NR 511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 511 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) Oral diabetic agent most likely causing hypoglycemia is? Answer Sulfonylurea such as glipizide Patient experiencing unpredictable blood glucose readings and increase in hypoglycemia is most likely using what type of insulin? Answer Novolin N (NPH insulin) twice daily A good alternative to Novolin N to avoid unpredictable blood glucose readings and increased hypoglycemia is? Answer Long-acting basal insulin such as insulin glaring (Lantus, Basaglar) Haloperidol given for psychotic-like crisis can cause what? Answer Involuntary muscle contractions of neck, jaw, and tongue muscles If a patient is taking desiccated thyroid (Armour Thyroid) for hypothyroidism what should they be switched to? Answer Levothyroxine (synthetic form of T4) Desiccated Thyroid (Armour Thyroid) should not be used in patients with what? Answer Underlying cardiac disease Why should desiccated thyroid not be used in patients with underlying cardiac disease? Answer Because the varied concentrations of highly active T3 can pose a greater risk of overreplacement and iatrogenic thyrotoxicosis Intestinal Perforation Signs Answer Severe, parietal, diffuse pain Guarding, rebound, worse with movement, relieved with lying still Decrease bowel sounds, guarding, rebound tenderness. Abdominal x-ray Urinary stones Answer Colicky flank pain progressing to constant and severe radiating to groin and both lower quadrants. Nausea, vomiting, fever, chills, abdominal distention. Costovertebral angle (CVA) tenderness, hematuria. Urinalysis, IVP, ultrasound. Mesenteric infarction Answer Mid epigastric, left upper quadrant radiating to back, mild to very severe. Nausea, vomiting, diaphoresis. Worsening with lying supine. Diminished bowel sounds. Abdominal arteriogram. Intestinal obstruction Answer Colicky right lower quadrant, left lower quadrant Nausea, vomiting, anorexia, obstipation Hyperactive, high-pitched bowel sounds or hypoactive bowel sounds. Abdominal x-ray Pancreatitis Answer Severe, visceral, diffuse. Hypotension, tachycardia. Relieved by leaning forward. Abdominal distention, diminished bowel sounds, diffuse rebound tenderness. Elevated amylase levels. Ectopic pregnancy Answer Persistent right lower quadrant or left lower quadrant. Vaginal bleeding Tender, adnexal mass HCG test Dissection or rupture of aortic aneurysm Answer Ripping, tearing, intense pain in chest, abdomen, lower back Hypotension, feelings of doom, shock Shock, diminished, femoral pulses Radiography and CT scan Peptic ulcer disease Answer Gnawing pain and epigastric region, radiating to back, right shoulder, or side Nausea, hunger, worse with empty stomach, alcohol, NSAIDs, aspirin, relieved with food and antacids Epigastric tenderness to palpation Endoscopy and barium swallow Gastroesophageal reflux disease Answer Epigastric, retrosternal, intermittent Sour taste, low-grade bleeding, hoarseness, pharyngitis, worse with bending at waste, NSAIDs, aspirin, alcohol, caffeine, recumbency, relieved with antacids Barium, swallow, upper G.I. esophageal endoscopy with biopsy Gastritis Answer Epigastric, constant Nausea, vomiting, diarrhea, fever, hemorrhage, worse with alcohol, NSAIDs, aspirin, rarely food Salpingitis Answer Right lower quadrant and or left lower quadrant Worse around menstruation and when ascending stairs Cervical motion and adnexal tenderness Irritable bowel syndrome