COMPLETE SOLUTIONS
Acetaminophen (Tylenol) hepatotoxicity .
Antidote. Correct Answers N-Acetylcysteine
Acid base imbalance. Review the labs and risk factor that led to
respiratory alkalosis. Correct Answers Respiratory Alkalosis:
Excessive loss of CO2 through hyperventilation
Hallmark= ABG result with an elevated pH coupled with a low
carbon dioxide level
Assessment: Recognize Cues
-Hypocalcemia and hypokalemia
-CNS, neuromuscular, cardiovascular, respiratory signs and
symptoms
Arterial blood pH above 7.45, decrease in free hydrogen ion
level of the blood, excess bases, especially biocarbonate
Acid-base imbalance. Complication of Diuretic Correct Answers
Metabolic alkalosis
Acid-base imbalance. Metabolic acidosis. Sign and symptom of
compensatory mechanisms? Correct Answers Hyperventilation.
Increase rate and depth of ventilation.
Actinic Keratosis aka sola keratosis Correct Answers a rough,
scaly patch on the skin caused by years of sun exposure.
,-usually affects older adults
-reducing sun exposure can help reduce risk
- it is most common on the face, lips, ears, back of hands,
forearms, scalp, and neck
Actinic lentigo aka solar lentigo Correct Answers flat tan,
brown, or black spots on the skin common with age.
-older adults, people with fair skin, and people who've spent lots
of time in the sun are most prone to liver spots.
-the main symptom is a dark spot on the skin.
Acute pancreatitis. Clinical manifestation of Acid-base
imbalance. Correct Answers Acute pancreatitis aka
inflammation of the pancreas, causes sudden onset of severe
upper abdominal pain often radiating to the back.
Metabolic acidosis can occur in acute pancreatitis for multiple
reasons that include lactic acidosis resulting from shock, renal
failure.
AIDS. Defining criteria Correct Answers CD count less than
200
Airborne Precautions Correct Answers - Single room with
negative pressure
- Closed door
- Particulate respirator (fitted N95 HEPA filter)
.not requires for measles/varicella if staff is immune/ gown can
be added if client is coughing or sneezing.
-Client wears surgical mask when out of room.
-Measles (rubeola)
, -chicken pox (varicella)
-TB (tuberculosis)
Others: SARS, generalized herpes zoster
An unresponsive patient. Nursing assessment as priority Correct
Answers Check VS, specifically pulse
Assistive personnel (AP) Scope of skill Correct Answers Pt
with thrombocytopenia will be a very high risk of bleeding, pt
will have prolonged bleeding due to skin breakdown, blood in
urine
Which could be some actions delegated to AP
Assistive personnel (AP) Scope of skill. Correct Answers
Obtaining and documenting VS, including temp, pulse,
respirations, BP and pain level
- bathing, grooming etc
-feeding and assisting with fluid and nutritional intake
-mobility assistance
basal cell carcinoma (BCC) Correct Answers skin cancer in the
basal cell layer of the epidermis; very common cancer caused by
sun exposure but rarely metastasizes or spreads
This cancer typically appears as a white waxy lump or a brown
scaly patch on sun-exposed areas, such as the face. and neck.
Treatment: prescription creams or surgery
Burns. Diet for fast healing process Correct Answers -Beef
-chicken