Brainarium

What guides our care? - CORRECT ANSWER-Code of Ethics - relieve suffering Principle of Beneficence - care is provided to benefit Standard of Care - define nursing acts that are required for safe and competent care Assessments - last hours of life - CORRECT ANSWER-limit to comfort measures, concerns about pain and respiratory should be addressed, emotional/comfort support Postmortem Care - CORRECT ANSWER-close pt's eyes, replace dentures, wash/position body - allow family privacy Classi...

Case 1 A 56-year-old female complains of palpitations and an unintentional 20 lb weight loss in the past six months. History reveals that her menstrual periods stopped approximately 7 years ago. Vital signs include a blood pressure of 135/85 and a heart rate of 110. Physical examination reveals a non-tender enlarged thyroid gland without nodules. Structural examination reveals tissue texture changes at T2 associated with an upper thoracic flexion hump. Laboratory studies reveal the followi...

Superior Facet Orientation Thoracic - CORRECT ANSWER-BUL Superior Facet Orientation Lumbar - CORRECT ANSWER-BM Axis for Flex/Ext - CORRECT ANSWER-Transverse Plane for Flex/Ext - CORRECT ANSWER-Sagittal Axis for Rotation - CORRECT ANSWER-Vertical Plane for Rotation - CORRECT ANSWER-Transverse Axis for Sidebend - CORRECT ANSWER-AP Plane for Sidebend - CORRECT ANSWER-Coronal Isotonic Contraction - CORRECT ANSWER-Operator Force < Patient Force Isometric Contraction - CORRECT ANSWER-Opera...

activities of daily living - CORRECT ANSWER-- transferring - toileting - continence - feeding - dressing - bathing next best step after thyroid nodule is palpated and TSH is normal - CORRECT ANSWER-thyroid ultrasound VS for thyroid - CORRECT ANSWER-T2 tx for episiotomy infection - CORRECT ANSWER-suture removal and irrigation and debridement of the wound abx for pseudomonas - CORRECT ANSWER-fluoroquinolones --> cipro or levofloxacin diarrhea with macrocytic anemia and elevated LFT...

What is the size guideline for treatment of a spontaneous pneumothorax? • CORRECT ANSWER- Spontaneous pneumothorax: <2 cm observe 2 cm large and stable = needle aspiration or chest tube 5 W's of Post-op surgery? • CORRECT ANSWER- 5 W's • Wind ○ Pneumonia, PE, Aspiration • Wound ○ Surgical site infections • Water ○ Urinary tract infections § Increased risk due to indwelling catheters § Associated with enteric organisms ie. E. coli, Klebsiella, Proteus mirab...

Antidote for lead - CORRECT ANSWER-EDTA, dimercaprol--for higher levels succimer, penicillamine--for lower levels Antidote for Nitrites - CORRECT ANSWER-methylene blue Antidote for Opioids - CORRECT ANSWER-Naloxone (Narcan) antidote for phenothiazines (antipsychotics) - CORRECT ANSWER-diphenhydramine Antidote for Salicylates (ASA) and TCAs - CORRECT ANSWER-Sodium Bicarbonate, dialysis--ASA Sodium Bicarbonate (QRS prolong), Benzo (seizures)--TCAs antidote for tPA and streptokinase - CORRE...

Abnormal blood glucose and Type 2 DM screening - CORRECT ANSWER-Adults aged 40 to 70 years who are overweight or obese Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity. Idiopathic scoliosis - CORRECT ANSWER-Children and adolescents aged 10 to 18 years Insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and...

TIMI score - CORRECT ANSWER - a prognostic tool for patients with unstable angina or NSTEMI Categorizes patient's risk of death and ischemic events & helps clinicians with therapeutic decision-making. A point of one for each of the following: 1. aspirin use in the last seven days 2. ST changes of at least 0.5 mm on EKG 3. Elevated serum cardiac biomarkers 4. Age greater than 65 5. known CAD (coronary stenosis greater than or equal to equal to 50%) 6. At least two angina episodes wit...

Most sensitive diagnostic modality to initially look for H. Pylori? - CORRECT ANSWERserologic testing test to see if eradication of H. pylori? - CORRECT ANSWER-urea breath test Best first test to see if have fungal toe infection? - CORRECT ANSWER-KOH scrapings from toe can take up to 12 weeks for turbinafen to take effect most common lobe of aspiration in alcoholics? - CORRECT ANSWER-right superior lobe b/c they are choking on their vomit while lying on their back. why are NSAIDS contrain...

