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NURS 2002 FINAL Exam Questions And Verified Detailed Answers
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NURS 2002 FINAL Exam Questions AndVerified Detailed Answers
How does older age affect GI and GU health? -Answer -risk for nutritional deficits: poor
diet, living alone, social isolation, not preparing meals, etc
-dec appetite, leading to constipation
-lots of GI effects associated with many medications
-prostate pathologies in older men that may cause obstructions
How does race/ethnicity affect GI and GU health? -Answer -Because some populations
are at a higher risk of diseases that can affect GI/GU health
-ex: African Americans and sickle cell disease, alcoholism in Native American
populations, lactose intolerance has familial predisposition
what patients are at high risk for UTIs? - Answer -sexually active
-postmenopausal
-indwelling catheter
-diabetes
-elderly
-physical/cognitive impairment (inadequate self-care)
-women
what patients are at risk for constipation? - Answer -bed rest, immobility, post-op
-elderly
-reduced fluid
-depressed
,-CNS dysfunction
-medications (ex: opioids, anticholinergics)
what urine findings would require urgent assesment? - Answer -blood in the urine
-cloudy/foamy urine
-foul odor
-low urine production (low GFR)
what is normal urine? -Answer -straw yellow
-clear, transparent
-no sediment
-no odor
name the components included in a GI and GU health assessment -Answer -inspection:
abdomen, urine, vomit, stool
-auscultation: listening for hyper/hypoactive/present bowel sounds
-light palpation: abdomen (general impression), kidneys, liver, bladder
identify lifespan considerations of the male reproductive system -Answer -adolescents:
utilize tanner's stages of maturation to assess,
Older adults: dec testosterone (affect libido and sexual function), loss of muscle tone
(incontinence), stool retention, dysfunction from medications, erectile dysfunction
What are some lifespan considerations for the female reproductive system? Answer
Tanner staging for development
Pregnant women: cervical changes
Older adults: menopause, vaginal infections, UTIs, dyspareunia (genital pain
before/during/after sex), diminished libido, cancers
, What are lifespan considerations for the breast/axillary exam? Answer Pregnant women:
changes in breast, lactation
-adolescents: tanner staging, gynecomastia in males
what is the role of the nurse in a nutritional assessment? - Answer -determining
adequate and appropriate caloric and nutrient intake
-accurately complete nutritional assessments
-understanding client's eating habits/nutritional intake
what are risk factors for nutritional deficit? - Answer -surgery
-trauma
-infection
-head injury
-burns
what factors can affect nutrition and nutritional status? - Answer -age
-biological sex
-state of health
-alcohol abuse
-medications
-nutrient supplements
-socioeconomic factors
-culture/religion
-decreased/increased food intake
What are some of the life span considerations related to a nutritional assessment?
-Answer -pregnant women: weight gain, GI changes, increase in nutritional needs to
support growth (inc. caloric needs)
older adults: dec energy expenditure, difficulty chewing/swallowing, dec in peristalsis,
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