Assignment: End-stage Renal Disease
Assignment: End-stage Renal Disease
Which is the most common cause of end-stage renal disease in the United States?
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be:
Major depression occurs most often in which of the following conditions?
At what age is screening most likely to detect scoliosis?
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
Sam, age 67, is a diabetic with worsening renal function. He has frequent hypoglycemic episodes, which he believes means that his diabetes is getting “better.” How do you respond?
Which of the following set of symptoms should raise suspicion of a brain tumor?
What is the first step in the treatment of uric acid kidney stones?
A 35 year old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial prostatitis. Which of the following specimens would be least helpful for diagnosis?
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?
How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?
The most reliable diagnostic indicator of gout is:
What information should patients with diabetes and their families receive about hypoglycemia?
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?
Microalbuminuria is a measure of:
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?
Poorly controlled lipids
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
Which of the following is the most common cause of low back pain?
A nurse practitioner diagnoses a 60 year old male with balanitis. Which disease is commonly associated with balanitis?
Which of the following characteristics are associated with prepatellar bursitis?