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N550 EBP EAQs QUESTIONS AND VERIFIED CORRECT ANSWERS .

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N550 EBP EAQs QUESTIONS AND VERIFIED CORRECT ANSWERS .N550 EBP EAQs QUESTIONS AND VERIFIED CORRECT ANSWERS .

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N550 EBP EAQs

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NURS 351: Stress and Disease MODULE 4 - Foundational Concept... nurs 305 exam 1 Unit 2:

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Which child is at the highest risk for blunt a) 8-year-old boy
trauma and indirect entry (hematogenous
stage) of microorganisms? The indirect entry of microorganisms, which is the hematogenous stage of
osteomyelitis, most frequently affects the growing bones of boys younger than 12
a) 8-year-old boy years of age. An 8-year-old boy would be at the highest risk for blunt trauma.
b) 10-year-old girl
c) 13-year-old girl
d) 14-year-old boy
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Which hormones are involved in building a, c, d
and maintaining healthy bone tissue?
Select all that apply. Insulin works together with growth hormone to increase bone length, which helps
build and maintain healthy bone tissue. Glucocorticoids regulate protein metabolism
a) Insulin to reduce or intensify the organic matrix of bone. Thyroxine increases the rate of
b) Thyroxine protein synthesis in all types of tissues. Parathyroid hormone secretion stimulates
c) Glucocorticoids bones to promote osteoclastic activity and release calcium into the blood when
d) Growth hormone serum calcium levels are lowered.
e) Parathyroid hormone

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,The nurse is assessing a client with a cast to a)
the extremity. Which assessment finding
would the nurse document in the Warmth is a sign of adequate circulation; after documentation that finding requires
electronic health record without any no intervention. Numbness is a neurological sign that indicates pressure on the
follow-up intervention required? nerves and blood vessels and should be reported immediately. Skin desquamation
results from inadequate skin care and can be managed with hygiene support. Some
a) Warmth degree of discomfort is expected after cast application and may require comfort
b) Numbness measures.
c) Skin desquamation
d) Generalized discomfort

An older adult fell at home and fractured b) Left leg is noticeably shorter than the right
the left hip. Which clinical indicator would
the emergency department nurse identify There is overriding of bones in the fractured hip, and the leg on the affected side
as typical with a fractured left hip? appears noticeably shorter than the unaffected leg. Ecchymosis is evidence of soft
tissue and blood vessel damage; this may or may not be associated with a fractured
a) Left hip is ecchymotic hip. The affected leg is externally, not internally, rotated with a fractured hip. Pain
b) Left leg is noticeably shorter than the associated with a fractured hip is not mild; it causes extreme pain.
right
c) Left leg is internally rotated
d) Left hip is tender when touched

a) Decreased weight bearing
Which factor contributes to skeletal
calcium loss by a client who has
The bones respond to the stress of weight-bearing exercise (walking, running, etc.)
paraplegia?
by laying down new bone substance along the lines of stress. Inactivity leads to
reduced bone deposition and actual bone decalcification. Fluid intake has no effect
a) Decreased weight bearing
on bone decalcification. Calcium intake does not alter bone demineralization in
b) Inadequate fluid intake
clients with paraplegia. Kidney function may be altered while bone decalcification
c) Decreased calcium intake
occurs and stones are formed in the kidneys, but this is not the cause of
d) Inadequate kidney function
demineralization.

b) Fragility of bone
Which factor that contributes to the
incidence of hip fractures is a higher risk for
Bones become more fragile because of loss of bone density associated with the
older adults?
aging process; this often is associated with lower circulating levels of estrogens or
testosterone. Carelessness is a characteristic applicable to certain individuals rather
a) Carelessness
than to people within a developmental level. Although prolonged lack of weight-
b) Fragility of bone
bearing activity is associated with bone demineralization, hip fractures also occur in
c) Sedentary existence
active older adults. Rheumatoid diseases can affect the skeletal system but do not
d) Rheumatoid diseases
increase the incidence of hip fractures.

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d) Cyanosis
Which client response during the insertion
of a nasogastric tube indicates to the nurse If the nasogastric tube is passed accidentally into the trachea rather than the
that the client is experiencing serious esophagus, it will occlude the airway, causing cyanosis; this is a serious problem that
difficulty with the insertion? must be corrected immediately. Choking may occur as the tube passes through the
back of the throat; this commonly occurs with insertion of a nasogastric tube and is a
a) Choking temporary problem. Facial flushing (floridity) may result if the client attempts to fight
b) Redness the passage of the tube; this commonly occurs with insertion of a nasogastric tube
c) Gagging and is a temporary problem. Gagging may occur as the tube passes from the nasal
d) Cyanosis passage through the pharynx; this commonly occurs with insertion of a nasogastric
tube and is a temporary problem.

, The nurse is eliciting a health history from a d) Genetic predisposition
client with ulcerative colitis. Which factor
would the nurse consider to be most likely Studies indicate that inflammatory bowel diseases, which include ulcerative colitis
associated with the client's colitis? and Crohn disease, are familial, which suggests that they are hereditary. Although
food allergy or an infectious agent may be causative factors, they are not the most
a) Food allergy common factors. No specific dietary component has been identified.
b) Infectious agent
c) Dietary components
d) Genetic predisposition

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Which outcome results from the d) Lessens the feeling that they are different from peers
development of sexual identity in an e) Aids in the development of masculine and feminine behaviors
adolescent? Select all that apply.
Physical evidence of maturity encourages the development of masculine and
a) Creates a sense of admiration and feminine behaviors and enhances sexual identity in the adolescent. Sexual identity
acceptance assuages the adolescent's fear of being different from his or her peers. Adolescents
b) Facilitates decision-making and depend on sexual clues because they want assurance of maleness or femaleness
budgeting skills and do not wish to be different from their peers. Health identity helps the adolescent
c) Generates the ability to evaluate their evaluate his or her own health. A group identity helps the adolescent develop a
own health sense of being admired and accepted. A peer group provides the adolescent with a
d) Lessens the feeling that they are sense of belonging and approval and the opportunity to learn acceptable behavior.
different from peers A family identity helps the adolescent develop decision-making and budgeting skills.
e) Aids in the development of masculine
and feminine behaviors

According to Erikson's theory, which a, d
behaviors will the nurse notice in 13-year-
old students? Select all that apply. The nurse is likely to notice that during puberty, students want an answer to " Who
am I?" This stage is called identity versus role confusion in Erikson's theory. At this
a) Such students want to know "Who am I?" stage, adolescents are concerned about their own body appearance. Young adults
b) Such students exhibit the sense of care exhibit the sense of care for others at the stage of intimacy versus isolation. Children
for others. from 6 to 11 years of age show eagerness to learn social skills. This stage is identified
c) Such students show eagerness to learn as industry versus inferiority. Children like to pretend and try out new roles at the
social skills. stage of initiative versus guilt. This is seen at the age of 3 to 6 years.
d) Such students like to pretend and try out
different new roles.
e) Such students show a marked
preoccupation with body appearance.

Arrange these health risks in decreasing 4, 1, 3, 2
order of the frequency at which they cause
death among adolescents. Accidents remain the leading cause of death in adolescence. As of 2011, motor
vehicle accidents, which are the most common cause of death, resulted in 74% of all
1) Homicide/violence unintentional deaths among adolescents aged 10 to 19 years. Homicide is the second
2) substance abuse leading cause of death in the 15- to 24-year-old age group. Suicide is the third
3) suicide leading cause of death in adolescents 13 to 19 years of age. Substance abuse is the
4) accidents fourth leading death risk among adolescents.
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