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NR601 Week 6 quiz

Terms in this set (25)

A 59-year-old female comes to the office because she has pain when she urinates. She has been seen three times for this problem in the last 3 months. Each time she was told she had a UTI and was given antibiotics. She carefully followed the instructions but has had no relief of symptoms.. Last UA:
WBCs: 2-3/high-power field
RBCs: 0-2/high-power field
Epithelial cells: Few
Nitrite: Negative
Leukocyte esterase: Negative
Which of the following should be done next?
Perform a pelvic examination
A male patient with a BMI of 30 presents to the office with complaints of fatigue, increased hunger and weight gain despite exercise. You suspect pre-diabetes. Initial testing to confirm diagnosis can include
Fasting plasma glucose
***All of the above***
glucose tolerance testing
hemoglobin A1c
A pelvic mass in a postmenopausal women
is highly suspicious for ovarian cancer
A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis?
Benign prostatic hypertrophy
Which of the following medications can blunt the sign of hypoglycemia in diabetics?
beta blockers
Lifestyle approaches to postmenopausal symptom management include
avoiding sugar, coffee, chocolate, and alcohol
A 66-year-old man is diagnosed with acute prostatitis. He is afebrile without sever pain and deemed appropriate to be managed outpatient. An appropriate initial treatment option for a mild case of acute prostatitis is
Ciprofloxin X 10 - 14 days
Urinary incontinence is defined as:
unintentional voiding, loss or leakage of urine
Which of the following would you recommend annually for the elderly type 2 diabetic?
eye exam with an ophthalmologist
RC, a 48-year-old female presented for her annual exam. As part of routine lab work you ordered a Hgb A1C. You are reviewing the labs, the Hgb A1C result is 6.2%. You interpret this lab as
prediabetes
Which of the following would be an appropriate treatment for a patient with minimal symptoms of BPH
watchful waiting
According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is:
aging
Which of the following patients should be screened for diabetes?
All the patients are appropriate for screening
How does women's anatomy make them more susceptible to UTIs?
Their urethras are shorter
Mr. X returns to your office for a follow up evaluation of first line treatment of his urinary incontinence (UI). He reports continued UI despite compliance with first line measures. The physical exam and lab findings today are normal. You initiate 2nd line treatment and prescribe:
doxazosin
Which of the following diagnoses should be considered in a patient presenting with erectile dysfunction?
All of the Above
What is a sign of insulin resistance that can present in African American patients?
Acanthosis Nigricans
A patient presents with the following complaints a sudden compelling desire to pass urine tht is difficult to prevent. The NP knows this type of incontinence is caused by
detrusor over activity
The patient with BPH is seen for follow-up. He has been taking finastreride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects?
Ejaculatory dysfunction
A patient has been prescribed metformin (Glucophage). Three days later he returns with complaints of nausea and stomach cramping. Ho should the nurse practitioner respond?
Reassure the patient that this is an anticipated side effect.
According to the American Diabetes Association Guidelines, which of the following are appropriate test for type 2 diabetes mellitus?
All of the above
Mrs. N. A 65-year-old woman with a BMI of 29 on medicare, has a 15-year history of hypertension and has been on hydochlorothazide 25 mg daily for years with excellent response. During this follow up visit Mrs. N reports that for the last 1-2 months she has felt thirsty and has had increased urination. Upon chart review the NP notes that the last fasting blood glucose level was 118mg/dl. What action should the nurse practitioner perform next?
order a fasting blood glucose
A 55-year-old Caucasian man with type 1 diabetes mellitus presents to the clinic as a new patient. He takes metformin 500 mg twice a day. His labs reveal albuminuria and a Hgb AC was 7%. He is current on eye and foot examinations. His BP today is 136/84. According to ACC 2017 Guidelines, the most appropriate mediation for his current status is:
lisinopril
Acanthosis nigricans is associated with all of the following conditions except:
tinea versicolor
Foot problems are a major concern for diabetic patients due to vascular insufficiency and neuropathy. Part of the primary care annual exam for the early detection of neuropathy should include:
monofilament testing
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