Amazinggrace

When treating a patient for iron deficiency anemia, she complains that the iron supplements have been causing constipation. What solutions might you suggest to help the patient increase her iron absorption as well as her tolerance for the supplement? Select all that apply. Consume adequate dietary fiber Consume more nuts and berries Take iron tablets with vitamin C Avoid taking antacids - Increasing dietary intake of iron-rich foods alone is not generally recommeded to treat iron deficie...

A patient comes to your office concerned about a gray arc visible above and below the outer part of his cornea. Upon exam, you diagnose the patient for which of the following underlying medical conditions? A. Hyperlipidiemia B. Ketonemia C. Hypoglycemia D. Presbyopia - A. Hyperlipidemia HLD is usually associated with arcus senilis in adults. Tx is generally aimed at controlling cholesterol and trigylyceride levels. Aware of the high rate of prostate cancer in middle-aged men, you routine...

____________ is a sudden state of rapid changes in brain function reflected in confusion, changes in cognition, activity, and level of consciousness. - Delirium ____________ is a slowly developing impairment of intellectual or cognitive function that is progressive and interferes with normal functioning - Dementia T/F: Delirium is precipitated by an underlying acute cause, such as acute illness whereas a dementia has a variety of causes - True With dementia there are psychomotor changes __...

A patient has rapid weight gain, amenorrhea without pregnancy, and mild hypertension. Once confirmatory tests are performed, what is a possible treatment for this patient? - Pituitary tumor resection A patient has unexplained weight loss and the provider notes increased skin pigmentation on lightexposed skin folds along with darkened palmar creases. Which laboratory tests will the provider order vs NOT order - ORDER: Serum ACTH, Serum electrolytes, TB skin testing NOT: Serum cortisol T or ...

How many grams of topical cream are needed for a single application to the hands? 1,2,3 or 4? - 2 grams How many grams of topical cream are needed for a single application to an arm? 1,2,3 or 4? - 3 grams How many grams of topical cream are needed for a single application to the entire body? - 30-60 grams Corticosteroid potency is based on _______________. - Vasoconstrictor activity Class one (betamethasone) is the ________ potent and class 7 (hydrocortisone) is the __________ potent. - ...

An NP is looking for professional malpractice insurance. She wants to know about claims-based and occurrence-based policies. All of the following are correct statements about a claims-based policy except? 1. If a lawsuit is filed against the NP in the future, it will be covered if it occurred during the time when the policy is active 2. Malpractice claims that are made against the NP are covered only if it occurred during an active policy period and only if the claim is also filed during a...

Which of the following findings is most likely in young primigravidas with pregnancy induced hypertension? A) Abdominal cramping and constipation B) Edema of the face and the upper extremities C) Shortness of breath D) Dysuria and frequency - B) Edema of the face and the upper extremities Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the upper extremities, weight gain, blurred vision, elevated blood pressure, proteinuria, and headaches. A secon...

A 65 year old woman presents complaining of left sided, throbbing headache along with mild fatigue. On examination, the client has a very tender, tortuous temporal artery. A diagnosis of temporal arteritis is suspected. What test will help the NP confirm diagnosis? - Serum ESR Maria is a 24 year old female who presents with a chief complaint of fatugue that she has had for a few months. Serum laboratory tests are ordered and her CBC results are as follow: WBC 9.6 (4.5-11) RBC 3.6 (4.5-11) ...

A difficult aspect of determining occupational exposure to disease is the: A. confidentiality of the information within company records. B. inaccuracy of occupational disease reporting. C. long latency period between exposure and disease development. D. reliance on workers' memories. - C. the long latency period between exposure and disease development A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin calcium (Lipitor). The family nurse prac...

Define COPD - Common and preventable, persistent airflow limitation usually progressive assoc. with enhanced chronic inflammatory response in airways and lungs to noxious particles/gas What may cause the airflow limitation? - Inflammation Fibrosis/plugs Increased airway resistance Alveolar attachment loss Elastic recoil decrease Name some risk factors associated with COPD. - Smoking Air polutants Asthma Chronic bronchitis Socioeconomic status Respiratory infections What factors ...

