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Terms in this set (642)
,A 72-year-old woman has been on B) It inhibits the effect of renal prostaglandins and
hydrochlorothiazide 12.5 mg for many blunts the effectiveness of the diuretic.
years to control her Stage II
hypertension. Her blood pressure NSAIDs and ASA inhibit the vasodilatory effects of
(BP) at this visit is 168/96. She is prostaglandins, which predisposes the kidney to
currently complaining of pain on her ischemia. NSAIDs and diuretics can cause acute
right hip and on both knees. She has prerenal failure by decreasing renal blood flow.
increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day
(TID) to 800 mg TID. She is still in pain
and would like something stronger.
Which of the following statements is
the best explanation of the effects of
ibuprofen (Motrin) on her disease?
A) It increases the chances of
adverse effects to her health
B) It inhibits the effect of renal
prostaglandins and blunts the
effectiveness of the diuretic
C) It prolongs the therapeutic effects
of hydrochlorothiazide and other
diuretics
D) None of the statements are true
2. All of the following are infections D) Chlamydia trachomatis
that affect mostly the labia and
vagina except: Infections that commonly affect the labia and
vagina include bacterial vaginosis, candidiasis, and
A) Bacterialvaginosis trichomoniasis. Chlamydia trachomatis commonly
B) Candidiasis affects the cervix, endometrial lining , fallopian
C) Trichomoniasis tubes, and pelvic cavity.
D) Chlamydia trachomatis
,The nurse practitioner would test the B) Acute appendicitis.
obturator and iliopsoas muscle to
evaluate for: Signs and symptoms of an acute abdomen include
invol- untary guarding, rebound tenderness,
A) Cholecystitis boardlike abdomen, and a positive obtu- rator and
B) Acute appendicitis psoas sign. A positive obturator sign occurs when
C) Inguinal hernia pain is elicted by internal rotation of the right hip
D) Gastriculcer from 90 degrees hip/knee flexion. The psoas sign is
positive when pain occurs with passive extension of
the thigh while the patient is lying on his/her side
with knees extended, or when pain occurs with
active flexion of his/her thigh at the hip.
Treatment for mild preeclampsia D) A prescription of methyldopa (Aldomet) to
includes all of the following except: control blood pressure
A) Bed rest except for bathroom Recommended care for women diagnosed with
privileges preeclampsia includes bed rest with bath- room
B) Close monitoring of weight and privileges, weight and BP monitoring, and closely
blood pressure following urine protein and serum protein,
C) Close follow-up of urinary creatinine, and platelet counts. Oral medications
protein, serum creatinine, and are not used as first-line treatment.
platelet count
D) A prescription of methyldopa
(Aldomet) to control blood pressure
All of the following services are C) Nursing home care
covered under Medicare Part A
except: Medicare A coverage includes inpatient
hospitalization and skilled care given in a certified
A) Inpatienthospitalizations skilled nursing facility. Most nursing home care is
B) Medicines administered to a custodial care (help with bathing, dressing, using a
patient while hospitalized bathroom, and eating). This care is not covered by
C) Nursing home care Medicare A.
D) Surgeons
, A 28-year-old student is seen in the B) Mycoplasma pneumonia
school health clinic with complaints
of a hacking cough that is productive Mycoplasma pneumonia is the organism most com-
of small amounts of sputum and a monly seen in children and young adults. It is easily
runny nose. He does not take any spread from droplets, from sneezing and coughing,
medications, denies any allergies, in close proximity. Diagnosis is based on symptoms
and has no significant medical and x-ray results of infiltrates in lower lobes.
history. Physical examination reveals
a low-grade temperature of 99.9
degrees Fahrenheit, respirations of
16/min, a pulse of 90 beats per
minute, and diffuse fine crackles in
the base of the lungs. A chest
radiograph (x-ray) shows diffuse
infiltrates on the lower lobe of the
right lung. The total white blood cell
count is 10,500/uL. What is the most
likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease
A 39-year-old migrant worker C) 10 mm
presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. The PPD is administered on the volar aspect of the
What minimum size of induration lower arm and read 48 hours after the test is given.
would be considered posi- tive for The PPD result must have induration and measure
this patient? 10 mm or greater to be positive in a low-risk patient.
Induration (firmness with palpation) must be
A) 3 mm B) 5 mm C) 10 mm D) 15 mm present. If the site has erythema but no induration,
result would be negative. Color is not important.
