NR-511 Differential Diagnosis & Primary Care Practicum
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NR511 / NR 511 Midterm Exam (Latest
): Differential Diagnosis &
Primary Care Practicum – Chamberlain
300 Q/A Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? - ANSWER Anticholinergics, such as scopolamine (Donnatal).
The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is: - ANSWER Amoxicillin and potassium clavulanate (Augmentin).
A 67-year old female on multiple medications for chronic conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using? - ANSWER Nonsteroidal anti-inflammatory drugs (NSAIDs).
A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
them. How should the clinician respond? - ANSWER Antacids may contain magnesium, which decreases bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as: - ANSWER A normal finding.
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond? - ANSWER There is no such thing as a "normal" pattern of defecation. Patterns of defecation vary widely and may in part be affected
by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? - ANSWER Although some clients report a significant subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
In a young child, unilateral purulent rhinitis is most often caused by: - ANSWER
A foreign body. Nausea is difficult to discern in a young child what question should the clinician asked to determine if a child has nausea - ANSWER Are you hungry
A 38-year-old male has recently had an iliomy for ulcerative colitis which self-care measure should the clinician teach him to relieve food blockade - ANSWER Massage the periosteum area
52 year old female as suspected of having a gastric ulcer and will undergo an EGD she's concerned because she heard that gastric ulcers can be malignant how should the clinician respond - ANSWER About 95% of gastric ulcers are Banan even though they seem to like a malignant on x-ray
A 29 year old female just returned from Central America with travelers diarrhea and presents to the clinic for evaluation which of the following is the best treatment - ANSWER Supportive care
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