NURS 6550 Midterm Review
1 out of one factors
The "MONA" acronym gives guidance for immediate interventions in the patient with: -
ANS-Acute Coronary Syndrome.
Morphine Oxygen Nitrates Aspirin
Correct Order: ANOM
three doses of nitro max
A 15 yo M affords to the ER complaining of intense throat ache. Upon bodily examination he's
febrile with a temperature of 102.4° F and he's a bit tachycardic, however other essential
symptoms or everyday. Inspection of the throat is essentially unremarkable—the AGACNP does
no longer respect any abscesses, edema, or exudate; there may be some slight erythema. The
AGACNP becomes suspicious that the affected person has: - ANS-Epiglottitis
Patient needs immediately intubation.
A 26-year-vintage lady affected person being evaluated for eye discharge. She says that for the
last few days she has evolved this sticky, string-like discharge in each eyes. She denies any
ache or visual modifications, however does admit to a sense of "something in my eyes" and that
her eyes itch plenty. Physical examination reveals injected conjunctiva, rope-like discharge
bilaterally; student reaction is identical and brisk in both eyes. Which component inside the
patient's records could be supportive of the maximum in all likelihood diagnosis? -
ANS-Symptoms going on bilaterally helps the dx of allergic conjunctivitis.
A 31-12 months-antique male affords to pressing care because he has some thing in his eye.
He was changing the oil underneath his car and says that some thing dropped into his eye. He
isn't always having any pain, in reality he waited an afternoon before coming in due to the fact
he notion it'd work itself out. Physical exam famous a black 1 mm foreign frame visible at the
corneal surface. The maximum appropriate intervention is to: - ANS-Attempt to cast off the
overseas frame with a saline soaked sterile swab considering that it is visible on exam.
A 36-yr-vintage lady presents complaining of left leg swelling. She describes the onset as acute
over the last day or , and says it feels "tight and throbbing." She denies any huge scientific
records and says the handiest remedy she takes is oral birth control, which she has taken in
view that she changed into 15 years antique. The AGACNP first orders: - ANS-A d-dimer take a
look at.
(Least invasive/high priced)
A 36-yr-antique male patient who gives for remedy of eye pain. He has no enormous clinical
history and does not take any every day or over the counter medicinal drugs. His simplest latest
history is nighttime allergies for which he takes occasional diphenhydramine with precise relief.
, He has had a few throbbing in his eye for the previous couple of days on and stale but simply
left out it; nowadays he says it's far flat out painful and he had to come to the emergency
branch. The eye is throbbing and painful, and he reports generalized reduced imaginative and
prescient. The student is dilated to five mm and non-reactive to light. The eye conjunctiva is
reddened. The next step in the diagnostic assessment must be: - ANS-Assessment of
intraocular stress thru tonometry to verify angle closure glaucoma prognosis.
A forty one-12 months-antique male patient is inside the extensive care unit with septic surprise
and has been aggressively managed with vast spectrum antibiotics. He has come to be steadily
hypoxemic and the closing arterial blood gas revealed a paO2 of fifty eight mm Hg. Chest
radiography reveals a "white out" pattern bilaterally. The patient is intubated and ventilated. The
AGACNP knows that suitable management have to encompass - ANS-Adjust the PEEP
because the affected person is experiencing ARDS
A 49-12 months-antique male is being controlled for an acute myocardial infarction. He
develops large shortness of breath at relaxation and coarse rales 2/3 up bilaterally. The
AGACNP suspects acute pulmonary edema because of papillary muscle rupture and acute
mitral valve regurgitation. Which physical locating could help this locating? - ANS-A systolic
murmur auscultated at the 5th ICS, midclavicular line.
A fifty five-year-old woman patient offers with a fever of 103.4° F. She turned into treated
approximately 10 days in the past at pressing take care of a sinus contamination, however two
days ago the proper facet of her face began to hurt, and nowadays she has sizable swelling of
the right orbit and eyelid. The eyelid could be very edematous and there's purulent drainage
noted. The precedence of care for this patient begins with: - ANS-Initiating antibiotic therapy to
cowl streptococcus pneumoniae for orbital cellulitis.
Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
A 55-year-vintage woman presents with acute onset left sided facial pain and an lack of ability to
transport the left aspect of her face. She can't smile, boost her eyebrow or maybe close her left
eye, The immediately approach to this patient have to consist of: - ANS-Corticosteroids
She has Bell's Palsy
A 66 yo M patient is admitted for control of an acute anterior wall myocardial infarction. Over a
length of hours he has advanced acute shortness of breath, coarse rales to auscultation, and
Kerley B strains on chest radiography. Arterial blood gas exhibits a pH of seven.34, pCO2 of 30
mm Hg, and paO2 of 59 mm Hg. The AGACNP anticipates which of the following findings on
bodily examination? - ANS-S3 coronary heart sounds which suggests acute left ventricular
overload.
Patient has acute pulmonary edema.
A 69-12 months-vintage woman is being discharged from the health facility after complications
following a beauty surgical operation. She is essentially in precise health. She has a history of
hypothyroidism for which she takes levothyroxine each day, and mild osteoarthritis which is
1 out of one factors
The "MONA" acronym gives guidance for immediate interventions in the patient with: -
ANS-Acute Coronary Syndrome.
