Expert Minds

UNIT 3 Geriatric considerations for skin integrity: Decreased SubQ tissue, decreased elasticity of the skin, immobility, risk for falls. Differentiate between the stages of ulcers: Stage 1 Stage 2 Stage 3 Stage 4 Red, nonblanchable area Red, swelling, warmth. The initial opening of the reddened area Moist, partial thickness Further opening Expose of SubQ tissue, muscle, tendons Extensive opening Now down to the bone, Undermining, necrosis, no longer painful at the base ...

A nurse is reviewing the chart of a patient who has been fasting for 48 hours. Which sequence of metabolic processes best describes how the body is maintaining blood glucose stability during this prolonged fasting state? A. Glycogenesis followed by glycolysis, supported by increased insulin release. B. Glycogenolysis followed rapidly by gluconeogenesis, initiated by a decrease in insulin and an increase in glucagon. C. Lipolysis followed by glycolysis, triggered by parasympathetic nervous ...

A nurse is reviewing the chart of a 45year-old White woman recently diagnosed with otosclerosis. Which findings are consistent with the known pathophysiology and clinical manifestations of this condition? A. The hearing loss started in one ear but has the potential to affect both. B. Normal bone is destroyed and replaced with spongelike bone on the ossicles. C. The primary hearing loss is sensorineural due resulting from damage to the organ of Corti. D. The client may experience tinnitus. ...

Primary vs. Secondary Skin Lesions • Primary – lesions as they originally appear • Secondary – lesions that have been modified from their original appearance Herpes Simplex Virus 1 & 2 Pathophysiology • Herpes virus lives latent in nerve (most often the trigeminal) after initial infection and reactivates during: o Stress o Sun exposure o Menstruation Clinical Manifestations • Burning → redness & vesicles → pustules & ulcers → crust • Heals in 10-14 days • Herpes S...

. A patient suffered severe global ischemia following a myocardial infarction (MI). The nurse understands that the resulting generalized brain edema is primarily due to which cellular mechanism? A. Increased vessel pressure causing a midline shift (vasogenic edema) B. Cellular energy failure leading to decreased ATP and subsequent Na+ accumulation inside the cell C. Excessive influx of water and Ca+ into the cells due to increased glutamate D. Compression of the cerebral vessels causing s...

NURS 5333 Test 1:NURS 5333 Family 1 Test 2 Study Guide:NURS 5333 Test 3:NURS 5333 Family 1 Test 3 (Geriatrics Part 1,2,3,4):NURS 5333 Family 1 test 4:Questions & Answers: Updated A+ Score Solutions

PUD - Risk Factors - Causes of peptic ulcers: (AnsHelicobacter pylori (H. pylori) infection; Nonsteroidal anti-inflammatory drug (NSAID) and corticosteroid use; Severe stress; Hyper-secretory states; Type O blood; Excess alcohol ingestion; Chronic pulmonary or renal disease; Zollinger-Ellison syndrome (combi-nation of peptic ulcers, hypersecretion of gastric acid, and gastrin secreting tumors). radiation therapy PUD What are red flag symptoms? (Ansrefer these patients for endoscopy ...On...

Rosacea Management (Ansavoidance of precipitating factors and use of sunscreen. Oral metronidazole, doxycycline, or tetracycline also can be used, especially if there are ocular symptoms > in women but more severe in men no cure oil-free moisturizer SPF daily Topical antibiotic metronidazole Laser tx by a dermatologist Don't touch skin Avoid overheating use green or yellow tinted cream over rosacea tinea capitis symptoms and signs: (AnsOn scalp, scale, black dots of broken ha...

Gonorrhea treatment, side effects of the medications, and prevention (Ans- -high rate of anti-microbial resistance -all cases of gonorrhea need to be treated with two anti-microbials with different mechanisms of action. - third-generation cephalosporin plus azithromycin on the same day simultaneously and directly observed is preferred. Fix your mouth gonorrhea: Oral cefixime is not sufficient for pharyngeal infections, but can be used if ceftriaxone is not available, Genital Herpes trea...

Primary amenorrhea (Ansthe failure to begin menstruating at puberty. Patient has never had a any bleeding (menses) Ever. No prior first period. If they are 15 or 16, need to think about structural problems, missing ovaries, etc.)chromosomal irregularities leading to primary ovarian insufficiency (e.g., Turner syndrome) or anatomic abnormalities (e.g., Müllerian agenesis). secondary amenorrhea (AnsMenstruation begins normally, then ends before menses for 3-6 months after the regular cy...

