A 75-year-old man with lung cancer is receiving hospice care. What is the best next step to assure his comfort?- Skildor

Question 1 of 5

A 75-year-old man with lung cancer is receiving hospice care. What is the best next step to assure his comfort?

A. Admit to an inpatient facility under the General Inpatient Hospice benefit. B. Discharge from hospice, admit to the hospital. C. Call 911. D. Instruct the family to give the immediate release morphine every 30 minutes instead of every 2 hours.

Correct Answer: A

Rationale: The patient�s pain is inadequately controlled, and inpatient hospice care would provide the necessary support for pain management.

Question 2 of 5

A patient with a diagnosis of giardiasis is being treated with metronidazole (Flagyl). What information would be important to obtain before prescribing this medication?

A. If the patient is allergic to sulfa B. If the patient has peptic ulcer disease C. If the patient is at least 18 years of age D. If the patient drinks alcohol

Correct Answer: D

Rationale: Metronidazole interacts with alcohol, causing a disulfiram-like reaction, so patients should be advised to avoid alcohol.

Question 3 of 5

The following are components of the open disclosure of medical error, except:

A. An apology to the injured patient. B. An explanation of the error in lay language. C. A best guess as to why the error occurred. D. An assurance that a full investigation will take place.

Correct Answer: C

Rationale: A best guess as to why the error occurred is not a required component of open disclosure.

Question 4 of 5

Asking a patient, "What were you doing when this problem began?" represents what part of the OPQRST question format?

A. P B. Q C. O D. R

Correct Answer: O

Rationale: "O" stands for Onset, asking about the activity when the problem began refers to the onset of the problem.

Question 5 of 5

Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?

A. Start an alpha-blocker. B. Start a 5-alpha-reductase inhibitor. C. Start combination therapy with an alpha-blocker and a 5-alpha-reductase inhibitor. D. Start a 4-week course of ciprofloxacin.

Correct Answer: D

Rationale: A 4-week course of ciprofloxacin is appropriate to treat the urinary tract infection and resolve symptoms.