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Mrs. Borden is 67 years old and her primary care physician wants her to be
seen by a nurse practitioner who specializes in geriatric issues. On
completing the interview and examination, the nurse practitioner tells Mrs.
Borden that she will order a blood laboratory specimen for thyroid function
and pancreatic function. Mrs. Borden asks what the reason is. Which of the
following is the nurse practitioner's best response?
1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
,4. These tests are necessary to obtain baseline information. - 🧠 ANSWER
✔✔4. These tests are necessary to obtain baseline information.
Mr. Jones is 70 years old and sees the nurse practitioner for a yearly
checkup. He states that he needs to urinate a lot and seems to always be
thirsty. He also finds himself gaining some weight. In the process of the
examination, the nurse practitioner detects that he is vague in his answers.
Which of the following may be the reason?
1. Mr. Jones is cold and bundled in a sweater.
2. There is no family history of diabetes.
3. The symptoms seem to have appeared slowly.
4. He does not want to admit to eating too much - 🧠 ANSWER ✔✔3. The
symptoms seem to have appeared slowly.
Ms. Allen, 72 years old, is being evaluated by the nurse practitioner for type
2 diabetes. Because symptoms of endocrine disorders in older adults are
vague, which of the following questions is best to ask?
1. Do you have any trouble carrying out your daily activities?
2. Can you tell me what you ate yesterday?
3. Have you seen a dentist in the last year?
,4. Have you noticed that you have less hair? - 🧠 ANSWER ✔✔1. Do you
have any trouble carrying out your daily activities?
Mrs. Smith, 80 years old, has been vomiting and having bouts of loose
stools for several days. She is taking several medications that are
prescribed. The nurse practitioner conducts a medication review because:
1. An accounting of all prescribed and over-the-counter (OTC) medications
may uncover reasons for her symptoms.
2. There could be drug-drug interactions leading to her symptoms.
3. Side effects of the gastrointestinal tract are not seen in many
medications.
4. The administration of some of her medications may be appropriate. - 🧠
ANSWER ✔✔2. There could be drug-drug interactions leading to her
symptoms.
Mr. Jameson, 75 years old, comes to the clinic with complaints of severe
sharp epigastric pain that radiates to his back. He has been nauseous and
has vomited three times today. The nurse practitioner suspects which of
the following?
1. Appendicitis
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3
, 2. Gastrointestinal influenza
3. Acute pancreatitis
4. Insulin shock - 🧠 ANSWER ✔✔3. Acute pancreatitis
The nurse practitioner is working in the emergency department and is
called to assist with the diagnosis of a patient who just came in. Mr. Barn is
76 years old and complains of abdominal pain, and his serum amylase and
lipase are three times the normal limit. The nurse practitioner confirms
pancreatitis, as this meets which criteria?
1. CT severity index
2. Atlanta classification
3. APACHE II
4. Ranson criteria - 🧠 ANSWER ✔✔3. APACHE II
Ms. Jenny is 72 years old and has managed her type 2 diabetes for 30
years. This condition is costly to her in more than one way. Which
complications are common?
1. Financial challenges.
2. Good visual acuity.