Final exam review NURS 570 with verified and updated solutions

Final exam review NURS 570 with verified and updated solutions The ACNP is admitting a 70-year-old male with new onset atrial fibrillation to the telemetry floor. What is the most common thyroid abnormality that should be screened for in this type of patient? A. Hyperthyroidism B. Hypopituitarism C. Sick Euthyroid Syndrome D. Hashimoto's Thyroiditis - CORRECT ANSWER A. Hyperthyroidism A 50-year-old Type II DM is admitted to the ED after being found unconscious at home. Vital signs: RR 38 BP 90/50 HR 125 SPO2 96% on room air. Initial labs: Blood sugar 625 g/dL, K 4.0 mEq/dL, serum omsolality 370 mOsm/L, negative serum ketones, Urine glucose is +4, Urine ketones trace. What is the most likely diagnosis? A. Hyperglycemia B. DKA C. HONC D. Sepsis - CORRECT ANSWER C. HONC HNNK has none or trace ketones. What are the major distinguishing features between lower urinary tract and upper urinary tract infections? A. Upper urinary tract infections are associated with systemic symptoms B. Lower urinary tract infections are associated with fever an systemic symptoms C. Upper urinary tract infections always have positive blood cultures D. Lower urinary tract infections are associated with a higher treatment failure - CORRECT ANSWER A. Upper urinary tract infections are associated with systemic symptoms *Fever N/V The ACNP is called to see a 65 y/o pt on the medical ward who is complaining of a severe sudden onset headache and is becoming confused. The pt was admitted with new onset atrial fibrillation that is being treated with beta blockers and a Heparin drip with therapeutic aPTT x 48 hours. The neurological exam reveals unequal pupils and a decrease in level of consciousness. What is the ACNP's primary concern? A. Cerebral embolus from the atrial fibrillation B. Cerebral hemorrhage from the anticoagulation C. Development of a new primary headache D. Hypertensive crisis with end organ damage - CORRECT ANSWER B. Cerebral hemorrhage from the anticoagulation