NR 511 Week 3 Case Study Discussion Part 2 With Answers
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NR 511 Wk 3 Case
Institution
NR 511 Wk 3 Case
NR 511 Week 3 Case
Study Discussion Part 2
With Answers
Martin, age 24, presents to the office with an erythematous ear
canal and pain on manipulation of the auricle. He is on vacation and
has been swimming daily at the resort. What is your diagnosis?
1.
Acute otitis media.
2.
Chronic...
NR 511 Week 3 Case
Study Discussion Part 2
With Answers
Martin, age 24, presents to the office with an erythematous ear
canal and pain on manipulation of the auricle. He is on vacation and
has been swimming daily at the resort. What is your diagnosis?
1.
Acute otitis media.
2.
Chronic otitis media.
3.
External otitis.
4.
Temporomandibular joint (TMJ) syndrome - ANS-3.
External otitis.
While doing a face, head, and neck examination on a 16-year-old
patient, you note that the palpebral fissures are abnormally narrow.
What are you examining?
1.
The nasolabial folds.
2.
The openings between the margins of the upper and lower eyelids.
3.
The thyroid gland in relation to the trachea.
4.
The distance between the trigeminal nerve branches. - ANS-2.
The openings between the margins of the upper and lower eyelids.
,When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the nurse practitioner should
document this finding as:
1.
Conductive deafness.
2.
Perceptive deafness.
3.
A normal finding.
4.
Nerve damage. - ANS-3.
A normal finding.
Mr. Johnson, age 69, has had Meniere disease for several years. He
has some hearing loss but now has persistent vertigo. What
treatment might be instituted to relieve the vertigo?
1.A labyrinthectomy.
2.Pharmacological therapy.
3.A vestibular neurectomy.
4.Wearing an earplug in the ear that has the most hearing loss. -
ANS-3.
A vestibular neurectomy.
Treatment for achalasia may include:
1. Balloon dilation of the lower esophageal sphincter.
2. Beta blockers.
3. A fundoplication.
4. An esophagogastrectomy. - ANS-1. Balloon dilation of the LES
Which oral medication might be used to treat a client with chronic
cholelithiasis who is a poor candidate for surgery?
1.Ursodiol (Actigall).
,2.Ibuprofen (Advil).
3.Prednisone (Deltasone).
4.Surgery is the only answer. - ANS-1. Ursodiol (Actigall)
All of the following medications are used for the control of nausea
and vomiting. Which medication works by affecting the
chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal sphincter
pressure?
1.Anticholinergics, such as scopolamine (Donnatal).
2.Antidopaminergic agents, such as prochlorperazine (Compazine).
3.Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan).
4.Tetrahydrocannabinols, such as dronabinol (Marinol). - ANS-
3.Antidopaminergic and cholinergic agents, such as
metoclopramide (Reglan).
You auscultate Julie's abdomen and hear a peritoneal friction rub.
Which condition do you rule out?
1.Peritonitis.
2.A liver or spleen abscess.
3.A liver or spleen metastatic tumor.
4.Irritable bowel syndrome. - ANS-4. IBS
Which is the most common presenting symptom of gastric cancer?
1.Weight loss.
2.Dysphagia.
3.Hematemesis.
4.Gastrointestinal bleeding. - ANS-1. Weight loss
The metabolism of which drug is not affected in Marsha, age 74?
1.Alcohol.
2.Anticonvulsants.
Nausea is difficult to discern in a young child. What question might
you ask to determine if a child has nausea?
1."Are you sick to your tummy?"
2."Are you hungry?"
3."Are you eating the way you normally eat?"
4."Are you nauseous?" - ANS-2.
"Are you hungry?"
Zena just had a hemorrhoidectomy. You know she has not
understood your teaching when she tells you she will:
1.Take a sitz bath after each bowel movement for 1 to 2 weeks after
surgery.
2.Drink at least 2000 mL of fluids per day.
3.Decrease her dietary fiber for 1 month.
4.Take stool softeners as prescribed. - ANS-3.Decrease her dietary
fiber for 1 month.
Stacy, a nursing student, is to begin her series of hepatitis B
vaccinations. You test her for a serological marker, and the results
show hepatitis B surface antibodies (HBsAb). You tell Stacy that
she:
1.Needs to begin the hepatitis B series as soon as possible.
2.Needs to be tested again because one reading is not indicative of
immunity.
3.Is permanently immune to hepatitis B.
4.Has an acute hepatitis B infection. - ANS-3. Is permanently
immune to hepatitis B.
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