Which classic sign of an acute myocardial infarction (AMI) can be absent when an older male adult is seen with an AMI?
a. Vague complaints
b. Epigastric burning
c. Crushing chest pain
d. Dyspnea and fatigue
Question 2An older patient who was just diagnosed with a terminal disease states, All my life I attended church, but I am still worried about what will happen after death. The nurse's best response is which of the following?
a. The unknown may be frightening. Do you want to talk about this?
b. Religious people know that God is a good God.
c. People that have had near death expe-riences say it is peaceful.
d. You must feel good about attending church most of your life.
Question 3An older adult male who paints houses for a living has had a myocardial infarction (MI). Which intervention should the nurse implement to prevent adverse health effects from his occupational history?
a. Provide low-cholesterol diet meals.
b. Avoid substances that are hepatotoxic.
c. Promote coughing and deep breathing.
d. Analyze the electrocardiogram's rhythm.
Question 4An older female adult has severe ischemic heart disease, hypertension, and low cardiac output. Which medication does the nurse administer to counteract the neurohormonal ac-tivation due to the patient's cardiovascular status?
a. Loop diuretic
b. Nitroglycerin
c. Cardiac glycoside
d. Beta-adrenergic blocker
Question 5An older man who has HF complains of increasing dyspnea over 2 days. Which of the following should the nurse assess to help determine whether the patient has adhered to his therapy? (Select all that apply.)
a. Check for peripheral edema.
b. Ask about his bowel pattern.
c. Auscultate the lungs bilaterally.
d. Compare his weight to baseline.
e. Determine coughing frequency.
f. Assess his diet over last 48 hours.
Question 6A male adult who is 58 years old, in good health, and African American has a blood pressure at 120/73 mm Hg at his yearly physical. Which is the best goal for the nurse to use to assist him in maintaining his health and wellness into old age?
a. Alter modifiable risk factors.
b. Prevent cardiovascular disease.
c. Recognize disease in early stage.
d. Maintain tight glycemic control.
Question 7Which is(are) potential result(s) of end-organ damage from chronic hypertension? (Select all that apply.)
a. Carotid stenosis
b. Diabetes mellitus
c. Renal insufficiency
d. Coronary artery disease
e. Isolated systolic hypertension
f. Familial hypercholesterolemia
Question 8In which context are members of a cohort described when using the age-stratification theory to explain the effect of similar events, conditions, and circumstances?
a. Historical c. Sociological
b. Biological d. Chronological
Question 9Which is a true statement about tuberculosis (TB) in older adults?
a. The principal threat from tuberculosis is its highly contagious nature.
b. The tuberculin purified protein derivative (PPD) test is a conclusive test for TB.
c. Antimicrobial drugs have made tuberculosis a thing of the past.
d. Older persons, particularly those in nursing homes, are at risk for tuberculosis.
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