ONC General Practice Exam 2022/2023 with Verified Solutions

ONC General Practice Exam 2022/2023 with Verified Solutions To establish the diagnosis of osteoporosis, a patient's primary care provider orders a DEXA scan (dual energy x-ray absorptiometry). The patient asks the nurse, "How will the test show if I have osteoporosis?" The nurse's response should be based on knowledge that which of the following accurately describes this procedure? - CORRECT ANSWER The patient's bone density will be compared to the reference range of healthy young adults A patient is newly diagnosed with osteoporosis and risedronate sodium (Actonel®) is prescribed. The nurse should give which of these instructions about the drug to the patient? - CORRECT ANSWER "After taking Actonel, remain in an upright position for at least 30 minutes." A patient is suspected of having osteomalacia and is undergoing diagnostic testing. The patient understands this disease is caused by inadequate intake of vitamin D, but asks the nurse what other factors may have contributed to development of this condition. Based on the patient's history, the nurse should identify which of the following as a risk factor for decreased synthesis of vitamin D? - CORRECT ANSWER Having renal disease The mother of a 50-year-old patient has been diagnosed with osteoporosis. The patient asks about her own risk for the disease. Based on discussion with the patient about her history and lifestyle, the nurse should identify which of the following as a risk factor for osteoporosis? - CORRECT ANSWER She smokes one pack of cigarettes per day. A close friend of the nurse has experienced intermittent swelling and pain in the joints of the hands, feet, and knees over the past year. The nurse suspects the friend has rheumatoid arthritis (RA) and encourages evaluation by a healthcare provider. What other, early symptom should lead the nurse to suspect RA? - CORRECT ANSWER Fatigue After an acute episode of painful swelling of multiple joints accompanied by disabling morning stiffness, a patient is diagnosed with psoriatic arthritis. The nurse should recognize that blood test results are likely to include which of the following? - CORRECT ANSWER Serum uric acid 7.6 mg/dL A patient with newly diagnosed rheumatoid arthritis is prescribed diclofenac (Voltaren®) and methotrexate. The nurse should understand these two medications are prescribed together primarily to - CORRECT ANSWER maximize control of inflammation. A patient newly diagnosed with ankylosing spondylitis receives a prescription for etanercept (Enbrel®). Which of the following statements should the nurse include in patient teaching on this medication? - CORRECT ANSWER This medication will be given every other week but the provider may increase the frequency to weekly after additional evaluation."