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NSG 3250 Exam 4 final questions and answers

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Exam 4 final for med surg 1

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1. Medication management for the older adult- use the same pharmacy, med
reminders, keep an updated med list, keep a routine
2. If pt is on a ton of meds use the same PCP/pharmacy
3. Normal age changes- loss of taste, so they add spices/salt
4. Older adults are at risk for aspiration
5. Older adults remain functional/independent due to health promotion/ activities
6. Lab values to look at for toxicity-bun/creatinine (liver/renal panels)
7. Herbal meds= be concerned about drug interactions
8. Normal memory loss- still able to complete ADLs-- alzheimers/dementia memory
loss- unable to complete adls.
9. Older adults tend to abuse alcohol
10. Suspected elder abuse- tell superviser
11. Urge incontinence, sometimes falls= geriatric syndrome
12. Know the definition of agism- judged for being older
13. Caring for a patient who isn’t getting full effect of meds- ask them how they are taking
it & if they miss doses
14. Delirium- is an altered state of mind- it is treatable, they will return to normal
15. Modifiable risk factors for chronic health problem- smoking weight and nutrition
16. Elderly client- incontinence/ inability to hold urine is not normal
17. Treatment of rectocele= use docusate to avoid strain & a pessary is placed
18. Priority focus for endometriosis is pain management
19. Atrophicvaginitis is due to loss of estrogen, treat this with a topical estrogen- this
relieves the itch
20. Ways to prevent cervical cancer- get the HPV vaccine, don’t smoke, wait to have sex,
practice safe sex
21. Fibrocystic breast disease- goes away with menopause
22. Dimpling in the right breast- palpate to assess- this is not normal
23. Lay flat, 20-80x daily hold for 10 secs/ release for 10 secs-how to perform kegals
24. Mastectomy- lymphedema present- reduce with elevation
25. Diagnostic test for breast cancer- fine needle aspiration
26. Pt is in menopause for 2 years and starts random bleeding- worry about this it is not
normal
27. Side effects of chemo/radiation- neutropenia
28. Symptom of ovarian cancer- pelvic pressure
29. Therapeutic communication- pt is feeling a certain way-tell me how you feel
30. Which lab value does finasteride decrease- PSA
31. Ovarian cancer- paclitaxel (chemo med)- causes leukopenia
32. Worry about a large menstral flow- could cause lightheadedness/fatigue


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