NURS620 exam 1Final Revised In treating a patient with allergic conjunctivitis, the most appropriate treatment option is: The clinician is assessing a patient complaining of hearing loss. The c... linician places a tuning fork over the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus. The patient is asked to let the clinician know when the sound fades away. This is an example of which type of test? As diabetic retinopathy progresses, the presence of "cotton wool" spots can be detected. Cotton wool spots refer to: One distinguishing characteristic between conjunctivitis and iritis is: An acutely presenting, erythematous, tender lump within the eyelid is called: The antibiotic of choice for beta-lactamase coverage of otitis media is: In assessing a client with bacterial conjunctivitis, the nurse practitioner finds: Acute otitis media is diagnosed when there is: What is the easiest way to differentiate between otitis externa and otitis media? Common causative organisms of acute bacterial conjunctivitis include all of the following except what? Tee, age 64, presents with a sore throat. Your assessment reveals tonsillar exudate, anterior cervical adenopathy, presence of a fever, and absence of a cough. There is a high probability of which causative agent? Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin therapy. What would you order next? John, age 19, has just been diagnosed with mononucleosis. Which of the following statements is true? Matthew, age 52, has chronic allergic rhinitis and would like some medicine to relieve his symptoms. He is taking cimetidine (Tagamet) for gastroesophageal reflux disease. Which medication would you not order? A 25-year-old woman who has seasonal allergic rhinitis likes to spend time outdoors. She asks you when the pollen count is likely to be the lowest. You respond: You prescribe nasal corticosteroid spray for a patient with allergic rhinitis. What is the anticipated onset of symptom relief with its use? Which of the following medications is most appropriate for allergic rhinitis therapy in an acutely symptomatic 24-year-old machine operator? Oral decongestants should be discouraged in patients with: Which of the following findings is most consistent with the diagnosis of acute bacterial rhinosinusitis? Which of the following represents a therapeutic option for ABRS in a patient with no recent antimicrobial care with treatment failure after 72 hours of appropriate-dose first line antimicrobial therapy? Which of the following class of drugs is preferred treatment for a diabetic with stage II hypertension? You are caring for a 30-year-old white male in your office with a BP of 144/90. He has never had a diagnosis of hypertension. He doesn't check his blood pressure at home. He has a family history of hypertension. What are your recommendations? You are treating a young adult female with HTN and migraine headaches. Which class of medications could you choose to treat both? A 42-year-old male presents with the following lipid profile. He is not on any medications for cholesterol or herbal supplements.Total: 210, LDL: 145, TG 162, HDL 52 What medication would you recommend? You are caring for a 68-year-old male who has been taking atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and dark-colored urine. Which of the following is the most appropriate treatment plan? What would you advise this patient regarding taking his atrovastatin (Lipitor)? A 58 year old male presents to your office with an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved with rest. Which of the following does this best describe? Which of the following antihypertensive medications would you avoid prescribing for an elderly white female with the comorbid diagnosis of osteoporosis? What is the most common cause of left ventricular hypertrophy in the United States? Which of the following heart sounds is associated with heart failure? While performing a routine physical exam on a 60-year-old hypertensive male, you notice a bruit over the carotid area on the left side of the neck. There is no induration of the skin. This patient is at higher risk for: A 72-year-old female presents to your office with gradual difficulty breathing, non-productive cough, bilateral swelling of her feet, and a 10 pound weight gain. Upon examination you hear crackles and rhonchi with an S3 heart sound. What is the most likely diagnosis? What is your treatment plan for this patient with difficulty breathing, cough, weight gain, edema, and S3 heart sounds? You are treating a 49-year-old female who presents with fatigue and palpitations. You check her apical pulse and she is irregular and tachycardic. You obtain an EKG and it reveals afib with rapid ventricular response. What is your treatment plan? Upon examination of a 17-year-old during a sports physical, you hear a split S2 during inspiration that disappears during expiration. The patient denies chest pain and dyspnea. What will you tell the mother and patient regarding your findings? How would you grade tonsils that touch the uvula? Grade 3 The most common offending allergens causing allergic rhinitis are Pollens of grasses, trees, and weeds. [Show More]
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