NURS 6550 Midterm Exam 1

Question I1 1 Iout Iof I1 Ipoints The IAGACNP Iis Icaring Ifor Ia Ipatient Iwho Iis Iquite Iill Iand Ihas Ideveloped, Iamong Iother Ithings, Ia Ilarge Iright Isided Ipleural Ieffusion. IThoracentesis Iis Isent Ifor Ipleural Ifluid Ianalysis. IWhile Ievaluating Ithe Ifluid Ianalysis, Ithe IAGACNP Iknows Ithat Ia Ifluid Iidentified Ias Ia(n) I__________ Iis Ithe Ileast Iworrisome Itype. Response IFeedback: “A” Iis Ithe Icorrect Ianswer. IA Itransudate Iis Iessentially Ijust Iwater Iand Ican Ioccur Ias Ia Iconsequence Iof Iincreased Ihydrostatic Ipressure Iin Ithe Ipulmonary Ivessels. IIt Itypically Iimplies Ithat Ithe Isome Icondition Ihas Iproduced Ian Iimbalance Iin Icolloid-hydrostatic Ipressures, Isuch Ias ICHF Ior Ihypoalbuminemia. IWhile Iit Ican Irepresent Ia Iserious Iproblem, Iit Imay Ialso Irepresent Ia Itransient Iimbalance. IConversely, I“B” Iis Inot Icorrect Ias Ian Iexudate Ihas Imore Iprotein Iin Iit Iand Iimplies Ia Icondition Icharacterized Iby Iprotein Ileaking Ifrom Ivessels, Isuch Ias Ia Imalignancy Ior Isome Iserious Isystemic Istressor. I“C” Iis Inot Icorrect—a Ichyliform Ieffusion Iis Icharacterized Iby Ifat Iand Iindicates Ia Ipathology Icausing Imassive Itriglyceride Idegradation. I“D” Iis Inot Icorrect Ias Ia Ihemorrhagic Ieffusion Iis Iblood Iand Itypically Imeans Itraumatic Iinjury. • Question I2 1 Iout Iof I1 Ipoints Mrs. IMiller Iis Itransported Ito Ithe Iemergency Idepartment Iby Iparamedics. IShe Iis Ihaving Iprofound, Iunremitting Ichest Ipain, Iis Idiaphoretic Iand Ipale. IShe Ihas Ijugular Ivenous Idistention Iand Ia Iwidened Ipulse Ipressure. ISuspecting Iascending Iaortic Ianeurysm, Ithe IAGACNP Iorder Iwhich Itest Ito Iconfirm Ithe Idiagnosis? Response IFeedback: “D” Iis Ithe Icorrect Ianswer. IIt Iis Ithe Imost Iwidely Iused Idiagnostic Itool Ias Iit Irapidly Iand Iprecisely Ican Ioutline Ithe Ithoracic Iand Iabdominal Iaorta. I“A” Iis Inot Ithe Icorrect Ianswer—there Iare Iradiographic Ifindings Ithat Isuggest Ithoracic Ianeurysm, Ibut Ithey Ineed Iconfirmation Iby ICT. I“B” Iis Inot Ithe Icorrect Ianswer Ias Iultrasound Iis Inot Inearly Ias Iprecise Ias Ia ICT Iscan. I“C” Iis Inot Icorrect—MRI Iis Ionly Iindicated Iwhen Ithe Ipatient Icannot Ihave Ia Icontrast ICT.