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Question ?D T. is a 29-year-old male who is recovering from an open ﬁxation of a femur fracture sustained in a diving accident. He has an order for Dilaudid 1 mg i‘v’ q2h p.r.n. for pain.
He is still having pain and requests more medication. The AGACNP considers that: A.This is the maximum dose for Dilaudid and nonpharmacologic measures should be
maximized B. The dose may be increased to 2 mg and response assessed C. He may be opiate addicted, and this should be explored before the dose is increased
ELAn adjunct medication such as ibuprofen should be added to his regimen

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This question was created from NURS6560-Midterm18.docx

April 7, 2020/in Feeds /by Munene david

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Question 57
T . is a 39 – year-old male who presents to the hospital emergency room with a chief
complaint of profound substernal chest pain Results of the 12 -lead ECG and cardiac
enzymes test are normal Vital signs are as follows : temperature 101 . goF pulse 129
bom respirations 26 breaths per minute , and blood pressure 90 / 60 mm Hg . The patien
is pale and clearly unwell , and physical examination reveals a systolic pericardial
crunching sound . Which of the following additional pieces of history would make the
AGACNP suspect acute mediastinitis ?
A . A 48 pack year smoke history
B . A 2 – day history of vomiting
C. Aortic valve

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This question was created from NURS6560-Midterm18.docx

April 7, 2020/in Feeds /by Munene david

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Question 65
K . is a 39 – year -old female who was admitted for evaluation of progressive activity
intolerance , and chest radiography revealed a large right lower lobe pleural effusion . A
pleural fluid tap was performed , but fluid analysis results were inconclusive and the
cause of the effusion could not be identified . The AGACNP knows that which diagnostic
study is most appropriate to identify the cause of pleural effusion when fluid analysis is
inadequate ?
A . Scalene biopsy
B . Video – assisted thoracoscopic surgery ( VATS )
C. Pleural
needle biopsy D . Open surgical biopsy

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