Podcast
Questions and Answers
As individuals age, what physiological change typically occurs in the gastrointestinal system?
As individuals age, what physiological change typically occurs in the gastrointestinal system?
- Enhanced nutrient absorption
- Increased gastric acid production
- Accelerated metabolism of medications
- Decreased motility (correct)
What significant risk is associated with a geriatric patient being treated by multiple physicians simultaneously?
What significant risk is associated with a geriatric patient being treated by multiple physicians simultaneously?
- Enhanced coordination of care
- Reduced medication costs
- Polypharmacy (correct)
- Decreased risk of adverse drug reactions
A physician orders a medication to be administered intravenously (IV), but the medication is only available in oral form (PO). What is the most appropriate nursing action?
A physician orders a medication to be administered intravenously (IV), but the medication is only available in oral form (PO). What is the most appropriate nursing action?
- Administer the usual oral dose via the intramuscular route
- Administer the oral medication intravenously
- Contact the physician to clarify the order and determine the appropriate dose and route (correct)
- Crush the oral medication and administer it via feeding tube
If a patient refuses to take their prescribed medication, what is the most appropriate initial nursing intervention?
If a patient refuses to take their prescribed medication, what is the most appropriate initial nursing intervention?
Which term accurately describes a state where an individual exhibits signs and symptoms of intoxication due to a drug remaining in their system?
Which term accurately describes a state where an individual exhibits signs and symptoms of intoxication due to a drug remaining in their system?
When crushing medications for ease of administration, which type of medication is generally safe to crush?
When crushing medications for ease of administration, which type of medication is generally safe to crush?
Which type of tablets should never be crushed due to potential adverse effects on the patient?
Which type of tablets should never be crushed due to potential adverse effects on the patient?
Is it considered safe and acceptable for patients to share their prescribed medications with others?
Is it considered safe and acceptable for patients to share their prescribed medications with others?
Is it advisable for patients to keep leftover or expired medications at home?
Is it advisable for patients to keep leftover or expired medications at home?
Under what circumstances is it acceptable for a patient to mix multiple medications together?
Under what circumstances is it acceptable for a patient to mix multiple medications together?
Which generation is generally considered to have less concern regarding food and dietary issues, and why?
Which generation is generally considered to have less concern regarding food and dietary issues, and why?
If you are aiming to improve a patient's health wellness, what specific aspect of their lifestyle are you primarily promoting?
If you are aiming to improve a patient's health wellness, what specific aspect of their lifestyle are you primarily promoting?
If you are promoting functional wellness for a geriatric patient, what key physical activity are you primarily encouraging?
If you are promoting functional wellness for a geriatric patient, what key physical activity are you primarily encouraging?
If your goal is to promote mental wellness in a geriatric patient, what specific aspect of their well-being are you prioritizing?
If your goal is to promote mental wellness in a geriatric patient, what specific aspect of their well-being are you prioritizing?
What theory is being reinforced when you emphasize the importance of maintaining physical activity to a patient?
What theory is being reinforced when you emphasize the importance of maintaining physical activity to a patient?
What are some appropriate activities you would recommend to a geriatric patient with low activity levels to increase their physical activity?
What are some appropriate activities you would recommend to a geriatric patient with low activity levels to increase their physical activity?
In a patient care scenario where a family member is not adhering to the established care plan, what should you ask?
In a patient care scenario where a family member is not adhering to the established care plan, what should you ask?
What is the definition of ageism?
What is the definition of ageism?
What is the most effective way to communicate with an older person to ensure they understand the message clearly?
What is the most effective way to communicate with an older person to ensure they understand the message clearly?
How should you respond when a patient is sharing personal stories with you, to show that you value their experiences?
How should you respond when a patient is sharing personal stories with you, to show that you value their experiences?
When assessing an older patient experiencing a change in condition, what aspect should you focus on to determine the next steps in care?
When assessing an older patient experiencing a change in condition, what aspect should you focus on to determine the next steps in care?
As people age, is it generally futile to perform diagnostic tests, like bloodwork or imaging?
As people age, is it generally futile to perform diagnostic tests, like bloodwork or imaging?
If a patient undergoing chemotherapy has low blood counts across the board, what is a significant risk they are susceptible to?
If a patient undergoing chemotherapy has low blood counts across the board, what is a significant risk they are susceptible to?
What is the typical target range for the International Normalized Ratio (INR) in a patient on warfarin therapy?