Update | 100% correct Answers
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Terms in this set (642)
,A 72-year-old woman has been on B) It inhibits the effect of renal prostaglandins and
hydrochlorothiazide 12.5 mg for many blunts the effectiveness of the diuretic.
years to control her Stage II
hypertension. Her blood pressure NSAIDs and ASA inhibit the vasodilatory effects of
(BP) at this visit is 168/96. She is prostaglandins, which predisposes the kidney to
currently complaining of pain on her ischemia. NSAIDs and diuretics can cause acute
right hip and on both knees. She has prerenal failure by decreasing renal blood flow.
increased her dose of ibuprofen
(Motrin) from 400 mg 3 times day
(TID) to 800 mg TID. She is still in pain
and would like something stronger.
Which of the following statements is
the best explanation of the effects of
ibuprofen (Motrin) on her disease?
A) It increases the chances of
adverse effects to her health
B) It inhibits the effect of renal
prostaglandins and blunts the
effectiveness of the diuretic
C) It prolongs the therapeutic effects
of hydrochlorothiazide and other
diuretics
D) None of the statements are true
2. All of the following are infections D) Chlamydia trachomatis
that affect mostly the labia and
vagina except: Infections that commonly affect the labia and
vagina include bacterial vaginosis, candidiasis, and
A) Bacterialvaginosis trichomoniasis. Chlamydia trachomatis commonly
B) Candidiasis affects the cervix, endometrial lining , fallopian
C) Trichomoniasis tubes, and pelvic cavity.
D) Chlamydia trachomatis
,The nurse practitioner would test the B) Acute appendicitis.
obturator and iliopsoas muscle to
evaluate for: Signs and symptoms of an acute abdomen include
invol- untary guarding, rebound tenderness,
A) Cholecystitis boardlike abdomen, and a positive obtu- rator and
B) Acute appendicitis psoas sign. A positive obturator sign occurs when
C) Inguinal hernia pain is elicted by internal rotation of the right hip
D) Gastriculcer from 90 degrees hip/knee flexion. The psoas sign is
positive when pain occurs with passive extension of
the thigh while the patient is lying on his/her side
with knees extended, or when pain occurs with
active flexion of his/her thigh at the hip.
Treatment for mild preeclampsia D) A prescription of methyldopa (Aldomet) to
includes all of the following except: control blood pressure
A) Bed rest except for bathroom Recommended care for women diagnosed with
privileges preeclampsia includes bed rest with bath- room
B) Close monitoring of weight and privileges, weight and BP monitoring, and closely
blood pressure following urine protein and serum protein,
C) Close follow-up of urinary creatinine, and platelet counts. Oral medications
protein, serum creatinine, and are not used as first-line treatment.
platelet count
D) A prescription of methyldopa
(Aldomet) to control blood pressure
All of the following services are C) Nursing home care
covered under Medicare Part A
except: Medicare A coverage includes inpatient
hospitalization and skilled care given in a certified
A) Inpatienthospitalizations skilled nursing facility. Most nursing home care is
B) Medicines administered to a custodial care (help with bathing, dressing, using a
patient while hospitalized bathroom, and eating). This care is not covered by
C) Nursing home care Medicare A.
D) Surgeons
, A 28-year-old student is seen in the B) Mycoplasma pneumonia
school health clinic with complaints
of a hacking cough that is productive Mycoplasma pneumonia is the organism most com-
of small amounts of sputum and a monly seen in children and young adults. It is easily
runny nose. He does not take any spread from droplets, from sneezing and coughing,
medications, denies any allergies, in close proximity. Diagnosis is based on symptoms
and has no significant medical and x-ray results of infiltrates in lower lobes.
history. Physical examination reveals
a low-grade temperature of 99.9
degrees Fahrenheit, respirations of
16/min, a pulse of 90 beats per
minute, and diffuse fine crackles in
the base of the lungs. A chest
radiograph (x-ray) shows diffuse
infiltrates on the lower lobe of the
right lung. The total white blood cell
count is 10,500/uL. What is the most
likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease
A 39-year-old migrant worker C) 10 mm
presents to the clinic 2.5 days after a
purified protein derivative (PPD) test. The PPD is administered on the volar aspect of the
What minimum size of induration lower arm and read 48 hours after the test is given.
would be considered posi- tive for The PPD result must have induration and measure
this patient? 10 mm or greater to be positive in a low-risk patient.
Induration (firmness with palpation) must be
A) 3 mm B) 5 mm C) 10 mm D) 15 mm present. If the site has erythema but no induration,
result would be negative. Color is not important.
