Thompson12
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Adult-Gero Best Rated Series.
d. Diabetes mellitus 
Diabetes mellitus 
Rationale: 
In determining whether a patient should be treated for hyperlipidemia, a patient's risk 
factors must be determined. After assessing fasting lipids, specifically LDLs, CHD 
equivalents must be identified. These are diabetes, symptomatic carotid artery disease, 
peripheral artery disease, abnormal aortic aneurysm, and multiple risk factors that 
confer a 10 year risk of CHD > 20%. Major CHD risk factors are elevated LDL 
cholesterol, cigare...
- Exam (elaborations)
- • 7 pages •
d. Diabetes mellitus 
Diabetes mellitus 
Rationale: 
In determining whether a patient should be treated for hyperlipidemia, a patient's risk 
factors must be determined. After assessing fasting lipids, specifically LDLs, CHD 
equivalents must be identified. These are diabetes, symptomatic carotid artery disease, 
peripheral artery disease, abnormal aortic aneurysm, and multiple risk factors that 
confer a 10 year risk of CHD > 20%. Major CHD risk factors are elevated LDL 
cholesterol, cigare...
AGACNP HIGHEST SCORE A+.
1. You want to get more funding for your hospital’s Rapid Response Team. How should 
you present this issue to the committee? 
a. Stress importance of the team (answer is worded as looking up evidence about 
how the team affects outcomes, like a meta-analysis) 
b. Describe how to improve and expand the team. 
a. Stress importance of the team (answer is worded as looking up evidence about 
how the team affects outcomes, like a meta-analysis) 
1. What is the best way for the AGACNP to get involv...
- Exam (elaborations)
- • 4 pages •
1. You want to get more funding for your hospital’s Rapid Response Team. How should 
you present this issue to the committee? 
a. Stress importance of the team (answer is worded as looking up evidence about 
how the team affects outcomes, like a meta-analysis) 
b. Describe how to improve and expand the team. 
a. Stress importance of the team (answer is worded as looking up evidence about 
how the team affects outcomes, like a meta-analysis) 
1. What is the best way for the AGACNP to get involv...
ANCC Adult Highest Score A.
Cardiac Index 
2-4 
SVR/Afterload 
800-1200 
MAP 
mean CVx80/CO 
PA pressure 
15-30 
Wedge PCWP pressure 
6-12 
Hypovolemic Shock Parameters 
Preload CVP decreased, SVR afterload increased, CI decreased, Oxygen delivery 
Decreased, Venous Oxygen saturation increased 
Types of hypovolemic shock 
Hemorrhage, burns, pancreatitis 
Cardiogenic shock parameters 
CVP preload increased, SVR afterload increased, CI decreased, oxygen delivery 
decreased, SV02 decreased 
Types of cardiogenic shock 
Post mi...
- Exam (elaborations)
- • 22 pages •
Cardiac Index 
2-4 
SVR/Afterload 
800-1200 
MAP 
mean CVx80/CO 
PA pressure 
15-30 
Wedge PCWP pressure 
6-12 
Hypovolemic Shock Parameters 
Preload CVP decreased, SVR afterload increased, CI decreased, Oxygen delivery 
Decreased, Venous Oxygen saturation increased 
Types of hypovolemic shock 
Hemorrhage, burns, pancreatitis 
Cardiogenic shock parameters 
CVP preload increased, SVR afterload increased, CI decreased, oxygen delivery 
decreased, SV02 decreased 
Types of cardiogenic shock 
Post mi...
ANCC Adult Download To Excel.
*healthy with no recent antibiotics=macrolide or doxy 
*comorbidities or recent antibiotic=DRSP=resp quinolone OR beta-lactam + macrolide 
OR beta-lactam +Doxy 
Pneumonia length of treatment 
*minimum 5 days 
*average 5-10 days 
*re-evaluate after 48-72 hrs if poor response 
Pneumovax 
*PPSV: 19-64 with increased risk 
*PCV13 + PPSV23: all adults >/= 65, or 19-64 with asplenia, immunocompromised, 
CSF leaks, cochlear implant, advanced CKD 
COPD 
persistent airflow limitation that is usually p...
- Exam (elaborations)
- • 57 pages •
*healthy with no recent antibiotics=macrolide or doxy 
*comorbidities or recent antibiotic=DRSP=resp quinolone OR beta-lactam + macrolide 
OR beta-lactam +Doxy 
Pneumonia length of treatment 
*minimum 5 days 
*average 5-10 days 
*re-evaluate after 48-72 hrs if poor response 
Pneumovax 
*PPSV: 19-64 with increased risk 
*PCV13 + PPSV23: all adults >/= 65, or 19-64 with asplenia, immunocompromised, 
CSF leaks, cochlear implant, advanced CKD 
COPD 
persistent airflow limitation that is usually p...
20. Immunization Top Class.
act of inoculating an individual with a vaccine (active) or providing protective antibodies 
(passive) 
what is the way of a artificially acquiring passive specific immunity? 
preformed antibody in immune serum by injection --> transient protection 
what is the way of artificially acquiring active specific immunity? 
antigens in vaccines--> body makes antibodies and specialized lymphocytes--> long 
term protection 
what is the way of naturally acquiring passive immunity? 
antibodies fro...
- Exam (elaborations)
- • 8 pages •
act of inoculating an individual with a vaccine (active) or providing protective antibodies 
(passive) 
what is the way of a artificially acquiring passive specific immunity? 
preformed antibody in immune serum by injection --> transient protection 
what is the way of artificially acquiring active specific immunity? 
antigens in vaccines--> body makes antibodies and specialized lymphocytes--> long 
term protection 
what is the way of naturally acquiring passive immunity? 
antibodies fro...
