Author: Anonymous

Which body has legislative power to initiate, regulate, and enforce the provisions of the Nurse Practice Act?

The nurse practitioner is evaluating a client with the chief complaint of “really dry eyes and mouth”. The NP recognizes that dryness of the eyes and mouth, unrelated to medication side effects or dehydration, is typical of which condition?

The nurse practitioner is evaluating a client with the complaint of “joint pain”. Lab work is ordered and reveals an increased erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).  Which condition would be LEAST likely to cause a change in acute-phase proteins? 

Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist? 

In which disorder does exposure to ultraviolet (UV)-B and UV-A rays act as a triggering factor for acute exacerbation of the condition? 

Which classic malar rash should the clinician assess for in a client suspected of having SLE?

The nurse practitioner is evaluating a client with complaints of weakness, fatigue, and difficulty breathing during mild exercise. Lab results indicate a low serum iron, low total iron binding capacity (TIBC), and low hemoglobin levels. The mean corpuscular hemoglobin count (MCHC) and mean corpuscular volume (MCV) are both normal. What condition would the patient’s symptoms and lab results most strongly indicate?

The nurse practitioner is evaluating a client with rheumatoid arthritis for a new diagnosis of anemia.  What mechanism contributes to the development of anemia of chronic disease in individuals with inflammatory disorders? 

The nurse practitioner is evaluating labs on a client who presented 3 days prior for the complaint of new-onset fatigue and decreased appetite with mild nausea. The client’s past medical history includes hypertension and hyperlipidemia. The client is a smoker and drinks 2-3 alcoholic drinks per day. Current medications include an ACE inhibitor and statin.  On the physical examination, the client had a normal cardiovascular and respiratory exam. Bowel sounds were present x4 quadrants, there was mild abdominal distension but no guarding or rigidity and no palpable organomegaly.  Lab results are as follows: Hgb 10.6 g/dL (reference 12.5-15.1), MCV 126 fL (reference 80-100), RDW 13% (reference 11.5-14.5), Platelet count 65,000 mm3 (reference 150,000-400,000), WBC 3,900 mm3 (reference 4,500-10,000) with a normal differential.  What determination does the NP make regarding the client’s lab results? 

The nurse practitioner is examining a client with suspected anemia.  What assessment would aid the NP in differentiating chronic vitamin B12 deficiency anemia from folate deficiency anemia?