100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR601 Final Exam Study Guide (2 Versions, Latest-2022) / NR 601 Final Exam Study Guide: Chamberlain College of Nursing | Latest and Updated Guide| CA$36.72   Add to cart
Quickly navigate to
Preview
  2.  
  3. Chamberlain College Of Nursing: NR601
  4.  
  5. Chamberlain College of Nursing: NR601

Exam (elaborations)

NR601 Final Exam Study Guide (2 Versions, Latest-2022) / NR 601 Final Exam Study Guide: Chamberlain College of Nursing | Latest and Updated Guide|
 7 views  0 purchase
  • Course
  • Chamberlain College of Nursing: NR601
  • Institution
  • Chamberlain College Of Nursing: NR601

NR601 Final Exam Study Guide (2 Versions, Latest-2022) / NR 601 Final Exam Study Guide: Chamberlain College of Nursing | Latest and Updated Guide|

Preview 4 out of 78  pages

Document information

  • February 22, 2022
  • 78
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nr601 final exam study guide 2 versions
  • latest 2022 nr 601 final exam study guide chamberlain college of nursing | latest and updated guide|

Written for

  • Chamberlain College of Nursing: NR601
All documents for this subject (10)

Seller

avatar-seller
waldenquiz

Reviews received

Content preview

NR 601 Final Exam Study Guide
Elderly high risk for delirium- sensory decline, polypharmacy, comorbidities
Essential tremor- occurs with purposeful movements
Comorbid with dementia- depression
Terazosin (Alpha blocker) tx- BPH and HTN
End of life medications- opioids for dyspnea

Mini-cog- score 0-2 is positive for dementia
Common cause of seizures- stroke
Hospice and palliative underused- all (not well understood, denial, confusion)
82 y/o dribbling /difficulty starting stream /differentials- BPH, prostate CX, parkinson’s (all)
Alzheimer’s treatment- cholinesterase inhibitors

Type 2 DM screening- 2 hour OGTT, HA1C, fasting plasma glucose
Mrs. R BMI 26, fasting 102 and 108- order another fasting glucose
NOT true about anxiety- a normal part of aging
Annual check for diabetic patient- eye exam with ophthalmologist
Most likely cause of delirium- acute infection

DM leading cause of- kidney failure
48 y/o male screened for DM 120- educate about lifestyle changes to lower blood glucose
Brief onset of right sided weakness, slurring, confusion, CT normal- identify modifiable CV RFs
New medication metformin, loose stools- reassure patient anticipated side effect
Elderly with tremors identify Parkinson’s- resting tremor, slow unsteady gait, cogwheel rigidity

Patient w/o risk of adverse effect from metformin- patient with BMI > 30
68 y/o woman stress incontinence, leukocyte esterase +, nitrates +, 15 WBCs- no tx necessary
66 y/o woman, BMI 28, HTN, fasting 126 last year, repeat 115, 201 random- prescribe metformin
Adjuvant analgesics- neuropathic pain patients
Increased r/f for ED- obesity, CAD, DM (all)

60 y/o TC= 250, HDL= 32, LDL= 165- modifiable---diabetes, obesity, and ^ LDL
Woman w/complicated cystitis & s/s of upper tract disease needs culture- and sensitivity test
Noted in patients with parkinson’s- micrographia and bradykinesia
Medication that blunts s/s of hypoglycemia- beta blockers
depression + dementia poor choice for medication, DON’T prescribe- Amitriptyline

Role of APRN in palliative cancer care- detecting, identifying, managing, arranging (all)
Characteristic of delirium distinguished from dementia- acute onset
58 y/o caucasian man, DM II, metformin, HA1C 7%, BP 142/96- furosemide
Most patients in hospice care die- at home
Dementia- sundowning- becomes worse towards the evening


Medication to treat pain and dyspnea in a dying patient- morphine
Male patient BMI 33, s/s of DM, how do you screen- OGTT, fasting, HA1c (all)
Atrophic vaginitis- contributing factor for frequent UTIs

