Nokea
Headache warning signs that need prompt investigation include all of the following except:
- A. New onset after 50
- B. Aggravated or relieved by change of position
- C. Precipitated by Valsalva maneuver
- D. Headaches relieved with mild recurrent use of analgesics
Correct Answer: D
Rationale: Headaches relieved with mild, infrequent analgesic use typically don’t require urgent investigation.
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A nurse is working with an older adult who is at risk for malnutrition. Which of the following interventions is the most appropriate?
- A. Administer high-calorie supplements.
- B. Encourage intake of a variety of foods rich in vitamins and minerals.
- C. Restrict caloric intake to prevent weight gain.
- D. Focus on protein supplements exclusively.
Correct Answer: B
Rationale: A balanced diet with a variety of foods helps ensure adequate nutrition, including vitamins and minerals, in older adults.
A patient who has a sulfa allergy can safely take:
- A. Sumatriptan (Imitrex)
- B. Celecoxib (Celebrex)
- C. Glimepiride (Amaryl)
- D. Silver sulfadiazine (Silvadene)
Correct Answer: A
Rationale: Sumatriptan does not contain sulfa and is safe for those with a sulfa allergy.
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30-year-old patient. The Nurse Practitioner should assess the patient's:
- A. Throat, face, and right ear
- B. Neck and supraclavicular region
- C. Right forearm and hand
- D. Right groin and abdomen
Correct Answer: C
Rationale: Enlarged epitrochlear nodes are associated with infections or conditions in the hand or forearm.
Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complaints of:
- A. Painful bowel movement, anal itching, and painful or swollen testicles or abnormal menstrual bleeding
- B. Painful urination, dyspareunia, and vaginal or penile discharge
- C. Fever, headache, and lymphadenopathy
- D. None of the above
Correct Answer: C
Rationale: Acute HIV symptoms may include fever, headache, sore throat, and lymphadenopathy.
Which of the following is true about tolterodine?
- A. It should be avoided in men with prostatic hypertrophy.
- B. It increases the risk of constipation compared with oral oxybutynin.
- C. It acts by ablating detrusor spasms.
- D. It has greater risk of adverse effects with its twice-daily formulation.
Correct Answer: C
Rationale: Tolterodine is an anticholinergic that reduces detrusor spasms to alleviate symptoms of overactive bladder.