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Nr 571 Midterm Study Set Exam Latest Questions And Verified Answers 100% Guaranteed Pass.docx

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NR 571 MidTerm Study Set EXAM LATEST QUESTIONS AND VERIFIED ANSWERS 100% GUARANTEED PASS.docx

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NR 571 MidTerm Study Set
EXAM LATEST QUESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS


anticholinergics for asthma - correct answer Ipratropium

Tiotropium



common CPOD co-morbidities - correct answer smoker

right heart failure

pulmonary congestion

lung cancer

cachexia



LAMAs - correct answer Aclidinium

Glycopyrrolate

Tiotropium

Umeclidinium



LABAs - correct answer Salmeterol

Formoterol



acute wounds - correct answer caused by one insult

heal in orderly fashion

,heal in less than 30 days

limited # of co-morbidities



chronic wounds - correct answer caused by more than one insult

complicated by multiple co-morbidities

become stalled in one of the phases of healing

do not heal within the normal range

may not stay healed



A hospitalized patient is noted to have an ulcer over the left ischial tuberosity. Assessment
reveals it to be partial thickness with a fluid-filled blister. The overall wound bed is red and
moist. Which of the following stages accurately reflects the provider's assessment?

a. Deep tissue injury

b Stage 2

c Stage 3

d Stage 1 - correct answer B. stage 2



Which of the following dressings would be most appropriate to absorb copious amounts of
exudative drainage from an infected decubitus ulcer?

a. Saline-soaked sterile gauze

b. Alginate

c. Hydrocolloid

d .Hydrogel - correct answer b. alginate



differentiating signs of necrotizing fasciitis - correct answer severe pain disproportionate to the
area of visible infection

bullous lesions

,fever >38 C

color change from red to purplish-blue

hard skin

crepitus

signs of shock



Differential dx for nec fasc - correct answer cellulitis

erysipelas

impentigo

abscesses

insect or spider bite



Gold standard for dx NEC fasc - correct answer tissue biopsy



Imaging for NEC fasc - correct answer DO NOT delay tx for imaging

MRI

CT

US



LRINEC score is for what? - correct answer differentiation of severe cellulitis or abscess from NF



What is evaluated in the LRINEC score? - correct answer CRP, WBC, Hgb, Na, Cr, and Glucose



High risk for NF - correct answer LRINEC score above 6



Which of the following patients is at the highest risk for necrotizing fasciitis?

, a. A 60 year-old male with a past medical history of traumatic leg fracture 2 years ago.

b. A 46 year-old male with a past medical history of HIV presenting with acute low back pain.

c. A 39 year-old female treated for cellulitis from a spider bite who clinically improves within the
1st 24 hours of antibiotic administration.

d. A 65 year-old obese female with a past medical history of obesity, diabetes, and hypertension
who underwent an open cholecystectomy 2 days ago. - correct answer d. A 65 year-old obese
female with a past medical history of obesity, diabetes, and hypertension who underwent an
open cholecystectomy 2 days ago.



What is the most distinguishing feature of necrotizing fasciitis?

a. Increased drainage and odor from the wound

b. Pain disproportionate to the clinical presentation

c. Erythema and edema

d. Fever - correct answer b. Pain disproportionate to the clinical presentation



All of the following are true statements regarding necrotizing fasciitis, except:

a. Infection may be due to a monomicrobial or polymicrobial pathogen

b. The infection has a slow progression (weeks to months)

c. Visible, necrotizing skin, may not be apparent

d. Diabetes and chronic kidney disease are risk factors - correct answer b. The infection has a
slow progression (weeks to months)



Differential for osteomyelitis - correct answer Cellulitis

Diabetic ulcer

TB bone infection

Metastatic cancer



Diagnostic testing for osteomyelitis - correct answer Bld Cx

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