Fidelwamb2017

Question:1 According to the U.S. Preventive Services Task Force, older adults should be screened for colorectal cancer with sigmoidoscopy every: a) 1 year. b) 2 years. c) 5 years. Correct d) 10 years. Explanation: The Task Force recommends screening with colonoscopy every 10 years, sigmoidoscopy every 5 years with high-sensitivity fecal occult blood tests (FOBTs) every 3 years, or FOBTs every year beginning age 50 years through age 75 years. Recommends against routine screening fo...

Question:1 A 45-year-old woman has been taking oral omeprazole (Prilosec) 40 mg twice daily for the treatment of gastroesophageal reflux. To discontinue the medication the nurse practitioner would: a) advise the patient to stop the medication. b) reduce the dose by 50% every other day. c) reduce the dose by 50% weekly. Correct d) reduce dose by 50% every month. Explanation: For patients on a moderate to high dose of a PPI (e.g., omeprazole (Prilosec) 40 mg daily or twice daily), red...

Question:1 Oral tetracycline (Sumycin), for the treatment of acute frontal sinusitis, should be administered: a) with milk. b) with meals. c) on an empty stomach. Correct d) with an antacid. Explanation: Tetracycline (Sumycin) should be administered on an empty stomach (i.e., 1 hour prior to, or 2 hours after meals) to increase total absorption and with adequate amount of fluid to reduce the risk of esophageal irritation and ulceration. It should be administered at least 1 to 2 ho...

Question:1 The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: a) History of poor intestinal absorption b) Foul smelling, frothy, greasy stools c) Meconium ileus d) Salty taste on the skin Correct Explanation: The signs and symptoms of cystic fibrosis (CF) vary from person to person and over time. Sometimes there will be few symptoms and other times, symptoms may become more severe. One of the first signs of CF that parents may notice is that their ...

Question:1 Signs and symptoms of digitalis toxicity include: A. constipation and muscle spasms. B. bradycardia and tinnitus. C. headache and dizziness. D. blurred vision and persistent diarrhea. Correct Explanation: Signs and symptoms of digitalis toxicity include: confusion, irregular pulse, loss of appetite, nausea, vomiting, diarrhea, fast heart beat, and visual changes (blurred vision, blind spots, green-yellow color disturbances, halo effect). Regardless of route of administratio...

1. Question: The preauricular nodes drain lymphatic fluid from the: A. palpebral conjunctiva and the skin adjacent to the ear within the temporal region. B. eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek. C. mouth, throat, and face. D. posterior part of the temporoparietal region. Explanation: The preauricular nodes drain lymphatic fluid from the palpebral conjunctiva as well as the skin adjacent to the ear within the temporal region. Tonsillar, s...

1. Question: A 45-year-old woman has been taking oral omeprazole (Prilosec) 40 mg twice daily for the treatment of gastroesophageal reflux. To discontinue the medication the nurse practitioner would: advise the patient to stop the medication. reduce the dose by 50% every other day. reduce the dose by 50% weekly. Correct reduce dose by 50% every month. Explanation: For patients on a moderate to high dose of a PPI (e.g., omeprazole (Prilosec) 40 mg daily or twice daily), reduce...

Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to enroll in a Medicare prescription drug plan. Will she be able to? - Answer - c. Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be eligible for coverage under the Medicare prescription drug program. Correct Mr. Sanchez is entitled to Part A, but ha...

1. Mrs. Durante is enrolled in Original Medicare Parts A and B. She has recently reviewed her Medicare Summary Notice (MSN) and disagrees with a determination that partially denied one of her claims for services. What advice would you give her? Answer: Mrs. Durante should file an appeal of this initial determination within 120 days of the date she received the MSN in the mail. 2. Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully treat...

Question 1 Mr. Buck has several family members who died from different cancers. He wants to know if Medicare covers cancer screening. What should you tell him? a. Medicare covers all screening tests that have been approved by the FDA on a frequency determined by the treating physician. b.Medicare covers treatments for existing disease, injury, and malformed limbs or body parts. As such, it does not cover any screening tests and these must be paid for by the beneficiary out-of-pocket. c...