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NR511 / NR 511 Midterm Exam Latest 2025 Differential Diagnosis & Primary Care Practicum - Chamberlain (Verified Answers) Q & A (Latest 2024 / 2025) $14.99
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NR511 / NR 511 Midterm Exam Latest 2025 Differential Diagnosis & Primary Care Practicum - Chamberlain (Verified Answers) Q & A (Latest 2024 / 2025)
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NR511 / NR 511 Midterm Exam Latest 2025 Differential Diagnosis & Primary Care Practicum - Chamberlain (Verified Answers) Q & A (Latest 2024 / 2025) NR511 / NR 511 Final Exam Q & A (Latest 2024 / 2025): Differential Diagnosis & Primary Care Practicum (Verified Answers) NR511 / NR 511 Final Exam Q & ...

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  • October 31, 2024
  • 160
  • 2024/2025
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NR 511 Midterm Differential Diagnosis & Primary Care Practicum.pdf file:///C:/Users/HP/Desktop/New%20folder%20(2)/NR%20511%20M




NR 511 Midterm Exam Differential Diagnosis

& Primary Care Practicum

Questions & Answers


1. All of the following medications are used for the control of nausea and

vomiting. Which medication works by affecting the chemoreceptor trigger zone,

thereby stimulating upper gastrointestinal motility and increasing lower

esophageal sphincter pressure?



1.Anticholinergics, such as scopolamine (Donnatal).

2.Antidopaminergic agents, such as prochlorperazine (Compazine).

3.Antidopaminergic and cholinergic agents, such as metoclopramide

(Reglan).

4.Tetrahydrocannabinols, such as dronabinol (Marinol):

AnswerAntidopaminergic andcholinergic agents, such as metoclopramide (Reglan)



rationale: Metoclopramide (Reglan) is used for diabetic gastroparesis and postop-





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erative nausea and vomiting. It works by affecting the chemoreceptor trigger zone,

thereby stimulating upper gastrointestinal motility and increasing lower esophageal

sphincter pressure



2. You auscultate Julie's abdomen and hear a peritoneal friction rub. Which

condition do you rule out?



1.Peritonitis.

2.A liver or spleen abscess.

3.A liver or spleen metastatic tumor.

4.Irritable bowel syndrome.:

Answer IBS



rationale: IBS does not produce a friction rub



3. You are counseling Lillian, who is lactose intolerant, about foods to avoid.You

know she misunderstands the teaching when she tells you she can have:

1. Yogurt.

2.Foods containing whey.






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3.Prehydrolyzed milk.

4.Oranges.: Answer Foods containing whey



rationale: Advise clients who are lactose intolerant to avoid foods containing whey.

Whey is a lactose-rich ingredient found in some foods, so clients who are lactose

intolerant need to read labels on all foods. To control symptoms, dietary lactose

should be reduced or restricted by using lactose-reduced and lactose-free dairy

products or by eating lactose-rich foods in small amounts or in combination with

low-lactose or lactose-free foods.









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4. Simon, age 72, states that he is worried because he has a bowel movementonly

every third day.You respond:

1."You should have two to three stools per day."

2."You should defecate once a day."

3. "You should have at least three stools per week."

4. "There is no such thing as a 'normal' pattern of defecation.": Answer There is no

suchthing as a normal pattern of defecation



rationale: There is no such thing as a "normal" pattern of defecation. Patterns of

defecation vary widely and may in part be affected by dietary habits, fluid intake,

bacteria in the stool, psychological stress, or voluntary postponement of defecation.

Defecating every third day could be the routine pattern for Simon. He should be

questioned if this is routine for him.



5. Timothy, age 68, complains of an abrupt change in his defecation pattern.

You evaluate him for:

1.Constipation. 2.Colorectal

cancer. 3.Irritable bowel

syndrome.





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