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NURS 6550 Midterm Review Exam With Questions And Verified Detailed Answers
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NURS 6550 Midterm Review Exam With Questions AndVerified Detailed Answers 2024-2025
Which of the following is the least worrisome type of fluid present due to pleural fluid
analysis: ANSWER Transudate pleural fluid
Which of the following tests would be ordered to confirm the presence of an ascending
aortic aneurysm when clinically suspected? ANSWER CT Scan with contrast
Name risk factors for long term care placement for the geriatric population. ANSWER
Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
Direct pressure has been applied to a patient with anterior epistaxis for 20 minutes.
What would you expect to find when asking the patient to gently blow their nose?
ANSWER The dark residual blood or clots discharged from the nose will reveal that
treatment was successful.
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? - ANSWER Streptococcus
pneumoniae
,What is the greatest risk factor for vascular dementia? - ANSWER Vascular diseases
that result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - ANSWER - 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? -
ANSWER Lipid Panel
Name some atypical antipsychotics - ANSWER OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If one is evaluating a car mechanic for possible eye injury which test would you not
perform? - ANSWER MRI
possible metal in eye
, What is the least invasive way to exclude a pulmonary embolus? - ANSWER D-dimer
While managing a patient with an UF heparin infusion, what complication would you
monitor for (in order to prevent a fatal complication) ? - ANSWER HIT. aka monitor for
low platelets.
d/c heparin and initiate thrombin inhibitors!
Which symptom differentiates vertigo from near-syncope and ataxia? - ANSWER When
main symptom noted is a feeling of spinnings- this is vertigo and is usually an inner ear
problem.
Ataxia is neurological
near-syncope maybe cardiac, neuro or both.
If a patient is concerned about a relative not respecting wishes regarding end-of-life
care, what legal tool should be instituted? - ANSWER advanced directive
contraindicative of rTPA therapy? -ANSWER ST segment depression
Transtheoretical Model of Change -ANSWER 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder -ANSWER psychotic: distinct alteration in
perception of reality
Neurotic: remain aware and interactive with reality
Cholinergics -ANSWER Pilocarpine
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