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Nur 257 Chronic Exam Study Guide 2026/2027 Complete Questions With Verified Correct Answers || 100% Guaranteed Pass Newest Version

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NUR 257 Chronic EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS NEWEST VERSION What is an IADL? - ANSWER -instrumental activity of daily living (anything you use an instrument for) -shopping, preparing meals, doing house work, taking meds, feeding self (bc fork) What is an ADL? - ANSWER -activities of daily living (no instrument( -eating, dressing, bathing, toileting If a patient has chronic venous status ulcers what is something we must educate them to not do? - ANSWER Refrain from crossing your legs/ankles HIV - ANSWER -anyone can have HIV -enc. safe sex as they can still get HIV -a patient getting multiple yeast infections a year is a possible sign of HIV -the patients CD4 level should be normal educate the patient it Is normal bc the medication is working and they need to continue taking meds -HIV is a standard precaution (wear gloved) PT bill of rights in long term facilities - ANSWER -pt has the right to have visitors as any time. if they are requesting to see someone we will help contact them to get them in who do patients and staff contact to report something in the pt bill of rights at the long term facility? - ANSWER the ombudsmen (contact information should be displayed and given) what and how do we treat Xerostomia? - ANSWER -Xerostomia: dry mouth/mouth sores -educate pt to drink fluids if an elderly pt comes in with a sore and the family says its due to them not moving the elderly pt bc it causes them too much pain what do we do? - ANSWER we must report the family even though they did not mean harm when a pt discharges/is transported what does the RN do? - ANSWER we are responsible for safe transition of care and we need to educate the pt on dc instructions and plan and encourage them to keep an updated med rec on them memorabilia (items that bring memories to the pt in the pts room) What do we do if the UAP keeps moving the pts memorable items off the bed side table? - ANSWER remind the UAP that it is the clients home and to not move it as it is not causing any harm a Chinese pt refuses to stay in bed despite having a low BP reading. What should the nurse do to promote and maintain the health of the Chinese pt? - ANSWER Ask them about their health presumption and ideas which pt population is a priority pt in the elderly population? - ANSWER A pt with diarrhea as the elderlies hydration starts is priority Elderly pts WBC when they are sick are usually?? - ANSWER WBC are not as activated in the elderly and even if the elderly pt has an infection they may not have a high WBC count just a normal WBC count. How is the GI in the older adult? - ANSWER The GI system is slowed down - they will have a decrease in blood flow and a decreased in fat absorption. (educate the RN if they think the pt will have an increase in blood flow and an nacres in fat absorption as they are wrong) Trajectory model - ANSWER -Trajectory: onset signs and symptoms are present, includes diagnostic period -acute: active illness or complications that require hospitalization for management (will be unstable, downward, or dying) what action is responsible to both nurses while going report in transporting the pt? - ANSWER to provide continuous care during the transfer hoe can the nurse implement nutritional intake in an elderly patient who has poor nutritional intake? - ANSWER insure dentures are clean and wore properly What are geriatric syndromes? - ANSWER Frailty, delirium, pressure ulcers, urinary incontinence Diabetes - ANSWER Potential side effects of the disease include stroke, neuropathy, vision issues, etc. Neuropathy in Type 2 Diabetes - ANSWER If not properly managed, type 2 diabetes can develop neuropathy, including pins and needles and increased infection risk in legs and feet. Foot Examination for Diabetics - ANSWER Foot examination once a day with an unbreakable mirror is essential. Proper Foot Care for Diabetics - ANSWER Infection is a priority in foot care. Diet for Diabetics - ANSWER Limit saturated fats and reduce sodium; limit carbohydrates. Fluid Intake for Diabetics - ANSWER Do not give excess fluid; give fruit NOT candy. Hypoglycemia Symptoms - ANSWER Symptoms of hypoglycemia are an EMERGENCY and must be treated immediately. Drug Interactions in Diabetes - ANSWER Be aware of drug-drug and drug-food interactions. Signs of Diabetes - ANSWER Signs can include going blind and losing feeling in legs. Nursing Role in Diabetes - ANSWER Preventing hypoglycemia to reduce vascular damage. Organ Damage in Diabetes - ANSWER Explain the risk of organ damage, which will be silent/no symptoms.

