Wyrimu002

Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? A patient presents complaining of a 5 day history of upper respiratory symptoms including nasal congestion a...

An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of A 45 year old patient presents with ‘sore throat’ and fever for one week. After a quick strep screen you determine the patient has Strep throat. You know that streptococcal phar...

1.In AR disorders, carriers have: A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months. The physical exam reveals decreased breath sounds and dullness to percussion over the left lower lung field. The chest X-ray demonstrates shift of the mediastinum and trachea to the left. These are classic signs of: The nurse practitioner is discussing lifestyle changes with a patient diagno...

A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On examination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and...

Where is the point of maximal impulse (PMI) normally located? Which of the following correlates with a sustained, high-amplitude point of maximal impulse (PMI)? A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry cough that worsens at night when she lies in bed. She has shortness of breath, which worsens when she exerts herself. The patient’s pulse rate is 90/min and regular. The patient has gained 6 lbs over the past two months. She is on a nitrogl...

Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? A patient presents complaining of a 5 day history of upper respiratory symptoms including nasal congestion a...

An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge. This is most likely indicative of A 45 year old patient presents with ‘sore throat’ and fever for one week. After a quick strep screen you determine the patient has Strep throat. You know that streptococcal phar...

1.The three cardinal features of Parkinson’s disease are: Mr. Marshall was administer the Mini-Mental State Exam (MMSE). Which of the following statements pertaining to this tool is a true statement? When assessing a patient who complains of a tremor, the nurse practitioner must differentiate essential tremor from the tremor of Parkinson’s disease. Which of the following findings are consistent with essential tremor?

Which of the following best describes the pain associated with osteoarthritis? Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will begin treatment with corticosteroids until the condition has resolved. You look over her records and it has been 2 years since her last physical examination and any laboratory or diagnostic tests as she relocated and had not yet identified a health-care provider. In prioritizing your management plan, your first orders should include: In providin...

1. When a patient presents with a skin-related complaint, it is important to first: The appearance of a 2-10 cm. herald patch with subsequent development of parallel oval lesions on the trunk in a christmas tree distribution involving the upper arms and upper legs are common in Mr. Fitzgerald is a 68-year-old previously healthy man with a history of significant sun exposure who presents with a progressively enlarging 18 x 16 mm erythematous pruritic oval patch on his left forearm that has been...

1. What ETHNIC GROUP has the HIGHEST INCIDENCE of PROSTATE CANCER? Men with an initial PSA level below 2.5 ng/ml can reduce their screening frequency to what intervals? Your 55-year-old male patient presents to your office with complaints of sudden development of severe right-sided, colicky lower abdominal pain. He cannot sit still on the examining table. The patient has previously been in good health. On physical examination, there are no signs of peritoneal inflammation. A urine sample revea...

Which of the following is a characteristic of non-experimental designs? Which of the following non-experimental designs comes closest to examining causal relationships? The school psychologist was asked by one teacher to develop a program to eliminate the disruptive behaviors of one of her students. The psychologist needed more information about how often the behavior occurred, where it occurred, and what provoked the behavior. What type of study will the psychologist conduct to obtain this in...

The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? What action is most likely to encourage parents to talk about their feelings related to their child’s illness? When introducing hospital equipment to a preschooler who seems afraid, the nurse’s approach should be based on which principle? What is the single most important factor to consider when communicating with children?

Which of the following is not found in an adolescent with untreated Graves’ disease? A fifteen-year-old male patient reports a three-day history of sore throat, fever, and malaise. Physical examination reveals pharyngitis, anterior cervical adenopathy, and an oral temperature of 101.6 degree Fahrenheit (38.7 degree Celsius). Which diagnostic test does a pediatric primary care nurse practitioner order next? The adolescent should be screened for Type 1 diabetes _______________. What is one of...

What is the sequence of steps in the development of a digestive enzyme by the pancreas cells from the initial transcription to the release from the cells? Which organic compounds facilitate transportation across the cell membrane by acting as receptors, transport channels for electrolytes, and enzymes to drive active pumps? Understanding the various steps of proteolytic cascades, such as caspase-mediated apoptosis and complement cascades, may be useful in designing drug therapy for which human...

Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for: The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is: Angela is a black woman who has ….that women of African descent do not need to worry about osteoporosis. What education would you provide Angela about her risk? Prophylactic use of bisphosphonates is …..for patients with early osteopenia ….to long-term use of which ...

The U.S. Food and Drug Administration (FDA) regulates: Nurse practitioner prescriptive authority is regulated by: Electronic health records (EHRs) Alterations in drug metabolism among Asians may lead to

Which component of the cell produces hydrogen peroxide (H2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative reaction? What is a consequence of plasma membrane damage to the mitochondria? Which statement is a description of one of the characteristics of apoptosis? During cell injury caused by hypoxia, sodium and water move into the cell because:

What effects do exercise and body position have on renal blood flow? Blood vessels of the kidneys are ……by the: When renin is release, it is capable of which action? Which effect do natriuretic peptides have during heart failure when the heart dilates?

Oncogenes are genes that are capable of: Burkitt lymphomas designate a chromosome that has a piece of chromosome 8 fused to a piece of chromosome 14. This is an example of which mutation of normal genes to oncogenes? In childhood neuroblastoma, the N-myc oncogene undergoes which type of mutation of normal genes to oncogenes? Which aberrant change causes the abnormal growth in a retinoblastoma?