NURS 5463 ACTUAL FINAL ALL EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔Requirements for rehab - ✔✔tolerate 3h of rehab per day
✔✔Requirements for SNF placement - ✔✔qualifying event that precedes a 3-night
hospital admission
✔✔Requirements for home health - ✔✔must be home bound
✔✔Anticipated LOS for obs patients - ✔✔< 48h
✔✔What to document if need to transition from obs to inpatient - ✔✔"anticipated LOS is
greater than 48 hours"
✔✔Electrolyte abnormalities that warrant admission - ✔✔K < 3 w/o clear etiology
Na < 120 w neuro s/s
Ca > 10 w AMS
Phos < 2.5
✔✔Willingness of hospital staff to openly communicate concerns about patient care on
their units - ✔✔Safety culture
, ✔✔Respond, report, investigate, communicate, performance improvement, follow-up -
✔✔Principles approach to patient harm
✔✔Order of surrogacy - ✔✔1. Spouse or domestic partner
2. Adult child, parent, or sibling
3. Close friend
✔✔Pts complete this with their MD when they have a 1 yr life expectancy -
✔✔Physician Orders for Life-Sustaining Treatment (POLST)
✔✔Sedation that is for relief of heightened anxiety and does not reduce consciousness
- ✔✔Ordinary sedation
✔✔Sedation that reduces awareness of distressing symptoms, but is a minimum dose
so they can still interact with people - ✔✔Proportionate sedation
✔✔Using a medication where potential outcome is good (relief of a symptom) but there
can also be an undesired second effect (death) - ✔✔Doctrine of double effect
✔✔What are the 3 types of medical ineffectiveness? - ✔✔Physiologic futility
Qualitative futility
Quantitative futility
✔✔Medically certain that is impossible to achieve a physiologic effect - ✔✔Physiologic
futility
✔✔Patient's physiology may improve, but there is no patient-centered benefit -
✔✔Qualitative futility
✔✔Intervention has not worked in similar patients - ✔✔Quantitative futility
✔✔ Atypical s/s of AMI in older adults - ✔✔diaphoresis, SOB, N/V, AMS, syncope
✔✔What differential diagnoses are most important when presenting with chest pain? -
✔✔AMI, PE, PTX, aortic dissection, esophageal rupture
✔✔What is considered ST elevation in men and women? - ✔✔Men = 2mm
Women = 1.5mm
OR new LBBB in 2 leads
✔✔Which troponin is more specific? I or T? - ✔✔Troponin I is more specific
✔✔How often to check troponins? - ✔✔Q6h
QUESTIONS AND ANSWERS SURE A+
✔✔Requirements for rehab - ✔✔tolerate 3h of rehab per day
✔✔Requirements for SNF placement - ✔✔qualifying event that precedes a 3-night
hospital admission
✔✔Requirements for home health - ✔✔must be home bound
✔✔Anticipated LOS for obs patients - ✔✔< 48h
✔✔What to document if need to transition from obs to inpatient - ✔✔"anticipated LOS is
greater than 48 hours"
✔✔Electrolyte abnormalities that warrant admission - ✔✔K < 3 w/o clear etiology
Na < 120 w neuro s/s
Ca > 10 w AMS
Phos < 2.5
✔✔Willingness of hospital staff to openly communicate concerns about patient care on
their units - ✔✔Safety culture
, ✔✔Respond, report, investigate, communicate, performance improvement, follow-up -
✔✔Principles approach to patient harm
✔✔Order of surrogacy - ✔✔1. Spouse or domestic partner
2. Adult child, parent, or sibling
3. Close friend
✔✔Pts complete this with their MD when they have a 1 yr life expectancy -
✔✔Physician Orders for Life-Sustaining Treatment (POLST)
✔✔Sedation that is for relief of heightened anxiety and does not reduce consciousness
- ✔✔Ordinary sedation
✔✔Sedation that reduces awareness of distressing symptoms, but is a minimum dose
so they can still interact with people - ✔✔Proportionate sedation
✔✔Using a medication where potential outcome is good (relief of a symptom) but there
can also be an undesired second effect (death) - ✔✔Doctrine of double effect
✔✔What are the 3 types of medical ineffectiveness? - ✔✔Physiologic futility
Qualitative futility
Quantitative futility
✔✔Medically certain that is impossible to achieve a physiologic effect - ✔✔Physiologic
futility
✔✔Patient's physiology may improve, but there is no patient-centered benefit -
✔✔Qualitative futility
✔✔Intervention has not worked in similar patients - ✔✔Quantitative futility
✔✔ Atypical s/s of AMI in older adults - ✔✔diaphoresis, SOB, N/V, AMS, syncope
✔✔What differential diagnoses are most important when presenting with chest pain? -
✔✔AMI, PE, PTX, aortic dissection, esophageal rupture
✔✔What is considered ST elevation in men and women? - ✔✔Men = 2mm
Women = 1.5mm
OR new LBBB in 2 leads
✔✔Which troponin is more specific? I or T? - ✔✔Troponin I is more specific
✔✔How often to check troponins? - ✔✔Q6h
