N6540 Midterm questions and answers

N6540 Midterm questions and answers well explained with guaranteed success. What are the physiological changes of aging - correct answers1. Reduced physiological reserve of most body systems 2.Reduced homeostatic mechanisms that fail to adjust 3. Changes in the sympathetic response 4. Impaired immunological function- infection risk is greater and autoimmune diseases are more prevalent. What factors influence lab value interpretation in the older adult - correct answers1. physiological changes with aging 2. the prevalence of chronic disease 3. changes in nutritional and fluid intake 4. Lifestyle What lab values is important - correct answersCreatinine clearance, GFR and renal function What are examples of drugs are eliminated renally - correct answersDigoxin, H2 blockers, lithium and water-soluable antibiotics What are the two formulas to evaluate the kidney function - correct answersThe Cockcroft-Gault formula and the Modification of Diet in Renal Disease (MDRD) What neurological conditions commonly have an initial onset in older age? - correct answersParkinson's, dementia, stroke, and complex partial seizures What are geriatric syndromes - correct answersDiseases that involve multiple systems and have more than one underlying cause What are the geriatric syndrome giants currently - correct answersFrailty, anorexia of aging, sarcopenia and cognitive impariment What are bimodal presentations of disease - correct answersDiseases that can present in a younger age and an older age. What are examples of bimodal diseases? - correct answersPsoriasis, Inflammatory bowel disease, Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and myasthenia gravis What is primary prevention? - correct answersActivities to prevent the occurrence of a disease or adverse, including mental health What is secondary prevention - correct answersTasks directed towards detection of a disease or adverse health condition in an asymptomatic individual who has risk factors What is tertiary prevention - correct answersThe management of existing conditions to prevent disability and minimize complications to prevent disability for optimal function What is the key to increasing geriatric physical activity - correct answersmotivation What is the nutrition screening tool for community dwelling older adults - correct answersMini-Nutritional Assessment (MNA) What factors affect maintaining a healthy balanced diet in geriatrics? - correct answers1. Chronic illness and disability-related to ADLs like shopping and meal preparation, 2. Financial hardships-limit food choices 3. Prescribed medications-affects absorption of nutrients, sense of taste or appetite 4. Depression or social isolation 5. Obesity What is a big influence of geriatric functionality and quality of life? - correct answersInjury prevention What are important 6 areas of geriatric safety prevention - correct answers1. Safe storage and removal of firearms 2. Fall prevention 3. Wearing seatbelts 4. no drinking and driving 5. Having a working smoke detector 6. Keeping hot water set below 120 degrees Periodic screening of gums and mouth can screen for what? - correct answers1. Oral cancer 2. ill-fitting or poorly functioning dentures 3. Periodontal disease 4. Erosion of dentin 5. dependence on others for dental resources What screening tools are covered by Medicare? - correct answers1.HIV 2. Alcohol misuse 3. Smoking cessation 4. Depression 5. High blood pressure 6. Blood glucose r/t cardiovascular risk assessment