Question 1
1 out of 1
points
The AGACNP is caring for a patient who is quite ill and has developed,
among other things, a large right sided pleural effusion. Thoracentesis is
sent for pleural fluid analysis. While evaluating the fluid analysis, the
AGACNP knows that a fluid identified as a(n)
is the least worrisome type.
“A” is the correct answer. A transudate is essentially
just water and can occur as a consequence of increased
hydrostatic pressure in the pulmonary vessels. It
typically implies that the some condition has produced
an imbalance in colloid-hydrostatic pressures, such as
CHF or hypoalbuminemia. While it can represent a
serious problem, it may also represent a transient
imbalance. Conversely, “B” is not correct as an exudate
has more protein in it and implies a condition
characterized by protein leaking from vessels, such as a
malignancy or some serious systemic stressor. “C” is
not correct—a chyliform effusion is characterized by
fat and indicates a pathology causing massive
triglyceride degradation. “D” is not correct as a
h orrhagic effusion is blood and typically means
e traumatic injury.
m
Question 2
1 out of 1
points
Differentiating vertigo from near-syncope and ataxia is one of the goals
of history-taking when a patient presents as “dizzy.” The AGACP
knows that vertigo is the problem when the patient reports the primary
symptom as:
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