CMSRN exam question n answers graded A+ 2023

CMSRN examwhen does alcohol withdrawal occur - correct answer 12-48h after last drink. symptoms can begin after 4h, peak at 24-48h, last up to two weeks sundowner syndrome - correct answer symptoms at night, common in dementia but can occur without dementia, may be due to sensory overload tort - correct answer an action that wrongly causes harm to someone but is not a crime, and is dealt with in civil court. can be intentional (assault and battery) or unintentional (negligence). tort = wrongful act hydroxurea - correct answer has anti-sickle properties what is a big risk factor for sudden cardiac death/dysrhythmias - correct answer left ventricular dysfunction which compensatory mechanism in heart failure leads to inappropriate fluid retention - correct answer neurohormonal response: increases fluid retention (via aldosterone) and increases workload of heart by increasing peripheral vascular resistance what to monitor if patient has thyroidectomy - correct answer hypocalcemia-look at back of neck for signs of bleeding myxedema coma - correct answer untreated hypothyroid; sluggish/drowsy/lethargy/altered LOC, hypotension, bradypnea can be casused by infection, trauma, drugs, exposure to extreme cold what increases the chance of ventricular arrhythmia - correct answer systolic heart failure hypertensive urgency vs emergency - correct answer urgency: no end organ damage. EMERGENCY: evidence of end-organ damage, develops over hrs to days. don't decrease BP by >10% in first hour.