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NUR|| 211 || Exam|| 4 || Questions|| with|| verified|| detailed|| answers
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. || - || ✔✔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 || - || ✔✔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 || B b. || Vit || C c. || Vit || D d. || Omeg-3 || fatty || acids || - || ✔✔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 || - || ✔✔B, || C
A || patient || recovering || from || major || abdominal || surgery || is || to || be || progressed || from || a || clear || liquid || diet || to || the || next || diet || level. || Which || statement || by || the || nurse || would || be || most || appropriate || in || this || circumstance? a. || "You || will || progress || from || a || clear || liquid || diet || to || a || mechanical || soft || diet." b. || "If || you || can || tolerate || the || clear || liquid || diet, || your || next || meal || will || be || a || full || liquid." || c. || "You || will || receive || a || regular || diet || tray || with || anything || you || want || at || the || next || meal." d. || "It || is || important || that || you || eat || a || pureed || diet || after || you || are || able || to || tolerate || the || clear || liquids." || - || ✔✔B A || full || liquid || diet || is || used || as || a || transition || diet || to || avoid || overdistending || the || abdomen || after || abdominal || surgery. || A || mechanical || soft || diet || incorporates || modified || food || consistency || such || as || ground || meat || or || soft || cooked || foods. || It || also || is || used || for || people || who || have || difficulty || chewing || effectively. || The || regular || diet || has || no || restrictions, || which || could || cause || damage || to || the || abdomen || if || the || wrong || food || were || selected. || A || pureed || diet || is || given || to || persons || who || cannot || tolerate || the || texture || of || some || foods, || which || have || to || be || blended || so || the || patient || can || chew || them. || There || is || no || indication || that || this || patient || has || difficulty || chewing || food. What || nursing || intervention || would || be || most || beneficial || to || implement || in || an || effort || to || prevent || aspiration || by || a || patient || receiving || tube || feedings? a. || Check || the || pH || of || stomach || contents || before || starting || each || feeding. b. || Hold || prescribed || medications || until || after || each || feeding. c. || Elevate || the || head || of || the || patient's || bed || at || least || 45 || degrees. d. || Slow || the || delivery || of || the || tube || feeding || to || 15 || mL/hour. || - || ✔✔C If || the || head || of || the || bed || head || is || elevated || 45 || degrees || during || feedings, || the || risk || of || vomiting, || or || regurgitating || the || tube || feeding || formula || and || aspirating || it || into || the || lungs, || is || reduced. || Checking || the || pH || of || stomach || contents || does || not || reduce || the || incidence || of || aspiration. || Slowing || the || delivery || of || tube || feedings || may || decrease || the || incidence || of || diarrhea, || but || not || aspiration. || Holding || prescribed || medication || pertains || to || the || compatibility || of || medications || with || the || tube || feeding, || rather || than || the || risk || of || aspiration.
Which || action || should || the || nurse || take || when || caring || for || a || patient || receiving || a || continuous || enteral || feeding || through || a || percutaneous || endoscopic || gastrostomy || (PEG) || tube || if || the || feeding || tube || becomes || occluded? a. || Use || 15 || mL || of || cranberry || juice || in || a || 30-mL || syringe || to || clear || the || tubing. b. || Ask || to || have || the || PEG || tube || replaced || to || prevent || rupture || of || the || gastrostomy. c. || Flush || the || PEG || tube || with || 60 || mL || of || cold || tap || water, || using || gravity. d. || Try || using || cola || if || a || 20- || to || 30-mL || warm-water || flush || is || ineffective. || - || ✔✔Answer: || d Using || cola, || which || is || a || carbonated || beverage, || to || try || to || flush || the || tube || if || flushing || with || warm || water || does || not || work || would || be || the || best || option. || Using || cranberry || juice || in || a || small, || 30-mL || syringe || is || not || recommended || and || may || cause || excessive || force || on || the || tube, || resulting || in || rupture. || Replacing || the || tube || would || increase || the || patient's || discomfort || and || should || be || a || last- resort || action. || Cold || tap || water || and || gravity || should || not || be || used, || because || this || measure || is || unlikely || to || be || effective || owing || to || the || lack || of || even, || gentle || force || needed || to || clear || the || occlusion, || and || because || cold || water || may || cause || abdominal || cramping || if || it || reaches || the || stomach. The || nurse || is || caring || for || an || elderly || patient || who || has || residual || weakness || on || the || right || side || as || the || result || of || a || cerebrovascular || accident || (stroke). || The || nurse || is || correct || in || reporting || dysphagia || when || the || patient || exhibits || which || symptoms? || select || all || that || apply a. || Incomplete || lip || closure b. || Presence || of || a || normal || gag || reflex c. || A || change || in || voice || quality || after || eating d. || Difficulty || speaking, || with || a || slow, || weak || voice e. || Abnormal || movements || of || the || mouth, || tongue, || and || lips || - || ✔✔a, || c, || e Persons || with || residual || weakness || of || the || throat || and || mouth || after || a || stroke || have || poor || muscle || tone || in || the || mouth || and || throat, || lack || of || tongue || action, || and || loss || of || the || ability || to || chew || and || swallow || effectively. || Normal || gag || reflex || is || not || an || adverse || symptom. || Difficulty || speaking || is || dysphasia.
