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Exam (elaborations)

NUR 207 Exam 2 with precise detailed solutions

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NUR 207 Exam 2 with precise detailed solutions

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NUR 207 Exam 2 with precise |! |! |! |! |! |!




detailed solutions |!




What does calcium do for the body? - Correct answer ✔- bones/teeth
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formation

- blood pressure
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- blood clotting
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- nerver transmission
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Major sources: dairy, broccoli, kale, fortified grains
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Deficiency: tetany, positive Chovestek's and Trousseau's sign, ECG changes,
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osteoperosis |!




Findings: constipation, renal stones, lethargy, depressed deep-tendon reflexes
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NA: monitor ECG and respiratory status. Give PO tabs with vitamin D
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What does Vitamin B1 (thiamin) do for the body? - Correct answer ✔-
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coenzyme in energy metabolism |! |! |!




- promote appetite and assists with muscle actions through its role in nerve
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functioning

Deficiency: beriberi (ataxia, confusing, anorexia, tachycardia), headache,
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weight loss, and fatigue
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Major sources: all plants and animal tissues, meat, grains, and legumes
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(beans, peas, and lentils)
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,What does Vitamin D do for the body? - Correct answer ✔- absorption of
|! |! |! |! |! |! |! |! |! |! |! |! |! |!




calcium and phosphorus |! |!




- aids in bone mineralization (intestinal & renal absorption of calcium)
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- sunlight enables the body to synthesize vitamin D in the skin
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- fat soluble
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Deficiency: bone demineralization (fragile bones), and extreme deficiency can
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cause rickets and osteomalacia. Excess consumption can cause
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hypERCALEMIA (high calcium) |! |!




Poor sources: fatty fish, eggs, and fortifies products (ready to go eat cereals,
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milk, and orange juice) |! |! |!




What does iron do for the body? - Correct answer ✔Responsible for oxygen
|! |! |! |! |! |! |! |! |! |! |! |! |!




distribution to hemoglobin and myoglobin |! |! |! |!




- body recycles unused iron from dying RBC and stores it for later use
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- in food consists of two forms: heme iron found in meant, fish and poultry
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and non-heme iron found in grains, legumes, and vegetables
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Supplements: constipation, nausea, vomiting, diarrhea, and teeth |! |! |! |! |! |! |!




discoloration (liquid form) |! |!




- they can be taken with food to avert GI manifestation, and nurses should
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encourage fresh fruits, vegetables, and a high fiber diet |! |! |! |! |! |! |! |!




- supplements that are un-needed can be toxic
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- vitamin C can increase the absorption of iron
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- clients during menstruating years, older infants and toddlers, and pregnant
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clients are at risk for iron deficiency anemia
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,What clinical findings (subjective and objective) are associated with
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malnutrition? - Correct answer ✔Subjective: eating patterns, usual weight, |! |! |! |! |! |! |! |! |!




changes in appetite, taste, smell, chewing, swallowing, recent surgery, trauma,
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burns, infection, chronic illnesses, nausea, vomiting, diarrhea, constipation,
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food allergies or intolerances, medications/nutritional supplements, patient-
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centered care, alcohol or illegal drug use, exercise and activity patterns,
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family history |!




Objective: skin (dry, flaking, scaly), hair (dull, dry, sparse, color changes,
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corkscrew hair), eyes (foamy plaques, dryness, softening, lips (cracked),
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tongue (beefy red, pale, magenta), gums (bleeding), nails (brittle, rigid, or
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spoon shaped), musculoskeletal (pain calves or thighs, rickets, joint pain,
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muscle wasting), neurologic (peripheral, neuropathy, hyporeflexia,
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disorientation or irritability) |! |!




What nutritional requirements are needed to promote wound healing? -
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Correct answer ✔Calories, protein, fluids, vitamin A, vitamin C, and zinc
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How do you calculate BMI? - Correct answer ✔BMI = weight (kg) / height
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(m)^2

BMI = (weight (lbs) / height (in)^2 x 702
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1 lb = 2.2 kg
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How do you calculate waist:hip ratio? - Correct answer ✔Assess body fat
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distributing as an indicator of health risk |! |! |! |! |! |!




WC > 40 in men WC > 35 in women = increase risk for heart disease, type 2
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diabetes, and metabolic syndrome |! |! |!

, Waist to hip ratio - measurement of waist circumference divided by
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measurement of hip circumference |! |! |!




What is obese for a man and for a women? - Correct answer ✔Men : greater
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than 1.0 Women: greater than 0.8 = obesity
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What is a normal/healthy BMI? - Correct answer ✔Between 18.5 - 24.9
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Underweight BMI? - Correct answer ✔Less than 18.5 |! |! |! |! |! |! |!




Overweight BMI? - Correct answer ✔Between 25 - 29.9 |! |! |! |! |! |! |! |!




Obese BMI? - Correct answer ✔Greater than 30
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Eating on holy days - Correct answer ✔Religion observed feast on specific
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days (eastern orthodox Christian, Judaism)
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Fasting for religious holidays - Correct answer ✔Islam: fasting during
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Ramadan



Roman Catholic: refraining from meat consumption on
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Ash Wednesday and Fridays during Lent
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- avoid food or beverage intake for 1 hour before communion
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