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Gero > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Geriatric Failure to Thrive

A

Syndrome manifested by >5% wt loss

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2
Q

GFTT 11 D’s

A 
Disease
Dementia
Delirium
Drinking
Drug use
Dysphagia
Deafness
Depression
Desertion
Destitiution
Despair
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3
Q

Error Theory

A

Errors in DNA/RNA occurs with aging

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4
Q

Free Radical Theory

A

damages by free radicals that cause cellular injury and aging

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5
Q

Cross Linkage

A

Proteins impede metabolic processes and cause trouble with nutrients getting to cells/removing waste

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6
Q

Wear and tear

A

cells wear out

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7
Q

Hayflick Limit

A

cells divide until no longer able to

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8
Q

Immunity/Autoimmune

A

Faulty immunological function linked to well being

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9
Q

Neuroendocrine

A

Problems with endocrine gland feedback system causes disease

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10
Q

DNA Related

A

genes responsible for aging–telomeres as bio clock

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11
Q

Disengagement

A

Gradual withdrawal serves to maintain equilibrium

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12
Q

Activity

A

Remaining occupied and involved is necessary

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13
Q

Continuity

A

Personality influences roles and life satisfaction. Past coping patterns recur

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14
Q

Age Stratification

A

age cohorts are influenced by their historical context and similar beliefs, attitudes, expectations of life course

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15
Q

Person environment

A

Function affected by ego strength, mobility, health, congnition, sensory perception, environment

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16
Q

Jung’s Theory of Individualism

A

personality consists of an ego and personal and collective unconsciousness

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17
Q

TX for failty

A

prevent sarcopenia

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18
Q

How does the nurse prevent sarcopenia?

A

muscle-strengthening, resistance training, nutritional program. NOT appetite stimulants

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19
Q

medicaid

A

low income and LT care

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20
Q

Part A medicare covers

A

In pt and any hospitalizations

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21
Q

Part B medicare covers

A

80 %

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22
Q

Part D medicare

A

discount meds

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23
Q

The nurse notes a white ring around the pupil. The nurse knows this to be

A

acrus senilus

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24
Q

presbyopia

A

loss of near vision

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25
Q

ectropion

A

inner eyelid turns outward

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26
Q

entropion

A

inner eyelid turns inward

27
Q

glaucoma is characterized by

A

increased intraocular damage and optic nerve damage

28
Q

Closed angle acute glaucoma

A

pupillary blockage limits flow of aqueous humor

29
Q

SX of closed angle acute glaucoma

A

severe unilateral eye pain
blurred vision
seeing halos around lights
red eye

30
Q

TX closed angle acute glaucoma

A

diamox to open flow to eye
hyperosmotic IV agent
surgery to restore flow

31
Q

Chronic glaucoma affects

A

peripheral vision

32
Q

SX of chronic glaucoma

A 
tired eyes
headaches
misty vision
seeing halos
firm eye
33
Q

TX for chronic glaucoma

A

No cure
reduce the IOP
surgery

34
Q

Meds for chronic glaucoma

A

carbonic anhydrase inhibitor
alpha adrengergic
miotics

35
Q

Cataracts is characterized by

A

clouding of the lens

light doesn’t transmit to the retina

36
Q

Size of cataract is related to..

A

degree of loss of function

37
Q

SX of cataracts

A

gradual loss of vision
initial complaints of vision being fuzzy
sensitivity to glare
halo effect

38
Q

TX of cataracts

A

surgery – artificial lens

39
Q

Post op care for cataract surgery

A

antibx drops preop
patch for 24 hrs
avoid IOP

40
Q

Age related Macular Degeneration

A

damage or breakdown of macula the area of the eye that focuses

41
Q

Dry ARMD is characterized by

A

thinning of the macula

42
Q

Wet ARMD is characterized by

A

exudative

43
Q

Which type of ARMD is slower progression?

A

Dry

44
Q

Which type of ARMD is better prognosis?

A

Dry

45
Q

Cause of ARMD

A

abnormal blood vessels that hemorrhage

46
Q

The nurse is caring for a pt with chronic glaucoma and notes the pt’s iris has a brown pigmentation. Which medication does the nurse recognize as the cause?

A

Prostaglandin analogue

47
Q

DX of ARMD

A

amsler grid

48
Q

Which vitamins does the nurse know may slow the progression of ARMD?

A

C, E, betacarotene

49
Q

Four stages of diabetic retinopathy

A

mild nonproliferative
moderate nonproliferative
severe nonproliferative
proliferative

50
Q

mild nonproliferative

A

microaneurysms in retina

51
Q

moderate nonproliferative

A

blockage of blood vessels

52
Q

severe nonproliferative

A

blockage of many blood vessels, retina deprived of circulation

53
Q

proliferative

A

advanced stage, new blood vessels abnormal

54
Q

proliferative retinopathy

A

abnormal new blood vessels easily break causing macular edema and blurred vision

55
Q

Vision during Retinal Detachment

A

spots moving across eye, blurred vision, light flashes, curtain drawing

56
Q

Which type of frequency is lost first in hearing?

A

High pitch

57
Q

Normal hearing

A

lowest sound audible to human ear

58
Q

Slight loss

A

soft whisper, quiet library

59
Q

Mild loss

A

living room, quiet office

60
Q

Moderate loss

A

refrigerator, light breeze

61
Q

severe loss

A

busy traffic, noisy restaurant

62
Q

Care of hearing aids

A

frequent clean, battery changed weekly, kept in cool dry place

63
Q

Meiner’s disease

A

vertigo, tinnitus, and hearing loss

64
Q

Loss of smell can be a precursor to

A

Parkinson’s

Gero (3 decks)

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