2024 APEA 3P EXAM PREP3 NEPHROLOGY REAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS AND EXPLANATIONS
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Course
APEA 3P
Institution
APEA 3P
2024 APEA 3P EXAM PREP3
NEPHROLOGY REAL EXAM QUESTIONS
WITH 100% CORRECT ANSWERS AND
EXPLANATIONS
Sample Questions:
A 73-year-old man client reports that he is experiencing a weakened
urinary stream, urinary frequency, and urgency. He is waking up once
or twice nightly to urinate. How should...
2024 APEA 3P EXAM PREP3
NEPHROLOGY REAL EXAM QUESTIONS
WITH 100% CORRECT ANSWERS AND
EXPLANATIONS
A 73-year-old man client reports that he is experiencing a weakened
urinary stream, urinary frequency, and urgency. He is waking up once
or twice nightly to urinate. How should the nurse practitioner proceed?
Digital rectal exam (DRE) only
DRE, urinalysis, PSA
PSA only
PSA, DRE, BUN, Cr
Elaboration:
Many tests can be used to evaluate an older client with suspected
benign prostatic hypertrophy (BPH). The value of digital rectal exam
(DRE) is to evaluate the size, consistency and assess for malignancy of
the prostate gland. Urinalysis is done to detect blood or infection, but
hematuria is common in clients with BPH. The prostate specific antigen
(PSA) is done as a screening test for prostate cancer in symptomatic
men. This client has multiple symptoms which could indicate pathology
in the prostate gland as the etiology of his symptoms (weakened urinary
stream, urinary frequency and urgency, and nocturia). A serum
creatinine can be part of the initial screening. This
,would help identify bladder outlet obstruction, renal, or pre-renal
disease. A blood urea nitrogen (BUN) is not necessary to evaluate this
client's symptoms.
Ciprofloxacin given to treat a urinary tract infection would be
contraindicated in a:
pregnant client.
19-year-old
woman.
client with hypertension.
client with pyelonephritis.
Elaboration:
Ciprofloxacin is a quinolone antibiotic and is contraindicated in clients
who are pregnant or younger than 18 years old because of potential
problems with bone and cartilage formation. There is no
contraindication in a client with hypertension. A quinolone might be a
good choice in a client with pyelonephritis and would not be
contraindicated.
An example of a drug that targets the renin-angiotensin-aldosterone
system is a(n):
ACE inhibitor.
beta blocker.
calcium channel blocker.
diuretic.
, Elaboration:
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