MSN 377 (MSN377)

Multiple Sclerosis correct answer: Chronic, progressive, degenerative disorder of the CNS Characterized by disseminated demyelination fo nerve fibers in the brain and spinal cord MS: Etiology correct answer: Unknown Possible genetic, environmental, or autoimmune cause Precipitating factors: infection, smoking, physical injury, emotional stress, excessive fatigue, pregnancy, poor state of health MS: Pathophysiology correct answer: Chronic inflammation Demyelination Gliosi...

functions of the skin correct answer: - protect against infection - prevents loss of body fluids - body temperature - excretion - sensory causes of burns correct answer: - heat - chemicals - electric current - radiation thermal burns correct answer: - occurs as a result of contact with hot objects - most common type of burn chemical burns correct answer: - causes by acids, alkalis, organic compounds - can cause ABG imbalances and affect kidneys, liver, and respiratory tract...

unstable angina (NSTEMI) correct answer: upredictable increases in frequency occurs without increase in activity prinzmetal angina correct answer: coronary artery spasm common in reynauds disease/migranes treatment: CCBs acute coronary syndrome (ACS) correct answer: NSTEMI/ STEMI (MI). dislodgment of a once-stable plaque. myocardial infarction correct answer: sustained ischemia = tissue death time is muscle correct answer: irreversible damage after 20 min of ischemia! faster...

unstable angina (NSTEMI) correct answer: upredictable increases in frequency occurs without increase in activity prinzmetal angina correct answer: coronary artery spasm common in reynauds disease/migranes treatment: CCBs acute coronary syndrome (ACS) correct answer: NSTEMI/ STEMI (MI). dislodgment of a once-stable plaque. myocardial infarction correct answer: sustained ischemia = tissue death time is muscle correct answer: irreversible damage after 20 min of ischemia! faster...

CH 31: A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the patient may require A. emergent cardioversion. B. a cardiac catheterization. C. hourly blood pressure (BP) checks. D. electrocardiographic (ECG) monitoring. correct answer: D. electrocardiographic (ECG) monitoring. Explanation/Rationale:Pulse deficit is a difference between simultaneously obtained apical and radial pulses. I...

1. The nurse notes new onset confusion in an older patient who is normally alert and oriented. In which order should the nurse take the following actions? (Put a comma and a space between each answer choice [A, B, C, D].) a. Obtain the oxygen saturation. b. Check the patients pulse rate. c. Document the change in status. d. Notify the health care provider correct answer: A, B, D, C Which factors will the nurse consider when calculating the CURB-65 score for a patient with pneumonia (sele...

1. What is the key factor in describing any type of shock? a. Hypoxemia b. Hypotension c. Vascular collapse d. Decreased tissue perfusion correct answer: 1. d. Although all the factors may be present, the end result is decreased supply of oxygen and nutrients to body cells from decreased tissue perfusion. 2. When shock occurs in a patient with pulmonary embolism or abdominal compartment syndrome, what type of shock would that be? a. Distributive shock b. Obstructive shock c. Cardiogen...

A 56-year-old woman is concerned about having a moderate amount of vaginal bleeding after 4 years of menopause. The nurse will anticipate teaching the patient about a. endometrial biopsy. b. endometrial ablation. c. uterine balloon therapy. d. dilation and curettage (D&C). correct answer: ANS: A A postmenopausal woman with vaginal bleeding should be evaluated for endometrial cancer, and endometrial biopsy is the primary test for endometrial cancer. D&C will be needed only if the biopsy d...

Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which information best supports this diagnosis? a. Weak, nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% correct answer: a. Weak, nonproductive cough effort The weak, nonproductive cough indicates that the patient is unable to clear the airway effectively. The...

Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which information best supports this diagnosis? a. Weak, nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% correct answer: a. Weak, nonproductive cough effort The weak, nonproductive cough indicates that the patient is unable to clear the airway effectively. The...