NR-601 Primary Care of the Maturing & Aged Family Practicum
Midterm Exam
Which statement correctly describes normal changes of aging
Correct Answer:
Individual variations are enormous at every age and in every part of the body
Compared with acute pain, persistent chronic pain requires in the nurse practitioner to
Correct Answer:
Educate the patient to the benefit of specific lifestyle changes
When considering Erikson's developmental stages, the task for later life is referred to as
Correct Answer:
Ego integrity
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What is the method of action of anticholinergics
Correct Answer:
Block the effect of acetylcholine on muscarinic type 3 receptors resulting in bronchodilation
What is the method of action of beta agonists
Correct Answer:
Stimulates beta-2 adrenergic receptors, increasing cyclic AMP, resulting in relaxing airways
What is tuberculosis
Correct Answer:
Chronic, necrotizing infection caused by slow-growing acid fast bacillus (mycobacterium tuberculosis). Most common cause of death related to infectious disease worldwise
What is aortic regurgitation?
Correct Answer:
Retrograde blood flow through an incompetent aortic valve into left ventricle during ventricular diastole
What is aortic stenosis
Correct Answer:
abnormal narrowing of the aortic valve
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What is mitral stenosis
Correct Answer:
Abnormal narrowing of the mitral valve orifice
What is mitral regurgitation
Correct Answer:
Retrograde blood flow during systole from the left ventricle into the left atrium through incompetent mitral valve
What is mitral valve prolapse?
Correct Answer:
Mitral regurgitation associated with bulging of one or both mitral valve leaflets into the left atrium during ventricular systole
What happens in valvular regurgitation
Correct Answer:
Portion of the ejected blood leaks back into the upstream cardiac chamber
What happens in valvular stenosis
Correct Answer:
Usually results in elevated pressures in the chamber upstream from the stenosis
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What is the purpose of functional assessment of the elderly
Correct Answer:
Discovers the ability to care for themselves on a daily basis
How should HTN be managed
Correct Answer:
Stage 2 and up should be given consideration for pharm treatment. Others can wait for lifestyle modification.
What is first line meds for non-black HTNpopulation including those with DM
Correct Answer:
Thiazide, CCB, ACEi or ARM either alone or in combo
What is the med guideline for ASCVD for those
Correct Answer:
High intensity statin, atorvastatin-Lipitor 40-80, rosuvastatin/Crestor 20mg
What is the med guideline for ASCVD for those >75 y/o
Correct Answer:
Moderate statin (atorvastatin 10mg, rosuvastatin 5mg, simvastatin 20- 40mg, pravastatin 40mg, lovastatin 40mg, fluvastatin 40mg)
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