Jessypeace

2. A patient presents with a productive cough, hypoxemia, a fever, hypotension, tachycardia, and tachypnea. Hypoxemia was corrected with the administration of oxygen. Which of the following should be done next? A. Administer antibiotics. B. Start a vasopressor. C. Collect a sputum culture. D. Initiate 0.9 normal saline. - ANS(D) Correcting the hypotension (with isotonic fluid resuscitation in order to maintain organ perfusion) is the priority at this time. Antibiotics (choice (A)) will ...

In regards to the Synergy Model for patient care, which of the following refers to an ongoing process in which a nurse generates changes to his or her medical practice via experiential learning and research utilization? A. Clinical inquiry B. Systems thinking C. Response to diversity D. Advocacy/moral agency - ANSA. Clinical Inquiry A patient in the ICU is experiencing acute substance withdrawal. The patient is presenting with symptoms similar to alcohol withdrawal, but it is known that ...

You are monitoring a patient with a pulmonary artery catheter. You are unable to measure the patient's pulmonary artery wedge pressure. To obtain a value that corresponds to the pulmonary artery wedge pressure, you check the: A. Right ventricular pressure B. Pulmonary artery diastolic pressure C. Pulmonary artery mean pressure D. Right atrial pressure - ANSB. Pulmonary artery diastolic pressure When you cannot obtain a pulmonary artery wedge pressure, use the pulmonary artery diastolic ...

cardiac output - ANSThe volume of blood ejected from the left side of the heart in one minute. 4-8 L/min HR x SV Cardiac Index - ANSCO/BSA 2.5-4.3 Stroke Volume (SV) - ANSThe amount of blood pumped out of the heart with each contraction. (Vol ejected with each beat) 60-100 Preload. Afterload Contractility Stoke Volume Index (SVI) - ANS35-60 Preload - ANSvolume of blood in ventricles at end of diastole Pressure generated by vol of blood in ventricle at end of diastole RV: cvp right...

A 17 year old is demonstrating a sudden decline in grades, increased unexcused absences, and inability to concentrate when in school. Facial affect has changed from friendly to flat. When approached, the student states he is fine. Reports indicate the client responds to music, so a music therapy referral is requested. To assess possible causes of the change in behavior, a music therapist should FIRST - ansidentify current stressors in the student's life. A 52-year-old woman hospitalized fo...

ADH - ansPhenytoin inhibits _______ secretion Right - ansMost episodes of aspiration result in (right/left) lung infiltrates. urine creatinine clearance - ansBest indicator of GFR Auto-PEEP - ansIn a vented patient with status asthmaticus, check for _______________ Air trapping - ansAn increase in auto-PEEP is a sign of _________________. obstructive pulmonary disease - ansA patient with a flattened diaphragm on a Chest X-ray and decreased expiratory flow rate most likely has what type of ...

The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment. For optimal care of the patient, the nurse should: a) administer an analgesic for acute back pain b) Apply pressure dressing to groin c) Continuously monitor the patient in lead II d) Maintain the patient in a supine position - ansAnswer: C It is best practice to continuously monitor the patient status post PCI with stent, in the lead that was most abnormal during the acute occlusion. Lea...

One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right side. The findings described above should lead the nurse to suspect that the patient has developed: A. A spontaneous pneumothorax B. A pulmonary embolus C. Aspiration pneumonia D. A pleural effusion One day following posterior spinal fusion sur...

SIADH - ANStoo much ADH low Na, hypo-osmolar, low UOP ADH - ANSmade in hypothalamus stored in pituitary released to kidney and makes kidney hold onto h20 serum osmolarity - ANSNa X2 275-295 low=fluid overloaded high=concentrated SIADH CAUSES - ANSoat cell carcinoma (bronchogenic CA)-makes its own ADH Viral PNA Head Problem inc. serum osmo, anesthesia, analgesics, stress COMPLICATIONS OF SIADH - ANSSz's TREATMENT of SIADH - ANSget rid of causes fluid restrictions hypertonic solut...

Components of SBAR and its purpose - ansS: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose - ansD: Describe the specific situation or behavior E: Express your concerns or how the situation makes you feel S: Suggest alternatives and seek agreement C: State consequences in terms of impact on performance goals Purpose- used in conflict management; paraphras...

Components of SBAR and its purpose - ansS: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose - ansD: Describe the specific situation or behavior E: Express your concerns or how the situation makes you feel S: Suggest alternatives and seek agreement C: State consequences in terms of impact on performance goals Purpose- used in conflict management; paraphras...

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - --a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool...

just keep evaluatng - vipp - ansWhat does the J stand for at the end of the secondary survery? vital signs, injuries/interventions, primary survey, pain - ansWhat does VIPP stand for? flank - ansDuring the head-to-toe, where would you find Grey-Turner's sign? umbilicus - ansDuring the head-to-toe, where would you find Cullen's sign? inspecting posterior - ansWhat is sometimes deferred at the end of the head-to-toe? AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, im...

The interpretation of the healthcare organization's role with respect to healthcare values would require: a. Establishing corporate goals and major institutional policies b. Ensuring that the community served by the facility is well informed about the organization's goals and performances c. Developing a mission statement indicating the organization's fundamental purpose or reason for existence, in order to guide organizational behavior d. Creating a corporate vision of the organizatio...

c. Implement the mission, strategies and goals established by the governing board 1) The purpose of management in a healthcare organization is to: a. Oversee appointment of competent medical staff to render care for the service area b. Appoint an effective governing board based on the wishes of the medical staff c. Implement the mission, strategies and goals established by the governing board d. Implement stakeholder wishes on the future direction the organization should take b. An active ...

According to the Code of Ethics, one way executives can avoid or minimize negative implications of conflict of interest is: a) develop a PR plan to address conflict of interest scenarios b) not participate in specific decisions where conflict may exist c) ensure members submit annual holdings for inspection d) make the conflict known to those in superior positions D The principles of quality improvement require that executives change their management philosophy from: A) finding fault wit...

CEO Compensation should be based on: a. the compensation arrangement with prior CEO b. executive compensation in local corporations with similar gross revenues c. present day salary plus cost-of living adjustment d. what the institution would have to pay for a similarly prepared person if that person were employed elsewhere d. what the institution would have to pay for a similarly prepared person if that person were employed elsewhere An essential function of the governing board is to: a...

Must be measurable and include action verbs. Behavioral Objective is best done by students so that the teacher can assess the effect of the lesson Closure How should a teacher close a lesson? Students working in groups What would BEST help students to understand the distributive property of multiplication over addition? Show students that 3(a + b) = (a + b) + (a + b) + (a + b). used to compare and contrast two objects Venn Diagram What should be a teacher's first step in planning a lesson...

Business Communication Use concrete terms instead of abstract terms. The best you know your audience, the better you can anticipate and incorporate rules on how, what, and when to use specific words and terms. Understand the relationship between universal or specific appeal to an audience or context. Clear and concise communication involves anticipation. Anticipating the language that the reader is expected to know, unfamiliar terms, enables the writer to communicate. Promoting understandi...

Indirect Instruction student-centered and interactive; teachers facilitate small-group & cooperative learning Indirect instruction aids with teaching... abstraction, concepts, patterns, inquiry, problem- solving and discovery learning Direct Instruction teacher-centered; teachers give explicit, structured instruction using lesson plans Direct instruction aids with teaching... facts, rules, & sequences; breaking down textbook or workbook material; lower Bloom's Taxonomy; & gaining student...