Gerontology HESI test
The cleaning of the belly with solution added via a nasogastric tube is referred to as what?
Gavage
Emesis
Lavage
Stomach pumping - ANSLavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or
different toxic substance. It is brought thru a nasogastric tube
You are providing care to a affected person who has currently begun dialysis. Her daughter,
with whom she lives and who prepares many of her meals, asks what kinds of meals she
have to contain into her weight loss plan and which she need to keep away from. Which of
the subsequent is NOT a food that this affected person must be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas. - ANSLean beef
Dialysis patients are recommended to devour lean meat, including beef. High great proteins
produce much less waste and help the body heal and keep normal techniques. Dialysis
sufferers need to avoid foods high in potassium, such as avocado, banana, and dried fruit,
and have to eat different potassium-containing meals moderately.
Your 89-12 months-vintage patient affords with dyspepsia and nausea. After checking out,
you decide she is high quality for Peptic Ulcer Disease. Of the subsequent, which could
LEAST probably be a differential analysis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular ailment. - ANSMigraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
situation are pancreatitis and biliary tract disease.
There are an amazing many sicknesses affecting the aged which might be the result of
smoking. Counseling regarding smoking cessation is part of the GNP's activity. The additives
of short intervention for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
,Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange - ANSAsk, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to give up, Assess willingness to make an try and quit, Assist
in this give up try. Arrange a observe-up.
Mrs. Frasier, an 50-year-antique patient, affords with a mosquito chunk that she is involved
about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques. - ANSWheal
Cyst: encapsulated, fluid-stuffed mass that varies in length. Bulla: fluid-stuffed, improved,
circumscribed lesion it is larger than 5mm. Wheal: circumscribed, reddening with brief
elevation lesion it truly is 0.5 to 10mm diameter. Plaques: commonly a grouping of papules;
multiplied and a diffusion of shapes; large than 5mm.
Which of the following businesses ought to be examined for belly aortic aneurysm?
Adult males elderly sixty five-seventy five who've ever smoked
women aged sixty five-75 who've high blood pressure
women and men over seventy five
females over seventy five - ANSmales elderly sixty five-seventy five who've ever smoked
Abdominal aortic aneurysm (AAA) is greater familiar in men than in girls. The American
Heart Association recommends screening adult males once among a long time sixty five-75
if they have ever smoked seeing that that increases the hazard of AAA.
With a giardia lamblia prognosis, the NP could MOST probably prescribe what remedy?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. - ANSMetronidazole.
The previous drugs are generally utilized in treating the following: - Campylobacter jejuni:
Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-sulfamethoxazole - Giardia
lamblia: Metronidazole
A sixty five-12 months-antique Caucasian male calls your workplace. He tells you he simply
came in from the woods and found a tick on his upper proper thigh. He reports self removal
of the tick and now the region is barely red. What ought to you recommend him to do?
He ought to come to the office for a ceftriaxone (Rocephin) injection.
He need to be prescribed doxycycline.
He desires no treatment.
, He desires a topical scrub to save you Lyme Disease. - ANSHe needs no remedy.
To increase Lyme Disease from a tick bite, many elements have to be gift. The tick need to
belong to Ixodes species and should had been attached for at least 48 hours before the
disease can spread. There isn't any want for prophylactic treatment in this example because
the tick has not been present long sufficient.
As a part of the treatment plan for your elderly affected person, you propose he see an
Ophthalmologist. What frame component(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. - ANSEyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones / Joints / Muscles
Otolaryngologist - Ears / Throat
As a GNP you keep in mind that because of physiological modifications of getting old, a few
laboratory take a look at outcomes can have age-related adjustments. Which of the
subsequent values will be the least probable to be affected?
Crimson blood mobile values
white blood cell counts
platelet variety
hemoglobin values - ANSplatelet range
Due to the physiological changes of growing older, red blood cell values tend to lower, white
blood cell counts have a tendency to decrease slightly, hemoglobin values slightly lower,
however platelet range does now not range.
The circle of relatives of a patient with dementia has requested you to tell them more
approximately this condition. You might tell them all the following besides:
Dementia is the leading purpose for institutionalization of older adults.
Some people identified with dementia have reversible pseudodementia.
Irreversible dementia has a gradual onset and a modern downward path.
50% of the older grownup populace be afflicted by some shape of dementia. - ANS50% of
the older person populace be afflicted by some form of dementia.
This declaration is not true. It is estimated that between 10 and 20% of the older person
populace be afflicted by some form of dementia. There are 1.2 million cases inside the
United States in human beings over the age of sixty five.
What is genuine concerning deep vein thrombosis (DVT)?
Contrast venography is the maximum normally used check to diagnose this.
