EricMuturi

TABLE OF CONTENTS Pharmacology & Need to Know Medications Page 3-13 Fundamentals & Delegation Page 14-17 Ethical Principals & Law Page 18-20 Integumentary Page 21-23 Respiratory Disorders & Nursing Considerations Page 24-32 Disorders of the Heart & Circulation Page 33- 44 Musculoskeletal Disorders Page 45-47 Diabetes & Insulin Page 48 Contact Precautions & Infectious Disease Page 49-53 Renal Disorders & Nursing Considerations Page 54-58 GI Disorders Page 59-60 Spinal Cord Injuries P...

4. A nurse is using the SBAR communication tool for reporting a client's condition to the provider. Which of the following information should the nurse include in the "S" portion of the tool? The client was medicated with morphine 2 mg IV 1 hr ago. This information provides medical information that is pertinent to the client's condition and is part of the background portion (B) of the SBAR communication tool. The client needs a change in pain medication prescription. MY ...

Question 1 A c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document specifies the client's wishes Question 2 You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant , a nursing student and yourself. To whom...

LEVEL OF PREVENTION  PRIMARY o Goal: preventing the health problem, the most cost-effective form of healthcare o Example: immunizations, counseling about safety, injury and disease prevention  SECONDARY o Goal: detecting disease in early, asymptomatic, or preclinical state to minimize its impact o Example: screening tests, such as BP check, mammography, colonoscopy, ASA in hx MI  TERTIARY o Goal: minimizing negative disease induced outcomes o Example: in established disease, ad...

LEVEL OF PREVENTION  PRIMARY o Goal: preventing the health problem, the most cost-effective form of healthcare o Example: immunizations, counseling about safety, injury and disease prevention  SECONDARY o Goal: detecting disease in early, asymptomatic, or preclinical state to minimize its impact o Example: screening tests, such as BP check, mammography, colonoscopy, ASA in hx MI  TERTIARY o Goal: minimizing negative disease induced outcomes o Example: in established disease, ad...

1. Know the causes of an abdominal aortic aneurysm. The proposed causes of AAA include atherosclerosis, inflammation, mycotic infection, inheritable connective tissue disorders (Marfan syndrome, type IV Ehlers-Danlos syndrome), and trauma. Traditionally, atherosclerosis has been considered the most common cause of AAA. However, aneurysm formation is associated with atherosclerosis in only 25% of cases. 2. Why is CT imaging limited in women? Single-photon emission CT imaging is technical...

1. What is acute coronary syndrome? - sudden reduced blood flow to the heart 2. Acute coronary syndrome risk factors - -Atherosclerosis-Age-Genetics-Smoking-High-fat diet-Elevated cholesterol-Sedentary lifestyle-Obesity-Hypertension-Diabetes-Women-Elevated Troponin-ST elevation on 2 contiguous leads to ECG 3. Acute coronary syndrome s/s - Chest pain SOB Diaphoresis Nausea Dizziness Epigastric pain

True or False: 1. A virus is considered a microorganism. False. Viruses are not living and as such are not considered microorganisms. Viruses can, however, be classified as microbes, a more general term that includes microorganisms and viruses. 2. What is the smallest biological unit of life? A cell. 3. At a generalized level, all cells are comprised of what? Macromolecules* *A student may also answer: Proteins, Lipids, Nucleic acids and Polysaccharides but they must answer with...

Table of Contents PART I: THE MOLECULAR DESIGN OF LIFE Section 1: Biochemistry Chapter 1: Biochemistry and the Unity of Life Chapter 2: Water, Weak Bonds and the Generation of Order Out of Chaos Section 2: Protein Composition and Structure Chapter 3: Amino Acids Chapter 4: Protein Three-Dimensional Structure Chapter 5: Techniques in Protein Biochemistry Section 3: Basic Concepts and Kinetics of Enzymes Chapter 6: Basic Concepts of Enzyme Action Chapter 7: Kinetics and Regulation Ch...

1. A nurse is conducting an admission interview with a client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview? A. Clients level of comfort and ability to participate in the interview -The nurse should assess the client’s level of comfort and establish a rapport during the introductory or orientation phase. The nurse should engage in active listening and present a relaxed attitude to place the client at ease and ...

Hypervolemia S/S: pitting edema, increased HR/BP/HR, distended neck and hand veins, weight gain, SOB, lung crackles, pale/cool skin, decreased lab values, alter LOC Treatment: patient safety (assess every 2 hours for PE), assess for skin breakdown (skin care), provide supplemental O2 and position patient in semi-fowler’s to improve SOB, furosemide, fluid restriction, monitor daily weight and output, restrict Na/low sodium diet (water follows) Hypovolemia S/S: increased HR, orthostatic hypo...

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 (look up evidence about how team affects outcomes) b. Describe how to improve and expand the team Answer- a What is the best way for the AGACNP to get involved in policy making? a. attend legislative days at the state capitol b. join a hospital committee c. write your local congressman d. review literature and give more in-services Ans...

4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following images shows the correct # of mL the nurse should administer? (Round the answer to the nearest whole number.) Click on the syringe that has 8 mL of med. 20 mg x (5mL/12.5mg) = 8 mL 5. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day administere...

In a bacterial cell, the DNA is in the: A) cell envelope. B) cell membrane. C) nucleoid. D) nucleus. E) ribosomes. 2. A major change occurring in the evolution of eukaryotes from prokaryotes was the development of: A) DNA. B) photosynthetic capability. C) plasma membranes. D) ribosomes. E) the nucleus. 3. In eukaryotes, the nucleus is enclosed by a double membrane called the: A) cell membrane. B) nuclear envelope. C) nucleolus. D) nucleoplasm. E) nucleosome. ...

5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determine the reason why clients are not receiving adequate pain management after surgery? A. Prospective chart audit B. Retrospective chart audit C. Postoperative care policy D. Pain assessment policy 6. A nurse prec...

1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Identify nurses who accept the change to help influence other staff nurses B. Provide a brief overview of the new scheduling system immediately before it implementation C. Introduce the new scheduling system by describi...

A nurse is preparing a client who speaks limited English for surgery. Which of the following is the most appropriate nursing action in obtaining informed consent from this client? Select one: a. Do nothing as this is the provider's primary concern. b. The nurse should explain the procedures using pictures and hand gestures. c. Have the nurse respond to the client's concerns so the provider can prepare for surgery. d. Seek the assistance of a nurse on the floor who is fluent in the clien...

1. A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen? A. Instruct the client to defecate into the toilet bowl -incorrect: The nurse should have the client defecate into a bedpan or a container for stool collection. The toilet water can dilute and contaminate the liquid specimen. B. Transfer the specimen to a sterile container -incorrect: The nurse should place...

1. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? A. "I need to talk to you about unit expectations regarding delegating and completing tasks." B. "Several staff members have commented that you don't do your fair share of the work.". C. "If you don't...

1. A nurse is conducting an admission interview with a client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview? A. Clients level of comfort and ability to participate in the interview -The nurse should assess the client’s level of comfort and establish a rapport during the introductory or orientation phase. The nurse should engage in active listening and present a relaxed attitude to place the client at ease and ...