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Nurs 5463 Test 1 With Correct Answers...

A 63-year-old man has a 4-minute period of documented expressive aphasia that completely resolved. A workup reveals 70% left internal carotid stenosis and a 50% right internal carotid stenosis. In addition to best medical management, which of the following is the most appropriate treatment? - A. Left CEA An 84-year-old woman has diabetes and congestive heart failure that is refractory to medical treatment. A right carotid bruit is detected on physical examination. A duplex study suggests a ...

Atypical s/s of AMI in older adults - Answer-diaphoresis, SOB, N/V, AMS, syncope What differential diagnoses are most important when presenting with chest pain? - Answer-AMI, PE, PTX, aortic dissection, esophageal rupture What is considered ST elevation in men and women? - Answer-Men = 2mm Women = 1.5mm OR new LBBB in 2 leads Which troponin is more specific? I or T? - Answer-Troponin I is more specific How often to check troponins? - Answer-Q6h What 2 things can exclude PE? - Answer-Nega...

Beta-lactams - *Penicillins, Cephalosporins, Monobactams, Carbapenems* - All have beta lactam ring in their structure - Bactericidal - MoA: Cell wall synthesis inhibitors; inhibit the production of enzymes that stabilize the cell wall. Water moves into the hypertonic bacteria and bursts it Naturally Occurring Penicillin - *Penicillin G, Penicillin V* - Gram + cocci (excluding staphylococci & most enterococci) - Gram + rods including anaerobes and spirochetes - Neisseria spp. except penic...

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