2
NUR 211 Exam 4 Questions with verified detailed answers || || || || || || || ||
A nurse in a home setting is assessing a 79-year-old male patient's risk for malnutrition. The
|| || || || || || || || || || || || || || ||
nurse suspects malnutrition when reviewing the following laboratory results: (Select all
|| || || || || || || || || || || ||
that apply): ||
A. Body mass index (BMI) of 17.
|| || || || || ||
B. Waist-to-hip ratio of 1.0.
|| || || ||
C. Weight loss of 6% since last month's visit.
|| || || || || || || ||
D. Prealbumin level of 16 mg/dL.
|| || || || ||
E. Hematocrit level of 50%.
|| || || ||
F. Hemoglobin level of 8.2 g/dL. - ✔✔A, C, F
|| || || || || || || || ||
A BMI of 18.5 to 24.9 is normal, and this patient's BMI is below normal; a major weight loss
|| || || || || || || || || || || || || || || || || || ||
is defined as more than a 2% weight change over 1 week; and the expected hemoglobin level
|| || || || || || || || || || || || || || || ||
for a man is 14 to 18 g/dL. The patient's values may also indicate dehydration. The expected
|| || || || || || || || || || || || || || || || ||
level for prealbumin is 15 to 36 mg/dL. A hematocrit level of 50% is within normal limits.
|| || || || || || || || || || || || || || || || ||
The nurse is assessing a group of patients to determine their risk of Vit D deficiency. Which
|| || || || || || || || || || || || || || || || ||
of the following patients has the highest risk for Vit D deficiency?
|| || || || || || || || || || ||
a. a caucasian female who is 39 weeks gestation
|| || || || || || || ||
b. an african-american female who is breastfeeding
|| || || || || ||
c. an asian female diagnosed with hypoglycemia
|| || || || || ||
d. a hispanic female who has a BMI of 24.1 - ✔✔B
|| || || || || || || || || || ||
Vitamin D deficiency is more frequently found among persons of African heritage and has
|| || || || || || || || || || || || || ||
increased in prevalence, especially among the infants of breastfeeding African-American
|| || || || || || || || || ||
mothers. Caucasian females do not share these risk factors. There is no known risk of
|| || || || || || || || || || || || || || ||
hypoglycemia and vitamin D deficiency; however, diabetes increases the risk for vitamin D || || || || || || || || || || || || ||
deficiency. There is no known risk of vitamin D deficiency in normal-weight females of || || || || || || || || || || || || || ||
Hispanic heritage; however, obesity is a risk factor. || || || || || || ||
,2
The nurse is caring for a patient diagnosed with peptic ulcer disease (PUD). The patient was
|| || || || || || || || || || || || || || ||
prescribed the proton pump inhibitor Prevacid (Iansoprazole). Which of the following
|| || || || || || || || || || || ||
supplements may be prescribed to prevent deficiency? || || || || || ||
a. Vit B12
|| ||
b. Vit C
|| ||
c. Vit D
|| ||
d. Omeg-3 fatty acids - ✔✔A
|| || || || ||
Vitamin B12 deficiency can occur as a result of the reduced gastric acidity associated with
|| || || || || || || || || || || || || || ||
use of proton pump inhibitors, and supplementation is often warranted. Vitamin C
|| || || || || || || || || || || ||
deficiency is not a known deficiency associated with medications. Vitamin D deficiency
|| || || || || || || || || || || ||
may occur in patients who take cholesterol medication, and this link is currently being
|| || || || || || || || || || || || || ||
investigated. Omega-3 fatty acids may be used as monotherapy or in conjunction with
|| || || || || || || || || || || || ||
cholesterol medication for patients with hyperlipidemia. || || || || ||
A person of Northern heritage is at an increased risk for which of the following?
