NURS 5432 FINAL EXAM

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NURS 5432 FINAL EXAM

ACTUAL EXAM WITH CORRECT

SOLUTIONS.

What age is recommended for Elderly Patients get the Prevnar 13 Vaccination? - correct answer- Age 65 and older

What age is recommended for Elderly Patients get the Pneumococcal Vaccination (PPSV23)? - correct answer- Age 65 and older

What age is recommended for Elderly Patients get the Shingrix Vaccination? - correct answer- Age 59 and older

How many doses are the Shingrix series? - correct answer- 2 doses

How many months apart should the Shingrix vaccine be given?

• correct answer- 2-6 months apart

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How often should an older adult get the influenza vaccine? - correct answer- Annually (every fall)

How often should one get a Tdap Booster shot? - correct answer- Booster every 10 years

Which of the follow are considered normal BMI range for older adults?

A. 20-25

B. 23-30

• 30-45 - correct answer- B. 23-30

Malnutrition risk is considered > 5% weight loss in 1 month, True or False? - correct answer- True

Malnutrition risk is considered > 10% weight loss in 10 months, True or False? - correct answer- False.

> 10% weight loss in 6 months

In how many second should an older adult be able to complete the Get Up and Go test? - correct answer- < 12 seconds 2 / 4

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What are the 4 main factors that alter drug distributions in older adults? - correct answer- 1. Increased body fat

• Decreased lean body mass
• Decreased body water
• Reduced serum albumin

Fat soluble drugs accumulate in the adipose tissue leading to prolonged effects. True or False? - correct answer- True

Hepatic Metabolism (Increases/Decreases) with age? - correct answer- Decreases

Age Dependent Changes in Body Composition

(Inc/Dec) in body fat by 35% (Inc/Dec) in plasma volume by 8% (Inc/Dec) in total body water by 17% (Inc/Dec) in extracellular body fluid by 40% - correct answer- (Inc) in body fat by 35% (Dec) in plasma volume by 8% (Dec) in total body water by 17% 3 / 4

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(Dec) in extracellular body fluid by 40%

What labs would you complete to Rule Out Alzheimer's Disease? (5) - correct answer- 1. CBC

• Metabolic Panel
• Vitamins B12 and Folate
• RPR Test

5. TSH

Why would an RPR Test be completed to rule out Alzheimer's?

• correct answer- RPR Test is to help rule of Syphilis

Brain imagining like a CT or MRI should be done in someone who is suspected of having Alzheimer's, True or False. - correct answer- True these imaging studies are essential in order to rule out brain, pathology, or identify structural abnormalities

Rapid progression or onset of Alzheimer's before age 80 is a red flag and the patient should be referred to Neurology, True or False? - correct answer- False

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