NR 667 VISE (Actual) Exam Latest Updated Graded A+

a 4 mos. old is suspected of having developmental dysplasia of the hip. what test would best assess for this? - ANS Galeazzi and Klisic: limited abduction and apparent thigh length discrepency is a better indicator of DDH than is instability after 3 months of age, Barlow and Ortolani maneuvers are tests used to test hip instability in newborns until approx. 3 months old. Trendelenburg pelvic test is to test for walking age children to test for hip weakness and is characterized by unilateral hip dyspleasia. which mitral disorder results from redundancy of the mitral valve leaflet? - ANS mitral valve prolapse. Most common . adult murmur. Valves annulus becomes enlarged in conjunction with elongated chordae tendonae (this is degeneration of the mitral tissue. serum ferritin - ANS demonstrates the amount of iron in storage. helpful in evaluating pts being treated for iron deficiency anemia. a patient with aortic stenosis has been asymptomatic for decades and begins c/o some dizziness c activity w/o chest pain or sob. - ANS refer to cardiology; be alert for s/s that precede syncope. dizziness precedes syncompe, and the patient is now presenting with symptoms of aortic stenosis. A patient taking candesartan should avoid - ANS K+ supplements. Candesartan can produce hyperkalemia because the MOA spares K+. A patient taking long actin basal insulin has elevated blood glucose. What blood sugars are important to evaluae and base insulin changes on - ANS AM fasting. . basal insulin mimics steady stream of insulin produced by the pancrease throughout day. Should be based off of fastin AM glucose check. The other blood sugars reflect blood sugar in reflection to meals. hyperthyroidism may affect bp by increase SBP and DBP. It is also a common cause of secondary HTN other Endocrine disorders that do the same are: - ANS Pheochromocytoma, Cushings syndrome, neuroblastoma. all of these are causes of secondary HTN. An immune response to Strep A infection of the hear are - ANS rheumatic fever. Can also affect CNS and joints. most common age group affected is 5-15 yo. Residual affects not felt until decades later. At what age should hearing screening be performed on older adults according to Assessing Care in Vulnerable Elders - ANS 75 yo. completed at initial evaluation, if fails needs referral to audiology. Correlation with compliance with heawring aids.An adult has UR sx and cough x 14 days. what should be considered? - ANS Pertussis should be considered any time there is an acute cough for greater than 5 days. incubation period is about 7-10 days. Classic paroxysmal sign is a cough that starts in the seond