NURS 6 550 FIN AL E X AM – WALDE N UNIVE RS ITYS UM ME R 2 018QUESTION 11.Mr. Jeffers was admitted 2 days ago for a carotid endarterectomy. A Foley catheterwas inserted intraoperatively and remains in place. His urine output has declined markedlydespite continued IV fluid infusion. Today his morning labs reveal a BUN of 19 mg/dL and acreatinine of 2 mg/dL. A leading differential includes:A.Foley lodged in the urethra causing post-renal failureB.Decreased renal perfusion causing prerenalfailureC.Age-related decreased eGFR causingprerenal failureD.Post-surgical rhabdomyolysis causingintrarenal failure1 pointsQUESTION 21.Janet is admitted with symptomatic tachycardia. Her pulse is 160 b.p.m. and she isweak, diaphoretic, and anxious. Physical examination reveals a 5’4” 107 lb black female whois awake, alert, and oriented, anxious, with moist skin and racing pulse. Her blood pressureis 140/100 mm Hg. Temperature and respiratory rate are within normal limits. The patientadmits to having a “thyroid condition” but she never followed up on it when she was advisedto see an endocrinologist. The AGACNP anticipates a diagnosis of:A.Hashimoto’sthyroiditisB.Cushing’ssyndromeC.Grave’s diseaseD.Addison’s disease1 pointsQUESTION 31.Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune disorder thatcan prevent with a wide variety of manifestations. Which clinical triad should prompt anevaluation for SLE?A.Fever, normal white count, elevatedsedimentation ratePreview Mode
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