Adult Nursing 128 Test 1

Front 1

What percent of the population will be over 65 in the year 2030

Back 1

20

Front 2

what percent of the population was over 65 in 2000

Back 2

13%

Front 3

what is the cause of the increase of people over 65

Back 3

baby boomers

Front 4

largerst growth in population is who

Back 4

ethnic minorities and 85yr olds

Front 5

What are the subgroups?

Back 5

young old 65-74
middle old 75-84
old old 85-99
elite old 100 and older

Front 6

what is the fastest growing subgroup

Back 6

old old.

Front 7

being admited to a hospital or nursing home is often a traumatic experience known as?

Back 7

relocation stress.

Front 8

who is most at risk for relocation stress?

Back 8

men older then 75 who are physically and mentally impaired

Front 9

older adults need what nutritional requirements?

Back 9

calcium
vit a d c
water
protein
carbs and fiber
fats

Front 10

The most common accident among older clients in a hospital or nursing home setting is?

Back 10

falls

Front 11

what is the single most important predictor for falls?

Back 11

A history of falling

Front 12

a nurse must check a client who is restrained how often>?

Back 12

every 30-60 mins
and release every 2 hrs

Front 13

What is polypharmacy

Back 13

use of multiple drugs by older adults

Front 14

when a care giver fails to provide for a clients basic needs it is?

Back 14

Neglect

Front 15

4 types of abuse are

Back 15

neglect
physical abuse
financial abuse
emotional abuse

Front 16

dehydration, undernutrition, urin burns , body odor, and listlessness are signs of what?

Back 16

neglect

Front 17

a chronic progressive disorder

Back 17

dementia

Front 18

an acute state of confusion, short term

Back 18

delirium

Front 19

when was the social security act passed>

Back 19

1935

Front 20

when was the older americans act passed?

Back 20

1965

Front 21

when was the national institute on aging established?

Back 21

1974

Front 22

What is healty people 2010?

Back 22

goverment standard goals, increase lenght and quality of lives

Front 23

the three major methods for assessing the culture of a client are?

Back 23

OBSERVATION
INTERVIEW,
PARTICIPATION

Front 24

what are some environments ofr care of the older adult

Back 24

home, assisted living retirement commun
acutre care, subacute, skilled
long term

Front 25

what is prevelent in long term care?

Back 25

failure to thrive

Front 26

high risk for malnutrition?

Back 26

determine
d isease
e eat poorly
t ooth loss
e conomics
r educed contacts
m any meds
i nvoluntary wt chang es
n eed help
e lderly

Front 27

slow pregressive cognitive decline not reversable

Back 27

dementia

Front 28

acute stage of confussion, reversable temporaty short lived

Back 28

delerium

Front 29

what type of abuse includes threats, humiliation, isolation

Back 29

emotional abuse

Front 30

care giver role stain

Back 30

care giver stresses out over having to care for someone

Front 31

Econimical issues (3)

Back 31

imcome housing resourses

Front 32

ethical legal issues (5)

Back 32

rights
ombudsman org
competency issues
obra
advanced directives

Front 33

leading cause of disability

Back 33

strokes

Front 34

What is remission?

Back 34

symptomes controlled

Front 35

what is exacerbration

Back 35

symptoms returned

Front 36

factors that effect occurence of chronic illness are (6)

Back 36

age, cultuire, cost, race, geography, ethnicity

Front 37

what is impairment?

Back 37

abnormality of body or alteration in body system functioning

Front 38

what is the consequence of impairment>?

Back 38

disabiliy

Front 39

disadvantages experienced as result of impairment or disability?

Back 39

handicap

Front 40

living with ones chronic disability with goals of returning to fullest possible capacity

Back 40

rehabilitation

Front 41

goals of multidisiplinary approach

Back 41

prevent injury
restore function
maximize independance

Front 42

what assesments are needed to manage illnesses

Back 42

history , systems review, functional psychosocial vocational

Front 43

disorders of the external eye

Back 43

eyelid conjunctiva cornea

Front 44

intraocular disorders of the eye

Back 44

retinopathy
macular degeneration

Front 45

intraocular disorders of the eye

Back 45

cateract
glaucoma

Front 46

physical assement for external structures are

Back 46

symmetry , eye lids, lashes, brows, iris cornea redness, discharge, facial and occular experssions

Front 47

physical assesment of the pupils are

Back 47

perrla
pupils equal, round, reactive to light and accomodation

Front 48

examine retina with what tool?

