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Exam (elaborations)

NUR 211 EXAM 4 WITH 100% CORRECT ANSWERS 2025

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NUR 211 EXAM 4 WITH 100% CORRECT ANSWERS 2025

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NUR 211 EXAM 4 WITH 100%
CORRECT ANSWERS 2025

A nurse in a home setting is assessing a 79-year-old male
patient's risk for malnutrition. The nurse suspects malnutrition
when reviewing the following laboratory results: (Select all that
apply):


A. Body mass index (BMI) of 17.
B. Waist-to-hip ratio of 1.0.
C. Weight loss of 6% since last month's visit.
D. Prealbumin level of 16 mg/dL.
E. Hematocrit level of 50%.
F. Hemoglobin level of 8.2 g/dL. correct answers >> A, C, F
A BMI of 18.5 to 24.9 is normal, and this patient's BMI is below
normal; a major weight loss is defined as more than a 2% weight
change over 1 week; and the expected hemoglobin level for a
man is 14 to 18 g/dL. The patient's values may also indicate
dehydration. The expected level for prealbumin is 15 to 36 mg/dL.
A hematocrit level of 50% is within normal limits.


The nurse is assessing a group of patients to determine their risk
of Vit D deficiency. Which of the following patients has the highest
risk for Vit D deficiency?
a. a caucasian female who is 39 weeks gestation
b. an african-american female who is breastfeeding
c. an asian female diagnosed with hypoglycemia

,d. a hispanic female who has a BMI of 24.1 correct answers >>
B
Vitamin D deficiency is more frequently found among persons of
African heritage and has increased in prevalence, especially
among the infants of breastfeeding African-American mothers.
Caucasian females do not share these risk factors. There is no
known risk of hypoglycemia and vitamin D deficiency; however,
diabetes increases the risk for vitamin D deficiency. There is no
known risk of vitamin D deficiency in normal-weight females of
Hispanic heritage; however, obesity is a risk factor.


The nurse is caring for a patient diagnosed with peptic ulcer
disease (PUD). The patient was prescribed the proton pump
inhibitor Prevacid (Iansoprazole). Which of the following
supplements may be prescribed to prevent deficiency?
a. Vit B12
b. Vit C
c. Vit D
d. Omeg-3 fatty acids correct answers >> A
Vitamin B12 deficiency can occur as a result of the reduced
gastric acidity associated with use of proton pump inhibitors, and
supplementation is often warranted. Vitamin C deficiency is not a
known deficiency associated with medications. Vitamin D
deficiency may occur in patients who take cholesterol medication,
and this link is currently being investigated. Omega-3 fatty acids
may be used as monotherapy or in conjunction with cholesterol
medication for patients with hyperlipidemia.


A person of Northern heritage is at an increased risk for which of
the following?
Select all that apply.

, A. Vitamin C deficiency


B. Type 1 diabetes


C. Celiac disease


D. Type 2 diabetes


E. Hypertension


F. Metabolic syndrome correct answers >> B, C
Type 1 diabetes and Celiac disease are more common in Northern
heritage. African Americans and Hispanics are at increased risk
for Type 2 diabetes, hypertension, and metabolic syndrome.
Vitamin C deficiency is not a common deficiency related to
heritage or ethnicity.


Appropriate approaches used by the long-term care nurse to
provide education for a 73 yo who has just been diagnosed with
diabetes include which of the following? select all that apply


a. schedule a visit by another resident who is a diabetic
b. demonstrate food choices using food photographs
c. avoid discussion of the patient's favorite foods
d. remind the patient that a lot of damage has already occurred

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