A 79-year-old man with a history of heart failure with prese…
A 79-year-old man with a history of heart failure with preserved ejection fraction, gout and chronic insomnia is concerned about falling. His medication list indicates he takes furosemide, carvedilol, lisinopril, aspirin, allopurinol and temazepam. He lives alone and earlier in the year fell getting out of bed to go to the bathroom but did not suffer any injury. Last week, he missed a step and stumbled but did not fall. Which one of the following would most likely reduce this patient’s fall risk?
Read DetailsA 75 y/o patient reports weakness, difficulty urinating and…
A 75 y/o patient reports weakness, difficulty urinating and feeling dehydrated. Although afebrile, the nurse practitioner conducts a thorough physical examination, including urinalysis and complete blood count (CBC). The total assessment is necessary because:
Read DetailsA 75 year old male cares for his wife, who has Alzheimer dis…
A 75 year old male cares for his wife, who has Alzheimer disease, in their home. Because his wife needs increasing help with activities of daily living, the husband reluctantly decides to place her in a nursing home. Which of the following factors predicts a more successful transition for the husband after his wife enters the nursing home?
Read DetailsA 75-year-old woman comes to the office because she has fati…
A 75-year-old woman comes to the office because she has fatigue, difficulty falling asleep, and frequent headaches. She has no history of hypertension. She is the primary caregiver for her 79-year-old husband, who has Alzheimer disease (Mini-Mental State Examination score 14 of 30) and has recently developed behavioral problems related to repetitive questions and demands. On examination, the patient’s BP is 168/95 mmHg. Which of the following is the most helpful intervention for the patient at this time?
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