NRNP6540 2021 May Week 5 Knowledge Check Latest

NRNP6540 Advanced Practice Care of Older Adults

Week 5 Knowledge Check   

Question 1You are performing a Medicare home assessment on an 84-year-old male. Part of this exam is checking for carotid bruits. Describe two reasons this exam is important in an older adult:

Question 2A 78-year-old patient, past one ppd smoker times 10 years (quit 10 years ago) presents with increasing shortness of breath, dyspnea on exertion, and no other symptoms. Name two diagnostic tests you could order to differentiate between asthma and COPD.

Question 3Edna is a typically healthy 80-year-old patient who is now complaining of new shortness of breath when she climbs stairs at home, and she states she has been more tired than usual. List three ROS questions you would want to ask her, using the OLDCARTS method.

Question 4Your 69-year-old African American female patient has a PMH of asthma. You know that In the United States, asthma is more prevalent in African Americans. List at least three (3) factors that contribute to development of asthma.

Question 5Your 69-year-old patient who has daily asthma symptoms with nighttime awakenings weekly but not nightly, and an FEV >60 but <80 would have the diagnosis of what type of asthma?

Question 6According to the GOLD Pocket Guide to COPD Diagnosis, Management, and Prevention, A Guide for Health Care Professionals, 2017, what would the predicted FEV be for GOLD 4 very severe COPD?

Question 7 You diagnose your older patient with intermittent asthma. List at least three (3) criteria for the diagnosis of intermittent asthma.

Question 8Edna is 81 years old with a diagnosis of chronic obstructive pulmonary disease (COPD). You know that a characteristic of COPD is chronic airflow limitation resulting from a parenchymal destruction (emphysema) and small airways disease (e.g., obstructive bronchiolitis). Describe at least three (3) risk factors for developing COPD.

Question 9Mrs. L is a 71-year-old Hispanic female with a PMH of seasonal allergies and her only medication is aspirin 81 mg; she presents to the clinic with the following symptoms: Recurrent wheezing, cough (especially occurring at night), recurrent chest tightness, and dyspnea on exertion. She also complains of a chronic rhinorrhea with postnasal drip. Please list four (4) differential diagnoses for these symptoms.

Question 10Clara is an 89-year-old African American female who comes to see you in the clinic today. She describes a new complaint of “heartburn” after doing housework. You are concerned these new symptoms might be cardiovascular in etiology and would continue your review of symptoms with her by asking which questions (list at least three ROS questions)?