NURSING

Most common pneumonia pathogen in patient with Cystic Fibrosis correct answer: Pseudomonas Aeruginosa [Auscultation:] Rhonchi, crackles, wheezing [Percussion:] Dullness over affected lobe [Tactile fremitus & egophony:] Increased [Whispered Pectoriloquy:] Abnormal (whispered words louder) What pulmonary diagnosis? correct answer: CAP PNA ____________a common preventable and treatable disease, is characterized by persistent airflow limitation that is usually progressive and associate...

When should adults get the PNA vaccine? Age 19-64: smoker, asthma, COPD, DM, ETOH, is immunocompromised or living in facility Age 65+: PPSV23 AND PCV13 How often should you get a physical exam? Once from 11-14, 15-17, 18-21 Every 5-6 years from ages 20-59 Every 2 years from age 60+ When should you check lipid panel? Starting at age 20 and every 5 years unless > 200 mg/dL When should mammography and prostate screening begin? Mammography: starting between 40-50 and cont...

A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently complaining of pain on her right hip and on both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain and would like something stronger. Which of the following statements is the best explanation of the effects of ibuprofen (Motrin) on her disease? A...

Scope of Practice correct answer: Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice Key elements of the NP role include correct answer: integration of care across the acute illness continuum with collaboration and coordination of care; research based clinical practices, clinical leadership, family assessment, and discharge planning Standards of Advanced Practice are delineated by... correct answer: American Nurses Ass...

What causes fever? correct answer: *ABCDEFGHIMN* *Auto-immune* - SLE, GCA *Blood* - Heme/Onc - Leukemia/Lymphoma *Cancer* *Drugs* - Amphotericin B, Beta-lactam abx, procainamide *Endo* - hyperthyroidism, pheochromocytoma *Familial mediterranean fever* *GI* - intra-abdominal abscess, IBD *Heart*- MI, endocarditis *Infection* - bacterial, viral, fungal, parasites, etc. *Misc* - Hematoma *Neuro* - tumor, ICH, MS - interfere w/ thermoregulatory process What is malignant hyperthermia?...

Elderly have a blunted fever response to infection due to an impairment in which body system? correct answer: Nervous system Prophylactic treatment of Pneumocystis jirovecii correct answer: Co-trimoxazole (trimethoprim-sulfamoxazole) ECG changes in hypokalemia correct answer: broad T wave and prominent U waves Atypical UTI symptoms usually found in elderly pts correct answer: lethargy decreased appetite incontinence acidosis and hyperthermia have what affect on the oxyhemoglob...

what brings you in today correct answer: reports needing an annual physical what medical conditions do you have correct answer: denies medical conditions what meds do you take correct answer: reports taking occasional ibuprofen do you take any prescription meds correct answer: denies taking prescription medication do you take any OTC meds correct answer: only OTC medication is ibuprofen why do you take advil correct answer: takes ibuprofen to relieve menstrual cramps how ...

PPI long term consequences correct answer: osteoporosis, B 12 and iron deficiency How would you treat peptic ulcer disease and H-pylori (H-pylori being the leading cause of peptic ulcer with NSAIDS and aspirin being second leading causes) correct answer: Triple therapy: PPI twice a day Amoxicillin 1gm BID or metronidazole Clarithromycin 500mg daily for 7-14 days (10 days to 2 weeks recommended) Then continue with PPI for 8-12 weeks Step down with GERD correct answer: Standard dose P...

Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring includes: correct answer: serum potssium Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer is: correct answer: This can help in some patients Along with an antibiotic prescription, lifestyle education for a non-pregnant adult female who has had a UTI includes: correct answer: ...

What is a seizure and what can precipitate it? correct answer: A seizure is the result of the abnormal discharge of neurons. Anything that disrupts the neuron can trigger abnormal activity and seizures. Hyperventilation, sleep deprivation, sensory and emotional stress, and hormones are all risk factors. What education should families receive regarding seizure monitoring? correct answer: --Seizure prevention: sleep, exercise and avoidance of stressful situations. Administer meds such as anti...