NR 511 WEEK 6 CLINICAL CASE STUDY PART
ONE EXAM TEST PAPER WITH COMPLETE
QUESTIONS AND SOLUTIONS
◉ Which medications used to treat nausea and vomiting works by
affecting the chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal sphincter
pressure? Answer: Anticholinergics, such as scopolamine (Donnatal).
◉ The antibiotic of choice for recurrent acute otitis media (AM)
and/or
treatment failure in children is: Answer: Amoxicillin and potassium
clavulanate (Augmentin).
◉ A 67-year old female on multiple medications for chronic
conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using? Answer:
Nonsteroidal anti-inflammatory drugs (NSAIDs).
◉ A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
,them. How should the clinician respond? Answer: Antacids may
contain magnesium, which decreases bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
◉ When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: Answer: A normal finding.
◉ A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond?
Answer: There is no such thing as a "normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
◉ A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
,clinician tell her? Answer: Although some clients report a significant
subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
◉ In a young child, unilateral purulent rhinitis is most often caused
by: Answer: A foreign body.
◉ Nausea is difficult to discern in a young child what question should
the clinician asked to determine if a child has nausea Answer: Are you
hungry
◉ A 38-year-old male has recently had an iliomy for ulcerative colitis
which self-care measure should the clinician teach him to relieve food
blockade Answer: Massage the periosteum area
◉ 52 year old female as suspected of having a gastric ulcer and will
undergo an EGD she's concerned because she heard that gastric ulcers
can be malignant how should the clinician respond Answer: About
95% of gastric ulcers are Banan even though they seem to like a
malignant on x-ray
◉ A 29 year old female just returned from Central America with
travelers diarrhea and presents to the clinic for evaluation which of
the following is the best treatment Answer: Supportive care
, ◉ A 75-year-old female presents to your office complaining of
dizziness and ringing in both ears for one day she describes the
dizziness as feeling like the room is spinning on physical exam the
run test reveals the air connection is greater than bone conduction
bilaterally the web or test reveals lateralization to the left she is
unable to hear the examiners whisper on the right but she can hear the
whisper on the left what is the next step to helping this patient
symptoms Answer: Start the patient on a low salt diet prescribe
meclizine for vertigo and refer to ENT
◉ An 82-year-old female has been diagnosed with IBS and chronic
constipation and diverticulitis following a colonoscopy what
pharmacologic agent should the clinician recommend Answer:
Bulking agent
◉ A 26-year-old male recently returned from a camping trip with
symptoms of acute gastroenteritis he reports that he only ate
vegetables from his garden that he can't prior to the attic which of the
following pathogens might be causing his symptoms Answer:
Clostridium botulinum
◉ A 20-year-old male presents to your office in summer complaining
of chest discoloration he is a lifeguard and has been out in the sun
without a shirt for a long period of time his physical exam so small
flat circular hypopigmented macules on his chest that he states are
mildly paretic what is the treatment choice for this diagnosis Answer:
Selenium sulfide shampoo
ONE EXAM TEST PAPER WITH COMPLETE
QUESTIONS AND SOLUTIONS
◉ Which medications used to treat nausea and vomiting works by
affecting the chemoreceptor trigger zone, thereby stimulating upper
gastrointestinal motility and increasing lower esophageal sphincter
pressure? Answer: Anticholinergics, such as scopolamine (Donnatal).
◉ The antibiotic of choice for recurrent acute otitis media (AM)
and/or
treatment failure in children is: Answer: Amoxicillin and potassium
clavulanate (Augmentin).
◉ A 67-year old female on multiple medications for chronic
conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using? Answer:
Nonsteroidal anti-inflammatory drugs (NSAIDs).
◉ A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
,them. How should the clinician respond? Answer: Antacids may
contain magnesium, which decreases bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
◉ When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: Answer: A normal finding.
◉ A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond?
Answer: There is no such thing as a "normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
◉ A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
,clinician tell her? Answer: Although some clients report a significant
subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
◉ In a young child, unilateral purulent rhinitis is most often caused
by: Answer: A foreign body.
◉ Nausea is difficult to discern in a young child what question should
the clinician asked to determine if a child has nausea Answer: Are you
hungry
◉ A 38-year-old male has recently had an iliomy for ulcerative colitis
which self-care measure should the clinician teach him to relieve food
blockade Answer: Massage the periosteum area
◉ 52 year old female as suspected of having a gastric ulcer and will
undergo an EGD she's concerned because she heard that gastric ulcers
can be malignant how should the clinician respond Answer: About
95% of gastric ulcers are Banan even though they seem to like a
malignant on x-ray
◉ A 29 year old female just returned from Central America with
travelers diarrhea and presents to the clinic for evaluation which of
the following is the best treatment Answer: Supportive care
, ◉ A 75-year-old female presents to your office complaining of
dizziness and ringing in both ears for one day she describes the
dizziness as feeling like the room is spinning on physical exam the
run test reveals the air connection is greater than bone conduction
bilaterally the web or test reveals lateralization to the left she is
unable to hear the examiners whisper on the right but she can hear the
whisper on the left what is the next step to helping this patient
symptoms Answer: Start the patient on a low salt diet prescribe
meclizine for vertigo and refer to ENT
◉ An 82-year-old female has been diagnosed with IBS and chronic
constipation and diverticulitis following a colonoscopy what
pharmacologic agent should the clinician recommend Answer:
Bulking agent
◉ A 26-year-old male recently returned from a camping trip with
symptoms of acute gastroenteritis he reports that he only ate
vegetables from his garden that he can't prior to the attic which of the
following pathogens might be causing his symptoms Answer:
Clostridium botulinum
◉ A 20-year-old male presents to your office in summer complaining
of chest discoloration he is a lifeguard and has been out in the sun
without a shirt for a long period of time his physical exam so small
flat circular hypopigmented macules on his chest that he states are
mildly paretic what is the treatment choice for this diagnosis Answer:
Selenium sulfide shampoo
