WITH QUESTIONS AND VERIFIED CORRECT
ANSWERS | ALREADY GRADED A+ |
GUARANTEED PASS | FINAL REVIEW
Metabolism changes with aging - ANSWER-slows with aging (related to low body
water), differs on Hx of use (abuse v. never taken), higher risk for drug toxicity
(half-life can be doubled), dizziness and confusion can be side effects of meds
(check to see if they are taking new med)
LPN role in Metabolism changes with aging - ANSWER-establish best safety
practices, give slower and lower amounts, need to know physical and numeric age,
ask about past issues with drugs and duration
Excretion changes with aging - ANSWER-slows down with CKD or AKD, liver
disease, poor circulation, decreased cardiac output, dehydration (decreased thirst
perception), decreased peristalsis, decreased tone in esophagus, increased bone
loss, delayed stomach emptying times, ostomies have drugs excreted increased
Benefits of physical exams and preventive care - ANSWER-yearly exams, identify
problems early,
physical exam - ANSWER-should include BMI, BP and bone mineral density
Benefits of dental exams/preventive oral care - ANSWER-identify dental caries,
need for dentures?
Oral Care for elderly - ANSWER-need to use toothpaste with fluoride
Benefit of maintaining a healthy attitude - ANSWER-decreases depression,
decreases isolation, must have interactions with people
health scams - ANSWER-dangerous to elderly, provides info that puts them at risk
,Safety when discharging a pt - ANSWER-find out how may stairs there are to
kitchen, bathroom, bed?
unpaid caregivers - ANSWER-Give positive feedback to them, the pt needs them
pneumonia vaccines - ANSWER-65 years old and less, 13 once then 23 one year
later. High risk pt get them q 10 yrs until 65, then done.
tone of voice - ANSWER-should be low and not loud, even.
body language - ANSWER-"i'm fine." Don't always take that at face value, dig
deeper. Sit with them and ask questions.
gestures - ANSWER-don't overdo
facial expressions - ANSWER-keep them positive
Primary Prevention - ANSWER-prevention (flu vaccine)
Secondary Prevention - ANSWER-Catch the disease/diagnose (yearly physical
exam)
Tertiary Prevention - ANSWER-Treating/stopping progression (Cardiac rehab)
Benefits of diet - ANSWER-Better health, disease prevention, healing (in
Diabetics-biggest factor affecting compliance is motivation)
Benefits of exercise - ANSWER-keeps joints flexible, maintain muscle, decrease
BS level, heart health, decrease weight, increase sense of well-being
Types of exercise - ANSWER-weight bearing is beneficial (prevents osteoporosis),
swimming easy on joints,
Exercise length - ANSWER-must be 30 minutes to be beneficial
Tobacco cessation - ANSWER-decreases risk for cancer, decreases cardiovascular
issues
, Alcohol - ANSWER-ok in moderation-unless medically unsafe, AA can help
stopping
informing - ANSWER-verify information before telling pt or family members
direct questioning - ANSWER-"May I insert this catheter for a urine specimen?" or
"I need to ask you some questions if I may"
Open-ended questions - ANSWER-a good technique to use
Therapeutic communication - ANSWER-1. depends upon empathetic listening
2. assess for and correct communication barriers
3. utilize a variety of communication techniques
4. depends on the information you exchange
5. using medical terms can be a barrier
6. want to engage in social communication
7. You want to build a good relationship
A1C - ANSWER-normal is 5, less than 7 is the goal
Diabetic foot exam - ANSWER-look between toes, look all over foot, redness?
sores? check circulation (cap refill, temp, color, edema), check sensation
(monofilament test), pedal pulse
Benadryl - ANSWER-should not be taken for sleep, should not be mixed with
alcohol
Home health - ANSWER-Aides assist in home care/Adls and IADLS (aides do not
assess or give meds)
KATZ index - ANSWER-for independence in ADLs dressing, showering, transfer,
feed, toilet
Home Health Hx - ANSWER-setting altered for assessing and interviewing: make
sure there is plenty of time, use good communication techniques, know how to
move conversation along, take cultural and age related values pertaining to