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EXAM 2 NUR 600 with verified
answers
The parent of a toddler asks the NP about using a topical antihistamine to treat the child's atopic dermatitis symptoms. The NP should tell the parent that:
- ....🔰VERIFIED ANSWERS.... ✔✔topical application of an antihistamine may result in drug toxicity in children. A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone acetone 2.5% cream. The primary care NP should prescribe: desonide cream 0.01%. - ....🔰VERIFIED ANSWERS.... ✔✔triamcinolone acetonide. A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔prescribe triamcinolone cream for 2 weeks. A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis. At a follow-up visit in 2 weeks, the patient reports decreased pruritus but continues to have excoriated, erythematous areas. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔tell the patient to continue using the fluocinolone for 3 to 4 more weeks.
A primary care NP is considering using a topical immunosuppressive agent for a patient who has atopic dermatitis that is refractory to treatment with topical corticosteroids. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔begin therapy with pimecrolimus (Elidel). A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔prescribe triamcinolone 0.1%. A parent brings a 6-year-old child to the clinic for evaluation of a rash. The primary care NP notes three annular lesions with elevated borders and central clearing on the child's face and a similar lesion on the back of the neck that extends above the hairline. The NP should - ....🔰VERIFIED ANSWERS.... ✔✔c. oral ketoconazole. A patient has been taking griseofulvin for 4 weeks to treat a tineal capitis infection. The primary care NP notes improvement but not complete cure. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔renew the prescription after obtaining renal, liver, and hematopoietic tests. A patient is seen by a primary care NP to evaluate a rash. The NP notes three ring-shaped lesions with elevated, erythematous borders and two smaller, scaly patches on the patient's abdomen. The patient has not used any over-the-counter medications on the
A female patient has vaginal candidiasis and has taken a single dose of fluconazole without resolution of the infection. The primary care NP obtains a culture and should order: - ....🔰VERIFIED ANSWERS.... ✔✔topical miconazole (Monistat). A woman who takes oral contraceptive pills develops vaginal candidiasis. The primary care NP prescribes a single dose of fluconazole. When counseling the patient about this drug, the NP should tell her: - ....🔰VERIFIED ANSWERS.... ✔✔to use a backup contraceptive method for the next 2 months.v A patient who is currently not sexually active has an outbreak of genital herpes. The patient asks the primary care NP how this could have occurred without active infection since being treated more than 2 years ago. The NP should tell the patient that: - ....🔰 VERIFIED ANSWERS.... ✔✔successful treatment won't prevent future outbreaks of active infection. A patient who has genital herpes has frequent outbreaks. The patient asks the primary care NP why it is necessary to take oral acyclovir all the time and not just for acute outbreaks. The NP should explain that oral acyclovir may: - ....🔰VERIFIED ANSWERS.... ✔✔cause episodes to be shorter and less frequent. A 60-year-old patient comes to the clinic reporting a sudden onset of a painful rash that began the day before. The primary care NP notes a vesicular rash along a dermatome on one side of the patient's back. The patient has a low-grade fever. The NP will prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔acyclovir (Zovirax).