What is the typical target range for the International Normalized Ratio (INR) in a patient on warfarin therapy?
What are the primary signs and symptoms of Tardive dyskinesia?
What are the primary signs and symptoms of Tardive dyskinesia?
In a hospital setting, how can you confirm that a patient truly understands the instructions or information you have provided?
In a hospital setting, how can you confirm that a patient truly understands the instructions or information you have provided?
What should you teach patients about herbal supplements?
What should you teach patients about herbal supplements?
What is the immediate course of action if a patient, scheduled for surgery, reveals they took an herbal supplement earlier that day?
What is the immediate course of action if a patient, scheduled for surgery, reveals they took an herbal supplement earlier that day?
If a patient is admitted to the hospital, what is the most important item you should instruct them to bring with them?
If a patient is admitted to the hospital, what is the most important item you should instruct them to bring with them?
What is the definition of ethnocentrism?
What is the definition of ethnocentrism?
If you are in a room with two patients, and both are present for a conversation. However, one patient is hesitant to speak but their family members are vocal, what action should you take?
If you are in a room with two patients, and both are present for a conversation. However, one patient is hesitant to speak but their family members are vocal, what action should you take?
If a geriatric patient expresses concerns about memory loss, what is the most appropriate initial nursing action?
If a geriatric patient expresses concerns about memory loss, what is the most appropriate initial nursing action?
When asking an older adult a question, will they answer as quickly as a younger adult? Why?
When asking an older adult a question, will they answer as quickly as a younger adult? Why?
A patient exhibits a sudden change in mental status with all blood labs within normal limits. What should be suspected as a potential cause?
A patient exhibits a sudden change in mental status with all blood labs within normal limits. What should be suspected as a potential cause?
What is the primary goal of promoting 'functional mobility' in geriatric care?
What is the primary goal of promoting 'functional mobility' in geriatric care?
An elderly patient consistently refuses their prescribed medication, stating they cause nausea. After documenting and notifying the physician, what is the MOST appropriate next step?
An elderly patient consistently refuses their prescribed medication, stating they cause nausea. After documenting and notifying the physician, what is the MOST appropriate next step?
Which intervention is MOST effective in reducing the risk of falls among elderly patients with low blood counts due to chemotherapy?
Which intervention is MOST effective in reducing the risk of falls among elderly patients with low blood counts due to chemotherapy?
How does the slowed mental recall commonly seen in older adults PRIMARILY impact their interactions in a healthcare setting?
How does the slowed mental recall commonly seen in older adults PRIMARILY impact their interactions in a healthcare setting?
A patient preparing for surgery discloses taking ginger supplements to alleviate arthritis pain. Considering the surgical context, why is is crucial to IMMEDIATELY inform the doctor?
A patient preparing for surgery discloses taking ginger supplements to alleviate arthritis pain. Considering the surgical context, why is is crucial to IMMEDIATELY inform the doctor?
When assessing the impact of age-related gastrointestinal changes on medication management in elderly patients, what is the MOST critical consideration?
When assessing the impact of age-related gastrointestinal changes on medication management in elderly patients, what is the MOST critical consideration?
In managing a patient with suspected Tardive dyskinesia induced by long-term antipsychotic use, what is the MOST important IMMEDIATE action after observing the involuntary movements?
In managing a patient with suspected Tardive dyskinesia induced by long-term antipsychotic use, what is the MOST important IMMEDIATE action after observing the involuntary movements?
When two patients share a room, and one appears hesitant to speak while their family is very outspoken, what strategy BEST demonstrates patient-centered care?
When two patients share a room, and one appears hesitant to speak while their family is very outspoken, what strategy BEST demonstrates patient-centered care?
Flashcards
GI changes with age
GI changes with age
Decrease in motility.
Polypharmacy
Polypharmacy
The use of multiple medications by a single patient, often leading to adverse effects.
Medication Route Change
Medication Route Change
Clarify the dosage with the prescribing doctor, as IV and PO routes may require different doses.
