HESI Hints - Evolve GERI
•Seborrheic keratosis
Occur absolutely in the _________.•Occur on the top, neck, trunk, and extremities, sparing the
palms and soles.•Thought to be an autosomal dominantly inherited trait.
•SK have __________
melanomas? - ANS-dermis -RAISED LESIONS
-NO malignant potential
•Flesh-colored to tan, to brown, from time to time black•Oval to round•Greasy-performing or
scaly, "pasted-on" papule or plaque
-by genetics
-well-circumscribed border
-caught-on look
-variable tan-brown-black colour
Melanoma (ABCDE)
assymetry, irregular, crusty, notched border, coloration varies (black/blue/white), diameter
>6mm, evolve (in size shape colour, itching, tenderness, bleeding)
Alzheimer
MANIFESTATIONS?
Medications?(four)
nursing implications (3)? - ANS--DANI
despair, aggressiveness, nightwandering, lack of ability to apprehend family
-tacrine HCL
-donepzil HCL
-rivastigine
-galantamine
, 1 teach clients to take NO anticholinergic medicines
2 meds ought to NOT be used in cases of LIVER impairment
three Take meds with FOOD
An older grownup regularly complains that he or she can't nod off at night time. What does the
nurse recognize about sleep that modifications inside the older adult? Select all that apply.
(a) Older adults are much less without difficulty woke up by way of environmental stimuli
(b) Older adult have shorter stages of sleep
(c) Older adults have to be discouraged to nap during the day
(d) Older adults ought to use prescribed sound asleep drugs. - ANS-B, C
no naps, no slumbering pills, extra without problems wakened
Angina signs may be absent in older adults and they may careworn with what type of
symptoms?
(a) urinary
(b) neurological
(c) gastrointestinal
(d) endocrine
What can dysrhythmias in older adults cause due to decreased CO? - ANS-(c) gastrointestinal
-SYNCOPE, FALLS, TIAs (brief ischemic assaults)
GERI Cardiovascular device
predicted or now not?
1 diastolic murmurs
2 reduced CO
three arteriosclerosis
four edema/ swelling in fingers + feet
5 extended systolic BP
6 decrease diastolic BP
7 dizziness
eight abnormal HR/ palpitations
nine orthopnea - ANS-1 expected
2 expected
three now not WNL
four no longer WNL
five predicted
6 not WNL -> diastolic BP is extended when you are older, however much less increased than
systolic BP (DUE TO INCREASED PERIPHERAL VASCULAR RESISTANCE)
7 not WNL
eight now not WNL
9 no longer WNL
•Seborrheic keratosis
Occur absolutely in the _________.•Occur on the top, neck, trunk, and extremities, sparing the
palms and soles.•Thought to be an autosomal dominantly inherited trait.
•SK have __________
melanomas? - ANS-dermis -RAISED LESIONS
-NO malignant potential
•Flesh-colored to tan, to brown, from time to time black•Oval to round•Greasy-performing or
scaly, "pasted-on" papule or plaque
-by genetics
-well-circumscribed border
-caught-on look
-variable tan-brown-black colour
Melanoma (ABCDE)
assymetry, irregular, crusty, notched border, coloration varies (black/blue/white), diameter
>6mm, evolve (in size shape colour, itching, tenderness, bleeding)
Alzheimer
MANIFESTATIONS?
Medications?(four)
nursing implications (3)? - ANS--DANI
despair, aggressiveness, nightwandering, lack of ability to apprehend family
-tacrine HCL
-donepzil HCL
-rivastigine
-galantamine
, 1 teach clients to take NO anticholinergic medicines
2 meds ought to NOT be used in cases of LIVER impairment
three Take meds with FOOD
An older grownup regularly complains that he or she can't nod off at night time. What does the
nurse recognize about sleep that modifications inside the older adult? Select all that apply.
(a) Older adults are much less without difficulty woke up by way of environmental stimuli
(b) Older adult have shorter stages of sleep
(c) Older adults have to be discouraged to nap during the day
(d) Older adults ought to use prescribed sound asleep drugs. - ANS-B, C
no naps, no slumbering pills, extra without problems wakened
Angina signs may be absent in older adults and they may careworn with what type of
symptoms?
(a) urinary
(b) neurological
(c) gastrointestinal
(d) endocrine
What can dysrhythmias in older adults cause due to decreased CO? - ANS-(c) gastrointestinal
-SYNCOPE, FALLS, TIAs (brief ischemic assaults)
GERI Cardiovascular device
predicted or now not?
1 diastolic murmurs
2 reduced CO
three arteriosclerosis
four edema/ swelling in fingers + feet
5 extended systolic BP
6 decrease diastolic BP
7 dizziness
eight abnormal HR/ palpitations
nine orthopnea - ANS-1 expected
2 expected
three now not WNL
four no longer WNL
five predicted
6 not WNL -> diastolic BP is extended when you are older, however much less increased than
systolic BP (DUE TO INCREASED PERIPHERAL VASCULAR RESISTANCE)
7 not WNL
eight now not WNL
9 no longer WNL
