AGNP-Exam 2 Questions and Answers 2024

AGNP -Exam 2 Questions and Answers 2024 aldosterone - ANS ✔️✔️Hormone that stimulates the kidney to retain sodium ions and water HAP - ANS ✔️✔️nosocomial VAP - ANS ✔️✔️48-72 hours after intubation CAP - ANS ✔️✔️community acquired pneumonia acute inflammation of pulmonary parenchyma acquired in community CAP antibiotics - ANS ✔️✔️Macrlides (Zpack) Cephalsporins (rocephin/cefepime, zosyn for broad) Fluroquinolones (levaquin/moxifloxacin) -po and iV HCAP - ANS ✔️✔️acquired in HCFacility IV therapy, wound care or iv chemo within 30 days NH or LTF hospitaliz ation 2 -3 days within last 90 hospital or dialysis in last 30 HCAP Antibiotics - ANS ✔️✔️add vanco for MRSA add flagyl for possible aspiration G+C for PNA - ANS ✔️✔️Strep pneumoniae (COPD) Strep pyogenes (Group A) Strep agalactiae (group B) S. Aureus G+R for PNA - ANS ✔️✔️bacillus anthracis nocardia sp. (chronic PNA ) G-C for PNA - ANS ✔️✔️Nieressa Menigits G-R for PNA - ANS ✔️✔️klebsilla pneumoniae e.coli pseudomona aeroginosa (COPD and CF) Anaerobes for PNA - ANS ✔️✔️Acintebactor Sp. Burkholder ia pseudomallei hemophillis influenza (COPD) Bordetella pertusus -Whooping proteus sp. serratia sp. Atypical Pathogens for PNA - ANS ✔️✔️M Tuberculosis (chronic PNA) legionella pneumophilia mycloplasma pneumonia chlamydia tracematis chlamydia pneumonia Risk factors for PNA - 1 - ANS ✔️✔️travel, animal, occupation, envirnmental (ie air condition) Aspirations risk for PNA - ANS ✔️✔️etoh, AMS, anatomic abnormalities drug use dysphagia GERD, seizures PNA S&S - ANS ✔️✔️chest pain SOB productive cough hemoptosis decreased exc. tolerance abdominal pain from pluritis PNA S&S - 2 - ANS ✔️✔️fever, chills, rigors, malage, mylagiz, HA PNA bacterial sputum - ANS ✔️✔️green ,yellow PNA viral sputum - ANS ✔️✔️white, stable WBC, drycough PNA diagnostics - ANS ✔️✔️CBC, CMP, BC, ABG vs. VBG, EKG cxr, chest Ct lactic acid bronch procalcitonin Procalcitonin (PCT) - ANS ✔️✔️bacterial inflammation marker Treatment for PNA - ANS ✔️✔️respiratory support antibiotics prevention Prevention of PNA - ANS ✔️✔️PCV 12- adults > 65, children < 2 PPSV23 - >65 or smokers 19 -64 Causes of Plural Effusion - ANS ✔️✔️CHF PNA liver disease ESRD nephrotic syndrome cancer P.E. Lupus or other autoimmune conditions S/S of pleural effusion - ANS ✔️✔️small: asymptomatic mod-large -SOB, chest pain, fever, cough Diagnostics of pleural effusion - ANS ✔️✔️CXR US Chest Ct