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"granny midwives" - ANS Before the 20th century, childbirth occurred with the help of a granny, or lay, midwife, whose training was obtained through apprenticeship of a more experienced midwife. -Physicians only were involved in SERIOUS problems -maternal and infant mortality rates r/t childbearing were high lay midwifery becomes illegal in many areas in - ANS late 19th century. at this point nurses were expected to assist physician and follow orders Shepard-Towner...

An elderly male patient is complaining of shortness of breath on minimal exertion. He has a long history of chronic obstructive pulmonary disease (COPD) and hypertension. Respirations are 28 breaths/minute. Upon auscultation, lung and heart sounds are diminished. Which of the following will the nurse practitioner avoid when treating this patient? A. Anticholinergics B. Short-acting beta agonists C. Influenza vaccination D. Pneumococcal vaccination - ANS Solution: B Short-acting beta...

A 57 yo female with an exacerbation of COPD is intubated and initially placed on the following ventilator settings: TV 750/SIMV 18/FiO2 60%/PEEP 5. The following morning her ABG results are as follows: pH 7.45/CO2 38/PaO2 88/HCO3 35. Which of the following actions by the AGACNP would be most appropriate? A. increase the FiO2 B. Increase the PEEP C. Decrease the rate of ventilation D. Add a nebulized bronchodilator - ANS C. Decrease the rate of the ventilator (Fitzgerald Review, 20...

Which of the following is a true statement about documentation? a. Nurses should keep records of clients' wishes. b. Clients do not have access to their own medical records. c. The Outcomes and Assessment Information Set (OASIS) is a complete record of the health status of a client. d. The nurse is responsible for completing all of the Minimum Data Set (MDS). - ANS ANS: A Entering clients' expressed wishes in the medical or clinical record helps ensure that the interdisciplinary...

A man is terminally ill with end-stage prostate cancer. What is the best statement about this man's wellness? - ANS d . Nursing interventions can help empower a patient to achieve a higher level of wellness. In differentiating between health and wellness in health care, which of the following statements is true? - ANS Health is a broad term encompassing attitudes and behaviours. Which province or territory is predicted to have the fastest growing older-person population...

A product which by law may be sold or bought only by certified applicator a person under the direction of vision is a blank - ANS Retricted use insect - ANS Arthropod/ 3 body regions/ 6 legs/ wings usually two pairs on adults only Private applicator may be a A Farmer B nursery operator CChristmas tree grower D all of the above - ANS D call of the above To become re-certified, you can A retake the certification exam B compared to require continued ed...

A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The NAP states they were busy and did not have a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make ...

Deutetrabenazine (Austedo) - ANS VMAT2- inhibitor -most commonly expected side effects: -drug interactions: -potentially serious adverse events: -FDA indications: Huntington's chorea and TD -lab work that should be monitored prior to starting and while on the medication: Haloperidol (Haldol) - ANS -High potency 1st gen, lacks anticholinergic activity -most commonly expected side effects: high risk for EPS/TD -drug interactions: d/t high potency ^ risk for TD -potent...

Chapter 19 Basic Concepts of Noninvasive Positive-Pressure Ventilation Exam Questions And Answers

Complex Med-Surg Exam 1 QUESTIONS And Answers

Absolute Refractory Period - ANS period associated with the opening of the Na+ channels until they begin to reset to their original resting state. (Neuron can NOT respond to another stimulus) relative refractory period - ANS follows the absolute refractory period, most Na+ channels have returned to their resting state, some K+ channels are still open, and repolarization is occurring. (Requires exceptionally strong stimulus to open channels) A neuron will not respond to a se...

The alimentary canal extends, in its entirety, from A. the mouth to the large intestine. B. the stomach to the small intestine. C. the liver to the gallbladder. D. the mouth to the anus - ANS D The digestive system A. ingests food, propels food, mechanically and chemically breaks down food, absorbs nutrients, and defecates the remainder. B. mechanically and chemically assembles food from absorbed nutrients. C. sends cellular debris to lysosomes. D. absorbs nutrients in t...

Liver cells respond to growth hormones by releasing: A-glucocorticoids B- gonadotropins C-insulin-like-growth factors d- prostaglandins e- hepatic hormones - ANS C-insulin-like-growth factors The following is a list of vessels and structures that are associated with the heart. 1. blood enters RA 2. LA 3. RV 4. LV 5. Vena Cava 6. aorta 7. pulmonary trunk 8. pulmonary veins What is the correct order for the flow of blood entering from the PULMONARY circulation? A - 5, 1,...

The actual sites of gas exchange within the lungs are - ANS Alveoli During an attack of asthma, an individual's - ANS Bronchioles constrict Most of the carbon dioxide in the blood is transported as - ANS Bicarbonate ions in the plasma The most important gas to regulate respiratory rate is - ANS CO_2 Too much CO_2 will cause __________ in the blood and result in _______________. - ANS more H^+; respiratory acidosis Air moves into the lungs b...

Peristalsis - ANS the involuntary constriction and relaxation of the muscles of the intestine or another canal, creating wavelike movements that push the contents of the canal forward. uvula - ANS small projection hanging from the back middle edge of the soft palate mesenteries - ANS connective tissue sheets that loosely suspend the stomach and intestines from the abdominal wall. provide access route for blood vessels, nerves, and lymphatic vessels to and from d...

benefits of NIV acute care - ANS es need for intubation es incidence of nosocomial pneumonia ens ICU stay ens hospital stay 5. preserves airway defenses 6. improves patient comfort 7. reduces need for sedation benefits of NIV in chronic care setting - ANS 1. alleviate symptomsof chronic hypoventilation 2. improves duration and quality of sleep ves functional capacity 4. prolongs survival What are the complication with the use of CPAP mask with O2 for acute cardi...

bilevel positive airway pressure (BiPAP) - ANS a mode of ventilation similar to CPAP except that different pressure levels may be set for the inspiratory and expiratory phases; inspiratory pressure is greater than the expiratory pressure, offering lower resistance to exhalation continuous positive airway pressure (CPAP) - ANS spontaneous ventilation with an elevated baseline pressure expiratory positive airway pressure (EPAP) - ANS in bilevel positive-pressure ve...

3 basic methods of non invasive ventilation - ANS 1. Negative pressure Ventilation 2. Abdominal displacement ventilation 3. positive pressure ventilation Types of negative pressure ventilators - ANS 1. Chest cuirass or shell ventilator 2. Iron Lung Benefits of NIV in acute care setting. - ANS 1. Reduces the need for Intubation 2. Reduces incidences of VAP 3. Shortens hospital stay 4. Reduces mortality 5. Preserves physiological airway defe...

What are the three types of noninvasive ventilation? - ANS - negative pressure ventilation - positive pressure ventilation - abdominal displacement ventilation Negative pressure ventilators are also called what? - ANS body ventilators Negative pressure ventilators operate on the principle of increasing lungs volumes by intermittently applying negative pressure where? - ANS to the entire body below the neck or just to the upper chest region Intermitten...

NPPV - ANS noninvasive positive pressure ventilation bilevel positive airway pressure (BiPAP) - ANS noninvasive ventilation device like a CPAP machine; however, it can be set at a higher pressure for inhaling and a lower pressure for exhaling. IPAP AND EPAP!!! continuous positive airway pressure (CPAP) - ANS a form of noninvasive positive pressure ventilation (NPPV) consisting of a mask and a means of blowing oxygen or air into the mask to prevent airway collapse or...