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NURS 6560 Policy and Advocacy Walden University. Midterm Exam With Answers Explained. Questions From 55-100.

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NURS 6560 Policy and Advocacy Walden University. Midterm Exam With Answers Explained. Question 55 Mrs. Evans is an 82-year-old female who is on postoperative day 3 following resection of a small bowel tumor. She is alert today and her nasogastric tube is removed. The AGACNP knows that if the recovery proceeds normally, Mrs. Evans may begin clear liquids: A.Immediately B. In 24 hours C. When bowel sounds return D.After a negative swallow study Question 56 When writing the initial postoperative progress note, the AGACNP should be sure to include all of the following except: A.A summary of the procedure and any significant deviations from normal B. An outline of the plan for postoperative management and follow-up C. The plan for ongoing monitoring D.Mechanism of DVT prophylaxis Question 57 T. is a 39-year-old male who presents to the hospital emergency room with a chief complaint of profound substernal chest pain. Results of the 12-lead ECG and cardiac enzymes test are normal. Vital signs are as follows: temperature 101.9°F, pulse 129 bpm, respirations 26 breaths per minute, and blood pressure 90/60 mm Hg. The patient is pale and clearly unwell, and physical examination reveals a systolic pericardial crunching sound. Which of the following additional pieces of history would make the AGACNP suspect acute mediastinitis? A.A 48 pack year smoke history B. A 2-day history of vomiting C. Aortic valve regurgitation D.Cardiac tamponade Question 58 Mrs. Van Doern is being examined on postop day 3 following surgical resection following a bowel obstruction. The postoperative course been unremarkable. Upon removal of the dressing, the incision is dry with staples intact. There is an approximately 0.5 cm erythema around the incision. There is no exudate. The patient demonstrates some discomfort on palpation of the site. The most appropriate approach to this patient includes: A.Leaving the wound open to air and medicating for pain B. Ordering a topical antibiotic, replacing the dressing with a nonadherent dressing, and following up in 2 days C. Beginning systemic antibiotics to cover skin flora D.Obtaining a white blood cell differential, redress the wound and reassess in the a.m. Question 59 K.T. is a 38-year-old female with a BMI of 39 kg/m2 who needs surgical reduction of a hiatal hernia. She is asking about the recovery process and says that she has read about something called the obesity paradox. She wants to know what that means with respect to her healing. The AGACNP explains that the paradox refers to the fact that: A. Obesity correlates with poor outcomes for some surgical procedures but not others. B. There is an inverse relationship between weight and surgical outcomes. C. Underweight patients have more surgical complications than obese patients. D. Planned weight loss preoperatively is indicated only when the BMI is > 40 kg/m2 . Question 60 Esophageal motility disorders are sometimes a consequence of systemic diseases such as scleroderma, Raynaud’s disease, and systemic lupus erythematosus. When patients with these diseases have gastroparesis, which medication should be added to the regimen? A. A proton pump inhibitor B. A histamine 2 receptor antagonist C. A calcium channel antagonist D. A promotility agent Question 61

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