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4 auscultatory points - correct answer 1. aortic 2. pulmonic 3. tricuspid 4. mitral Why is S4 not heard in the presence of atrial fibrillation? - correct answer No atrial contraction What causes pericardial friction rub? What is it associated with? - correct answer - Pericarditis - associated with pain on deep inspiration - may be positional Calculation for pulse pressure - correct answer systolic pressure - diastolic pressure Normal pulse pressure - correct answer 40-...

59 yo is admitted complaining of CP and dyspnea. STE and TWI in V2, v3, v4. IV thrombolytic therapy started in ED. Indications for successful repurfusion would incluse all of the following except? 1. pain cessation 2. decrease CK or trop 3. reversal of ST segmant elevation w/ return to baseline 4. short runs of VT - correct answer 2 decrease in Ck / Trop after reperfusion there is always in increase in enzymes Which of the following meds should the nurse question in regards to las...

Which two lab values must be monitored carefully with multiple blood transfusions? - correct answer Calcium (blood bank blood has low calcium due to anticoagulant used and high potassium due to aged blood and hemolysis The laboratory findings most specifically indicative of DIC as the cause of bleeding are: - correct answer Elevated fibrin degradation products, especially D-Dimer Heparin may be used in the course of DIC because it: - correct answer Neutralizes. Circulating thrombin which p...

A patient admitted with disorientation three weeks after G-tube placement following a diagnosis of malabsorption syndrome. The family has been irrigating the G-tube and aspirationg after each feeding. This may produce which abnormalility? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis - correct answer B. Metabolic alkalosis The draining and irrigation of the stomach washes out essential electrolytes and places the patient at great risk for m...

Ashman phenomenon is a predisposition for aberrancy when which of the following occurs? A. A long P-P interval is followed by a short P-P interval. B. A short P-P interval is followed by a long P-P interval. C. A short R-R interval is followed by a long R-R interval. D. A long R-R interval is followed by a short R-R interval. - correct answer D Ashman phenomenon occurs when a short cycle follows a long cycle. Refractory periods are related to cycle length. When a short cycle follo...

What will the possibility of fever have on an ABG? - correct answer the pH will rise - the oxyhemoglobin curve will be shifted to the right What effect will the lack of icing an ABG have on the sample? - correct answer it will invalidate the sample by causing the PaCO2 to rise approx 3-10 mmHg/hr,PaO2 & pH will decrease You are asked to draw an ABG. You prepare a glass syringe w/ heparin. What effect will too much heparin have on the sample? - correct answer it will decrease the bica...

Most common valvular disturbance - correct answer Mitral regurgitation Beck's Triad - correct answer Sign of cardiac Tamponade. - Narrowing pulse pressure (hypotension) -JVD -Muffled Heart Tones Automacity - correct answer Cells excite themselves, require no stimulus. As in SA node, cardiac cells SA Node - correct answer Heart's normal pacemaker QT Interval - correct answer Normally less than 0.40 seconds. Time required for depolarization and repolarization of...

Disease process in which too much ADH is being produced? - correct answer SIADH ADH is produced in the ___ and stored in the ___? - correct answer Hypothalmus; Posterior pituitary ADH has what effect on the distal convoluted tubules of the kidneys? - correct answer Makes them hold on to too much water Whenever the kidneys hold onto water it decreases what electrolyte? and leads to dilutional ___? - correct answer Sodium; Dilutional hyponatremia How does SIADH affect osmolarity?...

ity in the free border of the tentorium cerebelli through which the brainstem passes? - correct answer -Tentorial notch The opening in the occipital bone through which the spinal cord passes from the brain? - correct answer -Foramen magnum A collection of mostly motor axons that travel between the cerebral cortex and the spinal cord. They are the reason one side of the body is controlled by the opposite side of the brain? - correct answer -Pyramidal tracts What is a Babinshi reflex? - c...

