NURS 5432- Final Disease, Non Pharm tx, Pharm tx
Final Actual Verified Exam Newest With Complete
Questions And Correct Detailed Answers||Newest
Exam!!!
What are contraindications to hormonal contraception or
HRT? - Answer-Clotting disorders, history of DVT or PE,
migraine with aura or focal neurological deficit,
uncontrolled HTN, smoking, active breast or uterine
cancer, undiagnosed vaginal bleeding, or liver disease
What are the assessment findings in testicular torsion?
How is it diagnosed? - Answer-Pain in the testicle or
abdomen, N/V, one testicle higher or at strange angle,
swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and
scrotal ultrasound
What are common problems seen in Klinefelters? -
Answer-Sterile males, feminine characteristics, learning
disabilities
What are common problems seen in Down's Syndrome? -
Answer-Congenital heart disease, hirschprungs, duodenal
,2|Page
atresia, imperforate anus, expressive language difficulty,
delayed development
What are common problems seen in Turner's Syndrome? -
Answer-Short statured, broad chested, often sterile or will
need help to conceive,
What is included in a functional geriatric assessment? -
Answer-Need to assess basic self cares (ADLs) can use
Katz index. Also need to assess instrumental ADLs which
indicate their ability for independent community living...
can use Lawton-Brody scale for this
How do you determine to use Progestin only vs
combination HRT? - Answer-Progestin only is useful in
breastfeeding mothers. Can use estrogen only if local
application. Unopposed systemic estrogen therapy not
recommended due to risk of osteoporosis and worsening
CV disease
Absolute contraindications for systemic HRT? - Answer-
Pregnancy, VTE, Breast or liver cancer, high triglycerides
,3|Page
Why is progesterone given in HRT? - Answer-To prevent
endometrial thickening which could potentially lead to
endometrial cancers
What are S/S of iron deficiency anemia? - Answer-
Microcytic/hypochromic anemia, presents with fatigue,
SOB, PICA, soft spoon nails, cheilosis, sore tongue, and
in children learning difficulties. PALLOR is late sign. May
also be asymptomatic. Know labs are Low MCV, MCHC
and HGB
What are treatments for iron deficiency anemia? - Answer-
Fix the site of bleeding, give iron supplementation,
recheck in about 3 months
Risk factors for the development of iron deficiency
anemia? - Answer-Those with dietary restrictions or
malabsorption issues, GI bleed, in children high amounts
of cows milk, premature infants, exclusively breast feeding
past 4-6 month
What is the dosage of Vit D needed to prevent
osteoporosis? - Answer-It is thought we need about 800IU
daily along with 1200-1500 mg calcium
, 4|Page
What are the numbers on the DEXA scan and their
corresponding diagnoses? - Answer-T-Score -2.5 or below
is osteoporosis
T-Score -1 to -2.4 is osteopenia
S/S of sickle cell crisis? Treatment? - Answer-joint or abd
pain, microvascular necrosis, MI, bone pain, swelling in
the face.
Treated with O2, hydration, analgesia and education to
prevent further attacks
What is the presentation of cradle cap in an infant?
Treatment? - Answer-This is infantile seborrheic dermatitis
and presents as oily, greasy, yellowish scales on the scalp.
Parents can use olive or mineral oil or dawn dishwashing
soap. May also try mizoram shampoo. Need to remove
flakes with soft brush of some sort
What are the most common skin lesions in the elderly and
how do they present? - Answer-seborrheic keratosis-
flaking skin lesions, will pull them off and they often
return... use moisturizer