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Exam 4 Nurs 640 old material Questions With Complete Solutions
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Exam 4 Nurs 640 old material Questions With Complete Solutions
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Exam 4 Nurs 640 old material Questions With CompleteSolutions
3 most common causes of nocturnal cough, SOB, wheeze, chest
tightness. Correct Answer Asthma, COPD, HF
3 most common symptoms of COPD Correct Answer Dyspnea,
cough and sputum production
6 P's Correct Answer Pain
Pulse
Pallor
Paresthesia
Paralysis
Pressure
7 components of neuro exam Correct Answer Mental status
Cranial nerves
Motor
Reflexes
Sensory
Coordination
Gait
ABG normals Correct Answer Ph 7.35-7.45
Co2 35-45
PaO2 80-100
HCO3 22-26
,ABX considerations in older adults Correct Answer
Community dwelling, without comorbidities - Ex: macrolide or
doxycycline
Long-term care facility dwelling - Ex: pipercillin-tazobactam +
vancomycin
Acute Bacterial Rhinosinusitis Correct Answer Acute onset
local symptoms: purulent yellow/green nasal discharge, facial
pain/pressure in a sinus region. Systemic infection symptoms:
fever, malaise, headache. Symptoms persistent > 10 days.
Acute Conjunctivitis Correct Answer Key findings: Copious
discharge, intact visual acuity, pain is not severe, cornea clear,
pupils normal.
Viral: watery discharge, supportive care
Bacterial: purulent discharge, Often self-limited, lasts 10- 14
days. Topical sulfonamide can be prescribed
Acute gout Correct Answer Great toe common location
Labs: Signs of inflammatory response: WBC, ESR elevated
Joint aspiration reveals crystals
Acute HIV infection Correct Answer Generalized illness - Flu
like or mono like symptoms
HIV antibody testing may be negative (up to 3 months)
Non-specific symptoms - Easily misdiagnosed
Acute Otitis Media Correct Answer Fluid accumulation within
middle ear that becomes infected (ex: URI). Otalgia (ear ache)
common symptom. Symptoms: erythema, decreased TM
mobility (common) or bulging (rare, but serious). TX: Oral
, antibiotics (ex: [amox or erythro] + sulfonamide). swelling over
mastoid needs urgent intervention. Surgical drainage when
unresponsive to abx.
AIDS Correct Answer When CD4 count drops (< 200 cells /
mcL) it makes a difference on infection management
Allergic Rhinitis Correct Answer Seasonal vs. perennial types.
Symptoms: nasal symptoms with eye irritation, pruritic,
conjunctival erythema, excess tearing.
Ankle Brachial Index Correct Answer ABI < 0.9 = arterial
insufficiency (or combo)
ABI < 0.4 = severe art insufficiency
Appendicitis Physical Exam Correct Answer McBurney's point
tenderness, RLQ tenderness, Peritoneal signs: Guarding,
Rebound, Rigidity
Positive psoas and obturator sign supports inflammation related
to appendicitis
Appendicitis symptoms Correct Answer Periumbilical or
epigastric pain, vague, often colicky, Shifts to RLQ within 12
hours (Ache worsened with walk / cough, Nausea, Vomiting 1-
2x, Constipation sensation, possible diarrhea, Low grade fevers
typical (<38C), High fevers suggest perforation or other cause
Arterial ulcer diagnosis Correct Answer Sparse hair, cool, nail
thickening, skin shiny/tight
Below ankle
ABI < 0.9 (<0.4 severe
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