- Which type of exercise would you recommend to a 65-year-old arthritic patient who complains of a new onset of a painful, swollen left knee caused by overworking in the garden for 2 days?A. Quadriceps-strengthening exercises of the left knee followed by the application of cold packs for 20 minutes QIDB. Rest the joint and apply cold packs intermittently for the next 48 hoursC. Passive range of motion and cold packsD. A cool tub bath with warm packs on the knee to avoid stiffening of the joint
- A 75-year-old woman has been on a diuretic for many years to control her stage II hypertension. Her blood pressure at this visit is 165/80 mmHg. She is currently complaining of pain at her right hip and in both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg three times daily (TID) to 800 mg TID. She is still in pain and would like something stronger. Which of the following is a true statement regarding the effects of ibuprofen (Motrin) on her disease?A. It increases the chances of adverse effects to her healthB. It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diureticC. It prolongs the therapeutic effects of hydrochlorothiazide and other diureticsD. None of the statements are true
- The nurse practitioner is assessing a patient who presents with abdominal pain with nausea and vomiting for the past 24 hours. He reports feeling a sharp pain after he hit a pothole in the road while riding his bicycle. His blood pressure is 140/84 mmHg, temperature is 102°F, pulse is 98 beats/minute, and respirations are 26 breaths/minute. Where on the abdomen is the nurse practitioner most likely to elicit definitive data for diagnosis? Click on the correct anatomical location.
- A woman at 32 weeks’ gestation has a positive throat culture for Streptococcus pyogenes (strep throat). She denies allergies but becomes very nauseated with erythromycin. Which of the following is the best choice for this pregnant patient?A. Clarithromycin (Biaxin)B. Trimethoprim–sulfamethoxazole (Bactrim DS)C. Ofloxacin (Floxin)D. Penicillin (Pen VK)
- A young adult presents for reassessment of uncontrolled asthma symptoms. The patient is currently taking an inhaled short-acting beta2-agonist (SABA) as needed and reports daytime symptoms more than 3 days/week, but not daily, and nighttime awakenings 4 to 5 times/week. The patient's forced expiratory volume (FEV1) is 80% of predicted. The nurse practitioner upgrades the patient to the next stage of treatment, which includes:A. Budesonide with formoterolB. Budesonide with montelukastC. Cromolyn or nedocromilD. Fluticasone with salmeterol
- A 53-year-old crossing guard complains of twisting his right knee while working that morning. The knee is swollen and tender to palpation. The nurse practitioner diagnoses a grade II sprain. The initial treatment plan includes which of the following?A. Intermittent application of cold packs the first 24 hours followed by applications of low heat at bedtimeB. Elevation of the affected limb and intermittent applications of cold packs for the next 48 hoursC. Rechecking the knee in 24 hours and encouraging isometric exercisesD. Application of an elastic bandage wrap to the affected knee
- Your patient is a 65-year-old man who has been taking a new prescription of rosuvastatin (Crestor) 40 mg daily for 6 weeks. During a follow-up visit, he reports feeling extremely fatigued and having dark-colored urine. He denies any generalized muscle soreness."Which of the following is the most appropriate treatment plan?A. Order a complete blood count (CBC) with differentialB. Order a liver function profile and creatine kinase (CK) levelC. Recommend an increase in fluid intake and restD. Order a urine culture and sensitivity test
- An adult patient is being evaluated for tuberculosis (TB) infection with a Mantoux test. The purified protein derivative (PPD) result is 10.5 mm. The patient denies weight loss, cough, and night sweats, and the results of a chest x-ray are negative. The patient reports that he is in the United States illegally and is fearful about discovery. What is the most appropriate action for the nurse practitioner?A. The nurse practitioner has a legal duty to report the patient to the local federal agency responsible for illegal migrantsB. The nurse practitioner is legally mandated to report illegal migrants to state authoritiesC. The nurse practitioner should call the state health department to report that the patient has a TB infectionD. The nurse practitioner has an ethical duty to provide quality healthcare to patients
- When an infant is found to have tufts of fine dark hair on the sacrum, which of the following tests is recommended?A. Ultrasound of the sacrumB. Plain radiograph of the lumbar sacral spineC. No imaging test is necessaryD. Genetic testing
- The nurse practitioner has diagnosed a 30-year-old male patient with contact dermatitis on the left side of his face secondary to poison ivy. The nurse practitioner recommends:A. Washing with antibacterial soap BID to reduce risk of secondary bacterial infection until it is healedB. Zanfel poison ivy washC. Clotrimazole (Lotrimin) cream BID × 2 weeksD. Halcinonide (Halog) 1% ointment × 2 weeks
- A 10-year-old boy has type 1 diabetes. His late-afternoon blood sugar levels over the past 2 weeks have ranged from 210 mg/dL to 230 mg/dL. He currently injects 10 units of regular insulin and 25 units of neutral protamine Hagedorn (NPH) insulin in the morning and 15 units of regular insulin and 10 units of NPH insulin in the evening. Which of the following is the best treatment plan for this patient?A. Increase both types of insulin in the morning doseB. Increase only the NPH insulin in the morning doseC. Decrease the afternoon dose of NPH insulinD. Decrease both NPH and regular insulin doses in the morning
- Give examples of fungi used as food and beverage sources
- fixed expressions ( e.g: occasion, holidays, time)
- fixed expression ( e.g: moment, present, dawn )
- What phyla are neither Diploblastic, nor Triploblastic?
- fixed expression ( an hour, minute, week )
- Centuries ( e.g: morning, afternoon, evening )
- Humanity is in danger of extinction because of greed, (tag question)
- What is an example of a Chytridiomycota fungi?
- Money isn´t a solution for everything, (tag question)