Exam 1: Changes With Aging

Mr.Adams is 90 years old.In the last few months he appears unable to comply with the health-care plan developed by the nurse practitioner.The nurse practitioner considers which of the following reasons for noncompliance when updating his home care plan? Select all that apply.

Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs.Johnson because:

A patient with renal disease has blood work drawn, and the results show an increase in serum creatinine.The nurse practitioner needs to know which of the following laboratory values before ordering medications?

Which of the following statements is true regarding diagnostic testing?

For individuals over 65 years old, the most common morbidities are related to:

The nurse practitioner is examining an 85-year-old man with reports of abdominal pain, weakness, and loss of appetite.Which is the most likely condition to be tested for and ruled out?

An older woman is seen in the ambulatory clinic for a routine checkup.The patient asks about results of her blood work compared to last year's results.How is it best for the clinician to respond? Select all that apply.

A gerontological patient is being examined for a report of pain in the shoulder.The nurse practitioner completes a thorough systemic examination because:

A 70-year-old man is seeing a nurse practitioner because he is feeling weak and dizzy.The nurse practitioner is discussing a care plan with him and makes which of the following statements? Select all that apply.

Adam, 70 years old, is admitted for possible myasthenia gravis (MG).The nurse practitioner knows that MG is commonly seen in women between 20 and 40 years old.Adam, however, is experiencing an ocular form of MG, has dysphonia, and does not have any thymus abnormalities.Adam asks why the nurse is concerned about MG since he is older and this is a "young person's disease." Which of the following are the best ? Select all that apply.

Mrs.Smith is 75 years old and has had type 2 diabetes for 30 years.She sees her nurse practitioner on a regular basis.Mrs.Smith asks the nurse practitioner why her treatment has not been changed, even though her laboratory values are seemingly out of normal range.Which of the following are best? Select all that apply.

Mrs.Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated.Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete blood count (CBC).The total assessment is necessary because:

The nurse practitioner is leading a class of seniors over age 65 years and is teaching about nutritional needs.One of the men asks why, even though he eats correctly according to the standards presented, he still feels weaker than he did 10 years ago.He also wonders why he gets more infections than he used to.Which of the following are helpful ? Select all that apply.

The nurse practitioner performs a thorough systemic examination of a patient who reports diarrhea and pain in the upper left quadrant of the abdomen.One possible diagnosis would be:

An elderly couple is discussing health concerns with the nurse practitioner.The couple is concerned that each of their individual blood studies show different results.One set of test results shows a significant decrease in blood sugar, but the test results of the partner does not show an equal decrease.Their physician does not seem concerned, and the couple is wondering why.How is it best for the nurse practitioner to respond? Select all that apply.