AMBULATORY CARE UPDATED STUDY GUIDE QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔Describe a moderately sedated patient. - ✔✔Responds purposefully to verbal
commands.
✔✔If a patient is mentally incompetent may they sign a pre operative consent. - ✔✔No
✔✔Criteria for discharge of an adult following knee arthroscopy. - ✔✔He must have a
ride home with a responsible adult.
✔✔What instructions would you give a patient collecting 3 Guaiac stools card to mail to
the clinic to avoid a false negative. - ✔✔Avoid orange juice and high doses of vitamin c
✔✔What would you tell a patient to avoid to prevent a false positive in a guiac test. -
✔✔Red meat and NSAID's x 3 days.
✔✔To assess a elderly patient with metastatic breast cancer who is complaining of pain
not improved with pain medication. What action would you take. - ✔✔Have her rate her
pain on a numerical scale and describe the characteristics.
✔✔36 year old man with complaints of severe lower back pain. What would indicate that
this patient needs to be seen by a provider. - ✔✔Patient complains of having trouble
with his balance.
✔✔Goals of moderate sedation include what. - ✔✔Minimal variation of vital signs and
amnesia and or analgesic.
✔✔Older patient states he is depressed and doesn't feel like living anymore since his
wife passed. What questions would you ask. - ✔✔Sir have you been thinking about
killing yourself?
✔✔What advice would you give a patient who is inquiring about taking St. John's wort
for depression. After ruling out suicidal ideation. - ✔✔Check with your pcp about all
medications since St. John's wort may interact with other medications such as
antidepressants and oral contraceptives
✔✔Order of a physical assessment of a patient's chest should be as followed. -
✔✔Inspection,palpitation,percussion and auscultation.
✔✔If you suspect domestic violence and a spouse is with a patient. What would you do.
- ✔✔Ensure she is examined and interviewed privately
, ✔✔Autism spectrum disorder is usually not diagnosed til age of 4. What characteristics
would this disorder be. - ✔✔Exhibiting repetitive movements and discomfort with
changes in routines.
✔✔What developmental milestones should be expected in a 12 month old. - ✔✔Waves
bye bye and stands alone.
✔✔Adult diagnosed with obesity has - ✔✔A bmi greater or equal to 30
✔✔How many doses of mar should a child have by the age of 7 - ✔✔2
✔✔What would indicate the need for an emergent evaluation of a child with vomiting
and diarrhea. - ✔✔No urine output for 8 hours.
✔✔Recommended treatment for a child under 6 for an upper respiratory infection. -
✔✔Administer Tylenol or ibuprofen for fever and pain,
✔✔In a patient with hiv the progression to aids is defined by - ✔✔Nadir cd4+T cell count
and diagnosis of opportunistic condition.
✔✔Understanding of influenza vaccinations. - ✔✔First time vaccines in children 6
months through 8 years should include two doses;4 weeks apart.
✔✔A nurse performing telephone triage determines the nature and urgency of the
patients problem using clinical reasoning,tapping their knowledge and experience. This
is an example of which component of telehealth nursing process. - ✔✔Diagnosis
✔✔Wellness bias - ✔✔When a nurse allows a patient to self diagnosis therefore
deferring a full assessment.
✔✔What would you discuss concerning sexually transmitted diseases when treating
patients. - ✔✔Good rapport is essential to ensure patient will return for follow up.
Assessment is needed along with a sexual history and partners. A complete exams and
cultures are needed along with Pap smear or blood test if patient has symptoms.
Treatment can include antibiotics,antiviral,anti fungal and treatment of partners. This will
include discussing prevention,abstinence and protection. Also annual exams.
✔✔A male patient states he has cancer of the prostate. What information would you
share so he can make choices? - ✔✔Psa normal range is 0 to 4 mg/ml. Ultrasound may
help diagnose and a biopsy will confirm and grade the tumor. The lower the grade the
less aggressive the cancer is and the treatment.
A cat scan of the abdomen and pelvis will determine if the cancer has spread. Options
for treatment include surgery,cryotherapy,radiation and medication treatment.(reducing
testosterone)
AND SOLUTIONS GUARANTEE A+
✔✔Describe a moderately sedated patient. - ✔✔Responds purposefully to verbal
commands.
