This post covers NUR 211 final exam questions with the best answers and verified explanations. This questions are useful to the students persuing Nursing .
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 B12
, 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
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
e. encourage the patient's family to participate in teaching sessions
f. ask the patient about past experiences with lifestyle changes - A, B, E, F
Strategies to promote learning in older adults include peer teaching, visual aids, family
participation, and relating new learning to past experiences. Discussion of the patient's
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