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NR 511 /NR 511 FINAL EXAM NEWEST VERSION 2024 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM – CHAMBERLAIN COLLEGE OF NURSING QUESTIONS WITH GOLDEN TIPS SOLUTIONS AND REVEIWERS€18,71
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NR 511 /NR 511 FINAL EXAM NEWEST VERSION 2024 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM – CHAMBERLAIN COLLEGE OF NURSING QUESTIONS WITH GOLDEN TIPS SOLUTIONS AND REVEIWERS
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NR 511 /NR 511
NR 511 /NR 511 FINAL EXAM NEWEST VERSION 2024 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM – CHAMBERLAIN COLLEGE OF NURSING QUESTIONS WITH GOLDEN TIPS SOLUTIONS AND REVEIWERS
NR 511 /NR 511 FINAL EXAM NEWEST VERSION 2024 DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM – CHAMBERLAIN COLLEGE OF NURSING QUESTIONS WITH GOLDEN TIPS SOLUTIONS AND REVEIWERS A 30 -year -old patient presents with pain on urination. The urine microscopy of unspun urine shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable diagnosis? a. Lower urinary tract infection b. Chlamydia infection c. Candidiasis d. Pyelonephritis - CORRECT ANSWER ✔✔Lower urinary tract infect ion A patient presents with CVA tenderness and a several -day history of high fever, chills, and dysuria. Which of the following diagnoses is most likely given the above information? a. Pyelonephritis b. Cystitis c. Renal calculi d. Bladder tumor - CORRECT ANSWER✔✔Pyelonephritis A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should question the patient about which of these contraindications to this medication? a. Diarrhea b. Parkinson's disease c. Closed -angle gla ucoma d. Breast cancer - CORRECT ANSWER ✔✔Closed -angle glaucoma A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient for which risk factor for kidney stones? a. Hypertension b. Constipation c. Tubal lig ation d. Diabetes - CORRECT ANSWER ✔✔Hypertension A patient is diagnosed with overactive bladder. Which of the following instructions should be given to this woman? a. "Limit the amount of water that you drink." b. "Eliminate caffeine from your diet." c. "Wear panty liners." d. All of the above - CORRECT ANSWER ✔✔Eliminate caffeine from your diet A 34 -year -old patient was treated for a UTI and has not responded to antibiotic therapy. Which of the following actions should be taken next? a. Send a urine s pecimen for microscopy and evaluate for fungal colonies. b. Increase the dose of antibiotic. c. Order a cytoscopy. d. Order a different antibiotic. - CORRECT ANSWER ✔✔Send a urine specimen for microscopy and evaluate for fungal colonies Which of the follow ing are predisposing factors for pyelonephritis? a. Pregnancy b. Dehydration c. Smoking d. Alkaline urine - CORRECT ANSWER ✔✔Pregnancy A 42 -year -old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is diagnosed with acute p yelonephritis. How should this patient be managed? a. 3-day course of oral antibiotics b. Hospitalization c. Encourage cranberry juice intake. d. 6-week course of antibiotics - CORRECT ANSWER ✔✔Hospitalization Oral antibiotics may be prescribed in mild c ases of acute pyelonephritis, characterized by the absence of nausea and vomiting or signs of sepsis. First -line therapy includes ciprofloxacin (Cipro) 500 mg two times daily for 7 days, or ciprofloxacin extended -release (Cipro XR) 1,000 mg daily for 7 day s, or levofloxacin (Levaquin) 750 mg daily for 5 days. Hospitalization may be indicated, depending on the patient's ability to maintain adequate fluid intake and to tolerate oral antibiotics, along with the severity of the symptoms and evidence of bactere mia. Hospitalization of patients who are pregnant, vomiting, or dehydrated should be strongly considered. Likewise, the patient's degree of systemic illness (bacteremia or urosepsis), age, history of chronic disease, or nonadherence to therapy may lead to the assessment that hospitalization is necessary. Ninety - five percent of patients demonstrate a good response within 48 hours to IV antibiotic treatment and may be discharged on appropriate oral medication, once urine culture and antibiotic sensitivity re sults are available and subsequent antimicrobial therapy may be narrowed in spectrum. A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses? a. Pancreatitis b. Peptic ulcer disease c. Diverticulitis d. All of the above - CORRECT ANSWER ✔✔All of the above Which of the following instructions should be given to the patient with nephrolithiasis? a. Take ibuprofen, 600 mg every 8 hours. b. Take Tums® for stomach upset. c. Drink more black tea . d. Increase intake of vegetables, like spinach. - CORRECT ANSWER ✔✔Take ibuprofen, 600 mg every 8 hours Which of the following patients is at risk for developing urinary tract cancer? a. The 45 -year -old woman who is 100 lbs overweight b. The 78 -year -old man who smokes three packs of cigarettes a day c. The 84 -year -old man who worked in the asbestos mines d. All of the above - CORRECT ANSWER ✔✔All of the above
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