Be sure to auscultate breath sounds to listen for:
-____ associated with pulmonary edema
-____ or rattles associated with pneumonia
-____ associated with asthma
Rales
Rhonchi
Wheezes
A blood pressure of ____ mm Hg could be an indication of a significant problem in an elderly patient.
120/80
The ____ diamond was created to help you remember what is different about older patients.
GEMS
GEMS Diamond
Geriatric
Environmental assessment
Medical assessment
Social assessment
The inability to see up close is called ____ and it is caused by a loss of elasticity of the crystalline lens.
presbyopia
____ is a gradual hearing loss that occurs as we age.
Presbycusis
Which of the following is NOT considered a common condition of the elderly?
B. Gastroenteritis
A patient with leg pain who complains of sudden shortness of breath, tachycardia, fever, chest pain, and a feeling of impending doom is likely experiencing a:
pulmonary embolism
Is delirium sudden or gradual?
sudden
____ and long-term exposure to loud noises are the main factors that contribute to hearing loss.
Heredity
____ loss is not a normal part of the aging process.
Dental
In most states, in order for a DNR to be considered valid, it must have been signed within __ months.
12
You are assessing a 70-year-old female who complains of intense thirst, frequent urination, and dizziness. She has a history of type 2 diabetes, heart disease, rheumatoid arthritis, and gout. Her blood glucose level is 450 mg/dL. She is conscious, but confused. Her blood pressure is 92/52 mm Hg, her pulse rate is 130 beats/min and weak, and her respirations are 22 breaths/min and shallow. This patient's clinical presentation is MOST consistent with:
A. diabetic ketoacidosis.
B. acute renal failure with associated hyperglycemia.
C. hyperglycemia with moderate dehydration.
D. hyperosmolar hyperglycemic nonketotic coma (HHNC).
D. hyperosmolar hyperglycemic nonketotic coma (HHNC).
Causes of delirium in the older patient include all of the following, EXCEPT:
A. low blood sugar level.
B. decreased cerebral perfusion.
C. Alzheimer disease.
D. acute hypovolemia.
C. Alzheimer disease.
A 77-year-old female presents with an acute onset of altered mental status. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. He further advises that she takes numerous medications and that she is normally alert. When you assess this patient, it is important to note that:
A. her mental status is likely the result of hypoglycemia and you should give her sugar.
B. because of her age and medical history, you should suspect Alzheimer disease.
C. the patient is experiencing delirious behavior, which suggests a new health problem.
D. dementia typically presents as an acute onset of deterioration of cognitive function.
C. the patient is experiencing delirious behavior, which suggests a new health problem.
