NURS_6550_Final_Exam_2020

NURS_6550_Final_Exam_2020 Question A 21-year-old woman requests hormonal emergency contraception after a condom break during intercourse approximately 16 hours ago. Today is day 14 of her normally 27–29 day menstrual cycle. You advise her that: Likelihood of conception is minimal and emergency contraception use is not advised Hormonal emergency contraception can be effective up to 5 days after intercourse When taken as advised, hormonal emergency contraception use reduces the risk of pregnancy by up to 65% The most likely mechanism of action of hormonal emergency contraceptive is as an abortifacient Question A 36-year-old man is hospitalized for alcohol poisoning. During follow-up evaluation the next day, he denies that he has a drinking problem. The best approach to assess for possible alcoholism is conducting which of the following questionnaires? BDI. HEADDS. CAGE. PHQ-9. Question A quality improvement plan characterized by limiting variability and removing defects in a process best describes: This study source was downloaded by from CourseH on :12:49 GMT -06:00 This study resource was shared via CourseH Six Sigma. Continuous Quality Improvement. Total Quality Management. Healthcare Stewardship. Question A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did she most likely take? Acetaminophen and caffeine (Excedrin ® Migraine) Naproxen sodium (Aleve ® ) Almotriptan (Axert ® ) Butalbital, acetaminophen and caffeine (Fioricet ® ) Question All of the following are elements of malpractice except: A duty of care to the patient. A fee is charged for the healthcare services related to the malpractice claim. Breach of the standard of care. Injury. NURS 6550N Final Exam (Latest): Walden University This study source was downloaded by from CourseH on :12:49 GMT -06:00 This study resource was shared via CourseH QUESTION 1 1. Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheter was inserted intraoperatively and remains in place. His urine output has declined markedly despite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and a creatinine of 2 mg/dL. A leading differential includes: A . Foley lodged in the urethra causing postrenal failure B . Decreased renal perfusion causing prerenal failure C . Age-related decreased eGFR causing prerenal failure D . Post-surgical rhabdomyolysis causing intrarenal failure QUESTION 2 1. Janet is admitted with symptomatic tachycardia. Her pulse is 160 b.p.m. and she is weak, diaphoretic, and anxious. Physical examination reveals a 5’4” 107 lb black female who is awake, alert, and oriented, anxious, with moist skin and racing pulse. Her blood pressure is 140/100 mm Hg. Temperature and respiratory rate are within normal limits. The patient admits to having a “thyroid condition” but she never followed up on it when she was advised to see an endocrinologist. The AGACNP anticipates a diagnosis of: A . Hashimoto’s thyroiditis B . Cushing’s syndrome C . Grave’s disease D . Addison’s disease QUESTION 3 1. Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune disorder that can prevent with a wide variety of manifestations. Which clinical triad should prompt an evaluation for SLE? A . Fever, normal white count, elevated sedimentation rate B . Hyperkalemia, hyponatremia, low blood pressure C . Leukocytosis, hyperglycemia, hypokalemia D . Joint pain, rash, fever This study source was downloaded by from CourseH on :12:49 GMT -06:00 This study resource was shared via CourseH QUESTION 4 1. A patient presents with profound vertigo of acute onset yesterday. She can barely turn her head without becoming very vertiginous; she is nauseous and just doesn’t want to move. This morning when she tried to get out of bed she felt like she was pushed back down. The vertigo is reproducible with cervical rotation. The patient denies any hearing loss or tinnitus, she has no fever or other symptoms. The AGACNP knows that the most helpful intervention will probably be: A . Meclizine B . Diazepam C . Bed rest D . Epley’s maneuvers.