NP board exam review- Class book 2023

NP board exam review- Class book 2023 A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse practitioner assesses for ankle clonus by: - ANS-sharply dorsiflexing and maintaining the foot in this position, while supporting the knee. A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the morning. The adult-gerontology acute care nurse practitioner determines that the patient's hyperglycemia is due to the dawn phenomenon and - ANS-increases the insulin dosage at bedtime A patient with a history of atrial fibrillation, who has maintained normal sinus rhythm with sotalol (Betapace), is hospitalized for acute pyelonephritis. The appropriate antibiotic regimen for this patient is intravenous - ANS-ceftriaxone A patient who has been in the intensive care unit for 17 days develops hypernatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia and hypotension. The adult-gerontology acute care nurse practitioner's initial treatment is to - ANS-The right answer was replenish volume by infusing a 0.9% sodium chloride solution Cytology is evaluated with - ANS-fine needle biopsy What is the single best predictor of one's health status? - ANS-health literacy Patient Health Questionnaire (PHQ-9) - ANS-common depression screening tool, self rank 9 signs and symptoms over last 2 weeks on scale of 0-3 CAGE-AID - ANS-C-have you ever felt that you ought to cut down on your drinking or drug use? A-have people annoyed you by criticizing your drinking or drug use? G-have you ever felt bad or guilty about your dirnking or drug use? E-Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover? (e.g. eye opener) Ramsay Sedation scale - ANS-Awake: 1: anxious, agitated, restless 2: cooperative, oriented, tranquil 3: responsive to commands only Sleeping: 4:response to light glabellar tap ro loud auditory stimulus 5: sluggish response to light glabellar tap or loud auditory stimulus 6: no response to light glabellar tap or loud auditory stimulus CONTINUES...