D118: UNIT 7 STUDY GUIDE OA WITH
COMPLETE SOLUTIONS.
, A patient with a history of Addison's disease presents to the clinic with extreme
weakness, nausea, and vomiting. The advanced practice registered nurse (APRN)
assesses the patient and notes the patient is confused. Assessment findings include:
Vital signs
blood pressure of 102/56
apical 78 regular
temperature of 101.3 F (38.5 C)
Diagnostics
sodium: 122 mEq/L
potassium: 5.2 mEq/L
WBC: 16.4 X 109/L
Which action should the APRN take? - ANSWERTransfer the patient to the ED
A patient presents to the clinic with a diagnosis of Cushing syndrome. The advanced
practice registered nurse (APRN) wants to determine the underlying cause of the
disease process and orders a Dexamethasone suppression (DS) lab test.
DS Findings:
low dose: no change
high dose: no change
ACTH is undetectable or low
What should the APRN suspect related to these findings? - ANSWERAdrenal
carcinoma
A nonpregnant adult patient presents to the clinic for an annual well-patient exam. The
advanced practice registered nurse (APRN) assesses the patient and orders diagnostic
tests.
Diagnostic test results:
oral glucose tolerance test: 142 mg/dL
HbA1c: 5.9%
fasting plasma glucose: 102 mg/dL
In which classification should the APRN place the patient? - ANSWERPrediabetes
A patient presents to the primary care clinic with decreased vibratory sensation, loss of
proprioception, peripheral neuropathy, and ataxia. The advanced practice registered
nurse (APRN) notes a beefy-red tongue and a positive Romberg sign during
assessment. A complete blood count reveals a hemoglobin of 8g/dL and MCV level of
110 fL.
Which diagnosis should the APRN make for this patient? - ANSWERBeefy red tongue is
related to vitamin B12 deficiency
Vitamin B12 deficiency is the answer
COMPLETE SOLUTIONS.
, A patient with a history of Addison's disease presents to the clinic with extreme
weakness, nausea, and vomiting. The advanced practice registered nurse (APRN)
assesses the patient and notes the patient is confused. Assessment findings include:
Vital signs
blood pressure of 102/56
apical 78 regular
temperature of 101.3 F (38.5 C)
Diagnostics
sodium: 122 mEq/L
potassium: 5.2 mEq/L
WBC: 16.4 X 109/L
Which action should the APRN take? - ANSWERTransfer the patient to the ED
A patient presents to the clinic with a diagnosis of Cushing syndrome. The advanced
practice registered nurse (APRN) wants to determine the underlying cause of the
disease process and orders a Dexamethasone suppression (DS) lab test.
DS Findings:
low dose: no change
high dose: no change
ACTH is undetectable or low
What should the APRN suspect related to these findings? - ANSWERAdrenal
carcinoma
A nonpregnant adult patient presents to the clinic for an annual well-patient exam. The
advanced practice registered nurse (APRN) assesses the patient and orders diagnostic
tests.
Diagnostic test results:
oral glucose tolerance test: 142 mg/dL
HbA1c: 5.9%
fasting plasma glucose: 102 mg/dL
In which classification should the APRN place the patient? - ANSWERPrediabetes
A patient presents to the primary care clinic with decreased vibratory sensation, loss of
proprioception, peripheral neuropathy, and ataxia. The advanced practice registered
nurse (APRN) notes a beefy-red tongue and a positive Romberg sign during
assessment. A complete blood count reveals a hemoglobin of 8g/dL and MCV level of
110 fL.
Which diagnosis should the APRN make for this patient? - ANSWERBeefy red tongue is
related to vitamin B12 deficiency
Vitamin B12 deficiency is the answer
