EXCELLENTSCORES

NRNP 6531 Final exam (Answered) An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? Abdominal aortic a...

NRNP 6566 final prep 6-12 Normal pH 7.35-7.45 <7.35 Acid >7.45 alkalosis respiratory aklalosis pH> 7.45, PaC02 low, HC03 low respiratory acidosis pH < 7.35 PaCO2 > 45 Hc03 normal 22-26 Metabolic alkalosis pH > 7.45 HCO3 > 26 PaC02 45-35 normal oxygen levle 80-100 mild hypoxemia 60-80 moderate hypoxemia 40-60 severe hypoxemia <40 A-a gradiatian calculation is a calculation of what? level of hypoxia PA02-Pa02 A-a gradiant varies with age, calcula...

NRNP 6566 Mid-term Study Guide Week 1 to 5 Week 1 1. Describe the cytochrome P450 system. Describe how inducers and inhibitors affect the cytochrome system and how that affects the half-life of medications. Cytochromes P450 (CYPs) are a superfamily of enzymes containing heme as a cofactor that function as monooxygenases. In mammals, these proteins

NRNP 6531 Final exam (Answered) An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? Abdominal aortic a...

NRNP 6566 final prep 6-12 Normal pH 7.35-7.45 <7.35 Acid >7.45 alkalosis respiratory aklalosis pH> 7.45, PaC02 low, HC03 low respiratory acidosis pH < 7.35 PaCO2 > 45 Hc03 normal 22-26 Metabolic alkalosis pH > 7.45 HCO3 > 26 PaC02 45-35 normal oxygen levle 80-100 mild hypoxemia 60-80 moderate hypoxemia 40-60 severe hypoxemia <40 A-a gradiatian calculation is a calculation of what? level of hypoxia PA02-Pa02 A-a gradiant varies with age, calcula...

NRNP 6566 Mid-term Study Guide Week 1 to 5 Week 1 1. Describe the cytochrome P450 system. Describe how inducers and inhibitors affect the cytochrome system and how that affects the half-life of medications. Cytochromes P450 (CYPs) are a superfamily of enzymes containing heme as a cofactor that function as monooxygenases. In mammals, these proteins oxidize steroids, fatty acids, and xenobiotics, and are important for the clearance of various compounds, as well as for hormone synthesis and br...

NRNP 6540 Week 10 Focus SOAP Note- Musculoskeletal/Neurological Jamie Boggs NRNP 6540 Dr. Petko Walden University May 10, 2021 Week 10 Focused SOAP Note- Musculoskeletal/Neurological Patient Information: M.L., 66 y.o., Male, Hispanic S (subjective) CC (chief complaint): Acute aphasia, right facial droop, and right-sided weakness. HPI (history of present illness): M.L., is a 66 y.o., Hispanic, male who presents to the ED after EMS was called by a co-worker for acute ...

NRNP 6566 Knowledge Check Week 3 Amiodarone has possible complex interactions with multiple medications. It has an effect on warfarin metabolism. Amiodarone is a potent inhibitor of cytochrome P450 enzymes and inhibition of these enzymes will cause an increased plasma concentration and decreased clearance; thereby increasing the prothrombin time and INR placing the patient at increased risk for bleeding complications. Hence, when given together, warfarin dose should be decreased and frequent...

 NRNP 6566 Week 4 knowledge check A 47 year old male admitted with an infected elbow wound. On his second day in the hospital you find him in his room confused and agitated. Vital signs are as follows: Temperature – 96.2 °F Pulse -140 beats per minute Respirations – 40 breaths per minute Blood Pressure – 90/40 mmHg Labs include a WBC count of 3,000 Pt weighs 185 pounds Further assessment of him includes: Urine output of 100cc for the last 8 hours Pulse oximetry of 8...

NRNP 6566 Week 5 Knowledge Check QUESTION 1 1.A 54-year women is 3 days post abdominal surgery for removal of a cancerous mass in her abdomen. She develops acute shortness of breath associated with tachycardia and hypotension. CT Scan of the chest is positive for multiple small pulmonary embolism. What medication and dosing would you order initially to treat the pulmonary embolism? This patient should be given fondaparinuc (Arixtra) subcutaneously. Dosing is weight- based: 1.5 mg SQ once...

