NURS 6531 Final Exam

Central obesity, “moon” face, and dorsocervical fat pad are associated with: An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is: The most effective treatment of non-infectious bursitis includes: Conservative treatment drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? Selected Answer: The physician must be on-site and engaged in patient care Answers: You must initiate the plan of care for the patient The physician must be on-site and engaged in patient care You must be employed as an independent contractor You must be the main health care provider who sees the patient Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors, including insulin resistance, obesity, atherogenic dyslipidemia and hypertension. Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? A. Nocturia B. Urgency incontinence C. Strong urinary stream flow D. Straining to void Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? Food that is very hot or very cold Fatty or fried foods Peppermint or spearmint, including flavoring Coffee, tea, and soft drinks that contain caffeine Spicy, highly seasoned foods Fried food DT caffeine, chocolate and anticholinergics Which drug category contains the drugs that are the first line Gold standard therapy for COPD? Beta antagonist The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is: Nsaid Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? Erythromycin A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take? .A Obtain a thorough history and physical, and check serum cortisol and ACTH levels. B. Perform a diet history and check CBC and FBS. C. Provide nutritional guidance and have the patient return in one month. D. Consult home health for intravenous administration .....................................................................................................CONTINUE.