NR601

A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with prescriptions for 8 different medications. She is considered at risk for noncompliance due to the following contributing factors except: • Ethnic background 2. A 78-year-old patient who is dying of colon cancer with metastases to the l...

Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The symptoms have resolved and the CT is normal. What is the next step of the plan for Mr. A? a. assure the patient that he will not experience the symptoms again b. identify modifiable cardiovascular risk factors c. order ASA 81mg stat d. order a stat EEG and administer O2 by mask (Ans- b. identify modifiable cardiovascular risk factors A 56-year old male patient screened for diabetes has a fasti...

Physiology o Prediabetes: impaired glucose tolerance o Type 1: autoimmune destruction of pancreatic beta cells leading to ketoacidosis and lack of insulin o Type 2: insulin resistance and impaired insulin secretion by islet cells of pancreas and decline of beta cell function – Assess: o Height/Weight o BP o CV assessment o Thyroid o Ophthalmic o Peripheral o Feet/skin o Neuro o Oral – Diagnosis o A1C > 6.5% o Random glucose level of 200 or more in the presence of classic s...

neuropathic pain - Correct Answer-Neuropathic pain is caused by somatosensory impulses in the nervous system - Diabetic neuropathy, postherpetic neuralgia, postamputation pain, and poststroke pain Appropriate medications- antiepileptic drugs, antidepressants, and local anesthetics. Gabapentin is an antiepileptic medication that is effective for nerve pain. Amitriptyline is a tricyclic antidepressant that is effective for neuropathic pain as well Methadone is also used for severe pain and may be ...

Type 1 diabetes acute presentation - Correct Answer-DKA (30% of people will present) Type 2 diabetes acute presentation - Correct Answer-HHNS DKA - Correct Answer-acetone and keytones increase! once treated expect postassium to drop! have K+ ready Type 1 & 2 diabetes subacute presentation - Correct Answer-Fatigue, thirst, urination, weight loss Most common in type 1 In type 2, it will be more vague symptoms and fatigue Most common way type two diabetes is diagnosed - Correct Answer...

The percentage of the FVC expired in one second is FEV1/FVC ratio The aging process causes what normal physiological changes in the heart The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis Brainpower Read More A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? Lisinopril MJ presents with h/o structural damage with ...

Developmental changes Physiological - 1. Reduced physiological reserve of most body systems, particularly cardiac, respiratory, and renal. 2. There are reduced homeostatic mechanisms that fail to adjust regulatory systems such as temperature control and fluid and electrolyte balance. 3. There are changes in the sympathetic response, which contribute to orthostasis and falls, as well as lack of hypoglycemic response. 4. There is impaired immunological function: infection risk is greater and au...

Developmental Stage for older adults Ego Integrity VS Despair Age related changes (Neuro) -Decreased brain weight -Decreased visual acuity -Decreased hearing acuity -Decreased taste sensation/ salivation Age related changes (Cardiac) -Reduced max. cardiac function, increased risk of murmurs and valve stenosis Age-related changes (GI) Cilia atrophy (increased risk for infection) -Decreased liver size -Decrease renal perfusion

prediabetes - Correct Answer-impaired fasting glucose: fasting glucose is consistently elevated above normal range but below 100 and 125 mg/dL impaired glucose tolerance: state of hyperglycemia where a 2-hour post glucose load glycemic level is 140-199 mg/dl type 1 diabetes - Correct Answer-characterized by severe insulin deficiency resulting from beta cell destruction producing hyperglycemia due to altered metabolism of lipids, carbs, and proteins immune mediated DM (type 1A)- 90% of c...

_________ is an acute onset of memory deficit, disorientation, attention issues with fluctuation in status based on situation and IS reversible - Correct Answer-delirium __________ is insidious in onset with progressive decline in cognition - Correct Answer-dementia What is the Mini-Cog? - Correct Answer-a routine screening tool that test pt's executive function, ability to plan, manage time, organize activities, manage working memory what are the parts of the mini cog - Correct Answer...