Final Exam: NR571 / NR 571 (Latest
Update ) Complex
Diagnosis and Management in Acute
Care Practicum | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Monitoring TPN and PPN
Answer:
-serum glucose
-Electrolytes
-Volume status
Question:
PPN management
Answer:
-frequent rotation and replacement of IV catheters
-Lower osmolarity than conventional, parental nutrition
-Uncertain clinical benefit
,-Wean off of parental nutrition when >60% of patients needs are met
enterally
Question:
Challenges the AGACNP may face in caring for LGBTQ+ population
Answer:
-lack of familiarity with gender modification surgeries
-Failure to use, gender, neutral terms, such as significant other, partner,
personal pronouns
-Lack of sensitivity when addressing sexual practices unique to the LGBTQ
community
-Lack of understanding cultural behavior
-patient distrust in the medical system or prior traumatic experience with
healthcare providers
-Lack of sensitivity toward individuals that may engage in relationships with
multiple partners
Question:
Challenges that LGBTQ patients face in healthcare settings due to unfavorable
prior experiences
Answer:
-Use of excessive precautions or refusal to touch them
-Blame for their sexual preference or health status
-Use of harsh or abusive language
,-Harassment by providers or other patients in a healthcare setting
-Denial of medical services
Question:
Common challenge reported by both patients and providers regarding
LGBTQ
Answer:
Lack of understanding regarding acceptable use of terminology
Most providers do not have ill intentions when communicating with their
patients, but incorrect terms may be offensive or can lead to
miscommunication
Question:
sexual orientation
Answer:
Refers to one's emotional and sexual attraction to others
ex: A gay or lesbian individual is attracted to members of one's own sex
, Question:
gender identity
Answer:
Refers to a person sense of their own gender and may not correspond with a
person's assigned gender at birth
Question:
How a person identifies themselves...
Answer:
... can change overtime
Question:
gender affirming surgery
Answer:
When transgender people choose to have surgery to change the genitalia
assigned at birth and surgically alter it to match their identified gender
Question:
Types of gender-affirming surgery
Answer:
-Feminizing vaginoplasty
-Orchiectomy
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