Insurers - CORRECT ANSWER-(Insurance Companies or Carriers) provide insurance coverage by issuing particular insurance policies or contracts Insurance Agencies - CORRECT ANSWER-Independent sales organizations that provide service and distribute insurance policies to consumers Insurance Agents or Producers - CORRECT ANSWER-are licensed individuals representing an insurance company when transacting insurance business Who primarily regulates the insurance industry? - CORRECT ANSWER-The insura...

Which part of a property insurance policy describes the perils? - CORRECT ANSWER-Insuring Agreement The formal statement that verifies details so the insurer can determine liability is called _ _____ __ ____. - CORRECT ANSWER-A Proof of Loss An applicant makes a statement on the insurance application which becomes part of the contract that she has an alarm system which qualifies her for a premium discount. This statement is considered a ________. - CORRECT ANSWER-Warranty In an insurance ...

Annuities are primarily designed to accumulate funds for a(n) ____________ fund. a. College b. Emergency c. Retirement d. Mortgage - CORRECT ANSWER-c. Retirement Jasmine has deposited $100,000 into a single premium immediate annuity. If Jasmine were to die before receiving $100,000 in payments, the balance of the $100,000 would be paid to her sister. Jasmine has selected the: a. Life Income Period Certain Option b. Life Income with Refund Option c. Life Income Joint and Survivor Option...

Which rating method listed below is established by the underwriter? A. Manual rating B. Retrospective rating C. Individual rating D. Judgment rating – CORRECT ANSWER - D. Judgment rating is the Only rating method that is determined by the underwriter. All other rating methods are determined by the actuarial department of the insurance company. 1.11 The type of insurance company in which the policyholder is considered an owner, with the right to vote and share in the profits, is a: A. ...

Life insurance policies are contestable for how long? A For 10 years after the issue date B As long as the contract is in force C For 2 years after the issue date D Until the insured reaches age 40 - CORRECT ANSWER-C How long is a LTC policy's free look period? A 30 days B 14 days C 21 days D 10 days - CORRECT ANSWER-A A license cannot be issued to an individual who cannot prove his/her lawful presence in __________ in the form of documentation of citizenship or alien statu...

Lloyd's of London - CORRECT ANSWER-Not an insurance company, but consists of groups of underwriters called Syndicates, each of which specializes in insuring a particular type of risk. Fraternal Benefit societies - CORRECT ANSWER-Social organizations that engage in charitable and benevolent activities that provide heath and life insurance to members; member are typically part of a particular faith, lodge, order, or society RRG Risk retention group - CORRECT ANSWER-A group owned insurer t...

An insurer replacing a life policy must notify the existing insurer of the proposed replacement within how many days of receiving an application? a. 10 business days b. 5 calendar days c. 10 calendar days d. 5 business days - CORRECT ANSWER-d. 5 business days Which of the following is not a mandated health coverage in Colorado? a. Mental Disorders b. Vision c. Pediatric Dental d. Preventative Care - CORRECT ANSWER-b. Vision Admitted life insurers must pay interest at a rate of specifi...

What is the role of a state's executive branch? - CORRECT ANSWER-The role of a state's executive branch is to enforce the existing statutes that have been put in place. The Commissioner, Director, or Superintendent of Insurance is typically appointed (or in some jurisdictions elected) by the Governor, and the Commissioner has the power to issue rules and regulations to help enforce these statutes Insured - CORRECT ANSWER-The person or entity that has insurance protection under a poli...

To make insurance more affordable and protect the insurance company from paying out too much in claims, insurers will: - CORRECT ANSWER-Reinsure the risk What does a material misrepresentation mean to an insurer? - CORRECT ANSWERThe insurer may not have issued coverage if the correct information had been communicated. (A material misrepresentation means the insurer would not have issued coverage, or the policyowner would not have accepted the policy, if the correct information had been com...

preservation of property under the Building and Personal Property Coverage Form? - CORRECT ANSWER-The policy provides open perils coverage for 30 days on insured property that is being moved or temporarily stored at another location because of the endangerment of a covered peril Employee theft or dishonesty a commercial crime policy - CORRECT ANSWER-covers loss of, or damage to, money, securities, and other property committed by an employee, whether acting alone or in collusion with other...

A client has been a participant in their employer's Keogh plan for over 20 years and is 60 years old. The client is ready to retire and has decided to receive a lump-sum distribution from the plan consisting of employer contributions of $60,000, plus $35,000 in interest earnings, and $15,000 of voluntary after-tax contributions made, plus $10,000 in interest earnings. How much of this distribution will be taxed? $50,000 B $120,000 C $95,000 D $105,000 - CORRECT ANSWER-105,000 Whic...