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The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. What would the nurse most likely expect to assess after the first dose is administered? - ANS A) Fever with chills, chest tightness B) Cough, hyperkalemia C) Photosensitivity, gastrointestinal (GI) upset D) Urinary retention, decreased appetite Ans: A Feedback: The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea, ...

Rugae - ANS The vagina is a tubular, fibromuscular organ lined with a mucous membrane that lies in a series of transverse folds called Prolactin - ANS stimulates the production of milk within a few days after childbirth Epididymis - ANS A long, coiled duct (almost 20 ft.) on the outside of the testis in which sperm mature. Urethra - ANS In the male is the terminal duct of the reproductive and urinary systems serving as a passageway for the semen a...

A woman who gave birth to her infant 1 week ago calls the clinic to report pain with urination and increased frequency. What response should the nurse prioritize? - ANS "After birth it is easier to develop an infection in the urinary system; we need to see you today." Explanation: The urinary system is more susceptible to infection during the postpartum period. The woman needs to be checked to rule out a urinary infection. The other responses are incorrect because they do not ackn...

Fetal circulation differs from the circulatory path of the newborn infant. In utero the fetus has a hole connecting the right and left atria of the heart. This allows oxygenated blood to quickly pass to the major organs of the body. What is this hole called? - ANS Foramen ovale Explanation: The foramen ovale is a hole that connects the right and left atria so the majority of oxygenated blood can quickly pass into the left side of the fetal heart, go to the brain, and move to the rest o...

When should a cleft lip be corrected? - ANS 2-3 months When should the Cleft palate be corrected ? - ANS 6-9 months Rule of 10's for cleft repair - ANS 10 weeks 10pounds 10 haemoglobin hypertrophic pyloric stenosis - ANS a defect in the relaxation of the pyloric sphincter that leads to the enlargement of the pyloric muscles and closure of the pyloric sphincter hypertrophic pyloric stenosis treatment - ANS Treatment i...

A nurse educator is conducting a class on intimate partner violence for a group of new graduate nurses during orientation. Which statement by the educator best reflects current practice regarding these problems in women's health? - ANS "The nurse should screen for these problems at every client encounter." Explanation: Both child and intimate partner violence is increasing in incidence. Families are more mobile than in the past. Screening for child abuse (child maltreatment) or...

4. The nurse is conducting a physical examination of a child with suspected Crohn disease. Which finding would be the most suspicious of Crohn disease? A) Normal growth patterns B) Perianal skin tags or fissures C) Poor growth patterns D) Abdominal tenderness - ANS Ans: B Feedback: Perianal skin tags and/or fissures are highly suspicious of Crohn disease. Poor growth patterns and abdominal tenderness are common to Crohn disease but are also seen with many other conditions. Nor...

What is the mission of Postpartum Support International (PSI)? to advocate public policies which guarantee these rights and ensure access to mental health services for pregnant and postpartum women. to promote awareness, prevention and treatment of mental health issues related to childbearing in every country worldwide. to promote gender-sensitive and autonomy-enhancing mental health services for pregnant and postpartum women. - ANS to promote awareness, prevention and treatm...

1. What is the mission of Postpartum Support International (PSI)? - ANS to promote awareness, prevention and treatment of mental health issues related to childbearing in every country worldwide. PSI Support Coordinators are located: - ANS In the US and Internationally What is the PSI "Chat with an Expert" and how often is it held? - ANS A free phone chat with a perinatal mental health expert provider. Held on Wednesdays for moms and first Mondays for dads. ...

PSI Mission Statement - ANS - To promote awareness, prevention, and treatment of parental mental health issues related to childbearing in every community worldwide. What is the time frame of the perinatal period? - ANS - From conception through the first year after giving birth. PPD changed to what? - ANS - PMAD (perinatal mood anxiety disorders). When can PMADs affect people? - ANS - At any time during their lives. However, there is an increased ...

