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NURS 5463 (NURS5463) Test 1 with precise detailed answers

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NURS 5463 (NURS5463) Test 1 with precise detailed answers

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NURS 5463 (NURS5463) Test 1 |! |! |! |! |!




with precise detailed answers |! |! |!




Atypical s/s of AMI in older adults - Correct answer ✔diaphoresis, SOB, N/V,
|! |! |! |! |! |! |! |! |! |! |! |! |!




AMS, syncope |!




What differential diagnoses are most important when presenting with chest
|! |! |! |! |! |! |! |! |! |!




pain? - Correct answer ✔AMI, PE, PTX, aortic dissection, esophageal rupture
|! |! |! |! |! |! |! |! |! |!




What is considered ST elevation in men and women? - Correct answer ✔Men
|! |! |! |! |! |! |! |! |! |! |! |!




= 2mm
|! |!




Women = 1.5mm |! |!




OR new LBBB in 2 leads
|! |! |! |! |!




Which troponin is more specific? I or T? - Correct answer ✔Troponin I is
|! |! |! |! |! |! |! |! |! |! |! |! |! |!




more specific |!




How often to check troponins? - Correct answer ✔Q6h
|! |! |! |! |! |! |! |!




What 2 things can exclude PE? - Correct answer ✔Negative DDIMER & low
|! |! |! |! |! |! |! |! |! |! |! |! |!




Wells score |!




Paradoxical abd movement during inspiration indicates... - Correct answer
|! |! |! |! |! |! |! |! |!




✔impending respiratory failure...indicates fatigue |! |! |!

, If a pt c/o dyspnea, it's always important to determine if... - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |!




✔they have a problem with gas exchange
|! |! |! |! |! |!




Hypoxia - Correct answer ✔Reduced level of tissue oxygenation
|! |! |! |! |! |! |! |!




Hypoxemia - Correct answer ✔decrease in partial pressure of oxygen in the
|! |! |! |! |! |! |! |! |! |! |! |!




blood



Causes of hypoventilation? Treatment? - Correct answer ✔CNS dep, narcs,
|! |! |! |! |! |! |! |! |! |!




obesity, A-a gradient, elevated CO2.....corrects with oxygen
|! |! |! |! |! |!




Most common cause of hypoxia - Correct answer ✔VQ mismatch
|! |! |! |! |! |! |! |! |!




Causes of VQ mismatch - Correct answer ✔COPD, asthma, ILD, PNA,
|! |! |! |! |! |! |! |! |! |! |!




increased A-a gradient |! |!




Does VQ mismatch improve with O2? - Correct answer ✔Yes
|! |! |! |! |! |! |! |! |!




Causes of right to left shunt? - Correct answer ✔anatomic (heart problems),
|! |! |! |! |! |! |! |! |! |! |! |!




physiologic (PNA, ARDs, atelectasis) |! |! |!




Does right to left shunt respond to oxygen? - Correct answer ✔difficult to
|! |! |! |! |! |! |! |! |! |! |! |! |!




correct with O2 |! |!

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