A 53 year old male is being evaluated in clinic for a chief complaint of fever and fatigue

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1)     A 53 year old male is being evaluated in clinic for a chief complaint of fever and fatigue. Physical

examination is non-specific. The vital signs are T-102,2oF, Pulse 121 bpm, respiratory rate is 28 bpm, and blood pressure of 128/84 mm Hg. He is alert and conversant, not acutely distressed, but clearly does not feel well. Lungs auscultate for generally decreased breath sounds diffusely. The cardiac exam is significant only for tachycardia. There is discrete purpora lesions ranging from 0.5 cm to 1 cm on both lower legs. The AGACNP takes which of the following actions?s

a)     Orders a stat chest radiograph

b)     Orders hospital admission diagnostic evaluation

c)      Obtains blood and sputum culture

d)     Orders a nebulizer treatment

 
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Mr. Kelsy is a 29 year old male how has 15 year old type 1 DM.

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1)     Mr. Kelsy is a 29 year old male how has 15 year old type 1 DM. he has done pretty well over the years

and has been on a stable insulin regimen for the last 3 years. He is being seen today because he has noticed a persistent elevation in his fasting am glucose levels. They have been slowly but steadily rising and for the last 2 weeks have been consistently above 200 mg/dl. He feels well but is concerned because he knows this is too high. To differentiate among the common causes of rising fasting glucose in an otherwise stable patient, the AGACNP orders

a)     Serum fructosamine

b)     Nocturnal glucose monitoring

c)      Hemoglobin A1C

d)     Oral glucose tolerance test

 
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A 27 year old female patient is newly diagnosed with herpes simplex virus (HSV) 2

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1)     A 27 year old female patient is newly diagnosed with herpes simplex virus (HSV) 2 following an initial

outbreak. In teaching the patient about her disease process, the AGACNP tells the patient that

a)     Future outbreaks will be preceded by a prodrome

b)     She should encourage partner to wear a condom to prevent transmission

c)      The disease cannot be transmitted once vesicles have dried

d)     She will need maintenance medication to reduce the risk of outbreaks

 
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the best way to ease the apprehension of a 3 year old child before a physical examination is to:

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the best way to ease the apprehension of a 3 year old child before a physical examination is to:

 
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