ASCORERS STUVIA
WGU D027 COURSE MATERIAL QUESTIONS
WITH CORRECT ANSWERS ALREADY GRADED
A+ |VERIFIED
A 23-year-old woman comes in for prenatal counseling. While
completing her family history, she reports her brother has
cystic fibrosis. She does not know if she is a carrier. She asks if
her children will be affected by the disease.
What is an accurate way to determine the likelihood of this
patient's children being affected? ...ANS: A genetic or a
carrier test -
Cystic fibrosis is a hereditary disease that impacts the lungs
and digestive system. It is the result of the cystic fibrosis
transmembrane conductance regulator gene mutation. The
disease occurs when an individual inherits the mutated gene
from each parent. When only one mutated gene is inherited,
the individual is labeled a carrier.
A 31-year-old man comes into the office for an exam. He is 6' 5
" with a high-pitched voice, and he has a moderate degree of
mental impairment. It is discovered upon exam that his body
hair is sparse, his testes are small, and he has gynecomastia.
Which genetic disorder should this patient be tested
for? ...ANS: Klinefelter syndrome -
Klinefelter syndrome is a hereditary disease also known as
47,XXY or XXY that manifests as the series of symptoms
described. The symptoms are expressed as a result of the
,ASCORERS STUVIA
presence of two or more X chromosomes in males. It is often
not diagnosed until adulthood.
A 40-year-old man presents to a clinic with an onset of a
frequent cough. The patient states the cough started when he
started his new blood pressure medication two weeks ago. The
patient does not remember the name of the drug that was
started. After a thorough assessment, it is determined the
cough is not being caused by an infection. It is determined the
likely cause of the frequent cough is the new blood pressure
medication.
Which medication is the likely cause of this patient's
symptoms? ...ANS: Lisinopril (Zestril) -
ACE inhibitors such as lisinopril (Zestril) are associated with
dry, persistent coughing in many patients. They prevent the
breakdown of protussive mediators such as bradykinin and
substance P leading to an increase of these mediators in the
respiratory tract. The cough is actually a compensatory
response of the body to force kinins out of the lungs.
A 45-year-old female patient presents to a clinic complaining of
chronic generalized pain and wishes to be evaluated for
fibromyalgia and chronic pain syndrome. A thorough history
and physical is conducted, and the findings are negative. The
patient is not taking any medications, has no allergies to
medicines, and has a negative past medical history.
What is an appropriate first intervention for this
patient? ...ANS: Assess the patient's sleep hygiene and make
recommendations -
,ASCORERS STUVIA
The most noninvasive approach to assessing generalized pain
that seems to have no etiologic physical findings of chronic
fatigue, chronic pain syndrome, or fibromyalgia is to further
assess the patient's sleep history. Lack of adequate sleep has
been linked to myalgias and chronic pain. Often a vicious cycle
occurs in which the pain induced by lack of sleep then causes
inability to sleep and so on.
A 45-year-old Jewish man is visiting a clinic for an adjustment
of his diabetes medications. Though the patient is taking oral
medications, his blood sugar levels continue to increase, and a
decision is made to start him on insulin. Although the patient is
comfortable with the concept of starting insulin, he is
concerned with the formulation of the insulin saying, "I heard
insulin was made from pigs. If that is the case, I cannot take it
due to my faith."
Which response should be given to this patient? ...ANS:
While insulin did have porcine sources in the past, it is now
synthetically made -
All forms of insulin manufactured in the U.S. use recombinant
DNA technology. Some are identical to human pancreatic
insulin, and others are synthetic analogs of natural human
insulin. It is appropriate to provide the patient with
information that will decrease his concerns about breaching
his religious beliefs.
A 45-year-old man reports his preference for natural methods
of treating illness. He states he takes natural supplements that
he orders from China to boost his health and well-being. One of
the supplements he takes daily is red yeast rice.
, ASCORERS STUVIA
Which medication should be avoided with this patient's
supplement? ...ANS: Lovastatin (Mevacor) -
Red yeast rice naturally contains lovastatin and other statin-
related compounds that significantly impact LDL cholesterol;
therefore, there is a risk for an increased effect and side effects
if taken with a statin.
A 45-year-old Muslim woman presents to a clinic for an
intervention for her type 2 diabetes. She is prescribed
metformin (Glucophage) 500 mg BID. During a follow-up
phone call a week later, it is discovered she has not been taking
the metformin. A second visit is scheduled. During this visit,
she states that she cannot take the medication as prescribed
because it is Ramadan, a month-long period of religious
observances. Due to her religious beliefs, she fasts from dawn
to sunset. When the pharmacist told her to take metformin
with breakfast and dinner, she decided not to start the
medication due to her fasting.
Which nursing intervention should be made for this
patient? ...ANS: Start metformin XR (Glucophage XR) 250 mg
once a day and reevaluate after Ramadan -
Metformin XR (Glucophage XR) is an extended release
biguanide that can be given once daily at a time when it will not
impact the patient's cultural or religious practice. It has a half-
life elimination time of up to nine hours.
