Erickwhite

1. Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: P—population, I—intervention, C—comparisons, O—outcome, T—time. 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national dir...

1. Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: P—population, I—intervention, C—comparisons, O—outcome, T—time. 2. The Affordable Care Act has directed the US Department of Health and Human Services and multiple agencies to develop and disseminate initiatives on meeting the care needs of patients with Multiple Chronic Conditions (MCC). What is the primary purpose for the national dir...

Policies & Practice Standards • State Nurse Practice Act NSG6006 Study Guide 5000 (Roles) • _History and Developmental Aspects of Advanced Practice Nursing • Definition of advanced practice nurse (APN) - A nurse who has completed an accredited graduate-level education program preparing her or him for the role of certified nurse practitioner, certified registered nurse anesthetist, certified nurse-midwife, or clinical nurse specialist; has passed a national certification examinati...

The nurse practitioner is using the carcinoma classification system that provides a way of describing the size, location, and spread of a tumor and is known as: Question 1 options: The SLS classification The CCS classification The TSL classification The TNM classification When educating patients about cervical cancer, it is important to include that the most causative agent in cervical cancer is: Question 2 options: PCOS Vulvar cancer Herpes simplex HP...

• Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? A Sebaceous cyst • 8-year-old retired farmer comes to your office for evaluation of a skin lesion. On the rig...

1. Question : You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism? Student Answer: Moist and smooth Moist and rough Dry and smooth Dry and rough Points Received: 1 of 1 Comments: ...

Question 1. Question : Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: Student Answer: P --population, I-- intervention, C-- Concepts, O--operational definitions, T –Time (Incorrect! Population, intervention, comparison, outcome and time) P—precision instrument, I—intervention, C—control, O—operational definitions, T—Time (Incorrect! Population, intervention, comparison, o...

• Jim is a 47-year-old man having difficulties with sexual function. He recently separated from his wife of 20 years. He reports early morning erections but otherwise cannot function. Which of the following is alikely cause for his problem? a) Abnormal hypogastric arterialcirculation b) Psychological issues c) Decreased testosterone levels d) Impaired neural innervations b) Psychological issues • A 12-year-old is brought to y...

Question 1 (2 points) When preparing to perform a physical examination on an infant, the examiner should: Question 1 options: have the parent remove all clothing except the diaper on a boy. instruct the parent to feed the infant immediately before the exam. encourage the infant to suck on a pacifier during the abdominal exam. ask the parent to briefly leave the room when assessing the infant’s vital signs. Save Question 2 (2 points) A patient’s laboratory da...

Subjective data related to the male GU system would include: Question 1 options: Asking the patient questions about dysuria Palpating an enlarged prostate. Inspecting the scrotal area Examining the scrotum for lumps Objective data related to the male GU system would include Question 2 options: Asking a patient questions about dysuria Asking the patient if they are having difficulty starting a urine stream Palpating an enlarged prostate Asking the patient about ...

1. The anterior surface landmark on the thorax that is denoted by a hollow U-shaped depression just above the sternum and between the clavicles is termed the: suprasternal notch 2. Increased anteroposterior diameter of the chest, purse-lipped breathing, and dyspnea with talking, suggest: chronic obstructive pulmonary disease 3. The line that extends through the inferior angle of the scapula when the arms are at the sides of the body is the: scapular line 4. The lower tip of the scapula is loc...

A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? 1. “Can you point to where it hurts?” 2. “We’ll talk more about that later in the interview.” 3. “What have you had to eat in the last 24 hours?” 4. “Have you ever had any surgeries on your abdomen?” ANS: 1 A final summary of any symptom the person has should include, along with seven other critical characteristics, “Location: specific.” Ask the ...

1. In order to bring the ventricular apex closer to the chest wall when assessing the point of maximal impulse (PMI), ask the patient to: turn to the left side 2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of the: mouth, throat, and face 3. When screening a patient for peripheral arterial disease (PAD), one risk factor would include a history of: smoking 4. Heart sounds produced by turbulence due to a temporary increase in blood flow in predispo...

Question 1 When recording assessments during the construction of the problem-oriented medical record, the examiner should: Response Feedback: Once the examiner has a list of problems constructed, then an assessment is made for each unique problem. Question 2 What finding is unique to the documentation of a physical examination of an infant? Response Feedback: The size & characteristic of the fontanel are unique & important in the assessment of an infant. Data on l...

Question 1 (1 point) A 42-year-old florist comes to your office, complaining of chronic constipation for the last six months. She has had no nausea, vomiting, or diarrhea, and no abdominal pain or cramping. She denies any recent illnesses or injuries. She denies any changes to her diet or exercise program. She is on no new medications. During the review of systems (ROS), you note that she has felt fatigued, had some weight gain, has irregular periods, and has cold intolerance. Her past me...

A condition associated with a chronic cough that produces copious amounts of purulent sputum is most likely: bronchiectasis When performing a respiratory assessment on a 4-year-old child, further evaluation is warranted in the presence of: supraclavicular retractions When percussing the chest in a patient who has left sided heart failure, the sound emanated would be: resonant Stridor heard louder in the neck than over the chest wall indicates: a partial obstruction in the larynx The middle s...

• Question 1 A patient develops diarrhea secondary to antibiotic therapy. He is to receive two tablets of diphenoxylate HCl with atropine sulfate (Lomotil) orally as needed for each loose stool. The nurse should inform him that he may experience • Question 2 A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? ...

A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy? A) Monitor the patient's bleeding time B) Check the patient's blood glucose levels C) Record baseline vital signs D) Monitor the IV site for redness, swelling, or pain D 2. A patient is in the clinic after 6 weeks of tak...

• Question 1 1 out of 1 points Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine? Response Feedback: Phenylephrine is an alpha-1 adrenergic agonist and a drug commonly used topically for relief of nasal and nasopharyngeal mucosal congestion and to produce mydriasis for ophthalmologic procedures. Phenylephrine acts as a vasopressor causing vasoconstriction of the arterioles. The vasocons...

A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? Response Feedback: A protein deficit puts the patient at greater risk for having greater amounts of free, active drug in the blood because less...