Family Nurse Practitioner (FNP) Test 4 Exam Questions & Answers-Which thyroid-stimulating hormone (TSH) level indicates hyperthyroidism? a. 0.2 uIU/L b. 0.4 uIU/L c. 2.4 uIU/L d. 4.2 uIU/L - a. 0.... 2 uIU/L A patient has sudden onset of right upper quadrant and epigastric abdominal pain with fever, nausea, and vomiting. The emergency department provider notes yellowing of the sclerae. What is the probable cause of these findings? Acute acalculous cholecystitis Chronic cholelithiasis Common bile duct obstruction Infectious cholecystitis - Common bile duct obstruction A patient who developed chronic diarrhea after gastric surgery asks what can be done to mitigate symptoms. What will the provider recommend initially? a. A diet high in carbohydrates b. Avoiding liquids with meals c. Empirical antibiotic therapy d. Probiotic supplements - b. Avoiding liquids with meals A postpartum woman develops fatigue, weight gain, and constipation. Laboratory values reveal elevated TSH and decreased T3 and T4 levels. What will the provider tell this patient? A thyroidectomy will be necessary. She should be referred to an endocrinologist. She will need lifelong medication. This condition may be transient. - This condition may be transient Which medications may cause the greatest increase in the prevalence of GERD? (Select all that apply.) a. Aspirin b. Benzodiazepines c. Calcium antagonists d. Hormone replacements e. Oral contraceptives - a. Aspirin b. Benzodiazepines c. Calcium antagonists An adult patient reports intermittent, crampy abdominal pain with vomiting. The provider notes marked abdominal distention and hyperactive bowel sounds. What will the provider do initially? a. Admit the patient to the hospital for consultation with a surgeo b. Obtain upright and supine radiologic views of the abdomen c. Prescribe an antiemetic and recommend a clear liquid diet for 24 hours d. Schedule the patient for a barium swallow and enema - b. Obtain upright and supine radiologic views of the abdomen What is the probable underlying pathology of irritable bowel syndrome (IBS), according to research over the last decade? Alteration in processing of sensory information Changes in intestinal secretory mucosa Intestinal tissue disease Malabsorption of specific nutrients - Alteration in processing of sensory information A patient has a history of diverticular disease and asks what can be done to minimize acute symptoms. What will the practitioner recommend to this patient? Avoiding saturated fats and red meat Consuming a diet high in fiber Taking an anticholinergic medication Using bran to replace high-fiber foods - Consuming a diet high in fiber Which types of chronic noninfectious diarrhea will cause fatty stools? (Select all that apply.) a. Celiac disease b. Cystic fibrosis. c. Diabetes mellitus d. Lactose intolerance e. Pancreatic insufficiency - a. Celiac disease b. Cystic fibrosis. e. Pancreatic insufficiency A patient with a previous history of liver disease is diagnosed with a bile duct obstruction. Which procedure will be prescribed for this patient? a. Chemical dissolution of the gallstone b. Lithotripsy c. Open cholecystectomy d. Laparoscopic cholecystectomy - c. Open cholecystectomy [Show More]
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