Exam (elaborations)

NR 509 FINAL EXAM 2024 NEWEST VERSION WITH 100 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED Know that in a 47-year-old man ED is usually ___________ rather than testosterone

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nr 509 final exam
nr 509
nr 509 final exam 2024 newest version with 100 que

Institution NR 509
Course NR 509

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NR 509 FINAL EXAM 2024 NEWEST VERSION
WITH 100 QUESTIONS WITH DETAILED
VERIFIED SOLUTIONS /A+ GRAND ASSURED
Know that in a 47-year-old man ED is usually ___________ rather than testosterone - CORRECT
ANSWER-psychologic

Erectile dysfunction may be from psychogenic causes, especially if - CORRECT ANSWER-early morning
erection is preserved.

it may also reflect decreased testosterone, decreased blood flow in the hypogastric arterial system,
impaired neural innervation, and diabetes

When performing a breast exam, know what abnormal masses should do when the arm - CORRECT
ANSWER-may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction when arms
are lifted over head or hands are pressed against hips)

Fibroadenoma and cysts mobility - CORRECT ANSWER-very mobile/mobile

Know that a high proportion of breast masses are noted during ________ - CORRECT ANSWER-BSE

Breast stage 1 - CORRECT ANSWER-preadolescent- elevation of nipple only

Breast stage 2 - CORRECT ANSWER-breast bud stage- elevation of breast and nipple as a small mound;
enlargement of areolar diameter

breast stage 3 - CORRECT ANSWER-further enlargement of elevation of breast and areola, with no
separation of their contours

breast stage 4 - CORRECT ANSWER-projection of areola and nipple to form a secondary mound above
the level of breast

, breast stage 5 - CORRECT ANSWER-mature stage- projection of nipple only; areola has receded to
general contour of the breast (although in some individuals the areola continues to form a secondary
mound)

Know where pain is located with pancreatitis: acute - CORRECT ANSWER-epigastric, may radiation
straight to the back of other areas of the abdomen; 20% with severe sequelae of organ failure

Know where pain is located with pancreatitis: chronic - CORRECT ANSWER-epigastric, radiating to back

Know how hepatitis A is transmitted - CORRECT ANSWER-Transmitted through fecal-oral route. Fecal
shedding followed by poor handwashing contaminates water and foods leading to infection of
household and sexual contacts

Stress incontinence - CORRECT ANSWER-the urethral sphincter is weakened so that transient increases
in intra-abdominal pressure raise the bladder pressure to levels that exceed urethral resistance. Causes
include childbirth and surgery, postmenopausal atrophy of the mucosa, and urethral infection. May
follow prostate surgery in men.

urge incontinence - CORRECT ANSWER-detrusor contractions are stronger than normal and overcome
the normal urethral resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibition
of detrusor contractions from stroke, brain tumor, dementia, and lesions of the spinal cord above sacral
level. Also hyperexcitability of sensory pathways ie: bladder infections, tumors, and fecal impaction.
Deconditioning of voiding reflexes ie: frequent voluntary voiding at low bladder volumes.

overflow incontinence - CORRECT ANSWER-detrusor contractions are insufficient to overcome urethral
resistance, causing urinary retention. The bladder is typically flaccid and large, even after an effort to
void. Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness of the detrusor muscle
associated with peripheral nerve disease at S2-4 level. Impaired bladder sensation that interrupts the
reflex arc ie: diabetic neuropathy.

functional incontinence - CORRECT ANSWER-the patient is functionally able to reach the toilet in time
because of impaired health or environmental conditions. Mechanism: problems in mobility resulting
from weakness, arthritis, poor vision, or other conditions. Also environmental factors such as an
unfamiliar setting, distant bathroom facilities, bed rails, or physical restraints.

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Exam (elaborations) ·

Exam (elaborations)

NR 509 FINAL EXAM 2024 NEWEST VERSION WITH 100 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED Know that in a 47-year-old man ED is usually ___________ rather than testosterone

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