Adult Geriatrics All Correct Test bank Questions and Answers with Explanations

Adult Geriatrics All Correct Test bank Questions and Answers with Explanations

ABSTRACT

The discussion below is a revision question and answer that seeks to provide students of nursing relevant content for preparing for forthcoming exams. The questions and answers are100 verified ad revised to current practice.

Question : The major impact of the physiological changes that occur with

aging is:

Student

Answer:

Reduced physiological reserve

Instructor

Explanation:

The major impact of all of these physiological changes can be highlighted with three primary points. First, there is a reduced physiological reserve of most body systems, particularly cardiac, respiratory, and renal. Second, there are reduced homeostatic mechanisms that fail to adjust regulatory systems such as temperature control and fluid and electrolyte balance. Third, there is

impaired immunological function: infection risk is greater, and autoimmune

diseases are more prevalent. (Kennedy-Malone 3)

All of the above Impaired immunological response Reduced homeostatic mechanisms

Kennedy -Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file.

Points Received: 2 of 2

Comments:

Question 2. Question : Men have faster and more efficient biotransformation of drugs and

this is thought to be due to:

Student

Answer:

Less obesity rates than women

Instructor

Explanation:

Men have faster and more efficient biotransformation, presumably because of serum testosterone. Conditions of increased or decreased liver perfusion alter the overall level of the drug that is absorbed and how it is metabolized.(Kennedy-Malone 5)

Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Less estrogen than women Testosterone Prostate enlargement

Points Received:

Comments:

• of 2

Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file.

Student

Answer:

Inhibited by drugs Induced by drugs Inhibited or induced by drugs Associated with decreased liver perfusion Instructor

Explanation:

Biotransformation occurs in all body tissues but primarily in the liver, where enzymatic activity (cytochrome P [CYP] system) alters and detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)

Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file.

Points Received: 2 of 2

Comments:

Question 4. Question : Functional abilities are best assessed by: Student

Answer:

Self-report of function

Instructor

Explanation:

Two well-established tools used to evaluate function in older adults are the Katz Activities of Daily Living Scale (Katz et al., 1963) and the Lawton and Family report of function A comprehensive head-to-toe examination Observed assessment of function Question 3. Question : The cytochrome p system involves enzymes that are generally:

Serum ferritin and serum iron Brody scale for Instrumental Activities of Daily Living (Lawton & Brody, 1969). It is important to be cautious about self-report of function (rather than direct observation of function) and to ask, ―Do you …?‖ instead of ―Can you …?‖ in order to determine if patients actually perform the activity.(Kennedy-Malone 40)

Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014- 01-14. VitalBook file.

Points Received: 2 of 2

Comments:

Question 5. Question : Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data?

Student Answer:

Hemoglobin and Hematocrit Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)

Instructor

Explanation:

RBC indices reveal an MCV (mean corpuscular volume/RBC size) that will be decreased to <80>

Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.Advanced Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-01-14. VitalBook file.

Points Received:

Comments:

• of 2

Total iron binding capacity and transferrin saturation