The primary care NP performs a physical examination on an 89- year-old patient who is about to enter a skilled nursing facility. The patient reports having had chickenpox as a child. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔give the patient the Zostavax vaccine. A 23-year-old woman who is sexually active has an abnormal Pap smear. She asks the primary care NP about the human papillomavirus vaccine (HPV). The NP should recommend: - ....🔰 VERIFIED ANSWERS.... ✔✔a three-vaccine series of HPV. A patient has a sore throat with fever. The primary care NP observes erythematous 4+ tonsils with white exudate. A rapid antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as empiric treatment. The patient calls the next day to report a rash. The NP should suspect: - ....🔰VERIFIED ANSWERS.... ✔✔a viral cause for the patient's symptoms. A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child's parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The NP should prescribe:
- ....🔰VERIFIED ANSWERS.... ✔✔mupirocin A primary care nurse practitioner (NP) sees a child who has several honey-colored crusted lesions around the nose and mouth. The NP notes that no other lesions are present. The NP
- ....🔰VERIFIED ANSWERS.... ✔✔mupirocin topical. is used to treat cellulitis. - ....🔰VERIFIED ANSWERS.... ✔✔TMP- SMX is
nonerythematous conjunctivae. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔prescribe intranasal corticosteroids. A patient who has year-round allergic rhinitis uses an intranasal corticosteroid and a daily oral antihistamine. The patient reports persistent watery and itchy eyes. The primary care NP observes profuse clear, watery discharge and a cobblestone appearance inside the upper eyelids, with clear conjunctivae. The patient has tried topical azelastine (Astelin) and topical diclofenac (Voltaren) without improvement. The NP should prescribe drops. - ....🔰 VERIFIED ANSWERS.... ✔✔nedocromil (Tilade) is used to assess for corneal abrasions or tears. - ....🔰VERIFIED ANSWERS.... ✔✔Fluorescein dye are used to treat glaucoma. - ....🔰VERIFIED ANSWERS.... ✔✔Sympathomimetic drops Timolol and pilocarpine are used to treat. - ....🔰VERIFIED ANSWERS.... ✔✔glaucoma An 80-year-old patient has a diagnosis of glaucoma, and the ophthalmologist has prescribed timolol (Timoptic) and pilocarpine eye drops. The primary care NP should counsel this patient: - ....🔰VERIFIED ANSWERS.... ✔✔that systemic side effects of these medications may be severe. A patient comes to the clinic complaining of low back pain unrelieved by NSAIDs. The patient has a history of angle-closure glaucoma and renal disease. The primary care NP should
prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔metaxalone (Skelaxin). A 65-year-old patient is diagnosed with Parkinson's disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with: - ....🔰VERIFIED ANSWERS.... ✔✔a. selegiline. A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with toys in the examination room. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔initiate antibiotic therapy if the child's condition worsens. A primary care nurse practitioner (NP) sees a 3-year-old child who has a history of recurrent otitis media. The child's parent tells the NP that the child is allergic to penicillin. The NP learns that the child developed an all-over rash 2 days after starting amoxicillin at age 2 years. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔use cephalosporins when treating otitis media. A patient with otitis media is treated for 10 days with amoxicillin. At the follow-up visit, the primary care NP notes bilateral erythematous, bulging tympanic membranes. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔oral amoxicillin- clavulanate (Augmentin) for 10 days.
canal. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔a. ciprofloxacin otic drops qid.
- A parent brings in a 2-month-old infant with a 5-day history of a white coating on the tongue and decreased oral intake. The primary care NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔a. nystatin oral suspension, 200,000 units qid. A patient who has year-round allergic rhinitis uses an intranasal corticosteroid and a daily oral antihistamine. The patient reports persistent watery and itchy eyes. The primary care NP observes profuse clear, watery discharge and a cobblestone appearance inside the upper eyelids, with clear conjunctivae. The patient has tried topical azelastine (Astelin) and topical diclofenac (Voltaren) without improvement. The NP should prescribe drops. - ....🔰 VERIFIED ANSWERS.... ✔✔A. nedocromil (Tilade)
- An 80-year-old patient has a diagnosis of glaucoma, and the ophthalmologist has prescribed timolol (Timoptic) and pilocarpine eye drops. The primary care NP should counsel this patient: - ....🔰VERIFIED ANSWERS.... ✔✔a. that systemic side effects of these medications may be severe. A patient will require a long course of steroids to treat a chronic inflammatory condition. The primary care NP expects the specialist to order: - ....🔰VERIFIED ANSWERS.... ✔✔a. hydrocortisone every other day. . A patient has a sore throat with fever. The primary care NP observes erythematous 4+ tonsils with white exudate. A rapid
antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as empiric treatment. The patient calls the next day to report a rash. The NP should suspect: - ....🔰VERIFIED ANSWERS.... ✔✔a. a viral cause for the patient's symptoms. A patient comes to the clinic several days after an outpatient surgical procedure complaining of swelling and pain at the surgical site. The primary care NP notes a small area of erythema but no abscess or induration. The NP should: - ....🔰 VERIFIED ANSWERS.... ✔✔a. prescribe TMP-SMX. A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with toys in the examination room. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔a. initiate antibiotic therapy if the child's condition worsens. A primary care nurse practitioner (NP) sees a 3-year-old child who has a history of recurrent otitis media. The child's parent tells the NP that the child is allergic to penicillin. The NP learns that the child developed an all-over rash 2 days after starting amoxicillin at age 2 years. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔a. order a penicillin skin test.
