The nurse assesses a group of older adults at a senior center for conditions related to an aging ...

The nurse assesses a group of older adults at a senior center for conditions related to an aging endocrine system. Which of the following assessment findings should the nurse prioritize and address first?
 
  A) Blood glucose of 300 in an 88-year-old person
  B) Metabolic syndrome in a 67-year-old person
  C) New onset of peripheral edema and constipation in a 72-year-old adult
  D) The presence of a Dupuytren contracture in a 78-year-old adult

Question 2

Which of the following distinguishes care management and case management?
 
  A) Care management involves assessment and planning. Case management emphasizes implementation and coordination of services.
  B) Care management is a means to control costs. Case management is confined to provision of health services.
  C) Care management is long term. Case management focuses on a specific episode of care.
  D) Care management is regulated by the National Association of Professional Geriatric Care Managers. Case management is not.

Question 3

A nurse who provides care in a postsurgical care unit of a hospital is aware that reimbursement to the hospital for Medicare patients is based on diagnosis-related groups (DRGs). How are DRGs used to determine reimbursement for Medicare patients?
 
  A) Hospitals receive payment at a fixed rate for patients with diagnoses that fall into a specific DRG.
  B) Medicare patients match the hospital's reimbursement from Medicare at a dollar-for-dollar rate.
  C) A Medicare patient's minimum levels of care are established by the DRG that best relates to the patient's care needs.
  D) Hospitals do not receive reimbursement if it can be demonstrated that a patient falls within a DRG.

Question 4

An African-American woman in her early fifties experiences sudden and severe eye pain, headache, nausea, and vomiting. Her intraocular pressure (IOP) is 24 mm Hg. After she rests for 12 hours, the IOP falls to 18 mm Hg.
 
  What treatment will she most likely need? A) Iridectomy
  B) Carbonic anhydrase inhibitors
  C) Magnifying glasses and high-intensity reading lamps
  D) Cycloplegics and antibiotics

Question 5

An old term defined as the condition in which the patient suffers peripheral or pulmonary congestion is called
 
  a. pneumonia.
  b. peripheral edema.
  c. pulmonary edema.
  d. congestive heart failure.