NRNP6540 2020 December Week 3 Knowledge Check Latest

NRNP6540 Advanced Practice Care of Older Adults

Week 3 Knowledge Check

Question 1          Your 69-year-old male patient with type 2 diabetes presents with a seven-inch swollen, erythematous area on his lower leg. He says it is tender, and the reddened area is warm to the touch and has been getting larger. The opposite leg appears normal. He admits that his dog may have scratched him when he jumped up on him several days ago. What condition would you suspect the patient has, why, and what course of treatment would you recommend?        

Question 2          Your patient has herpes zoster ophthalmicus (HZO) as shown in the photo. What would your treatment plan for this patient be?

Question 3          Describe the etiology of lymphedema.                                 

Question 4          What is the primary mechanism of herpes zoster ophthalmicus?                                              

Question 5          Your 78-year-old patient comes to the clinical with the chief complaint of a lesion on his arm that has been there for two years. He states it alternately crusts and heals, and it began as a shiny papule, but now looks like this. You suspect basal cell carcinoma. What would be your primary reason for suspecting it is a basal cell carcinoma?

Question 6          Your 98-year-old patient complains of a corn behind his big toe that bothers him when he walks. Describe how corns usually form.                                               

Question 7          Explain why diuretics are not helpful in the treatment of lymphedema.                                

Question 8          What is the preferred treatment of tinea infections of the skin?                                               

Question 9          Your 81-year-old patient presents with the following skin eruptions on his arms and hand. His previous medical history (PMH) includes hypertension (HTN) for which he takes Ramipril (ACEI) 20 mg per day. He has osteoarthritis pain and takes Advil daily, 200 mg OTC about three to four times a day. He has lichen planus. What would your treatment plan for this patient be?                                               

Question 10        Your 79-year-old Caucasian male patient comes to the clinic with a “sore” on the top of his ear that does not seem to be healing. He admits he does not often wear a hat or sunscreen when he golfs or mows the lawn. He states he has picked it off, but it keeps coming back, and now it bleeds. What risk factors does he have that lead you to the diagnosis of a basal cell carcinoma (BCC)?