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Examen

NURS I6560 IFinal IExam I/ INURS- 6560N IFinal Iexam I(2020)(100 Q I& IA I, I100% ICorrect)

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Escrito en
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NURS I6560 IFinal IExam Question I1 A Ipatient Iwith Isuspected ICushing’s Isyndrome Iis Ibeing Ievaluated Ito Iestablish Ithe Idiagnosis Iand Icause. IPatients Iwith Ian Iadrenal Itumor Itypically Iwill Idemonstrate: A.Low IACTH Iand Ilow Icortisol B.Low IACTH Iand Ihigh Icortisol C.High IACTH Iand Ilow Icortisol D.High IACTH Iand Ihigh Icortisol Question I2 Pneumatosis, Ior Igas Icysts, Imay Iform Iin Ithe Iwall Ianywhere Ialong Ithe Igastrointestinal Itract; Iin Isome Icases, Ithey Iwill Iproduce Isymptoms Isuch Ias Iabdominal Idiscomfort, Idiarrhea Iwith Imucus, Iand Iexcess Iflatulence. ITreatment Iof Ipneumatosis Imost Ioften Iinvolves: A.Several Idays Iof Ioxygen Iby Iface Imask B.Hyperbaric Ioxygen C.Surgical Iresection D.Treatment Iof Iunderlying Idisease Question I3 Jennifer Iis Ian IRN Iapplicant Ifor Ia Istaff Inurse Iposition Iin Ithe Isurgical IICU. IShe Ihas Ihad Ia Iscreening IPPD Iand Icomes Iback Iin I48 Ihours Ito Ihave Iit Iread. IThere Iis Ia I12-mm Iinduration Iat Ithe Isite Iof Iinjection. IA Ichest Iradiograph Iis Inegative. IThe IAGACNP Iknows Ithat Ithe Inext Istep Iin IJennifer’s Ievaluation Iand Imanagement Ishould Iinclude: A.No Ifurther Icare, Ibecause Ithe Ichest Iradiograph Iis Inegative B.Quantiferon Iserum Iassay Ifor Iexposure C.Consideration Iof Iprophylactic Itherapy D.Beginning Itherapy Ifor Ipulmonary ITB Ipending Isputum Icultures Question I4 P. IE. Iis Ia I61-year-old Ifemale Iwho Ipresents Ifor Ia Ipostoperative Ivisit Ifollowing Ia Igastric Iresection Iafter Ia Iperforation Iof Ipeptic Iulcer. IShe Ireports Ifeeling Ibetter, Ialthough Iit Iis Itaking Ilonger Ithan Ishe Iexpected. IHowever, Ishe Isays Ishe Iis Ifeeling Ibetter Ieach Iday, Iher Iappetite Iis Ireturning, Iand Iher Iincision Iis Ihealing Iwell. IShe Iis Ibeing Idischarged Ifrom Isurgical Icare Iand Iadvised Ito Icontinue Iher Iroutine Ihealth Ipromotion Ifollow-up Iwith Iher Iprimary Icare Iprovider. IAs Ipart Iof Iher Isurgical Idischarge Iteaching, Ithe IAGACNP Icounsels IP. IE. Ithat Ias Ia Iresult Iof Iher Igastric Iresection Ishe Iwill Ineed Ilifelong Ifollow-up Iof: A.Blood Igroup Isubstances B.Electrolytes C.Vitamin IB12 D.Gastric IpH

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Subido en
6 de enero de 2023
Número de páginas
54
Escrito en
2020/2021
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NURS 6560 Final Exam / NURS- I I I I I




6560N Final exam (2020)(100 I I I




Q & A , 100% Correct) I I I I I




NURS 6560 Final Exam
I I I




Question 1 I




A patient with suspected Cushing’s syndrome is being evaluated to establish the diagnosis and Icause.
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I Patients with an adrenal tumor typically will demonstrate:
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A. Low ACTH and low cortisol
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B. Low ACTH and high cortisol
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C. High ACTH and low cortisol
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D. High ACTH and high cortisol
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, Question 2 I




Pneumatosis, or gas cysts, may form in the wall anywhere along the gastrointestinal tract; in Isome
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I cases, they will produce symptoms such as abdominal discomfort, diarrhea with mucus, Iand
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I excess flatulence. Treatment of pneumatosis most often involves:
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A. Several days of oxygen by face mask
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B. Hyperbaric oxygen I



C. Surgical resection I



D. Treatment of underlying disease
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Question 3 I




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Jennifer is an RN applicant for a staff nurse position in the surgical ICU. She has had a screening
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I PPD and comes back in 48 hours to have it read. There is a 12-mm induration at the site of
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I injection. A chest radiograph is negative. The AGACNP knows that the next step in Jennifer’s
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I evaluation and management should include: I I I I




A. No further care, because the chest radiograph is negative
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B. Quantiferon serum assay for exposure I I I I



C. Consideration of prophylactic therapy I I I



D. Beginning therapy for pulmonary TB pending sputum cultures
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Question 4 I




P. E. is a 61-year-old female who presents for a postoperative visit following a gastric resection
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I after a perforation of peptic ulcer. She reports feeling better, although it is taking longer than she
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I expected. However, she says she is feeling better each day, her appetite is returning, and her
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I incision is healing well. She is being discharged from surgical care and advised to continue her
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I routine health promotion follow-up with her primary care provider. As part of her surgical
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I discharge teaching, the AGACNP counsels P. E. that as a result of her gastric resection she will
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I need lifelong follow-up of:
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A. Blood group substances I I



B. Electrolytes
C. Vitamin B12 I



D. Gastric pH I




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Question 5 I




M. T. is a 71-year-old female who presents for evaluation of a ―lump on her chest.‖ She denies
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I any symptoms—there is no pain, erythema, edema, ecchymosis, or open areas—it is just a lump.
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I She has no idea how long it has been there and just noticed it a few weeks ago. Physical
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I examination reveals a round, smooth, flesh-colored tumor. It is firm but not hard; it has smooth
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I borders. It measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects Ithat
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I this is a classic presentation of the most common chest wall tumor known as a:
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A. Neurolemma
B. Lipoma
C. Hemangioma
D. Lymphangioma


Question 6 I




The AGACNP is receiving report from the recovery room on a patient who just had surgical
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I resection for pheochromocytoma. He knows that which class of drugs should be available
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I immediately to manage hypertensive crisis, a possible consequence of physical manipulation of
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I the adrenal medulla?
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A. Alpha-adrenergic antagonists I


B. Beta-adrenergic antagonists I




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