Cardiovascular
What diagnostic test sees ultrasound waves to visualize cardiac structures and measure ejection fraction?
echocardiogram
What are the top 3 leading causes of death in elderly?
Heart disease
CVA
pneumonia
A) due to their life experience, an older adult has lower incidence of depression.
B) older adults are less likely than younger people to use alcohol as a coping mechanism
c) the overall incidence of mental illness is higher in young people compared to older adults
d) the elderly are more likely than young people to choose suicide
D.
suicide is more common than adults than younger adults, as is depression and mental illness overall. Alcoholism is lower in older adults.
Which elevated lab result indicates to the nurse there may be a clot in the body?
D-dimer
What life threatening complication are older adults at risk for?
Dehydration
What can a chest X-ray show for Cardiac abnormalities?
-CHF
-cardiomegaly
-pulmonary hypertension
The most common injury associated with falls are?
Hip fractures
Your patient was diagnosed with bulimia. what is the most appropriate initial goal for this patient?
avoid shopping for large amounts of food
control eating impulses
identify anxiety causing situations =
eat only three meals per day
The nurse is caring for a patient diagnosed with tuberculosis. Which type of transmission precaution should be implemneted?
airborne
How much water should an adult take in per day?
30mL per Kg
What are the two type of stress test can be performed?
Pharmacological stress test
Treadmill stress test
The most significant fear of geri patients who are injured is?
Loss of independence
A patient at high risk for suicide need close supervision. To insure the paitents safety the nurse should...
check the patient frequently at irregular intervals throughout the night
assure the patient the nurse will hold in confidence anything the patient says
repeatedly discuss previous suicide attempts with the client
disregard decreased communication by the patient because this is common with suicide patients.
A pt is prescribed metaproterenol (alupent) via a MDI 2 puffs every 4 hours. the nurse instructs the pt to report side effects. which of the following are potiental side effects of alupent?
irregular heartbeat
constipation
pedal edema
decreased heart rate
The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?
a) Dry mouth
b) Bradycardia
c) Urinary retention
d) Paresthesia
B) Bradycardia
What medication is the first line in treating geriatric hypertension?
Thiazide diuretics
tend to be weaker so they do not greatly increase urine. Useful for bp
List two common causes of altered mental status in geri patients
UTI
accidental overdose
what is accidental OD caused by typically?
which medication should be administered to a pt. with a toxic acetaminiphen loevel?
deferosamine mesylate
succimer
flumazenil
acetylcysteine
What is positive and expiratory pressure referred to as and what is its purpose in a vented patient?
PEEP is a pressure applied at the end of the ventilator expirations to prevent alveolar collapse.
What is Trousseau's sign?
an indicator of hypocalcemia
A nurse is watching the cardiac monitor and notices a patients rhythm suddenly change. There are no P wavs, instead there are wavy lines, a QRS of 0.08 seconds but irregular and a rate of 100 - 120 beats. the rhythm is....
sinus tachycardia
atrial fibrillation
ventricular tachycardia
ventricular fibrillation
When caring for a patient with a cardiac dysrhythmia, which laboratory value is a priority for the healthcare provider to monitor?
a) BUN and creatinine
b) Sodium, potassium, and calcium
c) Hemoglobin and hematocrit
d) PT and INR
BUN and creatinine levels are always important to monitor when giving any drug, not only antidysrhythmia drugs.
The PT and INR will be important for patients who are on warfarin (Coumadin).
Because abnormalities in sodium, potassium and calcium levels are likely to affect depolarization and repolarization of cardiac cells, it is most important for the healthcare provider to monitor these laboratory values.
The nurse is caring for a patient who has been treated with antipsychotic medication. During the assessment, the nurse checks the client for tardive dyskinesia. if TD is present what would you most likely observe?
abnormal movements and involuntary movements of the mouth, tongue and face
abnormal breathing through the nostrils accompanied by a "thrill"
severe headache, flushing, tremors and ataxia.
severe hypertension, migraine headache.
A patients arterial blood gas levels are as follows:
ph 7.31, PaO2 80mm, PaCO2 65mm Hg: HCO3 - 36 mEq/L
which of the following would the nurse expect
cyanosis
flushed skin
irritability
anxiety
The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication associated with the skin?
a) Crusting
b) Wrinkling
c) Deepening of expression lines
d) Thinning and loss of elasticity in the skin
a) crusting
presence of crusting on the skin is a concerning sign because it can indicate skin concerns and complications such as poor hydration, impaired circulation or compromised immune function.