QUESTIONS GRADED A+
⩥A geriatric patient with cardiovascular disease is in the office being
counseled on lifestyle changes. The ANP knows that which of the
following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight,
and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and
exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol
intake."
"Decrease smoking, increase vitamin supplements, and increase protein
intake.". Answer: Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight,
and exercise regularly."
All of these are important for the geriatric patient to decrease
cardiovascular risk. Controlling hyperglycemia, high fiber intake, and
vitamins all assist in maintaining a healthy lifestyle but do not help to
prevent cardiovascular disease.
,⩥You are seeing a female with inflammatory bowel disease, known as
IBD. The Adult Nurse Practitioner knows that if she orders a hemogram
on this patient, which of the following results would be seen if the
patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type. Answer: Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from
multiple causes. The anemia of chronic disease, a normocytic,
normochromic anemia, is a result of inflammation of the IBD without
blood loss. Blood loss would result in a microcytic, hypochromic
anemia. The macrocytic anemias are a result of deficiency in vitamin
B12 or other causes.
⩥Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
,black race. Answer: Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the
other three choices risk factors include: substance abuse, living alone,
and less education.
⩥The healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice.. Answer: Correct answer:
Standard of care
Standard of care is another term associated with negligence. Standard of
care is a healthcare provider's required level of expected conduct as
established by custom, law, or professional organizations.
⩥A brief account by the patient of any signs or symptoms he or she is
experiencing is one component of:
Review of systems.
Symptom assessment.
, Functional assessment.
Objective assessment.. Answer: Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own
words what signs or symptoms he or she has experienced in various
body systems. It is important that these be in a patient's own words to
perform the most complete and accurate assessment.
⩥All of the following are typical changes to the gastrointestinal system
that come with aging EXCEPT:
decreased liver size
decreased muscle tone in bowel
increased absorption of calcium
atrophy of salivary glands. Answer: Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with
aging, not increased absorption. Other gastrointestinal changes include:
less efficient cholesterol stabilization and absorption, atrophy of taste
buds, and slowing in esophageal emptying, among others.