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1. A family nurse practitioner (FNP) is conducting a home
visit for a patient with chronic obstructive pulmonary
disease (COPD). The FNP notices that the patient has
difficulty breathing, cyanosis, and edema. What is the most
appropriate action for the FNP to take?
A) Administer oxygen therapy and diuretics
B) Refer the patient to the emergency department
C) Prescribe bronchodilators and corticosteroids
D) Educate the patient about smoking cessation and
pulmonary rehabilitation
Answer: B. The patient has signs of acute respiratory
failure, which is a life-threatening condition that requires
immediate medical attention. Oxygen therapy and diuretics
may help relieve some symptoms, but they are not
sufficient to treat the underlying cause. Bronchodilators
and corticosteroids may improve airflow and reduce
inflammation, but they are not effective in reversing
respiratory failure. Smoking cessation and pulmonary
rehabilitation are important long-term interventions, but
they are not urgent in this situation.
2. A family nurse practitioner (FNP) is providing care for a
pregnant woman who is at 32 weeks of gestation. The
woman reports having vaginal bleeding, abdominal pain,
and contractions. The FNP suspects that the woman has
placenta previa. What is the best diagnostic test to confirmÂÂ
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