NURS 6550 Midterm Review
The least worrisome type of fluid seen as a result of pleural fluid analysis - ANSTransudate
pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? - ANSCT Scan
with contrast
Name risk factors for long-term care placement for the elderly population. - ANSMale gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for 20 minutes. What are
expected findings when the patient is instructed to gently blow their nose? - ANSSuccessful
treatment will be indicated by dark residual blood or clots being discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood requiring more
invasive measures.
What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, AND community-acquired pneumonia? - ANSStreptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - ANSVascular diseases that result in
target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANS- Hypertensive urgency: BP >200/120 w/o sx; Tx
with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage; Tx with IV
nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical antipsychotics? - ANSLipid
Panel
Name some atypical antipsychotics - ANSOLAnzapine
, CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test would you avoid? -
ANSMRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - ANSD-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for (to
avoid a fatal complication) ? - ANSHeparin-induced Thrombocytopenia (HIT). aka monitor for
low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - ANSWhen the primary
symptom identified is a sense of spinning this means vertigo and is usually an inner ear
problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting wishes in end-of-life care,
what legal document should be used? - ANSadvanced directive
What is contraindicative of rTPA therapy? - ANSST segment depression
Transtheoretical Model of Change - ANS1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder - ANSpsychotic: distinct alteration in perception of reality
Neurotic: remain aware and interactive with reality
Cholinergics (Miotics) - ANSPilocarpine
Pilocarpine adverse effects - ANSincreased GI motility and bradycardia
The least worrisome type of fluid seen as a result of pleural fluid analysis - ANSTransudate
pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? - ANSCT Scan
with contrast
Name risk factors for long-term care placement for the elderly population. - ANSMale gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for 20 minutes. What are
expected findings when the patient is instructed to gently blow their nose? - ANSSuccessful
treatment will be indicated by dark residual blood or clots being discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood requiring more
invasive measures.
What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, AND community-acquired pneumonia? - ANSStreptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - ANSVascular diseases that result in
target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANS- Hypertensive urgency: BP >200/120 w/o sx; Tx
with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage; Tx with IV
nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical antipsychotics? - ANSLipid
Panel
Name some atypical antipsychotics - ANSOLAnzapine
, CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test would you avoid? -
ANSMRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - ANSD-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for (to
avoid a fatal complication) ? - ANSHeparin-induced Thrombocytopenia (HIT). aka monitor for
low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - ANSWhen the primary
symptom identified is a sense of spinning this means vertigo and is usually an inner ear
problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting wishes in end-of-life care,
what legal document should be used? - ANSadvanced directive
What is contraindicative of rTPA therapy? - ANSST segment depression
Transtheoretical Model of Change - ANS1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder - ANSpsychotic: distinct alteration in perception of reality
Neurotic: remain aware and interactive with reality
Cholinergics (Miotics) - ANSPilocarpine
Pilocarpine adverse effects - ANSincreased GI motility and bradycardia
