Chronic Illness & Women Flashcards
A 33-year-old female presents with complaints of persistent abdominal pain, nausea, and diarrhea for 2 weeks. Establish a factor that the nurse practitioner would identify in the family history related to celiac disease.
Family history of diverticulosis
Family history of ulcerative colitis
Family history of lactose intolerance
Family history of celiac disease in first-degree relatives
Family history of celiac disease in first-degree relatives
A 22-year-old female has had abdominal pain with diarrhea and episodes of constipation for 5 months. She has an extensive workup, and she does not have ulcerative colitis, Crohn’s disease, infectious diarrhea, cancer, and celiac disease. Predict the reason that the nurse would assume for having irritable bowel syndrome (IBS).
These symptoms are not explained by other GI diseases. It is likely that the female is experiencing IBS.
IBS is a catch-all syndrome when symptoms cannot be explained.
There are no other disorders that cause these symptoms.
The patient is too young and too healthy to have any chronic disease.
These symptoms are not explained by other GI diseases. It is likely that the female is experiencing IBS.
A nurse practitioner is reviewing the risk factors for osteoarthritis in a group of patients’ electronic health records. Predict a risk factor that the nurse practitioner will include in the review.
Use of oral contraceptive pills
Ingestion of foods with tyramine
Male
Being overweight
Being overweight
A nurse practitioner is evaluating a patient with joint edema. Predict how the nurse practitioner will distinguish between joint edema that is due to rheumatoid arthritis (RA) and joint edema that is due to osteoarthritis (OA).
The joint associated with OA will be warm.
The joint associated with RA will not be stiff.
The joint associated with OA will not be tender with palpation.
The RA joint will be warmer than the joint associated with OA.
The RA joint will be warmer than the joint associated with OA.
A nurse practitioner orders a diagnostic test to confirm celiac disease in a 48-year-old female patient. Recommend which test the nurse practitioner should order.
Amylase and lipase
Intestinal biopsy
Serum bilirubin
Liver function tests (LFTs)
Intestinal biopsy
A female patient presents with abdominal pain and changes in her stool pattern for the past 4 months. Propose a question that the nurse practitioner would ask to illicit more information about the changes in stool pattern.
“Are you straining with defecation?”
“Do you have a history of hemorrhoids?”
“Do you have lactose intolerance?”
“Do you have food allergies?”
“Are you straining with defecation?”
A nurse practitioner is reviewing a group of patients for the identification of risk for celiac disease. Determine which patient is at risk for celiac disease.
A 36-year-old male who has a brother and a sister with history of celiac disease
A 14-year-old male with constipation for 2 weeks and a family history of celiac disease in a first cousin
A 42-year-old female with acute diarrhea for 3 days and a history of diverticulitis
A 26-year-old female with a history of episodes of nausea with menses
A 36-year-old male who has a brother and a sister with history of celiac disease
A nurse practitioner evaluates a 63-year-old obese female with bilateral knee pain and suspects osteoarthritis (OA). Propose the diagnostic test that the nurse practitioner will order to confirm the diagnosis.
MRI of knees
Knee X-ray
Serum rheumatoid factor (RF)
Serum antinuclear antibody (ANA)
Knee X-ray
A nurse practitioner is providing education to a female patient who has been diagnosed with celiac disease. Propose a trigger that the nurse practitioner should instruct the patient to avoid.
Nut butters
Dairy products
Food products that contain eggs
Barley-containing foods
Barley-containing foods
A nurse practitioner orders a diagnostic test to confirm celiac disease in a 48-year-old female patient. Recommend which test the nurse practitioner should order.
Endoscopic biopsy of the duodenum
Serum bilirubin
Amylase and lipase
Allergy testing
Endoscopic biopsy of the duodenum
A 36-year-old female presents with complaints of abdominal pain and bloating after eating. Propose a question that the nurse practitioner would ask to explore triggers related to celiac disease.
“Is there any food that makes pain and bloating worse?”
“Do you tolerate milk products well?”
“Do you have seasonal allergies?”
“Do you use a daily probiotic?”
“Is there any food that makes pain and bloating worse?”
A nurse practitioner is evaluating a patient for chronic bronchitis. Recommend a diagnostic test that the nurse practitioner should order to confirm this diagnosis.
Serum complete blood count
Chest magnetic resonance imaging (MRI)
Pulmonary function tests (PFTs)
Chest X-ray
Pulmonary function tests (PFTs)
A 22-year-old female has had abdominal pain with diarrhea and episodes of constipation for 5 months. She has an extensive workup, and she does not have ulcerative colitis, Crohn’s disease, infectious diarrhea, cancer, and celiac disease. Predict the reason that the nurse would assume for having irritable bowel syndrome (IBS).
IBS is a catch-all syndrome when symptoms cannot be explained.
The patient is too young and too healthy to have any chronic disease.
There are no other disorders that cause these symptoms.
IBS is diagnosed based on symptoms when no other condition is identified.
IBS is diagnosed based on symptoms when no other condition is identified.
A nurse practitioner is identifying the mortality risk of patients with COPD. Determine which patient has the highest mortality risk associated with COPD.
A 24-year-old male with a history of vaping for 4 years
A 66-year-old female with a history of lung cancer and emphysema
A 36-year-old female with a history of seasonal allergies and asthma
A 48-year-old female with history of a pneumothorax after a recent trauma
A 66-year-old female with a history of lung cancer and emphysema
A nurse practitioner is examining a 76-year-old female patient with COPD. Propose one of the expected physical exam findings.
Bradycardia
Abdominal distention
Cyanosis
Dullness on percussion
Cyanosis
