NSG 550 - Diagnostic Reasoning for Nurse Practitioners
Exam 2
Question:
A comprehensive test used to diagnose sleep disorders that records your brain waves, the oxygen level in your blood, heart rate, and breathing, as well as eye and leg movements during the study.
Answer:
Polysomnography
Question:
Indications for polysomnography
Answer:
-Sleep apnea -Periodic limb movement disorder sometimes associated with restless legs syndrome.-Narcolepsy -REM sleep behavior disorder. This sleep disorder involves acting out dreams as you sleep. 1 / 4
-Unusual behaviors during sleep.: walking, moving around a lot or rhythmic
movements.-Unexplained chronic insomnia
Question:
Microscopic study - Acid fast bacilli smear (AFB smear)
Answer:
-diagnosis of tuberculosis *diagnosis cannot be made with the smear itself; TB cultures are required.-productive cough, night sweats, fever, anorexia, weight loss, hemoptysis or abnormal CXR.-considered in immunocompromised patients.
Question:
Microscopic study - Blood Culture and Sensitivity
Answer:
Used to determine the presence of bacteria in the blood.
- / 4
Question:
Microscopic study - Bone marrow biopsy
Answer:
-used in the evaluation of patients with hematologic diseases, to evaluate anemias, leukopenia, or thrombocytopenia.-To assess abnormal iron stores -to diagnosis leukemia, myeloproliferative disorders, and plasma cell dyscrasia.
Question:
Microscopic study - Fluid analysis
Answer:
-pleural tap or thoracentesis: performed to determine the cause of
unexplained pleural effusion.-to relieve intrathoracic pressure that accumulates with a large volume of fluid and inhibits respiration.-Evaluates cytology as well
Question:
What is a pulmonary embolism?
Answer:
blood clot in the lungs
DVT puts a person at risk for a pulmonary embolism 3 / 4
Question:
Classic signs of a pulmonary embolism.
Answer:
-Shortness of breath. This symptom typically appears suddenly and always gets worse with exertion.-Chest pain. You may feel like you're having a heart attack. The pain is often sharp and felt when you breathe in deeply, often stopping you from being able to take a deep breath. It can also be felt when you cough, bend or stoop.-Cough
Question:
Risk factors for pulmonary embolism.
Answer:
Oral contraceptives Obesity Recent surgery or immobility Heart disease Covid 19 infection Disorders that affect clotting Testosterone supplementation
- / 4