NURS 5463 Exam 1 Questions with 100% Correct Answers Already Graded A+

NURS 5463 Exam 1 Questions with 100% Correct Answers Already Graded A+ 1. Causes of LUQ pain - ANSWER Gastritis, PUD, pancreatitis, splenic enlargement/rupture, LLL PNA, AMI, pyelonephritis 2. Causes of LLQ pain - ANSWER Diverticulitis**, IBD, GE, ischemic colitis, hernia, kid stone, ectopic 3. What does rebound tenderness indicate? - ANSWER Peritoneal irritation 4. What does dullness indicate on an abd exam? - ANSWER Ascites Common examples include any kind of · CNS Stimulation • as seen in pain, anxiety, fever, drugs, or CVA; or if the patient is · Hypoxemic • so they are breathing fast as seen with pneumonia, PE, pulmonary edema, heart failure, aspiration; and kind of · stimulation of chest receptors • as seen with hemothorax, or PE; or any · other disorders that cause the patient to over ventilate. • Liver failure, over ventilating 5. Causes of metabolic acidosis - ANSWER you need to consider why the patient's bicarb is low. Common metabolic acidosis etiologies include · diabetic ketoacidosis · any build up of lactic acid • including any hypoperfusion state such as sepsis, seizure activity, or cardiogenic shock; and kind of · uremia or renal failure • when the patient cannot produce bicarb, or · if a patient is excreting bicarb as seen with Diarrhea; · Hyperkalemia and Intoxication also can cause a metabolic acidosis. 6. What's GOLD MARK? - ANSWER GOLD MARK includes · Glycols • like propylene glycol and ethylene glycol; · Oxoproline • (5-oxoproline or pyroglutamic acid) is associated with chronic acetaminophen use, often by malnourished women · L-lactate · D-lactate • D-lactic acid can occur in some patients with (ww) short bowel syndromes · Methanol · Aspirin · Renal failure or uremia and · Ketoacidosis 7. Causes of metabolic alkalosis? - ANSWER · GI losses of stomach acids • such as vomiting or NG suctioning; any · renal losses • with loop or thiazide diuretics, mineralocorticoid excess such as in (ww) Cushings or steroids, or hypercalcemia; there can also be · exogenous alkali • such as the administration of HCO3, sodium citrate, or massive amount of blood transfusion. · Patients can also develop a contraction alkalosis which is the result of over diuresis. 8. What's a right shift of the oxygen saturation curve mean? - ANSWER o indicates a decreased oxygen affinity of hemoglobin, which will allow more oxygen to be available to tissues. • A patient with a high CO2, lower PH, or fevering or even exercise will have a right shift. 9. What's a left shift of the oxygen saturation curve mean? - ANSWER o indicates an increase in oxygen affinity of hemoglobin, which reduces oxygen availability to the tissues. • Factors that cause a left shift in the oxygen-hemoglobin dissociation curve include: § decreases in temperature, a low PCO2, and alkalosis. 10. Atypical s/s of AMI in older adults - ANSWER diaphoresis, SOB, N/V, AMS, syncope 11. What differential diagnoses are most important when presenting with chest pain? - ANSWER AMI, PE, PTX, aortic dissection, esophageal rupture 12. What is considered ST elevation in men and women? - ANSWER Men = 2mm Women = 1.5mm OR new LBBB in 2 leads 13. Which troponin is more specific? I or T? - ANSWER Troponin I is more specific 14. How often to check troponins? - ANSWER Q6h 15. Requirements for rehab - ANSWER tolerate 3h of rehab per day 16. Requirements for SNF placement - ANSWER qualifying event that precedes a 3-night hospital admission 17. Requirements for home health - ANSWER must be home bound 18. Anticipated LOS for obs patients - ANSWER 48h 19. What to document if need to transition from obs to inpatient - ANSWER "anticipated LOS is greater than 48 hours" 20. Electrolyte abnormalities that warrant admission - ANSWER K 3 w/o clear etiology Na 120 w neuro s/s Ca 10 w AMS Phos 2.5 21. Willingness of hospital staff to openly communicate concerns about patient care on their units - ANSWER Safety culture 22. Respond, report, investigate, communicate, performance improvement, follow-up - ANSWER Principles approach to patient harm