& VERIFIED ANSWERS (UPDATED TO PASS)
1. A middle-age
Tetracycline
fe- male
Twelve weeks of oral tetracycline (Sumycin) is the recommended first-lin
patient pre-
treat- ment for hidradenitis suppurativa.
sents to the
clinic with a
recurrence of
mild Hidradenitis suppurativa is a disorder of the terminal follicular epithelium
hidradenitis in apoc- rine gland-bearing skin. It is a chronic, disabling disorder
suppurativa that progresses, often causing keloids, contractures, and immobility.
af- ter topical It is characterized by comedone-like
pies failed. Which
thera-
follicular occlusion, chronic and relapsing inflammation, mucopurulent
discharge,
first-line treat- compe- tent health care services to an
ment is recom- American Indi- an elder, the
mended?
2. When
providing
culturally
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, ANCC FNP BOARD QUESTIONS WITH ALL CORRECT
& VERIFIED ANSWERS (UPDATED TO PASS)
and progressive scarring. (Soriatane, for males and nonfertile females) or dapsone (Aczone) may b
Arthropathy associated considered by a dermatologist. In patients with moderate to severe
with hidradenitis may be hidradenitis suppurativa, adalimumab (Humira) may possibly be
present. Typical considered.
presentation includes
nodules and sinus tracts The "Medicine Wheel" is used by many for the purpose of health and
(inflamed or noninflamed), healing The "Medicine Wheel" is traditionally used and contains four
abscesses, and scarring directions; north, south, east, and west. Traditionally each tribe has
found in the axilla, ditterent meanings for each direction and they may represent the
genitofemoral area, season of the year or stage of life. It is aimed at providing a holistic
perineum, gluteal area, view of life.
and inframammary area
in women.
Recommended treatments
include antibiotics,
steroids, retinoids,
dapsone, and anti-tumor
necrosis factor agents. A
dermatology consultation
should also be
considered.
First-line treatment is a
12-week course of an oral
tetracycline (Sumycin)
such as doxycycline. For
patients who do not
respond to doxycycline,
the next recom-
mended step is a combination
of twice-daily clindamycin
(Cleocin) and rifampicin
(Rifadin) for 10-12 weeks. If
treatment fails, acitretin
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& VERIFIED ANSWERS (UPDATED TO PASS)
nurse practition-
er understands
which is suspects conductive hear- ing loss. Which
tradi- could contribute to this?
tionally
true?
3. The nurse
prac- titioner
sees an older
adult pa- tient
in the clinic
with the
primary report
of hearing loss
and a sen-
sation of
fullness in the
right ear. The
nurse prac-
titioner
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& VERIFIED ANSWERS (UPDATED TO PASS)
An understanding of should seek to understand relevant cultural factors and as- sess
ditterent cultural each individual's healthcare literacy in order to provide culturally
preferences leads to competent care.
cultural competence in
healthcare. Some patients Cerumen, commonly called earwax, is a combination of secretions and
may value traditional sloughed epithelial cells that protects the ears from infection, water,
culture and preferences as and insects. It is normally expelled from the ear canal through natural
it relates to healthcare. jaw movement. When this self-cleaning process fails, cerumen can
These individual become impacted. Cerumen impaction occludes the ear canal and can
preferences should be press against the tympanic membrane, resulting in conductive
included in the interview hearing loss.
and treatment plan for
patients.
Traditionally, the American Conductive hearing is the transition of sound from the external and
Indian culture values a middle ear to the inner ear. Conductive hearing loss is caused by
holistic approach to health problems in the external and middle ear that interfere with the
care integrating the transmission of sound and its conversion to mechanical vibration.
person, lifestyle, Causes of conductive hearing loss include obstruction of the external
environment, family, and auditory canal by cerumen, foreign bodies, debris from otitis externa,
religion. Patients adhering and large exocytosis and osteomas.
to these traditional cultural Sensorineural hearing loss involves diflculty converting mechanical
practices often feel that vibrations
illness is due to a lack of
harmony with the physical
body, mind, spirit, and
emotions. Patients may
seek care from western
medicine for specific
ailments while also
consulting with traditional
healers for spiritual
guidance.
Healthcare providers
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