Nokea
Which form of urinary incontinence is present in a patient with Alzheimer’s disease who is unable to reach the toilet in time?
- A. Functional incontinence
- B. Overflow incontinence
- C. Urge incontinence
- D. Stress incontinence
Correct Answer: A
Rationale: Functional incontinence is the correct answer. This occurs when a person has physical or cognitive impairments that prevent them from reaching the toilet in time. In Alzheimer's disease, the patient's cognitive decline may impede their ability to recognize the need to urinate or navigate to the restroom. Overflow incontinence is due to bladder overdistention, urge incontinence is characterized by a sudden and overwhelming urge to urinate, and stress incontinence is associated with physical activities that increase intra-abdominal pressure. Hence, in this scenario, functional incontinence aligns with the patient's inability to reach the toilet promptly due to their Alzheimer's disease-related cognitive limitations.
You may also like to solve these questions
All of the statements about Medicare are true except:
- A. All of the funding for Medicare comes from federal taxes.
- B. Durable medical equipment has no out-of-pocket cost to the patient.
- C. Part B covers outpatient services and all physician professional fees whether inpatient or outpatient.
- D. Patients are generally responsible for 20% of Part B bills.
Correct Answer: B
Rationale: The correct answer is B because durable medical equipment under Medicare typically requires the patient to pay 20% of the Medicare-approved amount.
A is incorrect because Medicare funding also comes from payroll taxes and individual premiums.
C is incorrect as Part B covers outpatient services and physician fees only in outpatient settings.
D is incorrect as patients are generally responsible for 20% of Part B bills, not no out-of-pocket cost for durable medical equipment.
Which of the following drug classes is not indicated for the treatment of depression?
- A. Buspirone (Buspar)
- B. Selective Serotonin Reuptake Inhibitor (SSRI)
- C. Tricyclic antidepressant (TCA)
- D. Bupropion (Wellbutrin)
Correct Answer: A
Rationale: The correct answer is A: Buspirone (Buspar). Buspirone is not indicated for the treatment of depression; it is primarily used to treat anxiety disorders. SSRIs and TCAs are commonly prescribed for depression due to their ability to increase serotonin levels. Bupropion is an atypical antidepressant that works on norepinephrine and dopamine, making it a suitable option for depression treatment. Buspirone's mechanism of action differs from antidepressants, focusing on serotonin and dopamine receptors rather than directly targeting depression symptoms. Therefore, Buspirone is not a recommended drug class for depression treatment.
Which of the following medications is commonly prescribed for patients with hypertension and chronic kidney disease?
- A. Lisinopril
- B. Furosemide
- C. Metoprolol
- D. Spironolactone
Correct Answer: A
Rationale: The correct answer is A: Lisinopril. Lisinopril is an ACE inhibitor commonly prescribed for patients with hypertension and chronic kidney disease. It helps to reduce blood pressure and protect the kidneys by dilating blood vessels and improving blood flow. Furosemide (B) is a diuretic used to treat fluid retention but not specifically indicated for chronic kidney disease. Metoprolol (C) is a beta-blocker primarily used for heart conditions. Spironolactone (D) is a potassium-sparing diuretic and is not the first-line treatment for hypertension in patients with chronic kidney disease.
The earliest clinical manifestation of diabetic nephropathy is:
- A. An elevation in blood urea nitrogen (BUN)
- B. An elevation in blood urea nitrogen (BUN) and creatinine (CR)
- C. A decreased glomerular filtration rate
- D. Microalbuminuria
Correct Answer: D
Rationale: The correct answer is D: Microalbuminuria. In diabetic nephropathy, the earliest clinical manifestation is the presence of microalbuminuria, which indicates early kidney damage. This occurs before significant changes in BUN, creatinine, or glomerular filtration rate are observed. Microalbuminuria is a key indicator for monitoring and early intervention in diabetic nephropathy.
Incorrect Options:
A: An elevation in blood urea nitrogen (BUN) - BUN levels may rise in later stages of kidney damage.
B: An elevation in blood urea nitrogen (BUN) and creatinine (CR) - These markers typically increase as kidney function declines, not in the early stages.
C: A decreased glomerular filtration rate - GFR decreases as kidney function worsens, not typically an early sign in diabetic nephropathy.
A 50-year-old male has a non-tender, enlarged scrotum. The nurse practitioner suspects which of the following conditions:
- A. Orchitis
- B. Epididymitis
- C. Hydrocele
- D. Prostatitis
Correct Answer: C
Rationale: The correct answer is C: Hydrocele. A hydrocele is a fluid-filled sac surrounding the testicle, causing scrotal enlargement without tenderness. Orchitis (A) is inflammation of the testicle, presenting with pain and tenderness. Epididymitis (B) is inflammation of the epididymis, also causing tenderness. Prostatitis (D) involves inflammation of the prostate gland, not related to scrotal enlargement. In this case, the lack of tenderness and presence of scrotal enlargement point towards a hydrocele as the likely condition.