FREE Family Nurse Practitioner Question and Answers
The family nurse practitioner correlates the following in order to adhere to rules regarding documentation and third-party payor reimbursement:
To meet requirements for reimbursement and documentation from third-party payors, the family nurse practitioner links evaluation and management codes with the patient's history, physical examination, and medical decisions. Many E/M codes need the coder to determine the type of history, examination, and medical decision-making, which may necessitate employing specialized grids and tables to verify requirements.
Which method of health promotion would be best for patients of adolescent age who are overweight?
It has been discovered that the health promotion method of motivational interviewing works well in treating obese teenagers. It is a patient-centered, directive counseling approach that relies on intrinsic motivation. Research has shown that it can help people overcome ambivalence, increase intrinsic motivation, and boost confidence in their capacity to change their behavior.
Which medicine is linked to higher lipoprotein levels?
For high blood pressure, doctors frequently give hydrochlorothiazide (Microzide). It belongs to a group of drugs called diuretics, sometimes referred to as water pills. Some diuretics, such as hydrochlorothiazide, might temporarily increase low-density lipoprotein (LDL) cholesterol and triglycerides when taken at high dosages of 50 mg or more.
When estrogen-using women reach perimenopause, why do doctors typically prescribe a progestational medication?
To lessen the risk of endometrial hyperplasia, progestational medications are typically given to perimenopausal women who use estrogen. To prevent estrogen-related endometrial hyperplasia, progestational medicine is used in conjunction with estrogen therapy.
Guidelines for clinical practice should:
For high blood pressure, doctors frequently give hydrochlorothiazide (Microzide). It belongs to a group of drugs called diuretics, sometimes referred to as water pills. Some diuretics, such as hydrochlorothiazide, might temporarily increase low-density lipoprotein (LDL) cholesterol and triglycerides when taken at high dosages of 50 mg or more.
The ideal test for temporal arteritis is:
An ophthalmologist or vascular surgeon would often perform a temporal artery biopsy, which is an outpatient operation.
An uncommon yet severe side effect of ACE inhibitors is:
Angioedema, which affects 0.1-0.2% of people, is the most serious side effect of ACE inhibitors. The basic characteristics of angioedema include airway swelling and blockage brought on by fluid (and bradykinin) buildup.
What is McMurray's sign:
The patient must be relaxed and supine to perform McMurray's test. The examiner holds the patient's heel in one hand and the knee joint line in the other. The knee is fully extended and rotated either internally (medial meniscus) or externally (lateral meniscus).
Deep tendon reflex testing:
The DTR can be quickly and easily tested, but for a solid result, a certain technique is needed. An examination hammer is used to tap the muscle tendon, and the response is then graded and observed. The patient should be as at ease as feasible for efficient and dependable results.
Viral conjunctivitis can be treated with:
You can use cold compresses and artificial tears, which are available over the counter without a prescription, to help reduce some of the inflammation and dryness brought on by conjunctivitis. Additionally, you should refrain from using contact lenses until your ophthalmologist gives the all-clear.
When a patient is being examined physically, the facial nerve's health can be determined by asking them to:
During a physical examination, the patient's ability to puff out both cheeks can be used to determine the facial nerve's health. This is a component of the cranial nerve examination, which measures how well the 12 pairs of cranial nerves in the head and neck are functioning.
Taking ACE inhibitors frequently results in a
Dry cough is one of the potential ACE inhibitor side effects. Hyperkalemia, or elevated blood potassium levels, fatigue
Micoaneurysms, hard exudates, cotton wool patches, and neovascularization
A consequence of diabetes called diabetic retinopathy is brought on by high blood sugar levels harming the retina, which is the back of the eye. If undetected and mistreated, it can result in blindness.
When an elderly patient's HIV infection is discovered, zidovudine is prescribed (Retrovir). Which diagnostic procedure is useful in determining the drug's side effects?
The results of a complete blood count (CBC), a diagnostic test, can be used to evaluate the adverse effects of the drug zidovudine (Retrovir). Hematologic side effects of Retrovir (zidovudine), particularly in patients with advanced human immunodeficiency virus (HIV) illness, include neutropenia and severe anemia1. CBC can aid in the detection of these adverse effects.
X-rays should be ordered first, but MRI is preferred.
MRIs are more flexible and are used by doctors to examine a wide range of medical issues. For instance, x-rays are more frequently used to examine damaged bones, but they can also aid in the discovery of sick tissue. MRIs work better for assessing soft tissues such brain tumors, spinal cord injuries, and tendon and ligament injuries.
If a nursing woman develops postpartum mastitis, the family nurse practitioner will recommend that she take the recommended antibiotics and also:
A family nurse practitioner will advise a nursing mother to continue using both breasts while taking the prescribed antibiotics she develops postpartum mastitis. This will assist in maintaining milk production and preventing breast engorgement.