Exam (elaborations)

NRNP 6665 Midterm Exam (Latest- 2022/2023, 100 Q & A) / NRNP6665 Midterm Exam / NRNP 6665 Week 6 Midterm Exam / NRNP6665 Week 6 Midterm Exam : Walden University | 100% Verified Q & A |

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NRNP 6665 Midterm Exam (Latest- 2022/2023, 100 Q & A) / NRNP6665 Midterm Exam / NRNP 6665 Week 6 Midterm Exam / NRNP6665 Week 6 Midterm Exam : Walden University | 100% Verified Q & A |NRNP 6665 Midterm Exam (Latest- 2022/2023, 100 Q & A) / NRNP6665 Midterm Exam / NRNP 6665 Week 6 Midterm Ex...

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Type Exam (elaborations)
Contains Questions & answers

nrnp 6665 midterm exam latest q
nrnp 6665 midterm exam latest
nrnp 6665 midterm exam latest q

Institution NRNP 6665
Course NRNP 6665

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NRNP 6665 Midterm Exam (Latest-
2022/2023, 100 Q & A) / NRNP6665
Midterm Exam / NRNP 6665 Week 6
Midterm Exam / NRNP6665 Week 6
Midterm Exam : Walden University | 100%
Verified Q & A |

Surgery risk classes - -ANSWER--Class 1: benefits outweigh risk, should be done

Class 2a: reasonable to perform

Class 2b: should be considered

Class 3: rarely appropriateN/NGeneral rules for surgery: testing - -ANSWER--ECG before surgery only if
coronary disease, except when low risk surgery

Stress test not indicated before surgery

Do not do prophylactic coronary revascularizationN/NMeds before surgery - -ANSWER--- Diabetic agents:
Use insulin therapy to maintain glycemic goals(iii) Discontinue biguanides, alpha glucosidase inhibitors,
thiazolidinediones, sulfonylureas, and GLP-1 agonists

- Do not start aspirin before surgery

- Stop Warfarin 5 days before surgery. May be bridged with Lovenox.

- Do not stop statin before surgery

,- Do not start beta-blocker on day of surgery, but may continueN/NAssessment of surgical risk - -
ANSWER--- Unstable cardiac condition (recent MI, active angina, active HF, uncontrolled HTN, severe
valvular disease), concern with CAD, CHF. arrhythmia, CVD

- patient stable or unstable?

- urgency of the procedure (oncology will be time sensitive)

- risk of procedure

- nutritional status

- immune competence

- determine functional capacity (need to be more than 4 METS, more than 10 METs makes low
risk)N/NLow risk surgeries - -ANSWER--catarcts

breast biopsy

cystoscopy, vasectomy

laporascopic procedures

Plastic surgeryN/Nintermediate risk surgeries - -ANSWER--Head/ neck surgery

thyroidectomy

Intraperitoneal

Prostate

Laminectomy

Hip/ knee

Hysterectomy

cholecystectomy

nephrectomy

non majot intrathoracicN/NHigh risk surgeries - -ANSWER--aortic/ cabg

transplants

spinal reconstruction

peripheral vascular surgeryN/NLee's revised cardiac risk index - -ANSWER--6 points:

High risk surgery = 1

CAD = 1

CHF = 1

Cerebrovascular disease = 1

,DM 1 on insulin = 1

Creat greater than 2 = 1

1 = low risk

2 = moderate risk

3 = high riskN/NSCIP pre-operative infection measures - -ANSWER--- Prophylactic antibiotics should be
received within 1 h prior to surgical incision

- be selected for activity against the most probable antimicrobial contaminants

- be discontinued within 24 h after the surgery end-timeN/NPostoperative infection reduction methods -
-ANSWER--- pre-op hair removal (clippers)

- wash hands

- normothermia

- maintain euglycemia

- urinary catheters are to be removed within the first two postoperative daysN/NOsteoarthritis: what,
incidence - -ANSWER--Slow destruction of bones/ joint followed by production of replacement collagen
which causes inflammatory changes

- older than 60

- more female after 55

- more black than white women

- men and women equal risk between 45 - 55

- abnormal height or weight (obesity)

- repetitive movement

- prior trauma (sprains/ dislocations)

- diabetic neuropathy

- geneticN/NOsteoarthritis findings and diagnostics - -ANSWER--- Pain in weight bearing joints

- stiffness after sitting, gets better when arising

- feeling of instability on stairs

- fine motor skills deficit

- larger affected joints

, - Heberden nodules (bony bumps on the finger joint closest to the fingernail)

- Bouchard's nodules (bony bumps on the middle joint of the finger)

- limited ROM with crepitus

- xr shows narrowing of joint space (need anteroposterior and lateral knee films bilaterally)

- synovial fluid is clear and without WBCN/NOsteoarthritis treatment - -ANSWER--Goal is to relieve
symptoms, maintain/ improve function, and avoid drug toxicity

Hand OA:

- rest/ joint protection, with splinting

- heat/ cold therapy

- topical capsaicin

- topical NSAID (trolamine salicylate) (especially for older than 75)

- Oral NSAIDS, incl COX2 inhibitors such as celecoxib (Celebrex) (may cause cardiac problems)

- tramadol

- no opioids

Hip/ knee OA:

- weight reduction, cardiovascular exercises

- transcutanous external nerve stimulator

- acetaminophen

- Topical NSAIDS (knee)

- intraarticular corticosteroid injections

- surgery (joint replacement)N/NRheumatoid arthritis: what, who - -ANSWER--chronic, systemic
autoimmune disease that causes inflammation of connective tissue, first that of jionts them other soft
tissues (renal, cardiovascular, pulm). TNF-alpha plays a big role

- more women than men

- unknown cause

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Exam (elaborations)

NRNP 6665 Midterm Exam (Latest- 2022/2023, 100 Q & A) / NRNP6665 Midterm Exam / NRNP 6665 Week 6 Midterm Exam / NRNP6665 Week 6 Midterm Exam : Walden University | 100% Verified Q & A |

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