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NR 577 (NR577) FINAL EXAM | PRIMARY CARE MANAGEMENT OF ADOLESCENTS AND ADULTS FINAL EXAM | 100+ QUESTIONS AND COMPLETE 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED BY EXPERTS ALREADY PASSED!!! LATEST UPDATE 2024 GRADED A+ WITH 100% GUARANTEED SUCCE

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NR 577 (NR577) FINAL EXAM |
PRIMARY CARE MANAGEMENT OF
ADOLESCENTS AND ADULTS FINAL
EXAM | 100+ QUESTIONS AND
COMPLETE 100% CORRECT ANSWERS
WITH RATIONALES WELL EXPLAINED BY
EXPERTS ALREADY PASSED!!! LATEST
UPDATE 2024 GRADED A+ WITH 100%
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO PASS
YOUR EXAMS)

,
, 4. You are educating the parents of a 16-year-old boy who has been newly diagnosed with epileptic
syndrome. Which statement is false?

A. Most states will grant a driver's license if the patient has been deemed seizure free for 6-12 months
by his physician.

B. Clinical seizures that last 15 minutes are considered medical emergencies

C. Physical training such as weight training should be restricted due to safety concerns.

D. Depression is a common comorbidity of epilepsy. C.

Physical activity that promote age appropriate socialization and normalcy are highly recommended. The
only activities that come with restrictions are scuba diving, contact sports (may or may not be allowed
depending on the physician), and free climbing. Swimming is allowed, but preferably under supervision.

5. A 25-year-old male presents to the clinic complaining of a severe, throbbing headache for the past 2
days. The pain increases when exposed to bright lights and is accompanied by nausea. He states the
headache started after working a 16-hour shift without resting. What type of headache is the patient
suffering from and what medication is appropriate for immediate relief?

A. Migraine headache - Zolmitriptan 5mg PO one dose now, repeat after 2 hours if no relief

B. Migraine headache - Topiramate 50mg BID

C. Tension - Type Headache - Zolmitriptan 5mg PO one dose now, repeat after 2 hours if no relief

D. Cluster headache - Sumatriptan 6mg SQ single dose A.

Migraine headaches can be unilateral and are often accompanied by nausea, vomiting, and
photophobia. These headaches can be triggered by lack of sleep and stress. Zolmitriptan is often
effective for immediate relief of migraines. Topiramate is used as a prophylaxis for migraines. The
patient's symptoms are not characteristic of a tension type or cluster headache. Triptans are not
recommended for tension type headaches.

1. A 56-year-old patient comes in for a routine well visit. He has a history of a previous stroke and Type 2
Diabetes. Which of the following orders would be appropriate for a patient with a previous stroke?

A. Initiate statin therapy

B. EEG

C. Warfarin therapy with an INR goal of 2-3

D. MRI A.

Patients with a history of an ASCVD should be started on statin therapy regardless of current LDL. The
question did not mention any other symptoms that would warrant additional diagnostics. Warfarin
therapy is only indicated if AFIB would be the primary indication for anticoagulation after a stroke.

, 2. A 36-year-old female is being seen in your clinic for left sided facial weakness. In your review of
systems, the patient reports that "certain sounds really bother me and my taste buds seem off". She
also reports temporal pain which has subsided. Your physical exam reveals no other neurological
deficits. Which of the following interventions would be most appropriate?

A. Call 911 to activate emergency stroke protocols

B. Refer the patient to neurology

C. Order an MRI

D. Prescribe a course of oral corticosteroids D.

Bell's Palsy commonly causes alterations in taste and hyperacusis. This contrasts with stroke.
Corticosteroids increase the chances of recovery complete by 12-15% at nine to twelve months and are
routinely prescribed. The complaint of pain also suggests a possible viral infection such as herpes
simplex or varicella which has been implicated, in some cases, as a trigger for facial palsy.

3. A 9-year-old female patient presents to your clinic with complaints of a headache. The patients
mother states the headache started two days ago and she has been giving her children's Tylenol. The
child states the pain is bilateral and worsens when running or standing. The nurse practitioner should:

A. Treat her for migraine prevention and start topiramate

B. Order a CT of her head

C. Educate the parent that children need at least 9 hours of sleep

D. Refer to a psychologist for cognitive behavioral therapy B.

Table 25-8 lists red flags for pediatric headaches. Headaches that worsen with postural changes may
indicate additional intracranial pathology and should be further investigated. Depending on the urgency
an MRI vs. CT should be considered. A, C, & D are preventative measures for established migraines or
TTH.

6. A 63-year old male presents to clinic with complaints of tremors and muscle spasms. The patient has a
history of Parkinson's disease and has been taking Levodopa 50mg TID. What is an appropriate
treatment plan for this patient?

A. Decrease the amount of levodopa the patient is taking per day.

B. Inform the patient that these side effects are common as Parkinson's disease progresses and start the
patient on amantadine.

C. Refer the patient to a neurologist for further evaluation.

D. Continue to monitor the patient for increase in tremors. B.

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NR 577 (NR577) FINAL EXAM | PRIMARY CARE MANAGEMENT OF ADOLESCENTS AND ADULTS FINAL EXAM | 100+ QUESTIONS AND COMPLETE 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED BY EXPERTS ALREADY PASSED!!! LATEST UPDATE 2024 GRADED A+ WITH 100% GUARANTEED SUCCE

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