NURS 6550 MIDTERM REVIEW LATEST
UPDATE
a The least worrisome type of fluid seen as a result of pleural fluid analysis - Transudate pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? - CT Scan with contrast
Name risk factors for long-term care placement for the elderly population. - Male 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? - Successful 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? - Streptococcus pneumoniae
What is the greatest risk factor for vascular dementia? - Vascular diseases that result in target organ
damage such as:
hypertension
dyslipidemia
diabetes
, Hypertensive urgency vs emergency - - 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? - Lipid Panel
Name some atypical antipsychotics - OLAnzapine
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? - MRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor for (to avoid a
fatal complication) ? - Heparin-induced Thrombocytopenia (HIT). aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - When the primary symptom
identified is a sense of spinning this means vertigo and is usually an inner ear problem.
Ataxia is neurological
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