The nurse is referring to the Healthy People 2020 report from the U.S. Department of Health and Human Services as a teaching example. Of the following
... [Show More] aspects discussed, which would be considered a determinant of health that is outside the focus of this report? - correct answer The client has a family history of cardiovascular disease related to hypercholesterolemia and remains noncompliant with the treatment regime.
At an international nursing conference, many discussions and breakout sessions focused on the World Health Organization (WHO) views on health. - correct answer Of the following comments made by nurses during a discussion session, which statements would be considered a good representation of the WHO definition? Select all that apply.
A)
Interests in keeping the elderly population engaged in such activities as book reviews and word games during social time
B)
Increase in the number of chair aerobics classes provided in the skilled care facilities
C)
Interventions geared toward keeping the elderly population diagnosed with diabetes mellitus under tight blood glucose control by providing in-home cooking classes
E)
Providing handwashing teaching sessions to a group of young children
A patient has been diagnosed with a neurodegenerative disease called multiple sclerosis (MS). - correct answer "Dysregulated apoptosis has caused an excessive rate of programmed cell death along the neuropathways."
A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first time. - correct answer The patient notes that he has increased work of breathing when lying supine.
Which of the following assessment findings of a male infant 14 hours postpartum would be considered abnormal and would require further assessment and possible intervention? - correct answer The baby's skin has a yellowish orange hue.
A professor is teaching a group of students about the role of mitochondria within the cell. Which of the following statements is true of mitochondria? - correct answer They are the site of adenosine triphosphate (ATP) production.
A new myocardial infarction patient requiring angioplasty and stent placement has arrived to his first cardiac rehabilitation appointment. - correct answer "Sounds like this began because of inflammation inside my artery that made it easy to form fatty streaks, which lead to my clogged artery."
A geriatrician has ordered an echocardiogram and stress test for an 80-year-old male client in an effort to gauge the client's cardiovascular health status. - correct answer increased resting, supine heart rate
A 14-year-old female has been experiencing severe internal cramps in the region of the pelvis and weight loss.She has been admitted with rectal bleeding. - correct answer endoplasmic reticulum stress in the gastrointestinal system.
While taking BP for a new geriatric patient, the nurse notes that his BP is 162/70. When questioned by the nurse, the patient states, "That's a pretty good BP for me.
My upper number is usually higher." Based on this finding, the nurse should further collect data related to which of the following body systems? Select all that apply. - correct answer A)
Detailed history surrounding cardiac events like chest pain or pressure
B)
Any paresthesia in limbs or noticeable facial drooping
C)
Decrease in urine output with increase in edema in the feet/legs
A member of the health care team is researching the etiology and pathogenesis of a number of clients who are under his care in a hospital context. Which of the following aspects of clients' situations best characterizes pathogenesis rather than etiology? - correct answer A client who has increasing serum ammonia levels due to liver cirrhosis
A midwife who is providing care for a woman during her first pregnancy is assessing for intrauterine growth retardation (IUGR) during an early prenatal checkup. Which of the following questions best addresses the risks for IUGR? - correct answer "What does your typical diet look like over the course of a day?"
The nurse is providing care for a client with a diagnosis of cirrhosis, and she notes that the client's sclerae are jaundiced. The nurse recalls that jaundice is a pigment that can accumulate in which part of the cell? - correct answer Cytoplasm
A woman has recently determined that she is pregnant, and her clinician believes that the conception occurred around 8 weeks prior. - correct answer Formation of upper limbs and opening of the eyes
During a discussion on cellular components and their function, a student asked the instructor the purpose of messenger RNA (mRNA). Of the following, which is the most accurate answer? - correct answer Performs an active role of protein synthesis, where mRNA molecules direct the assembly of proteins on ribosomes to the cytoplasm
A community health nurse is working with an 81-year-old female client who states that she has made a concerted effort throughout her life to protect her skin from the sun and regularly applies topical moisturizers. - correct answer Skin becomes more fragile and prone to hematomas because of impaired vascularity.
A community health nurse is teaching a group of recent graduates about the large variety of factors that influence an individual's health or lack thereof. - correct answer The client has a family history of cardiovascular disease related to hypercholesterolemia and remains noncompliant with the treatment regime.
Of the following aging theory examples, which one supports the nonstochastic beliefs about aging? - correct answer Mutations in BRCA1 and BRCA2 have been associated with increased risk for developing breast and ovarian cancer.
New parents were just told by their physician that their son is two standard deviations above the mean. The parents later asked the nurse what that means. The nurse will explain by stating, - correct answer "Being two standard deviations above the mean translates into that your child will likely be taller than 95% of children in the population."
A premature infant who is receiving care in a neonatal intensive care unit (NICU) has just been identified as having necrotizing enterocolitis (NEC). - correct answer A)
Feeding intolerance
C)
Hard, taut abdomen with increasing distention
D)
Blood noted in stools
As of November 1, 2012, there were a total of 10 confirmed cases of Hantavirus infection in people who were recent visitors (mid-June to end of August, 2012) to Yosemite National Park. Three visitors with confirmed cases died. - correct answer the incidence of people who are at risk for developing Hantavirus while staying in Yosemite National Park.
A nurse who is visiting a seniors' wellness center is teaching a group of older adult women about sexual activity among older adults. Which of the following teaching points best captures the reality of sexual activity among older adults? - correct answer "You can expect the duration and intensity of sexual response to decrease with age."
A male international business traveler has returned from a trip to Indonesia. While there, he hired a prostitute for companionship and engaged in unprotected sex on more than one occasion. Unbeknownst to him, this prostitute harbored the hepatitis C virus. Upon return to the United States, he exhibited no symptoms and returned to his usual activities. During this period of no outward symptoms, the man would be classified as being in - correct answer the preclinical stage of disease.
While assessing a premature infant born at 25 weeks' gestation, the neonatal intensive care unit (NICU) nurse would suspect which diagnosis when the infant displays poor muscle tone, apnea, and a new onset of somnolence? - correct answer Intraventricular hemorrhage
A 62-year-old male collapsed while unloading a truck of heavy sacks of feed for his cattle. When he arrived in the emergency department, blood gases reveal a slightly acidic blood sample. The nurse caring for this patient is not surprise with this result - correct answer The skeletal muscles are producing large amounts of lactic acid and release it into the bloodstream during heavy work/exercise.
As a follow-up to the introduction of a new medication regimen for an older adult client, the physician is interpreting the client's recent blood work, paying particular attention to the client's serum creatinine [Show Less]