BSMCON NUR 2102- Final Exam 200 questions and verified answers latest 2023.

BSMCON NUR 2102- Final Exam 200 questions and verified answers latest 2023. 1. Assessment Begins at first Sight...: Collecting objective data Noting cognition Observing the need for assistive devices and gaits Anticipatory planning Nurse experience/expertise 2. Performing a Health Assessment - what is important? What can be omitted?: Aging in NOT a disease. Nurses must be able to differentiate between the normal aging process and disease manifestation. A plan of care should be individualized to address the needs of the elderly. Family genogram is not pertinent for older adult. 3. Neurologic: - Assess mental status and level of consciousness. - Evaluate speech - Fine motor movement - Note memory, judgement, calculation, abstract reasoning (Mini Mental Status Check) 4. Integumentary: *Decreased collagen & subcutaneous fat *Sweat glands atrophy & decrease function Capillary fragility & decreased vascularity *Decreased sensory receptors & increased thresholds *Increased wrinkling and decrease elasticity *Increased dryness and pruritis *Thinning increased healing time, bruising *Decreased sensory perception *Decreased vit D production *Increased skin lesions 5. Eye, Ears, Nose, Throat: *Arcus senilis *Decreased tears *Decreased elasticity of lens *Atrophy of ciliary muscles 1 / 30 BSMCON NUR 2102- Final Exam (new material since test 4) *Decrease in number of sensory cells in nasal lining *Decrease papillae on the tongue *Conductive hearing loss *Presbycusis *Muscle weakness *Dry eyes *Decreased adaption to light or darkness *Decreased peripheral vision *Decreased sense of smell *Decreased sense of taste *Sclerotic tympanic membrane *Chewing and swallowing difficulties 6. Entropion: Abnormal: Lower lid turns inward. *Decreased elasticity of lids 7. Ectropion: Abnormal: Lower lid drops away from the globe 8. Respiratory: *Weak respiratory muscles *Kyphoscoliosis *Alveoli has less elastic and is more fibrous *Diminished breath sounds in bases. *Decrease chest wall compliance. *Upon exertion they have shortness of breath. 9. Respiratory Expected Findings:: Thorax and scapulae symmetric Anteroposterior diameter of chest approximately one half the lateral diameter. * Decreased elasticity and ability to clear air passages in. * Breath sounds are the same as younger adults. 10. Kyphoscoliosis: Abnormal: Formed by an anteroposterior and a lateral curvature of the spine. *It may alter chest wall configuration and make adequate lung expansion more difficult. *It may increase the anteroposterior diameter. Resulting in shallow breathing. 11. Cardiovascular: *Increase arterial resistance *Decreased cardiac output 2 / 30 BSMCON NUR 2102- Final Exam (new material since test 4) *Orthostatic hypotension *Thickening of ventricular walls *Result in hypertension *Cardiac output is decreased cardiac output by 30-40% *Contribute to falls *Ventricular hypertrophy Murmurs 12. Cardiovascular Expected Findings:: *Occasional ectopic beast * S4 heart sound; may be associated with decreased left ventricular compliance. 13. Cardiovascular Abnormal Findings: *Carotid bruits; indicating arteriosclerosis *Cool feet and weak perl pulses may be noted because of peripheral arterial disease. 14. Gastrointestinal: *Decrease motility of the GI tract *Decreased sphincter pressure *Decrease internal sphincter tone *Constipation *Heartburn *Increased risk for hiatal hernia, GERD & aspiration *Fecal incontinence 15. Gastrointestinal Expected Findings:: *Increased fat deposits over abdominal area, even with decreased subcutaneous fat over extremities. *Abdominal may feel soft because of decreased abdominal muscle tone. *Bowel sounds may be hyperactive. 16. Genitourinary Female: *Decreased hormones *Decreased size of ovaries & uterus *Decreased pelvic elasticity *Decreased elasticity of vagina *Narrowing of the vaginal mucosa *Thin pale vaginal mucosa *Decreased vaginal secretions *Decreased intensity of sexual response *Potential for prolapse & infections *Painful intercourse 17. Genitourinary Male: *Enlarged prostate *Decreased sperm cell count & seminal fluid volume *Seminal vesicles atrophy