Nrnp 6540 Didactic Study Guide Rated A+

An older adult comes to the emergency department with hemoptysis, night sweats, fatigue and dyspnea. He states that he has never received treatment or been diagnosed with tb. What factors put this older adult at risk for development of active pulmonary tb {Ans: Substance abuse Prolonged corticosteroids silicosis Heart failure}What is an unstageable pressure injury {Ans: involve full-thickness tissue loss but are impossible to accurately stage due to the wound bed being obscured by eschar or excessive slough}Ivan is a 65-year-old man who is new to your practice. He is a history of COPD, CID, hypertension, and type 2 diabetes. He has no immunization since his discharge from the military at age 25. Childhood diseases include chicken pox, measles, mom's, and German Measles. He prevents for a disease management visit. Which of the following immunizations would you recommend for Ivan {Ans: Tdap, pneumococcal, influenza, zostovax}Which should be considered in the primary workup for hypertension {Ans: Cmp, cbc, lipid panel, tsh, urinalysis, 12 lead ekg, echocardiogram and uric acid level}A patient presents to the clinic with flu like symptoms. The np knows that older adults a typically present with symptoms of influenza. Which influenza symptom is absent