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NUR 211 Exam 4 Questions with verified detailed answers

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NUR 211 Exam 4 Questions with verified detailed answers

Institution
NUR 211
Course
NUR 211

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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
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nurse suspects malnutrition when reviewing the following laboratory results: (Select all
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that apply): ||




A. Body mass index (BMI) of 17.
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B. Waist-to-hip ratio of 1.0.
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C. Weight loss of 6% since last month's visit.
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D. Prealbumin level of 16 mg/dL.
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E. Hematocrit level of 50%.
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F. Hemoglobin level of 8.2 g/dL. - ✔✔A, C, F
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A BMI of 18.5 to 24.9 is normal, and this patient's BMI is below normal; a major weight loss
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is defined as more than a 2% weight change over 1 week; and the expected hemoglobin level
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for a man is 14 to 18 g/dL. The patient's values may also indicate dehydration. The expected
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level for prealbumin is 15 to 36 mg/dL. A hematocrit level of 50% is within normal limits.
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The nurse is assessing a group of patients to determine their risk of Vit D deficiency. Which
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of the following patients has the highest risk for Vit D deficiency?
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a. a caucasian female who is 39 weeks gestation
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b. an african-american female who is breastfeeding
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c. an asian female diagnosed with hypoglycemia
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d. a hispanic female who has a BMI of 24.1 - ✔✔B
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Vitamin D deficiency is more frequently found among persons of African heritage and has
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increased in prevalence, especially among the infants of breastfeeding African-American
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mothers. Caucasian females do not share these risk factors. There is no known risk of
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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
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prescribed the proton pump inhibitor Prevacid (Iansoprazole). Which of the following
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supplements may be prescribed to prevent deficiency? || || || || || ||




a. Vit B12
|| ||




b. Vit C
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c. Vit D
|| ||




d. Omeg-3 fatty acids - ✔✔A
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Vitamin B12 deficiency can occur as a result of the reduced gastric acidity associated with
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use of proton pump inhibitors, and supplementation is often warranted. Vitamin C
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deficiency is not a known deficiency associated with medications. Vitamin D deficiency
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may occur in patients who take cholesterol medication, and this link is currently being
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investigated. Omega-3 fatty acids may be used as monotherapy or in conjunction with
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cholesterol medication for patients with hyperlipidemia. || || || || ||




A person of Northern heritage is at an increased risk for which of the following?
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Select all that apply. || || ||




A. Vitamin C deficiency
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B. Type 1 diabetes
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C. Celiac disease
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D. Type 2 diabetes
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E. Hypertension
||

, 2


F. Metabolic syndrome - ✔✔B, C
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Type 1 diabetes and Celiac disease are more common in Northern heritage. African
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Americans and Hispanics are at increased risk for Type 2 diabetes, hypertension, and
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metabolic syndrome. Vitamin C deficiency is not a common deficiency related to heritage or
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ethnicity.
||




Appropriate approaches used by the long-term care nurse to provide education for a 73 yo
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who has just been diagnosed with diabetes include which of the following? select all that
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apply



a. schedule a visit by another resident who is a diabetic
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b. demonstrate food choices using food photographs
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c. avoid discussion of the patient's favorite foods
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d. remind the patient that a lot of damage has already occurred
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e. encourage the patient's family to participate in teaching sessions
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f. ask the patient about past experiences with lifestyle changes - ✔✔A, B, E, F
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Strategies to promote learning in older adults include peer teaching, visual aids, family
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participation, and relating new learning to past experiences. Discussion of the patient's
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favorite foods is needed to determine how old favorites can be adapted to the new diet.
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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?
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a. peanut butter
|| ||




b. bananas||




c. diet cola
|| ||




d. carrot stick - ✔✔D
|| || || ||

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