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Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Correct Answer-Lactate A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the patient? Correct Answer-Appearance A child being cared for in the pediatric tele...

You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you should administer? Correct Answer-Epinephrine Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during inspiration and pale skin color. On primary assessment, she m...

Ratio of compressions to ventilations for two rescuer CPR on infant or child? Correct Answer- 15:2 Pedi SBP HOTN formula for ages 1-10? Correct Answer-70 + (2x age in years) Hypoglycemia infant? Correct Answer-<60 mg/dl Hypoglycemia Neonate? Correct Answer-<45 mg/dl HOTN SBP Infant? Correct Answer-70 mm hg HOTN SBP Neonate? Correct Answer-60 mm hg Uncuffed tube size formula Correct Answer-Age in years / 4+4 Possible/Probable rate issue in infants Correct Answer-220 bpm Possible/ P...

A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient? Correct Answer-Airway clearance (e.g., suctioning) A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating ...

Chest Compression depth: Infant Correct Answer-1.5 inch or 4 cm (1/3 AP Diameter) Chest Compression depth: Child Correct Answer-2 inches or 5 cm (1/3 AP Diameter) Maximum Compression depth: Infant Correct Answer-2.4 in or 6cm Infant/children/adolescent compression rate Correct Answer-100-120 compressions a minute Ratio for single rescuer Correct Answer-30 compressions 2 breaths Ratio for 2 rescuer Correct Answer-15 compressions 2 breaths Rate of rescue breathing Correct Answer-1 breath eve...

You are caring for a child who was resuscitated after a drowning event. The child is intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be prov...

During a routing venipuncture the patient becomes pale and diaphoretic. Which condition is most like to occur in the patient. Correct Answer-Syncope Syncope means Correct Answer-fainting diaphoretic means Correct Answer-sweaty Which action should the PCT take when preparing to transfer a patient from a bed to a stretcher Correct Answer-Elevate the bed at a position Equal to the hieght of the stretcher A PCT should collect patient sputum when Correct Answer-Early in the morning A PCT shoul...

a Correct Answer-Evidence-based practice questions are typically formatted as PICO questions. What does PICO stand for? a) Patient, Intervention, Comparison, Outcome b) Patient, Investigation, Comparison, Outlier c) Population, Intervention, Counter-Intervention, Outlier d) Problem, Investigation, Counter-Intervention, Outcome d Correct Answer-Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can pa...

a Correct Answer-Evidence-based practice questions are typically formatted as PICO questions. What does PICO stand for? a) Patient, Intervention, Comparison, Outcome b) Patient, Investigation, Comparison, Outlier c) Population, Intervention, Counter-Intervention, Outlier d) Problem, Investigation, Counter-Intervention, Outcome d Correct Answer-Every member of the healthcare team has a role to play in cost containment. Which of the following is an example of how the perioperative RN can pa...

Descriptive Vividness The researcher describes the data gathering process in sufficient detail that the reader can personally experience it. The data collected, often in the form of personal statements, should be quoted directly and extensively, because this is the raw data from the study. Methodological Congruence The researcher presents the philosophical and methodological approach used and cites references to support their approach. The subjects, sampling method, datagathering and data-an...

Most common issues for individual therapy 1. losses 2. interpersonal conflicts 3. symptomatic presentations such as panic phobias, and negativity 4. Unfulfilled expectations at life transitions 5. Characterological issues such as narcissim or aggressiveness Psychoanalytic therapy 1. Originated by Freud 2. believed that behavior is determined by unconsious motivations and instincual drives . 3. promotes change by the development of greater insight and awareness of maladaptive defenses...

State legislative statues do what two things 1. grant legal authority for NP practice 2. Provides nurse practice act specific to state What does the Nurse Practice Act do 1. provides title protection 2. defines advanced practice 3. prevailing state laws that define scope of practice 4. places restriction on practice 5. disciplinary action 6. regulate NP development of collaborative agreement with MD 7. guides statutory law 8. oversees license 9. credentialing 10. certification 11 def...

A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner interprets the findings as normally occurring during a rapid adolescent growth spurt Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values and: increased MCV and elevated ...

Tarasoff Principle 1976 - duty to warn victims of potential harm from client Deontological Theory Ethical theory that states an action is judged as good or bad based on the act itself regardless of the consequences Teleological Theory Ethical theory that states an action is judged as good or bad based on the consequence or outcome Virtue ethics ethical theory that states actions are chosen based on the moral virtues (eg. honesty, courage, compassion, wisdom, gratitude, self-respect) or the...

Which patient is at highest risk for SI A. 30y/o married AA female with previous SI attempt *1 risk factor B. 35 y/o single Asian male with previous SI attempt *3 risk factors C. 38 y/o single AA male who is a manager of a bank *2 risk factors D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression) D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression) Count the risk factors When interview teenagers (16 y/o) that arriv...

AIMS Abnormal Involuntary Movement Scale for 8 and older 12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics Rating 0-4, >2 to diagnose TD and reduce dose BARS Barnes Akathisia Rating Scale for 8 and older 4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs CRS-R Connors Rating Scales - Revised for 3-17 ADHD Parent (80 items) and Teacher Scales (59 items) Low T-score of 61= mildly atypical; >70 =...

Conrad, a 26-year-old male, is being treated for cuts after being arrested for breaking the windows in the home of his girlfriend, who has just told him that they are through. He has a history of having been physically abused by his father, setting fires as a child, treatment for substance abuse, and arrest for stealing a car. Which of the following personality disorders might the clinician consider? Question 1 options:a) Narcissistic b) Paranoid c) Antisocial d) Histrionic Antisocia...

DBT (dialectical behavior therapy) relaxation muscle prior to DBT Greatest patient at risk for Violence Substance abuse EMDR (eye movement desensitization and reprocessing) eye movement desensitization and reprocessing What is dissemination? Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? Moderate co...

What is dissemination? Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? Moderate cognitive impairment What is Tegretol in the CYP450 system? Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal What is a Type I research error? There I...

The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to: a. Define the role and actions for the NP b. Establish the legal authority for the prescription of psychotropic medications c. Define the legal statutes of the role of the PMHNP d. Define the differences between the physician role and the NP role a. Define the role and actions for the NP The trend in legal rulings on cases involving mental illness over the past 25 years has been to: A - Encourage juries to find defe...