Midterm Exam: NR569 / NR 569
(Latest Update)
Differential Diagnosis in Acute Care
Practicum | Questions with Verified
Answers | 100% Correct | Grade A -
Chamberlain
Question:
If the symptoms I had a fortune to the clinical scenario, or unusually
prolonged, like Persistent N/V four days after general anesthesia for a non-
abdominal surgery, what is indicated?
Answer:
Diagnostic evaluation beyond just supportive care
Question:
Treatment goals of N/V
Answer:
-correction of fluid and electrolyte imbalance
-identification of treatment of the underlying cause, if one exists
-Relief of symptoms, either by suppression or by elimination, if the primary
cause cannot be promptly identified and removed.
,Question:
Patients with long-standing, chronic nausea and vomiting, or risk for
developing what?
Answer:
Malnutrition
Question:
If a patient is not able to tolerate adequate oral caloric intake after five days,
what should be considered?
Answer:
Enteral or parental feeding
Enteral feeding is usually the first option however, dislodgment of enteral
tube with acute vomiting is not uncommon and occasionally parental feeding
may be required
Question:
Two categories of anti-emetic agents
Answer:
Central anti-emetic agents
Peripheral prokinetic agents
,Question:
Nausea medications for vestibular disease and motion sickness
Answer:
Antihistamines and antimuscarinic agents
Question:
Abdominal pain without other symptoms or signs
Answer:
Rarely a serious problem
Question:
Evidence based decisions based on four cardinal elements
Answer:
1-the research evidence
2-the patients clinical state
3-the patient's preference
4-the clinician's judgement and expertise
, Question:
Which study design will provide the most powerful results, and is the gold
standard for determining the effect of a therapeutic intervention?
Answer:
Randomized controlled trial (RCT)
Question:
PICOT format
Answer:
*P* - Identify the population or problem (age, gender, ethnicity,
disease/disorder)
*I* - Intervention, or range of interventions of interest (therapy or diagnostic
test in question)
*C* - What will you compare the intervention against? (no disease, absence of
risk factors, placebo or no intervention)
*O* - Outcome of interest (risk of disease, rates of occurrence of adverse
outcomes, accuracy of diagnosis)
*T* - Time it takes for intervention to achieve the outcome (selected to
observe the population or problem/condition)
