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Question Answered step-by-step Need assistanceDistractions are everywhere. They may include cellphones, multiple alarms sounding, overhead paging, monitors beeping, and various interruptions that disrupt your clinical practice.Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety? ReferenceHebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). Pearson. Health Science Science Nursing NR 361 Share QuestionEmailCopy link Comments (0)

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Café-au-lait spots look like tan to light-brown stains that have irregular borders. They can be located anywhere on the body. Which of the following is a correct statement?A) They are associated with neurofibromatosis or von Recklinghausen's diseaseB) They may be identified as precancerous after a biopsyC) They are more common in children with darker skin D) They are associated with Wilson's disease145. All of the following infections are reportable diseases except: A) Lyme diseaseB) GonorrheaC) Nongonococcal urethritisD) Syphilis158. The cover/uncover test is a screening tool for: A) Color blindnessB) StrabismusC) Visual acuityD) Cataracts159. The mother of a 4-week-old infant is concerned that her infant's eyes are crossed for a few seconds occasionally. 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During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the midclavicular line. Which of the following identifications is correct?A) Aortic regurgitationB) Mitral stenosisC) Mitral regurgitationD) Tricuspid regurgitation280. Which of the following is considered an abnormal result on a Weber test? A) Lateralization to one earB) No lateralization in either earC) Air conduction lasts longer than bone conductionD) Bone conduction lasts longer than air conduction283. A neighbor's 14-year-old son, who is active in basketball, complains of pain and swelling on both knees. On physical exam, there is tenderness over the tibial tuberosity of both knees. Which of the following is most likely?A) Chondromalacia patellaB) Left knee sprainC) Osgood-Schlatter disease D) Tear of the medial ligament285. During a sports physical exam, a 16-year-old patient is noted to have a few beats of horizontal nystagmus on extreme lateral gaze that disappear when the eyes move back toward midline. Which statement best describes this clinical finding?A) It is caused by occult bleeding of the retinal arteryB) This is a normal findingC) It is a sign of a possible brain massD) This is a borderline result and requires further evaluation296. A newborn infant who is small for gestational age is noted to have shortened palpebralfissures and microcephaly with a small jaw. This infant is most likely to be diagnosed with:A) Down syndromeB) Fetal alcohol syndrome C) Growth retardationD) Hydrocephalus297. The most common cause of cancer deaths for women in the United States is: A) Breast cancerB) Lung cancerC) Colon cancerD) Uterine cancer303. A middle-aged nurse complains of localized pain on the sole of her left foot, between the third and fourth toes. The pain is aggravated by weight bearing and feels like "a pebblein my shoe." During the physical examination, the nurse practitioner palpates a tendernodule in the metatarsal interspace on the left foot. No redness or swelling is noted.Which of the following conditions is being described? A) Plantar wartB) Foreign bodyC) Morton's neuromaD) Metatarsalgia304. An 18-year-old female patient is being followed up for acne by the nurse practitioner. During the facial exam, papules and pustules are noted mostly on the forehead andthe chin areas. The patient has been using over-the-counter topical antibiotic gels and medicated soap daily for 6 months without much improvement. Which of the following would the nurse practitioner recommend next?A) Isotretinoin (Accutane)B) Tetracycline (Sumycin)C) Clindamycin topical solution (Cleocin T) D) Minoxidil (Rogaine)320. 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The treatment plan of patients with AIDS who have CD4 counts of less than 200 cells/ mm3 should emphasize:A) Administer the MMR vaccineB) Preventive therapy for toxoplasmosisC) Preventive therapy for PCPD) Evaluation of the home environment394. A female patient complains of dizziness when she moves her head. You suspect benign paroxysmal positional vertigo. The diagnosis is supported by the presence of:A) TinnitusB) Horizontal nystagmus with rapid head movementC) New-onset hearing lossD) Duration longer than 2 years443. Which of the following conditions are possible causes of secondary hypertension? A) Leukemia and thalassemia majorB) Hashimoto's thyroiditis and polycystic ovariesC) Renal stenosis and adrenal tumorsD) Myocardial infarction and coronary artery disease450. Balanitis is caused by: --- VERBATIM!!!! A) Staphylococcus aureusB) Streptococcus pyogenesC) Candida albicansD) Trichomonads463. 