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CMSRN exam with complete solutions
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CMSRN exam with complete solutions
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CMSRN exam with complete solutionswhen does alcohol withdrawal occur - Answer -12-48h after last drink. symptoms can
begin after 4h, peak at 24-48h, last up to two weeks
sundowner syndrome - Answer -symptoms at night, common in dementia but can occur
without dementia, may be due to sensory overload
tort - Answer -an action that wrongly causes harm to someone but is not a crime, and is
dealt with in civil court. can be intentional (assault and battery) or unintentional
(negligence). tort = wrongful act
hydroxurea - Answer -has anti-sickle properties
what is a big risk factor for sudden cardiac death/dysrhythmias - Answer -left ventricular
dysfunction
which compensatory mechanism in heart failure leads to inappropriate fluid retention -
Answer -neurohormonal response: increases fluid retention (via aldosterone) and
increases workload of heart by increasing peripheral vascular resistance
what to monitor if patient has thyroidectomy - Answer -hypocalcemia-look at back of
neck for signs of bleeding
myxedema coma - Answer -untreated hypothyroid; sluggish/drowsy/lethargy/altered
LOC, hypotension, bradypnea
can be casused by infection, trauma, drugs, exposure to extreme cold
what increases the chance of ventricular arrhythmia - Answer -systolic heart failure
hypertensive urgency vs emergency - Answer -urgency: no end organ damage.
EMERGENCY: evidence of end-organ damage, develops over hrs to days. don't
decrease BP by >10% in first hour.
**if aortic dissection lower BP asap
thoracic aortic aneurysm - Answer -cough, hoarseness, dysphagia, sudden loss of
radial/femoral pulses, carotid pulses. if tears, will have tearing pain in chest/back
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