All || insulin || manufactured || today || is || biosynthetic. || It || is || no || longer || derived || from || pork || or || cattle || pancreas. || There || is || no || need || to || contact || the || physician || to || change || the || order. || Patients || always || have || the || right || to || refuse || medication. || In || this || case, || educating || the || patient || about || the || source || of || the || insulin || should || allay || any || fears || of || the || insulin || coming || from || pigs. A || female || Muslim || patient || is || admitted || to || the || hospital || and || informs || the || nurse || that || it || is || the || month || of || Ramadan. || Which || action || by || the || nurse || is || most || appropriate || in || caring || for || this || patient? a. || Provide || a || vegetarian || diet || for || the || patient || on || Friday || throughout || her || hospitalization. b. || Ask || the || dietitian || to || visit || the || patient || to || ensure || that || fruit || and || cheese || are || not || combined. c. || Check || on || the || potential || effect || fasting || until || sundown || will || have || on || the || patient's || condition. d. || Document || that || milk || and || milk || products || cannot || be || prepared || with || meat || or || meat || products. || - || ✔✔C Persons || of || the || Islamic || faith || fast || until || sundown || during || the || month || of || Ramadan. || Fruit || is || not || restricted || in || the || patient's || culture || or || religion. || No || meat || on || Fridays || is || commonly || followed || in || the || Catholic || faith. || Kosher || diets || restrict || the || preparation || of || meat || and || milk || products || together. A || 15 || yo || female || gymnast || is || hospitalized || with || the || diagnosis || of || bulimia || nervosa. || Which || data || would || the || nurse || anticipate || finding || in || the || patient's || admission || history || and || physical || assessment? a. || Excessive || intake || of || food, || self-induced || vomiting, || and || use || of || laxatives b. || Refusal || to || eat, || body || image || disturbance, || constipation, || and || amenorrhea c. || Excessive || exercise, || refusal || to || eat, || poor || muscle || tone, || and || social || isolation d. || Hair || loss, || BMI || of || 27, || occasional || use || of || diuretics, || calorie || intake || 2200/day || - || ✔✔A Bulimia || involves || the || obsession || with || binging || (the || intake || of || excessive || amounts || of || food), || with || consumption || of || as || much || as || 2000 || to || 3000 || calories || at || one || time, || followed || by || purging || (vomiting). || In || an || effort || not || to || gain || weight || from || the || excessive || amount || of || food || eaten, || the || affected || person || may || use || self-induced || vomiting || or || excessive || exercise. || It || also || may || involve || the || abuse || of || laxatives || or || diuretics. || A || refusal || to || eat, || excessive || exercise, || body || image || disturbance, || poor || muscle || tone, || hair || loss, || amenorrhea, || social || isolation || are || relevant || to ||
anorexia || nervosa. || Intake || of || 2200 || calories/day || and || BMI || of || 27 || are || indications || of || excessive || dietary || intake || and || borderline || obesity || in || a || 15-year-old || female. The || nurse || is || completing || an || admission || assessment || of || a || new || patient || to || the || unit. || The || nurse || notes || a || long, || thin, || fading || scar || on || the || patient's || abdomen || in || the || right || lower || quadrant. || What || is || the || best || explanation || for || the || scar's || appearance? || A. || optimal || functioning || of || the || inflammatory || process || after || an || injury B. || Fibrous || tissue || replacing || damaged || tissue || when || injury || is || extensive C. || The || development || of || chronic || inflammation D. || a || surgical || incision || - || ✔✔B Scar || tissue, || or || fibrous || repair || of || damaged || tissue, || occurs || when || an || area || is || damaged || too || extensively || for || the || body || to || replace || damaged || tissue || with || identically || functioning || tissue || after || removal || of || injurious || agents || and || pathogens. || Optimal || functioning || of || the || inflammatory || process || will || result || in || regeneration || of || tissue || that || functions || identically || to || the || damaged || and || replaced || tissue. || Chronic || inflammation || can || result || in || fibrous, || or || scar, || tissue, || but || that || scar || tissue || production || is || continuous || as || the || inflammation || continues. || Fibrous || tissue || production || can || result || from || many || different || kinds || of || injuries, || not || just || surgical || wounds. A || patient || comes || to || a || clinic || with || a || chief || complaint || of, || "My || left || arm || is || red || and || swollen. || It || hurts || badly || enough || that || I || couldn't || go || to || work || today." || The || physician || orders || computer- assisted || tomography || (CT) || scanning || of || the || left || upper || extremity. || The || nurse || knows || that || the || patient || understands || the || reason || for || the || procedure || when || he || states A. || I || need || to || have || this || done || because || m || arm || is || broken B. || The || doctor || wants || me || to || have || this || so || that || the || pain || will || stop C. || This || will || tell || you || what || I || did || to || my || elbow || because || I || really || don't || know || what || happened D. || This || test || will || help || to || better || determine || where || the || injury || actually || is || and || how || sever || it || is ||
- || ✔✔D Radiographic || imaging || studies || such || as || CT || scans || help || to || determine || the || location || and || extent || of || inflammation || within || the || body. || The || CT || scan || will || help || with || diagnosis. || The || diagnosis || is || not || predetermined. || CT || scanning || does || not || alleviate || pain. || Radiography || does || not || necessarily || determine || a || cause || of || an || injury.