Patient Refusal of Medication
Patient Refusal of Medication
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Hangover (Drug-related)
Hangover (Drug-related)
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Crushable Medications
Crushable Medications
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Medications Not to Crush
Medications Not to Crush
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Sharing Medications
Sharing Medications
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Keeping Old Medications
Keeping Old Medications
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Mixing Medications
Mixing Medications
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Promoting Health Wellness
Promoting Health Wellness
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Promoting Functional Wellness
Promoting Functional Wellness
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Promoting Mental Health
Promoting Mental Health
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Lack of physical activity consequence
Lack of physical activity consequence
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Family Doesn't Follow Care Plan
Family Doesn't Follow Care Plan
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Ageism
Ageism
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Communicating with Older Adults
Communicating with Older Adults
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Responding to Stories
Responding to Stories
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Changed Condition
Changed Condition
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Tests on Older Adults
Tests on Older Adults
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Low Blood Counts + Chemo
Low Blood Counts + Chemo
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Normal Warfarin INR
Normal Warfarin INR
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Tardive Dyskinesia
Tardive Dyskinesia
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Assessing Understanding
Assessing Understanding
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Herbal Supplements
Herbal Supplements
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Supplement Before Surgery
Supplement Before Surgery
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Hospital Admission
Hospital Admission
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Ethnocentrism
Ethnocentrism
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Patient Afraid to Speak
Patient Afraid to Speak
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Patient Memory Loss
Patient Memory Loss
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Recall Speed
Recall Speed
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Sudden mental status change with normal labs
Sudden mental status change with normal labs
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Study Notes
- Geriatrics focuses on the healthcare of aging people.
Gastrointestinal Changes in Aging
- Gastrointestinal motility decreases with age.
Polypharmacy
- Polypharmacy, the use of multiple drugs, is a risk when a patient is treated by more than one physician.
Medication Orders
- Verify the dose if a medication order changes from PO (oral) to IV (intravenous).
Medication Refusal
- If a patient refuses medication, ask them why.
Hangover Effect
- Experiencing signs and symptoms of intoxication from a drug still in the system is known as the hangover effect..
Crushing Medications
- Regular pills can be crushed.
- Enteric-coated tablets should not be crushed.
Safe Medication Practices
- Patients should not share medications.
- Patients should not keep old medications.
- Patients should not mix medications unless instructed by a healthcare provider.
Generational Dietary Concerns
- The Baby Boomer generation is generally less concerned about food and dietary issues due to the higher cost of sugary foods during their youth.
Health Wellness Promotion
- Promoting health wellness includes encouraging a good diet.
- Promoting functional wellness includes encouraging exercise and functional mobility.
- Promoting mental health involves fostering good mental health practices.
Activity Theory
- Informing a patient about the consequences of not maintaining physical activity is related to activity theory.
Encouraging Physical Activity
- Activities like walking and weight-bearing exercise are good suggestions for someone with low activity levels.
Patient Care Plan
- If a family member isn't following a patient's care plan, ask how you can work together to provide care.
Ageism
- Ageism is discrimination against older people.
Communicating with Older Adults
- Communicate with older adults face-to-face.
- Show appreciation for a patient's stories by expressing your interest.
Changes in Patient Condition
- Focus on the specific change when a patient's condition changes.
Diagnostic Testing
- Performing tests on older patients is important for disease prevention and optimal care.
Chemotherapy Risks
- Low blood counts in a patient undergoing chemotherapy increase the risk of falls and bleeding.
Warfarin INR Levels
- The normal Warfarin INR lab level is 2.0-3.0.
Tardive Dyskinesia
- Tardive dyskinesia is characterized by involuntary, repetitive movements, especially affecting the face, mouth, and limbs.
Tardive Dyskinesia Symptoms
- Symptoms include facial twitching, lip smacking, tongue movements, chewing motions, rapid blinking, jerky or writhing movements, and speech difficulties.
Patient Understanding
- Assess patient understanding by teaching them, providing written information, and asking them to demonstrate what they've learned.
Herbal Supplement Education
- Educate patients about the potential dangers of medication interactions with herbal supplements.
Herbal Supplements Before Surgery
- Before surgery, if a patient has taken an herbal supplement, stop everything and inform the doctor.
Hospital Essentials
- Patients should bring all their medications when admitted to the hospital.
Ethnocentrism
- Ethnocentrism is the belief that one's own culture or group is superior to others.
Patient and Family Communication
- When one patient is afraid to speak up in a shared room, focus on both the patient and their family.
Memory Loss
- Monitor a patient's recall ability daily to assess reported memory loss.
Cognitive Processing
- Older adults may take longer to answer questions because mental recall slows down with age.
Changes in Mental Status
- Suspect a UTI if a patient has a sudden change in mental status and normal blood labs.
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