NRNP 6566 Week 4 Knowledge Check (100% Correct) Verified Answers

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NRNP 6566 Week 4 Knowledge Check • Question 1 A 47 year old male admitted with an infected elbow wound. On his second day in the hospital you find him in his room confused and agitated. ... • Question 2 A 50 year old woman is thought to be in septic shock. What physical assessment findings would you expect to find to confirm this type of shock? • Question 3 A 56 year old man is thought to be in hypovolemic shock. What are the initial interventions for a patient in hypovolemic shock? • Question 4 A 44 year old man is thought to be in cardiogenic shock. What are the initial interventions needed for a patient in cardiogenic shock? • Question 5 What is the mechanism of action and common side effects of dobutamine, norepinephrine, labetalol, and amiodarone? • Question 6 A 56 year old Caucasian man is seen in the office as a new patient. He complains of headaches occurring with increasing frequency and attributes them to increased stress at work. He denies any chest pain, shortness of breath, or dyspnea. He smokes one pack cigarettes per day and has two glasses of wine with dinner. Physical exam – obese main (BMI 30) in no apparent distress. BP R arm 168/98 L arm 170/94. HR 64 regular. No thryomegly or lymphadenopathy. Fundascopic exam reveals narrowing of the arteries and arteriovenous nicking. Cardiac exam reveals that his point of maximal impulse (PMI) if displaced 2 cm to the left of the midclavicular line (MCL). No murmurs noted. Lung and abdomen examinations are normal. What tests should be ordered for this patient ? Correct Answer: CMP and CBC at a minimum CMP - evaluate electrolytes and kidney function. Especially important when considering what medication to order and ensuring there is not a renal cause of the hypertension CBC - evaluate for Hemoglobin and Hematocrit. Looking to establish a baseline and assess for anemias Other testing that could be considered - lipid profile - high risk due to his smoking, obesity, and hypertension, ECHO - assess heart structure and function in light of his displaced PMI • Question 7 A 47 year old male admitted with an infected elbow wound. On his second day in the hospital you find him in his room confused and agitated. Vital signs are as follows: Temperature – 96.2 °F Pulse -140 beats per minute Respirations – 40 breaths per minute Blood Pressure – 90/40 mmHg Labs include a WBC count of 3,000 Pt weighs 185 pounds Further assessment of him includes: o Urine output of 100cc for the last 8 hours o Pulse oximetry of 88% on room air o Pallor What initial diagnostics should the AGACNP order? • Question 8 A 56 year old Caucasian man is seen in the office as a new patient. He complains of headaches occurring with increasing frequency and attributes them to increased stress at work. He denies any chest pain, shortness of breath, or dyspnea. He smokes one pack cigarettes per day and has two glasses of wine with dinner. Physical exam – obese main (BMI 30) in no apparent distress. BP R arm 168/98 L arm 170/94. HR 64 regular. No thryomegly or lymphadenopathy. Funduscopic exam reveals narrowing of the arteries and arteriovenous nicking. Cardiac exam reveals that his point of maximal impulse (PMI) if displaced 2 cm to the left of the midclavicular line (MCL). No murmurs noted. Lung and abdomen examinations are normal. How would you explain PMI being displaced 2 cm to the left of the MCL? • Question 9 A 44 year old man is thought to be in cardiogenic shock. What physical assessment findings would you expect to find to confirm this type of shock? • Question 10 What is the difference between dopamine and dobutamine? [Show More]

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