WGU D118 ADULT PRIMARY CARE OBJECTIVE ASSESSMENT Comprehensive Resource To Help You Ace Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

WGU D118 ADULT PRIMARY CARE OBJECTIVE ASSESSMENT Comprehensive Resource To Help You Ace Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. A 49-year-old woman admitted to the hospital complaining of severe kidney injury after being stabbed by a thief. She was diagnosed with acute kidney failure and was referred to the hemodialysis center. Later on, she decided to undergo a kidney transplantation procedure. After the procedure was done, the doctor prescribed cyclosporine for her as prophylaxis to avoid organ rejection. Still, after a month, she came to the hospital complaining of some flu-like symptoms and fever. The doctor noticed that the previously prescribed drug is not efficient in reducing immunity. What is the next preferred step to avoid rejection? A. Prescribe tacrolimus B. Increase the dose of cyclosporine C. Prescribe amoxicillin D. Prescribe paracetamol ANS: A RATIONALE: Tacrolimus is efficient more than ten folds when compared to cyclosporine. • Calcineurin inhibitors' dosages should be monitored cautiously as an increase in its blood concentration could cause many complications like kidney failure. • Cyclosporine, tacrolimus, and pimecrolimus are called calcineurin inhibitors because they inhibit the enzyme "calcineurin" that is responsible for T cell activation. • Tacrolimus is used as an adjuvant to other immunosuppressive drugs to avoid organ rejection. 2. A 28-year-old primigravida presented to the antenatal clinic for a routine check-up. She has been exposed to someone with chickenpox but has not developed any skin lesions. She has no varicella-zoster antibodies. What would be the best possible treatment for her? A. Chickenpox vaccine B. Immunoglobulins C. Antivirals D. No medication is required ANS: B RATIONALE: An immunocompromised patient, when exposed to someone with chickenpox, is given immunoglobulins unless he develops the disease. • An immunocompromised patient, when exposed to someone with chickenpox, is given antivirals when he develops the disease. • When a pregnant patient is exposed to someone with chickenpox, and she has not developed the disease. Her varicella-zoster antibodies are checked. If she has antibodies, no further treatment is required. • If a pregnant patient is exposed to someone with chickenpox and she has developed skin lesions, then antivirals are given. 3. A patient presents with complaints of sudden onset hoarseness, wheezing, and an itchy throat after being stung by a bee. The advanced practice registered nurse (APRN) suspects the patient may be having an anaphylactic reaction. What should be the first-line pharmacological treatment? a. Ranitidine (Zantac) 50 mg IV over 5 minutes b. Inhaled beta2 agonists c. Aqueous epinephrine 1:1000 dilution (EpiPen) 0.2-0.5 mg IM d. H1 and H2 antagonists ANS: C RATIONALE: Aqueous epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM 4. An advanced practice registered nurse (APRN) is debriefing and doing a review of a workplace violence incident. The APRN is gathering feedback from participants at all levels who were involved. Which phase of emergency management is the APRN addressing? a. Preparedness b. Mitigation c. Response d. Recovery ANS: D Recovery 5. An advanced practice registered nurse (APRN) explains to a new staff member that during times of disaster no patients will be turned away from receiving care, even during a surge capacity of patients. Which guideline supports the instruction the APRN is sharing? a. Emergency Medical Treatment and Active Labor Act (EMTALA) b. Hospital Preparedness Program (HPP) c. Health Insurance Portability and Accountability Act (HIPAA) d. Incident Command System (ICS) ANS: A Emergency Medical Treatment and Active Labor Act (EMTALA) 6. A 28-year-old female presents to an advanced practice registered nurse (APRN) with complaints of blurred vision and irritation to her right eye for the past three days. She does not report any headaches, dizziness, fever, or chills. The patient does not complain of any pain, rhinorrhea, or sneezing. Assessment yields the following: vital signs are within normal limits left eye: sclera white, conjunctivae pink right eye: sclera red. Which treatment should the APRN recommend based on the patient's differential diagnoses? a. Apply antihistamine eye drops daily b. Use Ketorolac (Acuvail) 0.5% eye drops four times a day c. Use artificial tears as needed for irritation d. Irrigate the eye with Epinastine (Elestat) 0.05% daily ANS: C Use artificial tears as-needed for irritation 7. A 62-year-old patient is seen by an advanced practice registered nurse (APRN) for intermittent buzzing in the ears. The patient has no history of exposure to loud noises at work but does have a history of attending many loud rock concerts. Otoscopic inspection reveals no excess cerumen and normal tympanic membranes. Audiology testing reveals mild hearing loss bilaterally. The patient denies dizziness and has no known allergies. Review of medications includes low-dose aspirin, multivitamin, calcium supplement, and over-the-counter Ibuprofen prn for back and hip pain related to arthritis. Which treatment should the APRN recommend for this patient? a. Refer to physical therapy for canalith repositioning b. Prescribe use of an antihistamine c. Replace NSAID with a Cox2 inhibitor d. Order application of carbamide dioxide daily ANS: C Replace NSAID with a COX2 inhibitor 8. A patient reports a feeling of fullness and pain in both ears and the practitioner elicits exquisite pain when manipulating the external ear structures. What is the likely diagnosis? a. Acute otitis externa b. Acute otitis media c. Chronic otitis externa d. Otitis media with effusion ANS: A This patient's symptoms are classic for acute otitis externa. Chronic otitis externa more commonly presents with itching. Acute otitis media is accompanied by fever and tympanic membrane inflammation, but not external canal inflammation. Otitis media with effusion causes a sense of fullness but not pain.