G. D. is a 13-year-old male patient who has a history of recurrent fever and flank pain

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G. D. is a 13-year-old male patient who has a history of recurrent fever and flank pain. His parents traditionally

are not believers in the health care system, and he has not been seen by a health care provider for many years. Today he has fever, chills, and costovertebral angle tenderness. Urinalysis reveals findings consistent with acute urinary infection. The AGACNP treats the patient for pyelonephritis and considers which study to evaluate for vesicoureteral reflux?

A. Bilateral renal ultrasound

B. CT scan of the abdomen and pelvis

C. Voiding cystourethrograpy

D. Radioisotope scanning

 
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In the preoperative assessment of a patient for the likelihood of postoperative risk

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In the preoperative assessment of a patient for the likelihood of postoperative risk, ascorbic acid deficiency,

anemia, and volume contraction are all risk factors for:

A. Prolonged intubation

B. Thromboembolism

C. Delayed wound healing

D. Atelectasis

 
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Janet is a 54-year-old female who is in the ICU following hepatic resection

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Janet is a 54-year-old female who is in the ICU following hepatic resection due to metastatic disease. She is

expected to move to a general medical floor today. Morning labs are as follows: serum bilirubin approximately 2 g/dL, albumin 3.1 g/dL, and prothrombin time 20 seconds. AST and ALT are 85 and 99 respectively. The appropriate response would be to:

A. Cancel the transfer and keep her in the ICU

B. Infuse albumin and fresh frozen plasma

C. Repeat the labs the next day

D. Prepare for reoperation

 
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Lester R. is a 58-year-old male who is being evaluated for nocturia.

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Lester R. is a 58-year-old male who is being evaluated for nocturia. He reports that he has to get up 2 to 3 times

nightly to void. Additional assessment reveals urinary urgency and appreciable post-void dribbling. A digital rectal examination reveals a normal-sized prostate with no appreciable hypertrophy. The best approach to this patient includes:

A. Administration of the American Urological Association (AUA) Symptom Scale

B. Laboratory assessment to include a PSA

C. Ordering a prostate ultrasound

D. Assessment of nonprostate causes of nocturia

 
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