Colon Cancer Screening DB questions:
As an NP you will need to be knowledgeable in order to educate patients about colorectal cancer screening options. In the U. S., 1 in 3, or 23 million eligible people are not screened for colorectal cancer. Advances in genomic technologies have provided new methods to screen for colorectal cancer. Three of the methods to screen for colorectal cancer that are approved by the FDA include the Epiprocolon test, the Cologuard test, and traditional colonoscopy. Information about the epiprocolon test can be found at http://www.epiprocolon.com/us Information about the Cologuard test can be found at http://www.cologuardtest.com/
1. What is the Epiprocolon test and what type of sample is required, what genomic methods are used and what is the specificity and sensitivity of the test? What does a positive epiprocolon test result indicate and what action should be taken? What action should be taken if the test results is negative?
2. What is the Cologuard test and what type of genomic methods are used, what type of sample and what is the specificity and sensitivity of the test? What does a positive Cologuard test result indicate and what action should be taken? What action should be taken if the test results is negative?
3. Is reimbursement available for the epiprocolon test and the cologuard test?
4. Compare and contrast the advantages of the cologuard test, epiprocolon test, and traditional colon cancer screening?
2.
1-If you were caring for a child who could be cured if given blood transfusions, but whose parents refused permission to give the transfusions due to religious beliefs, what would you do?
2-Some parents are refraining from giving certain immunizations to their children. How will this affect diseases in the United States in the future? How as medical professionals can we embrace these nontraditional practices?
3.
How can liver and renal diseases result in abnormal uterine bleeding (AUB)?
Question
Question 1
How can liver and renal diseases result in abnormal uterine bleeding (AUB)?
They cause an imbalance in platelet aggregation.
They result in an inability to adequately clear estrogen from the body.
They cause thyroid dysfunction, which leads to bleeding abnormalities.
They result in elevated prolactin levels, which lead to bleeding abnormalities.
Question 2
What is now thought to be the most important causative agent in cervical cancer?
PCOS
Vulvar cancer
Herpes simplex
HPV
Question 3
An initial or primary genital herpes infection characteristically lasts about:
4.
How does the nursing metaparadigm impact the implementation of culturally proficient nursing care?
Submission Instructions:
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
· You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
· All replies must be constructive and use literature where possible.
5.
Question 1 A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered
A) phytoestrogens.
B) monotherapy.
C) taboo.
D) inappropriate
Question 2 A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to
A) the mother regarding why the boy needs to take the medications.
B) both the boy and his mother regarding all medication issued.
C) the boy by telling him not to worry about the medications and to take them as directed
D) The mother and be sure to reinforce the need to force the medications, if her sondoes not want to take them
Question 3 A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather’s antidepressant to improve his mood. After immediately phoning the boy’s stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem?
A) Cardiac dysrhythmia
7.
Question 1 A nurse is working in a women’s hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following?
A) Bradycardia
B) Hypertension
C) Hypotension
D) Decreased salivation
Question 2 A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as
A) common adverse effects of magnesium sulfate
B) magnesium sulfate toxicity
C) a hypersensitivity reaction to magnesium sulfate
D) an idiosyncratic reaction from the magnesium sulfate
Question 3 A male patient is taking finasteride for BPH.Which of the following will the nurse evaluate at each clinic visit?
A) Serum cholesterol levels
B) Bone growth
C) Hemoglobin levels
8.
Question 1 A 15-year-old boy is being carefully monitored for a skin infection and is being given ciprofloxacin. The nurse will observe for which of the following?
A) Arthropathy
B) Colitis
C) Hepatitis
D) Hypotension
Question 2 A patient has been admitted to the critical care unit of the hospital with bacterial septicemia that has failed to respond to initial antibiotic treatment. The patient’s most recent blood cultures reveal the presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s blood. The nurse will anticipate that this patient will likely require intravenous administration of what antibiotic?
A) Vancomycin
B) Penicillin G
C) Cefazolin
D) Doripenem (Doribax)
Question 3 Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds.The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?
8.
Question 1 A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in
A) chest pain
B) fatigue
C) breathing difficulties
D) heart palpitations
Question 2 A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?
A) Green beans
B) Shrimp
C) Eggs
D) Milk
Question 3 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?
9.
Question 1 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?
A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, and level of consciousness
C) Liver function studies, pain intensity, and blood glucose level
D) Respiratory rate, pain intensity, and mental status
Question 2 A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient?
A) Blood pressure (BP): 98/50, pulse (P): 120, respirations (R): 40
B) BP: 130/88, P: 92, R: 28
C) BP: 150/90, P: 80, R: 16
D) BP: 170/98, P:110, R: 20
Question 3 A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that
A) intravenous lidocaine may be preferable to topical application
B) lidocaine must be potentiated with another anesthetic in order to achieve pain control
C) pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site
10.
Question
Question 1
A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the
A) heart rate.
B) body weight and height.
C) blood pressure.
D) skin surrounding the potential IV site.
Question 2
A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy?
A) Monitor the patient’s bleeding time
B) Check the patient’s blood glucose levels
C) Record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
Question 3
A nurse who is responsible for administering medications should understand that the goals of the
11.
Question 1
A patient wants to know what can cause ACTH to be released.How should the nurse respond?
a. High serum levels of cortisol
b. Hypotension
c. Hypoglycemia
d. Stress
Question 2
A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?
a. Aldosterone
b. Testosterone
c. Cortisol
d. Prolactin
Question 3
A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane
12.
Question
Question 1
A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease?
a. Cystic disease of the liver
b. Aniridia
c. Anemia
d. Hypothyroidism
Question 2
A nurse is preparing to teach about the loop of Henle. Which information should be included? The descending segment of the loop of Henle primarily allows for:
a. Sodium secretion
b. Potassium secretion
c. Hydrogen ion reabsorption
d. Water reabsorption
Question 3
A nurse is describing the trigone. Which information should be included? The trigone is defined as:
a. The orifice of the ureter
b. The inner area of the kidney
13.
1. A 40-year-old female is diagnosed with SLE. Which of the following findings would be considered a symptom of this disease?
Gastrointestinal ulcers
Decreased glomerular filtration rate
Rash on trunk and extremities
Photosensitivity
2. When trying to distinguish between an infectious disease and noninfectious disease, what is the hallmark symptom for most infectious diseases?
Vomiting
Jaundice
Pain
Fever
3. A 30-year-old female complains of fatigue, arthritis, rash, and changes in urine color. Laboratory testing reveals anemia, lymphopenia, and kidney inflammation. Assuming a diagnosis of SLE, which of the following is also likely to be present?
14.
Question 1
A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:
a. Visceral
b. Somatic
c. Parietal
d. Referred
Question 2
An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?
a. Insufficient bile production
b. Gastric atrophy
c. Hypersecretion of stomach acid
d. Nutrient malabsorption
Question 3
In alcoholic cirrhosis, hepatocellular damage is caused by:
a. acetaldehyde accumulation.
b. bile toxicity.
c. acidosis.
15.