Hippocrates - ANS father of medicine, 450 BC, postpartum fever, agitation, paralysis and sensory deficits Louis Victor Marce - ANS 1858, French psychiatrist wrote first treatise on puerperal mental illness puerperal - ANS 6 weeks after childbirth when organs return to nonpregnant state "the lost years" 20th century - ANS psychiatry drops the study and classification of postpartum mood disorders James A. Hamilton, MD, PhD - ANS 20th centu...

Theories of etiology - ANS biological sensitivities to hormone changes (sleep), genetic vulnerability (prior diagnosis), psychological (identity), social/environmental (poor social support/racism) Baby Blues - ANS Affects 60-80% new mothers. Due to hormone changes and sleep deprivation. lasts 2 days to 2 weeks. Tearful, labile affect, reactivity, exhaustion BUT predominantly happy, self-esteem remains unchanged. Resolves without intervention. Recommend self care strategies. ...

A 30 year old male is injured in a terror bombing. He experiences traumatic amputation of his left leg at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in severe pain. Your first action should be to do which of the following? - ANS Confirms the tourniquet was properly applied. Which of the following information is assessed during the secondary survey? - ANS vitals When caring for a trauma patient a principle is what is ne...

You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. What is the best indicator of potential injury? - ANS Speed of the Vehicle The potential for death or serious injury is greatest in which of following motor vehicle collisions? - ANS Ejection from the vehicle Bilateral femur fractures are most often associated with which type of motorcycle crash? - ANS Head-on impact Which is the preferred fluid for resuscitation of he...

You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. Which is the best indicator of potential injury? A) Circumference of the vehicle B) Diameter of the tree C) Mass of the vehicle D) Speed of the vehicle - ANS D) Speed of the vehicle The potential for death or serious injury is greatest in which of the following motor vehicle collisions? A) Down and under B) Ejection from vehicle C) Lateral Compression D) Up and over? - ANS B) E...

The displacement of tissue away from the path of a projectile, both temporarily and permanently, is known as: ​ - ANS Cavitation The single most important factor in determining the potential for injury due to energy exchange is: - ANS Velocity of the bodies involved In the management of shock, isotonic crystalloid solutions, such as Ringer's, are preferred because: ​ - ANS These solutions will stay in the vascular space longer than water solutions, su...

When the application of kinetic energy to the body from either a blunt or penetrating mechanism displaces tissue, this is known as - ANS CAVITATION Which of the following is an example of the tertiary phase blast injury? - ANS CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE. The most common threat to life among trauma patients is? - ANS INTERNAL HEMORRHAGE Your patient is an injured construction worker bleeding profusely from a large laceration to the left thigh...

How many people die from trauma annually? - ANS Over 5 million What is the leading cause of trauma deaths? - ANS MVA Where do over 90% of trauma deaths occur? - ANS Low-middle income countries What is the leading cause of death in people aged 1-44? - ANS Trauma What are the goals of PHTLS? - ANS Reduce morbidity and mortality from trauma, and provide appropriate care to the patient in the field What is the PHTLS philosophy? - ANS ...

Level 1 Trauma Center - ANS Regional Trauma Center, All types of specialty surgical care 24/7, (Surgical suites, Surgeons, Blood, CT, X-Ray ... all in house), Tertiary - all levels of care Ex... County USC, Cedars, UCLA- Ronald Regan, UCLA- Harbor General Level 2 Trauma Center - ANS Area Trauma Center, Most common trauma emergencies with surgical capabilities 24/7, (can handle most common types of trauma) Ex.... St. Francis Level 3 Trauma Center - ANS Communi...

Inadequate perfusion/energy production at the cellular level. - ANS Shock Why are case studies important in the hospital? - ANS It gives us evidence based practice. What is the definition of anaerobic metabolism? - ANS Without oxygen When does hemorrhage control start in the trauma assessment? - ANS Right away. Why do we needle decompress somebody? - ANS If there is an increase work of breathing/absent lung sounds/ inadequate per...