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NURS 621 Exam 2 with complete solutions 2024_2025.
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NURS 621 Exam 2 with complete solutions 2024_2025.
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NURS 621 Exam 2 with complete solutions2024/2025
Diagnosis of DVT - ANSWER-Venography
Diagnosis of PE - ANSWER-Pulmonary angiography and D-Dimer
S/S of arterial insufficiency - ANSWER-Intermittent claudication, pain at rest, pale
to dependent, dull to bright red color, takes on environmental temperature,
diminished to absent pulses, no edema, skin is shiny
S/S of venous insufficiency - ANSWER-Chronic dull ache that progresses
throughout the day, normal to cyanotic, normal skin temperature, edema present,
pulses normal, stasis dermatitis, flaky, dry, scaly skin
S/S of varicosities - ANSWER-Dark purple-blue veins, "twisted", swelling,
achy/heaviness in legs, worsened pain after standing
S/S of DVT - ANSWER-Swelling, muscle tenderness, pain in calf muscle, warmth,
fever, tachycardia
Modifiable risk factors for arterial insufficiency - ANSWER-Smoking, obesity,
hypertension, cholesterol, DM, sedentary lifestyle
Nonmodifiable risk factors for arterial insufficiency - ANSWER-Age, gender, race,
genetics
S/S of emphysema - ANSWER-Pink puffers, barrel chest, pursed lip breathers,
distant quiet breath sounds, wheezes, pulmonary blebs on radiograph
, S/S of chronic bronchitis - ANSWER--generalized cyanosis
-"blue boaters"
-R side HF
-JVD
-crackles
-expiratory wheezes
S/S of asthma - ANSWER---wheezing
--chest tightness
--SOB
--coughing fits
CURB-65 - ANSWER-Risk stratification for community acquired pneumonia
1) Confusion
2) BUN>19
3) RR>30
4) BP<90/60
5) 65yo
One or less indicates patient can be treated outpatient, 2= inpatient/close
outpatient monitoring; >3 =hospitalization/possible ICU
S/S of COPD - ANSWER--Dyspnea
-SOB
-Clubbing of finger nails
-Barrel chest
-Cough
-Crackles and wheezing
-Low O2 sat
-shallow respirations
-Orthopnea
-Pale, ashen skin color
Common organisms associated with community-acquired pneumonia - ANSWER-
Viral- influenza A&B, RSV
Bacterial- Strep PNA, chlamydia PNA
Mild intermittent asthma - ANSWER--S/S no more 2x week
-Nocturnal s/s no more 2x month
-PEFR < 20% variability
-Normal between attacks
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