CMN 577 Q&A Mastery Bundle

A 55 year-old male presents to the office with his wife for evaluation of the patient's left arm tremors. The symptoms are increased when he gets upset. The wife has noticed that the patient's movements are slowed, "It seems as if he's shuffling his feet when he walks". The Nurse Practitioner k...

HIV is not transmitted by: air, water, toilet seats, tears, saliva (see note above), sweat, a casual closed mouth kiss, through insects such as mosquitos, fleas, or ticks, handshakes or sharing dishes (see note above regarding open wounds in mouth/bleeding gums). What are the s/s of HIV? -Newly i...

An 80-year-old patient presents to the clinic and expresses concerns about falling and getting injured. What advice would you give the patient as a nurse practitioner that has shown to have the most impact on decreasing the risk of falls in the elderly? a. Spending more time resting in the bed b...

When should a breast exam start in the adolescent female? when breast buds appear A 56-year-old African American male with established hypertension presents to your clinic with complaints of sudden severe headache, blurred vision, diculty concentrating, and nausea. He reports that he ran out of h...

Where is Hepatitis A often Contracted? Through contaminated food and water How is Hepatitis A treated? No specific treatment.. Virus is self-limiting. Pt needs supportive care. What primary prevention strategy can be used for Hepatitis A? Vaccination * 2 vaccines given 6 mons apart* *recommen...

An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his skin. One of those lesion measures 1.6 cm. What is the child at risk for? a. Normal finding b. Neurofibromatosis c. Melanoma d. Tinea versicolor b. Neurofibromatosis Rationale: Described above is Café au La...

What drug may reverse benzodiazepine-induced coma? Flumazenil Flumazenil should not be used in patients who? - Congested a potential convulsant drug - A user of high-dose benzo's - Has a seizure disorder -- Its use may precipitate seizures How long after taking extended release bupropion ...

S/S of acute intermittent porphyria + Abdominal pain of varying severity + Absence of fever or leukocytosis + Peripheral neuropathy (symmetric OR asymmetric) + CNS sx (seizures, altered consciousness, psuychosis, abnormalities of basal ganglia) + Hyponatremia McPhee p 1690 Labs for acute i...

A 70-year-old African female presents today for an annual well visit. She has a history of Diabetes, hypertension, and Asthma. During her routine visual exam, abnormalities are noted bilaterally in her paracentral region. Her Intraocular pressures are elevated (25 mmHg). She reports patches of visua...

In performing the PE on a patient with a neurological complaint, what is important to take note of? General appearance and affect, Establish mental status, Oberve motor function/gain, Consider cranial nerves, reflexes, fundoscopic and sensory exam 10-20% of treatable causes of altered mental stat...

A father brings his 5-year-old daughter to the office, inquiring about her tetanus vaccinations. According to the patient's records, she received her 4thDTaP vaccine at the age of 4. The NP should: Inform the father the child does not need an additional tetanus vaccine. When introducing solid fo...