Morphine Oxygen Nitrates Aspirin
Correct Order: ANOM
three doses of nitro max
A 15 yo M affords to the ER complaining of intense throat ache. Upon bodily examination he's
febrile with a temperature of 102.4° F and he's a bit tachycardic, however other essential
symptoms or everyday. Inspection of the throat is essentially unremarkable—the AGACNP does
no longer respect any abscesses, edema, or exudate; there may be some slight erythema. The
AGACNP becomes suspicious that the affected person has: - ANS-Epiglottitis
Patient needs immediately intubation.
A 26-year-vintage lady affected person being evaluated for eye discharge. She says that for the
last few days she has evolved this sticky, string-like discharge in each eyes. She denies any
ache or visual modifications, however does admit to a sense of "something in my eyes" and that
her eyes itch plenty. Physical examination reveals injected conjunctiva, rope-like discharge
bilaterally; student reaction is identical and brisk in both eyes. Which component inside the
patient's records could be supportive of the maximum in all likelihood diagnosis? -
ANS-Symptoms going on bilaterally helps the dx of allergic conjunctivitis.
A 31-12 months-antique male affords to pressing care because he has some thing in his eye.
He was changing the oil underneath his car and says that some thing dropped into his eye. He
isn't always having any pain, in reality he waited an afternoon before coming in due to the fact
he notion it'd work itself out. Physical exam famous a black 1 mm foreign frame visible at the
corneal surface. The maximum appropriate intervention is to: - ANS-Attempt to cast off the
overseas frame with a saline soaked sterile swab considering that it is visible on exam.
A 36-yr-vintage lady presents complaining of left leg swelling. She describes the onset as acute
over the last day or , and says it feels "tight and throbbing." She denies any huge scientific
records and says the handiest remedy she takes is oral birth control, which she has taken in
view that she changed into 15 years antique. The AGACNP first orders: - ANS-A d-dimer take a
look at.
(Least invasive/high priced)
A 36-yr-antique male patient who gives for remedy of eye pain. He has no enormous clinical
history and does not take any every day or over the counter medicinal drugs. His simplest latest
history is nighttime allergies for which he takes occasional diphenhydramine with precise relief.
, He has had a few throbbing in his eye for the previous couple of days on and stale but simply
left out it; nowadays he says it's far flat out painful and he had to come to the emergency
branch. The eye is throbbing and painful, and he reports generalized reduced imaginative and
prescient. The student is dilated to five mm and non-reactive to light. The eye conjunctiva is
reddened. The next step in the diagnostic assessment must be: - ANS-Assessment of
intraocular stress thru tonometry to verify angle closure glaucoma prognosis.
A forty one-12 months-antique male patient is inside the extensive care unit with septic surprise
and has been aggressively managed with vast spectrum antibiotics. He has come to be steadily
hypoxemic and the closing arterial blood gas revealed a paO2 of fifty eight mm Hg. Chest
radiography reveals a "white out" pattern bilaterally. The patient is intubated and ventilated. The
AGACNP knows that suitable management have to encompass - ANS-Adjust the PEEP
because the affected person is experiencing ARDS
A 49-12 months-antique male is being controlled for an acute myocardial infarction. He
develops large shortness of breath at relaxation and coarse rales 2/3 up bilaterally. The
AGACNP suspects acute pulmonary edema because of papillary muscle rupture and acute
mitral valve regurgitation. Which physical locating could help this locating? - ANS-A systolic
murmur auscultated at the 5th ICS, midclavicular line.
A fifty five-year-old woman patient offers with a fever of 103.4° F. She turned into treated
approximately 10 days in the past at pressing take care of a sinus contamination, however two
days ago the proper facet of her face began to hurt, and nowadays she has sizable swelling of
the right orbit and eyelid. The eyelid could be very edematous and there's purulent drainage
noted. The precedence of care for this patient begins with: - ANS-Initiating antibiotic therapy to
cowl streptococcus pneumoniae for orbital cellulitis.
Antibx: Clindamycin or Bactrim PLUS Augmentin or Cefdinir
A 55-year-vintage woman presents with acute onset left sided facial pain and an lack of ability to
transport the left aspect of her face. She can't smile, boost her eyebrow or maybe close her left
eye, The immediately approach to this patient have to consist of: - ANS-Corticosteroids
She has Bell's Palsy
A 66 yo M patient is admitted for control of an acute anterior wall myocardial infarction. Over a
length of hours he has advanced acute shortness of breath, coarse rales to auscultation, and
Kerley B strains on chest radiography. Arterial blood gas exhibits a pH of seven.34, pCO2 of 30
mm Hg, and paO2 of 59 mm Hg. The AGACNP anticipates which of the following findings on
bodily examination? - ANS-S3 coronary heart sounds which suggests acute left ventricular
overload.
Patient has acute pulmonary edema.
A 69-12 months-vintage woman is being discharged from the health facility after complications
following a beauty surgical operation. She is essentially in precise health. She has a history of
hypothyroidism for which she takes levothyroxine each day, and mild osteoarthritis which is
