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NR 601 Midterm Exam Review / NR601 Midterm Exam Review (NEWEST, 2021) : Chamberlain College Of Nursing (Download to Score A) CA$22.26   Add to cart
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NR 601 Midterm Exam Review / NR601 Midterm Exam Review (NEWEST, 2021) : Chamberlain College Of Nursing (Download to Score A)

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  • Course
  • NR 601 / NR601 (NR601/NR601)
  • Institution
  • Chamberlain College Of Nursing

NR 601 Midterm Exam Review / NR601 Midterm Exam Review (NEWEST, 2021) : Chamberlain College Of Nursing (Download to Score A)

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Document information

  • July 28, 2021
  • 36
  • 2021/2022
  • Other
  • Unknown

Subjects

  • nr 601 midterm exam review nr601 midterm exam review newest
  • 2021 chamberlain college of nursing

Written for

  • Chamberlain College Of Nursing
  • NR 601 / NR601 (NR601/NR601)
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NR 601 Midterm Exam review
Week 1
Developmental changes

o Review Kennedy readings for age related changes

o Physiological

Physiological

Age related Change Functional Change Implications


Integumentary
System


Loss of dermal and Loss of subcutaneous Prone to skin breakdown
epidermal thickness tissue and thin and injury
epidermis.


Decreased vascularity • Atrophy of sweat • Alteration in
glands resulting in thermoregulatory
decreased sweat response
production
• Fluid requirements may
• Decreased body odor change seasonally

• Decreased heat loss • Loss of skin water

• Dryness • Increased risk of heat
stroke


Respiratory System


Decreased lung tissue Decreased vital Reduced overall efficiency
elasticity capacity of ventilatory exchange


Cilia atrophy Change in mucociliary Increased susceptibility to
transport infection

,Decreased respiratory • Reduced ability to Increased risk of
muscle strength handle secretions and atelectasis
reduced effectiveness
against noxious foreign
particles

• Partial inflation of
lungs at rest


Cardiovascular
System


Heart valves thicken Reduced stroke volume, Decreased responsiveness
and become fibrotic cardiac output; may be to stress
altered


Fibroelastic thickening Slower heart rate Increased prevalence of
of the sinoatrial node; arrhythmias
decreased number of
pacemaker cells


Decreased Decreased sensitivity to Prone to loss of balance,
baroreceptor changes in blood which increases the risk
sensitivity (stretch pressure for falls
receptors)


GI


Liver becomes smaller Decreased storage
capacity


Decreased muscle Altered motility Increases risk of
tone constipation, functional
bowel syndrome,
esophageal spasm,
diverticular disease


Decreased basal May need fewer calories
metabolic rate (rate at

,which fuel is converted
into energy)

o Lab results

Lab results

Lab Test Normal Changes with Comments
age


UA


Protein 0-5mg/100ml Rises slightly May be due to kidney
changes with age, urinary
tract infection, renal
pathology


Specific 1.005-1.020 Lower max in Decline in nephrons
Gravity elderly 1.016- impairs ability to
1.022 concentrate urine


Hematolog
y


ESR Men: 0-20 Significant Neither sensitive nor
increase specific in aged
Women: 0-30


Iron Binding 50-160mcg/dl Slight decrease

230-410mcg/dl Decrease


Hemoglobin Men: Men: 10-17g Anemia common in the
13-18g/100ml elderly
Women: None
Women: 12-16g noted


Hematocrit Men: 45-52% Slight Decline in
decreased hematopoiesisLeu

, Women 37-48% speculated


Leukocytes 4,300– Drop to 3,100– Decrease may be due to
10,800/mm3 9,000/mm3 drugs or sepsis and should
not be attributed
immediately to age


Lymphocyte 00–2,400 T T-cell and B-cell Infection risk higher;
s cells/mm3 50– levels fall immunization encouraged
200 B
cells/mm3


Platelet 150,000– No change in
350,000/ number


Blood
Chemistry


Albumin 3.5–5.0 Decline Related to decrease in
liver size and enzymes;
protein-energy
malnutrition common


Globulin 2.3–3.5 Slight increase


Total serum 6.0–8.4 g No change Decreases may indicate
protein malnutrition, infection,
liver disease


Blood urea Men: 10–25 Increases Increases significantly up
nitrogen significantly up to 69 mg
Women: 8–20 to 69 mg
mg


Creatinine 0.6–1.5 mg Increases to 1.9 Related to lean body mass
mg decrease


Creatinine 104–124 Decreases Used for prescribing

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