Old Age Nursing 113

Front 1

Immunization for influenza?
How long? IV, IM, Subq?

Back 1

1 dose IM every year

Front 2

Immunization for pneumococcal?
when and how long? IM or Subq

Back 2

1time after 65 and and after 5 years have lapsed

Front 3

Tetanus immunization?

Back 3

Give TD booster every 10 years IM

Front 4

Zoster immunization?

Back 4

give 1 time dose after age 65

Front 5

This is a term of old age a negative attitude based on age leading to discrimination and disparities in the care given to the older adult

Back 5

ageism

Front 6

HOw can you avoid practicing ageism? Be ____ aware of normal patterns and encourage health.

Back 6

more

Front 7

GI assessement of old age. Ask questions about _________, weight and stool.

Back 7

appetite

Front 8

Health _____ is to determine events related to current health problems.

Back 8

history

Front 9

IN regards to old age of women, they are more at risk for (uterine or cervical) cancer?

Back 9

uterine

Front 10

assess, ____ history, previous surgeries and longterm laxative use. SMoking ETOH etc.

Back 10

medication

Front 11

In old age, ask about nutritional history like, _____ (eating disorders) difficulty or pain with swallowing (____), that may be associated iwth esoopageal disorders.

Back 11

dysphagia

Front 12

In older adults, ask about abdominal pain of discomfort that occurs with ____ and whehter the patient has experienced any weight loss, vomiting or diarrhea, or dyspepsia (____ ___)

Back 12

eating, heart burn

Front 13

This type of status affects older peopls nutritional status because older people are on limited budgets

Back 13

socio-economical

Front 14

Right upper quadrant pain and shoulder shows the affects of what organ?

Back 14

Gull bladder

Front 15

Assess for _____ assessment sof old people like skin rashes, increased bruising, and bleeding. INspection and auscultation.

Back 15

physical

Front 16

This assessment of old peopl are life and lifestyle. Whether usual activities have been interrupted or disturbed. Ask about recent stressful events. If the Pt is diagnosed with cancer, expect the individual to ecperience the phases of the grieving process. patitens bay be depressed angry or in denial

Back 16

psychosocial

Front 17

Name the 5 stages finding out you have cancer or something

Back 17

denial, anger, depression, bargaining and acceptance

Front 18

Health promotion and prevention in old people are things like Routine ____, appropriate medication use, diet and exercise programs

Back 18

screenings

Front 19

Ericksons theory:
To achieve and identify feelings of worth from sources other than work role.

a. Ego diferentiation vs. work role
b. Body transcendence vs. body preoccupation
c. ego transcendenc versus ego preocupation

Back 19

a

Front 20

Ericksons theory:
Older persons view of physical changes.
a. Ego diferentiation vs. work role
b. Body transcendence vs. body preoccupation
c. ego transcendenc versus ego preocupation

Back 20

b

Front 21

Ericksons theory:
acceptance of individuals eventual death without dwelling on the porspect of it.

a. Ego differentiation vs. work role
b. body transcendence vs. body preoccupation
c. ego transcendence vs. ego preoccupation

Back 21

c.

Front 22

Name one way a old person can describe things in their life?

Back 22

remininence, story telling

Front 23

Health promotions for aging adults entailes complex responses to ____ health behaviors.

Back 23

learn

Front 24

The health belief model is? Self ___of the disease (do old people see themselves healthy or ill) Modifying factors of the disease like pyshcosocial, demographics, and Cost vs bnefit ration.

Back 24

percption

Front 25

In oral cancer, it may occur on the lips or anwhwere on the ____

Back 25

mouth

Front 26

Causes of oral cancer can by chronic ____ use, use of ____, poor oral hygiene, physical trauma and chornic irriation from _____ fitting dentures

Back 26

etoh, tobacco, improperly

Front 27

____ ____ cacinoma is the most malignancy.

Back 27

squamous cell

Front 28

These malignant lesions of the lips is white patches or smokers patch

Back 28

leukoplakea

Front 29

Areas of velvety red patches foudn on the mouth or tongue

Back 29

Erthroplasia

Front 30

the tongues mobility may be impaired speech may be slurred. Cancer of the mouth spreads early via the regional ___ nodes.

Back 30

lymphatic

Front 31

two basic threads of oral cancer. Threat to ____ and possible long term _____.

Back 31

life, disfigurement

Front 32

Two main types of cancer that affect the esophagus.

Back 32

adenocarcinomas, squamous cell carcinoma

Front 33

This esophageal cancer usually arises in teh stomach and spread to the esophagus.

Back 33

adenocarcinomas

Front 34

this esopageal cancer usually start in the upper and middle 1/3 of the esophagus.

