NRNP 6566 MID TERM EXAM LATEST
2024-2025 REAL EXAMS QUESTIONS
HAP treatment - ANS=tripple therapy. cefepime, meropenem, vancomycin
until C&S is back.
... [Show More] then specify which abx are sensative.
antiboitics that require serum monitoring - ANS=vancomycin, amikacin,
gentamicin
pre-op abx dose should be given - ANS=1 hour prior to incision start
carbapenem serious side effect - ANS=seizures
preferred paralytic drug - ANS=rocuronium
post intubation complication where breath sounds are not heard bilaterally?
- ANS=intubation of right main stemp bronchus4-
emergency placement of chest tube is placed between which two ribs? -
ANS=4th-5th intercostal space, over the ribs to avoid the nerve system
midaxillary line
patient who have chronically high PaC02 with severe COPD have which
complication of respiratory drive? - ANS=they have lost the hypercapnic
ventillatory drive.
ARDS pt who have high peak pressures with rising levels of static
pressures have this complication... - ANS=compliance decreases
dusky bluish tent - ANS=cyanosis
Pre-renal - ANS=decreased blood flow to and through the kidneys
Intra-renal - ANS=direct damage to the kidneys by inflammation, toxins,
drugs, infection, or reduced blood supply
post renal - ANS=sudden obstruction of urine flow due to enlarged
prostate, kidney stones, bladder tumor, or injury
dialysis - ANS=PD-at home, nightly through PD cath
HD- three times weekly through center. Fistula or vas cath for access. must
have a MAP >60
CCRT/CVVH-in ICU settings, can use with hypotensive patients
Normal pH - ANS=7.35-7.45
<7.35 Acid
>7.45 alkalosis
respiratory aklalosis - ANS=pH> 7.45, PaC02 low, HC03 low
respiratory acidosis - ANS=pH < 7.35
PaCO2 > 45
Hc03 normal 22-26
Metabolic alkalosis - ANS=pH > 7.45
HCO3 > 26
PaC02 45-35
normal oxygen levle - ANS=80-100
mild hypoxemia - ANS=60-80
moderate hypoxemia - ANS=40-60
severe hypoxemia - ANS=<40
A-a gradiatian calculation is a calculation of what? - ANS=level of hypoxia
PA02-Pa02
A-a gradiant varies with age, calculation - ANS=2.5 + 0.21 x age in years
5 causes of hypoxemia - ANS=VQ mismatch
shunt
PNA, interstitial lung dz
hypoventilation
high altitude
clinical symptoms that require intubation - ANS=neuromuscular depression
or failure.
spinal cord injuries
guillain barre syndrome
trauma-spinal cord injuries, phrenic nerve injury
myasthenia gravis
shock
status asthmaticus
sustained apnea of any kin [Show Less]