NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
1. There are benign and lethal murmurs. Which of hospitalization is required when
the following are true of lethal murmurs arrhythmias result from hemo-
dynamic compromise
Cardioversion pre hospitaliza-
tion may be needed
Aggressive therapeutic treat-
ment is needed when sympto-
matic
Underlying cardiac problems
need to be discovered
2. What are the classes of BMI for obesity Class 1 30-35
Class II 35-39.9
Class morbid >40
3. 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
4. What are the hypertension guidelines for patients 150/90 for patients without DM
greater than 60 years of age or CKD
140/90 for patients with DM or
CKD
5. Why would you initiate statins on elderly patients 1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of
70-189
, NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
6. Was what is a positive malnutrition score Greater than 10 lb weight loss
in 6 months
Use the MUST tool
7. Elderly population should you screen for hyperlipi- Patients that have known hyper-
demia tension, smoking, or diabetes
8. What is the scales nutrition screening tool S-sadness, C-cholesterol, A-al-
bumin, L- loss of weight E-
eating problems, S - shopping
problems
9. What are the vision screening requirements of pa- Snelling chart - annually
tients > 65 Patients with hypertension or
diabetes must have a dilated
exam annually
10. What are the hearing screening requirements of Asking questions about
patients > 65 whether people say they appear
to have problems with turning
the volume up
11. When should you screen for osteoporosis Women >65
Men > 70
You must use a dual energy dxa
x-ray
And perform at-score
12. 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
, NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
13. What are the mammogram screening require- Age greater than 40-74
ments
14. What are the colon cancer screening recommen- All patients over the age of 50
dations Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
15. What are the cervical cancer screening recommen- Age 21-65
dations > age 65 is not required
16. What are the requirements for counseling patients Exercise, nutrition, tobacco, al-
> 65 cohol
17. What are the requirements of exercise for patients Aerobic exercise for 30 minutes
65 three times a week
Strength exercise two times a
week
18. What are the alcohol recommendations for an one per day for women
adult Per day for men
19. What are the pneumonia immunization recom- Pcv13 first
mendations for patients >65 PPS 23 one year later
20. What are the zoster immunization recommenda- All patients over the age of
tions 60-regardless if they have had
shingles or chicken pox in the
past
Contraindications-allergy to
neomycin or gelatin
Bone marrow cancer - such as
, NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
lymphoma
Current chemotherapy or
steroids
AIDS patients
21. the major impact of the physiological changes that Reduced physiological Re-
occur with aging is serve-Particularly the cardiac,
respiratory, and renal systems
Reduced homeostatic mecha-
nisms-That fail to adjust regula-
tory systems such as tempera-
ture control and fluid and elec-
trolyte balance
Changes in the sympathetic re-
sponse-which contribute to or-
thostasis and Falls as well as a
lack of hypoglycemic response
Impaired immunologic re-
sponse
22. the strongest evidence regarding normal physio- Longitudinal studies
logical aging is available through
23. the following statements are true about laborato- Reference ranges are prefer-
ry values in older adults able
Normal ranges may not be ap-
plicable for older adults
Study online at https://quizlet.com/_dk8eej
1. There are benign and lethal murmurs. Which of hospitalization is required when
the following are true of lethal murmurs arrhythmias result from hemo-
dynamic compromise
Cardioversion pre hospitaliza-
tion may be needed
Aggressive therapeutic treat-
ment is needed when sympto-
matic
Underlying cardiac problems
need to be discovered
2. What are the classes of BMI for obesity Class 1 30-35
Class II 35-39.9
Class morbid >40
3. 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
4. What are the hypertension guidelines for patients 150/90 for patients without DM
greater than 60 years of age or CKD
140/90 for patients with DM or
CKD
5. Why would you initiate statins on elderly patients 1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of
70-189
, NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
6. Was what is a positive malnutrition score Greater than 10 lb weight loss
in 6 months
Use the MUST tool
7. Elderly population should you screen for hyperlipi- Patients that have known hyper-
demia tension, smoking, or diabetes
8. What is the scales nutrition screening tool S-sadness, C-cholesterol, A-al-
bumin, L- loss of weight E-
eating problems, S - shopping
problems
9. What are the vision screening requirements of pa- Snelling chart - annually
tients > 65 Patients with hypertension or
diabetes must have a dilated
exam annually
10. What are the hearing screening requirements of Asking questions about
patients > 65 whether people say they appear
to have problems with turning
the volume up
11. When should you screen for osteoporosis Women >65
Men > 70
You must use a dual energy dxa
x-ray
And perform at-score
12. 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
, NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
13. What are the mammogram screening require- Age greater than 40-74
ments
14. What are the colon cancer screening recommen- All patients over the age of 50
dations Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
15. What are the cervical cancer screening recommen- Age 21-65
dations > age 65 is not required
16. What are the requirements for counseling patients Exercise, nutrition, tobacco, al-
> 65 cohol
17. What are the requirements of exercise for patients Aerobic exercise for 30 minutes
65 three times a week
Strength exercise two times a
week
18. What are the alcohol recommendations for an one per day for women
adult Per day for men
19. What are the pneumonia immunization recom- Pcv13 first
mendations for patients >65 PPS 23 one year later
20. What are the zoster immunization recommenda- All patients over the age of
tions 60-regardless if they have had
shingles or chicken pox in the
past
Contraindications-allergy to
neomycin or gelatin
Bone marrow cancer - such as
, NRNP 6540 Didactic
Study online at https://quizlet.com/_dk8eej
lymphoma
Current chemotherapy or
steroids
AIDS patients
21. the major impact of the physiological changes that Reduced physiological Re-
occur with aging is serve-Particularly the cardiac,
respiratory, and renal systems
Reduced homeostatic mecha-
nisms-That fail to adjust regula-
tory systems such as tempera-
ture control and fluid and elec-
trolyte balance
Changes in the sympathetic re-
sponse-which contribute to or-
thostasis and Falls as well as a
lack of hypoglycemic response
Impaired immunologic re-
sponse
22. the strongest evidence regarding normal physio- Longitudinal studies
logical aging is available through
23. the following statements are true about laborato- Reference ranges are prefer-
ry values in older adults able
Normal ranges may not be ap-
plicable for older adults
