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Nurs 511 Week 7 Questions With Complete Solutions
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Nurs 511 Week 7 Questions With Complete Solutions
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Nurs 511 Week 7 Questions With Complete SolutionsA 15-year-old male presents to your office complaining of
fatigue, shortness of breath, and joint pain for 2 weeks. The
parent has blamed these symptoms on a "growth spurt." On
physical exam, you notice multiple areas of bruising. His throat
is not erythematous, and no exudates are seen. He has palpable
splenomegaly, and his rapid strep and mono tests are negative.
Which of the following is the most likely diagnosis? Correct
Answer Acute lymphocytic leukemia (ALL).
A 17-year-old female patient requests to start
medroxyprogesterone acetate (Depo-Provera) injections as her
method of birth control. She discloses that she has had 4 sexual
partners in the past year. Her last menstrual period was 12 days
ago, and she had unprotected intercourse 3 days ago. The
appropriate management for this patient would be to: Correct
Answer Advise her to use another method for now and return
with her next menses.
A 21-year-old woman comes to your office and reports a history
of genital warts. In reference to the human papillomavirus
(HPV) vaccination (ie, Gardasil, Gardasil 9, and Cervarix), she
should be educated that: Correct Answer She should receive
HPV vaccination.
A 26-year-old female comes to your office to discuss birth
control options. Her history includes migraine headaches with
aura while on combination oral contraceptives in the past. She
does not want to become pregnant. Which of the following birth
,control options would be the best choice for her? Correct
Answer Mirena intrauterine device (IUD).
A 27-year-old female presents to your office for a
levonorgestrel-releasing intrauterine system (Mirena) insertion.
She reports that her menses started 3 days ago and is normal.
How soon after insertion will she be able to safely rely on the
intrauterine device (IUD) for contraception? Correct Answer
Immediately.
A 28-year-old female presents to your primary care office for an
annual physical. She denies any complaints other than heavy
menstrual bleeding, which is something she has experienced her
whole life. On routine complete blood count (CBC) evaluation,
her hemoglobin is 11.0. Other pertinent values include a
decreased serum ferritin and elevated total iron-binding capacity
(TIBC). Her mean corpuscular volume (MCV) is 75. Which of
the following is the likely cause of her anemia? Correct Answer
Iron deficiency anemia.
A 30-year-old male nurse presents to the emergency department.
He was stuck with a needle yesterday while working and found
out today that the patient involved in the needle stick is human
immunodeficiency virus (HIV) positive. What is the time
window for starting postexposure prophylaxis to help prevent
the transmission of HIV? Correct Answer 72 hours.
A 33-year-old woman complains of dyspareunia in the lower
back during orgasm. The nurse practitioner should consider:
Correct Answer Endometriosis.
, A 63-year-old man presents to your office with hematuria,
hesitancy, and dribbling. Digital rectal examination (DRE)
reveals a smooth, moderately enlarged prostate. The client's
prostate-specific antigen (PSA) is 1.2. What is the most
appropriate management strategy at this time? Correct Answer
Prescribing an alpha-adrenergic blocker.
A male patient presents to the clinic for evaluation of infertility.
Subjectively, the patient complains of pain and fullness of the
testes and states, "My testicles feel like a bag of worms." On
physical examination, the nurse practitioner notes tortuous veins
posterior to and above the testes that extend up into the external
inguinal ring. Based on the preceding assessment, the nurse
practitioner refers the patient to surgery for a diagnosis of:
Correct Answer Varicocele.
A male patient presents to the emergency department
complaining of severe knee pain. He admits to social alcohol use
and a diet consisting of meat and fish. He states he has had no
trauma to his knee but the pain has been getting worse for 4
days. He notes warmth and erythema of the knee as well as
decreased range of motion. The patient's x-ray is negative. You
aspirate the patient's knee, and the fluid that is aspirated is
cloudy and thick. What would you see in the joint aspirate to
make a diagnosis of gout? Correct Answer Negatively
birefringent, needle-shaped crystals.
A patient is being treated for erectile dysfunction. The patient is
morbidly obese and is also being treated for cardiovascular
disease and coagulopathy. Which of the following medications
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