NURS 6560 Midterm Exam: Advanced Practice Care of Adults in Acute Care Settings: Walden University

NURS 6560 Midterm Exam:Advanced Practice Care ofAdults in Acute Care Settings:
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Walden University gg gg




(FOR 100% CORRECTANSWER CHECK THE LAST PAGE)
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Question 1 gg




S. is a 59-year-old female who has been followed for several years for aortic regurgitation.
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Serial echocardiography has demonstrated normal ventricular function, but the patient was
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lost to follow-up for the last 16 months and now presents complaining of activity intolerance
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and weight gain. Physical examination reveals a grade IV/VI diastolic aortic murmur and 2+
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lower extremity edema to the midcalf. The AGACNP considers which of the following as
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the most appropriate management strategy?
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A. Serial echocardiography every 6 months
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B. Begin a calcium channel antagonist
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C. Begin an angiotensin converting enzyme (ACE) inhibitor
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ggD.Surgicalconsultationandintervention j j




Question 2 gg




An ascending thoracic aneurysm of > 5.5 cm is universally considered an indication for surgical
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repair, given the poor outcomes with sudden rupture. Regardless of the aneurysm’s size, all of the
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following are additional indications for immediate operation except:
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A.Comorbid Marfan’s syndrome gg gg




B. Enlargement of > 1 cm since diagnosis
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C. Crushing chest pain
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D. Historyofgiantcellarteritis Question
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gg 3

Jasmine is a 31-year-old female who presents with neck pain. She has a long history of injection drug
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use and admits to injecting opiates into her neck. Physical examination reveals diffuse tracking
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and scarring. Today Jasmine has a distinct inabilityto turn her neck without pain, throat pain, and a
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temperature of 102.1°F. She appears ill and has foul breath. In order to evaluate for a deep neck space
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infection, the AGACNP orders:
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This ggstudy ggsource ggwas ggdownloaded ggby gg100000864350059 ggfrom ggCourseHero.com ggon gg03-22-2023
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, A.Anteroposterior neck radiography gg gg




B. CT scan of the neck
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C. White blood cell (WBC) differential
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gg D.Aspiration and cultureof fluid j jj g




Question 4
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Mr. Draper is a 39-year-old male recovering from an extended abdominal procedure.As a result
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of a serious motor vehicle accident, hehas had repair of a small bowel perforation, splenectomy,
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and repair of a hepatic laceration. He will be on total parenteral nutrition postoperatively.
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The AGACNP recognizes that the most common complications of parenteral nutrition are
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a consequence of:
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A. Poorly calculated solution
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B. Resultant diarrhea and volume contraction
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C. The central venous line used for infusion
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gg D.Boweldisuseandhypomotility

Question 5 gg




Mr. Mettenbergeris beingdischarged followinghis hospitalization forreexpansionofhis
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second spontaneous pneumothorax this year. He has stopped smoking and does not appear
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to have any overt risk factors. While doing his discharge teaching, the AGACNP advises
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Mr. Mettenberger that his current risk for another pneumothorax is:
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A. < 10%
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B. 25-50%
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C. 50-75%
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D. > 90
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Question 6 gg




This ggstudy ggsource ggwas ggdownloaded ggby gg100000864350059 ggfrom ggCourseHero.com ggon gg03-22-2023
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