g g g g g g g g g
d Answers | Latest Study Solutions
g g g g g
Yougaregexamininggag9-month-
oldginfantgwhogyougsuspectghasgcysticgfibrosis.gWhichgofgthegfollowinggwouldgbeginconsistentgwithgagdia
gnosisgofgcysticgfibrosisginganginfant?
abdominalgdistention
grecurrentgURIgdiarr
hea
saltygtastegwhengkissedg⬛
g g g ANSgCorrectgAnswer:
diarrhea
Thesegaregallgsignsgconsistentgwithgcysticgfibrosisginganginfant.gOthergsignsginclude:gchronicgcough,g
andgpersistentgvomiting,gespeciallygwithgcough.
Whichgofgthegfollowinggstatementsgshouldgthegnursegpractitionergconsidergcorrectgregardinggtheguseg
ofginfluenzagimmunizations?
Theginfluenzagimmunizationgshouldgnotgbegadministeredgtogpatientsgovergthegagegofg70.g
Everyoneg6gmonthsgofgagegorgoldergshouldggetgtheginfluenzagimmunizationgyearly.
Itgisgrecommendedgthatgtheginfluenzagimmunizationgnotgbegadministeredgtogchildrengundergthegageg
ofg5.
Theginfluenzagimmunizationgisggenerallygeffectivegagainstgtheginfluenzagvirusgwithing2gdaysgofgadminist
ration.g⬛
g g g ANSgCorrectgAnswer:
Everyoneg6gmonthsgofgagegorgoldergshouldggetgtheginfluenzagimmunizationgyearly.
,Thegnursegpractitionergshouldgknowgthatgeveryoneg6gmonthsgofgagegorgoldergshouldggetgtheginfluenz
agimmunizationgyearly.gTheginfluenzagimmunizationgisggenerallygeffectivegagainstgtheginfluenzagvir
usgwithing2gweeksgofgadministration.
IfgthegFNPgisggivinggthegMini-
mentalgexamg(MME)gtogangelderlygpatient,gwhichgsubjectgareagisgbeinggtestedgwhengthegFNPgasksgt
hegpatientgtogspellgagwordgbackwards?
attentiongandgcalculationgorientati
on
recall
sentencegwritingg⬛
g g g ANSgCorrectgAnswer:
attentiongandgcalculation
ThegMMEgisgagbriefgscreeninggexamgtogassessgforgdementia.gFivegsubjectgareasgaregtested.gThegareag
testedgbygaskinggthegpatientgtogspellgagwordgbackwardsgisgattentiongandgcalculation.
Whichgofgthegfollowinggshouldgbegdonegforgdiabeticgpatientsgwithginsulingresistancegrequiringgmoreg
thang200gunitsgpergday?
changegtoglessgimmunogenicgporkgorghumangsyntheticginsulinsgadminis
tergaghighergdosagegofginsulin
usegpurifiedginsulingandginjectgdirectlygintogatrophicgareas
usegamylinganalogsginsteadgofginsuling⬛
g g g ANSgCorrectgAnswer:
changegtoglessgimmunogenicgporkgorghumangsyntheticginsulins
Insulingresistancegrequiringgmoregthang200gunitesgpergdaygisgraregandgevenglessgcommongwithgincre
asedgusegofghumanginclines.gThegcausegisgoverproductiongofginsulingbindinggimmunoglobulins.gTrea
tmentgisgtogchangegtoglessgimmunogenicgporkgorghumangsyntheticginsults.gItgmaygrequiregglucocorti
coidgtreatment;gconsultationgrequired.
,WhatgisgthegCatarrhalgstagegofgPertussisg⬛
g g g ANSgUsuallyg7-10gdays;grangegofg4-
21gCharacterizedgby:gCoryza
Low-gradegfever
Mild,goccasionalgcoughg(whichggraduallygbecomesgmoregsevere)
WhatgisgthegParoxysmalgstagegofgPertussisg⬛gANSgUsuallyglastsg1-
6gweeks,gbutgmaygpersistgforgupgtog10gweeksgCharacterizedgby:
Paroxysmsgofgnumerous,grapidgcoughsgduegtogdifficultygexpellinggthickgmucusgfromgthegtracheobro
nchialgtree
Longginspiratorygeffortgaccompaniedgbygaghigh-
pitchedg"whoop"gatgthegendgofgthegparoxysmsgCyanosis
VomitinggandgexhaustiongParoxys
malgattacks:
Occurgfrequentlygatgnight,gwithgangaveragegofg15gattacksgperg24ghours
Increasegingfrequencygduringgthegfirstg1-2gweeks,gremaingatgthegsamegfrequencygforg2-
3gweeks,gandgthenggraduallygdecrease
Yourgfollow-upgofgagpatientgrevealsgJarisch-
Herxheimergreaction.gThisgisgagreactiongthatgoccursgingapproximatelyg30%gofgpatientsgtreatedgforgwhichg
ofgthegfollowinggdiseases?
hepatitisgBggo
norrheagherpes
gsimplex
primarygsyphilisg⬛
g g g ANSgCorrectgAnswer:
primarygsyphilis
Jarisch-
Herxheimergreactiongisgagreactiongthatgoccursgingapproximatelyg30%gofgpatientsgtreatedgforgprim
arygsyphilis.gItgoccursgingapproximatelyg70%gofgthosegtreatedgforgsecondarygsyphilisgwithing24gho
ursgofgtreatment.
, Youghavegag59-year-
oldgfemalegpatientgwithgosteoporosis.gWhichgofgthegfollowinggwouldgyougNOTgexpectgtogfindgingthe
gradiographicgresultsgofgthisgpatient?
changesgingvertebralgbodygshapegi
ncreasedgradiodensity
fractures
generalizedgosteopeniag⬛
g g g ANSgCorrectgAnswer:
increasedgradiodensity
Yougwouldgnotgexpectgtogfindgincreasedgradiodensity;gyougwouldgexpectgtogfindgdecreasedgradioden
sity.gOsteoporosisgisgagsystemicgskeletalgdiseasegcharacterizedgbyglowgbonegmass.
Thegclassicgsignsgandgsymptomsgofgagmigrainegwithgauragwouldgincludegallgbutgwhichgofgthegfollowi
ng?
Nausea/vomiting
gWeightglossgHal
os
Photophobiag⬛
g g g ANSgCorrectgAnswer:
Weightgloss
Thegclassicgsignsgandgsymptomsgofgagmigrainegwithgauragwouldginclude
:gNausea/vomiting
HalosgPhotopho
bia
ThrobbinggpaingbehindgonegeyegPh
onophobia