Gero Final Test Review 50 questions- Exam 1o Most common cause of conductive hearing loss  Cerumen impactiono What are some normal age related changes that affect vision? Decreased elasticity of lens, thickening and hardening of lens, decreased night vision,diminished visual acuity, difficulty distinguishing some colorso Most common sign/symptom of UTI in OA Confusion o Normal age related change in skin  Dry, loss of elasticity and thickness  See the crossed linked theoryo What places the OA at increased risk for infection?  Decreased cell functional ability due to immunity theory of aging- Exam 2o Which OA is more at risk for hypothermia, active or sedentary?  Sedentary: not creating heat by moving around (active have ability to shiver and produce own heat). o *Need to know normal lab values Mg: 1.5-2.5 mEq/L K: 3.5-5.0 mEq/L Na: 135-145 mEq/L Ca: 8.6-10.2 mg/dL Cl: 96-106 mEq/Lo Which lab values are of concern? Mg=2, K=4, Na=90, Ca=12, Cl=95  Sodium (Na): Seizures  Calcium (Ca): Dysrhythmias o Discharging OA patient with CHF with a wife who has COPD who will be taking care of him Contact community resources to assist the couple Home health visitso Which of these are normal aging? Normal: Decreased salvation, impaired healing of tissues, and multiple nighttime voiding Not Normal: increased sensitivity to pain, higher than normal body temp, decreased ability to hear low frequency soundso What vaccines should an OA receive who is newly admitted to a skilled nursing facility?  Pneumococcal (once in a lifetime), TB, Tetanus, Influenza, Zoster, and T-Dap- Exam 3o What vaccine should a nurse recommend for a person planning to visit a 3rd world country?  Hepatitis A (due to fecal mater in the water)o A reaction to the loss of a spouse or long term partner that is unique to the OA male is  Remarrying within a few months of the losso What function w/in the family system does a ‘kin-keep’ have?  Keeps the family connections together, organizes family reunions and get togethers o What nursing interventions help manage wandering in the OA with dementia? Camouflaging doorways, close observation, engage in social interactions, and *provide enclosed pathways that are safe walking areas o What are culturally sensitive behaviors of the nurse with a patient dying that is Muslim, Catholic, and Jehovah witness?  Muslim belief: don’t offer grief counseling, face Mecca (east), face supine, determine organ donation, and be buried within a set amount of time  Catholic belief: priest to deliver last rights, consider organ donation, family expectinggrief counseling  Jehovah witness: make sure persons entire body goes to funeral home - Miscellaneouso What conditions increased the risk of developing a decubitus ulcer in the OA?  Immobility, malnutrition, incontinence, impaired circulation o Does a person need both a living will and durable health care power of attorney?  Yes, it is a good idea to have botho What is autonomy and how is this important to OA?  Independence and self-governance  Presumes that persons are always capable of making independent choices for themselveso Which medications should the nurse be concerned about increasing fall risk: Benadryl, iron, Robitussin, or Claritin?  Benadryl (Anti-cholinergic, can’t see) o *Need to know normal lab values Ca: 8.6-10.2 mg/dL PO4: 2.4-4.4 mg/dL Albumin: 3.5-5.0 g/dL Creatinine: 0.6-1.3 mg/dL BUN: 6-20 mg/dL.o Which of these labs are of concern? Ca=7, PO4=7, Albumin=2, Creatinine=8  Creatinine and Phosphorus  Elevated creatinine indicating renal failure… causing the increased phosphorus. o Which vitamin interacts with Sinemet (Levodopa/Carvadopa)? Vit. B6o What interventions can help an OA with dry and itchy skin?  Lotion, hydrate, take fewer bathes/showers, use soap sparinglyo What are primary, secondary and tertiary prevention Primary: vaccines, education  Secondary: screening (yearly mammogram)  Tertiary: rehabilitation and diagnostic (mammogram after finding a lump in