Smartnursing

A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few weeks. She reports waking up at night with headaches and nausea. Her only medication history is oral contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next step? Take a further history and perform a very careful neurological exam A grandmother is accompanying her 9-year-old granddaughter during a r...

A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to? A) Musculoskeletal B) Reproductive C) Urinary D) Endocrine Correct Ans A) Musculoskeletal Chest pain may be due to a musculoskeletal condition, such as costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a deep breath....

what are some psychiatric historical events that have occurred in the early psychiatric era? - ANS-18th century- state asylums created, 600,000 residents were in them, 1st school or psychiatric nursing was created in 1882, deinstitutionalization, shift in role of the nurse from custodial care to professional care. explain what early use of phenothiazine was for in early psych nursing. - ANS-it was discovered to help control psychotic behaviors and improve/ clear thinking. what were the two...

Luis Chaves is a 22-year-old who migrated to Miami at the age of 2 years with his parents. He is unemployed and lives with his sister. He is actively involved with an intercity gang and depressed. Today he intentionally overdosed with paroxetine, zolpidem, oxycodone, and alcohol. He goes to his sisters apartment to say goodbye after taking the drugs and alcohol and confesses to overdosing. His sister immediately calls 911 as he became unconscious. On the way to the emergency department ...

The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next? ANSWER: Check the client’s temperature RATIONALE: A fever is a symptom of A...

Question 1 2 / 2 pts The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse’s best intervention? a) Suction the client. b) Perform chest physiotherapy. c) Assess the airway. d) Raise the head of bed to high Fowlers. Question 2 2 / 2 pts A client has a new tracheostomy, on a mechanical ventilator with the following settings: SIMV, rate of 12...

Quiz: Scientific Writing Concepts  Due Jul 23 at 11:59pm  Points 50  Questions 26  Time Limit 90 Minutes Instructions The quiz:  Covers the Learn material from Module 4: Week 4.  Contains 25 multiple-choice questions.  Is limited to 1 hour and 30 minutes.  Allows 1 attempt.  Is worth 50 points. This quiz is designed to assess understanding of content from this week’s topics covered in the Learn section (non-cumulative) and will not require use of SPSS. ...

Quiz: Consuming Research Concepts  Due Aug 6 at 11:59pm  Points 50  Questions 26  Time Limit 90 Minutes Instructions The quiz:  Covers the Learn material from Module 6: Week 6.  Contains 25 multiple-choice questions.  Is limited to 1 hour and 30 minutes.  Allows 1 attempt.  Is worth 50 points. This quiz is designed to assess understanding of content from this week’s topics covered in the Learn section (non-cumulative) and will not require use of SPSS. Y...

MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient‘s input. The patient asks, ―How is this different from what the physician does?‖ Which response would the nurse provide? a. ―The role of the nurse is to administer medications and other treatments prescribed by your physician.‖ b. ―In addition to caring for you while you are sick, the nurses will help you plan to maintain your h...

QUESTION 1 Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy? A. Positive inotropes B. Vasodilators C. Diuretics D. Antidysrhythmics Answer: A Explanation: (A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescrib...

1. Which information is most concerning to the nurse when caring for an older client with bilateral cataracts? a. States having difficulty with color perception b. Presents with opacity of the lens upon assessment c. Complains of seeing a cobweb-type structure in the visual field d. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which constitutes a medical emergency. C...

1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)? □ 9 % □ 18 % • 36 % □ 45 % □ Rational: according to the rule of nines, the anterior and posterior surfaces of one lower extremity is designated as 18 %of total body surface area (TBSA...

of Present Problem: Jared Johnson is a 10 year-old African-American boy with a history of moderate persistent asthma. He is being admitted to the pediatric unit of the hospital from the walk-in clinic with an acute asthma exacerbation. Jared started complaining of increased chest tightness and shortness of breath one day prior to admission. He has been at 50 percent of his personal best measurement for his peak expiratory flow (PEF) meter reading which did not improve with the use of albut...

TIPS: - Deal with patients rather than with machines. - AVOID: never, always, must, “why?”, “I understand”. - If 2 opposites (e.g. hyper-/hypo-), one is correct. - Do not leave the patient alone. - Choose physical over psychological. - IDK the answer: pick the one with the most information. ABC (except in emergencies, distress situations & CPR) Assessment vs. Implementation Acute vs. Chronic Stable vs. Unstable Expected vs. Unexpected Real vs. Potential Odd man out DO NOT D...

L CELL WALL IN HIBIT O RS PENICILLINS (and related drug)- Inhibiting cell wall penicillin G narrow-spectrum penicillinase sensitive penicillin Streptococcus; many G+ & some G- ; Syphilis MOA: Weaken Cell wall, causing bacteria to take up excessive water and rupture. Bactericidal, only killing dividing bacteria. Bind to penicillin binding proteins to weaken cell wall. GI heart burn, diarrhea, stomatitis, discolored tongue, Multiple DDI’s Increased bleeding time of antico...

History: Mr. P is 77 yrs old and is having urinary problems. He urinates more frequently than he did when he was younger, but he still can't seem to fully empty his bladder. He has to get up several times at night to use the bathroom and it is exhausting him! Physical exam: consider what exam would be helpful in determining his diagnosis Labs: urinalysis is normal Assessment: Urinary obstruction due to ______? Deliverables Answer the following questions based on the scenario and article...

1. The movement of food through the intestines is known as: A. Peristalsis B. Ileum translation C. Microvilli propulsion D. Flexure propulsion 2. The enzyme maltase does the following: A. Breaks down lactose to glucose B. Turns glucose into maltose C. Breaks down maltose to glucose D. Turns glucose into lactose 3. High levels of bilirubin in the blood stream can result in: A. Uric acid overexposure B. Jaundice C. Bile salt production D. Hepatic mutation 4. The symbol B on the peri...

Main discussion - Week 9 COLLAPSE Case Study 1 HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with compla...

Self Care Deficit: Dressing 1. The nurse is planning care for a client who has severe arthritis and has very limited fine motor hand dexterity. Which of the following would the nurse identify as the most relevant defining characteristic for this client for the nursing diagnosis of Self-Care Deficit: Dressing? a. Inability to choose clothing b. Inability to maintain appearance c. Inability to use zippers d. Impaired ability to obtain clothing 2. The nurse is developing a plan of care for ...

Diabetes hydrochlorothiazide teaching? Hydrochlorothiazide therapy can elevate blood glucose  Pharm action: blocks reabsorption of sodium and chloride, and prevents reabsorption of water  Ther use: hypertension, heart failure, liver and kidney disease  Complications: dehydration, hypokalemia, hyperglycemia  Nursing admin: monitor electrolytes, take first thing in am, consume foods high in potassium and maintain adequate fluid intake, weigh clients same time each day, monitor ...