QUESTIONS WITH SOLUTIONS | 100% RATED CORRECT | 100% VERFIED SOLTIONS |
ALREADY GRADED A+
1. To check visual acuity of a diabetic patient, the nurse can be a
_____________ chart for distant vision and a __________________ for near vision?: Snellen Chart;
Newspaper
2. The nurse knows that a hemoglobin A1C reading of 9 is equivalent to the calculated estimated
average glucose of what?: 212mg/dL
3. Name three signs of end-organ damage in Diabetes Mellitus: -Decreased visual acuity -Paresthesia
-Neuropathy
-Stroke
-Heart Disease
-Periodontal Disease
4. Which of the following is a factor that contributes to an increased incidence of hypoglycemia in
the older adult?
-Short duration of illness
-Absence of hepatic or renal disease
-Timing of frailty
-Polypharmacy: Polypharmacy
,5. Name three ways to minimize cardiovascular risk in a person with diabetes: -Eat a healthy diet
(low cab and low sodium)
-150 minutes of moderate intensity exercise a week
-BP <140/90
-Stop smoking
-Attain acceptable lipid levels
6. Name on modifiable risk factor to minimize heart disease: -Control blood pressure
-Maintain health triglyceride and cholesterol levels
-Prevent or control diabetes
-Stop smoking
-Healthy diet
-Exercise
-Control ETOH intake
-Reduce stress/treat depression 7. True or
False:
Signs of potential exacerbation of illness in an older adult with Coronary Heart Disease include:
Dizziness, unusual patterns of urination or defecation, and excessive fatigue or vague pain?: True
8. True or False:
In instructions for persons with COPD, we recommend small frequent meals with high protein
and high fat as well as avoiding indoor and outdoor pollutants?: False.
,Diet is high protein and caloric content.
9. What are two factors that increase the risk of pneumonia related to respiratory rate and
temperature?: Respiratory rate of greater than 30 breaths per minute
Temperature less than 95 degrees Fahrenheit
10. According to the NY Heart Association Functional Classification of Heart Failure symptoms,
Class 3 Moderate Heart Failure include: less than ordinary activity causes fatigue, palpitations,
or ______________________: Shortness of breath
11. IV TPA is indicated for ischemic occlusive strokes documented with a CT scan or MRI within
_________________ to ______________? (Time frame): 3 to 4.5 hours
12. Parkinson's Disease is a slowly progressing movement disorder that is the result of
destruction of the cells in the brain that produce the neurotransmitters __________________
and __________________________.: Norepinephrine and dopamine
13. What is the correct administration for levodopa-carbidopa given to Parkinson's Disease
patients? (3 aspects): 1) Empty stomach
2) 30 to 60 minutes before a meal or 45 to 60 minutes after a meal
3) On a set schedule
14. In order to diagnose Alzheimer's Disease: three aspects have to be met including
1) There has been a decline int he person's cognitive functioning from a previous level
2) That it developed slowly
3) _____________________________: That the changes are "greater than expected for the person's age
and educational background.
, 15. What is the difference in speech in Fluent (Wernicke's) Aphasia versus Anomic Aphasia?:
Fluent: Speak easily with many long runs of words, but the content does not make sense. Unrelated words
may be strung together or syllables repeated.
Anomic: Understand and speak readily but may have severe word-finding difficulty.
16. What are the three Ds of cognitive impairment that occurs frequently in older adults?:
Depression, delirium, and dementia
17. How was the onset and duration of dementia described as?: Insidious, slow, over years and
often unrecognized until deficits obvious; Years in duration. 18. Name three precipitating factors of
delirium:: -Age greater than 65 years
-Cognitive impairment
-Hearing or vision impairment
-Inadequately controlled pain
-Polypharmacy
-Use of invasive equipment or restraints
19. According to the pneumonic of causes of delirium, what did the "r" stand for?:
Polypharmacy/psychotropics
20. Name three tips for best practice to prevent delirium: -Sensory enhancement
-Pain management
-Cognitive simulation
-Medication review and medication management