|| || || || || || || || || || || || || ||
Select all that apply. || || ||
A. Vitamin C deficiency
|| || ||
B. Type 1 diabetes
|| || ||
C. Celiac disease
|| ||
D. Type 2 diabetes
|| || ||
E. Hypertension
||
, 2
F. Metabolic syndrome - ✔✔B, C
|| || || || ||
Type 1 diabetes and Celiac disease are more common in Northern heritage. African
|| || || || || || || || || || || || ||
Americans and Hispanics are at increased risk for Type 2 diabetes, hypertension, and
|| || || || || || || || || || || || ||
metabolic syndrome. Vitamin C deficiency is not a common deficiency related to heritage or
|| || || || || || || || || || || || ||
ethnicity.
||
Appropriate approaches used by the long-term care nurse to provide education for a 73 yo
|| || || || || || || || || || || || || || ||
who has just been diagnosed with diabetes include which of the following? select all that
|| || || || || || || || || || || || || || ||
apply
a. schedule a visit by another resident who is a diabetic
|| || || || || || || || || ||
b. demonstrate food choices using food photographs
|| || || || || ||
c. avoid discussion of the patient's favorite foods
|| || || || || || ||
d. remind the patient that a lot of damage has already occurred
|| || || || || || || || || || ||
e. encourage the patient's family to participate in teaching sessions
|| || || || || || || || ||
f. ask the patient about past experiences with lifestyle changes - ✔✔A, B, E, F
|| || || || || || || || || || || || || ||
Strategies to promote learning in older adults include peer teaching, visual aids, family
|| || || || || || || || || || || || ||
participation, and relating new learning to past experiences. Discussion of the patient's
|| || || || || || || || || || || ||
favorite foods is needed to determine how old favorites can be adapted to the new diet.
|| || || || || || || || || || || || || || || ||
Reminders about the damage already done will indicate that the changes are not worth the
|| || || || || || || || || || || || || || ||
effort.
What snack choice would be the best suggestion by the nurse for a patient on a renal diet?
|| || || || || || || || || || || || || || || || ||
a. peanut butter
|| ||
b. bananas||
c. diet cola
|| ||
d. carrot stick - ✔✔D
|| || || ||
NUR 211 Exam 4 Questions with verified detailed answers || || || || || || || ||
A nurse in a home setting is assessing a 79-year-old male patient's risk for malnutrition. The
|| || || || || || || || || || || || || || ||
nurse suspects malnutrition when reviewing the following laboratory results: (Select all
|| || || || || || || || || || || ||
that apply): ||
A. Body mass index (BMI) of 17.
|| || || || || ||
B. Waist-to-hip ratio of 1.0.
|| || || ||
C. Weight loss of 6% since last month's visit.
|| || || || || || || ||
D. Prealbumin level of 16 mg/dL.
|| || || || ||
E. Hematocrit level of 50%.
|| || || ||
F. Hemoglobin level of 8.2 g/dL. - ✔✔A, C, F
|| || || || || || || || ||
A BMI of 18.5 to 24.9 is normal, and this patient's BMI is below normal; a major weight loss
|| || || || || || || || || || || || || || || || || || ||
is defined as more than a 2% weight change over 1 week; and the expected hemoglobin level
|| || || || || || || || || || || || || || || ||
for a man is 14 to 18 g/dL. The patient's values may also indicate dehydration. The expected
|| || || || || || || || || || || || || || || || ||
level for prealbumin is 15 to 36 mg/dL. A hematocrit level of 50% is within normal limits.
|| || || || || || || || || || || || || || || || ||
The nurse is assessing a group of patients to determine their risk of Vit D deficiency. Which
|| || || || || || || || || || || || || || || || ||
of the following patients has the highest risk for Vit D deficiency?
