a 45-year-old suspected of experiencing a subarachnoid hemorrhage
Explanation:
Papilledema describes swelling of the optic disc and anterior bulging of the physiologic cup. Increased intracranial pressure is transmitted to the optic nerve, causing edema of the optic nerve. Papilledema often signals serious disorders of the brain, such as meningitis, subarachnoid hemorrhage, trauma, and mass lesions. An enlarged physiological cup suggests
chronic open-angle glaucoma. If cranial nerve IV is paralyzed, the left eye will deviate from its normal position in that direction of gaze, and the eyes will no longer appear conjugate, or parallel. Diplopia in adults may arise from a lesion in the brainstem or cerebellum, or from weakness or paralysis of one or more extraocular muscles, as in horizontal diplopia from palsy of cranial nerve (CN) III or VI, or vertical diplopia from palsy of CN III or IV.
Kale
Eggs
Oranges
Lutein and zeaxanthin found in green leafy vegetables, eggs, and other foods reduce the risk of chronic eye diseases, including age-related macular degeneration and cataracts. Foods rich in these nutrients include kale, spinach, collards, turnip greens, corn, green peas, broccoli, romaine lettuce, green beans, eggs, and oranges. Consumption of red wine, turkey, and skim milk are not associated with a reduced risk for cataracts.
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, rheumatic fever, and polio.
Childhood illnesses include measles, rubella, mumps, whooping cough, rheumatic fever, scarlet fever, and polio. They are included in the past history.
C) mental illness.
Specifically ask for any family history of heart disease, high blood pressure, stroke, diabetes, obesity, blood disorders, ovarian cancer, colon cancer, sickle cell anemia, arthritis, allergies, alcohol or drug addiction, mental illness, suicide, seizure disorder, kidney disease, and tuberculosis. The other answers are acquired.
Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing to go into the examination room to interview her. Which of the following is the most logical sequence for the patient-provider interview?
A) Establish the agenda,
negotiate a plan, establish rapport, and invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda, and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story, establish the agenda, expand and clarify the patient's story, and negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story, and establish rapport.
The nurse practitioner is reviewing the
immunization history of a new 24 year old female patient. Which is the best to ask the patient to obtain the needed information for your records?
A) Do you need vaccines today?
B) When was your last flu shot, tetanus shot?
C) Have you received these vaccines in your lifetime? When did you receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps, rubella, influenza, varicella, hepatitis B, haemophilus influenzae type B, pneumococcal, HPV?
D) Are your immunizations up to
date?
C) Have you received these vaccines in your lifetime? When did you receive them? Tetanus, pertussis, diphtheria, polio, measles, mumps, rubella, influenza, varicella, hepatitis B, haemophilus influenzae type B, pneumococcal, HPV?
Find out whether the patient has received required and recommended vaccines. (Bates, 10)
D) diffusely hyper-resonant sounds with percussion, decreased or absent breath sounds per auscultation, decreased tactile fremitus, and no crackles, wheezes, or rhonchi.
COPD is characterized by diffusely hyper-resonant sounds with percussion, decreased or absent breath sounds per auscultation, decreased tactile fremitus, and no crackles, wheezes, or rhonchi. (Bates, p340)
In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?
A) Personality type, high cholesterol,
diabetes, smoking
B) Family history, hypertension, stress, age
C) Alcohol consumption, obesity, diabetes, stress, high cholesterol
D) Smoking, hypertension, obesity, diabetes, and high cholesterol, activity level, family history
D) Smoking, hypertension, obesity, diabetes, and high cholesterol, activity level, family history
For major risk factors for coronary artery disease, collect data regarding elevated serum cholesterol, elevated blood pressure, blood glucose levels above 130 mg/dL or known diabetes mellitus, obesity, cigarette smoking, low activity level (Bates, p358)
In which order should the abdomen be examined in?
A) auscultation, inspection, percussion, palpation
B) inspection, percussion, auscultation, palpation
C) percussion, palpation, inspection, auscultation
D) inspection, auscultation, percussion, palpation