100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NP Review Extra NP ASSESMENT Chamberlain College Nursing - Questions with complete solution $13.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. Chamberlain College Nursing
  4.  
  5. NP ASSESMENT

Exam (elaborations)

NP Review Extra NP ASSESMENT Chamberlain College Nursing - Questions with complete solution

 10 views  0 purchase

NP Review Extra NP ASSESMENT Chamberlain College Nursing - Questions with complete solution A 15-year-old female patient presents to the clinic with a classic presentation of strep throat. When the nurse practitioner prescribes the patient antibiotics, the patient states that penicillin makes her...

[Show more]

Preview 4 out of 65  pages

Document information

  • August 16, 2024
  • 65
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • np review extra questions
  • np review extra np assesment chamberlain college n
  • np review extra np assesment chamberlain college n

Written for

All documents for this subject (50)

Seller

avatar-seller
flyhigher329

Reviews received

Content preview

NP Review Extra Questions
A 15-year-old female patient presents to the clinic with a classic presentation
of strep throat. When the nurse practitioner prescribes the patient antibiotics,
the patient states that penicillin makes her itchy. Which of the following
medications would be the most appropriate alternative for this patient? -
correct answer ✔Cephalexin / Keflex


The first-line drug treatment for strep throat related to group A streptococcus
is penicillin or amoxicillin. However, since the patient reported an non-
anaphylactic allergy to this medication class, an alternative medication from
the cephalosporin drug class would be appropriate. Other alternative options
include medications from the macrolide drug class, such as azithromycin and
clarithromycin


A middle-aged man calls into the clinic today stating that he recently started
an antibiotic, and today he received a first degree sunburn while gardening for
a couple of hours outside. Which of the following antibiotics is he likely taking
based on this finding? - correct answer ✔Doxycycline


This side effect may last up to several months after cessation of tetracycline
use so patient education is imperative.


Metronidazole (Flagyl) can be used to treat all of the following conditions
except:


Trich, Diverticulitis, Liver abscess, Erysipelas. - correct answer ✔Erysipelas
= treatment is PCN


A 24-year-old female patient presents to the clinic reporting purulent, green,
frothy vaginal discharge. Upon further assessment, the nurse practitioner

,obtains a vaginal swab and visualizes flagella under the microscope. The
nurse practitioner knows to treat this condition with which of the following
antibiotics? - correct answer ✔Flagyl


flagella is indicative of trichomoniasis, which is treated with metronidazole
(Flagyl). Penicillin G (Bicillin) is used to treat syphilis, ceftriaxone (Rocephin)
is used to treat gonorrhea, and azithromycin (Zithromax) is used to treat
chlamydia.


A 26-year-old female patient presents to the clinic for her four week
postpartum visit. The patient reports a painful and tender right breast. Upon
further assessment, the nurse practitioner palpates a warm and boggy breast
and diagnoses the patient with mastitis. The patient has a history of an
anaphylactic reaction to penicillin. Which of the following would be the best
option to treat her mastitis? - correct answer ✔clindamycin (Cleocin)


A patient has been diagnosed with tuberculosis and will need to be on
rifampin (Rifadin) for 9 months. Which of the following lab tests should be
obtained routinely while the patient is taking this medication? - correct answer
✔Liver Function tests


Rifampin (Rifadin) is metabolized in the liver and is a drug that can be
severely hepatotoxic. Patients on long-term rifampin (Rifadin) will need serial
liver function panels.


A 40-year-old patient presents to the office to review the results of their most
recent lipid panel. The results are shown below. The nurse practitioner
informs the patient that the triglyceride levels are extremely high and should
be treated right away with a fenofibrate to avoid what condition?


Total cholesterol: 200
LDL: 104

,HDL: 45
Triglycerides: 687 - correct answer ✔acute pancreatitis


A 85-year-old female patient has been diagnosed with hypothyroidism and is
receiving a prescription for levothyroxine (Synthroid). The nurse practitioner
starts the levothyroxine (Synthroid) at a dose of 12.5 mcg by mouth daily. Why
would the nurse practitioner start the patient at this dose? - correct answer
✔The correct answer is due to the cardiac side effects that can occur with this
medication. Levothyroxine can lower the threshold fat which cardiac
arrhythmias occur, and should be started at lower doses in the elderly or
those with a previous cardiac history.


Which lab result is most sensitive and specific to overall kidney function? -
correct answer ✔GFR


A 54-year-old patient presents to the office after three months of lifestyle
modifications due to his recent diagnosis of stage 1 hypertension. The patient
has a history of hyperlipidemia and diabetes. The nurse practitioner knows
that thiazide diuretics increase all of the following lab levels except: - correct
answer ✔Potassium


A good way to remember this is thinking of (HCTz) H-hyperglycemia, C-
crystals for uric acid, T-triglycerides.


An ACE inhibitor, such as lisinopril (Zestril), should be discontinued in which
of the following patients? - correct answer ✔GFR 29


A 60-year-old female patient has just been diagnosed with heart failure. She
has been noticing swelling in her ankles lately, despite taking her diuretics.
Which of the following medications may be responsible for this symptom? -
correct answer ✔Verapamil

, Non-dihydropyridine calcium channel blockers like verapamil (Verelan) may
have the side effect of ankle edema and should not be given to patients with a
history of heart failure


A 47-year-old male patient presents to the clinic today after recently being
treated for a heart failure exacerbation. He states that his chest feels more
enlarged than normal and there appears to be an increase in the amount of
breast tissue upon physical exam. The nurse practitioner is aware that which
of the following medications can lead to this side effect? - correct answer
✔Spirinolactone


A known side effect of spironolactone use in men is the potential for
gynecomastia


Your 63-year-old male patient was recently diagnosed with heart failure.
When doing a medication reconciliation, which medication would be most
appropriate to discontinue? - correct answer ✔Volteran


NSAIDS are known to cause potential fluid retention and edema. Heart failure
patients commonly have issues with excess fluid volume, so taking NSAIDs
increases their risk for a potential exacerbation.


A middle aged female patient presents to the clinic with increasing cough and
peripheral edema. Based on her past medical history of heart failure, which of
the following interventions would be LEAST appropriate to order at this time? -
correct answer ✔Initiate Lanoxin




Based on the patient's presentation, it is likely that she is currently
experiencing a heart failure exacerbation. A chest x-ray is appropriate given
the patient's cough and likely pulmonary congestion. Furosemide is

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller flyhigher329. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.99
  • (0)
  Add to cart