Brainarium

A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next? a. Assess clients rate, rhythm, and depth of respiration. b. Measure the clients pulse and blood pressure. c. Document the findings and continue to monitor. d. Notify the physician as soon as possible. - ️️ANS: A Progressive skeletal muscle weakness is associated with increasi...

The nurse is preparing to administer several oral medications when the patient says he would like to take his pills with orange juice. What is the nurse's BEST response? a. Determine whether the patient's prescribed diet includes orange juice. b. Establish if the medications interact with orange juice. c. Ask the dietary aide to order extra orange juice for the unit. d. Administer the pills with orange juice - ️️B. Establish if the medications interact with the orange juice. How...

Important consideration for delegating tasks - ️️any task delegated to the UAP is the nurse's responsibility, so if you delegate a task that does not get done then it is ultimately your fault Qualities of a professional nurse - ️️leadership, clinical expertise and judgement, mentorship and life long learning Effective manager should understand what - ️️budget concepts, be able to staff a unit effectively and be skilled in information management Integrity definition - ️️...

A nurse is caring for a group of clients on a medical-surgical unit. Which client has the highest risk for developing a pulmonary embolism? - ️️An obese client with leg trauma A client is brought to the emergency department after a bee sting. The client has a history of allergies to bees and is having difficulty breathing. What client reaction should cause a nurse the most concern? - ️️Asphyxia A client has an endotracheal tube and is receiving mechanical ventilation. Periodic suc...

Autonomic Dysreflexia s/s - ️️sudden significant rise in blood pressure accompanied by bradycardia, profuse sweating above the level of the lesion, goosebumps, flushing of the face, neck and shoulders, blurred vision, spots in the patients vision field, nasal congestion, onset of a severe throbbing headache Post Cardiac Catheterization considerations - ️️when femoral artery is used as access the patient must lie flat for at least 6 hours, this is so the bleeding can be controlled. ...

Left sided heart failure symptoms - ️️pulmonary symptoms, weakness, fatigue, dizziness, acute confusion, pulmonary congestion, breathlessness, oliguria, crackles, cough that gets worse at night Dopamine side effects - ️️heart attack, chest heaviness, always pay attention when patient complains of chest heaviness Inferior wall MI patient assessments - ️️vital signs, BP, O2, LOC. Vtach (unconscious & no heart rate) intervention - ️️CPR immediately and defibrillate when equip...

Ultrasound Vascular Package Deal Complied With 100% Correct Questions And Answers

What are the most distal branches of the aorta that supply blood to the pelvis, abdominal wall, and lower limbs? - ️️Common Iliac Arteries (CIA) What arises from the abdominal aorta about 3-4 cm above the bifurcation, that can act as a collateral connection? - ️️IMA (Inferior Mesenteric Artery) The SFA passes through an opening in what tendon to enter the popliteal fossa? - ️️Adductor Hiatus (Adductor Canal or Hunter's Canal) Name the three branches of the aortic arch? - ️...

RIND DEFINITION - ️️REVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT USUALLY LASTS LONGER THAN TIA , BUT THE DEFICIT IT CREATES TAKES SLIGHTLY LONGER THAN 24 HOURS TO RESOLVE. THAT IS THE BRAIN TISSUE IS DAMAGED BUT RECOVERS COMPLETELY. 3 CAUSES OF ISCHEMIA - ️️ATHERTHROMBOTIC PATHOLOGIES, CARDIOGENIC PATHOLOGIES, AND LACUNAR INFARCTIONS MAJOR BRANCHES OF THE OPHTHALMIC ARTERY ARE: - ️️FRONTAL, SUPRAORBITAL AND NASAL ALL OF THE FOLLOWING ARISE FROM THE INTRACRANIAL ICA EXCEPT: MIDDLE ...

a carotid duplex exam documents a possible occlusion of the Rt ICA what other noninvasive finding would help confirm the presence of occlusion? - ️️- accelerated flow in the ipsilateral or contralateral vertebral artery -accelerated flowing in the ipsilateral ECA -high resistance flow in the ipsilateral CCA what are the common stroke symptoms? - ️️numbness, weakness double vision confusion trouble walking allintermittent claudication - ️️there is a pressure drop distal to t...