A 54-year-old Caucasian man comes in for a lab review. His
lipids reveal an LDL of 180, an HDL of 52, and triglycerides of
326. He has no history of atherosclerotic cardiovascular
disease (ASCVD) or diabetes. His blood pressure is 118/64. He
WGU D027 COURSE MATERIAL QUESTIONS
WITH CORRECT ANSWERS ALREADY GRADED
A+ |VERIFIED
A 23-year-old woman comes in for prenatal counseling. While
completing her family history, she reports her brother has
cystic fibrosis. She does not know if she is a carrier. She asks if
her children will be affected by the disease.
What is an accurate way to determine the likelihood of this
patient's children being affected? ...ANS: A genetic or a
carrier test -
Cystic fibrosis is a hereditary disease that impacts the lungs
and digestive system. It is the result of the cystic fibrosis
transmembrane conductance regulator gene mutation. The
disease occurs when an individual inherits the mutated gene
from each parent. When only one mutated gene is inherited,
the individual is labeled a carrier.
A 31-year-old man comes into the office for an exam. He is 6' 5
" with a high-pitched voice, and he has a moderate degree of
mental impairment. It is discovered upon exam that his body
hair is sparse, his testes are small, and he has gynecomastia.
Which genetic disorder should this patient be tested
for? ...ANS: Klinefelter syndrome -
Klinefelter syndrome is a hereditary disease also known as
47,XXY or XXY that manifests as the series of symptoms
described. The symptoms are expressed as a result of the
,ASCORERS STUVIA
presence of two or more X chromosomes in males. It is often
not diagnosed until adulthood.
A 40-year-old man presents to a clinic with an onset of a
frequent cough. The patient states the cough started when he
started his new blood pressure medication two weeks ago. The
patient does not remember the name of the drug that was
started. After a thorough assessment, it is determined the
cough is not being caused by an infection. It is determined the
likely cause of the frequent cough is the new blood pressure
medication.
Which medication is the likely cause of this patient's
symptoms? ...ANS: Lisinopril (Zestril) -
ACE inhibitors such as lisinopril (Zestril) are associated with
dry, persistent coughing in many patients. They prevent the
breakdown of protussive mediators such as bradykinin and
substance P leading to an increase of these mediators in the
respiratory tract. The cough is actually a compensatory
response of the body to force kinins out of the lungs.
A 45-year-old female patient presents to a clinic complaining of
chronic generalized pain and wishes to be evaluated for
fibromyalgia and chronic pain syndrome. A thorough history
and physical is conducted, and the findings are negative. The
patient is not taking any medications, has no allergies to
medicines, and has a negative past medical history.
What is an appropriate first intervention for this
patient? ...ANS: Assess the patient's sleep hygiene and make
recommendations -
,ASCORERS STUVIA
The most noninvasive approach to assessing generalized pain
that seems to have no etiologic physical findings of chronic
fatigue, chronic pain syndrome, or fibromyalgia is to further
assess the patient's sleep history. Lack of adequate sleep has
been linked to myalgias and chronic pain. Often a vicious cycle
occurs in which the pain induced by lack of sleep then causes
inability to sleep and so on.
A 45-year-old Jewish man is visiting a clinic for an adjustment
of his diabetes medications. Though the patient is taking oral
medications, his blood sugar levels continue to increase, and a
decision is made to start him on insulin. Although the patient is
comfortable with the concept of starting insulin, he is
concerned with the formulation of the insulin saying, "I heard
insulin was made from pigs. If that is the case, I cannot take it
due to my faith."
Which response should be given to this patient? ...ANS:
While insulin did have porcine sources in the past, it is now
synthetically made -
All forms of insulin manufactured in the U.S. use recombinant
DNA technology. Some are identical to human pancreatic
insulin, and others are synthetic analogs of natural human
insulin. It is appropriate to provide the patient with
information that will decrease his concerns about breaching
his religious beliefs.
A 45-year-old man reports his preference for natural methods
of treating illness. He states he takes natural supplements that
he orders from China to boost his health and well-being. One of
the supplements he takes daily is red yeast rice.
, ASCORERS STUVIA
Which medication should be avoided with this patient's
supplement? ...ANS: Lovastatin (Mevacor) -
Red yeast rice naturally contains lovastatin and other statin-
related compounds that significantly impact LDL cholesterol;
therefore, there is a risk for an increased effect and side effects
if taken with a statin.
A 45-year-old Muslim woman presents to a clinic for an
intervention for her type 2 diabetes. She is prescribed
metformin (Glucophage) 500 mg BID. During a follow-up
phone call a week later, it is discovered she has not been taking
the metformin. A second visit is scheduled. During this visit,
she states that she cannot take the medication as prescribed
because it is Ramadan, a month-long period of religious
observances. Due to her religious beliefs, she fasts from dawn
to sunset. When the pharmacist told her to take metformin
with breakfast and dinner, she decided not to start the
medication due to her fasting.
Which nursing intervention should be made for this
patient? ...ANS: Start metformin XR (Glucophage XR) 250 mg
once a day and reevaluate after Ramadan -
Metformin XR (Glucophage XR) is an extended release
biguanide that can be given once daily at a time when it will not
impact the patient's cultural or religious practice. It has a half-
life elimination time of up to nine hours.
A 54-year-old Caucasian man comes in for a lab review. His
lipids reveal an LDL of 180, an HDL of 52, and triglycerides of
326. He has no history of atherosclerotic cardiovascular
disease (ASCVD) or diabetes. His blood pressure is 118/64. He
