When counseling a patient about his surgical optio

Question 1 of 5

When counseling a patient about his surgical options for an ulcer that has been refractory to medical therapy, the AGACNP advises the patient that he will need

A. Lifelong vitamin D replacement B. Excision of the ulcer, which produces an 80% cure rate C. To eat much smaller, more frequent meals D. Some form of vagotomy

Correct Answer: C

Rationale: When counseling a patient about surgical options for an ulcer that has been refractory to medical therapy, advising the patient that he will need some form of vagotomy is important. Vagotomy is a surgical procedure in which the vagus nerve is partially or completely severed. This procedure is commonly performed for patients with ulcers that have not responded to medical treatment. Vagotomy reduces the acid secretion in the stomach, which can help in the healing of the ulcer and prevent recurrence. It is an effective option for treating ulcers that have not responded to conservative medical management.

Question 2 of 5

The most common complication of respiratory distress syndrome is

A. Cerebral palsy B. Pneumothorax C. Klumpke’s palsy D. Fractured ribs

Correct Answer: B

Rationale: Pneumothorax is a common complication of respiratory distress syndrome in neonates.

Question 3 of 5

A patient presents with a 2-day history of abdominal pain, fever, vomiting, and diarrhea. A surgical abdomen is ruled out, and radiography demonstrates inflammation of the small bowel and colon. Microscopy supports a diagnosis of Campylobacter jejuni, and the patient is prepared for discharge from the emergency room. Important patient education includes advising her that

A. The bacteria may be spread for as long as she has diarrhea B. The disorder should resolve on its own; recurrence is rare but represents a much more serious condition C. She will need to take a 10-day course of antibiotics D. There is no readily identified food source of this bacteria

Correct Answer: B

Rationale: Campylobacter jejuni is a common bacterial cause of gastroenteritis, typically transmitted through contaminated food, water, or contact with infected animals. Patient education regarding Campylobacter jejuni infection should include advising the patient that the bacteria may be spread for as long as she has diarrhea. It is important for the patient to practice good hand hygiene and take precautions to prevent spreading the infection to others. While most cases of Campylobacter infection are self-limiting and resolve on their own without the need for antibiotics, proper hygiene practices help prevent the spread of the bacteria to others.

Question 4 of 5

Which one of the following statements is correct with regards to puerperal psychosis?

A. Majority of the patients present with major depression B. Majority of the patients present with manic episodes C. Personal history of mental disorder is considered a direct cause D. Occurrence of post-partum blues is indicative of the condition

Correct Answer: B

Rationale: Puerperal psychosis often presents with manic episodes in the majority of cases.

Question 5 of 5

Precipitate labor is an unusually rapid labor

A. That is concluded in less than three hours B. Where the external cervical os fails to dilate despite good uterine contractions C. That is concluded in more than three hours D. Where the external cervical os fails to dilate due to poor uterine contractions.

Correct Answer: A

Rationale: Precipitate labor is defined as labor lasting less than three hours.