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Questions and Answers
Which of the following statements is the best explanation of the effects of ibuprofen (Motrin) on her disease?
Which of the following statements is the best explanation of the effects of ibuprofen (Motrin) on her disease?
- It increases the chances of adverse effects to her health
- It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic (correct)
- It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics
- None of the statements are true
All of the following are infections that affect mostly the labia and vagina except:
All of the following are infections that affect mostly the labia and vagina except:
- Candidiasis
- Trichomoniasis
- Chlamydia trachomatis (correct)
- Bacterial vaginosis
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for:
- Gastric ulcer
- Acute appendicitis (correct)
- Inguinal hernia
- Cholecystitis
Treatment for mild preeclampsia includes all of the following except:
Treatment for mild preeclampsia includes all of the following except:
All of the following services are covered under Medicare Part A except:
All of the following services are covered under Medicare Part A except:
What is the most likely diagnosis for a patient with a productive cough, low-grade fever, and diffuse infiltrates seen on chest radiograph?
What is the most likely diagnosis for a patient with a productive cough, low-grade fever, and diffuse infiltrates seen on chest radiograph?
What is the minimum size of induration that would be considered positive for a PPD test in adults?
What is the minimum size of induration that would be considered positive for a PPD test in adults?
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Study Notes
Hypertension and Ibuprofen Use
- Hydrochlorothiazide is a common diuretic for Stage II hypertension.
- Ibuprofen can inhibit renal prostaglandins, decreasing the effectiveness of diuretics.
- Chronic use of NSAIDs may lead to acute prerenal failure due to reduced renal blood flow.
Infections Affecting the Vulva and Vagina
- Bacterial vaginosis, candidiasis, and trichomoniasis are infections commonly impacting the labia and vagina.
- Chlamydia trachomatis primarily affects the cervix and pelvic organs, not the vulva or vagina.
Muscle Testing in Acute Abdomen
- Obturator and iliopsoas muscle tests help diagnose acute appendicitis.
- Positive obturator sign occurs with hip internal rotation, while positive psoas sign is noted with thigh extension or flexion.
Mild Preeclampsia Treatment Guidelines
- Recommended treatment includes bed rest, close monitoring of blood pressure, weight, and laboratory values.
- Methyldopa is not prescribed as a first-line treatment option for mild preeclampsia.
Medicare Part A Coverage
- Medicare Part A covers inpatient hospitalizations and specific skilled nursing facilities.
- Nursing home care often involves custodial care and is not covered under Medicare Part A.
Mycoplasma Pneumonia Diagnosis
- Common in children and young adults, Mycoplasma pneumonia presents with specific symptoms and x-ray findings.
- Diagnosis requires a chest radiograph showing infiltrates, especially in the lower lung lobes.
PPD Test Induration Measurement
- A PPD test showing an induration of 10 mm or greater is considered positive for high-risk individuals, such as migrant workers.
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