The 5-Sense Defense
Bones, Groans,
& Proper Tones
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Calculate with Care
100

This term describes age-related hearing loss that is typically bilateral and affects the ability to hear high-pitched frequencies.

What is presbycusis?

100

This condition, characterized by decreased bone density and increased fracture risk, is a primary feature of the aging skeleton.

What is osteoporosis?

100

This demographic is currently recognized as the fastest-growing population segment in the United States.

Who are adults aged 85 and older?

100

To prevent musculoskeletal atrophy and maintain mobility, the nurse should assist the elderly patient with these exercises through their normal range of motion.

What is Range of Motion (ROM) exercises?

100

Order: Acetaminophen 650mg PO for chronic hip pain. Have: 325mg tablets. The nurse will administer this many tablets.

What is 2 tablets?

200

This common age-related vision change makes it difficult for older adults to focus on objects that are close to them.

What is presbyopia?

200

This inflammatory condition is caused by the accumulation of uric acid crystals in the joints, often specifically affecting the big toe.

What is gouty arthritis?

200

This setting is the dominant environment for providing long-term care to individuals who require regular or continuous skilled nursing.

What is a nursing facility?

200

To improve safety and reduce episodes of incontinence for a frail older person in an acute care setting, the nurse should implement this specific scheduled intervention.

What is walking the patient to the bathroom (or scheduled toileting)?

200

Order: Methylprednisolone 40mg IM for joint inflammation. Have: 125mg/2mL vial. The nurse will administer this many mLs.

What is 0.64mLs?

300

This sensory deficit significantly increases an older adult's risk for experiencing burns, particularly when using heating pads.

What is a decrease in touch (or pain) sensation?

300

This clinical test requires a patient to lie supine and bend one knee toward the chest to detect hip flexion contractures.

What is the Thomas test?

300

Health education, routine screenings, and immunizations are examples of this level of prevention in the community.

What is primary prevention?

300

When managing an older adult with sensory overload in a hospital setting, the nurse should use this technique to minimize overwhelming stimuli.

What is clustering care (or grouping nursing activities)?

300

Order: Gabapentin 300mg PO for neuropathic sensory pain. Have: 250mg/5mL oral solution. The nurse will administer this many mLs.

What is 6mLs?

400

According to this theory, there is a direct relationship between the intensity of pain and the extent of tissue injury.

What is the Specificity Theory?

400

When assisting an older adult with range-of-motion (ROM) exercises, the caregiver should never force the joint past this point.

What is the point of resistance?

400

This type of care setting is characterized by collective decision-making and collaboration among the older adult, family, and healthcare team.

What is a therapeutic (or person-centered) care setting?

400

For an older adult with a sensory deficit like anosmia (loss of smell), the nurse must teach this critical home safety intervention regarding food.

What is checking expiration dates on food (or installing auditory smoke alarms)?

400

Order: Furosemide 20mg IV push for a patient in acute care with fluid overload. Have: 40mg/4mL pre-filled syringe. The nurse will administer this many mLs.

What is 2mLs?

500

These two specific cognitive responses are common in older adults experiencing sensory deprivation.

What are decreased attention span and difficulty problem-solving?

500

This condition involves the compression of the median nerve, leading to pain and tingling in the hand.

What is carpal tunnel syndrome?

500

Tertiary prevention in older adult care focuses primarily on these two areas of recovery.

What are follow-up and rehabilitation?

500

Following a total hip replacement, the nurse must ensure the patient's hip is not flexed or bent beyond this specific degree to prevent dislocation.

What is 90 degrees?

500

Order: Morphine 3mg IV for severe musculoskeletal trauma. Have: 10mg/1mL vial. The nurse will administer this many mLs.

What is 0.3mLs?

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