NUR 511 WEEK 2 QUIZ WITH ALL CORRECT QUESTION AND ANSWERS 2020

NUR 511 WEEK 2 QUIZ WITH ALL CORRECT QUESTION AND ANSWERSNUR 511 WEEK 2 QUIZ WITH ALL CORRECT QUESTION AND ANSWERS Week 2: Quiz 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? Correct Answer Nonsteroidal anti-inflammatory drugs (NSAIDs). Oral contraceptives. Antibiotics. Antifungals. Clients with GERD should avoid taking NSAIDs because they tend to aggravate the already irritated gastric mucosa. 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: A normal finding. Perceptive deafness. Nerve damage. Conductive deafness. A Weber test assesses hearing by bone conduction. With normal hearing, sound is heard equally well in both ears, meaning there is no lateralization. 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 canned prior to his outing. Which of the following pathogens might be causing his symptoms? Staphylococcus. Campylobacter jejuni. Clostridium perfringens. Clostridium botulinum. C botulinum is an anaerobic, gram-positive bacillus that produces toxins. It is widely distributed in the soil and vegetation. Improperly processed home-canned low-acid vegetables and contaminated meats are the usual cause of food-borne botulism. A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment? Metronidazole (Flagyl). Gastric lavage. Supportive care. Penicillin antibiotics. Enterotoxigenic Escherichia coli (ETEC) is the most common cause of traveler’s diarrhea, which occurs after ingesting contaminated food or water. It is usually self-limiting, requiring no treatment other than supportive care. It is common in developing countries. Traveler’s diarrhea caused by E coli used to be frequently treated with a 3- to 5-day course of a quinolone antibiotic, such as ciprofloxacin (Cipro). A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like "the room is spinning". On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner's whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms? Refer the patient to the Emergency Room. Start her on high-dose Augmentin Start the patient on a low-salt diet, prescribe meclizine for vertigo and refer her to an ENT specialist. Order a computed tomography (CT) scan to rule out acoustic neuroma. Meniere's disease is characterized by vertigo, tinnitus and hearing loss. The patient self-reports vertigo and tinnitus while the results of the Weber, Rinne, and whisper test indicate sensorineural hearing loss on the right. Meniere disease is diagnosed based on history and the exclusion of other conditions as well. Referral to ENT is warranted to rule out other etiologies. The treatment for symptoms of Meniere disease is both dietary and pharmacological. Antibiotics are not indicated, nor is it necessary to send the patient to the Emergency Room. A CT scan would not help to relieve the patient's symptoms