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A primary care NP provides primary care for a woman who has HIV...

A primary care NP provides primary care for a woman who has HIV...

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A primary care NP provides primary care for a woman who has HIV. The woman asks the NP if she will ever be able to have children. The NP should tell her

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Week4 quiz
 
 1.

Question :

A primary care NP provides primary care for a woman who has HIV. The woman asks the NP if she will ever be able to have children. The NP should tell her:

 
 
none of the antiretroviral medications are safe to take during pregnancy.

 
 
she will need to take medications throughout her pregnancy and lactation.

 
 
there is no risk of disease transmission to a fetus if she complies with therapy.

 
 
strict adherence to antiretroviral therapy decreases her risk of transmitting HIV to the fetus.

Instructor Explanation:

 
 

Points Received:

2 of 2

Comments:

 
Question 2.

Question :

The primary care NP teaches a patient about TMP/SMX before prescribing it to treat a urinary tract infection (UTI). Which statement by the patient indicates a need for further teaching?

 
 
“I will take this medication with food.”

 
 
“I should drink a full glass of water with each dose.”

 
 
“I should stay out of direct sunlight and use sunscreen.”

 
 
“I should report any ringing in my ears or a sore throat.”

Instructor Explanation:

 
 

Points Received:

2 of 2

Comments:

 
Question 3.

Question :

A patient is taking amantadine to treat a viral infection. The patient calls the primary care NP to report having blurred vision. The NP should:

 
 
question the patient about suicidal ideation.

 
 
tell the patient to stop the medication immediately.

 
 
counsel the patient to avoid driving until this subsides.

 
 
tell the patient to come to the clinic for an electroencephalogram.

Instructor Explanation:

 
 

Points Received:

2 of 2

Comments:

 
Question 4.

Question :

A patient who has chronic pain and who takes oxycodone (Percodan) calls the clinic to ask for a refill of the medication. The primary care NP notes that the medication refill is not due for 2 weeks. The patient tells the NP that the refill is needed because he is going out of town. The NP should:

 
 
fill the prescription and document the patient’s explanation of the reason.

 
 
review the patient’s chart to see if this is a one-time or repeat occurrence.

 
 
call the patient’s pharmacist and report suspicion of drug-seeking behaviors.

 
 
confront the patient about misuse of narcotics and refuse to fill the prescription.

Instructor Explanation:

 
 

Points Received:

2 of 2

Comments:

 
Question 5.

Question :

The parent of a 2-month-old infant who will soon begin daycare refuses the rotavirus vaccine (RV) because of fears of intussusception. The parent tells the primary care NP that the daycare is strict about preventing infants who have fever or gastrointestinal symptoms from attending. The NP should tell the parent that:

 
 
herd immunity will protect the infant from infection.

 
 
asymptomatic children can spread rotavirus infection.

 
 
the risk of intussusception is nonexistent with the newer vaccine.

 
 
the infant can be treated with antibiotics if rotavirus infection occurs.

Instructor Explanation:

 


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