KNOWLEWDGE_CHECK___Week_3.pdf.pdf

NRNP 6560: Advanced Care of Adults in Acute Settings III
Week 3: Assessment and Care of Patients With Immunologic,
Autoimmune, and Transplant-Related Conditions
Knowledge Check


QUESTION 1
What is the correct dosage of prednisone for serious systemic lupus manifestations?
Prednisone 40 to 60 mg PO daily is often needed for serious systemic lupus
manifestations.

QUESTION 2
What is the 30-day mortality rate for the patient experiencing troponin elevation during
noncardiac surgery?
Incidence of myocardial injury after noncardiac surgery (MINS) ranges between 8
and 19 percent. MI accounts for about 40 percent of MINS when a non-high sensitivity cTn
is evaluated, and about 20 to 30 percent of these events when a high sensitivity cTn (hs-
cTn) assay is used.

QUESTION 3
Exercise capacity, or functional capacity, is an essential component of preoperative risk
stratification.
o True
o False

QUESTION 4
Identify the five major management strategies for subluxations and dislocations.
• Management for subluxations
- Early reduction
- Examination of peripheral pulses
- Immobilization
- Physical therapy
- NSAIDS preferred for pain and swelling
- Orthopedic consult if fracture is present
• Management for dislocations
- Early anatomic reduction is essential
- Post-reduction immobilization
- Examine vascular and motor/sensory exam after immobilization
- Surgical repair of ligamentous structures
- Physical therapy
- Occupational therapy
- Use of NDAIDs


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