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NR508 Week 8 Final Exam (2 Versions, Latest-2022) / NR 508 Week 8 Final Exam / NR508 Final Exam / NR 508 Final Exam: Chamberlain College of Nursing |Verified and 100% Correct Q & A|$35.49
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NR508 Week 8 Final Exam (2 Versions, Latest-2022) / NR 508 Week 8 Final Exam / NR508 Final Exam / NR 508 Final Exam: Chamberlain College of Nursing |Verified and 100% Correct Q & A|
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NR508
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Chamberlain College Of Nursing
NR508 Final Exam (2 Versions, Latest-2022) / NR 508 Final Exam / NR508 Week 8 Final Exam / NR 508 Week 8 Final Exam: Chamberlain College of Nursing |Verified and 100% Correct Q & A|
NR508 Week 8 Final Exam (2 Versions, Latest-2022) / NR 508 Week 8 Final Exam / NR508 Final Exam / NR 508 Final Exam...
latest 2022 nr 508 week 8 final exam nr508 final exam nr 508 final exam chamberlain college of nursing |verified and 100 correct q amp a|
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, another glucocorticoid is not recommended. Patients should be taught to report the side
effects so that action can be taken and should not be told that they are to be expected.
7. The primary care nurse practitioner (NP) sees a 50-year-old woman who reports frequent
leakage of urine. The NP learns that this occurs when she laughs or sneezes. She also
reports having an increased urge to void even when her bladder is not full. She is not
taking any medications. The NP should:prescribe desmopressin (DDAVP).
A focused history with a careful physical examination is essential for determining the
cause of incontinence. Urinalysis can rule out urinary tract infection (UTI), which can
cause incontinence. Medications are prescribed after determining the cause, if any, and
treating underlying conditions. Exercises to strengthen the pelvic muscles are part of
treatment.
8. A 7-year-old patient who has severe asthma takes oral prednisone daily. At a well-child
examination, the primary care NP notes a decrease in the child’s linear growth rate. The
NP should consult the child’s asthma specialist about:giving a double dose of
prednisone every other day.
Administration of a double dose of a glucocorticoid every other morning has been found
to cause less suppression of the HPA axis and less growth suppression in children.
Because the child has severe asthma, an oral steroid is necessary. Growth hormone
therapy is not indicated. Twice-daily dosing would not change the HPA axis suppression.
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, 9. A patient who is taking isoniazid and rifampin for latent TB is seen by the primary care
NP for a routine follow-up visit. The patient reports having nausea, vomiting, and a
decreased appetite. The NP should:ask about alcohol intake.
Concomitant use of alcohol with isoniazid increases the risk of hepatitis. This patient
shows signs of hepatitis, so the NP should ask about alcohol consumption. Isoniazid
should be taken on an empty stomach.
10. A primary care NP sees a child with asthma to evaluate the child’s response to the
prescribed therapy. The child uses an ICS twice daily and an albuterol metered-dose
inhaler as needed. The child’s symptoms are well controlled. The NP notes slowing of the
child’s linear growth on a standardized growth chart. The NP should change this child’s
medication regimen to a:SABA as needed plus a leukotriene modifier once daily.
A leukotriene modifier may be used as an alternative to ICS for children who experience
systemic side effects of the ICS. This child’s symptoms are well controlled, so there is no
need to step up therapy to include a LABA. Oral corticosteroids should be used only for
severe exacerbations. Ipratropium and albuterol are used for severe exacerbations.
11. A patient is newly diagnosed with Alzheimer’s disease stage 6 on the Global
Deterioration Scale. The primary care NP should prescribe:memantine (Namenda).
Patients with moderate to severe dementia (stages 5 to 7) may be started on memantine.
12. The primary care NP sees a 12-month-old infant who needs the MMR, Varivax,
influenza, and hepatitis A vaccines. The child’s mother tells the NP that she is pregnant.
The NP should:administer all of these vaccines today.
Although live-virus vaccines should not be administered to mothers during pregnancy,
they may be given to children whose mothers are pregnant.
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