✔✔If a patient is mentally incompetent may they sign a pre operative consent. - ✔✔No
✔✔Criteria for discharge of an adult following knee arthroscopy. - ✔✔He must have a
ride home with a responsible adult.
✔✔What instructions would you give a patient collecting 3 Guaiac stools card to mail to
the clinic to avoid a false negative. - ✔✔Avoid orange juice and high doses of vitamin c
✔✔What would you tell a patient to avoid to prevent a false positive in a guiac test. -
✔✔Red meat and NSAID's x 3 days.
✔✔To assess a elderly patient with metastatic breast cancer who is complaining of pain
not improved with pain medication. What action would you take. - ✔✔Have her rate her
pain on a numerical scale and describe the characteristics.
✔✔36 year old man with complaints of severe lower back pain. What would indicate that
this patient needs to be seen by a provider. - ✔✔Patient complains of having trouble
with his balance.
✔✔Goals of moderate sedation include what. - ✔✔Minimal variation of vital signs and
amnesia and or analgesic.
✔✔Older patient states he is depressed and doesn't feel like living anymore since his
wife passed. What questions would you ask. - ✔✔Sir have you been thinking about
killing yourself?
✔✔What advice would you give a patient who is inquiring about taking St. John's wort
for depression. After ruling out suicidal ideation. - ✔✔Check with your pcp about all
medications since St. John's wort may interact with other medications such as
antidepressants and oral contraceptives
✔✔Order of a physical assessment of a patient's chest should be as followed. -
✔✔Inspection,palpitation,percussion and auscultation.
✔✔If you suspect domestic violence and a spouse is with a patient. What would you do.
- ✔✔Ensure she is examined and interviewed privately
, ✔✔Autism spectrum disorder is usually not diagnosed til age of 4. What characteristics
would this disorder be. - ✔✔Exhibiting repetitive movements and discomfort with
changes in routines.
✔✔What developmental milestones should be expected in a 12 month old. - ✔✔Waves
bye bye and stands alone.
✔✔Adult diagnosed with obesity has - ✔✔A bmi greater or equal to 30
✔✔How many doses of mar should a child have by the age of 7 - ✔✔2
✔✔What would indicate the need for an emergent evaluation of a child with vomiting
and diarrhea. - ✔✔No urine output for 8 hours.
✔✔Recommended treatment for a child under 6 for an upper respiratory infection. -
✔✔Administer Tylenol or ibuprofen for fever and pain,
✔✔In a patient with hiv the progression to aids is defined by - ✔✔Nadir cd4+T cell count
and diagnosis of opportunistic condition.
✔✔Understanding of influenza vaccinations. - ✔✔First time vaccines in children 6
months through 8 years should include two doses;4 weeks apart.
✔✔A nurse performing telephone triage determines the nature and urgency of the
patients problem using clinical reasoning,tapping their knowledge and experience. This
is an example of which component of telehealth nursing process. - ✔✔Diagnosis
✔✔Wellness bias - ✔✔When a nurse allows a patient to self diagnosis therefore
deferring a full assessment.
✔✔What would you discuss concerning sexually transmitted diseases when treating
patients. - ✔✔Good rapport is essential to ensure patient will return for follow up.
Assessment is needed along with a sexual history and partners. A complete exams and
cultures are needed along with Pap smear or blood test if patient has symptoms.
Treatment can include antibiotics,antiviral,anti fungal and treatment of partners. This will
include discussing prevention,abstinence and protection. Also annual exams.
✔✔A male patient states he has cancer of the prostate. What information would you
share so he can make choices? - ✔✔Psa normal range is 0 to 4 mg/ml. Ultrasound may
help diagnose and a biopsy will confirm and grade the tumor. The lower the grade the
less aggressive the cancer is and the treatment.
A cat scan of the abdomen and pelvis will determine if the cancer has spread. Options
for treatment include surgery,cryotherapy,radiation and medication treatment.(reducing
testosterone)
