NR 601 Midterm n n
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1. A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She
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has had a minimally productive cough for several years that does not bother her. On further
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questioning, she states that her breathing gets much worse when she lies down. The most likely
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cause of her dyspnea is:
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Cardiac
2. A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness.
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He states that sweating, tachycardia, and some hand trembling are often associated with these
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episodes. Which one of the following questions should you ask to help confirm the diagnosis?
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Are these symptoms related to eating?
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3. A 68-year-old male presents with a chief complaint of episodic dizziness. Although not dizzy at
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present, he states that he has noted onset of dizzy episodes when he rolls over in bed and
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occasionally when he turns his head rapidly. Episodes last about 3 minutes. The most likely
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diagnosis is:
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Benign positional vertigo
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4. A 75-year old resident in the nursing home has end stage dementia and experiences a 10-pound
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weight loss over the course of 2 months. The resident has become increasingly difficult to feed
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and often spits out food, pockets food, and frequently drools. The family is concerned about the
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, resident's nutritional status. What is the initial action of the nurse practitioner?
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n (Questionsand n
Answers) WITH
n n
n COMPLETE
n SOLUTIONS 100% n
1. A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She
n n n n n n n n n n n n n
has had a minimally productive cough for several years that does not bother her. On further
n n n n n n n n n n n n n n n n
questioning, she states that her breathing gets much worse when she lies down. The most likely
n n n n n n n n n n n n n n n n
cause of her dyspnea is:
n n n n n
Cardiac
2. A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness.
n n n n n n n n n n n n n
He states that sweating, tachycardia, and some hand trembling are often associated with these
n n n n n n n n n n n n n n
episodes. Which one of the following questions should you ask to help confirm the diagnosis?
n n n n n n n n n n n n n n n
Are these symptoms related to eating?
n n n n n
3. A 68-year-old male presents with a chief complaint of episodic dizziness. Although not dizzy at
n n n n n n n n n n n n n n
present, he states that he has noted onset of dizzy episodes when he rolls over in bed and
n n n n n n n n n n n n n n n n n n
occasionally when he turns his head rapidly. Episodes last about 3 minutes. The most likely
n n n n n n n n n n n n n n n
diagnosis is:
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Benign positional vertigo
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4. A 75-year old resident in the nursing home has end stage dementia and experiences a 10-pound
n n n n n n n n n n n n n n n
weight loss over the course of 2 months. The resident has become increasingly difficult to feed
n n n n n n n n n n n n n n n n
and often spits out food, pockets food, and frequently drools. The family is concerned about the
n n n n n n n n n n n n n n n n
, resident's nutritional status. What is the initial action of the nurse practitioner?
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