Hesi Community Health HESI cheat sheet 100% Correct!!

Ancathosis Nigricans a skin condition characterized by dark, thick, velvety skin in armpits, groin, or neck; checking for lice and notice dark patch Anthrax bacterial infection from coming in contact with spores from infected animals or animal products think of sheep and animal hides; multiple routes for infection; treated with Cipro Prioritizing home care: a) COPD pt with SOB b) pt who refuses to eat or drink c) pt with CHF who has gained 3 lbs pt who has CHF and gained 3 lbs Battering communication have the child leave the room and question the woman about the abuse since it does not pertain to the child being abused Breast Cancer Risks age 55+; direct family member; personal history; white; overweight; nulliparity; pregnant after 30; smoking; HRT; menstrual before 12 or menopause after 55 COBRA means that after losing job you can still have same health insurance for a certain amount of time, however the monthly cost of maintaining it sky rockets; already lost job so pretty hard to afford the cost and usually end up losing it anyway. Main concern of COBRA pt is being able to pay for expenses Ethnicity with highest risk for diabetes Native Americans Ethnicity with highest risk for cardiovascular disease African Americans Diabetes A1C to determine effectiveness of program to decrease rates of diabetes in a community, compare A1C Cholera In a disaster situation, the priority is treating with fluid and electrolyte replacement Disaster Triage Color System priorities: 1) red-- massive bleeding or tension pneumothorax abd injury 2) yellow-- medium priority 3) green--walking wounded 4) black- dead or near dead, no hope of surviving provided current resources Epidemiological triad agent--host--environment Heat Stroke if an adolescent is playing sports at school and goes to the school nurse with red, dry skin and other symptoms of heat stroke the PRIORITY action is to call for emergency personnel NOT assess Hepatitis A fecal- oral route Hepatitis B needles, bodily fluids, sexual intercourse; if woman in pregnant she can get immune globulin and infant should be vaccinated within 12 hrs of birth Hepatovax B allergy if allergic to yeast, will be allergic to hep b vaccine ie dont get it Home Care Referral meals on wheels Influenza can be prevented with Relenza Lillian Wald she is considered the founder of community health; created Henry Street Settlement that aided immigrants; she helped create the precurser to the NLN; instituted the sliding scale fee for service with home health services working with the elderly population and they all want to a get surgery that will cure glaucoma what is your priority? assess the PREVALENCE of glaucoma in the population kid has a rash and a fever chicken pox Osteoporosis Prevention weight-bearing exercises 30 min QDay; diet rich in calcium and vitamin D Ritalin and ADHD priority is the teen's self-esteem; be sure to get their feedback on improvement School Age Screening Obesity and diabetes Pregnant adolescent and you're the school nurse referral to prenatal care, encourage prenatal vitamins do NOT tell parents or arrange child care or teach breast feeding Screening priority with hypothyroidism T4 levels in newborns (congenital hypothyroidism untreated leads to intellectual deficits)