One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right side. The findings described above should lead the nurse to suspect that the patient has developed: A. A spontaneous pneumothorax B. A pulmonary embolus C. Aspiration pneumonia D. A pleural effusion - correct answer B. A pulmonary embolus O...

One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right side. The findings described above should lead the nurse to suspect that the patient has developed: A. A spontaneous pneumothorax B. A pulmonary embolus C. Aspiration pneumonia D. A pleural effusion - correct answer B. A pulmonary embolus ...

During administration, a patient with HF tells you that he is uncomfortable at rest but becomes SOB during activities of daily living. In which NYHA class is this pt - correct answer Class II Which class system for HF is based on functional capacity; listing four categories of cardiac disease ranging from mild to severe with progressively increasing symptoms of physical limitation associated with each class - correct answer New York heart assosciation At which stage is a patient with nor...

A postcraniotomy patient suddenly stops responding and begins to have a tonic-clonic seizure. Which of the following drugs is considered the preferred first-line antiepileptic agent to give during a seizure? A. Diazepam B. Lorazepam C. Phenytoin D. Phenobarbital - correct answer B Benzodiazepines are used as a first-line drug during a seizure. They potentiate GABA, which is an inhibitory neurotransmitter. Even though diazepam is also a benzodiazepine and can be used first for a seizure, it ...

clinical judgment - correct answer the ability to synthesize and interpret multiple pieces of data, critical thinking. At the expert level of practice, the nurse interprets multiple, sometimes conflicting, data and makes decisions based on a grasp of the whole picture; can anticipate problems based on previous experience. helps the pt and family see the "big picture"; takes time to develop advocacy and moral agency - correct answer works on behalf of others; represents concerns of oth...

Infant's responses to pain - correct answer Affected by gestational age, frequency of prior painful procedures, and use of analgesics during the hospital stay. Monitoring of urine output - correct answer while use continuous positive pressure ventilation (PPV) is warranted. Canalicular phase: - correct answer The distal pulmonary vasculature and capillary networks develop. Turner syndrome: - correct answer (1:2500) results in widely spread nipples, a short webbed neck, and edema of...

AOCNP exam 2023 with 100% correct answers AOCNP exam 2023 with 100% correct answers

Side effects of oxaliplatin - correct answer Neuropathy Cumulative risk for Infusion reaction Cold sensitivity Side effects of avastin - correct answer HTN Nasal perforation Delayed wound healing Proteinuria Side effects of cetuximab - correct answer Acne form rash w/ risk of infection Hypersensitivity Alopecia, hair changes, long eyelashes Nail changes (paronychia) and fissures Nanotechnology - correct answer the branch of engineering that deals with things smaller tha...

Primary cancer prevention - correct answer Reducing cancer risk in healthy people (education for prevention). Primary cancer prevention examples - correct answer The four most important risk factors for cancer are tobacco use (smoke cessation), lack of physical activity (exercise regime), exposure to ultraviolet light (sunscreen), and poor nutrition (balanced diet) Secondary cancer prevention - correct answer checking for disease in population at risk Secondary cancer prevention - co...

the risk for significant bone marrow suppression (8) - correct answer advanced age (>65),poor nutritional status, preexisting autoimmune disease, DM, GI disorders, liver disease, or hematopoietic disease, and substance abuse. Cancer-induced bone marrow suppression (3) - correct answer a) dysfunctional hematopoietic cell within the bone marrow, b) bone marrow infiltration with tumor c)general exhaustion of bone marrow reserves solid tumor malignancies with the highest propensity to inf...

Treatments that place individuals at increased risk for infection - correct answer Chemotherapy treatments including high-dose cyclophosphamide, doxorubicin, docetaxel, or alemtuzumab. Colony stimulating factors (CSF) - correct answer **GM-CSF : growth factor for hematopoietic stem cells and granulocyte/monocytes **M-CSF (macrophage): essential for macrophage production **G-CSF (granulocyte) :essential for neutrophils **Erythropoietin (EPO): growth factor for RBC Filgrastim (Neupogen)...