MSN 622 Week 6 Multisystem Disorders, Palliative Care And Office Emergencies Questions And Answers
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Course
MSN 622
Institution
MSN 622
MSN 622 Week 6 Multisystem Disorders, Palliative Care And Office Emergencies Questions And Answers
A 41-year-old male presents to urgent care with concerns that his feet have swollen for the past two days. He has recently arrived in New Mexico from Alaska to hike with a group of friends. He states...
MSN 622 Week 6 Multisystem Disorders, Palliative Care
And Office Emergencies Questions And Answers
A 41-year-old male presents to urgent care with concerns that his feet have swollen for the past two
days. He has recently arrived in New Mexico from Alaska to hike with a group of friends. He states
this is the first time this has happened to him, and he is finding it difficult to put on his boots. He has
no other complaints at this time and has no chronic medical problems. His vital signs are normal. His
exam shows non-pitting edema up through his ankles. The skin is non-tender without increased
redness or warmth. There is no pain with calf squeeze. What is the next step in the management of
the patient? ANS Tell the patient that compression stocking can help and to keep his limbs
elevated and avoid excessive heat exposure
An 18-year-old football player presents to the emergency department (ED) with complaints of nausea
after a training session at high heat. His coach was concerned because he was very warm to the touch
and was sweating profusely. A couple of minutes after arrival at the ED, the patient has an episode of
vomiting. His uniform and padding are quickly removed as he is laid on a stretcher. His vital signs
demonstrated a core temperature of 38.9 C (102 F), heart rate of 118 beats/minute, blood pressure of
119/82 mmHg, and breathing at a rate of 22 breaths/minute. His point-of-care glucose was 80 mg/dL,
and his skin remains very sweaty. Which of the following is the most appropriate treatment to initiate
at this time? ANS IV fluids with normal saline
A 49-year-old otherwise healthy male with no past medical history apart from hypertension well
controlled with medications presents to the emergency department with a friend after having an
episode in which he lost consciousness. The patient stated that they were outside taking their dog for
a walk at a local dog park when he got dizzy, sat on the ground, and then passed out. The friend states
the patient was out for about 30 seconds. The patient is currently feeling normal. He does admit he
hasn't been drinking much water today. Which of the following will help prevent this from happening
in the future? ANS Staying well hydrated during periods of heat exposure
A 17-year-old female presents to the emergency department after having an episode of syncope. She
was out watching fireworks during the day and drinking alcohol. She reports that she took ibuprofen
earlier in the day for a mild headache. Her vital signs are normal, and she has no symptoms at this
time. Which of the following is a risk factor for what happened to the patient? ANS Alcohol
consumption
A 24-year-old man is brought to the emergency department with a traumatic head injury following a
motor vehicle collision. His body temperature is 102.2 F (39 C), which is not associated with
infection or inflammation. A lesion has most likely occurred in which of the following? ANS
Hypothalamus
, A man becomes lost in the woods during a winter hike through snowy mountains. Two days pass and
he remains lost in the 5 degrees F temperature with -10 degrees F windchill. He becomes extremely
tired, confused, and begins removing his clothes. Which of the following is the most common fatal
complication of his current condition? ANS Cardiac arrythmia
A 48-year-old obese man is jogging outside at noon on a July afternoon. He recently began an
outdoor exercise regimen in an attempt to lose weight. He gradually became confused, tachycardic,
short of breath, and stopped sweating. Someone nearby saw him collapse and he was unresponsive
when emergency medical personnel arrived. Rectal temperature was 105.2 degrees F. After
resuscitation with CPR, what should be done for rapid cooling? ANS Cold water immersion
A 14-year-old girl is brought to the emergency department by her parents. Her parents state that she
was playing outside during a softball game when she developed nausea and started complaining of
fatigue and mild headache. Further evaluation reveals that she has a heart rate of 120 beats/min and a
temperature of 103 degrees Fahrenheit. However, she has no mental status changes or muscle
fasciculations but is sweating profusely. What is the most likely diagnosis? ANS Heat exhaustion
While attending your child's soccer game, a teammate of theirs develops nausea, fatigue, and a mild
headache. He is taken out of the game and sent to the medical tent where he is found to be
tachycardic with an oral temperature of 101 degrees Fahrenheit. Their blood pressure is normal, and
he does not have any other symptoms of CNS involvement. Which of the following is the next best
step in the management of this patient? ANS Recommend the patient stop playing and continue
to observe in a cool, shaded area, providing oral rehydration with electrolyte-containing fluids
A 36-year-old male patient presents to the clinic because of daytime sleepiness. He explains that he is
a long-route truck driver and cannot afford to feel sleepy during the daytime. He also complains of
associated decreased concentration, poor memory, and irritability. The patient says that over the past
year, his snoring has become louder and "scarier." On detailed inquiry, he admits having fallen asleep
a couple of times while driving. He drinks 4 or 5 beers per day. He also has a 15-pack-year history of
smoking. His past medical history is significant for dyslipidemia managed on statins. Vitals show a
blood pressure of 145/85 mmHg, a pulse of 95/min, and a respiratory rate of 22/min. His body mass
index is 37 kg/m^2. The examination is insignificant. What long-term complication is most likely to
develop in this patient if his disease goes untreated? ANS Cor pulmonale
A 50-year-old man complains of a lack of energy. He nods off during the day, usually when reading
or watching television. He goes to bed at 11 pm and wakes up at 8 am. He has no medical illnesses
and takes no medication. He drinks a glass of wine daily, usually with dinner, and denies smoking.
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