D || exudate || - || ✔✔A The || inflammatory || process || results || in || rubor, || or || redness, || of || an || area || of || insult. || The || body || responds || to || injury || by || increasing || the || blood || flow || to || an || area || through || vasodilation. || This || allows || increased || oxygen || and || more || nutrients || and || appropriate || white || blood || cells || to || reach || the || area, || isolating || the || area || and || beginning || the || immune || response. || Extravasation || is || the || movement || of || fluid || from || its || confined || space || into || the || surrounding || tissue. || Neutrophils || are || one || of || the || most || common || types || of || white || blood || cells. || Exudate || is || the || fluid || filled || with || proteins || and || white || blood || cells || that || moves || out || of || the || vascular || spaces || through || extravasation. A || 5YO || boy || with || early || flu || symptoms || is || at || school || working || with || some || math || blocks. || He || sneezes || into || his || hands || and || then || continues || to || working || with || his || blocks. || An || unvaccinated || teacher's || helper || cleans || up || the || blocks || when || the || child || leaves || them || on || the || table. || After || touching || the || blocks, || she || rubs || her || nose || with || her || hand. || Which || represents || the || most || likely || mode || of || transmission? A. || the || 5YO || boy B. || the || unvaccinated || teacher's || helper C || The || hand || to || nose || contact D || the || unwashed || math || blocks || - || ✔✔D The || boy || has || the || flu || and || sneezes || into || his || hand || while || at || school. || When || he || works || with || the || math || blocks, || he || leaves || the || flu || virus || on || the || toys. || The || teacher's || helper || picks || up || the || virus || with || the || blocks. || When || the || parent || touches || her || nose || with || her || hand, || the || virus || enters || the || susceptible || host. || The || blocks || act || as || the || mode || of || transmission. || The || boy || carries || the || pathogen, || and || his || sneeze || is || the || portal || of || exit. || The || teacher's || helper || is || the || susceptible || host. || The || hand-to-nose || contact || is || the || portal || of || entry. After || patient || teaching, || the || patient || is || able || to || verbalize || that || which || occurrence || can || delay || wound || healing || after || surgery? A || adequate || arterial || blood || flow || to || the || wound B || supplemental || oxygen || therapy C || a || healthy || diet D || an || increased || hospital || stay || - || ✔✔D
An || increased || hospital || stay || increases || the || risk || for || hospital-acquired || infections, || which || can || delay || wound || healing. || Adequate || arterial || blood || flow || improves, || rather || than || delays, || wound || healing. || Supplemental || oxygen || can || increase || wound || healing. || A || healthy || diet || is || important || to || wound || healing. Which || of || the || following || patients || is || at || greatest || risk || for || contracting || a || primary || bacterial || infection? A || pt || with || newly || diagnosed || diabetes || mellitus B || pt || whose || lab || results || reveal || leukopenia C || pt || receiving || broad-spectrum || antibiotics D || pt || following || laparoscopic || cholecystectomy || - || ✔✔B The || patient || with || a || decrease || in || the || number || of || white || blood || cells || (leukopenia) || is || at || greatest || risk || for || contracting || a || primary || infection || because || of || a || weakened || primary || defense || system. || A || patient || with || a || diagnosis || of || diabetes || mellitus || is || at || greater || risk || for || infection || than || a || patient || who || does || not || have || the || disease || but || does || not || have || the || greatest || risk || of || the || four || patients || described. || The || patient || receiving || broad-spectrum || antibiotics || already || has || an || infection || and || is || at || risk || for || a || secondary || infection. || The || patient || who || has || undergone || a || surgical || procedure || is || at || risk || for || a || bacterial || infection || but || does || not || have || the || greatest || risk || of || the || patients || described. || Laparoscopy || minimizes || invasion || and || tissue || impairment. The || nurse || is || teaching || a || class || of || junior || high || school || students || about || infection || control || through || effective || hand || washing. || Which || statement || made || by || a || student || indicates || the || need || for || further || teaching? A || Hand || sanitizer || works || just || as || well || as || washing || with || soap || and || water B || If || is || sing || the || song || Happy || Birthday || twice || through || while || scrubbing || my || hands, || that || should || be || long || enough C || I || need || to || read || the || label || on || the || hand || sanitizer || to || be || sure || that || it's || at || least || 60% || alcohol D || We || should || all || wash || our || hands || before || eating || lunch || every || day || - || ✔✔A Hand || sanitizer || does || not || work || as || well || as || soap || and || water, || because || it || is || not || effective || against || all || pathogens || or || in || all || situations. || For || example, || hand || sanitizer || should || not || be || used || when || hands || are || visibly || dirty. || Repeating || the || song || "Happy || Birthday" || twice || takes || about || 20 || seconds, || which || is || how || long || hands || should || be || rubbed || together || with || soap. || Hand || sanitizer ||
