Hondros nursing 163 study guide to test 1 with complete solutions

Eye exams, Dental exams ,physical exams - Answer- Preventive visits that should be done annually in the older population. Pneumococcal vaccination - Answer- Should be done on older patients between the ages of 65 to 70 every 10 years. Influenza vaccine - Answer- This vaccine must be obtained on the yearly basis usually in the fall Tetanus, diphtheria,pertussis (Tdap vaccine) - Answer- Protects against contagious and deadly diseases this vaccine needs to be given once in a lifetime. Shingles vaccine - Answer- Recommended for individuals that are over the age of 60 other needs and how often is based on the primary care provider Nutrition ,exercise and Medical Care - Answer- Factors that promote health promotion Recommended Health prevention practices for older adults - Answer- Some type of activity for 30 minutes, healthy diet, annual physical exams Primary Care - Answer- Vaccinations,Teaching and educating Secondary care - Answer- Any type of screening Tertiary care - Answer- Last step of care(rehab) Keeps joints flexible, maintains muscle mass, control blood glucose levels and weight, gives a sense of well-being - Answer- The benefits of exercise in the older population Assessment findings in older skin - Answer- A fragile epidermis that takes longer to heal, skin producing less melanin causing skin to lighten Assessment of skin rashes - Answer- Maybe cause from contact with chemicals or allergic dermatitis Senile purpura - Answer- Red purple or brown area commonly seen in the legs and the arm(bruising) Be kind and courteous do not denigrate the service or capability of caregiver do not criticize unpaid caregiver do not make them feel guilty for being on page - Answer- Effective communication with non-skilled staff Do not exaggerate mouth movement, use visual cues and written materials, stand in front of the person's speak more slowly slightly louder and a low pitch - Answer- Ways to overcome communication barriers with hearing restrictions See what the patient already knows, recognize ethical and cultural influences, use Simple direct but sensitive language, prepare yourself, think through what you want to say, establish a private environment, determine who should be present, allowed time and a place with no interruptions - Answer- Effective communication when delivering bad news Pruritus - Answer- Itching Xerosis - Answer- Dry skin 18 inches - Answer- Considered within intimate space Senile lentigo - Answer- Age spots/liver spots Seborrheic keratosis - Answer- Slightly raised work like macules Cutaneous papilloma - Answer- Skin tag Seborrheic dermatitis - Answer- Yellow waxy crust that could be dry or moist located in the Scout, eyebrows, eyelids, ears, axilla, breast, growing and gluteal Folds Kyphosis - Answer- Stooped or Hunchback appearance Aphasia - Answer- Partial or total loss of the ability to use or understand words Keep message simple, used pictures, gestures and yes or no responses, ask questions to determine concerns - Answer- Ways to overcome the communication barriers of aphasia Dementia - Answer- Has cognitive and language deficits,it has a slow onset and the duration may be long and or never ending. Presbycusis - Answer- Age-related hearing loss Katz index tool - Answer- Assesses ADLs Mini Cog assessment - Answer- A screening tool that takes up to 3 minutes, used to detect cognitive impairment quickly during both routine and hospitalization visit Montreal cognitive assessment - Answer- A quick screening tool for MCI and early Alzheimer's dementia it assesses the domains of attention and concentration ,executive functions ,memory ,language, visual ,constructional skill, conceptual thinking, calculations and orientation Introducing yourself - Answer- The most appropriate way to begin an assessment Morse fall scale - Answer- Measures the risk levels for Falls with 0 to 24 being no risk , over 51 being high risk Falls and needed preventive interventions Orthostatic hypotension - Answer- A sudden drop in blood pressure that occurs when a person changes from lying to a sitting or standing position. Also common with deficient fluid volume. True - Answer- The Joint Commission has also identified fall prevention as a priority, national patient safety goal 90.0 2.01 requires organizations to implement and evaluate a Falls Reduction Program Muscle activity, peripheral circulation, amount of subcutaneous fat, metabolic rate, amount of and type of food and fluids ingested, medications, and disease processes - Answer- Thermoregulation internal factors Humidity, environment temperature, air movement and amount and type of clothing or covering - Answer- Thermoregulation external factors OP QRS TUV - Answer- Onset, precipitating palliative comma quality quantity, region radiation, severity, treatments, understanding, values Swimming - Answer- A non-weight bearing exercise that is needed for strength building Perception - Answer- The interpretation of the environment Memory - Answer- Retention and recall of past experiences Executive function - Answer- Higher thinking/ figuring it out True - Answer- When administering medication for older adults take into consideration that they metabolize slower Hyperthermia - Answer- 91 degrees or higher Hypothermia - Answer- 97 degrees or lower Proteins that help repair tissue - Answer- Red meats, poultry, fish, eggs and Dairy Bad proteins that contain large amounts of fat - Answer- Steak, ham, Organ Meats, egg yolks, hard cheese, and whole milk Delirium - Answer- A mental disorder characterized by disturbances in cognition attention memory and perception Confusion - Answer- a mental state characterized by disorientation regarding time place or person that leads to the wilderman perplexity and lack of orderly thoughts Alzheimer's disease - Answer- The most common form of dementia and is typically seen an individuals older than 65 years of age Receptive aphasia - Answer- When an individual is unable to understand language and it's written or spoken form Expressive aphasia - Answer- Partial loss of the ability to produce language spoken or written although comprehension is intact Global aphasia - Answer- Severe acquired impairments of communitive abilities are present across all language Model Tees and often no single communitive Maltese are no better than another Stool, emesis, urine,sweat - Answer- Routes by which electrolytes are excreted Risk factors for deficient fluid volume - Answer- Altered swallow reflex, nausea, acute emotional distress, inability to obtain adequate fluids without assistance, Altered cognition, draining wounds, diuretic medications, kidney disease, tube feedings of low sodium, diaphoresis, vomiting, and diarrhea Inspectors for excess fluid volume - Answer- Increased fluid intake comma compulsive water drinking, decreased urine output, kidney dysfunction, heart failure, insufficient protein intake, excessive protein loss, steroid therapy, history of alcoholism or liver disease, get a disease deficient fluid volume - Answer- Hematocrit lab is increase the blood plasma volume is decreased and the electrolyte levels creatine and Bun are altered Excess fluid volume - Answer- Hematocrit is decreased blood plasma volume is increased electrolyte levels creatine and Bun are altered Phosphorus - Answer- Found in nuts and seeds and could cause weight loss or anemia when deficient Potassium - Answer- Found in citrus fruits, milk, bananas, apple