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Thomas University.
1. A 2-year-old child has chronic "toddler's" diarrhea, which has an unknown
but benign etiology. The child's parent asks the primary care NP if a
medication can be used to treat the child's symptoms. The NP should
recommend giving: An electrolyte solution (Pedialyte).
2. A 12-year-old patient has acute diarrhea and an upper respiratory
infection. Other family members have had similar symptoms, which have
resolved. The primary care NP should recommend: An electrolyte solution
(Pedialyte).
3. A 30-year-old white woman has a BMI of 26 and weighs 150 lb. At an
annual physical examination, the patient's fasting plasma glucose Is 130
mg/dL. The patient walks 1 mile three or four times weekly. She has had
two children who weighed 7 lbs. and 8 lbs. at birth. Her personal and family
histories are noncontributory. The primary care NP should: Set a weight
loss goal of 10 to 15 lb.
To prevent or delay onset of diabetes, patients with impaired glucose
should be advised to lose 5% to 10% of body weight. Metformin should be
considered in patients with high risk of developing diabetes. This woman
does not have risk factors. Other tests are not indicated.
, 4. A 40-year-old patient is in the clinic for a routine physical examination. The
patient has a body mass index (BMI) of 26. The patient is active and walks a
dog daily. A lipid profile reveals low-density lipoprotein (LDL) of 100 mg/dL,
high-density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 250 mg/d.
The primary care nurse practitioner (NP) should: Order a fasting plasma
glucose level.
5. A 45-year-old has chronic constipation. The primary care NP plans to
prescribe fiber for long-term management. In addition to pharmacologic
therapy, the NP should also recommend ___ grams of fiber per day. 40
6. A 75-year-old patient who has cardiovascular disease reports insomnia and
vomiting for several weeks. The primary care NP orders thyroid function
tests. The tests show TSH is decreased, and Ta is increased. The NP should
consult with an endocrinologist and order: Methimazole.
7. An 80-year-old female patient with a history of angina has increased TSH
and decreased T. The primary care NP should prescribe ___mcg of: 25;
liothyronine
8. A female patient who is underweight tells the primary care NP that she has
been using bisacody (Dulcolax) daily for several years. The NP should:
prescribe docusate sodium (Colace) and decrease Bisacodyl gradually.
9. Hydrochloric acid (HCI) and pepsin are responsible for gastric mucosal
damage found in PUD. Baseline acid production occurs during fasting
states, whereas maximal acid production occurs following meals. Parietal