NUR 631 Study Guide
- What do papillary muscles in the heart do?
Answer Help close the valves and stop backward expulsion of the AV valves.
- If there is an issue in phase 0 of the cardiac cycle, what electrolyte imbalance do I expect?
Answer Low sodium; hyponatremia
- What is Raynaud's disease?
Answer Vasospasms; more likely in the fingers; red, white, blue disorder
- My patient comes into the ER complaining of chest pain, what labs are you ordering?
Answer Troponin; but troponin comes back normal, what is the next step? Get serial troponins, trend the troponins at least 4 hours later (could be delayed elevation)
- A patient has COPD and we have increased pulmonary vascular resistance due to what type
of heart failure?
Answer Right sided HF
- Biggest cardiac complication in down syndrome?
Answer VSD
- What does a crescendo decrescendo systolic ejection murmur sound like?-
Answer Wide thick splitting of that second heart sound; what defect is this common in? Atrial septal 1 / 3
defect
- How does conjugation of bilirubin happen?
Answer Starts out as fat soluble and will turn into water soluble; so our unconjugated turns into conjugated
- What do you want to look for if a patient comes in zero GI complaints, but is projectile
vomiting all over the place?
Answer Look at something in the brain; ex. Inc.d ICP
- If I have a lactase deficiency, what kind of diarrhea will I develop?
Answer Watery osmotic
- How do I document bright red bleeding of the rectum?
Answer Hematochezia
- Signs and symptoms of a SBO?
Answer Nausea, vomiting are later symptoms; earlier signs are abdominal distention
- What bacteria runs ramped in daycares?
Answer Impetigo
- What disorder do we generally see hepatic fat accumulation in the liver?-
Answer Alcoholism
- Early signs and symptoms of hepatitis (prodromal early hep)? 2 / 3
Answer Fatigue, vomiting, hyperalgesia (just like overall nerve pain?)
- What's it called when we don't have complete fusion of the nasomedial and the inner
maxillary process?
Answer Cleft palate
- A patient with long term COPD (chronically hypoxic), what are physical signs of COPD?
Answer Barrel chest, clubbed nails, SOB with exertion, cyanosis, froth cough
- If a patient has a pleural effusion and we find they have transudative exudate but not a
whole lot of symptoms, what do we want to look for?
Answer Draw labs to look at their protein levels (protein stores)
- If I had a patient who I diagnosed with ARDS, what will I be on high alert for them also
developing?
Answer Pneumonia
- Diagnose a patient with emphysema, but they say they've never smoked, what will you do?
Answer Do genetic testing (is there a genetic predisposition?)
- Why do we worry about a young infant that has nasal congestion?
Answer Nose breathers, can't eat if they are breathing through their nose
- Why do cystic fibrosis patients have all that mucus plugging?
- / 3
Answer