University:
California State University, Northridge
Course:
MGT 380 / Introduction to Human Resource Management
Academic year:

2019
Views:

201

Pages:

2
Author:

vrredneck1346hb

Geriatric Emergencies It is 0300 hours and you and your partner are called to a private residence for a 86 y/o man reporting a sudden onset of shortness of breath. On arrival, you observe an older home in need or repair. When you enter the home, you find that there are seven cats and there is a strong odor of stale cat food and litter boxes. 1. You find your t sitting upright in his bed with four pillows behind him. He is having difficulty speaking because of a previous stroke. Which interview technique should you use when addressing the pt? a. Speak loudly and slowly b. Listen carefully to the answers the pt provides c. Refer to the pt. By his first name d. Have both you and your partner ask questions 2. The pt. Explains that he was awakened by a sudden feeling of suffocation and respiratory distress. What are his symptoms a characteristic of? a. Orthopnea b. Exertional dyspnea c. Intermittent sleep apnea d. Paroxysmal nocturnal dyspnea 3. What assessment question should you ask to help clarify his symptoms of sudden feeling of suffocation and respiratory distress? a. “How many hours of sleep do you get each night?” b. “In what position do you normally sleep?” c. “How many pillows do you sleep on?” d. “Do you take any medication to help you sleep at night?” 4. On auscultation of the pt’s lungs, your partner hears crackles. Theses lung sounds are caused by air passing through: a. Constructed airways b. Thick secretions in the airways c. Fluid in the alveoli d. Inflamed airways 5. The pulse oximeter is unable to provide an accurate reading. What is a possible cause for this finding? a. Poor circulation b. Hypertension c. Fever d. Increased red blood cell count 6. Observing and documenting the condition in which you find the home is part of the GEMS _____ assessment. a. General b. Environmental c. Medical d. Social 7. Which condition is considered to be a risk factor for congestive heart failure? a. Coronary artery disease b. Emphysema c. Dementia d. Diabetes 8. Explain the importance of performing a social assessment when caring for a geriatric pt? observations and documentation are frequently the catalyst for getting the help required by your patient. 9. Your pt tells you that he takes numerous medications every day for this heart and blood pressure, however, he cannot remember their names. He points to a plastic bag by the bedside that contains 11 prescription bottles with similar medications, and some of the medications were not prescribed to him. What problems might this situation pose? This can cause a number of problems. They don't know what some of the meds were taken or what the meds actually are.

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