NRNP 6531 FINAL EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED A+

NRNP 6531 FINAL EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED A+ A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time? A. Prescribe an alpha adrenergic blocker. B. Recommend saw palmetto. C. Prescribe an antibiotic D. Refer the client to urology. - ANS-A. Prescribe an alpha adrenergic blocker 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: A. Trauma B. Tight shoes C. Arthritis flare D. Hydrochlorothiazide - ANS-D. Hydrochlorothiazide What conditions must be met for you to bill "incident to" the physician, receiving 100% reimbursement from Medicare? 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 - ANS-The physician must be on-site and engaged in patient care 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 - ANS-C. Strong urinary stream flow 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