WGU D115 Unit 3 DISTRIBUTED FORMATIVE ASSESSMENT 1 ALREADY PASSED

WGU D115 Unit 3 DISTRIBUTED FORMATIVE ASSESSMENT 1 ALREADY PASSED An advanced practice registered nurse (APRN) is working with patients at an eating disorder clinic. One patient is a 64-year-old woman with a long his ...

WGU D115 Unit 3 DISTRIBUTED FORMATIVE ASSESSMENT 1 ALREADY PASSED An advanced practice registered nurse (APRN) is working with patients at an eating disorder clinic. One patient is a 64-year-old woman with a long history of anorexia nervosa. Which health promotion intervention is appropriate for this patient due to complications of her disease process? Encouraging high-impact aerobic exercise Recommending daily calcium and vitamin D supplements Prescribing a cholesterol-lowering medication Ordering a screening colonoscopy and antidiarrheal medication ✔✔Recommending daily calcium and vitamin D supplements This patient is at high risk of osteoporosis and stress fractures due to the extensive history of anorexia nervosa. The body changes its hormone production in response to low body weight, which negatively affects bone growth and strength. A young adult patient and the patient's spouse are meeting with an advanced practice registered nurse (APRN) for a fertility consultation. The patient informs the nurse practitioner that the couple culturally identifies as African American, and the APRN recommends that the couple consult a genetic counselor for a preconception consultation. Which health topic is important for this patient to review based on prevalence of disease? Stomach cancer Cystic fibrosis Sickle cell anemia Huntington disease ✔✔Sickle cell anemia Sickle cell disease has an increased prevalence in African Americans (1 in 600). A patient with a basal metabolic index (BMI) of 29 is seen by an advanced practice registered nurse (APRN) to discuss routine health maintenance. The patient reports a strong family history of colorectal cancer and has mild hypertension and normal cholesterol. Which primary recommendation should the APRN make to decrease the risk associated with this patient's family history? Multiple vitamin with iron daily Exercise of one hour daily Low-fat dietary intake daily Two glasses of red wine daily ✔✔Low-fat dietary intake daily A high-fat diet raises the risk of colorectal cancer. It would be important for this patient who has a familial risk (nonmodifiable) for colorectal cancer to decrease as many modifiable risks possible. A patient undergoes surgical consultation for the removal of scar tissue related to facial trauma that resulted in keloid formation. Which phase of wound healing is represented in this patient? Inflammatory Remodeling Dehiscence Reconstruction ✔✔Reconstruction Keloid formation occurs during reconstruction and is a dysfunctional collagen synthesis, which may involve excessive production of collagen, causing surface overhealing and leading to a hypertrophic scar or keloid. A hypertrophic scar is raised but remains within the original boundaries of the wound and tends to regress over time. A keloid is a raised scar that extends beyond the original boundaries of the wound, invades surrounding tissue, and is likely to recur after surgical removal. An advanced practice registered nurse (APRN) is consulting with a new mother during a scheduled well-child visit. The mother informs the APRN that her father-in-law has been diagnosed with Huntington disease. The mother asks if her husband and her male child will also have the disease. The APRN is aware that the disease is autosomal dominant and age dependent and suggests genetic testing for the mother, husband, and child. Which additional information should the APRN provide for this type of genetic transmission? Both parents must carry the autosomal dominant gene for the child to develop the condition. Men are more likely to exhibit autosomal dominant diseases than women. Autosomal dominant diseases usually have a 50% recurrence risk. Autosomal dominant diseases typically skip generations. ✔✔Autosomal dominant diseases usually have a 50% recurrence risk. Autosomal dominant is a pattern of inheritance in which an affected individual has one copy of a mutant gene (one parent) and one normal gene on a pair of autosomal chromosomes. Autosomal recessive diseases require that the individual have two copies of the mutant gene. Individuals with autosomal dominant diseases have a 50-50 chance of passing the mutant gene and the disorder on to each of their children. An older adult patient who is prescribed amitriptyline (antidepressant) presents with complaints of impaired taste, fatigue, and confusion. Lab results reveal a sodium level of 128 mEq/L. Which endocrine disorder is the patient experiencing? Syndrome of inappropriate antidiuretic hormone Chronic lymphocytic thyroiditis Diabetes insipidus Serotonin syndrome ✔✔Syndrome of inappropriate antidiuretic hormone Amitriptyline can cause hyponatremia with characteristics of SIADH. A patient is being monitored in an ICU after a head injury of unknown origin. Initially, the patient is awake and alert but cannot remember what happened. The patient begins to show signs of increased intracranial pressure with episodes of confusion, restlessness, and lethargy. Which stage of intracranial hypertension should be diagnosed by an advanced practice registered nurse (APRN)? Stage 1 Stage 2 Stage 3 Stage 4 ✔✔In stage 2, compensatory mechanisms are exhausted, and there is a slow rise in ICP. Clinical signs and symptoms include drowsiness and headache. A patient presents to a mental health facility with complaints of hallucinations, disorganized thoughts, decreased intimacy, and a flat affect. An advanced practice registered nurse (APRN) orders neuroimaging. Which pathologic change should the APRN expect to find? Enlarged third ventricle Increased size of thalamus Increased temporal lobe gray matter Enlarged medulla in the brain stem ✔✔There is third ventricle enlargement and neuropsychological deficits in schizophrenia. A patient presents to an emergency department accompanied by a family member. The family member states the patient's body became stiff and rigid, showing jerking movements and loss of bowel and bladder control prior to arrival. Upon examination, an advanced practice registered nurse (APRN) notes the patient's eyes deviating upward, dilated pupils, a loss of consciousness for about one to two minutes, and abdominal muscle contractions. What is the pathologic mechanism of this episode? Alteration of immune responses Excessive electrical discharges of the cerebral neurons Interruption of blood flow to the cerebral neurons Degeneration of nerve cells ✔✔Excessive electrical discharges of the cerebral neurons Nerve cells (neurons) in the brain create, send, and receive electrical impulses which allow the brain's nerve cells to communicate. Anything that disrupts these communication pathways can lead to a seizure. A patient presents with a complaint of blurred vision in the left eye. Upon examination, an advanced practice registered nurse (APRN) notes a creamy appearance of the retina vessels. Laboratory tests reveal a serum triglyceride level of 2,500 mg/dL. What is the probable diagnosis of these symptoms? Retinoblastoma Lipemia retinalis Diabetic retinopathy Retinitis pigmentosa ✔✔Lipemia retinalis has clinical signs and symptoms that include a creamy white appearance of retinal vessels that occurs with excessively high serum triglyceride leve