A woman is evaluated by a nurse practitioner. She describes a two-day history of an abnormal vaginal discharge and constant pelvic-area pain. She also states "It hurts to move at all." The pain pattern and other S&S are consistent with

benign prostatic hypertrophy (BPH).

ovarian cancer.

a kidney stone.

a chlamydia infection.

Answer and Explanation

The Correct Answer is D

A. Benign prostatic hypertrophy is a condition affecting the prostate in men, so it is not applicable in this case.

B. Ovarian cancer may cause pelvic pain, but the specific symptoms of abnormal discharge and acute pain suggest a more immediate infection rather than cancer.

C. A kidney stone typically presents with flank pain and may cause urinary symptoms, but it would not typically cause vaginal discharge.

D. A chlamydia infection can cause abnormal vaginal discharge and pelvic pain, and it is a common sexually transmitted infection presenting with these symptoms, consistent with the patient's history.

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Correct Answer is C

Explanation

A. Hypokalemia causes hyperpolarization, not hypopolarization, making it more difficult for cells to reach an action potential.

B. Hypokalemia does not stimulate the vagus nerve but can lead to arrhythmias.

C. While hypokalemia can cause arrhythmias, it usually leads to tachycardia or other irregular rhythms rather than a bradycardic rate of 40 beats per minute.

D. Low potassium levels can lead to tachycardia (e.g., a heart rate of 150 beats per minute) and other dangerous arrhythmias due to increased irritability of cardiac cells.

A. Large amounts of intravenous (IV) fluids to manage their fluid volume deficit. B. Potassium supplements to increase the serum potassium level. C. Postmortem care since death is near. D. Dialysis or kidney transplantation.

Correct Answer is D

Explanation

A. Large amounts of IV fluids are generally not used in ESRD because the kidneys cannot effectively remove excess fluids, potentially worsening fluid overload.

B. Potassium supplements are avoided, as ESRD patients often have elevated potassium levels due to reduced excretion, which can lead to dangerous cardiac complications.

C. While ESRD is serious, postmortem care is premature; many patients manage ESRD with appropriate treatment.

D. Dialysis or kidney transplantation is the standard treatment for ESRD to take over the functions that the kidneys can no longer perform, such as waste removal and fluid balance.

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A woman is evaluated by a nurse practitioner. She describes a two-day history of an abnormal vaginal discharge and constant pelvic-area pain. She also states "It hurts to move at all." The pain pattern and other S&S are consistent with

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Naxlex Comprehensive Predictor Exams

Blood is drawn on a patient who has been chronically ill. The lab results include a potassium level of 2.4. Related to influences on the heart's electrical conduction, an expected sequela of this electrolyte disturbance might be

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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