Whichoofactorooisooassociatedoowithootheoohighestooriskooofoofallsooinooolderoopersonsoolivi
ngooinootheoocommunity?
A)ooAoohistoryooofoopreviousoofalls
B)ooLivingooalone
C)ooOsteoporosis
D)ooUseooofooanooassistiveoodeviceoo-ooans--A)ooAoohistoryooofoopreviousoofalls
Anooolderooadultoopatientoocomplainsooofoorecentoolapsesooinoomemoryooandoodecreasedo
oalertness.ooTheoopatient'soolaboratoryootestooresultsooindicateooaoomild,oomacrocyticooan
emia.ooWhichooadditionalootestoodoesootheooadult-
gerontologyooacuteoocareoonurseoopractitionerooorderootoooconfirmooaoodiagnosis?
ooAooreticulocyteoocount
ooAooserumoofolateoolevel
ooAnooerythrocyteoosedimentationoorate
ooIronoostudiesoo-ooans--Aooserumoofolateoolevel
Anoo80-year-oldoomaleoopatientoowithoodementiaoorequiresoolong-
termoocareooplacement.ooTooowhichoofundingooagencyoodoesootheoopatientooapply,ooaftero
o"spendingoodown"ootoooqualify?
ooMedicaid
ooMedicare
ooTheooAmericanooAssociationooofooRetiredooPersons
ooTheooUnitedooStatesooSocialooSecurityooAdministrationoo-ooans--Medicaid
Aoo70-year-
oldoopatientoowithooacuteoosystolicooheartoofailureoodeniesooanyoofunctionaloolimitations,ooi
sooableootooowalkoofiveooblocksoobeforeootiring,ooandooisooeuvolemic.ooWhichoomedicationo
oisootheoofirst-lineootherapyooforoothisoopatient?
ooAmlodipineoo(Norvasc)
ooDigoxinoo(Lanoxin)
ooFurosemideoo(Lasix)
ooLisinopriloo(Zestril)oo-ooans--Lisinopriloo(Zestril)
, Aoopatientoohasoohyperactiveooreflexesooofootheoolowerooextremities.ooTheooadult-
gerontologyooacuteoocareoonurseoopractitionerooassessesooforooankleooclonusooby:
C)ooapplyingooaoolow-pitchedootuningooforkoofirmlyootoootheoolateraloomalleolus.
B)oosharplyoodorsiflexingooandoomaintainingootheoofootooinoothisooposition,oowhileoosupport
ingootheooknee.
oostrikingootheooAchillesootendonoowithootheoopercussionoohammerooC)ooafterooflexingoothe
oolegooatootheookneeooandoorotatingooitooexternally.
D)oostrokingootheoolateralooaspectooofootheoosoleoowithootheoosharpooendooofootheoopercus
sionoohammeroofromootheooheelootoootheooballooofootheoofoot.oo-ooans--
B)oosharplyoodorsiflexingooandoomaintainingootheoofootooinoothisooposition,oowhileoosupport
ingootheooknee.
Aoo15-year-
oldoopatientoowithootypeoo1oodiabetesoomellitusooreportsooelevatedoobloodooglucoseoolevel
sooinootheoomorning.ooAnooadult-
gerontologyooacuteoocareoonurseoopractitioneroodeterminesoothatootheoopatient'soohypergl
ycemiaooisoodueootoootheoodawnoophenomenonooand:
A)ooincreasesootheooinsulinoodosageooatoobedootime.
B)ooreducesootheooinsulinoodosageooatoobedootime.
C)ootestsootheoobloodooglucoseoolevelooatoo3:00ooAMooeveryoomorning.
D)ootestsootheoobloodooglucoseoolevelooinootheooevening.oo-ooans--
A)ooincreasesootheooinsulinoodosageooatoobedootime.
Aoopatientoowithooprofoundoohypotensionooisootransferredoofromootheoomedical-
surgicaloounitootoootheoointensiveoocareoounit.ooTheoopatientooisoostartedooonoofluidsooando
onorepinephrineoo(Levophed)ooIV.ooTheoobloodooculturesoothatoowereoodrawnoo48oohourso
oagooofromootheootunneledoocatheter,ooshowoopreliminaryooresultsooofoogram-
negativeoobacilli.ooTheoopatient'soomostoorecentooechocardiogramooreportoorevealsooanoo
ejectionoofractionooofoo40%.ooTheooadult-
gerontologyooacuteoocareoonurseoopractitioneroodeterminesoothat:
A)ooaoopulmonaryooarteryoocatheterooinsertionooisooindicated,ootooomanageoosepticooshoc
k.
B)oofluidooresuscitationoowilloobeoolimitedootooonooomoreoothanoo4ooL
C)ooindwellingoovancomycinoo(Vancocin)ooshouldoobeooplacedooinootheooportsooofootheootu
nneledoocatheter.
D)oopiperacillin-tazobactamoo(Zosyn)ooisooindicatedooforootheooline-relatedooinfection.oo-
ooans--D)oopiperacillin-tazobactamoo(Zosyn)ooisooindicatedooforootheooline-
relatedooinfection.
Whichooresearchoodesignoohasootheoogreatestoostrengthooinoodeterminingooifooanoointerve
ntionooisooeffective?
ooCaseoocontrol
ooClinicalootrial