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NSG 550 / NSG550 EXAM 3. DIAGNOSTIC REASONING FOR NURSE PRACTITIONERS. QUESTIONS WITH 100% CORRECT ANSWERS.

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Drug screening: What does it identify? Metabolites of illegal drugs used Drug screening: What sample is most commonly used? Urine Drug screening: Which tests are better from the blood? Toxicology tests for drug overdose Poisoning Drug screening: Who uses drug screening? Employers Law enforcement agencies Genetic Testing: What is it used for? Identifies predisposition to disease Establish presence of disease Establish paternity Provide forensic evidence SARS viral testing: Uses Diagnose severe acute respiratory syndrome, caused by corona virus. SARS viral testing: Is it part of routine testing? No. Not conducted unless a cluster of cases develop. Skin Biopsy: Uses Test of inflamed skin or mucosa to evaluate and diagnose immunologically mediated dermatitis. Used to confirm histopathology of skin lesions. Toxicology: Uses evaluates drug abuse, overdose, or poisoning. Toxicology: On what sample is this test performed? Performed on blood WBC Scan: Uses Identify and localize occult inflammation or infection. Fever of unknown origin Suspected osteomyelitis IBS Determines if abnormal mass is infected West Nile Virus Testing: Indications When flu-like symptoms occur in an area which the virus exists. Sexual Assault Testing: Uses Used to obtain evidence of recent sexual assault, identify STIs, Sexual Assault Testing: After how long after assault is evidence minimal? 72 hours What is involved in sexual assault testing? Photographs of injuries Pregnancy Tests Clothes placed in a paper bag Prophylactic antimicrobial testing offered Hep B vaccine offered. In CVA: What test to do in first 24 hours? Non-contrast brain CT scan (not MRI, first). Low back pain: How long should it be for unresolved lower back pain before imaging? 6-8 weeks

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NSG 550 EXAM 3. DIAGNOSTIC
REASONING FOR NURSE
PRACTITIONERS
MRI: What does it visualize?
Anatomy including 3 main structural divisions:
Cerebrum
Brainstem
Cerebellum


MRI: What does the MRI Identify?
Benign and malignant neoplasms, edema, and herniation


What should be use to identify benign and malignant neoplasms, edema, and
herniation
MRI


What is the most accurate test to identify herniated vertebral discs?
MRI


MRA: What does it stand for?
Magnetic resonance angiography


What does an MRA visualize?

,Aterial blood flow.
Intracranial aneurysms


What if a patient cannot have an MRA, but needs one?
A carotid ultrasound can be used.


Carotid artery duplex scan: What is it used for?
To identify occlusive disease in the carotid artery or its branches.


For what types of patients is a carotid artery duplex scan recommended?
Patients with CVA, PVD, and neurologic symptoms


What are considered neurological problems?
TIA
Hemiparesis
Paresthesia
Dizziness
Syncope
Acute Speech Deficits
Acute Visual Deficits
Carotid Bruit


What kind of test is an MRA?
angiography


What kind of test is an MRI?
imaging

, What kind of test is a carotid artery duplex scan?
Ultrasound


What kind of test is a CT of brain?
Xray


When is a CT of brain indicated?
When CNS disease is indicated


What can a CT of brain diagnose?
Brain tumors, infarction, bleeding, hematomas


What can you use to diagnose crain tumors, infarction, bleeding, hematomas?
CT of brain


What test should be the initial test to obtain when a stroke is suspected?
Non-contrast CT
What kind of test is a Myelography?
Xray


What does a myelography do?
Provides radiographic visualization of the subarachnoid space of the spinal canal.
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