Question Answered Question 1 H. W. is a 33-year-old female who is being evaluated… Question 1H. W. is a 33-year-old female who is being evaluated after a fall from a tree. Anteroposterior and lateral radiographs of the thoracolumbosacral spine are significant for transverse process fractures at T6 and T7. The AGACNP knows that treatment for this likely will include: A. Observation B. Hyperextension casting C. Jewett brace D. Surgical intervention2…When evaluating a patient with acute pancreatitis, which of the following physical or diagnostic findings is an ominous finding that indicates a seriously ill/potentially moribund patient? A. Severe epigastric pain with radiation to the back B. Abdominal guarding and rigidity C. Grey Turner sign D. Obturator sign3….P. T. is a 58-year-old female who is admitted with chest pain and shortness of breath and is found to have a large pulmonary embolus. Her systolic blood pressure is falling, and a diagnosis of obstructive shock is made. Cardiac pressure would likely demonstrate: A. Elevated atrial and decreased ventricular pressures B. Elevated right-sided and decreased left-sided pressures C. Elevated left ventricular pressure and decreased cardiac output D. Elevated left ventricular pressure and decreased systemic vascular resistance4…..Mrs. Jenner is a 41-year-old female who is being evaluated for persistent nausea. She had an abdominal CT scan that reported three hepatic hemangiomas ranging from 3 to 5 cm. The AGACNP knows that the appropriate response to this report is to: A. Arrange for large-bore needle biopsy B. Order hepatic ultrasound annually to follow progression C. Consult surgery for resection D. Document the finding in the patient’s chart5….A patient admitted for management of sepsis is critically ill and wants to talk with a hospital representative about donating her organs if she dies. She has a fairly complex medical history that includes traumatic brain injury, breast cancer, and dialysis-dependent renal failure. The patient is advised that she is ineligible to donate due to her: A. Renal failure B. Traumatic brain injury C. Gram negative infection D. Breast cancer 6…Mr. Jefferson is a 59-year-old male who presents to the emergency department complaining of severe abdominal pain. His medical history is significant for dyslipidemia, and he takes 40 mgof simvastatin daily. He admits to drinking 6 to 10 bottles of beer nightly and to smoking 1½ packs of cigarettes a day. He denies any history of chest pain or cardiovascular disease. He was in his usual state of good health until a couple of hours ago, when he developed this acute onset of severe pain in the upper abdomen. He says that he tried to wait it out at home but it was so bad he finally came in. His vital signs are as follows: temperature 99.1°F, pulse 129 bpm, respirations 22 breaths per minute, and blood pressure 137/84 mm Hg. The abdomen is diffusely tender to palpation with some guarding but no rebound tenderness. The AGACNP anticipates that which of the following laboratory tests will be abnormal? A. A complete blood count and RBC differential B. Liver function enzymes C. Serum amylase, lipase, and glucose D. A basic metabolic panel 7….Melanie is a 31-year-old patient who is being evaluated following a routine urinalysis that revealed microscopic hematuria. She was between menses and has no other identifiable explanation for hematuria. She has no significant medical history and otherwise is without complaint. The AGACNP knows that workup for Melanie should include: A. A urology consultationB. CT urogramC. Upper urinary imagingD. Cystoscopy8…The comprehensive serologic assessment of a patient with Cushing’s syndrome is likely to produce which constellation of findings? A. Low potassium, high glucose, high white blood cell count B. High sodium, polycythemia, low BUN C. Low sodium, low potassium, high BUN D. High sodium, high chloride, high RBCs 9….While participating in sports, it is not uncommon for people to be subjected to sudden rotational injuries that result in the abrupt rotation of the cerebral cortex around the more fixed midbrain structures. This can interrupt input and outflow from the reticular activating system and result in what clinical phenomenon? A. Epidural hematoma B. Uncal herniation C. Concussion D. Contrecoup injury10….L. D. is a 24-year-old male who is transported to the emergency department after being assaulted in a neighborhood bar. The history is unclear, but witnesses agree that L. D. was assaulted and repeatedly had his head banged against the hard granite surface of the bar. On presentation he has marked edema of his face, multiple ecchymoses including both periorbital regions, and a Glasgow Coma Scale (GCS) score of 9. He has had 1 L of NSS infused by emergency medical services. His vital signs reveal a pulse of 128 bpm and a blood pressure of 88/60 mm Hg. With respect to his hypotension, the AGACNP recognizes that: A. Vasopressors are contraindicated in traumatic head injury B. Hypotension doubles the risk of mortality from traumatic head injury C. His blood pressure is likely a physiologic response to traumatic head injury D. Stabilizing the head injury is more important that identifying the cause of hypotension11….With respect to tumor nomenclature, the AGACNP knows that the term carcinoma describes: A. Malignant neoplasms of internal structure B. Tumors that have lost normal growth regulation C. A dysfunctional metaplastic adaptation D. Neoplasms of epithelial origin 12….The Brain Trauma Foundation recommends intracranial pressure monitoring for all of the following patients except those with : A. GCS of 3 to 8 and abnormal head CT B. GCS of 3 to 8 and hypotension C. GCS of 3 to 8 and > 40 years old D. GCS of 3 to 8 and bradycardia 13…..A general principle in surgical oncology is that the best approach to curative surgery in a fixed tumor requires: A. En bloc resection B. Adjuvant therapies C. Neoadjuvant therapies D. Elective lymph node dissection14…The relationship between abdominal pain and vomiting typically can be characterized by saying: A. When the vomiting precedes pain, the likelihood of surgical abdomen increases appreciably B. Conditions that may produce only mild nausea in the younger patient often will cause vomiting in older patients C. The majority of surgical abdomens do not produce vomiting as a primary symptom D. The presence of bile in vomitus suggests pyloric stenosis Health Science Science Nursing NURS 6560 Share QuestionEmailCopy link Comments (0)
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