Terry75

A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching? a. "Avoid using glucosamine with chondroitin." b. "Glucosamine can cause degradation of cartilage when used over a long time." c. "Avoid taking glucosamine if you have a shellfish allergy." d. "You can take glucosamine with an anticoagulant medication." - c. "Avoid taking glucosamine if you have a shellfish alle...

1. A 28-year-old female is being evaluated for an acute onset of an alteration in mentation. She complained of a stiff neck and persistent headache. Vital signs are P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The healthcare provider should observe for which complication? - Seizure 2. A 45-year-old patient is found supine on the floor of the Triage area. Healthcare providers note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of act...

1. A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priority intervention for this patient? - Administering epinephrine as early as possible 2. A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The healthcare team is conducting a secondary assessment to determine the possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular ...

1. A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? Hypertension Esophageal injury Pneumothorax Rib fracture - Pneumothorax Complications can occur with the use of a BVM resuscitator due to improper technique. Delivering excessive volume or ventilating too fast creates excessiv...

1. What do the ABGs indicate? 2. What treatment would you anticipate? Arterial Blood Gases pH 7.25 PaCO2 64 mm Hg HCO3 20 mm Hg Arterial Oxygen Saturation (SaO2) 88% Airway and Chest Tube Management 1. What do the ABGs indicate? 2. What treatment would you anticipate? Arterial Blood Gases pH 7.25 PaCO2 64 mm Hg HCO3 20 mm Hg Arterial Oxygen Saturation (SaO2) 88% Resp failure is present. Resp failure occurs when retained CO2 causes resp acidosis (↓ pH) and/or there is hypoxe...

1. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern?  Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for Medicare. 2. Mrs. Chen will be ...

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through massage therapy. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? a. Medicare covers glasses, but not dentures or massage therapy. b. Medicare does not cover massage therapy, or, in general, glasses or dentures. Correct: Neither Medicare Part A nor Part B covers massage therapy, dentures, or routine eye examinations to prescribe eyeg...

1. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern?  Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for Medicare. 2. Mrs. Chen will be ...

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? Correct answers He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years at Small cap, Incorporated. Small cap has a workforce of15 employe...

1. A nurse is completing the admission assessment of a client who has acute pancreatitis. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked - D. Rationale: the greatest risk to the client is ECG changes and hypotension from hypocalcemia. Hand spasms when taking blood pressure is a manifestation of hypocalcemia 2. A nurse is completing an admiss...

A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should the nurses report to the provider immediately? - Oliguria A nurse is caring for a client who is receiving methylprednisolone. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply) - white blood cell count serum potassium blood glucose A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat...

BUN levels - 10-20 WBC levels - 5,000-10,000 Serum creatinine levels - males 0.6-1.2; females 0.5-1.1 Therapeutic digoxin levels - 0.8-2.0 HbA1c levels - 4%-6% Fasting glucose levels - 70-105 HDL levels - males 35-65; females 35-85 Total serum cholesterol levels - less than 200 LDL levels - less than 130 ABG values [pH, PCO2, HCO3] - pH 7.35-7.45 PCO2 35-45 HCO3 21-28 Phosphorus levels - 3-4.5 Platelet levels - 150,000-400,000 aPTT levels; therapeutic level? - 30-40 seconds; therap...

1. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The primary assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of this information, which of the following provides the best interpretation of the oxygen saturation of 95% by pulse ...

1. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The primary assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of this information, which of the following provides the best interpretation of the oxygen saturation of 95% by pulse...

1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - Start chest compressions of at least 100 per min. 2. You are evaluating a 58-year-old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? - Obtaining a 12 lead ECG. 3. What is the preferred method of access...

1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Start chest compressions of at least 100 per min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? Obtaining a 12 lead ECG. 3. Whe...

1. Which component of the cell produces hydrogen peroxide (H2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative reaction? A) lysosomes B) peroxisomes C) ribosomes D) oxyhydrosomes - Ans: B- peroxisomes 2. What is a consequence of plasma membrane damage to the mitochondria? A) enzymatic digestion halts deoxyribonucleic acid (DNA) synthese B) influx of calcium ions halts adenosine triphosphate (ATP) production C) edema from an influx in sodium causes a re...

1. Which bone cells produce osteocalcin when stimulated by 1,25-dihydroxyvitamin D and synthesize osteoid? a. Osteoclasts b. Osteocytes c. Fibrocytes d. Osteoblasts D 2. What happens to the original bone during the second phase of bone remodeling? a. The original bone is replaced b. It hardens c. the original bone is resorbed d. It is synthesized C 3. Which cells function to maintain bone matrix? a. Osteoclasts b. Osteocytes c. Osteoblasts d. Osteophytes B 4. Which bon...

1. What is the cellular function of metabolic absorption? - Cells can take in and use nutrients. 2. Where is most of a cell's genetic information contained? - Nucleolus 3. Which component of the cell produces hydrogen peroxide (H2O2) by using oxygen to remove hydrogen atoms from specific substrates in an oxidative reaction? - Peroxisomes 4. Which cell component is capable of cellular autodigestion when it is released during cell injury? - Lysosomes 5. Which cAMP-mediated response is r...

1. Pulmonary artery wedge pressure (SWAN GANZ) ● Assess/monitor for dysrhythmias 2. Pt w/ dysrhythmias (pg 99) ● Calcium of 7.2 (low) 3. LOW Cardiac output ● MI 4. Renal Failure (pg 79) ● 45% BUN 5. S/S of shock (pg 30) ● Hypotension, thready pulse 6. How to check for Carbon monoxide poisoning ● Cherry red mouth or tongue 7. Paracentesis ● Empty bladder completely before procedure 8. Pt has angina (pg 87) ● Pain radiates to Left arm 9. Pt has increased abdominal g...