NCLEX HIGHEST RANK A.
What is the priority nursing assessment to monitor when administering vaccinations? 
A. Myalgias 
B. Anaphylaxis 
C. Symptoms of infection 
D. Pain at the injection site 
B. Anaphylaxis 
Anaphylaxis is a potential life-threatening adverse reaction to vaccines. Pain and 
myalgias can occur but are not life threatening. 
Administration of which substance provides passive immunity?
- Exam (elaborations)
- • 4 pages •
What is the priority nursing assessment to monitor when administering vaccinations? 
A. Myalgias 
B. Anaphylaxis 
C. Symptoms of infection 
D. Pain at the injection site 
B. Anaphylaxis 
Anaphylaxis is a potential life-threatening adverse reaction to vaccines. Pain and 
myalgias can occur but are not life threatening. 
Administration of which substance provides passive immunity?
Expanded Program Top Quality.
1. BCG VACCINE (Bacille-Calmette- Guerin) 
Age: at birth 
Dose: 0.05ml 
Route&site: Intradermal, right deltoid 
Form: powdered, 1 vial =20 infants 
Consume for: 4-6 hours once diluted 
Storage: Body of Ref, Freeze dried (2- 8 degC) 
1. BCG VACCINE (Bacille-Calmette- Guerin) 
Side effect: Wheal formation and Koch's phenomenon 
Undesired reaction:Indolent ulceration, abscess in the site, enlarged lymph nodes 
Contraindications: immunocompromised infants (w/aids) 
Health teaching: Will form a scar...
- Exam (elaborations)
- • 3 pages •
1. BCG VACCINE (Bacille-Calmette- Guerin) 
Age: at birth 
Dose: 0.05ml 
Route&site: Intradermal, right deltoid 
Form: powdered, 1 vial =20 infants 
Consume for: 4-6 hours once diluted 
Storage: Body of Ref, Freeze dried (2- 8 degC) 
1. BCG VACCINE (Bacille-Calmette- Guerin) 
Side effect: Wheal formation and Koch's phenomenon 
Undesired reaction:Indolent ulceration, abscess in the site, enlarged lymph nodes 
Contraindications: immunocompromised infants (w/aids) 
Health teaching: Will form a scar...
General Best Practice Highest Score A.
The following history should prompt a consideration of potential altered 
immunocompetence: 
E) All the above 
The combination Measles-mumps-rubella-varicella (MMRV) vaccine 
B )Is contraindicated in pregnancy 
The minimum intervals for vaccines should be used 
E) By providers, to recall patients that are behind on doses 
If a storage unit has been found to be maintained at temperatures outside the 
recommended range for the vaccines contained within, which of the following would be 
an appropri...
- Exam (elaborations)
- • 1 pages •
The following history should prompt a consideration of potential altered 
immunocompetence: 
E) All the above 
The combination Measles-mumps-rubella-varicella (MMRV) vaccine 
B )Is contraindicated in pregnancy 
The minimum intervals for vaccines should be used 
E) By providers, to recall patients that are behind on doses 
If a storage unit has been found to be maintained at temperatures outside the 
recommended range for the vaccines contained within, which of the following would be 
an appropri...
Immunization 4 Peds. Top Solution.
A. at 2, 4, and 6 months 
B. at 12 months and 4-6 years 
C. at 6 and 12 months 
D. at 4 months and 4-6 years 
B. at 12 months and 4-6 years 
When should a child receive the first dose of the Hepatitis B vaccine? 
A. Birth 
B. 2 months 
C. 4 months 
D. 6 months 
A. Birth 
4. A 12 month old receives a series of vaccinations which includes the Hepatitis A 
vaccine. When should the child receive the 2nd dose of this vaccine? 
A. in 3 months 
B. at the 18 month visit 
C. when the child is 4-6 years o...
- Exam (elaborations)
- • 2 pages •
A. at 2, 4, and 6 months 
B. at 12 months and 4-6 years 
C. at 6 and 12 months 
D. at 4 months and 4-6 years 
B. at 12 months and 4-6 years 
When should a child receive the first dose of the Hepatitis B vaccine? 
A. Birth 
B. 2 months 
C. 4 months 
D. 6 months 
A. Birth 
4. A 12 month old receives a series of vaccinations which includes the Hepatitis A 
vaccine. When should the child receive the 2nd dose of this vaccine? 
A. in 3 months 
B. at the 18 month visit 
C. when the child is 4-6 years o...
Immunization Certification Highest Solution A.
DTaP 
[Module3 p17] 
Which of the following patients should receive the MMR vaccine? 
A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine. 
Ava has arrived at the clinic for her well-child visit. She is 4 months old. Ava's 
immunization record reveals that she has received the following vaccines: 
2 doses of HepB 
1 dose of Hib 
1 dose of rotavirus 
1 dose of PCV13 
1 dose of DTaP 
1 dose of IPV 
Which vaccines should Ava receive at today's visit? 
DTaP, Hib, PCV13, IPV, and ...
- Exam (elaborations)
- • 12 pages •
DTaP 
[Module3 p17] 
Which of the following patients should receive the MMR vaccine? 
A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine. 
Ava has arrived at the clinic for her well-child visit. She is 4 months old. Ava's 
immunization record reveals that she has received the following vaccines: 
2 doses of HepB 
1 dose of Hib 
1 dose of rotavirus 
1 dose of PCV13 
1 dose of DTaP 
1 dose of IPV 
Which vaccines should Ava receive at today's visit? 
DTaP, Hib, PCV13, IPV, and ...
Pre-MPJE Exceptional Academic Excellence.
Good work
APEX EKG Test Perfect Your Scoring.