The cleaning of the belly with solution added via a nasogastric tube is referred to as what?
Gavage
Emesis
Lavage
Stomach pumping - ANSLavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or
different toxic substance. It is brought thru a nasogastric tube
You are providing care to a affected person who has currently begun dialysis. Her daughter,
with whom she lives and who prepares many of her meals, asks what kinds of meals she
have to contain into her weight loss plan and which she need to keep away from. Which of
the subsequent is NOT a food that this affected person must be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas. - ANSLean beef
Dialysis patients are recommended to devour lean meat, including beef. High great proteins
produce much less waste and help the body heal and keep normal techniques. Dialysis
sufferers need to avoid foods high in potassium, such as avocado, banana, and dried fruit,
and have to eat different potassium-containing meals moderately.
Your 89-12 months-vintage patient affords with dyspepsia and nausea. After checking out,
you decide she is high quality for Peptic Ulcer Disease. Of the subsequent, which could
LEAST probably be a differential analysis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular ailment. - ANSMigraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
situation are pancreatitis and biliary tract disease.
There are an amazing many sicknesses affecting the aged which might be the result of
smoking. Counseling regarding smoking cessation is part of the GNP's activity. The additives
of short intervention for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
,Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange - ANSAsk, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to give up, Assess willingness to make an try and quit, Assist
in this give up try. Arrange a observe-up.
Mrs. Frasier, an 50-year-antique patient, affords with a mosquito chunk that she is involved
about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques. - ANSWheal
Cyst: encapsulated, fluid-stuffed mass that varies in length. Bulla: fluid-stuffed, improved,
circumscribed lesion it is larger than 5mm. Wheal: circumscribed, reddening with brief
elevation lesion it truly is 0.5 to 10mm diameter. Plaques: commonly a grouping of papules;
multiplied and a diffusion of shapes; large than 5mm.
Which of the following businesses ought to be examined for belly aortic aneurysm?
Adult males elderly sixty five-seventy five who've ever smoked
women aged sixty five-75 who've high blood pressure
women and men over seventy five
females over seventy five - ANSmales elderly sixty five-seventy five who've ever smoked
Abdominal aortic aneurysm (AAA) is greater familiar in men than in girls. The American
Heart Association recommends screening adult males once among a long time sixty five-75
if they have ever smoked seeing that that increases the hazard of AAA.
With a giardia lamblia prognosis, the NP could MOST probably prescribe what remedy?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. - ANSMetronidazole.
The previous drugs are generally utilized in treating the following: - Campylobacter jejuni:
Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-sulfamethoxazole - Giardia
lamblia: Metronidazole
A sixty five-12 months-antique Caucasian male calls your workplace. He tells you he simply
came in from the woods and found a tick on his upper proper thigh. He reports self removal
of the tick and now the region is barely red. What ought to you recommend him to do?
He ought to come to the office for a ceftriaxone (Rocephin) injection.
He need to be prescribed doxycycline.
He desires no treatment.
, He desires a topical scrub to save you Lyme Disease. - ANSHe needs no remedy.
To increase Lyme Disease from a tick bite, many elements have to be gift. The tick need to
belong to Ixodes species and should had been attached for at least 48 hours before the
disease can spread. There isn't any want for prophylactic treatment in this example because
the tick has not been present long sufficient.
As a part of the treatment plan for your elderly affected person, you propose he see an
Ophthalmologist. What frame component(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. - ANSEyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones / Joints / Muscles
Otolaryngologist - Ears / Throat
As a GNP you keep in mind that because of physiological modifications of getting old, a few
laboratory take a look at outcomes can have age-related adjustments. Which of the
subsequent values will be the least probable to be affected?
Crimson blood mobile values
white blood cell counts
platelet variety
hemoglobin values - ANSplatelet range
Due to the physiological changes of growing older, red blood cell values tend to lower, white
blood cell counts have a tendency to decrease slightly, hemoglobin values slightly lower,
however platelet range does now not range.
The circle of relatives of a patient with dementia has requested you to tell them more
approximately this condition. You might tell them all the following besides:
Dementia is the leading purpose for institutionalization of older adults.
Some people identified with dementia have reversible pseudodementia.
Irreversible dementia has a gradual onset and a modern downward path.
50% of the older grownup populace be afflicted by some shape of dementia. - ANS50% of
the older person populace be afflicted by some form of dementia.
This declaration is not true. It is estimated that between 10 and 20% of the older person
populace be afflicted by some form of dementia. There are 1.2 million cases inside the
United States in human beings over the age of sixty five.
What is genuine concerning deep vein thrombosis (DVT)?
Contrast venography is the maximum normally used check to diagnose this.
