1. There are benign and lethal murmurs. Which of hospitalization is re-
the following are true of lethal murmurs quired when arrhyth-
mias result from he-
modynamic compro-
mise
Cardioversion pre
hospitalization may be
needed
Aggressive therapeu-
tic treatment is need-
ed when symptomatic
Underlying cardiac
problems need to be
discovered
2. What are the classes of BMI for obesity Class 1 30-35
Class II 35-39.9
Class morbid >40
3. What is the screening tool for alcohol Cage
It is positive if they
answer yes to two
or more and then
perform a SMAST-G
screening tool
4. What are the hypertension guidelines for patients 150/90 for patients
greater than 60 years of age without DM or CKD
140/90 for patients
with DM or CKD
5. Why would you initiate statins on elderly patients 1-cvd
2 - LDL >190
3-in patients age
40-75, LDL of 70-189
, NRNP 6540 Didactic
6. Was what is a positive malnutrition score Greater than 10 lb
weight loss in 6
months
Use the MUST tool
7. Elderly population should you screen for hyper- Patients that have
lipidemia known hypertension,
smoking, or diabetes
8. What is the scales nutrition screening tool S-sadness, C-choles-
terol, A-albumin, L-
loss of weight E- eat-
ing problems, S -
shopping problems
9. What are the vision screening requirements of Snelling chart - annu-
patients > 65 ally
Patients with hyper-
tension or diabetes
must have a dilated
exam annually
10. What are the hearing screening requirements of Asking questions
patients > 65 about whether peo-
ple say they appear
to have problems with
turning the volume up
11. When should you screen for osteoporosis Women >65
Men > 70
You must use a dual
energy dxa x-ray
And perform at-score
12. What is the T score for osteoporosis? Normal 1.0
Osteopenia -1 to -2.5
Osteoporosis -2.5
Severe osteoporosis <
2.5 and fragility frac-
ture
, NRNP 6540 Didactic
13. What are the mammogram screening require- Age greater than
ments 40-74
14. What are the colon cancer screening recommen- All patients over the
dations age of 50
Colonoscopy every 10
years
Sigmoidoscopy every
5 years
Occult blood yearly
15. What are the cervical cancer screening recom- Age 21-65
mendations > age 65 is not re-
quired
16. What are the requirements for counseling pa- Exercise, nutrition, to-
tients > 65 bacco, alcohol
17. What are the requirements of exercise for patients Aerobic exercise for
65 30 minutes three
times a week
Strength exercise two
times a week
18. What are the alcohol recommendations for an one per day for women
adult Per day for men
19. What are the pneumonia immunization recom- Pcv13 first
mendations for patients >65 PPS 23 one year later
20. What are the zoster immunization recommenda- All patients over the
tions age of 60-regardless
if they have had shin-
gles or chicken pox in
the past
Contraindications-al-
lergy to neomycin or
gelatin
, NRNP 6540 Didactic
Bone marrow cancer -
such as lymphoma
Current chemothera-
py or steroids
AIDS patients
21. the major impact of the physiological changes Reduced physiologi-
that occur with aging is cal Reserve-Particu-
larly the cardiac, respi-
ratory, and renal sys-
tems
Reduced homeostatic
mechanisms-That fail
to adjust regulatory
systems such as tem-
perature control and
fluid and electrolyte
balance
Changes in the
sympathetic re-
sponse-which con-
tribute to orthostasis
and Falls as well as
a lack of hypoglycemic
response
Impaired immunologic
response
22. the strongest evidence regarding normal physio- Longitudinal studies
logical aging is available through
23. the following statements are true about laborato- Reference ranges are
ry values in older adults preferable
Normal ranges may
not be applicable for
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