Chapter 33 Geriatric Emergencies

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  1. Be sure to auscultate breath sounds to listen for:
    -____ associated with pulmonary edema
    -____ or rattles associated with pneumonia
    -____ associated with asthma
    • Rales
    • Rhonchi
    • Wheezes
  2. A blood pressure of ____ mm Hg could be an indication of a significant problem in an elderly patient.
  3. The ____ diamond was created to help you remember what is different about older patients.
  4. GEMS Diamond
    • Geriatric
    • Environmental assessment
    • Medical assessment
    • Social assessment
  5. The inability to see up close is called ____ and it is caused by a loss of elasticity of the crystalline lens.
  6. ____ is a gradual hearing loss that occurs as we age.
  7. Which of the following is NOT considered a common condition of the elderly?
    A. Sinusitis
    B. Gastroenteritis
    C. Hypertension
    D. Arthritis
    B. Gastroenteritis
    (this multiple choice question has been scrambled)
  8. A patient with leg pain who complains of sudden shortness of breath, tachycardia, fever, chest pain, and a feeling of impending doom is likely experiencing a:
    pulmonary embolism
  9. Is delirium sudden or gradual?
  10. ____ and long-term exposure to loud noises are the main factors that contribute to hearing loss.
  11. ____ loss is not a normal part of the aging process.
  12. In most states, in order for a DNR to be considered valid, it must have been signed within __ months.
  13. You are assessing a 70-year-old female who complains of intense thirst, frequent urination, and dizziness. She has a history of type 2 diabetes, heart disease, rheumatoid arthritis, and gout. Her blood glucose level is 450 mg/dL. She is conscious, but confused. Her blood pressure is 92/52 mm Hg, her pulse rate is 130 beats/min and weak, and her respirations are 22 breaths/min and shallow. This patient's clinical presentation is MOST consistent with:
    A. hyperglycemia with moderate dehydration.
    B. hyperosmolar hyperglycemic nonketotic coma (HHNC).
    C. acute renal failure with associated hyperglycemia.
    D. diabetic ketoacidosis.
    B. hyperosmolar hyperglycemic nonketotic coma (HHNC).
    (this multiple choice question has been scrambled)
  14. Causes of delirium in the older patient include all of the following, EXCEPT:
    A. decreased cerebral perfusion.
    B. low blood sugar level.
    C. acute hypovolemia.
    D. Alzheimer disease.
    D. Alzheimer disease.
    (this multiple choice question has been scrambled)
  15. A 77-year-old female presents with an acute onset of altered mental status. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. He further advises that she takes numerous medications and that she is normally alert. When you assess this patient, it is important to note that:
    A. her mental status is likely the result of hypoglycemia and you should give her sugar.
    B. dementia typically presents as an acute onset of deterioration of cognitive function.
    C. because of her age and medical history, you should suspect Alzheimer disease.
    D. the patient is experiencing delirious behavior, which suggests a new health problem.
    D. the patient is experiencing delirious behavior, which suggests a new health problem.
    (this multiple choice question has been scrambled)
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Chapter 33 Geriatric Emergencies
Chapter 33 Geriatric Emergencies
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