AGACNP ANCC Board Review- Common Problems 2024 Final Exam
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Course
AGACNP ANCC Board
Institution
AGACNP ANCC Board
AGACNP ANCC Board Review- Common Problems 2024 Final Exam
Cutaneous Pain - ANSWER--localized on the skin or body surface
-eg bad sunburn or blister
Visceral Pain - ANSWER--poorly localized such as with internal organs
eg. gallbladder pain, PUD pain
Somatic Pain - ANSWER--non localized
-origin...
stage 4 pressure ulcer - ✔✔✔ANSWER-full thickness skin & tissue loss w
exposed or palpable fascia, muscle, tendon, ligament or bone
unstageable pressure ulcer - ✔✔✔ANSWER-obscured by slough or eschar
, causes of non-infectious post op fever - ✔✔✔ANSWER-# 1 is post-op atelectasis
2. increase basal metabolic rate
3. dehydration
4. drug reactions (increase eosonophils, drug fever comes on insidiously and tends
to linger; drugs inlcude ampthericin B, bactrim, procainamide, beta-lactam abx and
others
Risperidone toxicity (anti-psychotic) - ✔✔✔ANSWER-neuroleptic malignant
syndrome
tx w dantrolene
most commonly cultured organisms inpatient - ✔✔✔ANSWER-staph epi (on your
skin) & staph aureus
infectious causes of post-op fever - ✔✔✔ANSWER--usually w increase in WBC
and left shift (neutrophils go up in bacterial infxn up to like 85% normal range is
57-67% on differential)
-if WBC >30k usually not infxn
-surgical incision site- red, pus from suture line
-point of entry from catheter
-urinary tract
-lungs
-sinusitis from NGT
Initial Tx of post-op fever - ✔✔✔ANSWER-no indicators for infection, hydrate
and measures to promote lunge expansion
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