Which of the following is an early sign/symptom of left ventricular heart failure? ️️ Paroxysmal nocturnal dyspnea & dyspnea [crackles, JVD, ascites, hepatomegaly, peripheral edema = right heart failure]
Morphine is contraindicated in a right ventricular MI (RV MI) because of what drug actio...
CEN Practice Questions with Answers
Which of the following is an early sign/symptom of left
ventricular heart failure? ✔️✔️Paroxysmal nocturnal
dyspnea & dyspnea [crackles, JVD, ascites,
hepatomegaly, peripheral edema = right heart failure]
Morphine is contraindicated in a right ventricular MI (RV
MI) because of what drug action? ✔️✔️Morphine
reduces preload [preload reducing agents like morphine
Lasix [venodilator], and NTG are contraindicated in RV MI
b/c they decrease preload]
Which of the following signs/symptoms is not
characteristic of Wernicke's encephalopathy?
Confabulation, chronic memory loss, ataxia, nystagmus.
✔️✔️Chronic memory loss [Wernick's encephalopathy is
characterized by confusion, confabulation, gait ataxia
and nystagmus; chronic/permanent memory loss is a
symptom of Korsakoff's syndrome]
A patient c/o an excruciating unilateral headache with
nasal congestion and excessive lacrimation on the affect
, side. The nurse suspects: ✔️✔️Cluster headache
[excessive tearing/lacrimation, along with unilateral nasal
congestion, are signs of a cluster HA; temporal (Giant
cell) arteritis has a palpable cord-like temporal artery
Which highly communicable infection is characterized by
swollen salivary and parotid glands? ✔️✔️Mumps
[Measles = Koplik spots; pertussis = "whooping cough";
diphtheria = gray pseudomembranous coating in throat]
A 68F with a history of AFIB c/o sudden onset of painless,
unilateral vision loss and denies any trauma. Which
ocular emergency does the nurse suspect? ✔️✔️Central
retinal artery occlusion (CRAO) [acute angle glaucoma =
"tunnel vision" and halos around lights; hyphema = blood
in anterior chamber of eye]
Which of the following signs/symptoms should raise an
index of suspicion that a patient is experiencing retinal
detachment? ✔️✔️Photopsia and "floaters" in the visual
field
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