Academicmaterials

Signs and symptoms of angina: - -crushing, squeezing, "like somebody standing on their chest" -Usually felt in midportion of chest under sternum, can radiate to jaw, back, or epigastrum -Pain goes away after 3-8 min -Associated with SOB, nausea, vomiting A blood clot that floats through blood vessels until it reaches an area too narrow to pass, causing it to stop and block blood flow is called: - Thromboembolism Signs and symptoms of cardiac tamponade: - Beck triad: the presence of jugul...

A 72-year-old woman fell and has a hip injury. She is on the second floor of her home. Which of the following devices should you use to move her down the flight of stairs A) Stair chair B) Long backboard C) Wheeled stretcher D) Scoop stretcher - D) Scoop stretcher Of the options listed, the scoop stretcher, also called an orthopaedic stretcher or split litter, would be the most appropriate to use. The scoop stretcher is contoured and allows for the placement of straps to secure the pati...

What action does aspirin have in the body that makes it beneficial for patients experiencing an AMI? - prevents platets from clotting When performing CPR on an adult, you should compress the chest to a depth of ____ at a rate of _____? - 2.0-2.4 in, 100-120 BPM During the Primary Assessment a 57 year old female says she has chest pain and points to her epigastric area? What should you do? - Obtain vital signs A 54 year old complains of chest tightness after raking leaves for an hour. The p...

SLUDGEM - salivation, sweating lacrimation urination defecation, drooling, diarrhea gastric upset and cramps emesis muscle twitching/miosis (pinpoint pupils) Opiates and opioids - morphine, codeine, and heroin, methadone, oxycodone hypoventilation, respiratory arrest, pinpoint pupils, sedation, coma, hypotension sympathomimetics - epinephrine, albuterol, cocaine, methamphetamine hypertension, tachycardia, dilated pupils, agitation, seizures, hyperthermia sedative hypnotics - diazepam,...

Just because a patient is attempting to breathe against a partially occluded airway, if they do NOT move enough air to reach the alveoli, what secondary complication might they experience? - Hypoxia or Hypercapnia During cellular respiration and metabolism, there is constant production of acidic waste products such as hydrogen. How does the body initially manage this acid? - Hydrogen is converted into carbonic acid and later into CO2 and H2O A 53 year old male is sleepy, diaphoretic, diffi...

Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury be called? a)Amplitude b)Avulsion c)Extremity exodus d)Amputation - d)Amputation Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied direct pressure to the wound, but it continues to soak through the bandages. What should you do next?...

s/s of rupture of varices - pt will report of an abrupt onset of discomfort in the throat, may have severe dysphagia, vomiting bright red blood (hematemesis),hypotension, and signs of shock. patients who have liver disease. s/s of lower GI bleed - hematochezia (bright red blood)- stool and blood are incorporated together into the same substance, yet are easily distiguished from each other What are the management of a seizure? - If trauma is noted c-spine precaution Check blood sugar(treat ...

A positive TB skin test indicates that: - . you have been exposed to the disease. Which of the following scenarios MOST accurately depicts abandonment? - A paramedic transfers patient care to an EMT When you begin an oral report, you should state the patient's age, sex, and: - chief complaint. Which of the following skills or interventions is included at every level of prehospital emergency training? - AED As an EMT, it is important to remember that the signs and symptoms of cumulative st...

What is the definition of a seizure that the child is unresponsive for no more than 15 seconds and is looking straight ahead - Absent seizure What should you do if a newborn patient has cyanosis and a heart rate of 60? - Chest compressions and ventilate. What would be helpful if you had a 4 year old patient who drank household cleaning products? - Poison control & what substance & time of consumption & how much Placenta Previa - Placenta is implanted low in the uterus and covering part of ...

CPNRE EXAM PACKAGE DEAL QUESTIONS & ANSWERS RATED A+

Furosemide (Lasix) - Loop diuretic Decrease blood volume **watch for signs of dehydration and "hypokalemia** **should be administered in morning** Glyburide (Metformin) - oral hypoglycemic agent **must check AQ check/blood sugar prior to administration** **watch for S&S of hypoglycemia** ASA (EC ASA) - 1. Anti-inflammatory 2. Anti-pyretic 3. Analgesic **do not administer in children under 12 years of age = Rye's Syndrome*** **can cause bleeding tendencies** **baby ASA-preventative ...