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NUR 257 Chronic EXAM STUDY GUIDE
2026/2027 COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>




What is an IADL? - ANSWER -instrumental activity of daily living (anything you
use an instrument for)
-shopping, preparing meals, doing house work, taking meds, feeding self (bc fork)


What is an ADL? - ANSWER -activities of daily living (no instrument(
-eating, dressing, bathing, toileting


If a patient has chronic venous status ulcers what is something we must educate
them to not do? - ANSWER Refrain from crossing your legs/ankles


HIV - ANSWER -anyone can have HIV
-enc. safe sex as they can still get HIV
-a patient getting multiple yeast infections a year is a possible sign of HIV
-the patients CD4 level should be normal educate the patient it Is normal bc the
medication is working and they need to continue taking meds
-HIV is a standard precaution (wear gloved)

, PT bill of rights in long term facilities - ANSWER -pt has the right to have visitors
as any time. if they are requesting to see someone we will help contact them to get
them in


who do patients and staff contact to report something in the pt bill of rights at the
long term facility? - ANSWER the ombudsmen (contact information should be
displayed and given)


what and how do we treat Xerostomia? - ANSWER -Xerostomia: dry
mouth/mouth sores
-educate pt to drink fluids


if an elderly pt comes in with a sore and the family says its due to them not
moving the elderly pt bc it causes them too much pain what do we do? - ANSWER
we must report the family even though they did not mean harm


when a pt discharges/is transported what does the RN do? - ANSWER we are
responsible for safe transition of care and we need to educate the pt on dc
instructions and plan and encourage them to keep an updated med rec on them


memorabilia (items that bring memories to the pt in the pts room)
What do we do if the UAP keeps moving the pts memorable items off the bed side
table? - ANSWER remind the UAP that it is the clients home and to not move it as
it is not causing any harm


a Chinese pt refuses to stay in bed despite having a low BP reading. What should
the nurse do to promote and maintain the health of the Chinese pt? - ANSWER
Ask them about their health presumption and ideas

,which pt population is a priority pt in the elderly population? - ANSWER A pt
with diarrhea as the elderlies hydration starts is priority


Elderly pts WBC when they are sick are usually?? - ANSWER WBC are not as
activated in the elderly and even if the elderly pt has an infection they may not
have a high WBC count just a normal WBC count.


How is the GI in the older adult? - ANSWER The GI system is slowed down -
they will have a decrease in blood flow and a decreased in fat absorption. (educate
the RN if they think the pt will have an increase in blood flow and an nacres in fat
absorption as they are wrong)


Trajectory model - ANSWER -Trajectory: onset signs and symptoms are present,
includes diagnostic period
-acute: active illness or complications that require hospitalization for management


(will be unstable, downward, or dying)


what action is responsible to both nurses while going report in transporting the pt?
- ANSWER to provide continuous care during the transfer


hoe can the nurse implement nutritional intake in an elderly patient who has poor
nutritional intake? - ANSWER insure dentures are clean and wore properly


What are geriatric syndromes? - ANSWER Frailty, delirium, pressure ulcers,
urinary incontinence
Diabetes - ANSWER Potential side effects of the disease include stroke,
neuropathy, vision issues, etc.

, Neuropathy in Type 2 Diabetes - ANSWER If not properly managed, type 2
diabetes can develop neuropathy, including pins and needles and increased
infection risk in legs and feet.


Foot Examination for Diabetics - ANSWER Foot examination once a day with an
unbreakable mirror is essential.


Proper Foot Care for Diabetics - ANSWER Infection is a priority in foot care.


Diet for Diabetics - ANSWER Limit saturated fats and reduce sodium; limit
carbohydrates.


Fluid Intake for Diabetics - ANSWER Do not give excess fluid; give fruit NOT
candy.


Hypoglycemia Symptoms - ANSWER Symptoms of hypoglycemia are an
EMERGENCY and must be treated immediately.


Drug Interactions in Diabetes - ANSWER Be aware of drug-drug and drug-food
interactions.


Signs of Diabetes - ANSWER Signs can include going blind and losing feeling in
legs.


Nursing Role in Diabetes - ANSWER Preventing hypoglycemia to reduce
vascular damage.


Organ Damage in Diabetes - ANSWER Explain the risk of organ damage, which
will be silent/no symptoms.

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