A nurse practitioner examines the skin of an elderly patient. Which finding below is NOT a benign lesion associated with the aging process?- Skildor

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Question 1 of 5

A nurse practitioner examines the skin of an elderly patient. Which finding below is NOT a benign lesion associated with the aging process?

A. Xerosis B. Cherry angiomas and senile purpura C. Senile keratosis and senile lentigines D. Dermatophytosis

Correct Answer: D

Rationale: Dermatophytosis is a fungal infection and is not a normal aging change.

Question 2 of 5

A patient calls the nurse practitioner and states that he missed his morning daily dose of warfarin, 5 mg, yesterday and today. The nurse practitioner instructs the patient to:

A. Wait until tomorrow and resume daily dosing of warfarin 5 mg B. Take warfarin 10 mg now C. Take warfarin 5 mg now, warfarin 5 mg at 5 pm today, and resume the daily warfarin 5 mg dose in the morning as scheduled D. Take warfarin 5 mg now and resume the warfarin 5 mg daily dose in the morning as scheduled

Correct Answer: D

Rationale: The patient should resume the usual warfarin dose and avoid doubling it.

Question 3 of 5

An older woman who is cared for by a concerned family is particularly likely to suffer from which of the following complications after an episode of gastroenteritis?

A. Immobility related to overconcern B. Continued vomiting caused by too-rapid feeding C. Diarrhea resulting from administration of milk products D. Constipation related to overtreatment of diarrhea

Correct Answer: D

Rationale: Overtreatment of diarrhea can lead to constipation, especially in older adults.

Question 4 of 5

An 80-year-old man is being evaluated for recent episodes of incontinence and confusion. His family states that he is usually independent with no altered mental issues but has become forgetful within the last 2 weeks. Which medication is most likely associated with these symptoms?

A. Cimetidine (Tagamet) B. Warfarin (Coumadin) C. Ramipril (Altace) D. Vitamin B12

Correct Answer: A

Rationale: Cimetidine can cause confusion and altered mental status in the elderly.

Question 5 of 5

A 42-year-old woman with a history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse Practitioner prescribe?

A. Sumatriptan (Imitrex) B. Amitriptyline (Elavil) C. Verapamil (Verelan) D. Metoprolol (Lopressor)

Correct Answer: B

Rationale: Amitriptyline is used off-label for migraine prophylaxis.

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