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NR 667 questions with correct answers.
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NR 667 questions with correct answers.
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NR 667 questions with correct answersa 4 mos. old is suspected of having developmental dysplasia of the hip.
what test would best assess for this? Correct Answer-Galeazzi and
Klisic: limited abduction and apparent thigh length discrepency is a
better indicator of DDH than is instability after 3 months of age, Barlow
and Ortolani maneuvers are tests used to test hip instability in newborns
until approx. 3 months old. Trendelenburg pelvic test is to test for
walking age children to test for hip weakness and is characterized by
unilateral hip dyspleasia.
which mitral disorder results from redundancy of the mitral valve
leaflet? Correct Answer-mitral valve prolapse. Most common . adult
murmur. Valves annulus becomes enlarged in conjunction with
elongated chordae tendonae (this is degeneration of the mitral tissue.
serum ferritin Correct Answer-demonstrates the amount of iron in
storage. helpful in evaluating pts being treated for iron deficiency
anemia.
a patient with aortic stenosis has been asymptomatic for decades and
begins c/o some dizziness c activity w/o chest pain or sob. Correct
Answer-refer to cardiology; be alert for s/s that precede syncope.
dizziness precedes syncompe, and the patient is now presenting with
symptoms of aortic stenosis.
A patient taking candesartan should avoid Correct Answer-K+
supplements. Candesartan can produce hyperkalemia because the MOA
spares K+.
, A patient taking long actin basal insulin has elevated blood glucose.
What blood sugars are important to evaluae and base insulin changes on
Correct Answer-AM fasting. . basal insulin mimics steady stream of
insulin produced by the pancrease throughout day. Should be based off
of fastin AM glucose check. The other blood sugars reflect blood sugar
in reflection to meals.
hyperthyroidism may affect bp by increase SBP and DBP. It is also a
common cause of secondary HTN> other Endocrine disorders that do
the same are: Correct Answer-Pheochromocytoma, Cushings syndrome,
neuroblastoma. all of these are causes of secondary HTN.
An immune response to Strep A infection of the hear are Correct
Answer-rheumatic fever. Can also affect CNS and joints. most common
age group affected is 5-15 yo. Residual affects not felt until decades
later.
At what age should hearing screening be performed on older adults
according to Assessing Care in Vulnerable Elders Correct Answer-75
yo. completed at initial evaluation, if fails needs referral to audiology.
Correlation with compliance with heawring aids.
An adult has UR sx and cough x 14 days. what should be considered?
Correct Answer-Pertussis should be considered any time there is an
acute cough for greater than 5 days. incubation period is about 7-10
days.
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