’s seminar. Arrange patients on grid in priority order with rationale. Identify initial assessment priorities for each patient (5 minimum) in priority order including referenced rationale. See grid Identify planned activities for the day (5 minimum) for each patient including referenced rationale. Delegate tasks to the appropriate staff Organization, Grammar, Spelling, References Total Points In the grid below list patients in priority order across the top. Under each patient indicate the five priority interventions. Place an asterisk (*) next to items that only a nurse should do and (**) next to items delegated to the UAP; (***) next to the items delegated to the NUS; (****) next to the items delegated to all others (please specify). Patient 1 Patient 2 Patient 3 Patient 4 Pt. & Data Assessments Patient: Rationale: Pt. & Data Assessments Patient: Rationale: Pt. & Data Assessments Patient: Rationale: Pt. & Data Assessments Patient: Rationale: Priority Assessments: 1. 2. 3. 4. 5. Priority Assessments: 1. 2. 3. 4. 5. Priority Assessments: 1. 2. 3. 4. 5. Priority Assessments: 1. 2. 3. 4. 5. Patient Planned Activities: 1. 2. 3. 4. 5. Patient Planned Activities 1. 2. 3. 4. 5. Patient Planned Activities 1. 2. 3. 4. 5. Patient Planned Activities 1. 2. 3. 4. 5. Staffing: Staffing: Staffing: Staffing: References; Provide refernces

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."