Expert Minds

What is hypothyroidism? What is hyperthyroidism? Hypothyroidism: reduction in the amount of circulating free thyroid hormone, or from resistance to the action of the thyroid hormone Risk factors: family history Age females sex hypothalamic disease autoimmune diseases radiation of head or the neck treatment for hyperthyroidism medications: amiodarone and lithium interferon (female > 40 should have TSH checked yearly) Presentation: Lethargy weight gain swelling of the hands and ...

New Zealand Nursing State Exam/NZ Nursing State Exam: NZ Nursing State Exam Study Guide/100% Verified Questions & Answers(Complete Solution) Latest Updated: Guaranteed A+ Score Solutions

NR 324/NR 324 Package Deal/NR 324 Exam 1/NR 324 Exam 2/NR 324 Exam 3/NR 324 Adult Health/NR 324 Final Exam/ NR 324 Final Exam Study Guide/ Questions & Answers/ Latest Updated /Guaranteed A+ Guide Solutions

type 1 hypersensitivity (Ansimmediate hypersensitivity -onset in minutes of antigen challenge -ex: allergies to molds, insect bites type 2 hypersensitivity (Anscytotoxic hypersensitivity -onset within minutes or a few hours of antigen collection -ex: adult hemolytic anemia and drug allergies type 3 hypersensitivity (Ansimmune complex-mediated hypersensitivity -onset usually within 2-6 hours -ex: serum sickness and systemic lupus erythematoustype 4 hypersensitivity (Ansdelayed hyperse...

When developing a mechanically ventilated client's plan of care for prevention of ventilator-associated pneumonia (VAP), the nurse should include which measures in the plan? Select all that apply. 1. Suction the oral cavity whenever needed. 2. Apply topical antibiotics to the oral cavity. 3. Change the ventilator circuit tubing every 2 hours. 4. Maintain the client in a supine position at all times. 5. Practice frequent oral hygiene, including teeth brushing. 6. Practice meticulous ha...

A nurse is planning care for a client who has Hgb 7.5g/dL and Hct 21.5%. Which of the following actions should the nurse include in the plan of care? (Select all that apply.) A. Provide assistance with ambulation. B. Monitor oxygen saturation. C. Weigh the client weekly. D. Obtain stool specimen for occult blood. E. Schedule daily rest periods. (Ans- a, b, d, e The nurse should assist the client when ambulating to prevent a fall because the client who has anemia can experience dizzines...

A nurse is planning care for a client who has asthma. Which of the following medications should the nurse plan to administer during an acute asthma attack? A.) cromolyn sodium B.) prednisone C.) fluticasone/salmeterol D.) albuterol (Ans- Albuterol The nurse should administer albuterol because it acts quickly to produce bronchodilation during an acute asthma attack. a nurse is assessing a client who's 4 hr postoperative following a total laryngectomy. which of the following findings...

What S/S should the nurse look for when a patient is experiencing hypernatremia with decreased, normal and increased ECF volume? (AnsHypernatremia with decreased ECF volume: • Restlessness, agitation, lethargy, seizures, coma • Intense thirst, dry swollen tongue, sticky mucous membranes • Postural hypotension, ↓ CVP, weight loss, ↑ pulse • Weakness, muscle cramps Hypernatremia with normal or increased ECF volume: • Restlessness, agitation, twitching, seizures, coma • Int...

which of the follow interventions does the nurse complete when caring for a client admitted with a sodium level of 152 mEq/L (Ans- observe and prepare for possible seizures hyponatremia causes (Ans- sodium is less than 135 mEq/L, vomiting, diuretics, gastrointestinal suctioning, diarrhea, inadequate salt intake, fluid shift from the ICF to the ECF by hypertonic solutions which leads to dilutional hyponatremia two phases of hyponatremia (Ans- 1 is too much volume, so decrease in sodium ...

An increased level of C-reactive protein (CRP) is an independent risk factor for (Ans- CAD ____ elevation is a sensitive indicator of very early myocardial injury, but lacks specificity for MI. Its usefulness in diagnosing MI is limited (Ans- myoglobin - a low molecular weight heme protein found in cardiac and skeletal muscle ____ is an amino acid produced during protein catabolism. Elevated levels can be either hereditary or acquired from dietary deficiencies of vitamin B6, vitamin B12...

