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NR601 Chapter questions With 100% ALL DETAILED CORRECT ANSWERS NR601 Chapter questions With 100% ALL DETAILED CORRECT ANSWERS
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JACKLINENR601 Chapter questions With 100% ALL DETAILED CORRECT ANSWERS
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1. An 86-year-old female comes to your office for Advise them to file an advanced directive.
a wellness visit. Her blood pressure is 125/70
mmHg, pulse 69 beats per min, and respiratory
rate 18 breaths per min. She is well appearing and
reports she is up to date on her routine
vaccinations. She introduces her partner of 35
years whom she would like to make medical
decisions for her in case she becomes unable to
make decisions for herself. She reports that she
and her partner are not married. She asks if she
needs any further documentation to ensure her
goals of care are followed.
Which one of the following would be the most
appropriate recommendation for this patient and
her partner?
NR601 Chapter questions
1/22
,An 81-year-old transgender female with history of Counseling on smoking cessation
depression and hyperlipidemia presents to your
clinic for routine care. She endorses a history of
smoking, currently smoking 1 pack per day, and
occasionally drinks a glass of wine, although she
denies illicit drug use. She reports she takes
atorvastatin 20 mg and subcutaneous estrogen
therapy.
Which of the following is the most important next
step in this patient's primary care?
An 84-year-old male with history of stroke without Urine testing, blood testing, anal swab, and oropharyngeal swab
residual deficit, systolic heart failure, and type 2
diabetes presents to clinic for follow-up. He is
independently living in a retirement community
and still works part time on a golf course. He
currently takes aspirin 81 mg, metoprolol tartrate
25 mg BID (twice a day), furosemide 20 mg BID,
and lisinopril 10 mg daily. He reports his last
colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active with
men and women, engaging in receptive oral,
receptive anal, and penetrative sex. He states he
has had over three sexual partners in the last year
with intermittent condom use.
What sexually transmitted infection testing should
be offered?
Which of the following is true about tolterodine? It has greater risk of adverse effects with its twice-daily formulation.
NR601 Chapter questions
2/22
, An 82-year-old man, Mr. A, complains of Stop amlodipine and increase lisinopril.
worsening nocturia, occurring four times per
night. His other lower urinary tract symptoms are
slow stream, occasional urgency, and urgency-
related leakage once weekly. Medical problems
include poorly controlled hypertension, diastolic
heart failure, hyperlipidemia, osteoarthritis, and
prediabetes. His medications include lisinopril 20
mg daily, metoprolol succinate 75 mg daily,
atorvastatin 10 mg daily, metformin 500 mg twice
daily, hydrocodone-acetaminophen as needed,
and aspirin 81 mg daily. Amlodipine 5 mg daily was
recently added by his cardiologist. On review of
systems, Mr. A complains that nocturia is causing
daytime fatigue, and he is more constipated.
Physical examination is notable for blood pressure
162/83 mmHg, heart rate 60 beats per minute,
clear lungs, soft abdomen, enlarged prostate, and
21 pretibial edema. Your next step in management
should be:
The daughter of a 79-year-old woman notes that Day program staff
her mother, who has dementia and lives with her,
is wetting herself when she attends her new day
program. Program staff have requested that
"something be done" as she is requiring a clothes
change nearly every time she is there. She cannot
describe the circumstances of leakage, saying "it
just comes." Leakage is uncommon at home. Her
medications include donepezil and
acetaminophen. Physical examination is normal.
Initial treatment approach will require intervention
by which of the following?
NR601 Chapter questions
3/22
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