INR values below ____ increase stroke risk sixfold. - 2 What allergy contradicts the use of thiazide diuretics? - Sulfa Why should ACE-Is be avoided with renal stenosis? - Leads to ARF Adverse effects of aldosterone antagonists (Aldactone) - Galactorrhea and hyperkalemia What are beta blocker indications? - HTN, post-MI< angina, arrhythmias, migraine prophylaxis, hyperthyroidism 1st line BP med for DM? - ACE or ARB

Assessment of the optic disc is a component of the evaluation of cranial nerve: I. II. III. .IV - Cranial II You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent use of antihypertensive medications, stating, "I feel better without the medications." Today she presents for a "check-up."On physical examination, you note the following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic murmur with radiation to the axilla. ...

Most kidney stones are composed of which of the following? a. uric acid b. calcium c. cystine d. struvite - b. calcium You have a 22-year-old female patient with severe acne. She tells you that she wants to get pregnant. Which of the following acne drugs would you NOT prescribe for this woman who wants to get pregnant? a. Accutane b. benzoyl peroxide cream c. Tretinoin d. erythromycin - a. Accutane You are a proponent of the theory that learners are unique persons who learn optimally ...

____ 1. What is the most influential factor that has shaped the nursing profession? 1) Physicians need for handmaidens 2) Societal need for healthcare outside the home 3) Military demand for nurses in the field 4) Germ theory influence on sanitation - 3 ____ 2. Which of the following is an example of an illness prevention activity? Select all that apply. 1) Encouraging the use of a food diary 2) Joining a cancer support group 3) Administering immunization for HPV 4) Teaching a d...

What valves are closed during S1/ Systole? - Mitral Tricuspid & AV close (Ventricular Contraction) S2 ("Dub" sound) is? - Diastole What valves are closed during S2? - Aortic Pulmonic Semilunar valves close (Ventricular Dilation) The period b/t S1 & S2 is? - Systole The period b/t S2 & S1 is? - Diastole What are murmurs? - Turbulent blood flow through vessels across a heart valves Where do you hear the Aortic Valve? - 2nd RIGHT ICS; Right Sternal Border Where do you hear the Pu...

what are s/sx of testicular cancer? - - c/o nodule in one testicle - sensation of heaviness or aching - one larger testicle - tenderness in one testicle - can present as new onset hydrocele what are classic s/sx of prostate cancer? - - new onset low back pain - rectal area/perineal pain or discomfort accompanied by obstructive riding symptoms such as weaker stream and nocturne - may be asymptomatic what is the blue dot sign? - - abrupt onset of blue-colored round mass located on t...

You are examining a 9-month-old infant who you suspect has cystic fibrosis. Which of the following would be inconsistent with a diagnosis of cystic fibrosis in an infant? abdominal distention recurrent URI diarrhea salty taste when kissed - Correct Answer: diarrhea These are all signs consistent with cystic fibrosis in an infant. Other signs include: chronic cough, and persistent vomiting, especially with cough. Which of the following statements should the nurse practitioner consider co...

The Lachman Maneuver is used to detect which of the following? A: Instability of the knee B: Nerve Damage of the knee due to past knee injuries C: Integrity of the patellar tendon D: Tears of the meniscus - instability of the knee A 28-year old multipara who is at 32 weeks gestation presents to your office complaining of a sudden onset of small amounts of bright-red vaginal bleeding. She has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the...

Test used to screen thyroid disease - TSH Normal TSH values - 0.5-5 What labs look like in hyper thyroidism - Low TSH High T3/T4 What labs look like in hypothyroidism? - High TSH Low T3/T4 Treatment for hyperthyroidism - Methimazole In pregnancy: during first trimester, use PTU, after first trimester can use methimazole Alternate therapy includes 1. Beta blockers to control, palpitation and cardiac symptoms 2. Thyroidectomy. 3. Radioactive iodine. And hyper thyroidism of a patient in...

A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently complaining of pain on her right hip and on both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain and would like something stronger. Which of the following statements is the best explanation of the effects of ibuprofen (Motrin) on her disease? ...