What are Proton Pump Inhibitors (PPIs) and their purpose? (Ans- Medications that reduce stomach acid production by inhibiting the proton pump, aiding in healing the gastric mucosa. When should PPIs be administered? (Ans- 30 minutes before meals. What are the long-term adverse effects of PPIs? (Ans- Osteoporosis and Clostridium difficile infection. What do H2 receptor blockers do? (Ans- They decrease the secretion of hydrochloric acid by inhibiting histamine-2 receptors in gastric mucosa...

Peptic ulcer disease (Anscondition characterized by erosion of the GI mucosa from the digestive action of hydrochloric acid and pepsin -pH increases to 3.5 or more when foods or antacids neutralize stomach acid or drugs block acid secretion -H. pylori is main organism of PUD - Any portion of the GI tract that comes into contact with gastric secretions is susceptible to ulcer development Gastric or duodenal (differ in their incidence and presentation Lifestyle factors: alcohol and coffee...

What is wound dehiscence? (Ans - Disruption of previously joined wound edges due to an infection, too tight sutures, or injury to wound Risk factors for wound dehiscence? (Ans – Elderly Poor nutrition Diabetes Abdominal surgery Immunosuppressant Smoking Signs of wound inflammation? (Ans – Redness Warmth Malaise ( general discomfort) TachycardiaFebrile What are treatments for pain? (Ans – Positioning Analgesia List some side effects of opioid use? (Ans – Decreased b...

What is Heart Failure? (Ans- When the heart is unable to pump and supply sufficient blood to the body needs Definition of Shock (Ans- It is a syndrome characterized by tissue ischemia from decreased perfusion and impaired cellular metabolism What are the 3 causes of cardiogenic shock? (Ans- -primary ventricular ischemia caused by MI -structural problems -Arrhythmias What does the 3 causes of cardiogenic shock result in? (Ans- systolic dysfunction: ineffective forward mov...

FNP Predictor Exam Study Guide|FNP Certification Exam|FNP Certification Exam Review|FNP Exam Test Questions| FNP Boards Review|100% Verified Questions &Answers: Latest Updated Solutions

A 45-year-old patient has subclinical hypothyroidism, TSH 6.2. What are the major risks of prescribing levothyroxine? A. There are very few risks B. Hyperlipidemia, atrial fibrillation C. Accelerated bone loss, atrial fibrillation D. She may develop hypertension and tachycardia (Ans- C. Accelerated bone loss, atrial fibrillation A 58 year old female is found to be euthyroid. Which of the following is the next step of care? A. Repeat TSH in 4-6 weeks. B. Increase levothyroxine until the...

Etiology: Anxiety (Ans- -Behavioral theory: a conditioned response to specific environmental stimuli -Genetic component: 1st degree relatives increases the likelihood 8-fold -Biologic theories: Norepi, serotonin, and GABA are poorly regulated; the ANS inappropriately responds to stimuli; cerebral pathology causes anxiety; HPA axis highly implicated Risk factors: Anxiety (Ans- -Organic causes: endocrinopathies, cardiorespiratory disorders, anemia -Use or withdrawal from medications/sub...

A 72-year-old female presents to the emergency department for altered mental status. Her urine analysis is negative, and her labs are normal. She has been referred to psychiatry for dementia. The patient's husband reports increasing forgetfulness over the last 6 months, walking as if her feet are stuck to the ground, and most recently episodes of urinary incontinence. Based on the signs and symptoms which of the following diagnostic tests should the PMHNP order to rule out an underlyin...

What percentage of pulmonary emboli or DVTs are provoked? (Ans- 70% How long should a patient with a provoked PE or DVT be treated with an anticoagulant? (Ans- at least 3 months How long should a patient with a non-provoked PE or DVT be treated with an anticoagulant? (Ans- at least 3 months, but could be lifelong if any recurrence What is the Virchow's triad? (Ans- 3 broad categories of factors that are thought to contribute to thrombosis What are things that could contribute to a ...

A patient is having increased thirst and urination. You have ruled out diabetes mellitus. After a compete history and physical you suspect diabetes insipidus. Your initial lab tests should include? Renal US and 24-hour urine for volume Plasma sodium, 24-hour urine osmolality and volume Plasma sodium and renal US Recording Intake and output (Ans- Plasma sodium, 24-hour urine osmolality and volume An adult patient presents with tachycardia and nervousness. The patient is currently taking ...