NR601 Nursing Midterm Exam With Answers (200 Solved Questions)

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NR 601 Midterm Exam 2022 ChamberlainCollege of Nursing. Verified Q And A.

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NR 601 Midterm(Complete Solution and resources for the exam,Secure Bettergrade)NR 601 MidtermA client is newly diagnosed with type 2 diabetes mellitus. Whichdiagnostic test will best evaluate the management plan prescribedfor this client?Quarterly hemoglobin A1CAfter first managing the pain being experienced by the client withgout, the treatment focuses on:Preventing systemic involvement by altering the client's dietThe abrupt onset of symptoms of stress or urge incontinence ismost often due to a urinary tract infectionTrueA 60-year-old woman presents with a chief complaint ofuncomfortable breathing on exertion. She has had a minimallyproductive cough for several years that does not bother her. Onfurther questioning, she states that her breathing gets muchworse when she lies down. The most likely cause of her dyspneais:Cardiac

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Which of the following drugs do not trigger or aggravate a cough?HydrochlorothiazideBased on current demographic data, which statement identifies apredictive trend regarding the health care needs of society?More nursing services will be required to serve the needs of thepopulation 85 years of age and older.Which diagnostic laboratory test would the nurse practitionertypically not order for the purpose of evaluating an individual'sacute, unexplained weight loss?Serum PotassiumIt has been projected that the cultural group presenting thegreatest growth rate among the older adult population will be the:Hispanic AmericansWhich statement made by a client recently diagnosed withdiverticular disease would indicate that she needs additionalteaching regarding dietary considerations?"I'll have to give up eating right before I go to bed."Ethnocentrism is defined as:a belief that one's ethnic group is superior to that of another trueWhen diagnosed with diverticulosis, a client asks how thisproblem occurred. Which assessment data identifies a risk factorfor diverticulosis?Maintains a diet low in fiber.

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A 77-year-old client being treated for glaucoma asks the nursepractitioner what causes glaucoma. The nurse bases theresponse on the knowledge that the increase in intraocularpressure is a result of:a breakdown in the absorption processWeight loss is frequently caused by ingestion of one or more ofthe following drugs.AntibioticsDigoxinNonsteroidal anti-inflammatory drugs (NSAIDs)TheophyllineA, B, and CAll of the aboveAnswer: All of the aboveWhich of the following culturally diverse male clients will mostbenefit from educational material related to "Staying Healthy intoyour 80s"JapaneseThe following are true statements about bipolar disorders in olderadults except"Bipolar disorder is the most commonly diagnosed psychiatricdisorder in older adults."Which assessment data would not be of particular concern whenattempting to manage an older adult's risk for dehydration?Chronic constipation

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When educating the older adult population about the risks tophysical health that chronic alcohol abuse presents, the nursepractitioner is especially careful to include the:Identification of the signs and symptoms of gastrointestinalbleedingWhich of the following drugs does not typically causeconstipation?Magnesium-containing antacidAn older adult client has been voluntarily admitted for treatment ofalcohol dependency. In implementing care, the nurse plans whichintervention based upon knowledge about alcohol and aging?Assessing the client for both depression and anxietyThe greatest risk for injury for a client with progressed Parkinson'sdisease is:FallsAn older adult client shares with the nurse that, "I don't know whatit is but it seems that I need more light for reading or evenwatching television as I get older." The nurse explains that agingmay cause this change due to the:Slower ability of the pupil to adjust to changes in lighting.The nurse practitioner educates that client that Healthy People2010:offers direction for the achievement of improved quality of lifeacross the life span

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Which of the following is not a common cause of constipation?hypercalcemiaThe nurse is teaching a health promotion class at a senior center.Which of the following statements demonstrate that the participantdoes not understand the topic:"We need to use caustic soaps and scrub aggressively with awash cloth bathing to minimize bacteria on the skin."The nurse practitioner shows an understanding of appropriateinfluenza vaccination guidelines for a client over the age of 65when stating:"Regardless of your physical health you really should get a yearlyflu shot."The nurse shows understanding of the need to promote healthyskin in the older adult when encouraging the client to all of thefollowing except :clean the skin with a moisturizing soap

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What is osteoporosis?

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Skeletal disorder characterized by impaired bone strength thatpredisposes to increased risk of fracture.Can occur from not only bone loss but also from failure earlier inlife to make sufficient bone.Primary: due to aging (increased bone resorption/reduced newbone formation)Secondary: consequence of underlying medical condition/drugWhat are s/s of osteoporosis?Sometimes not seen until fracture sustained spontaneously orafter minimal trauma, usually in thoracic/lumbar vertebrae, hip,wrist, humerus, pelvis.With each fracture, risk of another increases exponentially.Loss of height, kyphosis development.XR: bones appear osteopenic (at least 30% loss in bone mass);spine shows loss of horizontal vertebral trabeculae, accentuatingend plates, producing biconcave "codfish" vertebrae; maybecompression fracture.What are diagnostic tests for osteoporosis?XRDEXA (screen all women >65yo, hip/spine; test earlier if majorrisk factors present; repeat every 3-5yrs depending on degree)What is T-score of -2.5 or lower indicative of?Osteoporosis

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What is a T-score of -1.0 to -2.5 indicative of?OsteopeniaWhat is a T-score of -1.0 or higher indicative of?Normal bone densityWhat is a Z-score of <-1.5 indicative of?Secondary cause of osteoporosisWhat are the risk factors for osteoporosis?Previous fractureAdvanced ageLow body wt/BMIMaternal h/o fractureCurrent smokingPhysical inactivityExcessive exercise resulting in amenorrheaPoor lifetime intake of calciumEndocrine disordersGI dzChronic systemic illnessesNutritional deficienciesMeds (steroids, anticonvulsants, thyroid hormone, SSRI,aromatase inhibitors for breast CA)AlcoholismWhat is the treatment for osteoporosis?Aim to prevent those that are at riskCombine diet, exercise, medsDietary Ca/vit D

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Wt-bearing/strength exercisesBisphosphonatesSelective estrogen receptor modulatorsCalcitoninPTHDenosumabFall preventionHow does chronic pain differ from acute pain?Chronic pain tends to be more multifactorial, less amenableto cure, more influenced by psychological/social factors.Typically requires continuous long-term/multidisciplenarymanagement.Can be triggered with seemingly minor biologic stimulus orpersist long after injury is healed.What is the principle goal of chronic pain treatment?Improvement in QOL/function, rather than completeelimination of pain.What is nociceptive pain?Pain from nociceptive fibers in periphery triggered by actual orpotential tissue damage.Typically attributed to specific anatomic location of tissue injury.Pain is well-localized, stabbing, throbbing, achy.What is neuropathic pain?Direct neuronal injury.Burning, tingling, lancinating.Often occurs in dermatomal pattern

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