NR 603 Week 4 APEA Predictor Exam Board Questions-Answers-Rationales

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NR 603 Week 4 APEA Predictor Exam Board Questions-Answers-Rationales Question: A 40-year-old man presents to his NP for evaluation of flank pain that radiates towards his groin with associated naus ... ea and vomiting. The pain came on suddenly and is described as intermittent and crampy. Physical examination reveals some diffuse left-sided abdominal pain to palpation but no other significant abnormalities. Laboratory evaluation is performed, including a complete blood count, serum chemistry, and urinalysis. All labs are normal, except for the urinalysis, which shows microscopic hematuria. Based on this patient’s symptoms and urinalysis results, a diagnosis of nephrolithiasis is suspected. Which of the following is consider the Gold Standard in the diagnosis of nephrolithiasis? Question: A 52-year-old man presents for further treatment and management of renal stones. He has been trying to increase his fluid intake per the NP’s recommendations. Past medical history includes 3 episodes of passing stones over the past 5 years, all requiring visits to the emergency department for pain control. The patient had not presented for follow-up until the third episode occurred, at which time he was given a strainer and instructed to bring any stones to the office for analysis. Stone analysis was performed and revealed that the patient has uric acid stones. Which of the following medications would help treat this patient? Question: A 48-year-old woman with a past medical history of hypertension and obesity presents with severe, crampy abdominal pain, nausea, an inability to get comfortable, and blood in her urine. Her vital signs are stable. Her physical examination is significant for left flank pain and left lower quadrant abdominal pain, but no other abnormalities are noted. A complete blood count and serum chemistry are unremarkable. Urinalysis is positive for blood but is otherwise negative. A CT scan with stone protocol is performed and reveals a 3-mm calculus. How should this patient be managed? Question: Which of the following is NOT a recognized risk factor for kidney stone formation? Question: Which of the following medications should NOT increase the risk of kidney stone formation? [Show More]

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