NR 667 / NR667 FNP Capstone Practicum and Intensive Final exam | Rated A | Questions and Answers | Latest | Chamberlain College

NR 667 / NR667 FNP Capstone Practicum and Intensive Final exam | Rated A | Questions and Answers | Latest | Chamberlain College 1. A 3 day old infant has a bilirubin level of 16mg/dl. what should be done? - Initiate phototherapy. This level is considered high intermediate; because it is expected the bilirubin level will rise in the next few days, phototherapy is most appropriate. 2. Leukemia may have varied clinical presentation. What presentation would be unusual to have in a leukemia patient? - sickle shaped cells; Leukemia is characterized by failure in the bone marrow. Sickle cell anemia would not be observed unless they also had SCA 3. serum ferritin - demonstrates the amount of iron in storage. helpful in evaluating pts being treated for iron deficiency anemia. 4. a patient with aortic stenosis has been asymptomatic for decades and begins c/o some dizziness c activity w/o chest pain or sob. - 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. 5. A patient taking candesartan should avoid - K+ supplements. Candesartan can produce hyperkalemia because the MOA spares K+. 6. A patient taking long actin basal insulin has elevated blood glucose. What blood sugars are important to evaluae and base insulin changes on - 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. 7. 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: - Pheochromocytoma, Cushings syndrome, neuroblastoma. all of these are causes of secondary HTN. 8. An immune response to Strep A infection of the hear are - rheumatic fever. Can also affect CNS and joints. most common age group affected is 5-15 yo. Residual affects not felt until decades later.