Nurs 5463 Test 1 questions with answers
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Atypical s/s of AMI in older adults - CORRECT ANSWERS
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✔✔diaphoresis, SOB, N/V, AMS, syncope |\ |\ |\ |\
What differential diagnoses are most important when presenting
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with chest pain? - CORRECT ANSWERS ✔✔AMI, PE, PTX, aortic
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dissection, esophageal rupture |\ |\
What is considered ST elevation in men and women? - CORRECT
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ANSWERS ✔✔Men = 2mm |\ |\ |\
Women = 1.5mm |\ |\
OR new LBBB in 2 leads
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Which troponin is more specific? I or T? - CORRECT ANSWERS
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✔✔Troponin I is more specific |\ |\ |\ |\
How often to check troponins? - CORRECT ANSWERS ✔✔Q6h
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What 2 things can exclude PE? - CORRECT ANSWERS ✔✔Negative
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DDIMER & low Wells score
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Paradoxical abd movement during inspiration indicates... -
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CORRECT ANSWERS ✔✔impending respiratory failure...indicates
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fatigue
, If a pt c/o dyspnea, it's always important to determine if... -
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CORRECT ANSWERS ✔✔they have a problem with gas exchange
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Hypoxia - CORRECT ANSWERS ✔✔Reduced level of tissue
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oxygenation
Hypoxemia - CORRECT ANSWERS ✔✔decrease in partial pressure |\ |\ |\ |\ |\ |\ |\ |\
of oxygen in the blood
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Causes of hypoventilation? Treatment? - CORRECT ANSWERS
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✔✔CNS dep, narcs, obesity, A-a gradient, elevated
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CO2.....corrects with oxygen |\ |\
Most common cause of hypoxia - CORRECT ANSWERS ✔✔VQ
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mismatch
Causes of VQ mismatch - CORRECT ANSWERS ✔✔COPD, asthma,
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ILD, PNA, increased A-a gradient
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Does VQ mismatch improve with O2? - CORRECT ANSWERS
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✔✔Yes
Causes of right to left shunt? - CORRECT ANSWERS ✔✔anatomic
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(heart problems), physiologic (PNA, ARDs, atelectasis)
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Does right to left shunt respond to oxygen? - CORRECT ANSWERS
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✔✔difficult to correct with O2
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Atypical s/s of AMI in older adults - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔diaphoresis, SOB, N/V, AMS, syncope |\ |\ |\ |\
What differential diagnoses are most important when presenting
|\ |\ |\ |\ |\ |\ |\ |\
with chest pain? - CORRECT ANSWERS ✔✔AMI, PE, PTX, aortic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dissection, esophageal rupture |\ |\
What is considered ST elevation in men and women? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Men = 2mm |\ |\ |\
Women = 1.5mm |\ |\
OR new LBBB in 2 leads
|\ |\ |\ |\ |\
Which troponin is more specific? I or T? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Troponin I is more specific |\ |\ |\ |\
How often to check troponins? - CORRECT ANSWERS ✔✔Q6h
|\ |\ |\ |\ |\ |\ |\ |\
What 2 things can exclude PE? - CORRECT ANSWERS ✔✔Negative
|\ |\ |\ |\ |\ |\ |\ |\ |\
DDIMER & low Wells score
|\ |\ |\ |\ |\
Paradoxical abd movement during inspiration indicates... -
|\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔impending respiratory failure...indicates
|\ |\ |\ |\ |\
fatigue
, If a pt c/o dyspnea, it's always important to determine if... -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔they have a problem with gas exchange
|\ |\ |\ |\ |\ |\ |\ |\
Hypoxia - CORRECT ANSWERS ✔✔Reduced level of tissue
|\ |\ |\ |\ |\ |\ |\ |\
oxygenation
Hypoxemia - CORRECT ANSWERS ✔✔decrease in partial pressure |\ |\ |\ |\ |\ |\ |\ |\
of oxygen in the blood
|\ |\ |\ |\
Causes of hypoventilation? Treatment? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔CNS dep, narcs, obesity, A-a gradient, elevated
|\ |\ |\ |\ |\ |\ |\
CO2.....corrects with oxygen |\ |\
Most common cause of hypoxia - CORRECT ANSWERS ✔✔VQ
|\ |\ |\ |\ |\ |\ |\ |\ |\
mismatch
Causes of VQ mismatch - CORRECT ANSWERS ✔✔COPD, asthma,
|\ |\ |\ |\ |\ |\ |\ |\ |\
ILD, PNA, increased A-a gradient
|\ |\ |\ |\
Does VQ mismatch improve with O2? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Yes
Causes of right to left shunt? - CORRECT ANSWERS ✔✔anatomic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(heart problems), physiologic (PNA, ARDs, atelectasis)
|\ |\ |\ |\ |\
Does right to left shunt respond to oxygen? - CORRECT ANSWERS
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✔✔difficult to correct with O2
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