physical examination and health assessment test bank

What is the mechanism of action of prostaglandin E1 (PGE1) in a patient with transposition of the great arteries?

The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that �something be done� as she is requiring a clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying �it just comes.� Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?

Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?

Which of the following tests is most commonly used to assess kidney function?

A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins were adequate and uninvolved with cancer. Sentinel lymph node sampling was negative for lymph node involvement. She has good performance status and no activities of daily living (ADL) or instrumental (IADL) dependencies. What treatment would you recommend?