Exam (elaborations)
MIDTERM NR 511 QUESTIONS AND ANSWERS FULLY SOLVED
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Exam of 9 pages for the course NR511 at NR511 (MIDTERM NR 511)
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MIDTERM NR 511DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - answer Taking a client
history
OLDCARTS
Specificity and Sensitivity
Reimbursement
Clinical Decision-Making
OLDCARTS - answer Onset, Location, Duration, Characteristics, Aggravating Factors,
Relieving Factors, Treatment, Severity
True or False: the history of the present illness is a breakdown of the client's chief
complaint - answer True
Specificity: Low - answer Getting a positive result when it is not present- a high number
of false positives- meaning a healthy person has a disease when they actually do not
Specificity: High - answerA high percentage of healthy individuals will show a normal
result
Test with High Specificity - answerA high percentage of healthy individuals will show a
normal result
Sensitivity - answerthe proportion of true positives out of all patients with a designated
condition
High Sensitivity - answerwill lead to positive findings for patients with a disease
Medicare Part A - answerInpatient hospital stat, skilled nursing care, hospice, home
care
Medicare Part B - answerOutpatient care, provider visits, surgery, lab tests, medical
equipment, preventative exams
Medicare Part C - answerWellness services, vision exams, hearing exams, eyeglasses,
hearing aids
Medicare Part D - answerPrescription drugs
Reimbursement for NPs - answerReimbursed 85% of the physician's fee
, Fungal Skin Infections - answerPapular Rash, SATELLITE LESIONS (classic symptom)
Treatment of fungal skin infections - answerAntifungal cream, pill, keep area as dry as
possible
Location of fungal skin infections - answerCan be under the breast, in between skin
folds, or in the groin area
Who is at risk for fungal skin infections - answerImmunocompromised, diabetics,
antibiotic therapy, cellular immunity (chemo, AIDS, corticosteroid treatment, bone
marrow transplant), invasive parenteral catheterization, invasive monitoring devices
Tinea Vessicolor - answerMost commonly found on trunk and shoulders.
Flat to slightly elevated brown papules and plaques that scale when they are rubbed
along with areas of hyperpigmentation
Balanitis - answerCandidiasis of the glands of the penis
Tinea Corporis (ringworm) - answerAnnular lesions with scaly borders and central
clearing on the trunk; has ring-shaped lesions with scaly borders and central clearing or
scaly patches with distinct borders on exposed skin surfaces or on the trunk
Tinea Pedis - answerAthlete's foot
Tinea Cruis - answerJock itch
Tinea Unguium - answerRing worm of the nails
Treatment for Tinea Unguium - answerTopical antifungals
nystatin (ny amy c, pedi-dri, nystop)-efective for candida only
clotrimazole (lotrimin)
miconazole (monistat-derm)
naftifine (Naftin)
terbinafine (lamisil)
ciclopirox (loprox)
Who is at risk for dry skin? - answerOlder Adults
Cellulitis - answeris a spreading infection of the epidermis and subcutaneous tissue that
usually begins after a break in the skin
Foliculitis - answerBacterial infection of the hair follicle, papules are characteristic of
follicles.
Impetigo - answerHighly contagious bacterial skin infection and most commonly
EFFECTS YOUNG CHILDREN
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