Nursing ANCC FNP-BC Family Nurse Practitioner

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An adult patient needs treatment for Chlamydia trachomatis urethritis. Which one of the following drugs is useful as a single-dose regimen? A. Ceftriaxone intramuscularly. B. Levofloxacin. C. Azit... hromycin. D. Doxycycline. Explanation: Only azithromycin has shown effectiveness when taken as a single dose for treatment of chlamydia] urethritis. Levofloxacin and doxycycline are also effective treatment choices, but would have to be taken for seven days. Ceftriaxone (Rocephin) is not effective in this case. A patient who gave birth to an infant two months previously seems disengaged and withdrawn. The family nurse practitioner is concerned that the patient may have postpartum depression. Which three of the following symptoms are characteristic of postpartum depression? A. Insomnia or hypersomnia. B. Disorientation and confusion. C. Feeling of worthlessness or inadequacy. D. Poor concentration and inability to make decisions. E. Delusions associated with the infant. Explanation: A patient who has given birth within the previous two to three months and seems disengaged and withdrawn may be exhibiting signs of postpartum depression. Characteristic symptoms include: • Insomnia or hypersomnia. • Feeling of worthlessness or inadequacy. • Poor concentration and ability to make decisions. • Lack of interest and pleasure. • Recurrent thoughts of death. • Lack of energy and constant fatigue. Question: 1 Answer: C Question: 2 Answer: A,C,D lOMoAR cPSD|31901054 • Marked change in appetite. • Consistently sad or depressed mood. Postpartum psychosis often begins early and is more acute and dangerous and can include disorientation, confusion, hallucinations, and delusions associated with the infant. A child with fetal alcohol syndrome (FAS) is likely to exhibit which one of the following findings? A. Growth deficiency. B. Normal IQ. C. Thickened upper lip. D. Macrocephaly. Explanation: FAS is caused by alcohol consumption during pregnancy. Pregnant women should be counseled against drinking any amount of alcohol because there is no known "safe" amount to drink. Pregnant women should abstain from alcohol during all trimesters. Alcohol has a wide range of permanent effects on children, particular ly on the nervous system. Some common characteristics include abnormal facial features (thin upper lip and smooth philtrum), microcephaly, growth deficiency, hyperactivity, learning disabilities, and low IQ. To evaluate a child for esotropia, which one of the following is a rapid and convenient diagnostic screening test? A. Slit lamp examination. B. Corneal light reflex test. C. Snellen test. D. Fluorescein test. Explanation: Corneal reflex tests are useful to diagnose strabismus (e.g., esotropia). To perform the test, shine a light directly onto both corneas at the same time with the patient looking straight at the light source. In patients with strabismus, the light reflected on the cornea appears off-center in the affected eye. Note that corneal light reflex tests may not detect an intermittent strabismus. [Show More]

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