Nur 163 final Exam Review

What should a woman who already been through menopause report to their PCP - Vaginal Bleeding What is common for a women who has given multiple vaginal births to experience? - Vaginal Prolapse What should a patient do if they are experiencing urinary frequency, decreased urine flow and nocturia? - Schedule a prostate examine for BPH What happens with fragile capillaries? - Senile Purpura What can commonly cause erectile dysfunction? - Diabetes What is import we do as nurses for a residents' sexual wellbeing? - Protect it Due to a decreased immune response, who is at a higher risk for STI's? - adults over 50 What should be used for vaginal dryness? - water based lubricant Common reasons older adults refuse their annual physical exam? - a) Cost b) Fear of what they may find c) feel they do not need d) lack of transportation What you might find in a patient who is non adherent to medications? - a) getting worse not better b) not progressing to wellness c) thinks medication is not working d) repeat complications What kind of direct questions to use when you need to know something quickly? - Closed questions What medication would a male possibly have taken if experiencing chest pains? - Viagra How do you effective speak with older adults? - Simple terminology and effective communication How do one determine if patient is displaying a positive self-image? - Well groomed, clothes nice and neat, hair intact When older adults are seen a physical handicap and nonproductive they are experiencing what? - Ageism What is an example of ineffective coping strategy in a patient who is depressed? - self-medicating with alcohol or drugs What are some common skin changes in the older adult? - a) skin more sensitive to UV or the sun b) decreased elasticity or skin turgor c) more fragile due to thinning epidermis d) women may have increased facial hair What is recommended to keep calcium and phosphorous in the bones in patient with osteoporosis? - Weight bearing exercises such as walking Risk factors for osteoporosis: - a) sedentary lifestyle b) smoking c) post menopause d) female What is a normal finding during a respiratory assessment? - nasal and mouth dryness due to decreased body fluids What are some normal changes to GI during aging process? - decreased gag reflex, peristalsis, decrease metabolism What is subjective data? - Spoken directly from patient What is objective data? - Things you observed and can be proven During initial assessment you need to obtain a complete health history which includes: - a) medications (herbal and OTC) b) DOB c) past medical history d) allergies e) religious preferences What is the minicog used for? - Cognition Function assessment During the initial assessment of a patient with a primary language other than English, what should be done? - Translator FIRST, family SECOND All pulses can be palpated bilaterally except which? - Carotid Why would an older adult complain about always being cold? - They have a decreased ability to regulate body temperature due to decreased metabolism What are S/S of hyperthermia? - a) decreased amount of sweat b) red skin c) confusion What should you do if a patient with COPD is having dyspnea? - Encourage them to conserve energy and pace activities A patient who is soaking wet and has hyptothermia, what would you do first? - Remove wet clothing What group are medication studies done on typically? - Younger healthy people How do you verify identity before administering medications? - Check wrist band Why do you educate a patient on medication? - So they know what it is for What would avoid giving a patient with sleep apnea? - Sedatives; question doctor if they are ordered What is included in a mental status assessment? - appearance, cognitive function, behavior What is the difference between delirium and dementia? - patients can recover from delirium, they can not from dementia What is an educate you would give a patient about vitamins? - Over consumption of fat soluble can be dangerous because they are stored in the liver