Geri Test 1 Case Studies (fully solved)
already passed
I am caused by massive electrical discharge in a group of nerve cells in the brain.
I can be active or postictal.
Treatment for me is usually by nonrebreather or positive pressure ventilations depending on my
condition.
I should be transported in the recovery position to protect my airway if no trauma is present. - correct
answer ✔✔SEIZURE
I am responsible for over 100,000 deaths each year in the U.S.
Although I do not directly cause death, I can cause patients to stop eating, become immobile, and
eventually be subject to numerous infections.
I am the most common cause of dementia in the elderly.
I involve the central nervous system causing brain cells to degenerate and die. - correct answer
✔✔ALZHEIMERS
I am a common emergency for elderly patients.
I am caused by reduced blood flow to the brain.
I can be reversed by lying down.
My treatment includes:
An Adequate airway, High flow O2 by NR or BVM. Placement in the recovery position if patient did not
fall. If fall was suspected patient should be fully immobilized. - correct answer ✔✔SYNCOPE
I occur when a blood vessel in the brain becomes blocked by a clot, obstructing blood flow, or ruptures
allowing blood to accumulate in the brain tissue itself.
I can cause increased ICP.
Some of my signs & symptoms include::
Unequal pupils, slurred speech, headache, memory disorder, Muscle weakness or paralysis, usually
unilateral, and so on.
,My treatment would include:
Aggressive oxygenation, airway protection and suctioning, transported in an up-right position or lateral
recumbent if unresponsive. - correct answer ✔✔STROKE
I can be chronic or acute.
I can be caused from a fatigued heart, arteriosclerosis, and heart valve damage.
The heart can no longer pump effectively causing blood to back up in the periphery and lungs.
Assessment findings include
JVD, edema in the extremities, fatigue, altered mental status, dyspnea, and rales. - correct answer
✔✔CHF
I can be silent or cause great pain.
I am usually caused by a lack of O2 to the heart muscle.
I am associated with chest pain, dyspnea, and improved with nitroglycerine.
Treatment includes high flow O2, assisting with patients nitroglycerine with medical control order, and
cautious but rapid transport. - correct answer ✔✔MYOCARDIAL INFARCTION
I am a blockage in the blood vessels of the lungs.
I can present with a very sudden onset of dyspnea.
Predisposing factors include aging, smoking, cancer, fractures of large bones, cardiovascular disease,
major surgery, prolonged bed rest, and trauma.
Treatment is Big O's, and rapid transport. - correct answer ✔✔PULMONARY EMBOLISM
I can be chronic or acute and usually caused by fluid in the lungs.
The left ventricle starts to eject less blood than the right causing excessive backup in the lungs.
The fluid begins to leak into the space between the alveoli and capillaries causing the edema.
Signs and symptoms include orthopnea (difficulty breathing when lying down). Coughing up blood tinged
sputum.
Treatment includes big O's, Fowlers position, and expedite transport. - correct answer ✔✔PLEURAL
EFFUSION
, I can be caused by infection or through aspiration.
Signs and symptoms include dyspnea, congestion without fever or chills, and a productive cough of
purulent sputum.
Care includes big O's, and transport in the Fowlers position. - correct answer ✔✔PNEUMONIA
I am called a "mini stroke".
I have the same signs and symptoms of a CVA except my signs and symptoms are usually gone in 24
hours or less.
Treatment would be the same as for a CVA. - correct answer ✔✔TRANSIENT ISCHEMIC ATTACK
I can be caused by by pulmonary disease processes such as chronic bronchitis or emphysema.
My result is a disturbance in gas exchange and the ability of the body to move air in and out of the lungs.
Treatment if patient is having difficulty breathing provide high flow O2. Assist with inhaler. Transport in
Fowler's position. - correct answer ✔✔COPD EXACERBATION
I can be acute or chronic and results in profound disturbances in mental functioning.
I can be caused by medications, Alzheimer's disease, brain lesions, heart disease and so on. - correct
answer ✔✔DEMENTIA
DELIRIUM
DEPRESSION
I may be caused by poor eyesight, forgetfulness, or confusion.
Treatment includes airway, oxygen, and prevention of aspiration.
Take all medications with you.... - correct answer ✔✔DRUG-DRUG-DRUG INTERACTION
Put them on oxygen because it's hard to differentiate between a stroke
Which of the following is the most accurate
office screening tool for physiologic hearing
loss in older adults?
