NSG6001 week 2 QUESTIONS AND WELL ELABORATED SOLUTIONS ALREADY PASSED

NSG6001 week 2 QUESTIONS AND WELL ELABORATED SOLUTIONS ALREADY PASSED Which dietary supplements have shown some effectiveness in reducing blood pressure in patients with hypertension? - ANSWER CoQ10 Garlic extract L-arginine A patient reports abdominal and back pain with anorexia and nausea. During an exam, the provider notes a pulsatile abdominal mass. What is the initial action? - ANSWER Ultrasound of the mass to determine size A 70-year-old male patient has an aortic aneurysm measuring 5.0cm. The patient has poorly controlled hypertension, and decompensated heart failure. What is the recommendation for treatment for this patient? - ANSWER Serial ultrasongraphic surveillance of the aneurysm According to current research, whic are associated with a decreased incidens of stroke? - ANSWER > 7 servings of fruits and vegetables per day Intensive insulin therapy in type 1 diabetes Medicterranean diet During a rountine health maintenance examination, the provider auscultates a cervical bruit. The patient denies syncope, weakness, or headache. What will the provider do, based on this finding? - ANSWER order a carotid duplex ultrasound Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular disease are thos with a history of - ANSWER a 10 year risk score of 8% with an LDL of 80mg/dL a low-density lipoprotein (LDL) level > 190mg/dL previous myocardial infarction A patient who has heart failure with reduced ejection fraction will have which symptoms? - ANSWER pump failure from left ventricular systolic dysfunction A patient who has been diagnosed with heart failure for over a year reports being comfortable while at rest and experiences palpitaitons and dyspnea when walking tothe bathroom. Which classification of heart failure is appropriate based on these symptoms? - ANSWER Class II A patient who has class II heart failure is taking an ACE inhibitor and reports a recurrent cough that does not interfere with sleep or activity. What will the provider do intitaly to manage this patient? - ANSWER Provide reassurance that this is a benign side effect A patient reports persistent nasal blockage, nasal discharge, and facial pain lasting on the right side for the past 4 months. There is no history of sneezing or eye involvement. The patient has a history of seasonal allergies ant takes a non-sedating antihistamine. What does the provider suspect is the cause of these symptoms? - ANSWER Chronic rhinosinusitis A provider determines that a patient has chronic rhiosinusitis without nasal polyps. What is the first-line treatment for this condition? - ANSWER Intranasal corticosteroids A young adult patient without a previous history of lung disease has an increased respiratory rate and reports a feeling of "not getting enough air." The provider auscultates clear breath sounds and notes no signs of increased respiratory effort. Which diagnostic test will the provider perform initially? - ANSWER complete blood count A ptient reports shortness of breath with activity and exhibits inceased work of breathing with prolonged expirations. Which diagnostic test will the provider order to confirm a diagnosis in this patient? - ANSWER spirometry An older patient with COPD is experiencing dyspneal and has an oxygen saturation of 89% on room air. The patiet has no history of pulmonary hypertension or congestive heart failure. What will the provider order to help manage this patient's dyspnea? - ANSWER breathing exercises A young adult patient develops a cough persisting longer than 2 months. The provider orders pulmonary function test and chest radiograph, which are normal. The patient denies abdominal compliants. There are no signs of rhinitis or sinusitis and the patient does not take any medications. What will the provider evalutate next to help determine the cause of this cough? - ANSWER methacholine challaenge test A patient who has asthma call the provider to report having a peak flow measure of 75%, shortness of breath, wheezing, and cough, and tells the provider that the symptoms have not improved significantly after a dose of albuterol. The patient uses an inhaled corticoseroid medication twice daily. What will the provider recommend? - ANSWER Administering two more dose of albuterol An adult develops chronic cough with episodes of wheezing and shortness of breath. The provider performs chest radiography and other test and rules out infection, upper respiratory and gasteroesophageal causes. Which test will the provider order intitally to evaluate the possibility of asthama as the cause of these symptoms - ANSWER spirometry A patient is seen in clinic for an asthma exacerbation. The provider administers three nebulizer treatments with little improvement, noting a pulse oximetry reading of 90% with 2 L of oxygen. A peak flow assessment is 70%. What is the next step in treating this patient? - ANSWER Admit to the hospital with specialist consultation What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? - ANSWER Ease of access to care Which is the most appropriate research design for a level III research study? - ANSWER Experimental design What is the purpose of clinical research trails in the spectrum of translational research? - ANSWER Examination of safety and effectiveness of various interventions which are key components of the Patient-Centered Medical Home? - ANSWER Access to care Comprehensive care Coordination of care Which medications are associated with weight gain? - ANSWER Antidepressants Antihistamines Insulin analogs Seizure medications Routine screening blood tests at an annual physical exam reveal a fasting glucose level of 125mg/dL and a hemoglobin A1C of 6.2%. What will the provider do, based on these results - ANSWER Evaluate the patient for impaired glucose tolerance The primary care provider is screening a patient using the CAGE criteria. What will the provider include in this assessment? - ANSWER Number of times per week eaten in restaurants Sources of daily dairy intake Types of meats and proteins An adult patient reports frequent episodes of syncope and lightheadedness. The provider notes a heart rate of 70 beats per minutes. What will the provider do next? - ANSWER Evaluate the patient's orthostatic vital signs A patient is brought to an emergency department with symptoms of acute ST-segment elevation MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the initial treatment for this patient? - ANSWER Initiate fibrinolytic treatment Which assessments of care providers are performed as part of the Value Based Purchasing initiative? - ANSWER Appraising costs per case of care for Medicare patients Assissing patients' satisfaction with hospital care Monitoring mortality rates of all patients with pneumonia