100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Geriatrics/ LTC Exam Questions and Answers (Graded A) $11.99   Add to cart

Exam (elaborations)

Geriatrics/ LTC Exam Questions and Answers (Graded A)

 16 views  0 purchase
  • Course
  • Geriatrics/ LTC
  • Institution
  • Geriatrics/ LTC

Geriatrics/ LTC Exam Questions and Answers (Graded A)Geriatrics/ LTC Exam Questions and Answers (Graded A)Geriatrics/ LTC Exam Questions and Answers (Graded A)Geriatrics/ LTC Exam Questions and Answers (Graded A)Geriatrics/ LTC Exam Questions and Answers (Graded A) Life expectancy - ANSWER - -stat...

[Show more]

Preview 3 out of 17  pages

  • August 20, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Geriatrics/ LTC
  • Geriatrics/ LTC
avatar-seller
NursingTutor1
Geriatrics/ LTC Exam Questions and
Answers (Graded A)
Life expectancy - ANSWER - -statistical measure of the average time an organism is expected
to live, based on the year of their birth, current age and demographic factors
-average wordlwide is 73.2 years old
-for males: 70.7
-for females: 73.6


life span - ANSWER - length of time a person lives


COPD - ANSWER - What is it? Low, progressive obstruction of the airways making it difficult to
breathe


PLAN:
o Smoking cessation
o Manage exacerbations


Symptoms:
o Reduced energy intake is common due to: hypercapnia( excess co2 production; results in
morning headache/confusion)/ 02 saturation( reduced 02 can cause intestinal problems)/ fatigue
( they would rather breath than eat) and chewing problems due to dyspnea


MNT:
o Energy balance is critical: 30-35 kcal/kg depending on initial wt
o Protein: 1-1.5g/kg- to restore and maintain lung and muscle strength
o Balance macronutrients (pro15-20%, fat 30-45%, cho 40-55%)
o Micros: vit c: increased need for smokers/ ca & mg: meet needs; important for muscle
relaxation and contraction / vit D and K- prevent/ slow osteoporosis /
o sodium and fluid: restricted with cor pulmonale( may need to increase K) to control fluids (also
control amt of food in stomach—too much will push up on the lungs)

,o Foods: no tough or stringy foods, avoid gas forming vegetables, increase use of omega 3 FA ,
antioxidants: increase citric fruits, whole grains, and nuts, fluid: 1Ml/kcal; consume liquids
between means, reduce sodium to limit edema and ease breating, increase fiber ( psyllium,
crushed bran, prune juice, f/v), small concentrated feedings to prevent fatigue, rest before
meals, and eat slowly and chew foods well




-small, frequent, mini-meals and snacks
-easy to prepare and eat
-nutrient dense supplements (smoothies, meatloaf, muffins w/ cream cheese, tuna salad, cereal
w/ fruit)


Common physical signs of COPD
1. barrel chest: rounded chest due to lungs being chronically overinflated with air
2. digital clubbing: thinkening of the flesh under the fingernails and toenails, nails curve
downward. theory due to vasodilation in the distal circulation leading to hypertrophy of the nail
bed
3. cyanosis: blu


Cor pulmonale - ANSWER - -abnormal enlargement of the right side of the heart as a result of
disease of the lungs or the pulmonary blood vessels
-swollen airways become extra sensitive to some things that you are exposed to in the
evironment every day (asthma triggers). when you breathe in a trigger, your airway create extra
mucus and swell even more, making it difficult to breath


repiratory distress syndrome - ANSWER - ARDS: acute respiratory distress syndrome,
respiratory failure
-lungs no longer able to exchange gases
-hypermetabolism leading to increased energy needs


MNT:
-meet basic nutrition requirements, maintain stable weight, facilitate weaning from vent
-provide adequate but not excessive calories, avoid excess non-protein cals

, -1.5-2 g protein/kg to maintain lean body mass


pulmonary aspiration - ANSWER - -entry of material (such as food/drink/stomach materials)
from the GI into the larynx (voice box) and lower respiratory tract


emphysema - ANSWER - -gradual damage of the air sacs (alveoli) in the lungs, making you
progressively more SOB
-smoking is the leading cause
-inner walls of the air sacs weaken and eventually rupture, creating one larger air sac instead of
many small ones= reduces surface area of the lungs = decreases amount of oxygen that
reaches the bloodstream


chronic bronchitis - ANSWER - bronchitis: inflammation of the bronchial tubes that results in
excessive secretions of mucus into the tubes with tissue swelling that may narrow or close off
bronchial tubes


-chronic: cough that occurs every day with sputum production that lasts for at least 3 mos , 2
years in a row


cause: smoking


bronchiectasis - ANSWER - -chronic condition where the walls of the bronchi are thickened from
inflammation and infection =results in mucus accumulation
-periodic flare-ups of breathing difficulty (exacerbations)
-lung function gradually declines over years, pts w/ frequent exacerbations may lose lung
function at a faster rate


symptoms:
-coughing up yellow/green mucus everyday
-SOB
-felling run down or tired
-fevers or chills (usually develop during exacerbations)
-coughing up blood or mucus mixed with blood (hemoptyisis)

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NursingTutor1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.99
  • (0)
  Add to cart