Question 1. 1. A 66-year-old male presents to the emergency department accompanied by his wife who claims that he has been acting confused. The man is complaining of a sudden onset of severe weakness and malaise and has a dry cough and diarrhea. His temperature is 102.8°F and his blood work indicates his sodium level is 126 mEq/L (normal is 135 to 145 mEq/L). What will be the assessing nurse practitioner’s most likely suspicion? (Points : 0.4)
Bronchopneumonia
Mycoplasma pneumonia
Legionnaire diseases
Pneumococcal pneumonia
Question 2. 2. A 51-year-old female patient who is 2 days postoperative on a surgical unit of a hospital is at risk for developing atelectasis as a result of being largely immobile. Which of the following teaching points by her nurse practitioner is most appropriate?(Points : 0.4)
“Being in bed increases the risk of fluid accumulating between your lungs and their lining, so it’s important for you to change positions often.”
“You should breathe deeply and cough to help your lungs expand as much as possible while you’re in bed.”
“Make sure that you stay hydrated and walk as soon as possible to avoid our having to insert a chest tube.”
“I’ll prescribe bronchodilator medications that will help open up your airways and allow more oxygen in.”
Question 3. 3. Which of the following situations would be most deserving of a pediatrician’s attention? (Points : 0.4)