NUR 6531 MIDTERM REVIEW PART II EXAM 2022
Marvin has sudden eye redness that occurred after a strenuous coughing episode.
You diagnose a
... [Show More] subconjunctival hemorrhage. Your next step is to: - ANS-Do nothing
other than provide reassurance
Which of the following color changes in a pigmented lesion suggests malignant
transformation? - ANS-ALL COLORS
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes
which of the following? - ANS-A and B only
Mark has just been given a diagnosis of congestive heart failure. Which of his
medications should be discontinued? - ANS-Nifedipine (Procardia XL) for long-term
management of his chronic stable angina.
Treatment of acute vertigo includes: - ANS-bedrest and an antihistamine
Diagnosis of Crohn's disease is made considering signs, symptoms and: - ANSIntestinal obstruction demonstrated by plain x-ray of the abdomen
Which of the following is a predisposing condition for furunculosis? - ANS-Diabetes
mellitus
A middle-aged male presents to urgent care complaining of fever, dysphagia, and
shortness of breath. The nurse practitioner notes the patient leaning forward in a
tripod position and drooling. The clinical presentation of this patient suggests: - ANSEpiglottitis
The differential diagnosis for a patient complaining of a sore throat includes which of
the following? - ANS-Thrush
The American Cancer Society recommends a flexible sigmoidoscopy for colorectal
cancer screening in persons at average risk every: - ANS-flexible sigmoidoscopy
(FS) every 5 years
Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to
suspect unstable angina. Your next action would be to: - ANS-Hospitalize the client
in a monitored setting with pharmacological control of ischemia, arrhythmias, and
thrombosis as appropriate.
John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be
screened for hypercholesterolemia? - ANS-OFTEN
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him: - ANS-Basal cell carcinoma (BCC) is the most common type of
skin cancer. It's also the most commonly diagnosed cancer in the United States.
Every year, millions of people learn that they have BCC.
Your patient Jerry has gout. What do you suggest? - ANS-treating the acute attack of
inflammation when one or more joints are very inflamed and painful
ongoing treatment to reduce the level of urate in your blood and to get rid of urate
crystals.The two most commonly used drug treatments for acute attacks of gout are
non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine.Acute attacks of gout
are often treated with oral non-steroidal anti-inflammatory drugs (NSAIDs), which
can ease pain and possibly reduce some of the inflammation. Examples include
ibuprofen, naproxen and etoricoxib.
Your well-nourished 75-year-old patient has come into the office for a physical exam
and states that she recently had two nosebleeds. She does not take any
anticoagulants, and you have ruled out any coagulopathies. The most likely cause of
these nosebleeds is: - ANS-Trauma or inflammation
Management of a patient with hypertension and an abdominal aortic aneurysm
would include: - ANS-The goals of pharmacotherapy are to reduce morbidity and to
prevent complications. Antihypertensive agents are used to reduce tension on the
vessel wall in patients with abdominal aortic aneurysms (AAAs) who have elevated
blood pressure (BP). Esmolol (Brevibloc)
View full drug information
An ultrashort-acting beta1 blocker, esmolol is particularly useful in patients with
elevated arterial pressure, especially if surgery is planned. It can be discontinued
abruptly if necessary. This agent is normally used in conjunction with nitroprusside. It
may be useful as a means of testing beta-blocker safety and tolerance in patients
with a history of obstructive pulmonary disease who are at uncertain risk for
bronchospasm from beta blockade. The elimination half-life of esmolol is 9 minutes.
An AST that is more than twice the level of ALT is suggestive of - ANS-alcoholic liver
disease
A 45 year old with diabetes has had itching and burning lesions between her toes for
2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the
best initial treatment option for this patient? - ANS-Prescribe an anti-fungal powder
for application between her toes and in her shoes and a topical prescription strength
anti-fungal cream for other affected areas. Monitor for a secondary bacterial
infection.
Which of the following is a secondary cause of hyperlipidemia? - ANS-Diabetes
mellitus
An employee picnic menu includes grilled hamburgers, potato salad, and homemade
ice cream sundaes. Within an hour after the meal, several children and parents
begin to have nausea, vomiting and stomach cramps. None of those affected have
fever. What is the most likely etiologic agent? CONTINEUS... [Show Less]