Category: Uncategorized

Expected age-related changes frequently result in atypical presentation of illness in the geriatric patient. Which of the following signs and symptoms of infection, such as pneumonia, is frequently not found in the geriatric patient?

When the nurse practitioner recommends exercise for a sedentary older adult, which of the following pieces of advice should be considered for all types of exercise?

An 87-year-old female previously independent comes to the ER with 2 days of difficulty swallowing, productive cough, and dyspnea. History includes hypertension and atrial fibrillation. She has a low-grade fever and increased blood pressure. Physical examination and chest radiography are consistent with consolidation in left lower lobe. On bedside testing, she immediately sputters and coughs after drinking a small amount of water from a cup. There are no other neurological signs. Labs: Mild dehydration and WBC increased. MRI reveals a new small brain-stem infarction and mild generalized cerebral atrophy. Treatment for aspiration pneumonia is instituted. Five days later a speech therapy consult was ordered to evaluate swallowing. No improvement has been noted and formal evaluation shows aspiration with most consistencies of food and liquid. Which of the following is the best recommendation?

A patient presents with a temperature of 100.94°F (38.3°C), nuchal rigidity, and a change in mental status. The patient has a decreased level of consciousness and a history of a recent seizure within a week of initiation of symptoms. Blood glucose is 101 mg/dL. A complete blood count (CBC) and serum electrolytes are pending, but blood cultures have not yet been obtained. Which of the following is the next priority intervention?

A ruptured intracranial aneurysm is often the cause of which type of stroke?

a 60 year old patient presents with an acute sudden onset of altered mental status.  The patient’s spouse stated the patient got up to urinate during the night and developed sudden weakness of their face and arm. During the assessment, the clinician notes a facial droop, ataxia, nystagmus, and right-sided weakness. Cardiac auscultation reveals a fast-paced irregular rhythm with a murmur. Based on these physical exam findings, the clinician is concerned for which of the following stroke types?

Which are common hyperkinetic movement disorders? (Select all that apply.)

An older adult was taken to clinic in a confused state that began suddenly 24 hours ago. She fails to be oriented to person, time, or place. She was incontinent of urine because of her confusion. She looks apathetic and is drowsy. The nurse practitioner would suspect:

Which organism that can be prevented by immunization is most often responsible for an infectious “outbreak” in the skilled nursing home setting?

Bob is a 80 year old male who presents to the office accompanied by his daughter who is concerned that he has suddenly become confused, restless, and agitated over the past two days. He has past medical history of hypertension, hyperlipidemia, and type 2 diabetes mellitus.  What is the most common cause of delirium in the older adult patient?