nur 6560 |midterm exam |questions and answers correctly verified with satisfactory success graded a
Written for
NUR 6560 |Mid
All documents for this subject (2)
Seller
Follow
Expertsolutions
Reviews received
Content preview
NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
Question 1
S. is a 59-year-old female who has been followed for several
years for aortic regurgitation. Serial echocardiography has
demonstrated normal ventricular function, but the patient was
lost to follow-up for the last 16 months and now presents
complaining of activity intolerance and weight gain. Physical
examination reveals a grade IV/VI diastolic aortic murmur and 2+
lower extremity edema to the midcalf. The AGACNP considers
which of the following as the most appropriate management
strategy?
A. Serial echocardiography every 6 months B. Begin a calcium
channel antagonist
C. Begin an angiotensin converting enzyme (ACE)
inhibitor D.
Surgical consultation and intervention
C. Begin an angiotensin converting enzyme (ACE) inhibitor
The patient is having grade 6 diastolic aortic murmur. The
murmur is not accompanied by any serious complications
because there is a 2+ lower extremity edema to the midcalf.
Angiotensin converting enzyme (ACE) inhibitor lowers the
blood pressure. High blood pressure often worsens the
underlying conditions that cause heart murmurs. Beginning
NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
, NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
an angiotensin converting enzyme (ACE) inhibitor will help in
the management of diastolic aortic murmur by dealing with
the conditions that cause heart murmurs. A surgery would be
used only when the valves are damaged or leaky
Reference
https://www.mayoclinic.org/diseases-conditions/heart-
murmurs/diagnosis-treatment/drc- 20373175
Question 2
An ascending thoracic aneurysm of > 5.5 cm is universally
considered an indication for surgical repair, given the poor
outcomes with sudden rupture. Regardless of the aneurysm’s size,
all of the following are additional indications for immediate
operation except:
A. Comorbid Marfan’s syndrome
B. Enlargement of > 1 cm since diagnosis
C. Crushing chest pain
D. History of giant cell arteritis
C. crushing chest pain
Prophylactic surgery is recommended when the aorta reaches
NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
, NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
a diameter of 5.5 cm, when the patient falls under the
Marfan syndrome bicuspid aortic valve category, when the
enlargement is greater than 0.5 cm, and when the patient
has a history of fast-growing cell arteritis. Marfan syndrome is
a connective tissue condition that involves the respiratory,
skeletal, cardiovascular and ocular systems. It is one of the
most serious complication of aortic valve regurgitations and
needs an immediate surgery. For this reason, a crushing chest
pain is the odd one out Reference
https://
www.sciencedirect.com/
science/article/pii/S235290671500010X
Question 3
Jasmine is a 31-year-old female who presents with neck pain. She
has a long history of injection drug use and admits to injecting
opiates into her neck. Physical examination reveals diffuse
tracking and scarring. Today Jasmine has a distinct inability to
turn her neck without pain, throat pain, and a temperature of
102.1°F. She appears ill and has foul breath. In order to evaluate
for a deep neck space infection, the AGACNP orders:
A. Anteroposterior neck radiography B. CT scan of
the neck C. White blood cell (WBC) differential D.
NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
, NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
Aspiration and culture of fluid
B. CT Scan of the neck
Deep neck space infection may lead to severe and potentially
life-threatening complications, such as airway obstruction,
mediastinitis, septic embolization, dural sinus thrombosis,
and intracranial abscess.
In the evaluation of these infections, ultrasonography is the
gold standard:
1. to differentiate abscesses from cellulitis
2. for the diagnosis of lymphadenitis
However, field-of-view limitation and poor anatomical
information confine the use of ultrasonography to the
evaluation of superficial lesions and to image-guided
aspiration or drainage.
Computed tomography (CT) combines fast image acquisition
and precise anatomical information without field-of-view
limitations. For these reasons, it is the most reliable
technique for the evaluation of deep and multi-compartment
lesions
REFERENCE
https://www.ncbi.nlm.nih.gov/pubmed/22964409
Question 4
NUR 6560 |Midterm Exam |questions And Answers Correctly
Verified With Satisfactory Success GRADED A+
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Expertsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $27.99. You're not tied to anything after your purchase.
