NURS6540 / NURS 6540 Exam Study Guide (Latest 2023/2024):
Advanced Practice Care of Frail Elders
Brainpower
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What is the screening tool for alcohol
Cage
It is positive if they answer yes to two or more and then perform a SMAST-G screening
tool
What are the hypertension guidelines for patients greater than 60 years of age
150/90 for patients without DM or CKD
140/90 for patients with DM or CKD
Why would you initiate statins on elderly patients
1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of 70-189
Was what is a positive malnutrition score
Greater than 10 lb weight loss in 6 months
Use the MUST tool
Elderly population should you screen for hyperlipidemia
Patients that have known hypertension, smoking, or diabetes
What is the scales nutrition screening tool
S-sadness, C-cholesterol, A-albumin, L- loss of weight E- eating problems, S - shopping
problems
What are the vision screening requirements of patients > 65
Snelling chart - annually
Patients with hypertension or diabetes must have a dilated exam annually
What are the hearing screening requirements of patients > 65
Asking questions about whether people say they appear to have problems with turning
the volume up
When should you screen for osteoporosis
Women >65
Men > 70
You must use a dual energy dxa x-ray
And perform at-score
What is the T score for osteoporosis?
Normal 1.0
Osteopenia -1 to -2.5
Osteoporosis -2.5
Severe osteoporosis < 2.5 and fragility fracture
What are the mammogram screening requirements
Age greater than 40-74
What are the colon cancer screening recommendations
All patients over the age of 50
Colonoscopy every 10 years
, Sigmoidoscopy every 5 years
Occult blood yearly
What are the cervical cancer screening recommendations
Age 21-65
> age 65 is not required
What are the requirements for counseling patients > 65
Exercise, nutrition, tobacco, alcohol
What are the requirements of exercise for patients 65
Aerobic exercise for 30 minutes three times a week
Strength exercise two times a week
What are the alcohol recommendations for an adult
one per day for women
Per day for men
What are the pneumonia immunization recommendations for patients >65
Pcv13 first
PPS 23 one year later
What are the zoster immunization recommendations
All patients over the age of 60-regardless if they have had shingles or chicken pox in the
past
Contraindications-allergy to neomycin or gelatin
Bone marrow cancer - such as lymphoma
Current chemotherapy or steroids
There are benign and lethal murmurs. Which of the following are true of lethal murmurs
hospitalization is required when arrhythmias result from hemodynamic compromise
Cardioversion pre hospitalization may be needed
Aggressive therapeutic treatment is needed when symptomatic
Underlying cardiac problems need to be discovered
What are the classes of BMI for obesity
Class 1 30-35
Class II 35-39.9
Class morbid >40
AIDS patients
the major impact of the physiological changes that occur with aging is
Reduced physiological Reserve-Particularly the cardiac, respiratory, and renal
systems
Reduced homeostatic mechanisms-That fail to adjust regulatory systems such as
temperature control and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as
well as a lack of hypoglycemic response
Impaired immunologic response
Advanced Practice Care of Frail Elders
Brainpower
Read More
What is the screening tool for alcohol
Cage
It is positive if they answer yes to two or more and then perform a SMAST-G screening
tool
What are the hypertension guidelines for patients greater than 60 years of age
150/90 for patients without DM or CKD
140/90 for patients with DM or CKD
Why would you initiate statins on elderly patients
1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of 70-189
Was what is a positive malnutrition score
Greater than 10 lb weight loss in 6 months
Use the MUST tool
Elderly population should you screen for hyperlipidemia
Patients that have known hypertension, smoking, or diabetes
What is the scales nutrition screening tool
S-sadness, C-cholesterol, A-albumin, L- loss of weight E- eating problems, S - shopping
problems
What are the vision screening requirements of patients > 65
Snelling chart - annually
Patients with hypertension or diabetes must have a dilated exam annually
What are the hearing screening requirements of patients > 65
Asking questions about whether people say they appear to have problems with turning
the volume up
When should you screen for osteoporosis
Women >65
Men > 70
You must use a dual energy dxa x-ray
And perform at-score
What is the T score for osteoporosis?
Normal 1.0
Osteopenia -1 to -2.5
Osteoporosis -2.5
Severe osteoporosis < 2.5 and fragility fracture
What are the mammogram screening requirements
Age greater than 40-74
What are the colon cancer screening recommendations
All patients over the age of 50
Colonoscopy every 10 years
, Sigmoidoscopy every 5 years
Occult blood yearly
What are the cervical cancer screening recommendations
Age 21-65
> age 65 is not required
What are the requirements for counseling patients > 65
Exercise, nutrition, tobacco, alcohol
What are the requirements of exercise for patients 65
Aerobic exercise for 30 minutes three times a week
Strength exercise two times a week
What are the alcohol recommendations for an adult
one per day for women
Per day for men
What are the pneumonia immunization recommendations for patients >65
Pcv13 first
PPS 23 one year later
What are the zoster immunization recommendations
All patients over the age of 60-regardless if they have had shingles or chicken pox in the
past
Contraindications-allergy to neomycin or gelatin
Bone marrow cancer - such as lymphoma
Current chemotherapy or steroids
There are benign and lethal murmurs. Which of the following are true of lethal murmurs
hospitalization is required when arrhythmias result from hemodynamic compromise
Cardioversion pre hospitalization may be needed
Aggressive therapeutic treatment is needed when symptomatic
Underlying cardiac problems need to be discovered
What are the classes of BMI for obesity
Class 1 30-35
Class II 35-39.9
Class morbid >40
AIDS patients
the major impact of the physiological changes that occur with aging is
Reduced physiological Reserve-Particularly the cardiac, respiratory, and renal
systems
Reduced homeostatic mechanisms-That fail to adjust regulatory systems such as
temperature control and fluid and electrolyte balance
Changes in the sympathetic response-which contribute to orthostasis and Falls as
well as a lack of hypoglycemic response
Impaired immunologic response
