NRNP6540 2021 May Week 7 Knowledge Check Latest

NRNP6540 Advanced Practice Care of Older Adults

Week 7 Knowledge Check   

Question 1A 79-year-old patient presents with cramping abdominal pain, nausea, and vomiting for 4 days. List at least three (3) differential diagnoses.

Question 2Sarah is a 68-year-old patient who had a mammogram and biopsy positive for breast cancer. Her breast cancer is staged at T1N0M0. Sarah asks you what this means. Please describe what TNM indicates.

Question 3List at least three types of treatment for breast cancer.

Question 4You suspect cholecystitis in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago. Beside ultrasound, what other diagnostic tests could you order? Describe at least two tests.

Question 5 Sam is a pleasant 72-year-old male who comes in with his wife. His wife states that he is getting up “at least seven to eight times a night to pee.” What ROS questions would you ask Sam? Please list at least four.

Question 6Your 82-year-old patient comes to the clinic with complaints of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days. His PMH includes hernia repair, HTN, and atrial fibrillation. Your examination leads you to suspect a small bowel obstruction. What is your diagnostic test of choice to determine the diagnosis?

Question 7You prescribe Flomax for your patient for the treatment of BPH. Explain why you would recommend that your patient take this medication at bedtime rather than in the morning?

Question 8Would you perform a pap smear on June, your 69-year-old patient? (She has had normal pap smears in the past.)

Question 9Clark is a 72-year-old patient who complains of worsening symptoms of BPH, his nocturia has increased significantly over the past year. He would like to try a medication to ease these symptoms. List two medications you would consider for him and describe the mechanism of action for the two medications you chose.

Question 10Mary is a 67-year-old post-menopausal female who complains of vaginal dryness, vulvar and vaginal itching, urinary frequency, blood-tinged vaginal discharge, and dyspareunia. What would be your primary diagnosis?