- A patient with otitis media is treated for 10 days with amoxicillin. At the follow-up visit, the primary care NP notes bilateral erythematous, bulging tympanic membranes. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔a. oral amoxicillin-clavulanate (Augmentin) for 10 days.
- The most cost-effective treatment for two or three impetigo lesions on the face is: - ....🔰VERIFIED ANSWERS.... ✔✔a. Mupirocin ointment
- rts in this part of a person fespan - ....🔰VERIFIED ANSWERS.... ✔✔B. Midlife
- Initial drug therapy choices should include a - ....🔰VERIFIED ANSWERS.... ✔✔A. topical agent
- The Centers for Disease Control recommends all newborn infants receive prophylactic administration of within 1 hour of birth. - ....🔰VERIFIED ANSWERS.... ✔✔a. Erythromycin ophthalmic ointment
- Con vitis in a child that is accompanied by acute otitis media is treated with: - ....🔰VERIFIED ANSWERS.... ✔✔a. High-dose oral amoxicillin
- Twenty-year-old Annie comes to clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal con ivitis. While awaiting the culture results, the plan of care should be: - ....🔰VERIFIED ANSWERS.... ✔✔a. IM ceftriaxone
- Education of women who are being treated with ophthalmic antibiotics for con is includes: - ....🔰VERIFIED ANSWERS.... ✔✔a. Throwing away eye makeup and purchasing new
- Sadie was prescribed betaxolol ophthalmic drops by her ophthalmologist to treat her glaucoma. Oral beta blockers should be avoided in patients who use ophthalmic beta blockers due to: - ....🔰VERIFIED ANSWERS.... ✔✔The additive effects may include bradycardia
- David presents to clinic with symptoms of allergic con tis. He is prescribed cromolyn sodium (Opticrom) eye drops. The education regarding using cromolyn eye drops includes: - ....🔰 VERIFIED ANSWERS.... ✔✔a. He should not wear his soft contacts while using the cromolyn eye drops
- Choose the type of ophthalmic medication that can result in glaucoma, cataracts, or secondary infection. - ....🔰VERIFIED ANSWERS.... ✔✔Steroids
- Prescription of timolol maleate can result in several serious adverse reactions. Select the condition that is considered to be a common side effect of treatment with timolol maleate. - ....🔰 VERIFIED ANSWERS.... ✔✔D. Blurred vision
- Which situation shows appropriate use of an ophthalmic anesthetic for a patient with eye pain? - ....🔰VERIFIED ANSWERS.... ✔✔a. Facilitation of examination of the eye
- The patient is suffering from glaucoma and is scheduled to begin treatment with carbachol (Carboptic). The health care provider knows to monitor the patient closely for evidence of
- Rose is a 3 year old with an upper respiratory infection (URI). Treatment for her URI would include: - ....🔰VERIFIED ANSWERS.... ✔✔a. Nasal saline spray
- Patients who should be cautious about using decongestants for an upper respiratory infection include: - ....🔰VERIFIED ANSWERS.... ✔✔Patients with cardiac disease Jaheem is a 10 year old with sinusitis. Treatment for a child with sinusitis is: - ....🔰VERIFIED ANSWERS.... ✔✔A. Amoxicillin
- Jacob has been diagnosed with sinusitis. He is the parent of a child in daycare. Treatment for sinusitis in an adult who has a child in daycare is: - ....🔰VERIFIED ANSWERS.... ✔✔a. Amoxicillin 1 gram
- The length of treatment for sinusitis should be: - ....🔰VERIFIED ANSWERS.... ✔✔D. 7 days beyond when symptoms cease
- Patient education for a patient who is prescribed antibiotics for sinusitis includes: - ....🔰VERIFIED ANSWERS.... ✔✔a. Use of nasal saline washes Myles is a 2 year old who has been diagnosed with acute otitis media. He is afebrile and has not been treated with antibiotics recently. First-line treatment for his otitis media would include:
- ....🔰VERIFIED ANSWERS.... ✔✔B. Amoxicillin
- Alyssa is a 15 month old who has been on amoxicillin for 2 days for acute otitis media. She is still febrile and there is no change in her tympanic membrane examination. What would be the plan of care for her? - ....🔰VERIFIED ANSWERS.... ✔✔a. Change the antibiotic to amoxicillin lavulanate.
