NRNP 6531 final
A 21-year-old female presents to the office complaining of urinary frequency and urinary
burning. The nurse practitioner suspects a urinary tract infection when the urinalysis reveals
- correct answer-10- white blood cells per high-powered field
A 26 year old female presents with elbow pain that is described as aching and burning.
There is point tenderness along the lateral aspect of the elbow and painful passive flexion
and extension. She reports she has been playing tennis almost daily for the past month. The
most likely diagnosis is: - correct answer-Lateral epicondylitis
A 28 years old female presents to the office requesting testing for the diagnosis of hereditary
thrombophilia. her father recently had a deep vein thrombosis and she is concerned about
her risk factors the nurse practitioner explains that: - correct answer-B and D
(Hereditary thrombophilia does not always require anticoagulation therapy and genetic and
risk managment counseling are recommended)
A 32 year old male patient complains of urinary frequency and burning on urination for 3
days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The
initial treatment should be: - correct answer-trimethoprim sulfamethoxazole for 3 dyas
A 60-year-old male patient with multiple health problems presents with a complain of erectile
dysfunction (ED). of the following which medication is most likely to be causing the problem?
- correct answer-thiazide diuretic
(hypertensive meds such as hydrochlorothiazide and other DM2 meds)
A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but
the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor
(RF) are all minimally elevated. What is the most likely diagnosis? - correct
answer-ostheoaethritis
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse to
practice what the treatment for this disorder is. The NP explains: - correct answer-Primary
hyperparathyroidism is treated with parathyroidectormyparathyroidectomy
A 77-year-old female presents to the office complaining a sudden swelling on her right
elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender
area of swelling over the extensor surface over the right elbow with evidence of trauma or
irritation. The nurse practitioner suspects: - correct answer-olecranon bursitis
A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and
increasing
, hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose
and treat this
condition? - correct answer-decrease the evening insulin dose and check capillary blood
glucose (CBG) at 2;00 am
a client has excessive blood loss and prolonged hypotension during surgery. his
postoperative urine output is sharply decreased, and his urea nitrogen (BUN) is elevated. the
most likely cause of the change is acute. - correct answer-bladder outlet obstruction
a diabetic patient is taking low-dose enalapril for hypertension. a record of the patient's blood
pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic.
how should the NP respond? - correct answer-increase the dosage of the current Bp med.
A middle-aged female presents complaining of recent weight loss. The physical exam
reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient's
problem includes: - correct answer-infection
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the
following medications may be used to treat generalized anxiety disorder? - correct answer-
A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression,
first episode, 2 months ago. She reports considerable improvement in her symptoms and her
intention to discontinue the medication. What should be the nurse practitioner's
recommendation? - correct answer-Recommend that the patient continue the antidepressant
medication for at least 4 more months
A patient has HIV infection and is having a problem with massive diarrhea. You suspect the
cause is - correct answer-cryptosporidiosis
A patient has just been diagnosed with Bell's palsy. He is understandably upset and has
questions about the prognosis. you response should be - correct answer-The condition is
self-limiting and most likely complete recovery will occur
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would
be classified as: - correct answer-overweight
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the
patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness,
anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take? -
correct answer-Obtain a thorough history and physical, and check serum cortisol and ACTH
levels.
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? -
correct answer-osteoporosis
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