(Solution) NRNP 6540 Week 7 Knowledge Check

COURSE  

NRNP 6540 Advanced Practice Care of Older Adults

  1. Question: June is a 69-year-old being seen for her GYN exam. She still has her uterus and ovaries. What do you expect to find on bimanual examination?
  2. Question: Your 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?
  3. Question: Sarah 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.
  4. Question: Harry is an 81-year-old male who complains of increasing urinary frequency, nocturia, weak or intermittent urine stream, and a sensation of incomplete voiding, what would your differential diagnoses consist of? Name at least three.
  5. Question: Mary is a 71-year-old female who has always had normal mammograms. She recently found a lump in her right breast upon self-examination in the shower. She is very concerned it could be breast cancer. You send her for a mammogram, and possible follow up ultrasound if indicated. You explain to Mary that a breast lump is not always cancerous. Please list at least four (4) other differential diagnoses.
  6. Question: Martin is a 79-year-old patient who comes in for his routine annual exam. What ROS questions would you ask him about his genitourinary status? Describe at least four (40 ROS questions you would ask this patient.
  7. Question: Ben is your 85-year-old patient with mild BPH. Name at least two classes of medications that Ben should avoid that could make voiding with BPH more difficult.
  8. Question: 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.
  9. Question: What would be some treatments you could recommend for atrophic vaginitis? Please describe at least three.
  10. Question: Sarah tested positive for an inherited genetic mutation for breast cancer, the BRCA1. She wants to know how she got this genetic mutation. What will you tell her?

SOLUTION 

  1. June is a 69-year-old being seen for her GYN She still has her uterus and ovaries.

What do you expect to find on bimanual examination?

Examining the female genito-reproductive system would be the same in younger and older patients. On a bimanual examination, the ovaries should not be palpable and the uterus should be small and firm.

  1. Your 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 Your examination leads you to suspect a small bowel obstruction. What is your diagnostic test of choice to determine the diagnosis?

The initial diagnostic test for small bowel obstruction is the plain abdominal x-ray with flat and upright views. This radiologic test identifies multiple air-fluids, distention of small bowel loops and absence of gas in the areas of the colon.……..please click the icon below to purchase all solutions $15