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NUR 631 ( LATEST 2024 / 2025 ) CARDIO AND PULMONARY | COMPLETE ANSWERS 100% CORRECT
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NUR 631 ( LATEST 2024 / 2025 ) CARDIO AND PULMONARY | COMPLETE ANSWERS 100% CORRECT
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NUR 631 Cardio and Pulmonary1. What are the physical exam findings of pneumonia?
Answer
- Consolodation
- Positive egophony
- Positive bronchophony
- Positive whispered pectoriliquy
- Increased tactile fremitus
2. When would you hear late inspiratory crackles in the dependent portions of the lungs?
Answer
Left sided heart failure (interstitial edema)
3. When would the trachea be shifted towards the involved side in someone with pulmonary
symptoms?
Answer
Atelectasis
4. When would the trachea be shifted towards the unaffected side in someone with pulmonary
symptoms?
Answer
Pleural effusion and pneumothorax
5. What are some risk factors for developing atria ectopy?
Answer
• COPD
• Rheumatic Heart Disease
• Valvular dysfunction
6. Which are the cardiac arrythmias that can lead to death?
Answer
,PVC V-tach
V- fib
7. What is your top differential for a patient that has palpitations, nervousness, tremors,
weightloss and heat intolerance?
Answer
Hyperthyroidism
8. What is your top differential for a patient that has palpitations, hyperreflexia in the muscles,
twitching, paresthesias, fatigue and weakness?
Answer
Hypocalcemia
9. What is your top differential for a patient that has palpitations that occur late in the afternoon
or after meals?
Answer
Hypoglycemia
10. What is your top differential for a patient that has palpitations, pallor, fatigue and dyspnea
on exertion?
Answer
Anemia
11. What is your top differential for a patient that has palpitations with headache, dizziness,
nausea and vomitting and a change of level of conscioussness?
Answer
Hypertension
12. What is your top differential for a patient that has palpitations and a fever?
Answer
Infection
13. What is your top differential for a patient that has palpitations and hyper- ventilation, facial
flushing, diaphoresis, and trembling?
, Answer
Anxiety attack
14. What is your top differential for a patient that has persistent palpitations?-
Answer
Use a holter monitor to rule out any cardiac etiology
15. What is your top differential for a patient that has palpitations, paroxymal precordial pain,
dyspnea, fatigue, middystolic click?
Answer
Mitral Valve Prolapse
16. What is your top differential for a patient that has palpitations with CHEST PAIN, syncope,
dizziness, vital sign changes, and cardiac history?
Answer
RULE OUT MI
17. What are the physical findings of someone with chronic arterial insuffi- ciency?
Answer
Intermittent claudication that progresses to pain at rest
Tissue ischemia
Decreased or absent pulses
Color is pale or dusky red on dependency Shiny, atrophic skin with hair loss Ulceration will
present on the toes Gangrene may develop
18. What are the physical findings of someone with chronic venous insuffi- ciency?
Answer
Painful
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