NURS 6560 Exit Exam (ASSURED A)

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NURS 6560 Exit Exam (ASSURED A) 1. You see a 73-year-old woman with a 40 pack year smoking history, chronic obstruction pulmonary disease and peripheral artery disease who presents with an ulcer on... the soul of her left foot. The also has an irregular edge and pale face and punched out appearance, with the surrounding skin white and shiny. The patient states that the pain is worse at night in bed and when the legs are elevated. The most likely diagnosis is: -arterial ulcer 2. Hey 75-year-old man presents with chief complaints of headache, Nausea, and muscle weakness. His creatinine level is 2.1 MG/DLNGFR is 30 ML/MIN/1.73 m2. He currently takes a thiazides diuretic for the management of hypertension. Which of the following statements is false regarding the use of diuretics in the elderly? -loop diuretics are contraindicated when GFR is <40 ml/min/1.73 m2 3. All of the following practices are recommended when prescribing medication with confusing or similar-sounding names except: - including either the generic or brand name on the prescription order, but not both 4. A 19-year-old is diagnosed with meningococcal meningitis. In order to prevent secondary infections among adults who had close contact with the patient, all of the following are recommended except: - Prophylaxis with acyclovir (Zovirax) 5. A 38-year-old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness. She reports early in the day she was feeling a migraine starting so she took a pill giving to her by her friend who also experience migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did see most likely take? -Almotriptan ( alert) 6. 826-year-old woman presents with uncomplicated UTI. She is otherwise healthy, has not received any systematic anti microbials in the past year and it’s not taking any medications. She is currently not pregnant and is using etonogestrel/ estradiol vaginal ring for contraception. The local E. Coli resistance rate to TMP/SMX is about 12%. The preferred therapy for this patient is: - Trimethoprim-sulfamethoxazole 7. As part of the Deficit reduction act of 2005, Medicare will incorporate quality payment adjustments for certain hospitals-acquired conditions, including all of the following except: -Myocardial ischemic 8. Which of the following example describes a potential malpractice scenario? -A post-myocardial infraction patient is prescribed an inappropriate dose clopidogrel and experience a severe blessing episode.9. A 57-year-old woman presents for a flu shot as she has heard reports that it will be “a bad flu season’. She has had no primary care for more than 10 years she like health insurance. She admits to a 30 pack here cigarette smoking history, currently smoking one pack for a day. Her history and examination are unremarkable. Which screening test would you recommend? - Mammography 10. A 28-year-old woman presents who complains of tugging chest pain unrelated to physical activity. She is generally in good health and non-smoker has a BMI of 23 KG/M2, and denies dyspnea of dizziness. Physical examination reveals a grade 2/6 late systolic murmur that follows a midsystoloc click at the 5th intercostal space, midclavicular line. An echocardiogram Fails to reveal mitral valve tissue redundancy. This can you go presentation is most consistent with: - Mitral Valve prolapse [Show More]

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