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NR 601 Chapter 1: Changes with Aging - Notes Fundamental Considerations - Recognize that presenting features of disease/illness may be different and having a greater awareness of the impact of chronic illness on the patient. - Perspective is different than with younger adults. Physiological Changes with Aging - The clinician must be aware that all the systems interact an, in doing so, can increase the older person’s vulnerability to illness/disease. - During the clinical decision-maki...

1 CAM is: • Complementary and alternative medicine •Complete and advised medicine •Complex and addictive medicine •All of the above 2What is the goal of patient education of the elderly? •To coerce the patient into compliance •To maximize both the quantity and quality of life of the patient •To overly simplify information for the patient •To teach the patient to understand directions 3The definition of negotiation as it applies to patient education is: •Telling the p...

If a study is comparing number of falls by age, age is considered what type of variable? Interval Ordinal Ratio Nominal Validity is: A data item, such as characteristics, numbers, properties, or quantities, that can be measured or counted. The extent to which an idea or measurement is well-founded and an accurate representation of the real world. A measurement level with equal distances between the points and a zero-starting point. Raw unorganized information from which conclu...

A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with prescriptions for 8 different medications. She is considered at risk for noncompliance due to the following contributing factors except:  Ethnic background 1. A 78-year-old patient who is dying of colon cancer with metastases to the live...

 Fluid and electrolyte balance is a dynamic process that is crucial for life and homeostasis. Fluid occupies almost 60% of the weight of an adult. Body fluid is located in two fluid compartments: the intracellular space and the extracellular space. Electrolytes in body fluids are active chemicals or cations that carry positive charges and anions that carry negative charges. The major cations in the body fluid are sodium, potassium, calcium, magnesium, and hydrogen ions. The major anions ar...

1. Question : What term is used to describe a hernial protrusion of a saclike cyst that contains meninges, spinal fluid, and a portion of the spinal cord through a defect in a posterior arch of a vertebra?   Student Answer:  Encephalocele    Meningocele    Spina bifida occulta    Myelomeningocele   Instructor Explanation: Myelomeningocele is a hernial protrusion of a saclike cyst containing meninges, spinal fluid, and a portion of the spinal cord with its nerves thro...

Chapter 1: Changes with Aging - Notes Fundamental Considerations - Recognize that presenting features of disease/illness may be different and having a greater awareness of the impact of chronic illness on the patient. - Perspective is different than with younger adults. Physiological Changes with Aging - The clinician must be aware that all the systems interact an, in doing so, can increase the older person’s vulnerability to illness/disease. - During the clinical decision-making proc...

A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with prescriptions for 8 different medications. She is considered at risk for noncompliance due to the following contributing factors except:  Ethnic background A 78-year-old patient who is dying of colon cancer with metastases to the liver is ref...

NR449 Evidence-Based Practice in Nursing - Comprehensive Exam Practice MCQ's 1. Nursing research is significant to the profession of nursing because it promotes what? a. More specifically defined nursing practice responsibilities b. Decreased liability within the practice of nursing c. Generation of a specialized body of nursing knowledge for use in nursing practice d. Expansion of the scope of nursing practice into areas formerly reserved for other disciplines Rationale: The correct...

NR449 Evidence-Based Practice in Nursing - Comprehensive Exam Practice MCQ's  Nursing research is significant to the profession of nursing because it promotes what?  Which aspect of the scientific investigation of nursing practice is also a fundamental concept of American Nurses Association (ANA)'s Code for Nurses?  Nurses who do not conduct research need to understand the nursing research process for which of these reasons?  Which of these actions demonstrates the role of a knowle...

1. Nursing research is significant to the profession of nursing because it promotes what? a. More specifically defined nursing practice responsibilities b. Decreased liability within the practice of nursing c. Generation of a specialized body of nursing knowledge for use in nursing practice d. Expansion of the scope of nursing practice into areas formerly reserved for other disciplines Rationale: The correct answer is C. Nursing research generates a specialized scientific knowledge base ...

1) A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains: Answer: Of sharp pain that increases with movement 2) A patient has been diagnosed with osteoporosis and asked the FNP “what is osteoporosis?” The FNP explains to the patient that osteoporosis is defined as: Answer: Loss of bone density 3) Patient states, “I can hear a cr...

1) A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? Enlarged and tender inguinal nodes 2) The direction of blood flow through the heart is best described by which of these Right atrium > right ventricle > pulmonary artery > lungs > pulmonary vein > left atrium > left ventricle 3) In assessing the carotid artery’s of an older patient with cardiovascular di...

Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:   Student Answer:  Excessive sedation    Tachycardia and angina    Weight gain    Cold intolerance   Points Received: 2.5 of 2.5   Comments: Question 2. Question : The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is:   Student Answer:  Annual dual energy X-ray absorptiometry...

Question 1. Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? Expectorants CORRECT Beta 2 agonists Antitussives Antihistamines Question 2. Harold, a forty-two-year-old African American, has moderate persistent asthma. Which of the following asthma medications should he use cautiously, if at all? Betamethasone, an inhaled corticosteroid CORRECT Salmeterol, an inhaled long-acting beta-agonist...

Question : Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include:   Student Answer:  Heart failure    Angina    MI    Dyslipidemia   Points Received: 2.5 of 2.5   Comments: Question 2. Question : Patients who are being treated for folate deficiency require monitoring of:   Student Answer:  Complete blood count every four weeks    Hematocrit and hemoglobin a...

Question 1 (1 point)   Phase IV clinical trials in the United States are also known as: Question 1 options: A)  Human bioavailability trials B)  Postmarketing research C)  Human safety and efficacy studies D)  The last stage of animal trials before the human trials begin Question 2 (1 point)   Drugs that are designated Schedule II by the U.S. Drug Enforcement Administration: Question 2 options: A)  Are known teratogens during pregnancy B)  May not be refilled; a...

NSG 6005 WEEK 6 KNOWLEDGE CHECK QUIZ 2, PUD, GERD Question 2. Lifestyle changes are the first step in the treatment of GERD. A food that may aggravate GERD is:    Eggs    Honey Dew    Chocolate    Chicken

A patient with shoulder pain is seen by an orthopedic specialist who notes erythema, warmth, and fluctuance of the shoulder joint. What is the next step in treatment for this patient? Question 1 options: a)  Admit to the hospital for intravenous antibiotics b)  Inject lidocaine into the joint and reassess in 5 to 10 minutes c)  Order a plain radiograph of the shoulder to identify possible fracture d)  Perform a shoulder ultrasound to further evaluate the cause Save Next Page...

Question 1 Tiotropium bromide (Spiriva) is an inhaled anticholinergic:  Used for the treatment of COPD    Used in the treatment of asthma    Combined w/ albuterol for the treatment of asthma exacerbations    Combined w/ fluticasone for the treatment of persistent asthma Question 2. Pregnant patients w/ asthma may safely use ____ throughout their pregnancies.   Student Answer:  oral terbutaline    prednisone    inhaled corticosteroids (bu...