Terms in this set (531)
15 year old patient with DMI reports increased BG in Increase the insulin dosage at bedtime
AM. The ACNP determines hyperglycemia is d/t dawn
phenomenon? What should you do to his tx regimen?
23 yo female presents with DKA. Abg pH 7.3, glucose c. sodium bicarbonate
520, BP 90/65, HR 120, and she is confused. Which of
the following are not included in the initial Only indicated for DKA if pH <7.1
management of DKA?
a. isotonic fluids
b. insulin infusion
c. sodium bicarbonate
d. supportive care
24 yo male presents with DKA. He is now confused and 1/2 NS because BG>500
irritable. AbgL 7.29/33/22. Received isotonic fluids x 1
hour, BP 110/70, HR 90. Blood glucose is 550. What is
the best IV fluid indicated?
,25yo female presents with green vaginal discharg,e Gonorrhea
what is the diagnosis?
28 yo female presents with fever, malaise, rash across SLE
the back and splinter hemorrhages, Hgb 10, positive
ANA, UA, proteinuria, and elevated ESR. What is the
suspected diagnosis?
31 yo male with a blowing murmur occurring during S1 Mitral regurgitation
and galloping addition heart sound. Mumur is heard
best at the base of the heart. What is MM?
32yo M presented with a gunshot wound (GSW) to the Report to the police. All GSW must be reported
FA. Injuries are negligible and pt is stable. Pt reports
the shot was an accident during hunting. What should
the NP do?
,A 32 yo patient who underwent an open splenectomy F/u with PCP for vaccinations
for a ruptured spleen is preparing for discharge. An
ACNp review the potential complications with the
patient. The NP emphasizes which instruction to the
patient?
32 yo presents with c/o fever, night sweats, and Hodgkin's lymphoma
unexplained weight loss. Upon exam you note a
swollen cervical lymph node. A subsequent CXR
reveals mediastinal adenopathy. What is the diagnosis?
A 34 year old female presents to the ED with severe b. strain the urine immediately
flank pain, nausea, and vomiting. The patient states she
had trouble urinating before the onset of her other s/s. She may past stone on her own
A CT scan reveals a 2.5 mm stone in the L kidney just
above the upper ureter. Which course of action is most
appropriate?
a. give IVF
b. strain the urine immediately
c. schedule lithotripsy
, 35yo Asian american is in good health. He is worried Unintentional injury (if he's African american, it's homicide <35 a
about life prolonging measures. What is the most likely disease at 35)
cause of death for a man like him?
35yo F presents with c/o bilateral wrist pain. You Call security to ensure safety
suspect spouse abuse. You notice a handgun in her
purse. What would be your next action?
A 36yo patient who has a history of asthma comes to c. methylprednisolone
the Ed in a fatigued state. She has difficulty speaking
d/t respiratory distress but is able to explain that she is
recovering from a cold, but her s/s are so severe that
she came into the ED. HR is 118, FVC WDL, FEV 1 45% of
expected value. You order metaproterenol 0.3 mL in 5%
solution, but the patient does not respond. Now what?
a. aqueous epinephrine
b. albuterol
c. methylprednisolone
d. montelukast
15 year old patient with DMI reports increased BG in Increase the insulin dosage at bedtime
AM. The ACNP determines hyperglycemia is d/t dawn
phenomenon? What should you do to his tx regimen?
23 yo female presents with DKA. Abg pH 7.3, glucose c. sodium bicarbonate
520, BP 90/65, HR 120, and she is confused. Which of
the following are not included in the initial Only indicated for DKA if pH <7.1
management of DKA?
a. isotonic fluids
b. insulin infusion
c. sodium bicarbonate
d. supportive care
24 yo male presents with DKA. He is now confused and 1/2 NS because BG>500
irritable. AbgL 7.29/33/22. Received isotonic fluids x 1
hour, BP 110/70, HR 90. Blood glucose is 550. What is
the best IV fluid indicated?
,25yo female presents with green vaginal discharg,e Gonorrhea
what is the diagnosis?
28 yo female presents with fever, malaise, rash across SLE
the back and splinter hemorrhages, Hgb 10, positive
ANA, UA, proteinuria, and elevated ESR. What is the
suspected diagnosis?
31 yo male with a blowing murmur occurring during S1 Mitral regurgitation
and galloping addition heart sound. Mumur is heard
best at the base of the heart. What is MM?
32yo M presented with a gunshot wound (GSW) to the Report to the police. All GSW must be reported
FA. Injuries are negligible and pt is stable. Pt reports
the shot was an accident during hunting. What should
the NP do?
,A 32 yo patient who underwent an open splenectomy F/u with PCP for vaccinations
for a ruptured spleen is preparing for discharge. An
ACNp review the potential complications with the
patient. The NP emphasizes which instruction to the
patient?
32 yo presents with c/o fever, night sweats, and Hodgkin's lymphoma
unexplained weight loss. Upon exam you note a
swollen cervical lymph node. A subsequent CXR
reveals mediastinal adenopathy. What is the diagnosis?
A 34 year old female presents to the ED with severe b. strain the urine immediately
flank pain, nausea, and vomiting. The patient states she
had trouble urinating before the onset of her other s/s. She may past stone on her own
A CT scan reveals a 2.5 mm stone in the L kidney just
above the upper ureter. Which course of action is most
appropriate?
a. give IVF
b. strain the urine immediately
c. schedule lithotripsy
, 35yo Asian american is in good health. He is worried Unintentional injury (if he's African american, it's homicide <35 a
about life prolonging measures. What is the most likely disease at 35)
cause of death for a man like him?
35yo F presents with c/o bilateral wrist pain. You Call security to ensure safety
suspect spouse abuse. You notice a handgun in her
purse. What would be your next action?
A 36yo patient who has a history of asthma comes to c. methylprednisolone
the Ed in a fatigued state. She has difficulty speaking
d/t respiratory distress but is able to explain that she is
recovering from a cold, but her s/s are so severe that
she came into the ED. HR is 118, FVC WDL, FEV 1 45% of
expected value. You order metaproterenol 0.3 mL in 5%
solution, but the patient does not respond. Now what?
a. aqueous epinephrine
b. albuterol
c. methylprednisolone
d. montelukast
