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NR 601 MIDTERM EXAM LATEST 2024 WITH UPDATED QUESTIONS AND VERIFIED WELL ELABORATED ANSWERS (GRADED A+) $19.99   Add to cart

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NR 601 MIDTERM EXAM LATEST 2024 WITH UPDATED QUESTIONS AND VERIFIED WELL ELABORATED ANSWERS (GRADED A+)

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  • NR 601
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  • NR 601

NR 601 MIDTERM EXAM LATEST 2024 WITH UPDATED QUESTIONS AND VERIFIED WELL ELABORATED ANSWERS (GRADED A+) A 78-year-old nursing home resident with Alzheimer's disease, chronic obstructive pulmonary disease, and seasonal allergies is transferred to your hospital with poor oral intake and c...

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  • September 9, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 601
  • NR 601
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NR 601 MIDTERM EXAM LATEST 2024

WITH UPDATED QUESTIONS AND VERIFIED

WELL ELABORATED ANSWERS (GRADED

A+)

A 78-year-old nursing home resident with Alzheimer's disease,

chronic obstructive pulmonary disease, and seasonal allergies is

transferred to your hospital with poor oral intake and confusion.

Physical examination reveals a thin man with dry mucous

membranes, tachypnea, tachycardia, and altered mental status. In

order to reliably identify delirium in this patient in a time-efficient

manner (<5 minutes), what will be your instrument of choice?



Folstein Mini-Mental State Examination (MMSE)

Confusion Assessment Method (CAM)

Diagnostic and Statistical Manual of Mental Disorders, Fourth

Edition (DSM-V)

Glasgow Coma Scale (GCS) - ANSWER-b. Confusion Assessment

,2|Page


Method (CAM)



An 84-year-old woman complains of nausea and vomiting for the

past 3 days. She has a history of multiple abdominal surgeries,

adhesions, and recurrent hospitalizations for partial small bowel

obstruction. She has visual and hearing impairment and is currently

taking oxybutynin for neurogenic bladder. You are worried about

her developing delirium and would like to prevent it. Interventions

that may prevent the onset of delirium among elderly hospitalized

patients include all of the following except:



Early mobilization

Ensuring 6 hours of uninterrupted sleep per night

Treating volume depletion

Using lorazepam for anxiety

Providing access to hearing and visual aids - ANSWER-d. Using

lorazepam for anxiety

,3|Page


An 80-year-old man with multi-infarct dementia, chronic kidney

disease, congestive heart failure, and uncontrolled hypertension

was hospitalized with a heart failure exacerbation. He was initially

treated with diuretics and salt restriction and his condition

stabilized. On day 2 of his hospital stay, he developed confusion,

inattention, and agitation. Application of nonpharmacologic

measures to treat delirium was unsuccessful. Which of the

pharmacologic agents mentioned below would be the best choice

for treating the agitation associated with his delirium?



Melatonin

Haloperidol

Diazepam

Gabapentin - ANSWER-b. Haloperidol



A 72-year-old woman has memory decline that has progressed

gradually over 18 months. Symptoms include repeating statements

and questions, frequently losing items, and forgetting things.

According to her husband, she is not as patient as usual but has no

, 4|Page


problems with mood, sleep, appetite, interpersonal relationships, or

activities of daily living and continues to work part-time as a

substitute teacher. She is independent on scales of activities of

daily living filled out by her husband. The patient is functioning

quite well day-to-day and has not restricted any of her activities.

What is the recommended action in this patient?



No dementia screening is needed because these are normal aging

changes.

Discuss with the patient about the decision for dementia screening.

Use the Mini-Cog, the MMSE, or SLUMS to screen for dementia.

Refer to specialist for further dementia assessment. - ANSWER-b.

Discuss with the patient about the decision for dementia screening



Mr. Brown is a 68-year-old retired teacher who lives with his wife

and has remained active in volunteer programs in their community.

However, according to Mrs. Brown, Mr. Brown has had several

angry outbursts the past few months. He has lost interest in his

hobby (building model cars) and has stopped participating in

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