NURS 5463 (NURS5463) Test 1 |! |! |! |! |!
with precise detailed answers |! |! |!
Atypical s/s of AMI in older adults - Correct answer ✔diaphoresis, SOB, N/V,
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AMS, syncope |!
What differential diagnoses are most important when presenting with chest
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pain? - Correct answer ✔AMI, PE, PTX, aortic dissection, esophageal rupture
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What is considered ST elevation in men and women? - Correct answer ✔Men
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= 2mm
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Women = 1.5mm |! |!
OR new LBBB in 2 leads
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Which troponin is more specific? I or T? - Correct answer ✔Troponin I is
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more specific |!
How often to check troponins? - Correct answer ✔Q6h
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What 2 things can exclude PE? - Correct answer ✔Negative DDIMER & low
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Wells score |!
Paradoxical abd movement during inspiration indicates... - Correct answer
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✔impending respiratory failure...indicates fatigue |! |! |!
, If a pt c/o dyspnea, it's always important to determine if... - Correct answer
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✔they have a problem with gas exchange
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Hypoxia - Correct answer ✔Reduced level of tissue oxygenation
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Hypoxemia - Correct answer ✔decrease in partial pressure of oxygen in the
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blood
Causes of hypoventilation? Treatment? - Correct answer ✔CNS dep, narcs,
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obesity, A-a gradient, elevated CO2.....corrects with oxygen
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Most common cause of hypoxia - Correct answer ✔VQ mismatch
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Causes of VQ mismatch - Correct answer ✔COPD, asthma, ILD, PNA,
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increased A-a gradient |! |!
Does VQ mismatch improve with O2? - Correct answer ✔Yes
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Causes of right to left shunt? - Correct answer ✔anatomic (heart problems),
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physiologic (PNA, ARDs, atelectasis) |! |! |!
Does right to left shunt respond to oxygen? - Correct answer ✔difficult to
|! |! |! |! |! |! |! |! |! |! |! |! |!
correct with O2 |! |!
with precise detailed answers |! |! |!
Atypical s/s of AMI in older adults - Correct answer ✔diaphoresis, SOB, N/V,
|! |! |! |! |! |! |! |! |! |! |! |! |!
AMS, syncope |!
What differential diagnoses are most important when presenting with chest
|! |! |! |! |! |! |! |! |! |!
pain? - Correct answer ✔AMI, PE, PTX, aortic dissection, esophageal rupture
|! |! |! |! |! |! |! |! |! |!
What is considered ST elevation in men and women? - Correct answer ✔Men
|! |! |! |! |! |! |! |! |! |! |! |!
= 2mm
|! |!
Women = 1.5mm |! |!
OR new LBBB in 2 leads
|! |! |! |! |!
Which troponin is more specific? I or T? - Correct answer ✔Troponin I is
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
more specific |!
How often to check troponins? - Correct answer ✔Q6h
|! |! |! |! |! |! |! |!
What 2 things can exclude PE? - Correct answer ✔Negative DDIMER & low
|! |! |! |! |! |! |! |! |! |! |! |! |!
Wells score |!
Paradoxical abd movement during inspiration indicates... - Correct answer
|! |! |! |! |! |! |! |! |!
✔impending respiratory failure...indicates fatigue |! |! |!
, If a pt c/o dyspnea, it's always important to determine if... - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔they have a problem with gas exchange
|! |! |! |! |! |!
Hypoxia - Correct answer ✔Reduced level of tissue oxygenation
|! |! |! |! |! |! |! |!
Hypoxemia - Correct answer ✔decrease in partial pressure of oxygen in the
|! |! |! |! |! |! |! |! |! |! |! |!
blood
Causes of hypoventilation? Treatment? - Correct answer ✔CNS dep, narcs,
|! |! |! |! |! |! |! |! |! |!
obesity, A-a gradient, elevated CO2.....corrects with oxygen
|! |! |! |! |! |!
Most common cause of hypoxia - Correct answer ✔VQ mismatch
|! |! |! |! |! |! |! |! |!
Causes of VQ mismatch - Correct answer ✔COPD, asthma, ILD, PNA,
|! |! |! |! |! |! |! |! |! |! |!
increased A-a gradient |! |!
Does VQ mismatch improve with O2? - Correct answer ✔Yes
|! |! |! |! |! |! |! |! |!
Causes of right to left shunt? - Correct answer ✔anatomic (heart problems),
|! |! |! |! |! |! |! |! |! |! |! |!
physiologic (PNA, ARDs, atelectasis) |! |! |!
Does right to left shunt respond to oxygen? - Correct answer ✔difficult to
|! |! |! |! |! |! |! |! |! |! |! |! |!
correct with O2 |! |!