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Things that can effect therapy and can be used to justify continuing therapy when progress isn't being made - Medications (may be affecting alertness); Other therapy they're having (causing fatigue/pain); Mental Health (motivation, mood); Financial

To confirm the diagnosis of an acute myocardial infarction in a patient admitted with crushing chest pain, which ECG change is expected? - st elevation

A 17-year-old boy high school wrestler is brought into the emergency department after he collapsed at a wrestling match. He spent time fully clothed in a hot sauna prior to the match to try to "make weight." Labs are ordered, and results come back as follows: Which IV fluid regimen would most effectively treat this patient's hypernatremia? A quarter normal (hypotonic) saline B half-normal saline C isotonic (normal) saline D dextrose 5% in water E lactated Ringer's - *The Correct Answ...

What foods should be avoided in ulcers? - coffee, alcohol, smoking and milk because they increase gastric acid production 21. Reduced osmolality diets for diarrhea - range about 245mmol/kg but electrolyte supplementation may not be adequate

Hands must be washed thoroughly after - any activity in which the hands have become contaminated. For example, before starting work, after handling raw foods, coughing, sneezing, smoking, eating, drinking, scratching, etc. hands become contaminated - before starting work, after handling raw foods, coughing, sneezing, smoking, eating, drinking, scratching.

Ciguatera Intoxication occurs in what kind of environmental conditions - warm weather when toxic red algae in the water are eaten by small fish. The small fish are then eaten by certain predatory fish (barracuda, red snapper etc.,) Humans become sick from predatory fish with accumulated toxins from - red algae

It is illegal to handle ready-to-eat foods - with bare hands. Workers must use gloves, tongs, deli paper, spatula or other clean and sanitary utensils. Foods that will be cooked (e.g. raw beef for stew, raw dough for bread, etc.) may be handled with clean bare hands. To handle ready to eat foods workers must use - gloves, tongs, deli paper, spatula or other clean and sanitary utensils. Clean bare hands con only touch food - that will be cooked

A mechanically ventilated patient with a tracheostomy tube is on the following settings:PC, SIMV, PIP 30 cm H2O, f 20/min, FIO2 0.60, PEEP 5 cm H2O. The ventilator alarm suddenly begins to sound and on quick examination, the respiratory therapist notices a generalized decrease in breath sounds and a reduction in delivered tidal volume from 650 mL to 500 mL. Which of the following conditions is most likely? A. The patient has been disconnected. B. Complete obstruction of the tracheostomy t...

What were some factors in the decline of midwifery between the 16th and 20th centuries - 1. Religious attitudes that viewed midwives as a threat and/or as being witches 2. Midwives lack of access to education 3. Campaign by physicians to discredit midwives 4. Midwives' lack of organization 5. The general low status of women in society 6. Replacement of midwives with physicians Delivering babies was historically viewed as "women's work". What factors led men to become interested in attending...

What is the QSEN and what areas does it promote? - They are an organization created to improve safety and education in nursing. They promote: Teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (the science of processing data for storage and retrieval) Comorbid condition - When an individual has more than one mental condition at a time.

Which of the following is appropriate follow-up for this 70 year old patient? a. referral to an optometrist b. referral to an opthalmologist c. advise the patient it is a benign condition and will resolve spontaneously d. prescribe an opthalmic antibiotic solution - c

You are providing ventilations using a Bag-mask device. Suddenly, you do not see the patient's chest rise with the ventilation. You reposition the patient to ensure an open airway. When you attempt to ventilate, you do not see his chest rise. The most likely cause of this is: a. The bag-mask device is faulty b. Airway obstruction c. The patient has suffered an MI d. Cardiac tamponade - b. Airway obstruction

A nurse is caring for a client following a gastrectomy. What action should the nurse take to decrease episodes of dumping syndrome? - Place the client in the supine position after meals A home health nurse is caring for a client who has COPD. The client tells the nurse that he becomes short of breath while eating despite the use of home oxygen. What instructions should the nurse include? - Drink beverages at the end of meals

When a third-party payer mediates between patients and providers, it is referred to as: A. Mediated care B. Third-party care C. Managed care D. Inclusive care - C

which of the following is an unintended effect of the use of pesticides in food production? - destruction of natural predators of plant eating insects which food should be consumed no more than once per week to limit the intake of mercury? - swordfish which of these actions helps to decrease the risk of pesticide exposure? - remove skin from poultry and fish** which of these pregnancy complications can be reduced by 50% if a woman is physically active during pregnancy? - gestational diabe...

Which is not one of the factors that affect drug action? B Answer: a. sex b. mood c. age d. diet

Rationalization (defense mechanism) - - Attempting to make excuses or formulate logical reasons to justifying unacceptable feelings or behaviors. EX: John tells the rehab nurse, "I drink because it’s the only way I can deal with my bad marriage and awful job."

A nurse is completing an assessment for a client who has a history of unstable angina. Which of the following findings should the nurse expect? A. Chest pain is relieved soon after resting. B. Nitroglycerin relieves chest pain. C. Physical exertion does not precipitate chest pain. D. Chest pain lasts for longer than 15 min. - D. Chest pain lasts for longer than 15 min

17. A patient had a right below the knee amputation (BKA) 4 days ago. His incision is healing well, and he has gotten out of bed several times. Each time after returning to bed, he has experienced pain as if it were located in his right foot. The nurse should explain to the patient that: it is phantom pain and may occur because the nerves still carry pain sensation to the brain, even though the limb has been amputated. The pain is real and intense; it should be treated as such.

indications for Leopold maneuvers – - determine active labor - rupture of membranes spontaneously or artificially - preceding and subsequent to ambulation - prior to following administration of or a change in medication analgesia - at peak action of anesthesia - following vaginal examination - following expulsion of an enema - after urinary catheterization - abnormal or excessive uterine contractions