Which one of the following statements about treating scabies with lindane (Kwell) is correct?- Skildor

Question 1 of 5

Which one of the following statements about treating scabies with lindane (Kwell) is correct?

A. Lindane is safe to use in pregnant women, babies, children, and the elderly B. Lindane lotion and/or shampoo is not considered first-line therapy C. Repeated applications of lindane can be used if there has been a twelve-hour interval D. Lindane can be used in patients with a history of seizures

Correct Answer: B

Rationale: Lindane is not the first-line treatment due to potential side effects; safer alternatives are available.

Question 2 of 5

What are three potential causes of abdominal distension identified during an abdominal examination?

A. Infection, inflammation, or trauma B. Gas, fluid, or organ enlargement C. Tumors, cysts, or hernias D. Constipation, diarrhea, or dehydration

Correct Answer: B

Rationale: Abdominal distension can be caused by the accumulation of gas, fluid, or enlargement of organs.

Question 3 of 5

The scoliosis patient who would cause the greatest concern for the nurse practitioner is a:

A. 13-year-old female with a 100� curve B. 17-year-old female with a 100� curve C. 12-year-old female with a 50� curve D. 18-year-old female with a 50� curve

Correct Answer: A

Rationale: A 100� curve in a 13-year-old is concerning due to potential for progression.

Question 4 of 5

An 85-year-old man with chronic obstructive pulmonary disease presents to your office with his daughter with the complaint of new onset chest pain, shortness of breath, and cough. He is clearly tachypneic and has tactile fremitus and egophony and crackles heard at the right lung base. His daughter just wants you to give him an antibiotic pill so that she can take him home. You are concerned that he might need to be hospitalized and require IV antibiotics. What statement is true?

A. All older adults with pneumonia must be treated for methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas infection. B. Treatment decisions for pneumonia are based on its severity, the presence of comorbid illnesses, and a prior history of MRSA or Pseudomonas respiratory infection. C. All older adults with pneumonia must be treated in hospital. D. Pulse oximetry, respiratory rate, and chest radiography would not be helpful for the diagnosis and management of pneumonia in older adults.

Correct Answer: B

Rationale: Pneumonia management in older adults is influenced by severity and comorbidities.

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.