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NURS 620 Exam II Questions and Answers 100% Verified.
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NURS 620 Exam II Questions and Answers 100% Verified.
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NURS 620 Exam II Questions and Answers 100% Verified The most common cause of sepsis in older adults is: - Correct Answer - UTIWhat is the usual clinical presentation of an adult patient with cystitis? - Correct Answer - Complaints of dysuria, urgency, frequency, nocturia, and suprapubic heaviness. (not sure)
Which statement characterizes functional incontinence? - Correct Answer - Mainly caused by factors outside the urinary tract, especially immobility, that prohibit proper toileting habits.
What are the two most common pathogens in community-acquired UTIs? - Correct Answer - Escherichia coli and Proteus mirabilis
When prescribing oxybutinin (Ditropan) for the patient with overactive bladder symptoms, the nurse practitioner must consider which disorder in the medical history before prescribing? - Correct Answer - Narrow-angle glaucoma
The clinical presentation of a client with urolithiasis would include: - Correct Answer - Pain starting in the flank and localizing in the costovertebral angle (not sure)
What is the most common cause of chronic renal failure (CRF)? - Correct Answer - Hypertension* & Diabetes
The most frequent sign of bladder cancer is: - Correct Answer - Hematuria
The inability to empty the bladder, resulting in overdistention and frequent loss of small amounts of urine, describes which type of urinary incontinence? - Correct Answer - Overflow incontinence
A factor contributing to stress incontinence is: - Correct Answer - Bladder irritation from a urinary tract infection (look up)
How quickly can acute tubular necrosis resolve (leading cause of ARF)? - Correct Answer - 7-21 days with appropriate treatment such as rehydration or discontinuing the offending drug.
Diagnostic of Prerenal Azotemia - Correct Answer - increased BUN and Serum Creatinine
Metabolic Syndrome Consists of : - Correct Answer - Metabolic syndrome is not a disease in itself. Instead, it's a group of risk factors -- high blood pressure, high blood sugar, unhealthy cholesterol levels, and abdominal fat.
These risk factors double your risk of blood vessel and heart disease, which can lead to heart attacks and strokes. They increase your risk of diabetes by five times.
Large Waist Size: For men: 40 inches or larger
For women: 35 inches or larger
High Triglycerides: 150 mg/dL or higher
or Using a cholesterol medicine
HDL (good Cholesterol): For men: Less than 40 mg/dL
For women: Less than 50 mg/dL or
Using a cholesterol medicine
High Blood Pressure: Having blood pressure of 135/85 mm Hg or greater or Using a high blood pressure medicine
BS:100 mg/dL or higher
Virchow's Triad - Correct Answer - Hypercoagulability, Stasis & Vessel Injury = Highest DVT Risk
What is the gold standard for Dx of DVT? - Correct Answer - Venography- reference gold standard for dx
Gold Standard Diagnoses of CAP - Correct Answer - Infiltrates on Chest x-Ray
CURB-65 - Correct Answer - Confusion BUN<19
RR >/30
BP (S<90 or D<60)
Age >65
CURB-65 Score of 0-1 can be treated _____ - Correct Answer - outpatient
CURB-65 Score of 2 can be treated_______ - Correct Answer - a short IP stay or closely monitored OP
CURB-65 Score of >3 - Correct Answer - Hospitalize and consider ICU
CAP Tx: Uncomplicated not recently tx with Antibiotic - Correct Answer - Azithromycin 250-500mg qd
Clarithromycin 500mg BID
Erythromycin 250-500mg q. 6H
Doxycycline 100mg BID
CAP Tx: Uncomplicated recently treated with antibiotics - Correct Answer - Moxifloxacin (Avelox)
Gemifloxacin (Factive)
Levofloxacin (Levaquin)
Also could alternate Azithro or clarithro with high dose amox or High dose amox-clavulanate (augmentin)
Stress Incontinence - Correct Answer - pg 602 CHEGG
urine leaking with coughing or sneezing
exam: pelvic, pad test, stress test, UA culture and sensitivity, cystometrogram, video urodynamics
tx: kegel, weight loss, hormone replacement, surgery, Alpha adrenergic agonist
Urge - Correct Answer - Overflow - Correct Answer - Functional - Correct Answer - Hyperparathyroidism - Correct Answer - Fragile bones that easily fracture (osteoporosis)
Kidney stones
Excessive urination
Abdominal pain
Tiring easily or weakness
Depression or forgetfulness
Bone and joint pain
Frequent complaints of illness with no apparent cause
Nausea, vomiting or loss of appetite
Hypothyroidism - Correct Answer - Fatigue
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