NR-601 Primary Care of the Maturing & Aged Family Practicum
Midterm Study Review
Malnutrition in older adults can lead to?
Correct Answer:
Increased falls, physical disability, and increased mortality.
Nutritional screening score?
Correct Answer:
0-7 = malnourished, > 7 is @risk for malnourishment.
What is the first step in trying to identity an adult who has malnutrition?
Correct Answer:
Nutritional Assessment
prediabetes value for hemoglobin A1C?
Correct Answer:
5.7-6.4 %
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Diabetes HAIC value?
Correct Answer:
> 6.5%
Many older people will present with what symptoms when having dm?
Correct Answer:
Weight loss and symptoms of type 1 dm bc pancreas is not longer putting out insulin
Basic symptoms of type 2dm?
Correct Answer:
Polyuria, polydipsia, polyphagia, dry mouth, confusion, incontinence, fatigue.
What is the initial treatment recommendation for dm?
Correct Answer:
Lifestyle mods, exercise. Keep carb intake at 45-65% per day of food intake.Encourage fiber.
When is insulin prescribed?
Correct Answer:
Is A1c is > 11% OR failure of two or more oral antidiabetic agents.
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Which oral diabetic medication is best to prevent hypoglycemia?
Correct Answer:
Metformin
S/E of metformin?
Correct Answer:
GI side effects or more severe...lactic acidosis
Metformin is contraindicated in who?
Correct Answer:
Pts who have renal insufficiency (GFR less than 30), liver, or cardiac failure.
What can be prescribed for pts who have A1c greater than 11? If unsuccessful?
Correct Answer:
SGLT 2 and GLP 1
Insulin with metformin.
A1C goals for older adults?
Correct Answer:
Less than 7 for majority.Less than 8 for advanced age and limited life span.Goals are also based on complications. 3 / 4
What are the weight loss recommendations to decrease risks in obese pts?
Correct Answer:
Physical activity, weight bearing exercises, fiber intake.
Signs and symptoms of hyperthyroidism?
Correct Answer:
Tachycardia, fatigue, weight loss, tremors, AFIB and HF, nervousness, anorexia.
Graves’ disease symptoms?
Correct Answer:
Similar symptoms to hyperthyroid, but also frequents bowel movements, enlarged thyroid, goiter, insomnia.
In Graves' disease what should you look for in labs?
Correct Answer:
Antibody.
What are long term effects of inadequately treated hyperthyroidism?
Correct Answer:
heart disease, osteoporosis, mental illness, infertility
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