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NR-601 Primary Care of the Maturing & Aged Family Practicum NUR 601 Final Exam Questions and Answers | 100% Pass | Grades A+| Guaranteed Success

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NR-601 Primary Care of the Maturing & Aged Family Practicum NUR 601 Final Exam Questions and Answers | 100% Pass | Grades A+| Guaranteed Success An 86-year-old female comes to your office for a wellness visit. Her blood pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18 ...

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nr 601 primary care of the maturing aged family

Institution 2024/2025
Course 2024/2025

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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024

NR-601 Primary Care of the Maturing & Aged
Family Practicum 2024-2025 NUR 601 Final
Exam Questions and Answers | 100% Pass |
Grades A+| Guaranteed Success

An 86-year-old female comes to your office for a wellness visit. Her blood pressure is 125/70

mmHg, pulse 69 beats per min, and respiratory rate 18 breaths per min. She is well appearing

and reports she is up to date on her routine vaccinations. She introduces her partner of 35 years

whom she would like to make medical decisions for her in case she becomes unable to make

decisions for herself. She reports that she and her partner are not married. She asks if she needs

any further documentation to ensure her goals of care are followed. Which one of the following

would be the most appropriate recommendation for this patient and her partner? - Answer✔✔-

Advise them to file an advanced directive.

. An 81-year-old transgender female with history of depression and hyperlipidemia presents to

your clinic for routine care. She endorses a history of smoking, currently smoking 1 pack per day,

and occasionally drinks a glass of wine, although she denies illicit drug use. She reports she

takes atorvastatin 20 mg and subcutaneous estrogen therapy. - Answer✔✔-Counseling on

smoking cessation

An 84-year-old male with history of stroke without residual deficit, systolic heart failure, and

type 2 diabetes presents to clinic for follow-up. He is independently living in a retirement
Page 1/25

,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024

community and still works part time on a golf course. He currently takes aspirin 81 mg,

metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily.

He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually

active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He

states he has had over three sexual partners in the last year with intermittent condom use.

What sexually transmitted infection testing should be offered? - Answer✔✔-Urine testing, blood

testing, anal swab, and oropharyngeal swab

Which of the following is true about tolterodine? - Answer✔✔-It has greater risk of adverse

effects with its twice-daily formulation.

An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His

other lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related

leakage once weekly. Medical problems include poorly controlled hypertension, diastolic heart

failure, hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg

daily, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily,

hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was

recently added by his cardiologist. On review of systems, Mr. A complains that nocturia is

causing daytime fatigue, and he is more constipated. Physical examination is notable for blood

pressure 162/83 mmHg, heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged

prostate, and 21 pretibial edema. Your next step in management should be: - Answer✔✔-Stop

amlodipine and increase lisinopril.

Page 2/25

, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024

The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with

her, is wetting herself when she attends her new day program. Program staff have requested

that "something be done" as she is requiring a clothes change nearly every time she is there.

She cannot describe the circumstances of leakage, saying "it just comes." Leakage is uncommon

at home. Her medications include donepezil and acetaminophen. Physical examination is

normal. Initial treatment approach will require intervention by which of the following? -

Answer✔✔-Day program staff

. Ms. J, who is 82 years old, complains of urine leakage while playing golf. This has gotten worse

over the past year, and she rarely makes it through nine holes without feeling like she needs to

"run into the bushes and go." Leakage is usually small volume, but causes her extreme

embarrassment because she is afraid she will smell of urine. She has tried limiting caffeine in

the morning before she golfs and avoiding drinking water while playing, to no effect. She also

tried "those Kegler" exercises in the past without success. Which of the following is the most

appropriate recommendation for Ms. J? - Answer✔✔-Bladder training

What is the most common cause of erectile dysfunction in older men? - Answer✔✔-

Atherosclerosis

Which is the most reasonable first step in the treatment of older men with erectile dysfunction?

- Answer✔✔-Sildenafil

A 72-year-old woman reports vaginal dryness that interferes with coitus. Her medical history

includes type 2 diabetes, hypertension, and osteoarthritis. Medications are glyburide,

Page 3/25

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