nr 511 week 2 quiz 2 versions 3 nr 511 differential diagnosis and primary care practicum
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NR 511
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A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which
self-care measures should the clinician teach him about to relieve food blockage?
Drink cold fluids.
Lie in a supine position.
Correct!
Massage the peristomal area.
Take a hot shower or tub bath.
Self-care measures to relieve food blockage in a client with an ileostomy
include massaging the peristomal area, which may stimulate peristalsis and
fecal elimination; assuming a knee-chest position to reduce intra-abdominal
pressure; taking a warm shower or tub bath to relax the abdominal muscles;
and drinking warm fluids or grape juice to produce a mild cathartic effect.
Question 2
pts
A 75-year-old female presents to your office complaining of dizziness and ringing in
both ears for 1 day. She describes the dizziness as feeling like "the room is
spinning". On physical exam, the Rinne test reveals that air conduction is greater
than bone conduction bilaterally. The Weber test reveals lateralization to the left. She
is unable to hear the examiner's whisper on the right side but can hear the whisper
on the left side. What is the next step in helping this patient’s symptoms?
, Start her on high-dose Augmentin.
Refer the patient to the Emergency Room.
Correct!
Start the patient on a low-salt diet, prescribe meclizine for vertigo and refer
her to an ENT specialist.
Order a computed tomography (CT) scan to rule out acoustic neuroma.
Meniere's disease is characterized by vertigo, tinnitus and hearing loss. The
patient self-reports vertigo and tinnitus while the results of the Weber,
Rinne, and whisper test indicate sensorineural hearing loss on the right.
Meniere disease is diagnosed based on history and the exclusion of other
conditions as well. Referral to ENT is warranted to rule out other etiologies.
The treatment for symptoms of Meniere disease is both dietary and
pharmacological. Antibiotics are not indicated, nor is it necessary to send
the patient to the Emergency Room. A CT scan would not help to relieve the
patient's symptoms.
Question 3
pts
In a young child, unilateral purulent rhinitis is most often caused by:
Correct!
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