TODAY 9 PM

Question 1

CHOICES BELOW

1. A 52-year-old patient reports stiffness and painful swelling of the proximal and distal

interphalangeal joints that worsens as the day progresses. The expected pathologic findings in

this patient include:

bacteria in the synovial fluid.

crystals in the synovial fluid.

erosion of the articular cartilage.

fatty degeneration of skeletal muscle tissue.

2. A 68-year-old patient presents with a history of dyspnea on exertion, paroxysmal nocturnal

dyspnea, weakness, and palpitations. The patient’s electrocardiogram reveals atrial

fibrillation, right ventricular hypertrophy, and right axis deviation. The adult health clinical

nurse specialist anticipates a differential diagnosis of:

aortic insufficiency.

aortic stenosis.

mitral regurgitation.

mitral stenosis.

3. A 39-year-old female patient who is married undergoes a total hysterectomy and salpingo-

oophorectomy for cervical cancer. The patient experiences little discomfort as a result of

surgical menopause. The adult health clinical nurse specialist’s action is to discuss:

avoiding sexual intercourse for three months.

prescribing an anxiolytic.

prescribing medroxyprogesterone acetate (Depo-Provera).

using a lubricant during intercourse, if necessary.

Place in a document with the right answers only.