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Exam (elaborations)

NBRC Exam Q&A

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Exam of 15 pages for the course studies at studies (NBRC Exam Q&A)

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  • June 16, 2024
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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NBRC Exam
Normal Urine Output - CORRECT ANSWER-40mL/hr (approximatley 1 Liter a
day)

Intake exceeds output - CORRECT ANSWER--weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance

Central Venous Pressure (CVP) - CORRECT ANSWER-can indicate changes
in fluid balance

Normal CVP - CORRECT ANSWER-2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)

Stuporous, confused , sleepy - CORRECT ANSWER-consider sleep apnea or
excessive O2 therapy (COPD patient)

Semicomatose - CORRECT ANSWER-responds only to painful stimuli

Obtunded - CORRECT ANSWER-drowsy state, may have decreased cough
or gag reflux (protect airway)

Coma - CORRECT ANSWER-does not respond to painful stimuli

Electrolyte Imbalance Traits - CORRECT ANSWER-anger, combative, irritable

Drug Overdose Traits - CORRECT ANSWER-Euphoria-intense feelings of
emotions (joy)

Panic Traits - CORRECT ANSWER-severe hypoxemia, tension pnemothorax,
status asthmaticus, or possibly AAA (abdominal aortic anerysm)

Activites of Daily Living (ADL) Scoring - CORRECT ANSWER-Katz Scoring
System
0-dependent
6-independent

, Orthopnea - CORRECT ANSWER-difficulty breathing except in the upright
position (CHF)

Genreal malaise - CORRECT ANSWER-run down feeling, nausea, weakness,
fatique, headache (consider electrolyte imbalance)

COPD diet - CORRECT ANSWER-high fats, low carbs (carbs causes higher
CO2)

Edema - CORRECT ANSWER-caused by CHF and renal failure
occurs primarily in arms and ankles

Ascites - CORRECT ANSWER-accumulation of fluid in the abdomen generally
caused by liver failure

Clubbing of fingers - CORRECT ANSWER-caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease

Venous distension or Jugular venous distension (JVD) - CORRECT
ANSWER-occurs with CHF
seen during exhalation in patients with obstructive lung disease

Capillary refill - CORRECT ANSWER-indication of peripheral circulation
color should return within 3 seconds

Diaphoresis - CORRECT ANSWER-heart failure (recommend diuretics,
positive inotropic agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
tuberculosis/night sweats (recommend antitubercular drugs)

Cheyne-Stokes Breathing - CORRECT ANSWER-gradually increasing then
decreasing rate and depth in a cycle lasting from 30-180 seconds, with
periods of apnea lasting up to 60 seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose

Biot's Breathing - CORRECT ANSWER-increased respiratory rate and depth
with irregular periods of apnea. Each breath has the same depth
Cause: CNS problem

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