 NRNP 6566 week 6 knowledge check. A 54 year old female has a 30 year pack smoking history. She recently underwent pulmonary function testing which showed moderate obstructive lung disease. What would your treatment plan (including medications) include for this patient? Correct Answer: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2020 suggests that smoking cessation should be immediately pursued if the patient is still smoking. Nicotine replacement (gum, i...

 NRNP 6566 Week 7 knowledge check •Question 1 A patient with respiratory failure has hemodynamic monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP) of 10 cm H2O. Which information indicates that a change in the ventilator settings may be required? a.The arterial line shows a blood pressure of 90/46. b.The pulmonary artery pressure (PAP) is decreased. c.The cardiac monitor shows a heart rate of 58 beats/min. d.The pulmonary artery wedge p...

 NRNP 6566 Week 8 Knowledge check What type of ICU sedation would be appropriate for a 32 year old male patient who is intubated with bilateral chest tube following a motor vehicle crash. Correct Answer: The Society of Critical Care Medicine publishes a guideline on sedation. It is: Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU (2018). Light sedation is suggested for intubated...

 NRNP 6566 week 9 knowledge check A 32 year old preschool teacher complains of difficulty swallowing, sore throat, and chills. She is febrile with a temperature of 101.6 along with white patches on her tonsils. Her rapid strep test is positive. Her past medical history is positive for an anaphylactic reaction to cefaclor two years ago. What antibiotic could be safely utilized in this patient? Correct Answer: Streptococcus is usually treated with amoxicillin. Her type 1 anaphyl...

 NRNP 6566 week 11 knowledge check How would you differentiate between diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS)? Correct Answer: Both of these conditions will include high levels of blood glucose readings. DKA will exhibit acidosis and urinary ketones while HHS will not. Treatment for each condition is similar with fluid bolus and infusion as well as insulin bolus and infusion. Juan is a 42 year old male with complaints of nausea and vomiting...

NRNP 6566 WK 10 Knowledge Check A 57 year old female is admitted to the oncology unit for chemotherapy related to her to acute leukemia. Her initial dose of chemo was 2 days ago. While rounding today, the patients tells the NP that she feels so weak. The NP notes her heart rate is 44 today (down from 68 2 days ago). She has had less than 100 cc of urine out over the last 24 hours. Labs from this morning include: LAB DATA: -Sodium 131 -Potassium 7.8 -Chloride 105 -Bicarbonate 1...

NRNP 6560 Midterm exam (Answered) Surgery risk classes Class 1: benefits outweigh risk, should be done Class 2a: reasonable to perform Class 2b: should be considered Class 3: rarely appropriate General rules for surgery: testing ECG before surgery only if coronary disease, except when low risk surgery Stress test not indicated before surgery Do not do prophylactic coronary revascularization Meds before surgery - Diabetic agents: Use insulin therapy to maintain glycemic goals(iii) Disc...

NRNP 6566 MidtermStudy Guide NRNP 6566 Mid-term Study Guide Week 1 to 5 Week 1 1. Describe the cytochrome P450 system. Describe how inducers and inhibitors affect the cytochrome system and how that affects the half-life of medications. Cytochromes P450 (CYPs) are a superfamily of enzymes containing heme as a cofactor that function as monooxygenases. In mammals, these proteins oxidize steroids, fatty acids, and xenobiotics, and are important for the clearance of various compounds, as well as ...

LC Ready, EMT Review Plus Exam 1, Complete Solution A 16-year-old male has been struck by a car. He is confused and complains of abdominal pain. His vital signs are pulse 120, respiration 30, and blood pressure 100/72. When should you conduct a detailed assessment? Only after transport has been initiated. What does a closed soft-tissue injury imply? The soft tissue has not been broken or penetrated. You respond to a 74-year-old patient with a history of COPD who complains of difficulty b...

FISDAP Exam 2 EMT Airway and Ventilation Exam Study Guide Nares (upper or lower) Upper Nasopharynx (upper or lower) Upper Oropharynx (upper or lower) Upper Cricoid Ring (upper or lower) Upper Pharynx (upper or lower) Upper Epiglottis (upper or lower) Upper Larynx (upper or lower) Upper Trachea/Carina (upper or lower) Lower Right/left mainstream bronchi Lower Distal Bronchi Lower Bronchioles Lower Distal Bronchioles Lower Terminal Bronchioles Lower Alveoli Lower Head-...