During routine examination, the nurse practitioner asks the patient to cover one eye and identify objects in the peripheral vision while focusing on a central point. The practitioner then repeats the test on the other eye. What cranial nerve (CN) is being tested during this visual field examination?
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Physiological changes of aging and multiple comorbidities in…
Physiological changes of aging and multiple comorbidities influence the dying process. The growing acceptance of hospice and palliative care is creating a more natural dying experience.Which of the following is true regarding the process of death?
A 65-year-old patient is just becoming eligible for Medicare…
A 65-year-old patient is just becoming eligible for Medicare. Which Medicare plan will offer the patient dental care and eyeglasses if they have a premium payment deducted from their social security check?
Patients at risk of Refeeding Syndrome include those with:
Patients at risk of Refeeding Syndrome include those with:
Which of the following is the best statement regarding dyspn…
Which of the following is the best statement regarding dyspnea?
Leo L. is a 62-year-old male who comes for an initial visit…
Leo L. is a 62-year-old male who comes for an initial visit to your practice. Personal health history includes smoking 1 pack/day since age 11, consuming a case of beer (24 bottles) every weekend, and working as an assembler (sedentary job) for the past 10 years. Family history in first-degree relatives includes hypertension, high cholesterol, heart attack, and type 2 diabetes mellitus. Leo’s BMI is 32; BP today is 130/86. You order a fasting glucose, lipid profile, and return visit for BP check. This is an example of:
Expected age-related changes frequently result in atypical p…
Expected age-related changes frequently result in atypical presentation of illness in the geriatric patient. Which of the following signs and symptoms of infection, such as pneumonia, is frequently not found in the geriatric patient?
When the nurse practitioner recommends exercise for a sedent…
When the nurse practitioner recommends exercise for a sedentary older adult, which of the following pieces of advice should be considered for all types of exercise?
An 87-year-old female previously independent comes to the ER…
An 87-year-old female previously independent comes to the ER with 2 days of difficulty swallowing, productive cough, and dyspnea. History includes hypertension and atrial fibrillation. She has a low-grade fever and increased blood pressure. Physical examination and chest radiography are consistent with consolidation in left lower lobe. On bedside testing, she immediately sputters and coughs after drinking a small amount of water from a cup. There are no other neurological signs. Labs: Mild dehydration and WBC increased. MRI reveals a new small brain-stem infarction and mild generalized cerebral atrophy. Treatment for aspiration pneumonia is instituted. Five days later a speech therapy consult was ordered to evaluate swallowing. No improvement has been noted and formal evaluation shows aspiration with most consistencies of food and liquid. Which of the following is the best recommendation?
A patient presents with a temperature of 100.94°F (38.3°C),…
A patient presents with a temperature of 100.94°F (38.3°C), nuchal rigidity, and a change in mental status. The patient has a decreased level of consciousness and a history of a recent seizure within a week of initiation of symptoms. Blood glucose is 101 mg/dL. A complete blood count (CBC) and serum electrolytes are pending, but blood cultures have not yet been obtained. Which of the following is the next priority intervention?