NSG 6430 APEA GI LATEST 2020(Q &A),100% CORRECT

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A patient with diarrhea is tested for C. difficile. How soon should the enzyme immunoassay (EIA) yield results? Older adults frequently complain of constipation. Which medication listed below does NO... T increase the likelihood of constipation in an older adult? A 79-year-old with an appendicitis is unlikely to exhibit A 10-year-old female presents with a 3-month history of abdominal pain. She has been diagnosed with recurrent abdominal pain. During the interview the nurse practitioner is likely to elicit a finding of A patient with gall bladder disease has classic symptoms. Which symptom below is NOT classic of gallbladder disease? A 24-year-old male has recently returned from a weekend camping trip with friends. He has ulcerative colitis and history of migraine headaches. He reports a 2-day history of headache, nausea, and vomiting with weakness. Which of the following is not part of the differential diagnosis A 45-year-old patient has the following laboratory values. HBsAg positive; anti-HBc positive; anti-HBs negative. How should they be interpreted? What medication listed below could be used to increase appetite in an anorexic patient? A patient is in the clinic with a 36- hour history of diarrhea and moderate dehydration. Interventions should include: A 56-year-old male patient has been diagnosed with an inguinal hernia. What symptom would make the nurse practitioner suspect an incarcerated hernia? A patient asks for advice about a medication that will produce rapid relief if he is having heartburn symptoms. What should the nurse practitioner recommend? A patient has a positive hepatitis B surface antibody. This means he: An 83-year-old patient is diagnosed with diverticulitis. Where is her pain typically located? Many older adults have cachexia. What characterizes this? Mrs. Lovely, an 84-year-old, complains of fecal incontinence. A likely cause is: A 40-year-old patient has the following laboratory values. How should they be interpreted? HBsAg negative; anti-HBs positive; anti-HBc negative. A 40-year-old patient has the following laboratory values. HbsAg negative; Anti-HBc positive; anti-HBs positive. How should they be interpreted? A patient has hepatitis B. He probably has a predominance of: Which medication listed below can exacerbate the symptoms of GERD? Which description is more typical of a patient with acute cholecystitis? GERD (gastroesophageal reflux disease) and physiologic reflux have similar characteristics. However, physiologic reflux: The three most common causes of bacterial diarrhea in the US are Salmonella, Campylobacter, and: A 95-year-old male has lost muscle mass as he has aged. He does not have any underlying disease that has caused this loss. What is this termed? A 37-year-old has routine blood work performed during an annual exam. On exam he has a tender, enlarged liver. How should the nurse practitioner proceed? A 70-year-old patient states that he had some bright red blood on the toilet tissue this morning after a bowel movement. He denies pain. What is the LEAST likely cause in this patient? A 70-year-old presents to the nurse practitioner’s office for a well exam today. What medication probably has no effect on screening for occult blood in the stool? Which symptom is INCONSISTENT with irritable bowel syndrome in older adults? A 19-year-old female presents with a temp of 100.8°F and lower abdominal pain that began about 12 hours ago. She denies vaginal discharge. Which choice below is the least likely cause of her symptoms? An 83-year-old patient is diagnosed with diverticulitis. The most common complaint is: The relationship between duodenal ulcer disease and H. pylori infection is: A 24-year-old female presents with pain and tenderness in the right lower abdominal quadrant. Her pelvic exam and urinalysis are within normal limits. Her WBC is elevated and her urine pregnancy test is negative. What is part of the differential diagnosis? The most common reason that older adults develop peptic ulcer disease is: Most patients who have acute hepatitis B infection: A 26-year-old female presents with concerns about possible hepatitis C (HCV) infection. She admits to IV drug use 2 months ago and sharing needles with several other people. Initial laboratory studies have been completed. Anti-HCV reactive. How should this be managed? A patient has been diagnosed with hepatitis B. The most common reported risk factor is: What medication used to treat patients who have GERD provides the fastest relief of heartburn symptoms? Symptoms of uncomplicated reflux disease in older adults should be treated: A 26-year-old female complains of pain at McBurney’s point. She feels nauseated. Her vital signs are provided. The most appropriate initial action by the NP is to: A 48-year-old patient has the following laboratory values. Anti-HCV reactive; HCV RNA detectable. How should they be interpreted? A 3-day-old full-term infant has a bilirubin level of 16 mg/dL. How should this be managed? A 6-week-old male infant is brought to the nurse practitioner because of vomiting. The mother describes vomiting after feeding and feeling a “knot” in his abdomen especially after he vomits. The child appears adequately nourished. What is the likely etiology? A patient has suspected peptic ulcer disease. Her symptoms occur a few hours after eating. She probably has a(n): Which patient has the least worrisome symptoms associated with his diarrhea? One with: A 5-year-old female’s playmate has been diagnosed with pinworms. The mother brings her child in for an exam. The 5 year-old denies rectal itching. How should the NP proceed? A 35-year-old patient has the following laboratory values. HBsAg negative; anti-HBc negative; anti-HBs negative. How should they be interpreted? An 84-year-old presents with a stated involuntary weight loss. He states that he’s lost about 6 pounds in the last 6 or 8 weeks. What statement below is NOT part of the assessment? Most patients who have acute hepatitis A infection: An older patient presents with left lower quadrant pain. If diverticulitis is suspected, how should the NP proceed? A 7-year-old male presents with encopresis. The NP might expect: The initial step in the management of encopresis is: Choose the number on the image that most closely approximates the location of a direct inguinal hernia. The most common place for indirect inguinal hernias to develop is: What is the simplest screen for nutritional adequacy in elderly patients? Which of the following is an appropriate initial intervention for gastroesophageal reflux disease (GERD) in an 8-week-old? A 42-year-old patient was diagnosed with ulcerative colitis many years ago. What part of his routine health screenings should be stressed by the nurse practitioner? A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: A 63-year-old male has been your patient for several years. He is a former smoker who takes simvastatin, ramipril, and an aspirin daily. His blood pressure and lipids are well controlled. He presents to your clinic with complaints of fatigue and “just not feeling well” for the last few days. His vital signs and exam are normal, but his liver enzymes are elevated. His hepatitis panel is negative for infectious hepatitis. What is the most likely cause of his elevated liver enzymes? [Show More]

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