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Exam (elaborations)

NURS 5463 Mod 1 Exam Study Guide

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NURS 5463 Mod 1 Exam Study Guide CP - Cardiac Differential - answerMI Aortic Dissection Valvular Disease Pericarditis Myocarditis Angina Coronary spasm CP - Pulmonary Differential - answerPE Pneumothorax Pneumonia Pleurisy CA Sarcoidosis CP - Other Differential - answerPUD Pancreatit...

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  • November 12, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 5463
  • Nurs 5463
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©THEBRIGHT EXAM SOLUTIONS

11/8/2024 12:08 PM


NURS 5463 Mod 1 Exam Study Guide


CP - Cardiac Differential - answer✔MI

Aortic Dissection

Valvular Disease

Pericarditis

Myocarditis

Angina

Coronary spasm

CP - Pulmonary Differential - answer✔PE

Pneumothorax

Pneumonia

Pleurisy

CA

Sarcoidosis

CP - Other Differential - answer✔PUD

Pancreatitis

Gastritis

GERD

Biliary disease

Herpes Zoster

Mediastinitis

Musculoskeletal injuries

MI CP - answer✔Tightness, pressure, radiating (w/ N/V, SOB and diaphoresis)

, ©THEBRIGHT EXAM SOLUTIONS

11/8/2024 12:08 PM

Aortic Dissection CP - answer✔sudden onset of excruitating pain usually beginning in the anterior chest,
radiating to the back and moves downward as dissection progresses



may be confused with a MI



seen mainly in man 4-60 years with HTN and younger patients with Marfan's

Pericardial CP - answer✔Sharp, stabbing, left chest, better when getting up or sitting forward, worse w/
lying supine

Pleuritic CP - answer✔Sharp pain with inspiration

Also seen in Pneumonia and PE

HPI CP - answer✔Onse

Assoc factors

alleviating/worsening factors

quality

sevrity

radiating

timing

recent sx?

forceful emesis?

recent infection?

family hx?

D-Dimer - answer✔Good to rule out, bad to rule in

can be elevated in other processes (Sepsis, ESRD)

CP Diagnosistics/Work up - answer✔EKG

Labs (CBC, CMP, Amy, Lip, Trop Q6H, CK, CKMB, Dimer)

Imaging (CXR, CTA, Echo, stress test)

CP Geriatric Considerations - answer✔Always suspect AMI first, watch for atypical s/s ("CP" less likely)

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