- A child that may warrant watchful waiting instead of prescribing an antibiotic for acute otitis media includes patients who: - ....🔰VERIFIED ANSWERS.... ✔✔a. All of the above
- Whether prescribing an antibiotic for a child with acute otitis media or not, the parents should be educated about: - ....🔰 VERIFIED ANSWERS.... ✔✔a. Providing adequate pain relief for at least the first 24 hours
- First-line therapy for a patient with acute otitis externa (swimmer tympanic membrane includes: - ....🔰VERIFIED ANSWERS.... ✔✔a. Ciprofloxacin and hydrocortisone drops A primary care nurse practitioner (NP) prescribes a topical cream medication. Which statement by the patient indicates understanding of proper application of this medication? - ....🔰VERIFIED ANSWERS.... ✔✔"I should apply this medication after bathing." An NP student asks the primary care NP about guidelines for using topical steroids. The NP should tell the student that: - ....🔰VERIFIED ANSWERS.... ✔✔standardized guidelines may be found for disease-specific conditions.
rash. The NP should prescribe: - ....🔰VERIFIED ANSWERS.... ✔✔A. miconazole (Lotrimin AF).
- An 18-month-old child who attends day care has head lice and has been treated with permethrin 1% (Nix). The parent brings the child to the clinic 1 week later, and the primary care NP notes live bugs on the child's scalp. The NP should order: - ....🔰 VERIFIED ANSWERS.... ✔✔A. permethrin 5%.
- A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema. The NP does not observe new burrows on the skin. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔A. prescribe triamcinolone 0.1%.
- A primary care NP is performing a well-child checkup on an adolescent patient and notes approximately 20 papules and comedones and 10 pustules on the patient's face, chest, and back. The patient has not tried any over-the-counter products to treat these lesions. The NP should begin treatment with: - ....🔰 VERIFIED ANSWERS.... ✔✔A. benzoyl peroxide and topical clindamycin.
- A primary care NP is preparing to irrigate and suture a laceration on a patient's thumb. To anesthetize the site, the NP should use: - ....🔰VERIFIED ANSWERS.... ✔✔A. lidocaine with epinephrine.
- A patient comes to the clinic with a history of fever of 102° F for several days, poor appetite, and cough. A sputum culture is
pending, but Gram stain indicates a bacterial infection. The primary care nurse practitioner (NP) should: - ....🔰VERIFIED ANSWERS.... ✔✔A. begin empirical antibiotic therapy.
- The primary care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes; cough; and a temperature ranging from 99.1° F to 100.5° F. The NP notes thin, white nasal discharge and an erythematous oropharynx without swelling or exudates. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔A. reassure the patient that this is likely a viral infection.
- A patient who has had two recent urinary tract infections is in the clinic with dysuria and fever. The primary care NP reviews the patient's chart and notes that in both previous cases the causative organism and sensitivity were the same. The NP should: - ....🔰VERIFIED ANSWERS.... ✔✔A. order a urine culture and treat empirically pending culture results.
- A new patient comes to see the primary care NP with fever, mild dehydration, and dysuria with flank pain. The patient tells the NP that a previous provider always prescribed trimethoprim- sulfamethoxazole and wonders why a urine culture is necessary because this antibiotic has worked in the past. The NP should tell this patient that a culture is necessary to help determine: - ....🔰 VERIFIED ANSWERS.... ✔✔A. whether antibiotic resistance is occurring.
- The primary care NP sees a child in the clinic who has a 5-day history of cough, poor fluid intake, and fever of 103° F. A chest radiograph shows areas of consolidation in the child's lungs. The child's cough is nonproductive, and the NP is unable to get a sputum specimen. The NP should: - ....🔰VERIFIED ANSWERS....