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The patient has been treating himself with over-the-counter benzoyl peroxide and topical salicylic acid products. Which of the following would be recommended next?A) Isotretinoin (Accutane)B) TetracyclineC) Retin-A 0.25% gelD) Careful face washing with medicated soap at bedtime480. The Romberg test is done to check for problems with balance. Which area of the brain is responsible for balance?A) Frontal lobeB) Temporal lobe C) MidbrainD) Cerebellum488. An older man is diagnosed with conductive hearing loss in the left ear by the nurse practitioner.Which of the following is the expected result when performing a Rinne test onthis patient?A) AC (air conduction) > BC (bone conduction) B) Lateralization to the bad earC)BC>ACD) Lateralization to the good ear493. A 15-month-old who is eating and behaving normally is found to have a high fever. After a few days, the fever resolves and the child breaks out in a maculopapular rash. This is a description of which of the following conditions?A) Erythema infectiosumB) Roseola infantum C) Fifth diseaseD) Scarlet fever500. Which of the following is recommended as first-line treatment for essential tremor? A) Propranolol (Inderal)B) Phenytoin (Dilantin)C) Amitriptyline (Elavil)D) Fluoxetine (Prozac)A 60-year-old female truck driver presents to the outpatient urgent care clinic of a hospital complaining of the worsening of her low-back pain the past few days. Pain is accompanied by numbness in the perineal area. She describes the pain as "sharp and burning" and points to the left buttock. She reports that the pain started on the mid-buttock of the left leg and recently started to go down the lateral aspect of the leg toward the top of the foot. During the physical exam, the ankle jerk and the knee jerk reflex are 1+ on the affected leg and 2+ on the other leg. The pedal, posterior tibialis, and popliteal pulses are the same on both legs. Which of the following tests should the nurse practitioner consider for this patient?A) Order an MRI scan of the lumbosacral spine as soon as possibleB) Write a prescription for ibuprofen 800 mg PO QID with a muscle relaxant and advise the patient to follow up with her primary care provider within 3 daysC) Refer the patient to an orthopedic surgeonD) Ordering an imaging study of the spine is premature because the majority of low back pain cases resolve within 10 to 12 weeks521. What is the significance of a positive Lachman sign?A) Instability of the knee caused by damage to the anterior cruciate ligament of the kneeB) Posterior cruciate ligament laxity which may cause locking of the knee C) Achilles tendon ruptureD) Patellar tendon rupture548. Which of the following pharmacological agents is the best choice for an elderly patient with insomnia?A) Diazepam (Valium)B) Zolpidem (Ambien)C) Temazepam (Restoril)D) Diphenhydramine (Benadryl)581. What is the best description of Cullen's sign?A) The onset of hyperactive bowel sound before the onset of ileusB) A reddish-purple discoloration that is located on the flank areaC) A bluish discoloration or bruising that is located on the umbilical areaD) The acute onset of subcutaneous bleeding seen during acute pancreatitis589. Which of the following is a precursor lesion of squamous cell skin cancer? A) Basal cell skin cancerB) Squamous cell skin cancerC) MelanomaD) Actinic keratosis605. A positive psoas and obturator sign is highly suggestive of which of the following conditions?A) Ectopic pregnancyB) Acute appendicitisC) PeritonitisD) Abdominal aortic aneurysm633. The mother of a 12-month-old infant reports to the nurse practitioner that her child had a high fever for several days, which spontaneously resolved. After the fever resolved,the child developed a maculopapular rash. Which of the following is the most likely diagnosis?A) Fifth disease (erythema infectiosum)B) Roseola infantum (exanthema subitum) C) VaricellaD) Infantile maculopapular rashes643. What is the most common type of cancer in young children? A) Acute lymphoblastic leukemiaB) Multiple myelomaC) Aplastic anemiaD) Non-Hodgkin's lymphoma647. At what level is the uterine fundus at 12 weeks gestation? A) At the height of the symphysis pubisB) Between the symphysis pubis and the umbilicusC) At the level of the umbilicusD) It depends on the size of the fetus676. What is the expected result of the Rinne test in patients who have serous otitis media of the left ear?A) Air conduction (AC) > bone conduction (BC)B) Bone conduction (BC) > air conduction (AC)C) Lateralization to the left ear D) Sound is heard by both ears679. Which of the following is the best method to diagnose a vaginal trichomonas infection?--- VERBATIM!!!A) Whiff testB) Potassium hydroxide (KOH) testC) Wet smear with microscopy D) Culture698. All the following signs and symptoms are associated with irritable bowel syndrome except:A) Diarrhea with blood mixed in the stoolB) Diarrhea and/or constipationC) Abdominal pain relief after defecation D) Mucus with stools699. An 8-month-old girl is brought by her grandmother to see the nurse practitioner because of intermittent, random episodes of vomiting, abdominal bloating, currant jelly stools,and irritability with poor appetite. The infant is trending in the 10th percentile on thegrowth chart and appears lethargic. During the abdominal exam, a sausage-like mass is palpated on the right side of the abdomen. The infant's presentation is highly suggestiveof which condition?A) Lactic intoleranceB) IntussusceptionC) Inflammatory bowel disease D) Irritable bowel syndrome724. A positive anterior drawer sign of the knee is highly suggestive of? A) Meniscus damageB) Posterior cruciate ligament damageC) Anterior cruciate ligament damageD) Medial collateral ligament damage