Terry75

CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (Include Pathophysiology of Disease Process) Overview ▪ Acute infection of the lung parenchyma that impairs gas exchange ▪ May be caused by various microorganisms, including mycobacteria, bacteria, viruses, protozoa, and fungi ▪ Classified by etiology, location in the lungs, or type ▪ Also classified as community-acquired, health care-associated, hospital-acquired (nosocomial), ventilator-associated, and aspiratio...

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (Include Pathophysiology of Disease Process) Overview ▪ Development of a circumscribed lesion (ulcer) in the mucosal membrane of the lower esophagus, stomach, duodenum, or jejunum ▪ Two major forms: Duodenal ulcer (accounts for about 80%) and gastric ulcer, both chronic o Duodenal ulcers affect the proximal part of the small intestine and follow a chronic course, characterized by remissions and exacerbations; complications that necessitate s...

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (Include Pathophysiology of Disease Process) Appendectomy ▪ Involves surgical removal of inflamed vermiform appendix to prevent imminent rupture or perforation of the appendix ▪ Can be performed using open or laparoscopic approach o Laparoscopic approach is associated with lower infection rates, a shorter recovery period, and less reported pain but a slightly higher risk of urinary tract infection, abdominal abscess, and abdominal bleeding ...

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (Include Pathophysiology of Disease Process) Overview ▪ Intoxication with digoxin from use in long-term therapy, accidental or intentional overdose, or ingestion of naturally occurring compounds containing cardiac glycosides (such as foxglove, oleander, and lily of the valley) ▪ Life-threatening condition ▪ May be acute or chronic Pathophysiology ▪ Digoxin inhibits the sodium-potassium pump in myocytes, which results in an increase in...

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (Include Pathophysiology of Disease Process) COPD is a progressive and irreversible condition characterized by diminished inspiratory and expiratory capacity of the lungs. It is a chronic respiratory condition that obstructs the flow of air to or from the patient’s bronchioles. COPD includes emphysema and chronic bronchitis. These diseases are characterized by chronic airflow limitation. EMPHYSEMA Etiology and Pathophysiology Emphysema symptoms us...

1. Cardiac tamponade after trauma a. is seldom life-threatening b. can be excluded by an upright, AP chest x-ray c. can be confused with a tension pneumothorax d. causes a fall in systolic pressure of > 15 mm Hg with expiration e. most commonly occurs after blunt injury to the anterior chest wall 2. Which one of the following statements regarding patients with thoracic spine injuries is TRUE? a. Log-rolling may be destabilizing to fractures from T-12 to L-1.<INPUT TYPE= r...

1. Which of the following is the recommended Method for trestemt frostbite? A. Vasodilators B. Anticigulants C. Warm (40 degrees) water D. Padding and elevation E. Application of heat from a hairdryer - C. Warm (40 degrees) water 2. Which of the following physical findings suggest a cause of hypotension other than spinal cord injury? A. Prispism B. Bradycardia C. Diaphragmatic breathing D. Presence of deep tendon reflexes E. Ability to flex forearms but not extend them - D. Presence o...

1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate nex...

1. A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next...

1. Missed/associated injury with a displaced thoracic spine fracture? - thoracic aortic rupture 2. Missed/associated injury of a posterior knee dislocation? - femoral fracture and posterior hip dislocation 3. Missed/associated injury of a knee dislocation or displaced tibial plateau fracture? - Popliteal artery and nerve injuries 4. Missed/associated injury of a calcaneal fracture? - Spine injury or fracture, tibial plateau fracture 5. When are most extremity injuries appropriately diagnosed...

Glasgow Coma Scale Chance fracture Transverse fracture through vertebra. In children usually associated with enterc disruption. Seen in motor vehicle accidents involving only lap belt. May be associated with retroperitoneal and Abdominal visceral injuries. Anterior hip dislocation Flexed, abducted, externally rotated. Burst fracture Associated with vertebral-axial compression injuries Posterior hip dislocation Flexed, aDDucted, internally rotated Anterior shoulder dislocation Squared ...

Which of the following is the only way to determine which patient care procedures benefit trauma patients? 1) Evaluation 2) Surveillance 3) Risk identification 4) Implementation - 1) Evaluation Which level of trauma facility has minimal surgical support but can stabilize before transferring to a higher-level trauma facility? 1) I 2) III 3) II 4) IV - 2) III Which of the following is the best definition of the Golden Period? 1) The ideal time it takes to assess a multi-system trauma pa...

1. Which of the following is the recommended Method for treatment frostbite? A. Vasodilators B. Anticoagulants C. Warm (40 degrees) water D. Padding and elevation E. Application of heat from a hairdryer - C. Warm (40 degrees) water 2. Which of the following physical findings suggest a cause of hypotension other than spinal cord injury? A. Priapism B. Bradycardia C. Diaphragmatic breathing D. Presence of deep tendon reflexes E. Ability to flex forearms but not extend them - D. Presence...

1. Which definition is used for quality evaluates how well a product performs its intended function? - Fitness for use 2. Which total quality management (TQM) process was developed to stress management's responsibility for quality? - 14 points for quality improvement 3. Which total quality management (TQM) process consists of 13 published standards and guidelines? - ISO 9000 4. A company manufactures shoes using a quality management system. The company needs to put a process in place to me...

Total Quality Management (TQM) Philosophy - 1. customer focus 2. continuous improvement 3. employee empowerment 4. use of quality tools 5. product design 6. process management 7. managing supplier quality Process Capability Index (Cpk) - Basic function of Six Sigma. Measures the process potential and performance of processes. The higher the range of Cpk, the improved is the ability of the process to complete its necessities. Uses both the process variability and the process specifications ...

Which definition is used for quality, evaluates how well a product performs its intended function? - Fitness for use 14 points for quality improvement - Which total quality management (TQM) process was developed to stress management's responsibility for quality? ISO 9000 - Set of international standards on quality management and quality assurance, critical to international business -TQM process consists of 13 published standards and guidelines -Like when joint commission shows up at the hospi...

1. A 6-month-old infant is unresponsive. You begin checking for breathing at the same time you check for the infant’s pulse. Which is the maximum time you should spend when trying to simultaneously check for breathing and palpate the infant’s pulse before starting CPR? - 10 seconds 2. A 4-year-old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirations. Which condition is most consiste...

1. A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg and glucose is 30 mg/dL. You administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for ...

1. A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first? - Flush the tube with water. - Place the client in semi-Fowlers's position. - Cleanse the skin around the tube site. - Aspirate the tube for residual contents. Rationale: The nurse should apply the ABC priority-setting framework. This framework emphasizes the basic cor...

1. A nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for calcitonin. Which of the following statements should the nurse make to describe the effect of calcitonin in treating osteoporosis? - "Calcitonin will slow the breakdown of bone in your body." 2. A nurse is reviewing the medical record of a client who is postoperative. Which of the following findings should the nurse identify as a complication of surgery? - WBC count of 15,000/mm3 3. A nurse...