Chapter 35

Which of the following statements are true about hyperosmolar hyperglycemic nonketotic syndrome (HHNS)?

- The signs and symptoms of HHNS and DKA often overlap. - Blood glucose levels are typically 600 mg/dL or higher.

Which of the following would be part of the "S" component of the GEMS diamond?

Activities of daily living

Venous stasis in an older patient creates problems such as superficial phlebitis and

DVT

In arteriosclerosis, overproduction of abnormal collagen and decreased quantities of elastin lead to what?

Decreased coronary artery perfusion Overproduction of abnormal collagen and decreased quantities of elastin lead to decreased coronary artery perfusion.

Which of the following questions should you ask if you suspect a patient may have congestive heart failure?

How many pillows you sleep on?

You are assessing an 80-year-old patient who explains that he was awakened by a sudden feeling of suffocation and respiratory distress. What are his symptoms a characteristic of?

Paroxysmal nocturnal dyspnea

Although more typically seen in children, ________ can also cause serious illness in older people, especially those with lung disease or weakened immune systems.

RSV

Which of the following is a nonpreventable factor in stroke?

Race, age, gender

Which of the following groups are most likely to commit suicide?

White males older than the age of 85 years are at the highest risk for suicide.

You are working on a geriatric patient who reports severe abdominal pain radiating through her back and flank. She also reports discomfort in her right leg and your assessment reveals a diminished pulse in the extremity. What should you suspect?

abdominal aortic aneurysm (AAA).

On auscultation of a patient's lungs, you hear crackles. These lung sounds are caused by air passing through what?

fluid in the lungs and alveoli.

Which interview technique should you use when addressing a geriatric patient?

listen carefully to the answers the patient provides.

Which of the following is true regarding delirium?

memory generally remains intact.