ACTUAL EXAM GUARANTEED PASS
You have a patient with a "port wine" stain that is
located on half of her facial area. You understand that
this can be a sign of which of the following?
Sturge-Weber Syndrome-
The flat, large, dark ink to purple stain-like lesions
occurring in irregular shapes and sizes are nevus
flammeus or "port wine" stains. A large lesion located on
half the facial area may be a sign of trigeminal nerve
involvement and Sturge-Weber Syndrome (a neurological
disorder).
A patient with stable angina would exhibit which of
the following?
no change in duration of symptoms during the preceding 6
weeks
You have a patient with a "port wine" stain that is
located on half of her facial area. You understand that
this can be a sign of which of the following?
,Sturge-Weber Syndrome-
The flat, large, dark ink to purple stain-like lesions
occurring in irregular shapes and sizes are nevus
flammeus or "port wine" stains. A large lesion located on
half the facial area may be a sign of trigeminal nerve
involvement and Sturge-Weber Syndrome (a neurological
disorder).
A patient with stable angina would exhibit which of
the following?
no change in duration of symptoms during the preceding 6
weeks
A middle-age female patient presents to the clinic with
a recurrence of mild hidradenitis suppurativa after
topical therapies failed. Which first-line treatment is
recommended?
Tetracycline
Twelve weeks of oral tetracycline (Sumycin) is the
recommended first-line treatment for hidradenitis
suppurativa.
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,Hidradenitis suppurativa is a disorder of the terminal
follicular epithelium in apocrine gland-bearing skin. It is a
chronic, disabling disorder that progresses, often causing
keloids, contractures, and immobility. It is characterized by
comedone-like follicular occlusion, chronic and relapsing
inflammation, mucopurulent discharge, and progressive
scarring.
Arthropathy associated with hidradenitis may be present.
Typical presentation includes nodules and sinus tracts
(inflamed or noninflamed), abscesses, and scarring found
in the axilla, genitofemoral area, perineum, gluteal area,
and inframammary area in women.
Recommended treatments include antibiotics, steroids,
retinoids, dapsone, and anti-tumor necrosis factor agents.
A dermatology consultation should also be considered.
First-line treatment is a 12-week course of an oral
tetracycline (Sumycin) such as doxycycline. For patients
who do not respond to doxycycline, the next
recommended step is a combination of twice-daily
clindamycin (Cleocin) and rifampicin (Rifadin) for 10-12
weeks. If treatment fails, acitretin (Soriatane, for males
and nonfertile females) or dapsone (Aczone) may be
, considered by a dermatologist. In patients with moderate
to severe hidradenitis suppurativa, adalimumab (Humira)
may possibly be considered.
When providing culturally competent health care
services to an American Indian elder, the nurse
practitioner understands which is traditionally true?
The "Medicine Wheel" is used by many for the purpose of
health and healing
The "Medicine Wheel" is traditionally used and contains
four directions; north, south, east, and west. Traditionally
each tribe has different meanings for each direction and
they may represent the season of the year or stage of life.
It is aimed at providing a holistic view of life.
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An understanding of different cultural preferences leads to
cultural competence in healthcare. Some patients may
value traditional culture and preferences as it relates to
healthcare. These individual preferences should be
included in the interview and treatment plan for patients.
Traditionally, the American Indian culture values a holistic
approach to health care integrating the person, lifestyle,