(A) Whisper test
already passed
I am caused by massive electrical discharge in a group of nerve cells in the brain.
I can be active or postictal.
Treatment for me is usually by nonrebreather or positive pressure ventilations depending on my
condition.
I should be transported in the recovery position to protect my airway if no trauma is present. - correct
answer ✔✔SEIZURE
I am responsible for over 100,000 deaths each year in the U.S.
Although I do not directly cause death, I can cause patients to stop eating, become immobile, and
eventually be subject to numerous infections.
I am the most common cause of dementia in the elderly.
I involve the central nervous system causing brain cells to degenerate and die. - correct answer
✔✔ALZHEIMERS
I am a common emergency for elderly patients.
I am caused by reduced blood flow to the brain.
I can be reversed by lying down.
My treatment includes:
An Adequate airway, High flow O2 by NR or BVM. Placement in the recovery position if patient did not
fall. If fall was suspected patient should be fully immobilized. - correct answer ✔✔SYNCOPE
I occur when a blood vessel in the brain becomes blocked by a clot, obstructing blood flow, or ruptures
allowing blood to accumulate in the brain tissue itself.
I can cause increased ICP.
Some of my signs & symptoms include::
Unequal pupils, slurred speech, headache, memory disorder, Muscle weakness or paralysis, usually
unilateral, and so on.
,My treatment would include:
Aggressive oxygenation, airway protection and suctioning, transported in an up-right position or lateral
recumbent if unresponsive. - correct answer ✔✔STROKE
I can be chronic or acute.
I can be caused from a fatigued heart, arteriosclerosis, and heart valve damage.
The heart can no longer pump effectively causing blood to back up in the periphery and lungs.
Assessment findings include
JVD, edema in the extremities, fatigue, altered mental status, dyspnea, and rales. - correct answer
✔✔CHF
I can be silent or cause great pain.
I am usually caused by a lack of O2 to the heart muscle.
I am associated with chest pain, dyspnea, and improved with nitroglycerine.
Treatment includes high flow O2, assisting with patients nitroglycerine with medical control order, and
cautious but rapid transport. - correct answer ✔✔MYOCARDIAL INFARCTION
I am a blockage in the blood vessels of the lungs.
I can present with a very sudden onset of dyspnea.
Predisposing factors include aging, smoking, cancer, fractures of large bones, cardiovascular disease,
major surgery, prolonged bed rest, and trauma.
Treatment is Big O's, and rapid transport. - correct answer ✔✔PULMONARY EMBOLISM
I can be chronic or acute and usually caused by fluid in the lungs.
The left ventricle starts to eject less blood than the right causing excessive backup in the lungs.
The fluid begins to leak into the space between the alveoli and capillaries causing the edema.
Signs and symptoms include orthopnea (difficulty breathing when lying down). Coughing up blood tinged
sputum.
Treatment includes big O's, Fowlers position, and expedite transport. - correct answer ✔✔PLEURAL
EFFUSION
, I can be caused by infection or through aspiration.
Signs and symptoms include dyspnea, congestion without fever or chills, and a productive cough of
purulent sputum.
Care includes big O's, and transport in the Fowlers position. - correct answer ✔✔PNEUMONIA
I am called a "mini stroke".
I have the same signs and symptoms of a CVA except my signs and symptoms are usually gone in 24
hours or less.
Treatment would be the same as for a CVA. - correct answer ✔✔TRANSIENT ISCHEMIC ATTACK
I can be caused by by pulmonary disease processes such as chronic bronchitis or emphysema.
My result is a disturbance in gas exchange and the ability of the body to move air in and out of the lungs.
Treatment if patient is having difficulty breathing provide high flow O2. Assist with inhaler. Transport in
Fowler's position. - correct answer ✔✔COPD EXACERBATION
I can be acute or chronic and results in profound disturbances in mental functioning.
I can be caused by medications, Alzheimer's disease, brain lesions, heart disease and so on. - correct
answer ✔✔DEMENTIA
DELIRIUM
DEPRESSION
I may be caused by poor eyesight, forgetfulness, or confusion.
Treatment includes airway, oxygen, and prevention of aspiration.
Take all medications with you.... - correct answer ✔✔DRUG-DRUG-DRUG INTERACTION
Put them on oxygen because it's hard to differentiate between a stroke
Which of the following is the most accurate
office screening tool for physiologic hearing
loss in older adults?
(A) Whisper test
