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The nurse is providing care for an adult patient in the end stages of a terminal disease. The patient is the parent of minor children. The patient's spouse states, "The children don't know how bad things are. I don't want them to worry." Which advice from the nurse is best? The children have already detected that something is wrong. Details should be based on each child's developmental stage and ability to understand. Children should be protected from the unpleasant experien...

The nurse is educating a community group about types of surgery. A member of the group asks the nurse to describe a type of surgery that is curative. What response by the nurse is true? - Answer Tumor excision Explanation: An example of a curative surgical procedure is tumor excision. A biopsy, a face-lift, and the placement of a gastrostomy tube are not examples of curative surgical procedures. A nurse prepares to suction a client's tracheostomy tube. Place the procedure steps in c...

A home health nurse is visiting a client who has been taking the same dose of acetaminophen/hydrocodone for 2 months. To monitor for the presence of expected side effects of this medication, what should the nurse include in the assessment of the client? - Answer Ask about the client's bowel pattern Explanation: Opioids can result in delayed gastric emptying, slowed bowel motility, and decreased peristalsis, all of which result in slow-moving, hard stool that is difficult to pass. Consti...

The nursing instructor is teaching about a new emerging bacterium that has both natural and acquired resistance and that affects the severely ill, immunocompromised clients in intensive care, transplant, and some cancer treatment units. This is which? - Answer VRE Explanation: Bacteria that have both natural and acquired resistance are emerging. An example is vancomycin-resistant enterococci (VRE). The other acronyms are distractors for this question. MRSA is methicillin resistant staphylo...

The nurse is contributing to the plan of care for a patient who is on bedrest. Which cardiovascular interventions should the nurse recommend including in the patient's plan of care? Select all that apply 1 Encourage range of motion. 2 Apply sequential compression devices. 3 Use antiembolism stockings. 4Maintain proper body alignment. 5 Place a trochanter roll by the patient's thigh. - Answer 1 Encourage range of motion. 2 Apply sequential compression devices. 3 Use antiemboli...

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Development - Answer Development is the continual reconfiguration of the built environment to meet society's needs What are the steps of development - Answer Establishing site control (Get a piece of land) "the entry ticket" Feasibility analysis, refinement, and testing Obtaining permits Design: Architect and other professionals Financing Construction Marketing and leasing Operation What are three risks involved with the steps of development - Answer Costs are esti...

Improvement on the land and to the land - Answer To the land: Excavation and fill Sewers and other utilities Roads and driveways On the land: Structures (buildings, fences, walls) 2 ways to lose your property - Answer eminent domain mortgage lien tangible and intangible real estate items - Answer Tangible: physical asset that can be owned - Can be real or personal property Intangible: non-physical assets such as stocks, bonds, mortgages, leases definition of raw land - ...

What does a real estate broker get when they sell a property - Answer Commission - paid by an owner of the property to the broker When you have an exclusive listing, you have a _______ relationship. - Answer Fiduciary Define Fiduciary Relationship - Answer Legally, putting the clients best interest ahead of the brokers Define MLS - Answer Multiple Listing Service - NOT a listing - It is where properties are downloaded to a database Situation: When the listing is put ...

Improvements on the land - Answer Any fixed structures such as buildings, fences, walls, and decks Improvements to the land - Answer The components necessary to make the land suitable for building construction or other uses and includes infrastructure, such as streets, walkways, utilities, storm water drainage systems, and other systems that may be required for land use Tangible assets - Answer Physical things, such as automobiles, clothing, land, or buildings Intangible assets...

What's the best type of records? - Answer whole snapshot, or discounted cash flow What's the main limitation of single-year analysis? - Answer fails to look at cash flows beyond the first year Capitalization rate and gross rent multiplier are..... - Answer single year analyses Net Operating Income (NOI) = - Answer income - operating expenses What is your dividend on a yearly basis when you have a property? - Answer NOI, NOI is like your annual dividend that's ...

Land - Answer Property that includes the surface of the earth, down to the center of the earth and upward infinitely into space; it also includes any items permanently attached to the land, such as trees and water Real estate - Answer Land, plus all things permanently attached to it, naturally or artificially Real property - Answer Real estate, plus the interest, benefits and rights included with ownership Bundle of rights - Answer The rights of ownership that come with owni...

Not law, but have the force and effect of law on real estate licensees - Answer Commissioner's Rules Requires real estate contracts to be in writing to be enforceable - Answer Statute of Frauds An unlicensed person who takes compensation for real estate services is committing this type of offense - Answer A Class 6 Felony The head honcho at the ADRE - Answer Real Estate Commissioner Brokers must keep records for this amount of time from closing or termination of a tran...

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What is allergic asthma associated with? - Answer Type 1 Hypersensitivity; IgE mediated What are the S&S of ARDS? - Answer SOB, Shallow Rapid Breathing, Atelectasis (aveoli close), Dyspnea, Inspiratory Crackles, Respiratory Alkalosis, Decreased Lung Compliance, Hypoxemia What are the S&S of tension pneumothorax? - Answer Pressure that builds up and pushes the trachea towards the unaffected side; Absent breath sounds over affected lung What is cystic fibrosis? - Answer Excess...

A 60-year-old chemistry teacher working at Purdue with pervious prostate cancer complains of night sweats, excessive tiredness, and severe bone pain, he comes into the ER and complains of headaches and fever along with the other symptoms he mentioned earlier. What tests would you perform and what might your results be? - Answer Biopsy, looking for Auer rods Dr. Grubbs has been an organic chem teacher at gcu for more than 30 years. He is 47 and has become a bit clumsy. Every time there was ...

A patient will undergo a colonoscopy, and provider has ordered sodium phosphate as a bowel cleanser before the procedure. The nurse reviews the patient's chart and notes that the patient's creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do? a. Suggest that the patient reduce the dietary sodium intake b. Suggest using a suppository laxative instead. c. Request an order to give polyethylene glycol and electrolytes (PEG-ELS) instead. d. Reduc...

When assessing a patient with metabolic acidosis, which concept should the nurse keep in mind? a. The kidney response is to retain HCO3- b. The kidney response is to decrease acid excretion in the urine and decrease HCO#- production c. The kidney response is to excrete HCO3- or conserve H+ d. The kidney response is to increase CO2 - Answer - a Which manifestation would the nurse expect to find in a patient with fluid volume deficit? a. postural hypotension b. taut skin c. weight gai...

The nurse has delegated to nursing assistive personnel (NAP) the skill of assisting with a bedpan for a patient who has had discomfort when walking to the bathroom. Which statement made by the NAP requires the nurse's follow-up? - Answer "If I can get someone to help, I'll walk her to the bathroom." A patient with a nasogastric tube, an intravenous infusion line, and an indwelling urinary catheter needs to be placed on the bedpan. Which action would the nurse take first to ensu...

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