NR601 Midterm Exam-Questions with Correct Answers/ Verified/ Latest Update 2024/2025
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Course
NR601
Institution
NR601
Tetanus for elderly - Every 10 Years
Tdap for Elderly - 1 dose after age 65 yrs old
Shingles(Zostavax) for elderly - 2 doses @ 2-5 months apart even if you had zoster in the past
Pneumonia 23(PPVS-23) Elderly - 1 dose for all older adults
________________Should be administered 1st with the PPSV...
2. Combining behavioral interventions with medications may reduce the dosage needed for effect
3. Clinicians- clear instructions on possible side effects and verbal and written instruction on how to
use the medication.
4. Drug regimens need to be simple
5. Medications need to be reviewed and updated at each provider-patient interaction.
Criteria to reduce Polypharmacy - ✔✔1. Pts life expectancy
2. the time until benefits of the medication
3. Goals of Care
4. Treatment Target
Things to remember for in Older Adults - ✔✔--You must balance the potential increased risks from
therapeutic intervention whether medical or nature or procedure.
--Patient Centered Care needs to be done to recognize geriatric comorbidities that often impact care
of the patient with condition.
JNC8 Guidelines<60 years old SBP treatment threshold - ✔✔140/90
JNC 8 Guidelines > 60 years old treatment threshold - ✔✔SBP>150 or DBP>90
ACC/AHA Guidelines stage 1 BP level TREAT - ✔✔>130/80
Non Black Person no Cormobilities - ✔✔Thiazide or CCB or ACEI or ARB,alone or in combination
Black Person with Hypertension - ✔✔Thiazide-Type Diuretic or CCB
Rules for BP Prescribing - ✔✔1. If SBP and DBP goals are not met with the 1st medication then
2. Add a 2nd medication from a different Class....If still not met....
3. Add 3rd medication from another class
**Avoid combination use of ACEI and ARB**
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