NRNP 6531 Wk 3 Knowledge Check.QUESTION AND ANSWER/.

Selected Answer: a. Diabetes mellitus Answers: a. Diabetes mellitus b. Hypertension c. Peripheral vascular disease d. Chronic fatigue syndrome A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated? Selected Answer: a. Tinea cruris; treat with a topical antifungal cream Answers: a. Tinea cruris; treat with a topical antifungal cream b. Eczema; treat with a topical steroid c. Scabies; treat with permethrin cream d. Syphilis; treat with penicillin Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: Selected Answer: b. Trauma or inflammation Answers: a. Sex hormones b. Trauma or inflammation c. A dietary change d. Scurvy A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient? Selected Answer: Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection. Answers: Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection. Prescribe an oral antifungal for 4 to 12 weeks. Monitor BUN and creatinine at 1 week, 2 weeks, and every month thereafter. Prescribe an oral antifungal for 4 to 12 weeks. Monitor liver enzymes, BUN, and creatnine at 1 week, 2 weeks, and every month thereafter. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary bacterial infection. Selected Answer: a. You must initiate the plan of care for the patient Answers: a. You must initiate the plan of care for the patient b. The physician must be on-site and engaged in patient care c. You must be employed as an independent contractor d. You must be the main health care provider who sees the patient Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo? Selected Answer: c. A vestibular neurectomy Answers: a. Pharmacological therapy b. A labyrinthectomy c. A vestibular neurectomy d. Wearing an earplug in the ear with the most hearing loss Selected Answer: A decongestant nasal spray Answers: An antihistamine intranasal spray A decongestant nasal spray Ipratropium Omalizumab Selected Answer: d. The prognosis is directly related to the thickness of the lesion Answers: a. They usually occur in older adult males b. The patient has no family history of melanoma c. They are common in blacks d. The prognosis is directly related to the thickness of the lesion Selected Answer: A and B only Answers: Fever history Tender, swollen anterior cervical lymph nodes Positive rapid antigen detection test A and B only A, B, and C Selected Answer: c. Do nothing other than provide reassurance Answers: a. Refer him to an ophthalmologist b. Order antibiotics c. Do nothing other than provide reassurance d. Consult with your collaborating physician Selected Answer: a. Once all the vesicles are crusted over Answers: a. Once all the vesicles are crusted over b. When the rash is entirely gone c. Once you have been on medication for at least 48 hours d. Now, as long as you stay away from children and pregnant women Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect? Selected Answer: c. Retinal detachment Answers: a. Cataracts b. Glaucoma c. Retinal detachment d. Iritis