Author: Anonymous

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? 

From which causative organism does infectious mononucleosis arise? 

When considering a client’s complaint of “muscle pain” with no specific injury, which condition should the NP recognize as the most common cause of generalized musculoskeletal pain in women ages 20 to 55?

The nurse practitioner is referring a couple who are attempting to conceive, to genetic counseling. The mother and father both have beta thalassemia minor/trait with a mild, microcytic hypochromic anemia. Considering that each parent will contribute 1 beta-globin gene, what is the possibility with each pregnancy, the offspring will have beta-thalassemia major, a severe microcytic anemia?   

The NP is evaluating a 17-year-old boy in the clinic who reports he has been “feeling something” on his left scrotum. On examination and palpation of the scrotum, soft and movable blood vessels that feel like a “bag of worms” are noted underneath the scrotal skin. The testicle is not swollen or reddened. What diagnosis should the NP suspect? 

The nurse practitioner is seeing a client with BPH for follow-up after being prescribed finasteride (Proscar) six months earlier.  For which medication side effect should the client be assessed? 

The nurse practitioner is evaluating a 26-year-old male who presents with scrotal pain that radiates to his flank. Symptom onset was three hours ago. He also complains of pain at the “tip of my penis”, has cloudy urine and urethral discharge.  Which condition would the NP most likely suspect?

Which blood cell is excessively elevated in a person who has polycythemia?

Which behavior would the nurse practitioner advise the client with sickle cell anemia to avoid?