Exam III –NUR 677 Questions With Complete Solutions
A 45-year-old patient has mild osteoarthritis in both knees and
asks about nonpharmacologic therapies. What will the provider
recommend? Correct Answers aerobic exercise
A 50-year-old woman reports pain in one knee upon awakening
each morning that goes away later in the morning. A knee
radiograph is negative for pathology and serum inflammatory
markers are normal. What will the provider tell this patient?
Correct Answers To take acetominophen 1 gram three times
daily for pain
A 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue, with no
neurological findings. Based on these clinical findings, what will
the provider anticipate finding in the laboratory data? Correct
Answers low hemoglobin and elevated MCV
A 70-year-old patient reports frequent infections, shortness of
breath, fatigue, and palpitations. An exam reveals pallor and
petechiae. The provider orders a peripheral blood smear and
bone marrow biopsy. Which findings are consistent with a
diagnosis of myelodysplasia? (Select all that apply.) Correct
Answers anisocytosis and poikocytosis or erythrocytes on
peripheral smear; defects in cellular maturation in all cell lines
in bone marrow aspirate; hypercellular bone marrow with
peripheral cytopenia; larger than normal megakaryocytes in
bone marrow
, A child weighing 20 kg has been diagnosed with iron-deficiency
anemia and will begin taking an oral iron preparation. What will
the provider teach the child's parents about administration of this
medication Correct Answers the correct dose is 30 mg daily
A mild corticosteroid stream used to alleviate inflammation
during and acute flare two to three times daily Correct Answers
Hydrocortisone 1%
A patient diagnosed with myelodysplastic syndrome (MDS) and
presenting with severe neutropenia and anemia is given
erythropoietin (EPO) with improvement in hemoglobin. Which
intervention has been shown to prevent infection in patients with
MDS who have severe neutropenia? Correct Answers
prophylactic treatment with fluoroquinoloes
A patient has swelling and tenderness in the small joints of both
hands and reports several weeks of malaise and fatigue. A
rheumatoid factor (RF) test is negative. What will the primary
care provider do next? Correct Answers order radiopgraphic
tests, a CBC, and acute-phase reactant levels
A patient has type 1 Von Willebrand disease (vWD). What
treatment is generally effective to prevent and treat bleeding
episodes in this patient? Correct Answers Desmopressin
A patient is diagnosed with mild restless leg syndrome (RLS)
which occasionally interferes with sleep. Which initial treatment
will be helpful? Correct Answers hot baths and exercise
A 45-year-old patient has mild osteoarthritis in both knees and
asks about nonpharmacologic therapies. What will the provider
recommend? Correct Answers aerobic exercise
A 50-year-old woman reports pain in one knee upon awakening
each morning that goes away later in the morning. A knee
radiograph is negative for pathology and serum inflammatory
markers are normal. What will the provider tell this patient?
Correct Answers To take acetominophen 1 gram three times
daily for pain
A 60-year-old female patient has recently lost weight and a
physical examination reveals a beefy-red, sore tongue, with no
neurological findings. Based on these clinical findings, what will
the provider anticipate finding in the laboratory data? Correct
Answers low hemoglobin and elevated MCV
A 70-year-old patient reports frequent infections, shortness of
breath, fatigue, and palpitations. An exam reveals pallor and
petechiae. The provider orders a peripheral blood smear and
bone marrow biopsy. Which findings are consistent with a
diagnosis of myelodysplasia? (Select all that apply.) Correct
Answers anisocytosis and poikocytosis or erythrocytes on
peripheral smear; defects in cellular maturation in all cell lines
in bone marrow aspirate; hypercellular bone marrow with
peripheral cytopenia; larger than normal megakaryocytes in
bone marrow
, A child weighing 20 kg has been diagnosed with iron-deficiency
anemia and will begin taking an oral iron preparation. What will
the provider teach the child's parents about administration of this
medication Correct Answers the correct dose is 30 mg daily
A mild corticosteroid stream used to alleviate inflammation
during and acute flare two to three times daily Correct Answers
Hydrocortisone 1%
A patient diagnosed with myelodysplastic syndrome (MDS) and
presenting with severe neutropenia and anemia is given
erythropoietin (EPO) with improvement in hemoglobin. Which
intervention has been shown to prevent infection in patients with
MDS who have severe neutropenia? Correct Answers
prophylactic treatment with fluoroquinoloes
A patient has swelling and tenderness in the small joints of both
hands and reports several weeks of malaise and fatigue. A
rheumatoid factor (RF) test is negative. What will the primary
care provider do next? Correct Answers order radiopgraphic
tests, a CBC, and acute-phase reactant levels
A patient has type 1 Von Willebrand disease (vWD). What
treatment is generally effective to prevent and treat bleeding
episodes in this patient? Correct Answers Desmopressin
A patient is diagnosed with mild restless leg syndrome (RLS)
which occasionally interferes with sleep. Which initial treatment
will be helpful? Correct Answers hot baths and exercise
