Arthuralfie

1. If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the:: 2. manufacturing producer 2 2. Emergency exits must have which of the following components?: 1. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way) 2. Exit sign (must be lit), exit access (corridor), and exit (must be double doors) 3. Exit sign, exit access (l...

AACN PCCN Practice Test 1

A client has had a Miller-Abbott tube in place for 24 hours. Which assessment finding indicates that the tube is properly located in the intestine? Aspirate from the tube has a pH of 7 A client is resuming a diet after a Billroth II procedure. To minimize complications from eating, which actions should the nurse teach the client to do? Select all that apply. Lay down after eating Eat a diet high in protein Eat six small meals per day The nurse assists the health care provider with a liver b...

large molecules often contain carbon. why? - they can readily form bonds with other carbon atoms. this forms a 'backbone'. other atoms can then attach. describe benedicts test for reducing sugars - add equal volumes of the sugar sample and benedicts reagent. heat the mixture in a water bath for 5 minutes. brick red precipitate will form. what is a reducing sugar? - a sugar that can reduce (give electrons to) another chemical. describe the benedicts test for non reducing sugars - with food s...

A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? A. Report the client's serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not all...

A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate? A. Visual hallucinations. B. Auditory hallucinations. C. Excessive motor activity. D. Delusions of persecution. - D. Delusions of persecution. A female client with obsessive compulsive personality disorder is admitted to the hospital for a cardiac catheterization. The afternoon befor...

A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the RN implement first? - Take other clients in the area to the client lounge A client is admitted to the mental health unit and reports taking extra anxiety medications because, "I'm so stressed out. I just wan...

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four - A. One (Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day.) A staff educator is reviewing medication dosages and factors that influen...

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects A. urinary health promotion B. immune system stimulation C. decreased leg pain from arterial disease D. prevention of nausea caused by motion sickness - A. urinary health promotion Saw palmetto is used primarily for manifestations related to pro...

A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL - 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates under...

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - 1. Neglecting personal grooming Rational: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an extreme beha...

How does blood flow through the heart? - Deoxygenated venous blood → Sup. Vena Cava → Right Atrium →Tricuspid (AV) →Empties into R. Ventricle (& it contracts) → Blood ejected through Pulmonary Valve → Pulmonary Artery → Lungs to be Oxygenated → Pulmonary Veins → L. Atrium → Mitral (AV) → L. Ventricle (pumps with each contraction) → Aortic Valve → Aorta → Body What is systole? - Contraction of the heart which pumps blood Diastole - Relaxation of the heart What p...

Phsyiologic manifestation of anemia - Severe fatigue, pallor, weakness, dyspnea, dizziness Increased RBC distribution on labs Microcytic anemia - MCV <80fL Small RBCs i.e. iron deficiency anemia, sideroblastic, thalassemia Macrocytic anemia - MCV >100fl Large RBCs i.e. B12 deficiency, folate deficiency Normocytic anemia - MCV 80-99fl normal size RBCs i.e. hereditary spherocytosis, acute blood loss, paroxysmal nocturnal hemoglobinuria Hypochromic - decreased hemoglobin low MCHC ...

When do you consider Unipolar versus Bipolar depression - Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes (table 3) and no history of mania (table 1) or hypomania Geriatric Depression Scale (GDS) - Scoring Instructions. Score 1 point for each bolded answer. A score of 5 or more suggests depression. Self-reporting tool that may be used to diagnose and treat depression Geriatric Depression Scale - The Geriatric D...

How did Sullivan view anxiety? - Any painful feeling or emotion arising from social insecurity. A nurse is assessing behavior patterns in clients based on age-appropriate development. Which developmental model should the nurse apply? - Erik Erikson's eight stages of development. A group of nurses takes action to ensure that consumers have the authority to choose from various health care options, participate in their health care decisions, and provide education and support. Which component...

differential diagnosis - The provider's initial hypothesis -a working list of potential problems that can be associated with the initial or chief complaint -Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) • provides guidance for identifying psychiatric diagnoses Psychiatric assessment: History taking - -History of Present Illness -How long have you been feeling this way? -Did something happen in your life that may have triggered these emotions? -How is this current s...

Differential Dx - Diagnostic reasoning is the process of questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are drawn are based on evidence. This is a critical step for providers who are trying to uncover a cause, or diagnosis, for their clients' signs and symptoms. The provider's initial hypothesis is known as the differential diagnosis. The differential diagnosis, or differential, is a working list of potential problems that can be...

master's prepared nurse in research - collaborates in research projects and provides clinical expertise for research three abstract thought processes in nursing - introspection intuition reasoning reasoning - the processing of ideas in order to reach conclusions level I evidence - evidence from a systematic review or meta-analysis of all RCTs evidence based clinical practice guidelines based on systematic reviews of RCTs level II evidence - evidence obtained from at least one ...

Telepsychiatry - a provider administers psychiatric care from a distance through a technological interface -a subset of telehealth -telepsychiatric services • psychiatric interview • psychiatric evaluations • therapy • medication management • consultation • client education The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate component of a mental health delivery system when telepsychiatry services: - -benefit the client -maintain client ...

PMH-APRN - a nurse with graduate-level training who provides psychiatric-mental health care and promotes mental health across the lifespan -assess, diagnose and treat individuals and families who have psychiatric and/or substance disorders -work in a variety of health care settings and practices and are eligible for reimbursement through private insurers, HMOs, PPOs, Medicare and Medicaid ANA Code of Ethics: anticipatory guidance competency - ANA Standards and Scope: Standard 5B: Health Tea...