Question

2. A patient has hepatomegaly, bronze-colored skin, and cardiac dysrhythmias. What condition does the healthcare professional prepare to teach the patient about?

		Aplastic anemia
		Pernicious anemia
		Hereditary hemochromatosis
		Immune thrombocytopenia purpura

A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?

		Assess the man's recent sexual history.
		Recommend heat and acetaminophen for back pain.
		Prepare the man for prostatic massage.
		Assist the man in obtaining a urine sample.

The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate?

		The patient cannot endure a higher level of pain intensity at this point.
		The patient's pain tolerance is much lower because of consuming too much alcohol.
		The patient's pain in one place is higher because pain in multiple other sites.
		The patient now recognizes what is being felt is actually pain.

A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?

		Hypernatremia
		Hyponatremia
		Hyperkalemia
		Hypokalemia

A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?

		Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period.
		The risk is higher in women who have a primary HSV infection.
		The risk is higher in women who experience prolonged ruptured membranes.
		The risk is higher when internal fetal monitoring devices are used.

Answer 1

QUESTION:-  A patient has hepatomegaly, bronze-colored skin, and cardiac dysrhythmias. What condition does the healthcare professional prepare to teach the patient about?

Heriditary Hemochromatosis :- its a condition in which the body absorbs excess iron from food.

The condition is caused by a faulty gene and can lead to gradual damage to a number of organs.

Hemochromatosis is sometimes referred to as bronze diabetes because it can lead to darkening of the skin and hyperglycemia.

SYMPTOMS

The symptoms of hemochromatosis occur gradually with signs often first becoming apparent after the age of 40.

Symptoms may include:

• Fatigue
• Joint pain – particularly affecting the fingers
• Unexplained bronzing or tanning of the skin
• Erectile dysfunction
• Missed periods
• Increased urination
• Thirst
• Loss of body hair
• Cardiomyopathy – weakening of the heart

QUESTION :-A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?

ANSWER :-Recommend heat and acetaminophen for back pain ( because first priority must be given for the patients pain and then we can move to history and investigations )

QUESTION:- The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate?

ANSWER:-The patient now recognizes what is being felt is actually pain.

QUESTION:-A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?

ANSWER:- Hyponatremia (Sodium restriction enhances the renal tubular reabsorption of lithium (20), thus leading to potentially toxic serum levels of lithium. low sodium levels; this causes more reabsorption of lithium in the proximal tubules so that the removal of lithium from the body is less, leading to increased blood levels of lithium.

QUESTION:-A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?

ANSWER:- Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period { because the risk of neonatal infection varies from 30% to 50% for HSV infections that onset in late pregnancy (last trimester), whereas early pregnancy infection carries a risk of about 1%. thus this statement of mother is wrong due to lack of awareness and she should be educated more}