what is a fusiform aneurysm? - ️️a spindle-shaped arterial aneurysm in which the stretching process affects the entire circumference of the artery what is a saccular aneurysm? - ️️a saclike arterial dilation communicating with the artery by a relatively small opening what is an aortic aneurysm? - ️️a permanent localized dilatation of an artery in an aortic aneurysm how much does the diameter increase? - ️️1.5 times its normal size who are high risk patients for aortic aneu...

List the four sonographic features that are usually evidence for a hemodynamically significant stenosis - ️️proximal velocity signals will be dampened, max velocity at stenosis with spectral broadening, post stenotic turbulence, downstream tardis parvis Pressure is the lowest before, at, or after an obstruction vessel? - ️️at point of maximum stenosis, pressure decrease, flow decrease pg. 170 Daigles The appearance of enlarged channels that attempt to bypass an obstruction or hemod...

NWCA EXAM PACKAGE DEAL

World Health Organization (WHO) - ️️A group within the United Nations responsible for human health, including combating the spread of infectious diseases and health issues related to natural disasters. American Hospital Association (AHA) - ️️Non profit group or alliance of member hospitals and health care organizations that promote the interests of hospitals. It is an advocacy group for health care organizations, particularly hospitals American Medical Association (AMA) - ️️The...

CAAHEP (Commission on Accreditation of Allied Health and Education Programs) - ️️The new accreditation agency for allied health education programs that is recognized by the US Department of Education. American Hospital Association (AHA) - ️️The American Hospital Association (AHA) is the national organization that represents and serves all types of hospitals and health care networks. American Academy of Professional Coders (AAPC) - ️️A professional association established to pr...

Which is the indication for immediately termination of a stress test - ️️A drop in systolic pressure, dizziness, sweating The junctional rhythm with the heart rate of 125 the PA is introverted and proceeds a QRS complex. The PR interval is less than 0.12 and the QRS interval is 0.10 seconds is called. - ️️National tachycardia The gain setting on the EKG machine is concerned with - ️️Amplitude on the wave and complex A patient is short of breath and his nurse tells you he must ...

Patients who are complaining of chest pain and difficulty breathing are usually - ️️sent directly to the emergency department What is designed to reduce the risk of transmission for microorganisms from both recognized and unrecognized sources of infection in health care facilities - ️️Standard or universal precautions Which What is a commonly used intravenous device that is sometimes used in the collection of blood from patients who are difficult to collect by conventional methods ...

BPH Collaborative Care: Invasive Therapy - ️️Invasive therapy indicated when: -decrease in urine flow sufficient to cause discomfort -persistent residual urine -acute urinary retention -hydronephrosis -Transurethral Resection (TURP): -removal of obstructing prostate tissue using resectoscope inserted through urethra -outcome for 80% to 90% is excellent -relatively low risk -performed under spinal or general anesthesia and requires hospital stay -bladder irrigated for first 24 ho...

1. Following a radical retropubic prostatectomy for prostate cancer, the patient is incontinent of urine. An appropriate nursing intervention for this patient is to teach the patient a. pelvic floor muscle training. b. the use of belladonna and opium suppositories. c. how to perform intermittent self-catheterization. d. to restrict oral fluid intake. - ️️Answer: A Rationale: Pelvic floor muscle training (Kegel) exercises are recommended to strengthen the pelvic floor muscles and impr...

What is neoplasm? - ️️a new and abnormal growth of tissue in some part of the body, especially as a characteristic of cancer. The client has been prescribed dutasteride (Avodart) for benign prostatic hyperplasia (BPH). Which potential adverse effects would the nurse include in the medication teaching for this medication? - ️️Side effects of 5-alpha reductase inhibitors, such as dutasteride (Avodart) and finasteride (Proscar), may include impotence, decreased libido, and decreased v...