NRNP6540 2021 May Week 8 Knowledge Check Latest

NRNP6540 Advanced Practice Care of Older Adults

Week 8 Knowledge Check   

Question 1What is the World Health Organization’s definition of anemia by Hgb for men and women?

Question 2The signs and symptoms of anemia (such as, fatigue, weakness, or dyspnea) in the older person are often attributed to “aging.” What is a reliable physical sign of anemia in the older person that should trigger a workup for anemia?

Question 3Your 69-year-old female patient who is complaining of easy bruising also admits to some recent shortness of breath and dizziness when standing up quickly. What questions about her past medical and surgical history do you want to explore? Name at least three PMH items.

Question 4Margery is a 78-year-old female who comes to you with non-specific complaints of fatigue and red blood in the toilet after having stools she attributes to her hemorrhoids bleeding for the past 4 months. What type of anemia would you suspect?

Question 5You have a patient with acute myeloid leukemia (AML). Although rare, it is more common in the older adult and has a poor prognosis. List four contributing factors to developing AML:

Question 6Describe two types of GI surgeries that can lead to iron deficiency anemia.

Question 7Your older patient has been diagnosed with anemia of chronic disease, and a trial of iron has not been effective. List two medications you would consider prescribing for this patient.

Question 8Albert, your 89-year-old male patient, was diagnosed with CLL, chronic lymphocytic leukemia. Describe the incidence, most common age affected, and gender most affected.

Question 9Upon review of the diagnostic lab work for your older patient with anemia, your review of the ferritin levels leads to your diagnosis of ACD rather than iron deficiency anemia (IDA). Explain this.

Question 10What educational information would you give to your older patient taking iron supplements by mouth? List at least three educational statements.