,Number 1 r/f for urinary incontinence is - aging
Hospice differs from palliative- supports family/patients in dying and in bereavement process

Woman’s anatomy susceptible to UTI- shorter urethra
Screening tool for delirium- confusion assessment method
Which is true regarding pain- pain is subjective
Jean 44 y/o 5 days S/S, 2nd occurrence since 3 months ago - UA, culture and sensitivity, ABX
Barrier to sexual eval in older adult- ageist attitudes

75 y/o with metastatic prostate c, how to manage outpatient- none are appropriate management
Which DX considered in patient with ED- depression, atherosclerosis, DM (all)
52 y/o microscopic hematuria differentials include- renal stenosis
Contraindicated maneuver in patient with acute prostatitis- massaging the infected prostate
50 y/o dx with acute prostatitis, afebrile, w/o pain, tx with ABX- 10 days

68 y/o woman, urine leak with sneezing- stress incontinence
DM leading cause of - kidney failure
Not true in palliative care teams- provide weekly home visits
56 y/o fasting glucose 96- repeat in THREE years
R sided weakness, slurred speech, confusion- evaluate for stroke and transport to hospital

Most elderly patients die in institutions
Age-related change in bladder, urethra, & ureters in older women- except- increased estrogen production
Male, BMI 33, fatigue, excess hunger & thirst, CMP, HA1C 5.7- prediabetes
Elder abuse signs is NOT- decreased anxiety and depression
52 y/o female fasting glucose 123- repeat fasting plasma in ONE year

Tasks of grieving include all EXCEPT- begin to disengage
Mrs G experiences UI despite lifestyle changes- second tx- antimuscarinic medication
BPH patient on finasteride (proscar) assess for side effects- urinary incontinence
Delirium characterized by EXCEPT- hyperactive level of psychomotor activity
Appropriate treatment of mild BPH- prescribe tamsulosin

1st step in treating delirium- identify the cause
Drug combo in opiate naive patient with moderate pain- acetaminophen/ hydrocodone
Urinary incontinence is- unintentional voiding, loss or leakage of urine
Dementia patients who have agnosia- agnosia is inability to- recognize objects
80 y/o patient with multiple comorbidities not appropriate for hospice- prognosis is > 6 months

Palliative care may be provided for patients- regardless of life expectancy
Male, 30 BMI, fasting 130- repeat fasting glucose test
Middle-aged with new parkinson’s diagnosis, NP starts meds why?- S/S inferring with functional ability
65 y/o hispanic, female, DM2, annual labs include- microalbumin
Acanthosis nigricans is associated with- tinea versicolor

55 y/o caucasian, male, HA1c 7%, takes metformin BID, 142/96 BP- chlorthalidone
Stage 2 HTN is defined as- >140/ >90
Obstructive lung disease that is reversible asthma
54 y/o woman, insomnia chronic, 2nd treatment- zolpidem 5 mg QHS #7 NRF

,“Heart flipping in her chest”- arrhythmia cornerstone- EKG, physical exam, Hx (all)
66y/o female, asian, smokes 2packs daily, 2 beers daily, DEXA -2.5- Osteroporosis
58 y/o increased SOB, CXR for CHF diagnosis- kerley BS, cephalization
65 y/o caucasian current beta blocker, what stage CHF- stabe B
78 y/o female, restless with poor appetite, 1st line for depression- sertraline (SSRI)
54 y/o AA woman, BMI 23, BP 116/76, 120/78- no treatment, normal

Correct management of benzos- should not be stopped abruptly if taking for > 1 month
50 y/o man low energy, lack of joy, decreased appetite- SIG-E-CAPS- E= energy
Inflammatory pain do not treat with- Opioids
Recommended BP goal for 55 y/o man with hx CKD- <130/80
GOLD criteria normal FEV1/FVC ratio- > 70%

Osteoarthritis patients have distinguished gait- antalgic
RA deformities- swan neck deformities
CXR in COPD- flattened diaphragm PA film, enlarged retrosternal space
57 y.o native american, female, 1st line treatment- clonazepam
65 y/o caucasian, female, smokes and drinks, modifiable r/f for osteoporosis- medications ? (tobacco
use)

