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Nurs 5463 Test 1 Questions And Accurate Solutions

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  • November 3, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 5463
  • Nurs 5463
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Easton
Nurs 5463 Test 1 Questions And Accurate
Solutions 2025-2026


What are the 3 types of medical futility? - Answer Physiologic futility

Qualitative futility

Quantitative futility



Medically certain that is impossible to achieve a physiologic effect - Answer Physiologic
futility



Patient's physiology may improve, but there is no patient-centered benefit - Answer
Qualitative futility



Intervention has not worked in similar patients - Answer Quantitative futility



Atypical s/s of AMI in older adults-Answer diaphoresis, SOB, N/V, AMS, syncope



What are the most important differential diagnoses when presenting with chest pain?
-Answer AMI, PE, PTX, aortic dissection, esophageal rupture



What is considered ST elevation in men and women? -Answer Men = 2mm

Women = 1.5mm

OR new LBBB in 2 leads



Which troponin is more specific? I or T? -Answer Troponin I is more specific

, How often to check troponins? - Q6h

What 2 things can exclude PE? - Negative DDIMER & low Wells score

Paradoxical abd movement during inspiration indicates. - impending respiratory
failure.indicates fatigue

If a pt c/o dyspnea, it's always important to determine if. - they have a problem with gas
exchange

Hypoxia Reduced level of tissue oxygenation

Hypoxemia - decrease in partial pressure of oxygen in the blood



Causes of hypoventilation? Treatment? - CNS dep, narcs, obesity, A-a gradient, elevated
CO2.corrects with oxygen



Most common cause of hypoxia - VQ mismatch



Causes of VQ mismatch - COPD, asthma, ILD, PNA, increased A-a gradient



Does VQ mismatch improve with O2? - Yes



Causes of right to left shunt? - anatomic-heart problems, physiologic-PNA, ARDs,
atelectasis



Does right to left shunt respond to oxygen? -Answer difficult to correct with O2



Causes of diffusion impairment -Answer PF, PCP, emphysema



Does diffusion impairment correct with O2? What makes it worse? -Answer Worsens
with activity, corrects with oxygen



What is the cause of reduced inspired oxygen tension? Does it correct with O2? -Answer

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