Voorbeeld 4 van de 35 pagina's
Voorbeeld 4 van de 35 pagina's
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1.
1. A 2-month-old infant is presented for examination and immunizations. History includes an uncomplicated full-term delivery and hepatitis B virus immunization shortly after birth. Examination is unremarkable except for a diffusely erythematous (not beet red) macular rash in the diaper area., sparing the inguinal folds. No satellite lesions are noted. The infant\'s rash is most likely caused by. A. Candida albicans infections. B. Eczema C. Seborrheic dermatitis D. Contact dermatitis
Antwoord: D
2.
162. You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30 weeks gestation. Leukocyte=trace, nitrite=negative, protein=2 , blood=negative. Her weight has increased by 5 lbs during the past week. Which of the following is most likely? A. HELLP syndrome B. Pregnancy-induced hypertension (pre-eclampsia) C. Eclampsia of pregnancy D. Primary hypertension
Antwoord: RATIONALE: B. Pregnancy-induced hypertension (pre-eclampsia). Classic triad of symptoms of preeclampsia include hypertension, edema (weight gain), and proteinuria.
3.
156. Which of the following pharmacotherapeutics would be most important to administer to a patient who has a corneal abrasion? A. Olopatadine (Patanol) B. Cromolyn opthalmic (Crolom) C. Timolol (Timoptic) D. Gentamycin Opthalmic (Genoptic)
Antwoord: D
4.
144. Which laboratory test is useful in the diagnosis of spontaneous abortion?
Antwoord: - Serial quantitative beta-Huma chorionic gonadotropin levels. Serial quantitative beta-human chorionic gonadotropin levels are the most useful for diagnosing spontaneous abortion. The levels progressively decline.
5.
139. What prophylaxis medication is recommended for the patient under 35 years of age with a positive ppd?
Antwoord: - isoniazid (INH) The CDC recommends administration of isoniazid to persons under 35 years of age with a positive PPD. The goal of this treatment is to prevent progression from latent infection to active infection. The other medications are used to treat active TB, but not for prophylaxis.
6.
127. A routine laboratory assessment of a 12-year-old patient with a family history of thalassemia and anemia reveals Tanner II presentation and Hct=355. In addition to a complete blood count (CBC), the nurse practitioner should order which of the following? A. serum folic acid B. Vitamin B12 level C. Hemoglobin Electrophoresis D. 24-hour urine creatinine
Antwoord: C
7.
113. A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. When should the nurse practitioner check the patient\'s TSH?
Antwoord: - 6 weeks. The half-life of levothyroxine, the treatment of choice for thyroid replacement, is 7 days. The earliest that meaningful changes will be observed is at 4-6 weeks. Therefore, the NP should wait a minimum of 4-6 weeks before checking the patient\'s TSH.
8.
106. The nurse practitioner is following a child with juvenile rheumatoid arthritis (JRA) who has been previously diagnosed and is being managed for the disease by a pediatric rheumatologist. The mother asks for information about the child\'s long-term prognosis. The appropriate reply is that:
Antwoord: - most children with JRA achieve complete remission by adulthood, but its effects might cause lifelong limitations. Although the active disease does not continue into adulthood, the contractures, growth retardation, bone deformities, and visual impairment associated with JRA may lead to lifelong functional impairments. A comprehensive treatment program involving physical therapy, occupational therapy, nutrition, education, and regular ophthalmologic care can limit residual functional limitations.
9.
99. Kolpik’s spots are associated with: A. Poxvirus infections B. Measles C. Kawasaki\'s disease D. Reye\'s syndrome
Antwoord: RATIONALE: B. Measles. S/S include fever over 101, coryza, cough, conjunctivitis, rash, and kolpiks’ spots on buccal mucosa
10.
86. Edema from extravascular fluid retention is visible in conditions like
Antwoord: - heart failure, nephrotic syndrome and liver failure.
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