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Gero Final Review

Review for final exam

QuestionAnswer
T/F:Planning an exercise program for nursing home residents should be focused on improving balance to promote ambulation and decrease falls. True
Absorption of meds can be delayed due to what GI effect of aging? Gastric acids and motility.
This is a good way to tell when the last time a patient has seen a physician. Tetanus shot is UTD.
The emergency drug of choice for bradycardia is? Atropine
A common side effect of -blockers is? Bradycardia
A decrease of "rituals" means an improvement in psychiatric disorder? OCD
Bradycardia, cold intolerance and weight gain are symptoms of? Hypothyroidism
What 3 drugs are commonly given for TB? Isoniazid, Rifampin, and Pyrazinamide
Constipation can exacerbate what urinary ailment? Incontinence
Vaginal dryness can be alleviated by using one of what 2 local remedies? Estrogen cream and water soluble lubercant.
Decreased wound healing is often accompanied by a decrease in what lab value? Albumin
T/F: Thorazine takers must protect themselves from the sun. True
A common GI side effect of narcotics is? Constipation
One reason UTI's are not readily diagnosed in older people is because of the normal presence of _______ in their urine. WBC's, RBC's, and protein
Define Acculturation. The process that occurs when a member of one culture group adopts the values, beliefs, expectations, and behaviors of another group, usually as an attempt to become one.
The assumption of negative beliefs, attitudes, or behavior toward a person or group based solely skin color is? Racism.
T/F: A number of older CHF patients, especially those with chronic disease, experience failure in both ventricles. True
This is the most common chronic disease in older people. HTN
T/F: In order to be supported by hospice the patient must have a life expectancy of 1 year or less. False, 6 mos or less.
One thing a nurse must do before working with a dying patient is? Explore his/her own feelings and beliefs about death.
T/F: Education is a type of cognitive pain therapy. True
Orthostatic Hypotension is frequently linked to what common geriatric ailment? Dehydration.
T/F: NPH and lente insulin are more intermediate acting. True
Glargine and regular insulins are both _______ acting insulins. Rapid or fast.
A common cause of new incontinence is often _________. Medications
T/F: As venous insufficiency progresses, the extremity becomes cyanotic and cool. False, arterial.
Decreased melatonin levels are often the culprate in disturbing what cycle? Sleep-weight
T/F: Old people are often abandoned by the families due to the inability to care for their many needs. False.
An irregularly shaped nevusis the clinical hallmark of _______. Melanoma
When assessing a patient with new onset tinnitus, what are some things you should explore? Medications, dental problems, and allergies.
T/F: Hearing aids improve the ability to hear by stimulating the cochlear nerve. False
T/F: Normal grief responses include feelings of hollowness in the stomach, lathargy, fatigue, weight loss, and urinary frequency. False
Vasovagal syncope is common in younger folks and this is the cause of syncope in older people. Cardiovascular problems
T/F: Fright, pain, and pushing up in bed are all possible causes of vasovagal syncope. True
Diltiazem and Verapamil are what kind of common antihypertensive? Ca++ channel blocker
Name 2 adjuvant drugs for pain control. Anticonvulsants, antidepressants, sedatives, antiemetics, and muscle relaxers.
Name 4 alternative physical therapies for pain control. Heat, cold, massage, exercise, acupressure, acupuncture, TENS, PENS.
Name 4 alternative cognitive/behavioral therapies for pain control. Meditation, visual imagery, relaxation, distraction, music, aroma, hypnosis, and healing touch.
Name 5 members of the patient care team in a skilled nursing facility. Doctor, PT, OT, speech/language, nurse, social services worker, activity coordinator, and dietician.
Two possessions that are the hallmarks for a senior citizens independence are? Car and house.
What type of program or care provides short-term relief or time off for persons providing home care to ill, disabled, or fraile older adults? Respite
What are the 2 mainstays of anthropometric measurements? Height and weight.
Buck's traction is an example of what type of traction? Skin (page 601)
This type of incontinence occurs when a chronically full bladder increases bladder pressure to a higher level than urethral resistance, causing the involuntary loss of urine. It is accompanied by hesitancy, a weak stream, and incomplete emptying. Overflow.
Created by: Joshdole04
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