WGU D027 OA EXAM
-- What is the precise analysis for this affected person? - ANS-Crohn's disorder
A 12-yr-old-infant affected person provides to the health facility and document symptoms and
signs consistent with allergies. How might the healthcare professional objectively affirm this
prognosis?
A. Draw serum stages of immunoglobulin E (IgE) and eosinophils
B. Measure expiratory float rate and spirometry checking out
C. Assess for parental records of bronchial asthma
D. Give a tribulation of asthma medicinal drug and take a look at for development - ANS-B.
Measure expiratory glide charge and spirometry trying out
--To objectively diagnose bronchial asthma, pulmonary characteristic testing using spirometry
can be accomplished after a child is five to six years of age. Reduced expiratory waft fees which
might be reversible in response to an inhaled bronchodilator could be characteristic
abnormalities determined on a PFT.
A sixteen-yr-antique female provides to number one care followed via her mom with court cases
of persistent fatigue, muscle aches, headaches, and dizziness for the last numerous months
with growing frequency and severity. The affected person is a excessive faculty pupil, and she
or he reports that she exceeded out these days at some stage in chemistry. The patient is in a
healthy, new dating with a student at her school. She reviews using over the counter ibuprofen
(Motrin) 3 instances over the last week to manipulate her symptoms. The evaluation findings
consist of a blood strain of 89/fifty eight, P 92 and R 22. The affected person is 5 toes, 2 inches
tall and weighs 103 kilos. On palpation, the thyroid isn't enlarged. The affected person has a
ordinary sinus rhythm and regular price. Lung sounds are clean bilaterally. Her stomach is
smooth and bowel sounds are present in all 4 quadrants. She has a regular gait, even though
verbally complains of feeling weak and off balance upon ambula - ANS-Rowing
A 17-year-antique male patient offers to a sanatorium for a physical, and he has a analysis of
moderate glucose-6-phosphate dehydrogenase (G6PD) deficiency. During the exam, he states
he is going to have a look at overseas in Egypt at some stage in his sophomore yr, and he has
issues about his nutrition even as being away from home. Which counseling about the affected
person's deficiency need to the advanced professional nurse (APN) supply to this affected
person at the same time as he studies abroad? - ANS-Acetaminophen (Tylenol) is safe to eat.
A 20-12 months-vintage male meets with an advanced expert nurse (APN) to discuss signs and
symptoms that have been slowly progressing over the last several years. He is particularly
involved due to the fact he has been falling often. Since youth, his gait has consisted of walking
on his ft. During middle faculty, he became in a position to participate in sports but became
unable to take part in excessive faculty sports activities because of difficulty with jogging and
leaping. Lately, he has noticed it takes longer and is greater difficult to change positions from
,sitting to status than it used to within the past. He has additionally been waking up with muscle
and joint stiffness. The APRN notes that his own family records isn't always substantial for any
persistent or genetic sicknesses. Which circumstance is possibly to be the motive of these signs
and symptoms? - ANS-Becker muscular dystrophy
--Becker muscular dystrophy (frequently called Becker MD or BMD) is a shape of muscular
dystrophy, a genetic disorder that regularly makes the frame's muscle groups weaker and
smaller. It reasons much less intense troubles than the maximum not unusual kind, Duchenne
muscular dystrophy.
A 25-year-vintage female is 35 weeks pregnant and gives for lower lower back pain. She has a
history of moderate lower lower back ache that she commonly controls with stretching, yoga,
and ice. The affected person reviews now not being capable of have interaction in stretching
and yoga due to the kingdom of her being pregnant. Ice use has been ineffective. After a benign
exam and a negative urinalysis, the issuer is satisfied that the pain is musculoskeletal. The
affected person inquires if there are any medicines she will be able to take for the pain. Which
medication does the issuer tell the patient she will thoroughly take? - ANS-Acetaminophen
(Tylenol)
A 26-year-antique male offered to the emergency branch accompanied by his mother with
complaints of an exacerbation of psychotic symptoms secondary to his diagnosis of
schizophrenia. He defined that he became recognized at age 20 and has struggled to preserve
his normal baseline functioning for any prolonged time frame despite a couple of antipsychotic
remedy trials. He has been taking risperidone (Risperdal) for about six months. A focused
evaluation discovered the following: Patient has been suffering with auditory and visual
hallucinations which are command in nature. He reports experiencing suicidal ideation. Patient
denies homicidal ideation. He has briefly been residing with his mom for the beyond week due
to intrusive suicidal mind and hallucinations that increase when at his condo. The mom
mentioned that this morning the patient became an increasing number of agitated and became
screaming and throw - ANS-Prazosin hydrochloride (Minipress)
--Physicians prescribe prazosin, bought under the logo name of Minipress, to treat nightmares
for publish-annoying strain ailment (PTSD).
A 28-yr-antique married female gives to primary care accompanied via her husband with court
cases of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty concentrating.
