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Exam (elaborations)

D118 Unit 7 exam Study Guide Oa Questions With 100% complete solution 2025

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D118 Unit 7 exam Study Guide Oa Questions With 100% complete solution 2025

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D118 Unit 7 exam Study Guide
Oa Questions With 100%
complete solution 2025
AipatientiwithiaihistoryiofiAddison'sidiseaseipresentsitoitheic
liniciwithiextremeiweakness,inausea,iandivomiting.iTheiadva
ncedipracticeiregisteredinursei(APRN)iassessesitheipatientia
ndinotesitheipatientiisiconfused.iAssessmentifindingsiinclud
e:
Vitalisigns
bloodipressureiofi102/56
apicali78iregular
temperatureiofi101.3iFi(38.5iC)
Diagnostics
sodium:i122imEq/L
potassium:i5.2imEq/L
WBC:i16.4iXi109/L
WhichiactionishoulditheiAPRNitake?i-iCORRECTiANSWERS-
TransferitheipatientitoitheiED

AipatientipresentsitoitheicliniciwithiaidiagnosisiofiCushingisy
ndrome.iTheiadvancedipracticeiregisteredinursei(APRN)iwa
ntsitoidetermineitheiunderlyingicauseiofitheidiseaseiprocessi
andiordersiaiDexamethasoneisuppressioni(DS)ilabitest.
DSiFindings:
lowidose:inoichange
highidose:inoichange
ACTHiisiundetectableiorilow
WhatishoulditheiAPRNisuspectirelateditoitheseifindings?i-
iCORRECTiANSWERS-Adrenalicarcinoma



Ainonpregnantiadultipatientipresentsitoitheicliniciforianiann
ualiwell-
patientiexam.iTheiadvancedipracticeiregisteredinursei(APR
N)iassessesitheipatientiandiordersidiagnosticitests.
Diagnosticitestiresults:


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, oraliglucoseitoleranceitest:i142img/dL
HbA1c:i5.9%
fastingiplasmaiglucose:i102img/dL
IniwhichiclassificationishoulditheiAPRNiplaceitheipatient?i-
iCORRECTiANSWERS-Prediabetes



Aipatientipresentsitoitheiprimaryicareicliniciwithidecreasediv
ibratoryisensation,ilossiofiproprioception,iperipheralineurop
athy,iandiataxia.iTheiadvancedipracticeiregisteredinursei(AP
RN)inotesiaibeefy-
reditongueiandiaipositiveiRombergisigniduringiassessment.i
Aicompleteibloodicountirevealsiaihemoglobiniofi8g/
dLiandiMCVileveliofi110ifL.
WhichidiagnosisishoulditheiAPRNimakeiforithisipatient?i-
iCORRECTiANSWERS-

BeefyireditongueiisirelateditoivitaminiB12ideficiency

VitaminiB12ideficiencyiisitheianswer

AniAfrican-
Americanipatientipresentsitoitheiemergencyidepartmentico
mplainingiofisevereipainiinitheijoints,iback,ichest,iandiabdo
men.iTheiadvancedipracticeiregisteredinursei(APRN)iexami
nesitheipatientiandinotesitheifollowing:
O2isaturationiofi86%ioniroomiair
Jaundice
Systoliciflowimurmur
CXRirevealsicardiomegaly
TheiAPRNisuspectsithatitheipatientihasisickleicellidisease.
WhichitestishouldibeiordereditoiconfirmitheiAPRN'sisuspicio
n?i-iCORRECTiANSWERS-Hemoglobinielectrophoresis

Aiyoungiwomanicomesitoitheicliniciandicomplainsitoitheiadv
ancedipracticeiregisteredinursei(APRN)iofiurgency,iburningi
uponiurination,iandipainiinitheiloweriback.iAssessmentifindi
ngsiinclude:
B/Pi136/80
pulsei78
respirationsi14


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