Mrs. Joyce Collins Flashcards
You are the Practice Nurse working in a GP surgery. Joyce, a 73-year-old widow presents to you for a blood pressure check. She has a past history of a Myocardial Infarction 8 years ago, has rheumatoid arthritis and also type 2 diabetes. Joyce tells you that she has increasing Right calf pain on walking. Her feet are always cold and she would like you to look at a lesion on her Right lower leg that will not heal.
For which patient condition would you most likely expect a capillary refill time of longer than two seconds?
A. Malignant melanoma.
B. Inflammatory bowel disease.
C. Peripheral vascular disease.
D. Multiple sclerosis.
C. Peripheral vascular disease.
Which one of the following IS a myth about pain in the older adult?
A. Opioids are often the drug of choice for some types of pain and are to be used cautiously.
B. Older patients may have more than one source of pain.
C. There is a greater likelihood of having developed a pathological condition that may be accompanied by pain.
D. Elderly people who are confused or cognitively impaired do not have pain.
D. Elderly people who are confused or cognitively impaired do not have pain.
Which of the following represents the break in sounds between the first and second sounds when auscultating Joyce’s blood pressure?
A. Diastolic value.
B. Korotkoff sounds.
C. Auscultatory gap.
D. Phase V.
C. Auscultatory gap.
You are having difficulty auscultating Joyce’s heart sounds, specifically S1 and S2. Which of the following would help?
A. Use the bell of the stethoscope to distinguish the sounds.
B. Palpate the apical pulse.
C. Palpate the carotid pulse while auscultating the heart.
D. Determine the pulse deficit.
C. Palpate the carotid pulse while auscultating the heart.
Which type of pain would be associated with arthritis?
A. Somatic.
B. Chronic.
C. Visceral.
D. Cutaneous.
A. Somatic.