You || are || making || a || home || visit || to || a || family || of || 5 || children. || The || youngest, || aged || 5, || has || a || temperature || of || 101.1°F, || is || lethargic, || and || has || a || poor || appetite. || This || assessment || leads || you || to || the || diagnosis || of || influenza. || Based || on || your || knowledge || that || influenza || is || an || airborne || communicable || disease, || all || of || the || following || patient || teachings || regarding || infection || are || appropriate || for || the || mother || and || family || except a. || keep || children || home || from || day || care || and || school || while || symptoms || are || present. b. || remind || family || that || they || only || need || to || wash || their || hands || if || they || are || visibly || dirty. c. || do || not || share || tissues, || dishes, || or || personal || care || items || to || reduce || the || risk || of || transmission. d. || encourage || the || family || to || receive || their || annual || influenza || vaccine. When || caring || for || a || patient || with || rubella, || in || addition || to || standard || precautions, || which || precautions || would || be || used? a. || Droplet || precautions b. || Airborne || precautions c. || Contact || precautions d. || Universal || precautions || - || ✔✔A An || illness || transmitted || by || large-particle || droplets, || like || rubella, || requires || droplet || precautions || in || addition || to || standard || precautions. || Airborne || precautions || are || used || for || illness || transmitted || via || small || particles, || such || as || tuberculosis, || varicella, || and || rubeola. || Universal || precautions || are || a || part || of || standard || precautions. During || normal || patient || care || that || does || not || soil || hands, || effective || hand || hygiene || between || patients || requires a. || at || least || a || 20-second || soap || and || water || scrub. b. || at || least || a || 23-minute || scrub || with || antimicrobial || soap. c. || use || of || an || alcohol-based || antiseptic || handrub.
d. || a || mask || must || be || worn || while || scrubbing || is || occurring. || - || ✔✔C Hands || that || are || not || visibly || soiled || can || be || cleaned || with || an || alcohol-based || handrub. || A || mask || or || antiseptic || soap || is || not || necessary || in || this || situation. A || nurse || is || caring || for || an || overweight || 60-year || old || woman || with || a || reddened || area || over || her || coccyx. || The || priority || nursing || diagnosis || for || this || patient || is a. || Imbalanced || Nutrition: || More || Than || Body || Requirements || related || to || immobility. b. || Impaired || Physical || Mobility || related || to || pain || and || discomfort. c. || Chronic || Pain || related || to || overweight. d. || Risk || for || Infection || related || to || altered || skin || integrity. || - || ✔✔D The || priority || diagnosis || is || focused || on || the || risk || of || developing || an || infection || due || to || altered || skin || integrity. || Imbalanced || nutrition, || impaired || physical || mobility, || and || chronic || pain, || all || related || to || overweight, || are || potential || or || problem || diagnoses || that || require || the || attention || of || the || nurse || after || implementing || care || for || the || initial || diagnosis. An || infection || occurs || as || a || result || of || a || cyclical || process. || The || six || components || of || an || infection || are a. || infectious || agent, || source || of || infection, || portal || of || exit, || mode || of || transmission, || portal || of || entry, || and || susceptible || host. b. || infectious || agent, || reservoir, || portal || of || exit, || vehicle || of || movement, || portal || of || entry, || and || susceptible || host. c. || infectious || agent, || reservoir, || portal || of || exit, || vehicle || of || transmission, || portal || of || entry, || and || unsusceptible || host. d. || invading || agent, || reservoir, || portal || of || exit, || vehicle || of || transmission, || portal || of || entry, || and || susceptible || host. || - || ✔✔A The || six || components || of || an || infection || are || the || infectious || agent, || the || source || of || infection, || the || portal || of || exit, || the || mode || of || transmission, || the || portal || of || entry, || and || the || susceptible || host.
