Final Exam: NR572 / NR 572 (Latest
Update 2024 / 2025) Advanced Acute Care Management | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
How do I know if my patient has central sleep apnea or obstructive sleep apnea?
Answer:
Unlike with OSA, the body does not try to breathe in central sleep apnea, so there is no snoring. Instead, because the brain and nervous system do not consistently send a signal to breathe, the person stops breathing. Some people
have no symptoms, but others may notice: insomnia.
Question:
Triad of symptoms in pheochromocytoma
Answer:
Palpitations Sweating Headaches 1 / 4
Question:
Associated complications a pheochromocytoma
Answer:
Hypertensive Crisis MI
Question:
Pheochromocytoma
Answer:
a benign tumor of the adrenal medulla that causes the gland to produce excess catecholamines
Question:
Presentation of pheochromocytoma
Answer:
Hx:
Question:
Treatment of pheochromocytoma
Answer:
ABC
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Alpha blockade Beta blockade Cut
Question:
Indications of lumbar puncture
Answer:
CSF sample for examination; pressure measurements (NPH); reduction in
CSF pressure:
-infections -SAH -Inflammatory conditions -MS -carcinomatosis
Spinal anesthetics, antitumor agents, antibiotics; radio-opaque substance
radioactive agent:
-cryptococcal meningitis -SAH -hydrocephalus with communication between all ventricles -pseudotumorcerebri -drug administration
Imaging 3 / 4
-myelography -radionuclide cisternography
Question:
Contraindications of performing LP
Answer:
• Increased risk of fatal cerebellar or transtentorial herniation (when papilledema is the result of CNS lesion, especially asymmetric lesions near the tentorium or foramen Magnum) • coagulopathy (consider reversal; hold enoxaprin for 12h [Prophylactic dosing]/ 24h [Therapeutic dosing] • infection over puncture site • Spinal block requiring a sample of cisternal fluid or myography above lesion
Question:
Common complications of lumbar puncture
Answer:
-sciatic pain during needle insertion (needle placement laterally)
-Slowing of fluid removal (slowly elevate patient head)
-Herniation with high pressure (>400 mmH2O)- (abort procedure to obtain small amount of necessary sample, then administer hyperosmolar agent, such
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