Will give likes 81. A patient is recovering from brain surgery from a brain tumor in the neuro ICU. Upon chart review du

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Will give likes
81.
A patient is recovering from brain surgery from a brain tumor in
the neuro ICU. Upon chart review during rounds, you note his urine
output decreased overnight and labs show a sodium of 118, serum
osmolality of 270 and BUN of 7. What would be the appropriate
treatment for this patient?
Replace free water to 2L/day
Demeclocycline 300 mg
bid
Order hypertonic 3%
saline
Restrict fluid intake to 1200 mL/day
83. A patient comes to the ER with lower abdominal pain. CT scan
reveals a 1.5mm stone in the right ureter and the patient is
diagnosed with acute nephrolithiasis. What is the next step in
managing this patient?
Pain control and IV hydration
Consult urology for stent
placemeny
Lithotripsy stone destruction
Transurethral stone destruction
84. You are reviewing the chart of a patient admitted to a
med-surg floor. You notice in his labs this morning the serum
sodium has been trending down and is now 127. What is the most
appropriate treatment for this patient?
Hypotonic saline
D5W @ 50 ml/hr
Place on 1L water restriction
Discontinue diuretics
85. The AGACNP is assessing a new patient with multiple vague
complaints. Which of the following symptoms would indicate
the need for further workup for possible
cancers?
Change in bowel habit, weight loss, bloody rectal discharge
Skin rash and unusual bleeding
Sore that will not heal along with a rash in close
proximity
An unusual lump, increase in the number of warts or
moles
86. All of the following are included in the treatment of
myexedema coma
except?
Administration of levothyroxine 200-400 mcg IV
Mechanical ventilation for hypercapnea
Esmolol 500 mcg bolus
3% normal saline if severely hyponatremic
88. Which drug is included in the maintenance plan for a patient
with chronic kidney disease?
Potassium Chloride
PO
Epogen
Extra protein in the diet
Extra fluid intake
90. What abnormal lab value would you expect in a patient with
newly diagnosed hypothyroidism?
TSH to be decreased
T3 to be normal
T3 resin uptake to be increased
T4 to be decreased or normal
91. All of the following findings are associated with pernicious
anemia
except?
Sore tongue
Enhanced sense of smell
Mildly
icteric
Tachycardia
92. An elderly patient presents with dizziness and shortness of
breath. His physical shows his conjunctiva are pale.
Hemoglobin is 7.5, MCV 81, MCHC 36%, Ferritin level is
210. What is the working diagnosis?
Inadequate nutrition
Malabsorption
Occult blood loss
Hemolysis