Nur116 Test#3 Activity/exercise

Front 1

What is the result of decreased cardiac muscle tone?

Back 1

decreased cardiac output, which leads to decreased tissue oxygenation and decreased peripheral circulation

Also, decreased CO increases CHF

Front 2

Where is dependent edema?

Back 2

arms, legs and sacral

Front 3

An increase in elderly atherosclerosis, causes this....

Back 3

increase in BP

Front 4

What happens to the elderly populations Aortic and Mitral valves?

Back 4

Hardening....which causes fibrosis of conduction system

Front 5

Decreased elasticity of heart muscle and blood vessels causes:

(think circulation)

Back 5

decreased venous return

increased dependent edema

increased chance of orthostatic hypotension

increased varicosities & hemorrhoids

Front 6

Arteriosclerosis is a disease of ______ ________, that results in a thickening, ___________, and loss of _____________.

Back 6

Arteriosclerosis is a disease of arterial vessels (arteries), that results in a thickening, hardening & loss of elasticity.

Front 7

THIS is a type of arteriosclerosis.

Back 7

atherosclerosis

Cholesterol & Triglyceride build up in arteries

Front 8

What is PVD?

Back 8

peripheral vascular disease

disease of arteries & VEINS in extremities. Effects blood flow to and from arms and legs.

Front 9

This change in respiratory system in elderly causes a decreased ability to humidify air.

Back 9

Decreased body fluids

Front 10

These changes in respiratory system of elderly patients causes increased risk of aspiration.

Back 10

Decreased airway clearance/cough

Decreased cilliary action

Front 11

This respiratory change could exaserbate an elderly patient's risk for infection.

Back 11

Decreased airway clearance & decreased cillary action

Front 12

Decreased tissue elasticity in respiratory system of elderly leads to...

Back 12

decreased gas exchange

increase pooling of secretions in the lower lung lobes

Front 13

The rate of gas exchange in elderly is decreased due to:

1. Decreased tissue elasticity

2. ____________________

Back 13

Decreased number of capillaries in lungs

Front 14

What happens to an old persons cartilage around rib cage?

What does this cause?

Back 14

Cartilage calcifies causing rigidity or rib cage and rounded rib cage

leads to decreased lung capacity

Front 15

There are three neurological changes associated with aging. All are decreases. List them.

Back 15

1. Decreased # of brain cells

2. Decreased # of nerve fibers

3. Decreased amounts of neuroreceptors

Front 16

The neurological decreases in elderly cause a decrease in
a)
b)
c)

Back 16

a) reflexes
b) coordination
c)motor responses & perception of stimuli

Front 17

What is curvature of spine called?

Back 17

kyphosis

Front 18

What does CAD stand for?

Back 18

coronary artery disease

Front 19

What is the new prehypertensive BP parameters for an adult?

Back 19

110/70

Front 20

An increase in __________ BP in elderly to a level of ________, is considered normal. If left uncontrolled, it would lead to TIAs and MIs.

Back 20

systolic

140

Front 21

A definite pathological change in __________ BP, would be an increase above _____.

Back 21

diastolic

70

Front 22

If diastolic BP is up, it may indicate __________ ___________ ___________.

Back 22

Systemic vascular resistance

Front 23

If a patient is in prehypertensive stage, what is treatment?

Back 23

lifestyle modifications

Front 24

What coagulation study is used to study platelet coagability after treatment with COUMADIN?

Back 24

PT

Front 25

What coagulation study is used to study platelet coagability after treatment with Heparin?

Back 25

PTT

Front 26

What does a aPTT level measure?

Back 26

One of the clotting factors. Shows coagulation problems

Front 27

There are diagnostic studies to test for cardiac issues. List the three cardiac markers.

Back 27

Triponin 1 (cardiac damage)

Triponin 2 (muscle damage & renal failure)

Myoglobin (muscle damage in general)

Front 28

Coronary Artery Disease (CAD) is present in all people older than _____.

Back 28

70

(is this true??)

Front 29

_________ _________ is the most common type of CAD.

Back 29

Aortic Stenosis

Front 30

What are the s/s of TB?

Back 30

wt loss
night sweats
bloody sputum

Front 31

What diagnostic division is Activity/Exercise filed under?

Back 31

Safety

Front 32

With the ND: Impaired Physical Mobility, make sure you include...

Back 32

a level

Front 33

What are the levels of Impaired Physical Mobility?

Back 33

0-completely independent

1-requires equipment or device

2-requires assist

3-requires equipment and or device or and assist

4-dependent

Front 34

How many levels of sleep are there?

Which one do you start in? Moving up or down in number?

Back 34

5 levels

Start at 1, move up to 5

Front 35

What is the name of stage 1 sleep?

Back 35

Non Rapid Eye movement sleep

-lightest level of sleep
-easily aroused
-vitals slowing

Front 36

What is Stage 2 sleep described as?

Back 36

Still NON-REM sleep

BUT, period of SOUND SLEEP, arousal still easy, body functions are slowing

Front 37

What is happening in Stage 3 sleep?

Back 37

Initial stages of deep sleep

Difficult to arouse

Muscles completely relaxed

Front 38

What is the hallmark of Stage 4 sleep?

Back 38

Physiological restoration occurs (restores and rests the body through the relase of growth hormone, prolactin and TSH)

Front 39

What is the description of Stage 4 sleep in regards to characteristics?

Back 39

Deepest stage of sleep
Very difficult to arouse

Front 40

Stage 5 is FINALLY this type of sleep.

Back 40

REM Sleep

Front 41

What is importance of Stage 5 (REM sleep)?

Back 41

Psychological restoration - necessary for learning, memory consolidation and daytime concentration