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NR601 Nursing Midterm Exam With Answers (200 Solved Questions)

NR601 Nursing Midterm Exam With Answers provides real-world past exam questions to help you practice smarter.

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

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    NR 601 Midterm (Complete Solution and resources for the exam, Secure Bettergrade) NR 601 Midterm A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best evaluate the management plan prescribed for this client? Quarterly hemoglobin A1C After first managing the pain being experienced by the client with gout, the treatment focuses on: Preventing systemic involvement by altering the client's diet The abrupt onset of symptoms of stress or urge incontinence is most often due to a urinary tract infection True A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has had a minimally productive cough for several years that does not bother her. On further questioning, she states that her breathing gets much worse when she lies down. The most likely cause of her dyspnea is: Cardiac

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    Which of the following drugs do not trigger or aggravate a cough? Hydrochlorothiazide Based on current demographic data, which statement identifies a predictive trend regarding the health care needs of society? More nursing services will be required to serve the needs of the population 85 years of age and older. Which diagnostic laboratory test would the nurse practitioner typically not order for the purpose of evaluating an individual's acute, unexplained weight loss? Serum Potassium It has been projected that the cultural group presenting the greatest growth rate among the older adult population will be the: Hispanic Americans Which statement made by a client recently diagnosed with diverticular disease would indicate that she needs additional teaching 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 true When diagnosed with diverticulosis, a client asks how this problem occurred. Which assessment data identifies a risk factor for diverticulosis? Maintains a diet low in fiber.

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    A 77-year-old client being treated for glaucoma asks the nurse practitioner what causes glaucoma. The nurse bases the response on the knowledge that the increase in intraocular pressure is a result of: a breakdown in the absorption process Weight loss is frequently caused by ingestion of one or more of the following drugs. Antibiotics Digoxin Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline A, B, and C All of the above Answer: All of the above Which of the following culturally diverse male clients will most benefit from educational material related to "Staying Healthy into your 80s" Japanese The following are true statements about bipolar disorders in older adults except "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults." Which assessment data would not be of particular concern when attempting to manage an older adult's risk for dehydration? Chronic constipation

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    When educating the older adult population about the risks to physical health that chronic alcohol abuse presents, the nurse practitioner is especially careful to include the: Identification of the signs and symptoms of gastrointestinal bleeding Which of the following drugs does not typically cause constipation? Magnesium-containing antacid An older adult client has been voluntarily admitted for treatment of alcohol dependency. In implementing care, the nurse plans which intervention based upon knowledge about alcohol and aging? Assessing the client for both depression and anxiety The greatest risk for injury for a client with progressed Parkinson's disease is: Falls An older adult client shares with the nurse that, "I don't know what it is but it seems that I need more light for reading or even watching television as I get older." The nurse explains that aging may 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 People 2010: offers direction for the achievement of improved quality of life across the life span

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    Which of the following is not a common cause of constipation? hypercalcemia The nurse is teaching a health promotion class at a senior center. Which of the following statements demonstrate that the participant does not understand the topic: "We need to use caustic soaps and scrub aggressively with a wash cloth bathing to minimize bacteria on the skin." The nurse practitioner shows an understanding of appropriate influenza vaccination guidelines for a client over the age of 65 when stating: "Regardless of your physical health you really should get a yearly flu shot." The nurse shows understanding of the need to promote healthy skin in the older adult when encouraging the client to all of the following 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 that predisposes to increased risk of fracture. Can occur from not only bone loss but also from failure earlier in life to make sufficient bone. Primary: due to aging (increased bone resorption/reduced new bone formation) Secondary: consequence of underlying medical condition/drug What are s/s of osteoporosis? Sometimes not seen until fracture sustained spontaneously or after 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, accentuating end plates, producing biconcave "codfish" vertebrae; maybe compression fracture. What are diagnostic tests for osteoporosis? XR DEXA (screen all women >65yo, hip/spine; test earlier if major risk 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? Osteopenia What is a T-score of -1.0 or higher indicative of? Normal bone density What is a Z-score of <-1.5 indicative of? Secondary cause of osteoporosis What are the risk factors for osteoporosis? Previous fracture Advanced age Low body wt/BMI Maternal h/o fracture Current smoking Physical inactivity Excessive exercise resulting in amenorrhea Poor lifetime intake of calcium Endocrine disorders GI dz Chronic systemic illnesses Nutritional deficiencies Meds (steroids, anticonvulsants, thyroid hormone, SSRI, aromatase inhibitors for breast CA) Alcoholism What is the treatment for osteoporosis? Aim to prevent those that are at risk Combine diet, exercise, meds Dietary Ca/vit D

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    Wt-bearing/strength exercises Bisphosphonates Selective estrogen receptor modulators Calcitonin PTH Denosumab Fall prevention How does chronic pain differ from acute pain? Chronic pain tends to be more multifactorial, less amenable to cure, more influenced by psychological/social factors. Typically requires continuous long-term/multidisciplenary management. Can be triggered with seemingly minor biologic stimulus or persist long after injury is healed. What is the principle goal of chronic pain treatment? Improvement in QOL/function, rather than complete elimination of pain. What is nociceptive pain? Pain from nociceptive fibers in periphery triggered by actual or potential 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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