Insomnia can be caused by medications except- guaifenesin
Patients with S/S with marked exertion- stage 2
COPD patient NOT at higher risk for- diabetes
Nervous system pain- neuropathic
Stage 1 or stage 2 CKD with albuminuria should be started on- ACE inhibitor … to low progression

, NR 601 Final Exam Study Guide And Practice Questions

How to conduct Mini-Cog-
 The Mini-Cog has been demonstrated to have comparable psychometric properties to the MMSE
 The primary advantage of the Mini-Cog is that it is shorter than the MMSE and measures executive function.
 It is composed of a three-item recall and the Clock Drawing Test (CDT) and takes about 3 minutes to administer
 The Mini-Cog is a short dementia assessment that combines three-word recall with clock-drawing capability.
 Patients are given a total score reflecting accuracy in clock drawing and recollection of the given three words.
 A score of 0 to 2 is a positive screen for dementia
Causes of delirium in elderly-
 Causes of delirium are numerous and in elderly hospitalized patients there are often multiple etiologies, including
metabolic, infection, cardiac, neurological, pulmonary, sensory impairments, medications, and toxins.
 Regardless of cause, a consistent finding is significant reduction in regional cerebral perfusion during periods of
delirium in comparison with blood flow patterns after recovery.
 A possible neurological common pathway may involve acetylcholine and dopamine, and the disruption in the
sleep-wake cycle in delirium indicates melatonin as a possible factor. (Kennedy-Malone 59)
Agnosia
 Loss of ability to identify objects
ADA criteria for diagnosing DM-
 FPG ≥126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least 8 h.*
 2-h PG ≥200 mg/dL (11.1 mmol/L) during OGTT. The test should be performed as described by the WHO, using
a glucose load containing the equivalent of 75-g anhydrous glucose dissolved in water.*
 A1C ≥6.5% (48 mmol/mol). The test should be performed in a laboratory using a method that is NGSP certified
and standardized to the DCCT assay.*
 In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200
mg/dL (11.1 mmol/L).
• Urinary incontinence-
 Involuntary loss of urine from the bladder
▪ So common in women many consider it normal
▪ Common in older men w/ enlarged prostate
o Can affect quality of life
o Significance-One of the most common complains w/ older adults, Distress & embarrassment, Cost burden to pt&
society as a whole, Not life-threatening, may effect QOL, PCP essential to educating individuals
o Epidemiology- Increased prevalence w/ age in men & women, Nursing home population – 40-70%, Often a factor in
placement
▪ URGENCY UI is greater in men
▪ STRESS UI is greater in women
o Terminology
▪ UI- Unintentional voiding, loss or leakage of urine
▪ Continuous incontinence-Continuous loss or leak of urine
▪ Increased daytime frequency-More frequent during day than considered normal
▪ Nocturia-Interruption of sleep one or more times due to the need to urinate – increases in frequency after age 50
▪ Urgency-Sudden, compelling desire to pass urine that’s difficult to prevent
▪ Overactive bladder syndrome- Urgency, frequency, nocturia w/ or w/o incontinence
o Risk Factors-Aging,Obesity,Smoking, Caffeine,Uncontrolled DM, Constipation,Use of diuretics
o Risk Factors by gender-Women:Aging, obesity, smoking, caffeine intake, DM, pregnancy, multiparity, estrogen
deficiency, hx of pelvic surgery, diuretics
Men:Aging, obesity, smoking, caffeine, DM, prostate dx, hx of prostate surgery, hx of UTIs, diuretics
o Physical changes w/ aging that contribute to UI
▪ Lower urinary tract-Detrusor muscle over activity,Decrease in detrusor contractility, Increase in post void
residual,Decrease in urethral blood flow

1

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller waldenquiz. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$36.72. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

73918 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you

Other ·

(0)

Keuzedeel LVB/MVG Persoonlijk begeleider maatschappelijke zorg MBO4

CA$36.72
  • (0)
  Add to cart