The patient explains that she has been experiencing these symptoms with increasing frequency
over the last two months and reports feeling disenchanted that she has won 10 pounds over the
last month notwithstanding no enormous adjustments in nutritional intake or hobby level. The
affected person holds a bachelor's diploma and is employed full time as an accountant. The
affected person reports feeling annoyed along with her terrible awareness and identifies recent
paintings mistakes to be due to this symptom. The patient explains that she and her partner
plan to begin trying to conceive soon, and she or he is worried that she may also have hassle
turning into pregnant. The patient reports using over the counter laxative merchandise during
the last week to fight constipation. The affected person repo - ANS-five.31 mIU/L
, A 29 yo pregnant affected person provides with a pulmonary embolus (PE). Which medicine
have to the nurse expect giving?
A. Low molecular weight heparin
B. Fondaparinux
C. Unfractionated heparin
D. Vitamin K - ANS-C. Unfractionated heparin
LMWH has less of an effect on thrombin as compared to heparin
A 30-week pregnant woman ought to no longer acquire which vaccine?
A. Tdap
B. Influenza
C. Hepatitis B
D. Varicella - ANS-D. Varicella
--The outcomes of the varicella vaccine are unknown consequently this vaccine is
contraindicated. Congenital defects are a likely effect to the fetus whilst live vaccines are
administered at some stage in being pregnant, specially the first 2 trimesters. Non-pregnant
women need to not turn out to be pregnant for as a minimum 1 month after receiving the
vaccine.
A 32-12 months-vintage lady presents to the emergency room (ER) with headache, fatigue, and
shortness of breath on exertion. A complete blood depend reveals a hemoglobin of four.4g/dl.
During the gynecological review of structures, she reports a trade of a completely saturated pad
every hours for the primary 3 out of six days of a 28-day menstrual cycle. She states she idea
this became ordinary and has by no means sought gynecological care. She does now not follow
with a number one care physician.Which aspect within the "fitness and healthcare" domain of
the social determinants of health contributed to this affected person's hemoglobin of four.4g/dl? -
ANS-Health literacy
A 36-year-vintage guy with bronchial asthma calls for antihypertensive remedy. Which one of
the medicines have to be avoided?
A. Hydrochlorothiazide
B. Propanolol
C. Amlodipine
D. Enalapril - ANS-B. Propanolol
--Propanolol is a beta-2 blocker and contraindicated in sufferers with chronic respiratory
situations due to the bronchoconstrictive threat this drug could pose.
A 40-year-vintage Trinidadian male comes right into a clinic complaining of burning chest ache,
indigestion, nausea, and belching after ingesting sure ingredients. He is a single father dwelling
and working in New York City. He lately received his inexperienced card after dwelling inside the
United States for extra than 10 years. He has a GED and works as an IT help table technician
-- What is the precise analysis for this affected person? - ANS-Crohn's disorder
A 12-yr-old-infant affected person provides to the health facility and document symptoms and
signs consistent with allergies. How might the healthcare professional objectively affirm this
prognosis?
A. Draw serum stages of immunoglobulin E (IgE) and eosinophils
B. Measure expiratory float rate and spirometry checking out
C. Assess for parental records of bronchial asthma
D. Give a tribulation of asthma medicinal drug and take a look at for development - ANS-B.
Measure expiratory glide charge and spirometry trying out
--To objectively diagnose bronchial asthma, pulmonary characteristic testing using spirometry
can be accomplished after a child is five to six years of age. Reduced expiratory waft fees which
might be reversible in response to an inhaled bronchodilator could be characteristic
abnormalities determined on a PFT.
A sixteen-yr-antique female provides to number one care followed via her mom with court cases
of persistent fatigue, muscle aches, headaches, and dizziness for the last numerous months
with growing frequency and severity. The affected person is a excessive faculty pupil, and she
or he reports that she exceeded out these days at some stage in chemistry. The patient is in a
healthy, new dating with a student at her school. She reviews using over the counter ibuprofen
(Motrin) 3 instances over the last week to manipulate her symptoms. The evaluation findings
consist of a blood strain of 89/fifty eight, P 92 and R 22. The affected person is 5 toes, 2 inches
tall and weighs 103 kilos. On palpation, the thyroid isn't enlarged. The affected person has a
ordinary sinus rhythm and regular price. Lung sounds are clean bilaterally. Her stomach is
smooth and bowel sounds are present in all 4 quadrants. She has a regular gait, even though
verbally complains of feeling weak and off balance upon ambula - ANS-Rowing
A 17-year-antique male patient offers to a sanatorium for a physical, and he has a analysis of
moderate glucose-6-phosphate dehydrogenase (G6PD) deficiency. During the exam, he states
he is going to have a look at overseas in Egypt at some stage in his sophomore yr, and he has
issues about his nutrition even as being away from home. Which counseling about the affected
person's deficiency need to the advanced professional nurse (APN) supply to this affected
person at the same time as he studies abroad? - ANS-Acetaminophen (Tylenol) is safe to eat.