Prostate cancer: What are PE findings? (Ans- -a malignant neoplasm of the prostate gland -second most common cancer among men in the United States -high fat diets have been thought to contribute to this disease -frequency, nocturia and dribbling -bone pain from metastasis and uremia secondary to obstruction may occur. -adenopathy, bladder distension Prostate cancer: What does prostate gland feel like with DRE? (Ansthe prostate palpates harder than normal with obscure boundaries and no...

Jeremy has a not at fault accident. If he has PIP with a $1,000 deductible, how much can he expect his PIP coverage to pay toward his medical bills that total $3,000? A. $1,600 B. $1,000 C. $2,400 D. $3,000 (AnsA. $1,600 3000 (bills) - 1000 (deductible) = 2000 x .80 (eighty percent) Frank has a not-at-fault accident, he has basic PIP, no deductible and Med pay of $5,000. How much will his Med Pay contribute to medical bills of $15,000? A. $15,000 B. $5,000 C. $3,000 D. $0, Frank ...

How many days should an insurer give for prior notice of cancellation of a binder? (Ans- 5 days. Property Insurance (Ans- Any insurance wherein payment by the insurer will be paid directly to the insured or other specifically named interests. Liability Insurance (Ans- Payment will be on behalf of the insured to another, based upon the insureds liability to the recipient. Simply stated, Liability is "Negligence of the Insured". Loss Payee Clause (Ans- A Clause in a contract of in...

Which of the following would you find in the Conditions section of an insurance policy? The meaning of certain important words in the contract Causes of loss that are not covered Policy limits The insured's duty after a loss (Ans- The insured's duty after a loss All of the following are typical exclusions in an insurance policy, EXCEPT: nuclear hazards. explosion. earthquakes. flooding. (Ans- explosion. All of the following pieces of information can be found in the Conditions ...

Which statement best describes a group license? (Ans- a right granted to a sales associate or broker associate to work various properties owned by one owner/developer Which best describes the members of the Florida Real Estate Commission? (Ans- four licensed brokers with five years’ experience ; one broker or sales associate with two years’ experience ; and two consumers who have never been involved in the real estate profession A transaction broker is best described as the con...

What is the function of the metering device? (Ans- To decrease pressure When refrigerant enters the condenser what state is the refrigerant in? (Ans- High pressure vapor When refrigerant enters the metering device what state is the refrigerant in? (Ans- High pressure liquid When refrigerant exits the metering device what state is the refrigerant in? (Ans- Low pressure liquid When the refrigerant enters the compressor what state is it in? (Ans- Super heated vapor When refrigerant ente...

Chapter 20 Metabolic Disorders A1C greater than 6.5% is a diagnosis of DM Notes from key concepts: Type 1 vs Type 2 Type 1: Is an autoimmune disorder. Usually diagnosed in younger than 30. Classic signs: 3 P’s. Sudden weight loss, delayed wound healing. Type 2: Insulin resistance, this is a progressive disorder. Often subtle or absent. Blurred vision, cardiovascular and neurological complications. Most older people don’t get this diagnosis until there is serve organ damage. A1C is t...

1. Age-Related Changes Key Physiological Changes • Cardiovascular: ↓ Cardiac output, ↑ BP, arteriosclerosis risk. • Respiratory: ↓ Lung elasticity, weaker cough reflex, increased risk for pneumonia. • Musculoskeletal: ↓ Bone density (osteoporosis), muscle mass loss, joint stiffness. • Neurological: Slower reflexes, memory changes (distinguish normal vs. dementia signs). • GI System: ↓ Peristalsis (constipation), reduced appetite, weaker swallowing reflex. • Renal/Uri...

atrophic vaginitis Woman’s health / pap smears- module 2 lecture 1polycystic ovarian syndrome o s/s hirsutism, acne, and menstrual abnormality. Did period come on quickly or slowly menopause /progesterone - estrogen and progesterone when you have a uterus. Estrogen only if uterus is gone causative pathogen with PID- gonorrhea and chlamydia or mycoplasm genitalium asymptomatic UTI? / most appropriate treatment?HSV BVTrichomonas

PEDIATRICS Child health: iron storage in infants and how to assess dehydration in infants and children Dehydration in infants: Findings Mild Moderate Severe Anterior Fontanelle Normal Sunken Markedly sunken Eyes Normal Sunken Markedly sunken Skin Normal Cool Cool, mottled Pulse Normal Increased Increased, weak Urine output Mildly reduced Markedly reduced Little to no UOP iron storage: depleted by age 4-6 months requiring supplementation through iron-fortified cereals, pureed meats, an...