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Exam (elaborations)

NSG6420 final (Questions and Answers A+ graded 100% verified latest update)

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NSG6420 final (Questions and Answers A+ graded 100% verified latest update) In AR disorders, carriers have Correct answer: one copy of a gene mutation but not the disease A 76 year old patient with a 200 pack a year smoking history presents with complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. the physical exam reveals decreased breath sounds and dullness to percussion over the left lower lung field. the chest x-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs of Correct answer: lung cancer The nurse practitioner is discussing lifestyle changes with a patient diagnosed with gastroesophageal reflux. what are the nonpharmacological management interventions that should be included Correct answer: It would be helpful to keep the head of your bed elevated on blocks In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. the patient has been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion Correct answer: leukoplakia You have a patient complaining of vertigo and wants to know what could be the cause. Knowing there are many causes for vertigo, you question the length of time the sensation lasts. she tells you several hours to days and is accompanied by tinnitus and hearing loss. you suspect which of the following conditions Correct answer: Meniere's disease age related changes in the bladder, urethra, and ureters include all of the following in older women except Correct answer: increased estrogen production's influence on the bladder and ureter your patient has been using chewing tobacco for 10 years. on physical examination you observe a white ulceration surrounded by erythematous base on the side of his tongue. the clinician should recognize that very often this is Correct answer: squamous cell carcinoma when interpreting laboratory data, you would expect to see the following in a patient with Anemia of chronic disease (ACD) Correct answer: hemoglobin <12 g/dl, MCV normal, MCH normal what test is used to confirm the diagnosis of appendicitis Correct answer: CT of abdomen with attention to appendix Functional abilities are best assessed by Correct answer: Observed assessment of function Your patient is a 43 year old female golfer who complains of arm pain. On physical examination, there is point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician's resistance. These are typical signs of Correct answer: epicondylitis an 86 year old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to Correct answer: cerumen impaction Which lesions are typically located along the distribution of dermatomes? Correct answer: Herpes Zoster In differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer can present with distinct signs and symptoms. Which of the following pieces of information from the patient's history is the least useful for you to determine that the patient has a duodenal ulcer? Correct answer: diffuse epigastric pain A pneumatic otoscopic examination is used to assess: Correct answer: tympanic membrane mobility In autosomal recessive (AR) disorders, individuals need: Correct answer: two mutated genes to acquire the disease Which of the following disorders can cause urinary incontinence? Correct answer: all of the above An older patient reports burning pain after ingestion of many foods and large meals. What assessment would assist the nurse practitioner in making a diagnosis of GERD? Correct answer: midepigastric pain that is not reproducible with palpation Which of the following medications are commonly associated with the side effect of cough Correct answer: ACE inhibitor A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include Correct answer: exercise stress test

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