NURS 445 Exam 2 – Questions With Proper Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (96)
What does a health history include? demographic info
past medical history
current medications & dietary supplements
social history
functional history (ADLs, independence)
review of systems (subjective)
How is the cognitive assessment done? using mini-mental state examination (MMSE) and mini-cog
How is depression assessed? geriatric depression scale (GDS) and PHQ-9 scale
ACE.S Essential Nursing Actions assess and function expectations
coordinate and manage care
use evidence-based knowledge
make situational decisions
Common Geriatric Syndromes falls and gait abnormalities
malnutrition
delirium
urinary incontinence
sleep disorders
pressure ulcers
(SPICES are used here)
What does the functional assessment entail? activities of daily living (ADLs)
instrumental activities of daily living (IADLs)
advanced activities of daily living (ADDLs)
physical performance measures
frailty
What assessment is used to assess ADLs? katz assessment
What does FIFE measure? the frailty index of elders
, What are the nursing implications for the listen to the heart for 30-60 seconds ON SKIN
cardiovascular system? identify extra sounds
accurate BP/HR
promote 30 min exercise 3-6 days/wk
promote low cal, low Na diet
promote smoking cessation
promote normal weight
take accurate family history
What are the nursing implications for the check pulses (doppler)
peripheral vascular system? encourge exercise, diet, smoking cessation
administer diuretics
compression stockings (SCDs)
prevent skin breakdown
What are the nursing implications for the assess ALL lung sounds
respiratory system? accurate RR, O2 sat
T/F: urinary incontinence is a normal part of false
aging
T/F: urinary incontinence is a neglected TRUE
geriatric syndrome
Transient/Acute Urinary Incontinence sudden onset
caused by treatable factor
hospitalized older adults
medications (diuretics, anticholingerics, antidepressants,
sedatives, hypnotics, CCBs, AAAs)
Stress Incontinence increased abdominal pressure (sneezing, laughing, exercising)
Urge Incontinence hits and can't go b/c can't suppress the urge to go
Overflow Incontinence feeling incomplete emptying (prostate issues)
Functional Incontinence environmental issues, can't get pants down, can't sit down,
facility/hospital
Mixed Incontinence combination of stress and urge
Aging Musculoskeletal System independently meet ADLs
none are life-threatening but can impact quality of life
individual's self-esteem
Sarcopenia bulk and strength of skeletal muscle decline each year after
the age of 50
Nursing Implications for Musculoskeletal promote strength exercises
system isometric exercises
water exercises (lighter for knees, ankles, hips)
less impactful on bones
What factors lead to BMD loss lack of exercise (premature bone loss)
(osteopenia)? lack of vitamin D/Ca
poor lifestyle choices
smoking/alcohol
hypothyroidism
steroid use
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (96)
What does a health history include? demographic info
past medical history
current medications & dietary supplements
social history
functional history (ADLs, independence)
review of systems (subjective)
How is the cognitive assessment done? using mini-mental state examination (MMSE) and mini-cog
How is depression assessed? geriatric depression scale (GDS) and PHQ-9 scale
ACE.S Essential Nursing Actions assess and function expectations
coordinate and manage care
use evidence-based knowledge
make situational decisions
Common Geriatric Syndromes falls and gait abnormalities
malnutrition
delirium
urinary incontinence
sleep disorders
pressure ulcers
(SPICES are used here)
What does the functional assessment entail? activities of daily living (ADLs)
instrumental activities of daily living (IADLs)
advanced activities of daily living (ADDLs)
physical performance measures
frailty
What assessment is used to assess ADLs? katz assessment
What does FIFE measure? the frailty index of elders
, What are the nursing implications for the listen to the heart for 30-60 seconds ON SKIN
cardiovascular system? identify extra sounds
accurate BP/HR
promote 30 min exercise 3-6 days/wk
promote low cal, low Na diet
promote smoking cessation
promote normal weight
take accurate family history
What are the nursing implications for the check pulses (doppler)
peripheral vascular system? encourge exercise, diet, smoking cessation
administer diuretics
compression stockings (SCDs)
prevent skin breakdown
What are the nursing implications for the assess ALL lung sounds
respiratory system? accurate RR, O2 sat
T/F: urinary incontinence is a normal part of false
aging
T/F: urinary incontinence is a neglected TRUE
geriatric syndrome
Transient/Acute Urinary Incontinence sudden onset
caused by treatable factor
hospitalized older adults
medications (diuretics, anticholingerics, antidepressants,
sedatives, hypnotics, CCBs, AAAs)
Stress Incontinence increased abdominal pressure (sneezing, laughing, exercising)
Urge Incontinence hits and can't go b/c can't suppress the urge to go
Overflow Incontinence feeling incomplete emptying (prostate issues)
Functional Incontinence environmental issues, can't get pants down, can't sit down,
facility/hospital
Mixed Incontinence combination of stress and urge
Aging Musculoskeletal System independently meet ADLs
none are life-threatening but can impact quality of life
individual's self-esteem
Sarcopenia bulk and strength of skeletal muscle decline each year after
the age of 50
Nursing Implications for Musculoskeletal promote strength exercises
system isometric exercises
water exercises (lighter for knees, ankles, hips)
less impactful on bones
What factors lead to BMD loss lack of exercise (premature bone loss)
(osteopenia)? lack of vitamin D/Ca
poor lifestyle choices
smoking/alcohol
hypothyroidism
steroid use
