You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

Darkened urine coloration

Tachycardia

Increased pigmentation of the patients Iris

Brownish, thickened skin around the patient's neck or armpits

Answer and Explanation

The Correct Answer is D

A.   This is unrelated to acanthosis nigricans. Darkened urine might indicate liver issues or other conditions.
B.   This is an increased heart rate, unrelated to skin conditions.
C.   This refers to the colored part of the eye and is unrelated to acanthosis nigricans.
D.   This is accurately describes the appearance of acanthosis nigricans. This is characterized by dark, thickened, velvety patches of skin in body folds and creases. These areas commonly include the armpits, groin, and neck.

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Correct Answer is B

Explanation

A. A pre-diabetic A1C range is typically between 5.7 and 6.4%.
B. An A1C level of 5.4% is considered normal. This indicates good blood sugar control.
C. A diabetic A1C level is typically 6.5% or higher.
D. An A1C of 5.4% is clear and indicates normal blood sugar control.

A. Prepare to administer pain meds since the patient will be in pain B. Provide teaching to the patient about preventing opioid induced respiratory depression C. Offer to order the patient food to build rapport and reduce agitation D. Stay with the patient and monitor for return of respiratory depression

Correct Answer is D

Explanation

A. While the patient may experience pain, it is not the immediate priority. The primary concern is the possibility of the opioid effects returning, leading to respiratory depression.
B. Patient education is important, but it should be done after the patient is stable and out of immediate danger.
C. Building rapport is important, but the patient's immediate physiological needs take precedence.
D. Naloxone has a short half-life, meaning its effects can wear off before the opioid does. The patient needs to be closely monitored for signs of returning respiratory depression, which can be fatal.

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You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?

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Naxlex Comprehensive Predictor Exams

Hospital policy is that any new patient admitted to the hospital will have their blood checked for their Hgb A1C level. Your patient's blood was drawn, and the lab calls you to report that their Hgb A1C level is 5.4. This level is:

Correct Answer is B

Explanation

You have just given your patient 0.4 mg IVP of Naloxone for suspected opioid overdose, and the patient has regained consciousness and is breathing normally. Which of the following is your PRIORITY intervention?

Correct Answer is D

Explanation

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