Back 48

opthalmoscope

Front 49

asses retina for?

Back 49

papilledema, optic disc red reflex

Front 50

some diagnostic tests of the eyes are

Back 50

slit lamp exam
corneal staning, ultrasound,tonometry

Front 51

exam of the anterior ocular structures require this test

Back 51

slip lamp exam

Front 52

use this test to check for scratches on the cornea

Back 52

corneal staning

Front 53

this test measures intraocular pressure

Back 53

tonometry

Front 54

what is the intraocular pressure of the eye?

Back 54

10-21 mmhg

Front 55

visualization of the external structures and posterior cavity

Back 55

ophthalmosopy

Front 56

use this to check for masses or tumors in the eye

Back 56

mri , cat, ultrasound

Front 57

age related changes of the cornea are

Back 57

flatten, cloudy, blurring vision

Front 58

age related changes of the lens

Back 58

hardens, less elastic, cataracts

Front 59

age related changes of the iris/pupil

Back 59

decrease dilation, small pupil

Front 60

age related changes in appearence in the eye are

Back 60

sunken, hazy ring, yellow sclera, decreased tear production and muscle tone

Front 61

age related changes in accommodation

Back 61

accommodation to near objects reduced

Front 62

age related changes in intraocular fluid are?

Back 62

fluids reabsorption less-glaucoma

Front 63

Clouding of the lens which distorts image progected onto retina is known as?

Back 63

cataracts

Front 64

symptoms of cataracts are

Back 64

blurry vision, decreased color perception, foggy

Front 65

3 surgerys used to remove cataracts are?

Back 65

intracapsular extraction
extracapsulare extraction
intraocular lens implants

Front 66

surgery where lens and capsul are completely removed

Back 66

intracapsular extraction

Front 67

surgery most common, posterior capsuld is left

Back 67

extracapsular extraction

Front 68

a surgery where a prosthetic lens replaces clouded, removed lens

Back 68

intraocular lens implant

Front 69

nursing considerations for cataracts are?

Back 69

dont rub eyes, dont sleep on side of bad eye.Avoid bending or straining. eye drops, eye shields, wet cool compresses

Front 70

What is increased tension or pressure within the eye causing progressive structural or fnctional damage to the eye leading to blindness?

Back 70

Glaucoma

Front 71

primary or open angle glaucoma is diagnosed how

Back 71

by tonometry

Front 72

how old should a person be when they test for glaucoma

Back 72

each year when over 40

Front 73

what are the symptoms of glaucoma

Back 73

eye discomfort, decreased peripheral vision,k increased iop,k halos around lights, difficulty adjusting to darkness

Front 74

what is the second most common cause of blindness

Back 74

primary or pen angle glaucoma

Front 75

what do beta blockers such as timoptic do?

Back 75

reduces aqueous humor production

Front 76

what does carbonic anhydrase imhibitors such as diamox do?

Back 76

decrease production of aqueous humor

Front 77

what does Miotic, such as Pilocarpine do?

Back 77

increase the outflow of aqueous humor

Front 78

what do meds anticholoinesterases, such as phosphaline iodide or humorsol do?

Back 78

incrase the flow of aquous humor

Front 79

Sugeries for glaucoma are

Back 79

arogon laser trabeculoplasty
shunts
cyclocrotherapy

Front 80

what surgery for glaucoma freezes part of the ciliary body, thus decreasing production of aqueous humor?

Back 80

cyclocryotherapy

Front 81

nursing care for surgery of glaucoma include?

Back 81

wearing of eye shield
head of bed raised
eye dropes to prevent infection

Front 82

acute closed angle glaucoma symptoms

Back 82

sudden rapid buildup of presure
sever periocular pain, blurred vision

Front 83

which is less common acute closed angle glaucoma or open angle glaucoma

Back 83

acute closed angle glaucoma

Front 84

loss of cnetral vision due to decreased blood supply to the macular cell is?

