NSG6001 week 4 QUESTIONS AND
SOLUTIONS
The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile
dysfunction in a 65-year-old male patient. What will be included when teaching this patient
about taking this medication. - ANSWER take on empty stomach...
NSG6001 week 4 QUESTIONS AND
SOLUTIONS
The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile
dysfunction in a 65-year-old male patient. What will be included when teaching this patient
about taking this medication. - ANSWER take on empty stomach
medication may be taken once daily
Which is true about hypoactive sexual desire in older male? - ANSWER Men with hypoactive
sexual desire may have normal excitement and orgasm
A young adult male reports a dull pain in the scrotum and the provider notes a bluish color
showing through the skin on the affected side. Palpation reveals a "bag a worms" on the
proximal spermatic cord. What is an important next step in managing this patient? - ANSWER
Consideration of underlying causes of this finding
An adolescent male reports severe pain in one testicle. The examiner notes edema and erythema
of the scrotum on that side with a swollen, tender spermatic cord and absence of the cremasteric
reflex. What is the most important intervention? - ANSWER Immediate referral to the ED
A high school athlete is brought to the emergency department after collapsing during outdoor
practice on a hot day. The patient is weak, irritable and confused. Serum Na 152 mEq/mL and
has dry mucous membranes and tachycardia. What is the initial approach for rehydration in this
patient? - ANSWER Intravenous fluid resuscitation with an isotonic solution
An elderly patient who is taking thiazide diuretic has been ill with nausea and vomiting and is
brought into the emergency department for evaluation. An assessment reveals oliguria,
hypotension, and tachycardia and serum sodium is 118mEq/mL. What is the treatment -
ANSWER Emergency volume repletion with 3% NaCl
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - ANSWER Thyroid ultrasound
What are some common goals of neuropsychiatric evaluation? - ANSWER to evaluate cognition
when neuro-diagnostic tests are normal, to help identify rehabilitation goals in brain-injured
patients
monitor changes in symptoms over time
A patient exhibits visual field defect, ataxia, and dysarthria and complains of a mild headache. A
family member reports that the symptoms began several hours prior. An examination reveals
, normal range of motion in the neck. What type of cerebrovascular event is most likely? -
ANSWER Ischemic stroke
An elderly patient is brought to the emergency department after bein found on the floor after a
fall. The patient has unilateral sagging of the face, marked slurring of the speech, and paralysis
on one side of the body. The patient's blood pressure is 220/190 mmHg. What is the likely
treatment for this patient. - ANSWER Neurosurgical consult
What are initial approaches when managing delirium in a hospitalized patient who is agitated
and confused? - ANSWER attend to hydration and toileting needs
decrease stimulation
discontinue any non-essential medications
A previously lucid patient with early-stage Alzheimer's disease is hospitalized after a surgical
procedure and exhibits distractibility and perceptual disturbances that occur only in the late
afternoon - ANSWER Sundowner syndrome
An elderly patient has symptoms of depression and the patient's daughter ask about possible
Alzheimer's disease since there is a family history this disease. A screening evaluation shows no
memory loss. What is the initial step in managing this patient? - ANSWER Prescribe a trial of an
antidepressant medication
A patient with dementia experiences agitation and visual hallucinations and is given haloperidol
with subsequent worsening of symptoms. Based on this response what is the likely cause of the
patient's symptoms? - ANSWER Lewy body dementia
Which medication maybe useful in treating tension-type headache? - ANSWER antiemetics,
muscle relaxants
N-saids
A patient has recurrent cluster headaches and ask about abortive therapy. Which therapy is
effect for the majority of patients with cluster headaches - ANSWER Oxygen
A patient with a seizure disorder has seizure which begin with eye twitching and occasionally
visual hallucinations. Which site of the brain is the seizure focus - ANSWER Occipital
A patient who has a seizure disorder and who takes levetiracetam is brought to an emergency
dept with a seizure which has persisted for 15 minutes and which immediately followed another
15-minute seizure. What is the priority action for this patient - ANSWER Administer lorazepam
and monitor cardio respiratory status
Which drug is used to treat patient with focal epilepsy - ANSWER Carbarmazepine
Begin prostate hypertrophy is a common finding as men age. Classically, this condition has
many symptoms - ANSWER difficulty initiating urinary stream
urinary hesitancy and urgency
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