When counseling patients to prevent postoperative pulmonary complications

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Question 9

When counseling

patients to prevent postoperative pulmonary complications, the AGACNP knows that with respect to smoking cessation, the American College of Surgeons and National Surgical Quality Improvement Program guidelines are clear that patients who stop smoking _____ weeks before surgery have no increased risk of smokingrelated pulmonary complications.

A. 2     B. 4     C.     6     D. 8

 
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Mitch C. is a 39-year-old male who is brought to the ED by paramedics

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Question 10

Mitch C. is a

39-year-old male who is brought to the ED by paramedics. According to the report of a neighbor, Mitch was distraught over a breakup with his fiancée and attempted to commit suicide by mixing some chemicals from under his kitchen sink and drinking them; afterward he changed his mind and knocked on his neighbor’s door asking for help. Mitch is awake but stuporous, and the neighbor has no idea what he drank. Visual inspection of his mouth and oropharynx reveals some edema and erythema. He is coughing and has large amounts of pooling saliva. Mitch is not capable of answering questions but he appears in pain. Endoscopy reveals full thickness mucosal injury with mucosal sloughing, ulceration, and exudate. The AGACNP knows that the appropriate course of treatment must include:

A.At least 6 hours of observation in the emergency department     B. Periodic esophagram                C. Aggressive fluid resuscitation     D.Esophagogastrectomy

 
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Jared V. is a 35-year-old male who presents for evaluation of a dry cough

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Question 11

Jared V. is a

35-year-old male who presents for evaluation of a dry cough. He reports feeling well overall but notices that he gets out of breath more easily than he used to when playing soccer. A review of systems yields results that are essentially benign, although the patient does admit to an unusual rash on his legs. Physical examination reveals scattered erythematous nodules on both shins. There is no drainage, discomfort, or itch. Additionally, diffuse, mildly enlarged lymph nodes are appreciated bilaterally. Results of a comprehensive metabolic panel and complete blood count are within normal limits. Twelve-lead ECG reveals sinus bradycardia at 58 bpm. Chest radiography reveals bilateral hilar and mediastinal lymphadenopathy. The AGACNP suspects:

A.Bronchiectasis     B. Pulmonary fibrosis     C. Sarcoidosis     D.Lung carcinoma

 
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Mrs. Miller is a 44-year-old female who is on postoperative day 1 following a total abdominal hysterectomy

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Question 12

Mrs. Miller is a

44-year-old female who is on postoperative day 1 following a total abdominal hysterectomy. Her urine output overnight was approximately 200 mL. The appropriate response for the AGACNP would be to order:

A.A urinalysis and culture     B. 1 liter of NSS over 8 hours     C. Encourage increased mobility D.Liberalize salt in the diet

 
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