NR 601 Final Exam Study Guide
Elderly high risk for delirium- sensory decline, polypharmacy, comorbidities
Essential tremor- occurs with purposeful movements
Comorbid with dementia- depression
Terazosin (Alpha blocker) tx- BPH and HTN
End of life medications- opioids for dyspnea
Mini-cog- score 0-2 is positive for dementia
Common cause of seizures- stroke
Hospice and palliative underused- all (not well understood, denial, confusion)
82 y/o dribbling /difficulty starting stream /differentials- BPH, prostate CX, parkinson’s (all)
Alzheimer’s treatment- cholinesterase inhibitors
Type 2 DM screening- 2 hour OGTT, HA1C, fasting plasma glucose
Mrs. R BMI 26, fasting 102 and 108- order another fasting glucose
NOT true about anxiety- a normal part of aging
Annual check for diabetic patient- eye exam with ophthalmologist
Most likely cause of delirium- acute infection
DM leading cause of- kidney failure
48 y/o male screened for DM 120- educate about lifestyle changes to lower blood glucose
Brief onset of right sided weakness, slurring, confusion, CT normal- identify modifiable CV RFs
New medication metformin, loose stools- reassure patient anticipated side effect
Elderly with tremors identify Parkinson’s- resting tremor, slow unsteady gait, cogwheel rigidity
Patient w/o risk of adverse effect from metformin- patient with BMI > 30
68 y/o woman stress incontinence, leukocyte esterase +, nitrates +, 15 WBCs- no tx necessary
66 y/o woman, BMI 28, HTN, fasting 126 last year, repeat 115, 201 random- prescribe metformin
Adjuvant analgesics- neuropathic pain patients
Increased r/f for ED- obesity, CAD, DM (all)
60 y/o TC= 250, HDL= 32, LDL= 165- modifiable---diabetes, obesity, and ^ LDL
Woman w/complicated cystitis & s/s of upper tract disease needs culture- and sensitivity test
Noted in patients with parkinson’s- micrographia and bradykinesia
Medication that blunts s/s of hypoglycemia- beta blockers
depression + dementia poor choice for medication, DON’T prescribe- Amitriptyline
Role of APRN in palliative cancer care- detecting, identifying, managing, arranging (all)
Characteristic of delirium distinguished from dementia- acute onset
58 y/o caucasian man, DM II, metformin, HA1C 7%, BP 142/96- furosemide
Most patients in hospice care die- at home
Dementia- sundowning- becomes worse towards the evening
Medication to treat pain and dyspnea in a dying patient- morphine
Male patient BMI 33, s/s of DM, how do you screen- OGTT, fasting, HA1c (all)
Atrophic vaginitis- contributing factor for frequent UTIs
Elderly high risk for delirium- sensory decline, polypharmacy, comorbidities
Essential tremor- occurs with purposeful movements
Comorbid with dementia- depression
Terazosin (Alpha blocker) tx- BPH and HTN
End of life medications- opioids for dyspnea
Mini-cog- score 0-2 is positive for dementia
Common cause of seizures- stroke
Hospice and palliative underused- all (not well understood, denial, confusion)
82 y/o dribbling /difficulty starting stream /differentials- BPH, prostate CX, parkinson’s (all)
Alzheimer’s treatment- cholinesterase inhibitors
Type 2 DM screening- 2 hour OGTT, HA1C, fasting plasma glucose
Mrs. R BMI 26, fasting 102 and 108- order another fasting glucose
NOT true about anxiety- a normal part of aging
Annual check for diabetic patient- eye exam with ophthalmologist
Most likely cause of delirium- acute infection
DM leading cause of- kidney failure
48 y/o male screened for DM 120- educate about lifestyle changes to lower blood glucose
Brief onset of right sided weakness, slurring, confusion, CT normal- identify modifiable CV RFs
New medication metformin, loose stools- reassure patient anticipated side effect
Elderly with tremors identify Parkinson’s- resting tremor, slow unsteady gait, cogwheel rigidity
Patient w/o risk of adverse effect from metformin- patient with BMI > 30
68 y/o woman stress incontinence, leukocyte esterase +, nitrates +, 15 WBCs- no tx necessary
66 y/o woman, BMI 28, HTN, fasting 126 last year, repeat 115, 201 random- prescribe metformin
Adjuvant analgesics- neuropathic pain patients
Increased r/f for ED- obesity, CAD, DM (all)
60 y/o TC= 250, HDL= 32, LDL= 165- modifiable---diabetes, obesity, and ^ LDL
Woman w/complicated cystitis & s/s of upper tract disease needs culture- and sensitivity test
Noted in patients with parkinson’s- micrographia and bradykinesia
Medication that blunts s/s of hypoglycemia- beta blockers
depression + dementia poor choice for medication, DON’T prescribe- Amitriptyline
Role of APRN in palliative cancer care- detecting, identifying, managing, arranging (all)
Characteristic of delirium distinguished from dementia- acute onset
58 y/o caucasian man, DM II, metformin, HA1C 7%, BP 142/96- furosemide
Most patients in hospice care die- at home
Dementia- sundowning- becomes worse towards the evening
Medication to treat pain and dyspnea in a dying patient- morphine
Male patient BMI 33, s/s of DM, how do you screen- OGTT, fasting, HA1c (all)
Atrophic vaginitis- contributing factor for frequent UTIs
