Ch43,44,45

Prior to replacing an ostomy device in a patient, it is most important to:

Wash your hands and apply personal protective equipment.

Type II osteoporosis tends to progress more rapidly in:

postmenopausal women.

Triple lumen central catheters are usually placed in the:

subclavian or femoral vein.

Signs and symptoms of anticholinergic medication toxicity include:

urinary difficulty, constipation, and hypertension.

The son of a 76-year-old woman called 9-1-1 because his mother is "ill". The patient presents with mild confusion, poor skin turgor, and tachycardia. She is incontinent of urine and asks you for a glass of water. Her son tells you that she had not been feeling well got he past several weeks but would not allow him to take her to the doctor which of the following assessment parameters will most likely reinforce your suspicion regarding the underlying cause of this patient's condition?

Blood glucose

By placing one hand on your forehead and your other hand over you abdomen, you are asking a hearing-impaired person if he or she:

Feels sick.

Decreased elasticity of the lungs and calcification of the costochondral cartilage results in a(n):

Increase in residual lung volume.

Mental retardation is most accurately defined as:

Insufficient development of the brain that results in the inability to learn and socially adapt at the usual rate.

When elderly patients are prescribed medication, the risk for drug toxicity increases because of:

Age-related changes in hepatic enzyme systems.

Down syndrome is a condition in which:

A triplicating of chromosome 21 occurs.

A man leaves his 4-year-old child home alone while he plays golf with his friends. This is an example of:

Abandonment.

rheumatoid arthritis:

Can affect other body systems.

Heat gain or loss in response to environmental changes is delayed in elderly people for all of the following except:

Chronic hyperthyroidism.

After obtaining an elderly patient's chief complaint, gathering additional information about the history of present illness would most likely be complicated because:

Chronic problems may affect the acute problem.

Following retirement, many older people:

Commonly experience decreased self-esteem because the no longer feel useful or productive in society.

Which of the following disease processes would most likely present with signs and symptoms that mimic those seen with normal aging?

Hypothyroidism

Which of the following conditions would most likely impair pulmonary function by limiting lung volume and maximal inspiratory pressure?

Kyphosis

Therapeutic doses of certain drugs may reach toxic levels in older Pepe due to deterioration of the:

Liver.

Due to the process of aging, an elderly person commonly experiences:

Moderate hyperglycemia

Cervical spondylitis is a degenerative change in the cervical spine that causes:

Narrowing of the spinal canal and pressure on the spinal cord.

Typical signs and symptoms of Meniere disease include all of the following except:

Otorrhea.

Resting tremor of an extremity and bradykinesia are associated with:

Parkinson's disease

A 90-year-old nursing home resident presents with with confusion and a cough after several days of complaining of being weak. She is bedridden, has numerous medical conditions, and takes a variety of medication. You assessment reveals that her temperature is 99.0 F, her skin is cool and dry, her blood pressure is 118/66 mm Hg, and her heart rate is 68 beats/mom and regular. She is not experiencing obvious respiratory distress, her oxygen saturation is 93% on room air. This patient is most likely experiencing:

Pneumonia.

Which of the following risk factors is associated with the highest rate of mortality following a burn injury in an elderly person?

Preexisting medical condition.

You respond to the residence of a 68-year-old man with terminal cancer. As you begin your assessment, the patient's wife tells you that he has an out-of-hospital do not resuscitate order and hands you a document that appears to be valid. The patient, who is clearly evacuated, is conscious but is in severe pain. Your most appropriate action should be to:

Provide supportive care, administer narcotic analgesia as indicated, and transport the patient to the hospital.

A 71-year-old man with a history of emphysema, coronary artery disease, and hypertension presents with increased shortness of breath and fatigue. His oxygen saturation is 80% on home oxygen at 2 L/min via nasal cannula. His blood pressure is 140/76 mm Hg, pulse rate is 104 beats/min, and respirations are 28 breaths/min and labored. His mediations include an albuterol inhaler, prednisone, hydrochlorothyazide, and lisinopril. Auscultation of his lungs reveals scattered wheezing in all fields. Which of the following prehospital interventions is not indicated for this patient?

Subcutaneous epinephrine

Approximately 70% of all child abuse or neglect cases include:

Substance abuse by the perpetrator.

A dialysis patient requires pharmacologically assisted intubation. Which of the following meditations should be avoided?

Succinylcholine

The heart hypertrophies with age, MOST likely in response to:

a chronically increased afterload caused by arteriosclerotic blood vessels

A terminal illness is MOST accurately defined as a(n):

disease process that is expected to cause death within 6 months, verified by a physician.