A 20-12 months-vintage male meets with an advanced expert nurse (APN) to discuss signs and
symptoms that have been slowly progressing over the last several years. He is particularly
involved due to the fact he has been falling often. Since youth, his gait has consisted of walking
on his ft. During middle faculty, he became in a position to participate in sports but became
unable to take part in excessive faculty sports activities because of difficulty with jogging and
leaping. Lately, he has noticed it takes longer and is greater difficult to change positions from
,sitting to status than it used to within the past. He has additionally been waking up with muscle
and joint stiffness. The APRN notes that his own family records isn't always substantial for any
persistent or genetic sicknesses. Which circumstance is possibly to be the motive of these signs
and symptoms? - ANS-Becker muscular dystrophy
--Becker muscular dystrophy (frequently called Becker MD or BMD) is a shape of muscular
dystrophy, a genetic disorder that regularly makes the frame's muscle groups weaker and
smaller. It reasons much less intense troubles than the maximum not unusual kind, Duchenne
muscular dystrophy.
A 25-year-vintage female is 35 weeks pregnant and gives for lower lower back pain. She has a
history of moderate lower lower back ache that she commonly controls with stretching, yoga,
and ice. The affected person reviews now not being capable of have interaction in stretching
and yoga due to the kingdom of her being pregnant. Ice use has been ineffective. After a benign
exam and a negative urinalysis, the issuer is satisfied that the pain is musculoskeletal. The
affected person inquires if there are any medicines she will be able to take for the pain. Which
medication does the issuer tell the patient she will thoroughly take? - ANS-Acetaminophen
(Tylenol)
A 26-year-antique male offered to the emergency branch accompanied by his mother with
complaints of an exacerbation of psychotic symptoms secondary to his diagnosis of
schizophrenia. He defined that he became recognized at age 20 and has struggled to preserve
his normal baseline functioning for any prolonged time frame despite a couple of antipsychotic
remedy trials. He has been taking risperidone (Risperdal) for about six months. A focused
evaluation discovered the following: Patient has been suffering with auditory and visual
hallucinations which are command in nature. He reports experiencing suicidal ideation. Patient
denies homicidal ideation. He has briefly been residing with his mom for the beyond week due
to intrusive suicidal mind and hallucinations that increase when at his condo. The mom
mentioned that this morning the patient became an increasing number of agitated and became
screaming and throw - ANS-Prazosin hydrochloride (Minipress)
--Physicians prescribe prazosin, bought under the logo name of Minipress, to treat nightmares
for publish-annoying strain ailment (PTSD).
A 28-yr-antique married female gives to primary care accompanied via her husband with court
cases of weight gain, fatigue, muscle aches, bloating, constipation, and difficulty concentrating.
The patient explains that she has been experiencing these symptoms with increasing frequency
over the last two months and reports feeling disenchanted that she has won 10 pounds over the
last month notwithstanding no enormous adjustments in nutritional intake or hobby level. The
affected person holds a bachelor's diploma and is employed full time as an accountant. The
affected person reports feeling annoyed along with her terrible awareness and identifies recent
paintings mistakes to be due to this symptom. The patient explains that she and her partner
plan to begin trying to conceive soon, and she or he is worried that she may also have hassle
turning into pregnant. The patient reports using over the counter laxative merchandise during
the last week to fight constipation. The affected person repo - ANS-five.31 mIU/L
, A 29 yo pregnant affected person provides with a pulmonary embolus (PE). Which medicine
have to the nurse expect giving?
A. Low molecular weight heparin
B. Fondaparinux
C. Unfractionated heparin
D. Vitamin K - ANS-C. Unfractionated heparin
LMWH has less of an effect on thrombin as compared to heparin
A 30-week pregnant woman ought to no longer acquire which vaccine?
A. Tdap
B. Influenza
C. Hepatitis B
D. Varicella - ANS-D. Varicella
--The outcomes of the varicella vaccine are unknown consequently this vaccine is
contraindicated. Congenital defects are a likely effect to the fetus whilst live vaccines are
administered at some stage in being pregnant, specially the first 2 trimesters. Non-pregnant
women need to not turn out to be pregnant for as a minimum 1 month after receiving the
vaccine.
A 32-12 months-vintage lady presents to the emergency room (ER) with headache, fatigue, and
shortness of breath on exertion. A complete blood depend reveals a hemoglobin of four.4g/dl.
During the gynecological review of structures, she reports a trade of a completely saturated pad
every hours for the primary 3 out of six days of a 28-day menstrual cycle. She states she idea
this became ordinary and has by no means sought gynecological care. She does now not follow
with a number one care physician.Which aspect within the "fitness and healthcare" domain of
the social determinants of health contributed to this affected person's hemoglobin of four.4g/dl? -
ANS-Health literacy
A 36-year-vintage guy with bronchial asthma calls for antihypertensive remedy. Which one of
the medicines have to be avoided?
A. Hydrochlorothiazide
B. Propanolol
C. Amlodipine
D. Enalapril - ANS-B. Propanolol
--Propanolol is a beta-2 blocker and contraindicated in sufferers with chronic respiratory
situations due to the bronchoconstrictive threat this drug could pose.
A 40-year-vintage Trinidadian male comes right into a clinic complaining of burning chest ache,
indigestion, nausea, and belching after ingesting sure ingredients. He is a single father dwelling
and working in New York City. He lately received his inexperienced card after dwelling inside the
United States for extra than 10 years. He has a GED and works as an IT help table technician
