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Q:
Prescriptive Authority:
CORRECT ANS:
May Be Exercised By Giving A Verbal Medication Order To A Pharmacist.
An Example Of Exercising Prescriptive Authority Is Giving A Verbal Order To A Pharmacist Or
Writing An Order For A Prescription Medication. Prescriptive Authority Rules And Regulations
Vary From State To State. Prescriptive Authority Is Granted Only To Those Aprns Who Meet
The Requirements Of The Governing Body For The State In Which The APRN Practices.
Q:
When Examining A Pregnant Patient, Where Should The Fundal Height Be At 22 Weeks?
CORRECT ANS:
Above The Umbilicus
Between 18 And 32 Weeks, There Is Good Correlation Between Fundal Height And Gestational
Age Of The Fetus. The Expected Heights Are: 10-12 Weeks: Fundus Slightly Above The
Symphysis Pubis 16 Weeks: Fundus Midway Between The Symphysis Pubis And Umbilicus 20
Weeks: Fundus At The Level Of Umbilicus 28 Weeks: Fundus 3 Fingerbreadths Above The
Umbilicus 36 Weeks: Fundus Just Below The Xiphoid Process
Q:
, What Intervention Does The American College Of Rheumatology Recommend As First-Line
Therapy For Osteoarthritis?
CORRECT ANS:
Exercise And Weight Loss
Exercise, Weight Loss, And Rest Are Recommended By The American College Of
Rheumatology Guidelines For The Initial Management Of Osteoarthritis (OA). Given The
Adverse Effects Of Medications Used To Treat OA, It Is Best To Minimize Dosage And Delay
Use As Long As Possible. An Extensive Diagnostic Workup Is Not Recommended Unless The
Presentation Is In Question. Patients Who Have Severe Degenerative Joint Disease (DJD), Joint
Fusion, Or Whose Pain Severity Is Not Relieved By More Conservative Therapies May Be
Candidates For Joint Replacement.
Acetaminophen Is Recommended As A First-Line Medication.
Q:
A 63-Year-Old Male Retired Accountant Complains Of Pain And Stiffness In His Feet And
Hands Of Several Years Duration. He Reports That The Pain And Stiffness Become Worse With
Activity. On Examination, He Is Noted To Have Heberden's Nodes But No Other Bony
Deformities. Which Of The Following Is The Most Probable Diagnosis?
CORRECT ANS:
Osteoarthritis (OA)
Although His Vocation Involved Sedentary Activity, This Patient Is Not At Great Risk For
Osteoarthritis. Rheumatoid Arthritis Is Characterized By Several Joint Deformities, Usually
Bilaterally Symmetrical. RA Is Characterized By Inflammatory Processes, While OA Is Not.
RA And OA Are Chronic Conditions. Gout Is Characterized By Acute Exacerbations Related
To A Defect In Purine Metabolism, Increased Uric Acid Production, Or Decreased Uric Acid
Excretion.
Q:
The Family Of A 78-Year-Old Man Moved Him Into An Assisted Living Center Because He
Can No Longer Be Left At Home Alone. He Is Unable To Toilet When Asked To Do So And He
Has Had Several Episodes Of Incontinence. He Has Walked Out Of The Facility Twice And
Been Unable To Find His Way