Correct Answers Verified 100% Correct
State the types of withdrawals - ANSWER -- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS)
Describe acute withdrawal syndrome - ANSWER -- Starts when a drug is stopped
- continues for days, weeks, or months
Describe protracted withdrawal - ANSWER -- post-acute withdrawal syndrome
(PAWS)
- low grade continuation of some symptoms of acute withdrawal
- occurs in a pattern of remitting-relapsing
- often results in relapse into addiction and prolonged disability that affects
chances of employment
- rarely, but can be indefinite
Protracted withdrawal syndrome is commonly caused by - ANSWER --
benzodiazepines
- may be present with alcohol and opioid addiction
A patient has a plan to commit suicide, what's the next step? - ANSWER -- Call
911
- file application for detention
- do not take no for an ANSWER
What are the top 3 most harmful drugs? - ANSWER -1. alcohol
2. heroin
3. crack cocaine
4. methamphetamine
5. cocaine
6. tobacco
, What action do you take if a patient is homicidal? - ANSWER -- Call 911
- file application for detention
- do not take no for an ANSWER
If a patient is suicidal, agreeing to this will prevent detention - ANSWER -- a
contract to call 911 instead of suicide
- the patient and provider both must sign it
How long does it take for motrin to develop a therapeutic level? - ANSWER -5
days or more
Describe assessment findings for tenosynovitis - ANSWER -- Median paresthesias
affecting the thumb, index finger, middle finger, and radial side of the ring finger
- Nocturnal paresthesias
- Bilateral presentation common at first, but may be unilateral
- Positive Phalen's test
- Positive Tinel's test
Describe Phalen's test - ANSWER -Hold pt's wrists in acute flexion for 60
seconds, or you may ask pt's to press back of both hands together to form right
angles.
Describe Tinel's test - ANSWER -Done to diagnose carpal tunnel
Tap over the median nerve; Pain = positive
When prescribing NSAIDS for long-term always assess - ANSWER -kidney
function
Non-pharmacologic treatments for URI - ANSWER -- commonly caused by
viruses
- remove triggers, such as smoking, allergens-
What's important to remember when the assessment reveals AMS? - ANSWER -
It's a Medical Emergency
, It's important for the FNP to assess abdominal pain by - ANSWER -- assessing the
patient's history of the presenting complaint and the physical exam
- this should derive the diagnosis in 90% of the cases
It's important for the FNP to understand that abdominal pain can - ANSWER -be
caused by problems outside the abdomen, such as MI and pneumonias
What is the treatment for an abrasion? - ANSWER -- an injury caused by grinding
or rubbing away layers of skin
- remove any debris from the wound
- apply a topical antibiotic
- apply dressing as necessary to keep the wound from drying out and interfering
with healing.
- apply a topical analgesia if painful
List the most common causes of an abscess - ANSWER -- MRSA
- rarely caused by parasites in the US, but common in other areas of the world
- IV drug users often present with one at the injection site
When diagnosing an abscess, what are differential diagnosis? - ANSWER --
cellulitis
- sebaceous cyst
- necrotizing fasciitis
What is necessary to I&D an abscess? - ANSWER -- I&D kit with #11 scalpel
- wound culture
- iodoform gauze
- antibiotic therapy
What antibiotics are used to treat an abscess? - ANSWER -- Keflex
- Bactrin DS
- Clindamycin
- Doxycycline