A nurse is assigned to care for Amanda, a 39 y/o lawyer who was recently diagnosed with generalized anxiety disorder. Which of the following statements from Amanda would lead the nurse to suspect that Amanda's anxiety has been a long-standing problem? a. "My mother was also diagnosed with general anxiety disorder when she was in her early 40's." b. "Adjusting to college life was difficult. I never thought I would even receive a degree." c. "I have always solved my problems on my own....

omphalocele - abdominal organs protrude through opening in abdominal wall -keep omphalocele covered with sterile moist gauze until srugery where organs are returned back -post surgery mechanical ventilation, NG, parenteral nutrition kohlbergs theory of moral development - 1. preconventional -do what is right r/t fear of punishment -do what is right for gains 2. conventional -gain approval/avoid disapproval 3. post conventional -do what is right even if against law bc law is restrictive ...

nursing problems - 1. anxiety r/t family rejection AEB palpitations, trembling, diaphoresis 2. impaired social interaction r/t negative role modelling AEB verbalized/observed discomfort in social situations 3. risk for self directed violence r/t history of self harm 4. risk for trauma r/t muscular incoordination mood vs affect - mood -pervasive/enduring emotional state affect -outward expression of client 3 fe psychosocial theories of somatic disorders - -pt keeps stress in rather than ...

placenta structure - membrane weight 1lb -formation completed at 3 months -develop cotyledons that act as areas for nourishing fetus -maternal part beefy red -fetal part shiny grey umbilical cord technique - evaluates condition of fetus -fetal blood can be analyzed at 18 weeks -evaluate blood count, liver function ABG, acid-base -risk for fetus injury amniocentesis possible findings - 1. lecithin/sphingomyelin ratio 2. creatinine 3. billirubin 4. cytological testing 5. defects (DS, ...

NPLEX EXAM PACKAGE DEAL QUESTIONS & ANSWERS RATED A+

Acyclovir - ANTIVIRAL (Inhibits DNA polymerase) IND: - HSV ixn and prevention, VZV, EBV, disseminated neonatal herpes, CMV ixn ACT: - Nucleoside analog inhibiting viral replication, NON-CURATIVE A/E: - HA, diarrhea, nausea, delirium, tremor, Htn, transent renal dysfunction w/ high doses, encephalopathy (IV), CAN PROMOTE EMERGENCE OF RESISTANT STRAINS C/I: - Preg C INT: - Synergistic toxicity w/ ZIDOVUDINE (AZT). MONITOR: urinalysis, BUN, serum creatinine, LV enz, CBC Rx: Oral, topic...

Cantharis - UTI with intolerable urging < urination. Burns with blistering. Sx have rapid onset. > Movement. > Cold, but < cold drinks. Strong sexual desires. SRP: scalding urine passes DROP BY DROP. SRP: thirst but no desire to drink. Arnica Montana - Bruising, mm sprain or strain, shock, after any trauma, head injury. Will not admit illness, refuse to see Dr. > Alone, lying on injured part. < Jarring, touch. Feels what they are lying on is TOO HARD. Injured part ...

Artemisia annua - PART USED: leaf ACTIONS: antiparasitic, antineoplastic INDICATIONS: malaria, parasitic infections, cancer CONTRAINDICATIONS: pregnancy and lactation (possibly) TOXICITY/SIDE EFFECTS: safe, may cause nausea SPECIAL NOTES: high doses of sesquiterpene lactones are neurotoxins. Althea officinalis - PART USED: leaf or root (Marshmallow) ACTIONS: GI demulcent, reflex demulcent in lungs and UT INDICATIONS: gastritis, PUD, IC, lower UTI, pharyngitis, tonsillitis, dry cough CON...

Tx of anaphylaxis with diphenhydramine (dosage) - 50 mg (1ml) IV stat Note: this is NOT done before Epi; in allergy may start with 12.5 to 25 mg IVP Assessing peripheral (emergency) blood pressure; no BP cuffs - Radial pulse = AT LEAST 80 (Systolic) Femoral pulse = AT LEAST 70 Carotid pulse = AT LEAST 60 Emergency oxygen** - Adult RR <12 or >20 Child RR <15 or >30 Infant RR <25 or >50 Croup Tx - Supportive care, watch child, have parents watch for fever, dyspnea; PE fo...