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An advanced practice registered nurse (APRN) is caring for a
patient complaining of pelvic pain. Assessment findings
include a fever of 39°C (102.2° F), vaginal discharge, low
bilateral abdominal pain that is dull and steady that developed
during menstruation and worsens with walking, and dysuria.
Lab studies include a positive finding for chlamydia.
Which diagnosis should the APRN assign to this patient based
on these findings? - ANSWER-Pelvic inflammatory disease
An adolescent male is suffering from severe, sudden pain in
his genital region
during football practice. He is embarrassed to seek
emergency treatment.
However, he is finding the pain unbearable. His coach
appropriately
recommends he seek emergency
treatment.
What is a plausible cause of the pain? - ANSWER-
Testicular torsion
,An advanced practice registered nurse (APRN) is designing a
treatment plan for
a patient diagnosed with pelvic inflammatory disease (PID).
The APRN plans
the sexually transmitted disease (STD) testing based on the
most common
pathogen in
PID.
Which STD testing should be considered? -
ANSWER-Chlamydia
An older adult patient presents to a clinic with complaints of
penile pain and discomfort when attempting to urinate and
states the problem began the morning after a home health aide
assisted him with cleansing the genital area. An advanced
practice registered nurse (APRN) assesses an uncircumcised
glans penis, which is reddened and edematous with the
foreskin behind the corona.
Which condition should the APRN suspect from these
findings? - ANSWER-
Paraphimosis
A 29-year-old female patient presents with concerns about
fertility. The patient states she has had amenorrhea every other
month and weight gain, and her labs show decreased FSH,
decreased estrogen, and altered TSH.
, Which female reproductive disorders should be considered for
this patient? - ANSWER-Hyperprolactinemia and PCOS ovarian
tumor
An advanced practice registered nurse (APRN) is caring for a
toddler in an emergency department who presented with fever
of 101°F (38.3°C), irritability, inspiratory stridor, drooling,
dysphagia, and sitting in the tripod position. The toddler's
parents report no significant medical history and claim that the
child has been so healthy that they have fallen behind on
immunizations.
Which pathological mechanism of the pulmonary system is
most likely causing this problem? - ANSWER-Infection of
epiglottis by Haemophilus influenzae type B
An advanced practice registered nurse (APRN) is evaluating
a 12-month-old
patient in a clinic. The child's parents are worried that the child
has had frequent
respiratory problems including persistent cough, wheezing,
and thick sputum production. They also report frequent greasy-
looking, bulky stools and constipation. The APRN finds that the
child has been to the clinic with chronic bacterial infections
every month since birth.
Which abnormal pathological finding of the pulmonary system
should be of concern to the APRN? - ANSWER-Defective
chloride secretion and excess sodium absorption