NR574/ NR 574 Final Exam: Acute Care Practicum Guide (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

NR574/t NRt 574t Finalt Exam:t Acutet Caret
Practicumt Guidet (Latestt 2025/t 2026t
Update)t |t Questionst &t Answers|t Gradet
A|t 100%t Correctt (Verifiedt Solutions)-t
Chamberlain

QUESTION
Managementt oft ribt fractures

Answer:
•t aggressivet multimodalityt paint control
•t Systemict narcotics
•NSAIDSt (avoidt int patientst witht renalt insufficiencyt ort renalt failure)
•t localt anesthesiat (intercostalt block)
•t regionalt anesthesiat (epiduralt block)

Elderlyt patientst witht multiplet roof,t fracturest andt poort paint controlt requiret ICUt
admissiont duet tot hight riskt oft respiratoryt compromiset event ift not othert traumat ist
present.t Include:t
-pulmonaryt hygienet (deept breathingt andt coughing,t incentivet spirometry).

QUESTION
Kehr'st sign

Answer:



QUESTION
systemict lupust erythematosust (SLE)

Answer:
Chronict autot immunet disordert thatt affectst allt oft thet majort organst oft thet body.

QUESTION
Classict triadt oft symptomst witht SLE

,Answer:
-fever
-arthralgia
-Rash

QUESTION
Clinicalt presentationt oft SLEt (general)

Answer:
-fever
-arthralgia
-Rasht (malart rash/butterflyt rash)
-Fatigue,t weakness,t malaise,t jointt pain

QUESTION
SLEt clinicalt featurest
*DOPAMINEt RASH*t mneumonic

Answer:
D-t discoidt rash
O-t oralt ulcers
P-t photosensitivity
A-t arthritis
M-t malart rasht (butterfly)
I-t immunet componentt
N-t neurologicalt symptoms
E-t t ESR
R-t renalt issues
A-t ANAt +
S-t serosotis
H-t hematologicalt conditionst (cytopenias)

QUESTION
Differentialst fort SLE

Answer:
-glomerulonephritis
-Pleuralt effusion
-cytopenia
-pericarditis

,-pleurisy
-rheumatoidt arthritis
-Mixedt connectivet tissuet disease
-Sjogren'st syndrome
-multiplet sclerosis
-malignancies

QUESTION
Diagnostict criteriat fort SLE

Answer:
Mustt includet att leastt 4️⃣t oft thet criteriat listed:t
SOAPt BRAINt MD
S-t serositist (pleuritis,t pericarditis,t peritonitis)
O-t oralt ulcerst (painless)
A-t arthralgia/arthritis
P-photosensitivity
B-bloodt disordert (anemia,t thrombocytopenia,t hemolytict anemia)t
R-t renalt involvementt (nephrotict ort nephritict disorders)
A-t ANAt +
I-immunologict phenomenont (anti-SM,t anti-t dsDNA,t Ro,t La,t anti-histone)
N-t neurologict phenomenont (AMSt seizure,t CVA,t HA)
M-t Malart rash
D-t Discoidt rash

QUESTION
Diagnostict testingt fort SLE

Answer:
ANAt +t (consideredt highlyt sensitive,t butt nott diagnostict ast mayt presentt andt othert
autoimmunet diseases)
CBCt (anemia,t thrombocytopenia,t leukocytosis,t ort leukopenia)
CRP/ESRt
kidneyt biopsyt (donet whent lupust nephritist ist at consideration)

QUESTION
Additionalt diagnosticst donet tot detectt systemict manifestationst oft SLE

Answer:
•t rheumatoidt factort (RF)
•anti-Ro/SSAt andt anti-La/SSA

, •t anti-double-strandt DNAt (anti-dsDNA)
•t EKGt andt CXRt tot evaluatet fort cardiot pulmonaryt disorders
•t Renalt functiont abnormalitiest requiret furthert testing,t liket urinet creatininet andt protein,t
andt renalt ultrasound

QUESTION
Insertiont sitet fort at chestt tubet -t pneumothorax

Answer:
5tht intercostalt space

QUESTION
Specifict treatmentt fort tensiont pneumothorax

Answer:
•Needlet decompressiont intot thet 2ndt intercostalt spacet int thet midclaviculart linet oft thet
affectedt side.
•Chestt tubet placementt intot thet 5tht intercostalt spacet ist requiredt aftert decompression.

QUESTION
Criticalt findingst oft cardiact tamponade

Answer:
-Beck'st Triad
-distendedt neckt veinst (mayt occurt witht activet hemorrhage)
-elevatedt CVP
-PEAt arrest

QUESTION
Beck'st triad

Answer:
-JVD
-Hypotensiont witht narrowt pulset pressuret
-muffledt heartt tones

QUESTION
Clinicalt findingst oft at flailt chest

Answer:
-Paradoxicalt chestt movements