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A 17-year-old female comes to the clinic for a physical exam. As part of the
visit, the APRN considers her risk factors for type 2 diabetes mellitus (T2DM).
Risk factors for T2DM would likely include all of the following except:
a. Native American ancestry
b. Family history of type 1 diabetes mellitus (T1DM)
c. Obesity
d. Personal history of polycystic ovary syndrome (PCOS) - Correct Answer-
b. Family history of type 1 diabetes mellitus (T1DM)
Type 1 diabetes has the genetic link and is something they are born with
Some older adults have impaired inflammation and wound healing because of
which
problem?
a. Circulatory system cannot adequately perfuse tissues.
b. Complement and chemotaxis are deficient.
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,c. Underlying chronic illness(es) exists.
d. Number of mast cells is insufficient. - Correct Answer-c. Underlying
chronic illness(es) exists.
A patient is diagnosed with chronic obstructive pulmonary disease (COPD) and
has elevated pulmonary vascular resistance. Which symptom would indicate the
need to assess for the complication of cor pulmonale (right-sided heart failure)?
a. crackles bilaterally
b. generalized arthralgia
c. jugular venous distention
d. occasional constipation - Correct Answer-c. jugular venous distention
Symptoms of right-sided heart failure include the following:
hepatosplenomegaly,
extremity edema, ascites, jugular venous distention
A parent asks the healthcare professional to explain why a child diagnosed with
Tetralogy of Fallot squats often. What explanation by the professional is best?
a. It helps to alleviate chest pain
b. Relieves hypoxia
c. Controls vertigo
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, d. Improves constant headaches - Correct Answer-b. Relieves hypoxia
Squatting is a spontaneous compensatory mechanism used by older children
with Tetralogy of Fallot to alleviate hypoxic spells. Squatting and its variants
increase systemic resistance while decreasing venous return to the heart from
the inferior vena cava.
A patient who has lung cancer reports facial and neck swelling so severe that
some shirts no longer fit. What question by the healthcare professional would be
most appropriate to screen for superior vena cava syndrome, a possible
complication of cancer tumors?
a. "Have you gained weight recently?"
b. "Are your feet and ankles swollen?"
c. "Does your voice sound hoarse?"
d. "When was your last chemotherapy?" - Correct Answer-b. "Are your feet
and ankles swollen?"
A patient has endured several dosage adjustments of his tricyclic antidepressant,
so the provider recommends genetic testing. Which statement correctly
describes the rationale for genetic testing?
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