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Random from CPEN Practice Test 1 Solved 100% Correct!!

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Random from CPEN Practice Test 1 Solved 100% Correct!! plague (yersinia pestis) - fever - bloody sputum - clinical pneumonia <-- early sign - sepsis + DIC <-- late sign anthrax (bacillius anthracis) - fever - headache - dyspnea - cough - N/V - chest/abd pain botulism (clo...

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  • April 18, 2024
  • 24
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • random from cpen practice test 1 solved 100 corr

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  • CPEN
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Random from CPEN Practice Test 1 Solved
100% Correct!!
plague (yersinia pestis)
- fever
- bloody sputum
- clinical pneumonia <-- early sign
- sepsis + DIC <-- late sign


anthrax (bacillius anthracis)
- fever
- headache
- dyspnea
- cough
- N/V
- chest/abd pain


botulism (clostridium botulinum)
-descending flaccid paralysis
- cranial nerve palsy
- normal mentation


smallpox (variola)
- fever
- vesiculopustular leisons in face + trunk


Dextrose 5%
not used to tx hypoglycemia in kids


Dextrose 10%
tx hypoglycemia in neonates


Dextrose 25%
tx hypoglycemia in 1month to 2years old


Dextrose 50%
tx hypoglycemia in 2 years old & older


in compartment syndrome, do you elevate extremity above the heart or at the level of the heart
keep limb at leave of heart

b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are already
worried about reduced blood flow


femur factures are (name 4 things)
1. can cause significant blood loss
2. cause hemorrhagic shock

,3. painful
4. presents w/ external rotation


Oxygen supplement helps a sickle cell anemia pt by
ease WOB


oxygen baseline for sickle cell anemia pts are generally
lower d/t sickling of RBC so important to measure their O2


Jaw thrust maneuver is used in
traumatic injury / spinal injury is suspected

protects the spine


head tilt maneuver is used in
non-trauma patients (when spine injury is NOT suspected)


normal liver palpable up to how many cms below costal margin
up to 2cm below costal margin


Sickle cell disease is most susceptible to what 2 things?
1. acute chest syndrome (ACS)
2.sequestration crisis (firm/enlarged spleen) - LUQ pain


sequestration crisis tx
1. PRBC
2. oxygen (tx inadequate tissue oxygenation)


What heart sounds are heard w/ cardiogenic shock?
muffled heart sounds


what can cause a blunt carotid artery injury?
cervical seat belt abrasion


s/s of blunt carotid artery injury
- unilateral weakness
- unremarkable CT of head
- carotid bruit
- normal mental status


s/s of intrabdominal hemorrhage
- hypovolemic shock (hypotensive)
- altered mental status
- tachycardia
- pallor

, Henoch-Schonlein Purpura
- generalized vasculitis
- presents usually in lower extremities (including butt)
- bloody stools
- abd pain, D/V


when can henoch-schonlein purpura occur
after a recent URI


FLACC highest score is ____ w/ _____ categories
highest score 10
5 categories


face
0 = no particular expression
1 = occasional grimace, frown, withdrawn, disinterested
2= frequent to constant frown, clenched jaw, quivering chin


legs
0= normal/relaxed
1= uneasy, restless, tense
2= kicking or legs drawn up


activity
0= lying quietly, normal position, moves easily
1= squirming, shifting back & forth, tense
2= arched, rigid, jerking


cry
0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining


consolibility
0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort


do not give what type of drugs to sickle cell disease patients
NSAIDS - they can impair kidney function and accelerate kidney damage


anticonvulsant meds have shown to increase the risk of what
violence or aggressive behaviors


s/s of epiglottitis
- drooling

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