NURS 6550 MIDTERM EXAM QUESTIONS AND ANSWERS

NURS 6550 MIDTERM EXAM QUESTIONS AND ANSWERS Question 1 The AGACNP is caring for a patient who is quite ill and has developed, among other things,a large right sided pleural effusion. Thoracentesis is sent for pleural fluid analysis. While evaluating the fluid analysis, the AGACNP knows that a fluid identified as a(n) is the least worrisome type. Differentiating vertigo from near-syncope and ataxia is one of the goals of history-takingwhen a patient presents as “dizzy.” The AGACP knows that vertigo is the problem whenthe patient reports the primary symptom as: 1 out of 1 points “A” is the correct answer. A transudate is essentially just water and can occur as a consequence of increased hydrostatic pressure in the pulmonary vessels. It typically implies that the some condition has produced an imbalance in colloid-hydrostatic pressures, such as CHFor hypoalbuminemia. While it can represent a serious problem, it may also represent a transient imbalance Response Feedback: Question 2 . Conversely, “B” is not correct as an exudate has more protein in it and implies a condition characterized by protein leaking from vessels, such as a malignancy or some serious systemic stressor. “C” is not correct—a chyliform effusion is characterized by fat and indicates a pathology causing massive triglyceride degradation. “D” is not correct as a hemorrhagiceffusion is blood and typically means traumatic injury. 1 out of 1 points “A” is the correct answer. Dizzy is a layperson’s term and can mean many different things to patients and health care providers. When thepatient identifies the primary symptom as a sense of spinning this supports vertigo, which is usually an inner ear problem. This versus ataxia which is neurologic or near-syncope which may be cardiac, neurological, or neurocardiogenic Response Feedback: . “B” is not correct—this may occur with vertigo, but when it is the primary symptom it is most likely ataxia and neurological causes should be considered. “C” is not correct as coincident nausea is not specific and can occur with any of these complaints. “D” is not correct as it is also not specific; while ataxia cannot occur when supine near-syncope can.