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Final Review Fall 23

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  • A hospitalized patient has been NPO with only IV fluid intake for a prolonged period. What assessment might indicate protein calorie malnutrition?
    Poor Wound healing, apathy, edema
    Weight gain visual deficits, erythema of skin
    Sleep disturbances, increased output, anger
    Fever, joint pain, dehydration
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  • What is the best route for administration of TPN?
    IV - Centrally
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  • A nurse calculates the BMI of a client during a general survey as 26. Under what category would this client fall?
    Overweight
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  • Which lab result indicates the presence of malnutrition?
    Serum albumin 2.8 g/dL (ref 3.5-5 g/dL)
    Hematocrit 56% (ref 40-59%)
    Creatinine 1.9 mg/dL (ref 0.8-1.4 mg/dL)
    Hemoglobin 11.3 g/dL (ref 11.5-16)
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  • What type of diet is seen in this picture?
    Mechanical Soft
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  • What type of diet is seen in this picture?
    Full Liquid
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  • What type of diet is seen in this picture?
    Pureed
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  • A period of time or state of mind where feelings of loss, grief, or mourning are experienced by the survivor after the death of a loved one is known as _________
    bereavement
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  • Legal documents that allow people to convey their wishes for end-of-life care and include living wills, durable powers of attorney for healthcare, and healthcare proxies are known as _____
    advance directives
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  • The outward social expressions of loss often dictated by cultural norms, customs, rituals, and tradition is known as _______
    mourning
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  • True or False? A hypertonic solution has a greater osmolarity, causing water to move out of the cells and to be drawn into the intravascular compartment, causing the cell to shrink.
    True
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  • Which of the following electrolyte imbalances occurs due to a sodium deficit in ECF caused by a loss of sodium or gain of water?
    Hyponatremia
    Hypernatremia
    Hypokalemia
    Hyperkalemia
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  • Processed foods such as canned soup and frozen pizza have high levels of
    sodium
    sugar
    potassium
    water
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  • An 82-year-old male presents to the ED c/o excess thirst, 2+ pitting edema, and decreased urine output. He states he has had a cold and has been taking Alka-Seltzer every 4 hours for the past week. The nurse suspects
    Hypokalemia
    Hyponatremia
    Hyperkalemia
    Hypernatremia
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  • A patient’s labs return with a sodium level of 150. The nurse anticipates which of the following orders?
    IV 3% saline
    IV 0.3% saline
    IV 0.9% salin
    IV 5% saline
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  • True or false? The best judge of the existence and severity of a patient’s pain is the physician or nurse caring for the patient.
    False
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