|| || || || || || || || || || ||
a. a caucasian female who is 39 weeks gestation
|| || || || || || || ||
b. an african-american female who is breastfeeding
|| || || || || ||
c. an asian female diagnosed with hypoglycemia
|| || || || || ||
d. a hispanic female who has a BMI of 24.1 - ✔✔B
|| || || || || || || || || || ||
Vitamin D deficiency is more frequently found among persons of African heritage and has
|| || || || || || || || || || || || || ||
increased in prevalence, especially among the infants of breastfeeding African-American
|| || || || || || || || || ||
mothers. Caucasian females do not share these risk factors. There is no known risk of
|| || || || || || || || || || || || || || ||
hypoglycemia and vitamin D deficiency; however, diabetes increases the risk for vitamin D || || || || || || || || || || || || ||
deficiency. There is no known risk of vitamin D deficiency in normal-weight females of || || || || || || || || || || || || || ||
Hispanic heritage; however, obesity is a risk factor. || || || || || || ||
,2
The nurse is caring for a patient diagnosed with peptic ulcer disease (PUD). The patient was
|| || || || || || || || || || || || || || ||
prescribed the proton pump inhibitor Prevacid (Iansoprazole). Which of the following
|| || || || || || || || || || || ||
supplements may be prescribed to prevent deficiency? || || || || || ||
a. Vit B12
|| ||
b. Vit C
|| ||
c. Vit D
|| ||
d. Omeg-3 fatty acids - ✔✔A
|| || || || ||
Vitamin B12 deficiency can occur as a result of the reduced gastric acidity associated with
|| || || || || || || || || || || || || || ||
use of proton pump inhibitors, and supplementation is often warranted. Vitamin C
|| || || || || || || || || || || ||
deficiency is not a known deficiency associated with medications. Vitamin D deficiency
|| || || || || || || || || || || ||
may occur in patients who take cholesterol medication, and this link is currently being
|| || || || || || || || || || || || || ||
investigated. Omega-3 fatty acids may be used as monotherapy or in conjunction with
|| || || || || || || || || || || || ||
cholesterol medication for patients with hyperlipidemia. || || || || ||
A person of Northern heritage is at an increased risk for which of the following?
|| || || || || || || || || || || || || ||
Select all that apply. || || ||
A. Vitamin C deficiency
|| || ||
B. Type 1 diabetes
|| || ||
C. Celiac disease
|| ||
D. Type 2 diabetes
|| || ||
E. Hypertension
||
, 2
F. Metabolic syndrome - ✔✔B, C
|| || || || ||
Type 1 diabetes and Celiac disease are more common in Northern heritage. African
|| || || || || || || || || || || || ||
Americans and Hispanics are at increased risk for Type 2 diabetes, hypertension, and
|| || || || || || || || || || || || ||
metabolic syndrome. Vitamin C deficiency is not a common deficiency related to heritage or
|| || || || || || || || || || || || ||
ethnicity.
||
Appropriate approaches used by the long-term care nurse to provide education for a 73 yo
|| || || || || || || || || || || || || || ||
who has just been diagnosed with diabetes include which of the following? select all that
|| || || || || || || || || || || || || || ||
apply
a. schedule a visit by another resident who is a diabetic
|| || || || || || || || || ||
b. demonstrate food choices using food photographs
|| || || || || ||
c. avoid discussion of the patient's favorite foods
|| || || || || || ||
d. remind the patient that a lot of damage has already occurred
|| || || || || || || || || || ||
e. encourage the patient's family to participate in teaching sessions
|| || || || || || || || ||
f. ask the patient about past experiences with lifestyle changes - ✔✔A, B, E, F
|| || || || || || || || || || || || || ||
Strategies to promote learning in older adults include peer teaching, visual aids, family
|| || || || || || || || || || || || ||
participation, and relating new learning to past experiences. Discussion of the patient's
|| || || || || || || || || || || ||
favorite foods is needed to determine how old favorites can be adapted to the new diet.
|| || || || || || || || || || || || || || || ||
Reminders about the damage already done will indicate that the changes are not worth the
|| || || || || || || || || || || || || || ||
effort.
What snack choice would be the best suggestion by the nurse for a patient on a renal diet?
|| || || || || || || || || || || || || || || || ||
a. peanut butter
|| ||
b. bananas||
c. diet cola
|| ||
d. carrot stick - ✔✔D
|| || || ||