What is an important symptom to report to the PCP? - ANSWER-vaginal bleeding after the pt has hit menopause
What is the most common occurrence after
... [Show More] having multiple vaginal births? - ANSWER-uterine prolapse
BPH: S/S's - ANSWER--frequent UTIs
-dysuria
-hematuria
-oliguria (not much comes out)
-difficulty starting/maintaining a stream
-increased frequency
-nocturia
Senile Purpura - ANSWER-dark red discolored areas
-small bruising caused by fragile capillaries
What is the most common disease related to erectile dysfunction? - ANSWER-diabetes
What should you do if you walk into a couple having sexual intercourse at a nursing facility? - ANSWER--give them privacy and put a do not disturb sign on the door
You have a transgender patient, what is your role as a nurse? - ANSWER-to protect your patient's wishes
-no gossiping about them, take them how they are
-if you disagree with their choices, leave it at the door and treat them like you would anyone else
Are older adults more susceptible to STIs? - ANSWER-yes
Is it important to offer inservices to the older adult related to sexuality? - ANSWER-yes, they may had been with the same person their whole lives until now
-they may not know about condoms or how they use them
-needs edu on safe sex
Why may the older adult not want their annual physical exam? - ANSWER--embarrased
-already feel fine or in good shape
-afraid of outcome
-finances
-transportation
Your patient is non-adherent with their medication, what should you do? - ANSWER--ask why
-they may have unexpected complications
Open-Ended Questions - ANSWER-questions that allow respondents to answer however they want (ex. how do you feel about your upcoming surgery?)
Closed-ended Questions - ANSWER-questions that can be answered in short or single word responses
yes or no
Direct Questions - ANSWER-a question that requires a direct or specific answer
Should you use medical terms with someone who is unfamiliar to the medical field? - ANSWER-no
If someone will not make eye contact with you, what may be the cause? - ANSWER-they may be with holding information from you
Your patient has been waiting for x-ray to come for 3 hours and is now agitated, what should you do? - ANSWER--call x-ray
-find out time frame of when they will be coming to decrease your patient's agitation
Positive Self Image: S/S - ANSWER--well groomed
-nicely dressed
-good mood
Negative Self Image: S/S - ANSWER--unkept
-lacking self hygiene
-poorly groomed
Ageism - ANSWER-prejudice or discrimination on the basis of a person's age
ex. he's old, he can't drive anymore
What are some common coping strategies for the older adult? - ANSWER--tobacco use
-alcohol
-drugs
If a patient has a sudden revision of their will, what may you expect? - ANSWER-depression, possibly leading to suicide
What skin changes do you expect in the older adult? - ANSWER--senile purpura
-less elastic
-more fragile
What is the best exercise to help with calcium and phosphorus? - ANSWER-walking/ weight bearing
Osteoporosis: Risk Factors - ANSWER-Alcohol Use
Corticosteroid use
Calcium Low
Estrogen Low
Smoking
Sedentary Lifestyle
Does the elderly have an overall decrease in bodily fluids? - ANSWER-yes
Why would an elderly patient have trouble swallowing thin liquids? - ANSWER-decreased gag reflex
What should you ask your patient when taking a health history? - ANSWER--previous falls
-current medications, OTC, prescriptions and topical agents, supplement
-chief complaint
-past medical history
-allergies
Mini-Cog - ANSWER-screening tool used to test for cognitive impairment
Objective Data - ANSWER-you can see it
Subjective Data - ANSWER-you cannot see it
If you need an interpreter for your patient who does not speak English, can you use their family member? - ANSWER-no, you should find an interpreter
What pulses can you auscultate on both sides? - ANSWER--femoral
-popliteal
-posterior tibial
-dorsalis pedis
-brachial
-radial
Can the carotid artery be palpated on both sides at once? - ANSWER-no
Why can an older adult not regulate their body temp well? - ANSWER--slower metabolism
-fat layer decreases
-altered blood flow
-altered circulation
Hyperthermia: S/S's - ANSWER--feeling hot/uncomfortable
-cramps in legs/arms/abdomen
-hot, dry skin w/o perspiration
-tachycardia
-chest pain
-breathing problems
-HA/dizziness
-weakness
-N/V/diarrhea
If your patient has COPD and easily is SOB, and they want to go somewhere, what would you suggest they do? - ANSWER--take frequent breaks
If you have a patient who is hypothermic and they have wet clothes on, what should you do? - ANSWER--remove the wet clothes and put them in something dry
What is needed for effective communication? - ANSWER-transparency
Why don't pharmacological agencies test new products on the elderly? - ANSWER--decreased metabolism of drugs
How does visual impairment affect someone who is self medicating? - ANSWER-they may not be able to read the labels or correct dosage
What is the most reliable way to verify your patient? - ANSWER-wristband
A patient with a UTI is on new medication to treat the infection. They ask you what it is for, what do you say? - ANSWER-explain what it is for and why they need it and potential side effects they may experience
Would you give a patient who has sleep apnea a sedative? - ANSWER-no
When assessing the older adult, what else should you screen them on? - ANSWER-Morris Fall Risk Scale
Delirium vs. Dementia - ANSWER-Delirium happens quickly and is reversible
Dementia is progressive and irreversible
What kind of prevention is the Mini-Cog? - ANSWER-secondary
What should someone avoid while on Coumadin? - ANSWER-vitamin K
What are the fat soluble vitamins? - ANSWER-ADEK
What vitamin helps with the absorption of calcium? - ANSWER-vitamin D [Show Less]