Update) – Aging and Chronic Illness in Nursing |
Verified Exam Guide | 100% Correct Questions &
Answers | Grade A – Galen College
Four key considerations to the regulation of glucose metabolism: - Answer hormonal
regulation, neural regulation, exercise, and stress.
Glucose is produced from - Answer endogenous glycogen stored in the muscles and liver.
Glycogenolysis is - Answer the process by which glycogen is broken down into glucose to be
used by the body to maintain blood glucose levels.
•Major cardiovascular diseases include - Answer •Hypertension (HTN)
•Coronary heart disease (CHD)
•Myocardial infarction (MI)
•Angina
•Heart failure (HF)
Hypertension
Diagnosed when the diastolic blood pressure (BP) is: - Answer 90 mm Hg or higher or the
systolic BP is 140 mm Hg or higher
Modifiable Factors to Minimize Risk for Heart Disease (8) - Answer •Control blood pressure
•Maintain healthy triglyceride and cholesterol levels.
•Prevent or control diabetes.
•Cease or never use tobacco products/reduce exposure to pollutants including tobacco smoke.
•Eat a healthy diet and maintain or attain acceptable weight.
•Engage in regular exercise.
•Control alcohol intake (1 drink daily for women & 2 for men).
•Reduce stress and treat for depression.
Complications of Hypertension (5) - Answer •Hemorrhagic Stroke
,•Retinopathy
•Peripheral Vascular Disease
•Renal Failure (proteinuria)
•CHR, CHF, LVH7
Adults at least age 40 should be screened how often for hypertension? - Answer yearly
management OF HYPERTENTION (8) - Answer •Take medication as prescribed
•Monitor BP regularly
•Stop smoking
•Reduce alcohol intake
•Dietary changes: Low sodium, low fat & cholesterol, read labels to find sodium, fat, cholesterol,
sugar and calories
•Reduce weight, if overweight or obese
•Increase exercise, 3-4 times per week
•Manage stress: exercise (walking, bicycling, swimming), meditation, yoga
MEDICATION MANAGEMENT OF HYPERTENTION? (8) - Answer •Diuretics are first
line drugs
•Antihypertensive drugs
•Combination of drugs
•Take daily as prescribed
•Do not stop abruptly
•Do not skip doses or reduce dose unless instructed to do so by PCP
•Monitor for therapeutic effect (consistently lower BP readings)
•Monitor for Side effects and adverse reactions
HEART DISEASE>>
Develops from several causes, including?
CHD can result in what?
, •In women and older adults, the signs and symptoms are more likely to be? - Answer
Atherosclerosis, HTN, exposure to smoke and pollutants, diabetes, and genetics.
MI
MILD
Heart attack in Men? (6) - Answer lightheadedness
short of breath
chest pain and discomfort
neck, back, or jaw pain
discomfort or pain in the arm or shoulder
nausea or vomiting
Heart attack in women? (6) - Answer lightheadedness, dizziness, or fainting
shortness of breath
pain or numbness in one or both arms
back or jaw pain
sweating
nausea or vomiting
Presents more like an anxiety attack.
Signs of potential exacerbation of illness in an older adult with coronary heart disease? (10) -
Answer lightheadedness or dizziness
disturbances in gait and balance
loss of appetite or unexplained weight loss
inability to concentrate.
changes in personality or mood