chamberlain college of nursing nr601 final exam study guide version 3 nr 601 final exam study guide newest 2020
Written for
Chamberlain College of Nursing
NR601 (NR601)
All documents for this subject (97)
Seller
Follow
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
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 $12.49. You're not tied to anything after your purchase.