Back 84

senile macular degeneration

Front 85

2 types of senile macular degeneration are

Back 85

atropic and exudative

Front 86

treatments for atropic and exudative are

Back 86

adaptive devices
increased antioxidents and zinc
laser therapy

Front 87

what is the cause of retinopathy?

Back 87

hypertension and/or diabetes

Front 88

4 refractive disorders are

Back 88

mytopia
hyperopia
presbyopia
astigmatism

Front 89

speech deterioration
irritable and hypersensitive
complaints of mumbling
social withdrawal are all symptoms of what?

Back 89

hearing loss

Front 90

ringing of the ears (tinnitus) is a sign of what?

Back 90

hearing loss

Front 91

inspect the ear using what tool?

Back 91

otoscope

Front 92

to view ear how do you pull it?

Back 92

up and back for adult

Front 93

inspect ear canal for what?

Back 93

wax or cerumen

Front 94

inspect eardrum for?

Back 94

light reflex

Front 95

test auditory acuity how?

Back 95

watch ticking weber test rinne test or rhomberg

Front 96

what test is done with vibrating fork placed on clients forehead

Back 96

weber test

Front 97

what test is done with fork placed on mastoid bone and in front of ear canal bc vs ac

Back 97

rinne test

Front 98

what test is done standing with feet together and eyes closed?

Back 98

rhomberg

Front 99

audiometery testing measures what?

Back 99

freguency/intensity of sounds

Front 100

age related changes of appearence in the ear are

Back 100

pinna elongated, coarser hear, dry cerumen

Front 101

age related changes in the ossicles of the ear include

Back 101

decreased movement, stiff, calcification

Front 102

age related changes to the tympanic membrane include

Back 102

decreased elasticity, atrophy and dull color

Front 103

classification of hearing loss include

Back 103

conductive
sensorineural
mixed

Front 104

what is swimmers ear?

Back 104

external otitis or swimmers ear is an infection in the ear canal

Front 105

treat external otitis with what ?

Back 105

antibiotic ear drops called cortisporin

Front 106

how do you treat cerumen in ear canal?

Back 106

Debrox to soften was, irrigation of ear

Front 107

problems in middle ear include

Back 107

otitis media, serous media

Front 108

accumulation of steril fluid in the middle ear is?

Back 108

serous otitis media

Front 109

inflammation of eustachian tube in middle ear

Back 109

otitis media

Front 110

symptoms of otitis media include

Back 110

pain fever, drainage, decreased hearing and bulging ear drum.

Front 111

medications for otitis median include

Back 111

antibiotics, decongestants, analgesics

Front 112

surgery of ear that is done with an incision in ear drum with tube placement

Back 112

myringotomy

Front 113

surgery of ear that is done by removal of the stapes and replacement with a prosthesis

Back 113

otosclerosis

Front 114

surgery of ear that is done by removing diseased tissure, ossicales and a graft used to make an ear drum

Back 114

tympanoplasty

Front 115

problems of the inner ear include (3)

Back 115

acoustic neuroma
labyrinthitis
menieres disease

Front 116

inner ear problem that has tumor,k benine or malignant and requires surgical removal

Back 116

acoustic neuroma

Front 117

infection of the inner ear resulting in vertigo tinnitus and hearing loss

Back 117

labyrinthitis

Front 118

complications of labyrinthitis can lead to what?

Back 118

meningitis

Front 119

treatment of inner ear problems include

Back 119

medications
diet
surgery

Front 120

medications to treat inner ear problems include

Back 120

diuretics,k antihistamines, anti-emetics

Front 121

nursing measures for problems with inner ear

Back 121

elevated bed

Front 122

auditory prosthesis implanted in the inner ear

Back 122

cochlear implant

Front 123

guildlines or after ear surgery include

Back 123

blow nose one ostril at a time
cough and sneese with mouth open
position on unoperative side
keep dry

Front 124

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Back 124

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