Can you help me with these questions Question 31 As an…Can you help me with these questionsQuestion 31 As an adult-gerontology acute care nurse practitioner, you are required to have confidentiality with each and every patient you care for. Which of the following supersedes the right to confidentiality if a patient’s condition may endanger others? Involuntary committment Autonomy Invasion of privacy Reporting statutes Duty to warn Question 32 Mr. Cummins, a 69-year-old Caucasian male, presents with an inability to move his right arm sufficiently. The nurse practitioner tells him that she will perform a physical examination and order tests to rule out which of the following? Gout Rheumatoid arthritis (RA) Muscle weakness from a systemic condition Osteoarthritis (OA) Question 33 The ethical principle of veracity refers to: Telling the patient the truth Ensuring that the patient gets what he deserves The patient’s right to self determination The duty to do no harmQuestion 34 The AGACNP is performing an incision and drainage of an abscess. Which of the following is NOT correct? There is no need to pack the wound after draining the fluid. Use hemostats to break any sacs or septa in the abscess. Sterile draping is always required even though the wound is contaminated Lidocaine should be injected around the edges of the abscess. Question 35 Myasthenia gravis is best described as: An imbalance of dopamine and acetylcholine in the basal ganglia Demyelination of peripheral ascending nerves Demyelination in the central nervous system An autoimmune disorder characterized by decreased neuromuscular activation Question 36 Jennifer is a 15-year-old female who attempted suicide by taking a bottle of acetaminophen. She took 30, 500 mg tablets approximately six hours ago, but then became frightened and told her mother what she did. Her mother said that Jennifer seems OK, other than being a little sick to her stomach, she has no complaints. The AGACNP knows that the first step in her care includes: N-acetycysteine in tapering doses over the next 24 hours Oral administration of activated charcoal Psychiatric assessmentDischarge to home with follow-up LFTs in 4 days Question 37 Seizure activity is classified into various categories depending upon symptoms and affected areas of the brain. Which of the following is descriptive of simple partial seizures? The patient may have an aura, staring and automatisms There is no loss of consciousness They are common in children and often involve rapid eye blinking They begin with tonic and progress to clonic contractions Question 38 A patient is brain dead on a ventilator. The family wants everything done, but states that the patient would not want to be on a ventilator. What should the AGACNP do? Call the Ethics Committee Chart the exact statements of the family and extubate the patient Consult the neurology service and have them interview the family Call a member of the clergy Question 39 A 68 year old male patient is admitted to the acute stroke unit for IV t PA with a BP of 195/110 mm HG and blood glucose of 120mg/dl. Which of the following orders should the ACNP write first? Order for the nurse to administer 10-20 mg IV Labetalol Do a full neurological Examination Order nitropaste 2 inches Re check the blood glucose level Question 40 In performing ongoing neurological assessments, the AGACNP recognizes that which of the following is the most important early indication of neurological status deterioration in a patient? Sluggish papillary responses Change in sensorium Nausea and vomiting Generalized headache Health ScienceScienceNursing NRNP 6560
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