NURS 221 Final Questions| With Complete
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gonorrhea - ✔✔ANSWER✔✔--oldest communicable in US
-may have green-yellowish discharge
-may cause preterm birth, rupture of membrane
-treatment of choice Ceftriaxone
-If syphilis treat with Penicillin G
Reportable STI's - ✔✔ANSWER✔✔--gonorrhea
-syphilis
Syphilis - ✔✔ANSWER✔✔--lesions/papule around groin, rash,
-Penicillin G is treatment of choice
herpes - ✔✔ANSWER✔✔--Lessions
-If outbreak, cant do vaginal birth
-Can cause the baby to have an unstable temp
Chlamedia - ✔✔ANSWER✔✔--infant risk, more then 50% will develop pneumonia- Doxycycline,
Azithromycin
GBS- Group B Streptococcus - ✔✔ANSWER✔✔--screened at wk 35-37
- penicillin G, ATB during birth if no results
,Postpartum Hemorrhage (PPH) - ✔✔ANSWER✔✔--500ml blood loss vaginal delivery
- 1000ml c-section
PPH risk factors - ✔✔ANSWER✔✔--**uterine atony, Uterus not contracting
-retained placenta
-trauma
-large baby
-placenta previa, abruption
Which healthcare profession was the first to develop standards of gerontological care and the first to
provide a certification mechanism to ensure specific professional expertise through credentialing?
A. Physical therapy
B. nursing
C. occupational therapy
D. medicine - ✔✔ANSWER✔✔-B. Nursing
Which statement articulates the Unites States' need for healthcare reform?
Select one:
a.Healthcare is viewed as a "right" in this country and too many people take advantage of it.
b. We have an aging population with many chronic comorbidities, and our system is not equipped to
provide them with comprehensive care.
c. Medicaid is a failing system and needs to be replaced by a private organization that can operate it
more efficiently.
d. Healthcare is a business, and more opportunities should be created to generate profits for healthcare
systems. - ✔✔ANSWER✔✔-b. We have an aging population with many chronic comorbidities, and our
system is not equipped to provide them with comprehensive care.
Mr. Jackson is an 83 year-old, community-dwelling older adult with hypertension and hyperlipidemia. He
is at the clinic for his yearly wellness exam. You ask him what brings him in today and he mentions that
he has been experiencing some mild memory impairment. What is your next response?
,Select one:
a. Some mild memory impairment can occur with older age, but I will be sure to mention this to your
provider and we will follow up accordingly.
b. You probably have the early stages of dementia, and it's only going to get worse.
c. Cognitive impairment is a normal part of the aging process, and I'm surprised that it's not more
profound at your age.
d. This is nothing to worry about, older adults often experience periods of memory impairment. -
✔✔ANSWER✔✔-A. Some mild memory impairment can occur with older age but I will be sure to
mention this to your provider and we will follow up accordingly
The nurse who takes time to acknowledge their own biases and presumptions and provides the patient
the space needed to express their concerns, anxieties and fears in order to establish a plan of care that
aligns with the client's wishes is engaging in what?
Select one:
a. B.A.S.E. care
b. Managed care
c. Nurse-centered care
d. Relationship-based care - ✔✔ANSWER✔✔-D. Relationship-based care
You are assessing a service provided by your local healthcare organization. What are the key criteria the
service must meet in order to align with IHI's Triple Aim?
Select all that apply
Select one or more:
a. The service intends to reduce cost
b. The service must be covered by Medicaid
c. The service intends to reach a large amount of individuals
, d. The service must account for patient preference - ✔✔ANSWER✔✔-A. the service intends to reduce
cost
C. the service intends to reach a large amount of individuals
D. The service must account for patient's preferance
Age-related changes to the older adult's integumentary system place them at risk for pressure-related
wounds. Which of the following areas must the nurse pay close attention to regarding skin surveillance
and the potential for pressure-related wounds?
Select all that apply
Select one or more:
a. heels
b. abdomen
c. occiput (back of the head)
d. coccyx - ✔✔ANSWER✔✔-A. heels
C. occiput
D. coccyx
The nurse who views their past experiences and failures as learning opportunities is demonstrating
what?
Select one:
a. B.A.S.E. model
b. Relationship-based care
c. Growth mindset
d. Fixed mindset - ✔✔ANSWER✔✔-C. growth mindset
When performing a gastrointestinal (GI) assessment of the older adult, you know that which finding is
NOT a normal aspect of aging?
Select one:
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