NR 601 Midterm Exam Study Guide
Chapter 1: Changes with Aging – Notes
- Fundamental Considerations
- Physiological Changes with Aging
- Laboratory Values in Older Adults
- Pharmacokinetic & Pharmacodynamic Changes
- Presenting Features of Illness & Disease In The Elderly
- Chronic Illness & Functional Capacity
Chapter 1: Changes with Aging – Review Questions
- Reference ranges or values are those intervals in which 95 % of the values fall within a specific population.
- All of the following statements are true about renal function in the elderly except: serum creatinine is a sensitive indicator of renal impairment.
- Of all the pharmacokinetic changes associated with aging, which is the most significant?
- Esophageal erosions can be caused by drugs when:
- Biotransformation of drugs primarily occurs in:
- Changes in renal function associated with aging are most likely to result in:
- All of the following drugs are known to be nephrotoxic except:
- Under reporting of symptoms occurs generally when the elderly:
- The most prevalent chronic disease in the elderly is:
Chapter 3: Exercise in Older Adults – Notes
- Americans more than 65 years now represent the most rapidly growing segment of the US population.
- These numbers will increase exponentially.
- Anticipate skyrocketing of medical costs for chronic health conditions.
- Lifestyle interventions at any age can mitigate the effects of chronic illness.
- There has been an increase in obesity in older adults, from 22% in 1994 to 38% in 2009-2010.
- Available Resources
- Barriers and Facilitators to Exercise for Older Adults
- Patient Barriers
- Patient Facilitators
- Medical contraindications for Exercise Therapy
- Plan for Incorporating Exercise into Patient Encounter
- Key Guidelines for Safe Physical Activity (Physical Activity Guidelines Advisory Committee, 3008)
- Examples of common Health Conditions in Older Adults with Exercise Recommendations
Chapter 3: Exercise in Older Adults – Questions
- Strategies to promote increased physical activity:
- Additional data:
- National guidelines to consider?
- Screening tools?
Chapter 8: Chest Disorders – Notes
Chapter 8: Chest Disorders – Questions
- Additional subjective information you will ask?
- Additional objective information you will examine?
- Radiological examinations or additional diagnostic studies?
- Treatment and prescription:
- Potential complications from treatment:
- Additional laboratory tests to consider?
- Looking for a consult?
Chapter 5: Symptoms & Syndromes – CP – Notes
- Occurrence:One of the most common causes of ER visits – 5 million/year.
- Age:Risk increases with age due to CAD, HTN, lung cancer, cardiac arrhythmias, DM, recent immobilization.
- Gender:Atypical presentation common in females.
- Contributing factors:
- Signs and symptoms:
- Diagnostic tests:
- Follow Up:
- Prevention & prophylaxis:
Chapter 5: Signs & Symptoms – Questions
- Additional information from history?
- Potential contributors to constipation?
- What physical exam is indicated?
- Diagnostic testing?
- Non pharmacological treatments to consider?
Chapter 2: Health Promotion – Questions
- Risk factors for cardiovascular disease:
- Problem list:
- Included in primary care visit:
- Tests & Screenings:
- Recommended interventions