Back 34

squamous cell carcinomas

Front 35

Treatment of esophageal cancer is to remove the part of the esophagus and use a segment of the ____ to replace it

Back 35

colon

Front 36

If part of the esophagus is removed, a ___ tube is placed to help feed patient

Back 36

j junostomy tube

Front 37

Risk factors of this cancer is
Barretts esophagus, ETOH, smokin poor oral hygiene, poor nutirtional habits

Back 37

Esophageal cancer

Front 38

S/s of this cancer. Obstruction, difficulty with speech, regurgitation, aspiraton of fluids, foul breath nausea and vomiting

Back 38

esphagus

Front 39

with esophageal cancer, patients should be in an upright position while feeding for _ hours after to avoid aspiration

Back 39

2

Front 40

Most gastric carcinomas occur in the ____ region of the stomach.

Back 40

Pyloric

Front 41

Stomach cancer are all adenocarcinomas tand most presents itself as a bulky ____. Thse carcinomas spreads by direct invasion of the ____ tissues like esophagus, pancreas, lymph system liver

Back 41

mass, adjacent

Front 42

Factors implicated in the devleopment of stomach cancer is _____, diets high in smoked foods, satled fish and meat ____ veges, H. pylori, obesity, pernicious anemea

Back 42

smoking, pickled

Front 43

What is the thing called when food just goes straight into the small intestine

Back 43

dumping syndrome

Front 44

when you remove the stomach you have to worry about this factor.. it leads to b12 deficiency

Back 44

Pernicous anemia. intrinsic

Front 45

An old person is at risk fo dehydration because of a decrease in this hormone

Back 45

ADH

Front 46

Roux en Y is a ____ gastrectomy

Back 46

total

Front 47

One of the first signs that an older adult is having respiratory problems is a chance in ____ status

Back 47

mental

Front 48

Changes in mental status for respiratory changes is ____ in forgetfulness, ______ and HA, dyspnea, cough

Back 48

increase, irritability

Front 49

_____ is a common copmplaint with older clients with pulmonary disease. THis is the difficulty breathing.

Back 49

dyspnea

Front 50

With old people it is importanty to use caution in recommending cough suppressants because this could lead in retention of pulmonary secretions and lead to ______.

Back 50

Atelectasis

Front 51

this syndrome occurs after lung injury (direct or indirect). Failure of the respiratory system, inflammation of the alveoli, fluid in the alveoli and surrounding tissue, inactivation of surfactant. 50% morality rate

Back 51

Acute respiratory distress syndrome

Front 52

ARDS causes which type
aspiration, pneumonia, chest trauma, emolism, inhalation , near drowning, oxygen toxicity.

Direct or indirect

Back 52

direct

Front 53

ARDS causes which type
sepsis, massive trauma, acute pancreatitis, cardipulmonary bypass, drug overdose, severe head injury, stroke, shock

Back 53

indirect

Front 54

This is hwat happens in ards. The body responds to an injury, and blood flow to the lungs is reduced and platelets release susbstances like histamine that inflames and damages alveolar membrane which ____ capillary permeability

Back 54

increases

Front 55

fluid in the alveoli and decreased blood flwo damages ______ in the alveoli, reducing hthe cells' ability to produce more.

Back 55

surfactant

Front 56

Without surfactant the alveoli will ____

Back 56

colaspe

Front 57

In ARDS both o2 and co2 levels in the blood ___

Back 57

decrease

Front 58

treatment of ARDS is administhering ___ through a cpap. _____ may also be administered to decrease pulmonary ____.

Back 58

o2. corticosteroids. inflamation.

Front 59

_____ maybe used to move fluid up and out.

Back 59

positioning

Front 60

Fluid balance is a problem with ards.. You don't want to give too much because it will increase _____ but not giving enough will damage the ____

Back 60

edema. kidney.

Front 61

non-small cell cancers tend to grow ____ then small cell carcinoma

Back 61

slower

Front 62

Cigarette smoking leads to most lung cacners

Back 62

true

Front 63

This non small cancer is associated with cig smoking and exposure to enivronmental carcinogens.This arises from bronchial epithleium does not metastasize quicktly

Back 63

Squamous cell carcinoma

Front 64

this type of lung cancer is assicoated with lung scarring and chronic interstitial fibrosis.. NOT related to cigarette smoking.

Back 64

adenocarcinoma

Front 65

This lung cancer is associated with cig smoking. It is the most malignant form and spreads via blood stream and lymp shstem.

Back 65

Small cell oatcell.

Front 66

Warning signs of lung cancer

Back 66

hoarsness, change in respiratory pattern, persistent cough, blood streaked sputum chest pain, shoulder arm or chest wall pain, recurring pneumonia

Front 67

This is just a removal of a small piece of lungs.

Back 67

wedge

Front 68

Pack years.

Back 68

number of packs per day x years smoked