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Study Questions and Answers Exam 2 • What are the basic mechanisms by which neuropharmocologic agents act? o Can modify the disease process o Act at the sites of actions which is the axons versus synapses and steps in synaptic transmission and effects of drugs on the steps of synaptic transmission • Transmittter synthesis is the first step in transmission. What are the other 4 steps? o Transmitter storage, transmitter release, receptor binding, and termination of the transmission • T...

NURS 6635 MIDTERM-PMHNP Newly Updated Exam Elaborations Questions with Answers Explanations A Norepinephrine B GABA . C Dopamine . D Acetylcholine Answer: Dopamine Obsessive-compulsive disorder (OCD) is linked to defects in the cortico-striatal-thalamic-cortical (CSTC) circuitry, which may be linked to neurotransmitter dysregulation throughout this network. Serotonin, dopamine, glutamate, and -aminobutyric acid (GABA) are the main neurotransmitters throughout the CSTC. Co...

Post-op Pain Management: Day of Surgery (1/2) Sheila Dalton, 52 years old Primary Concept Pain Interrelated Concepts (In order of emphasis) 1. Gas Exchange 2. Glucose Regulation 3. Perfusion 4. Inflammation 5. Clinical Judgement 6. Patient Education Post-op Pain Management: Day of Surgery (1/2) History of Present Problem: Sheila Dalton is a 52-year-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal fusion of L4-S1 today. Sh...

MATERNITY HESI 1 TEST BANK 2020 Question 1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Ans: Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and ...

1. A nurse is caring for a client who displays signs of stage III Parkinson’s disease. Which of the following actions should the nurse include in the plan of care? A. Recommend a community support group. B. Integrate a daily exercise routine. C. Provide a walker for ambulation. D. Perform ADLs for the client. 2. A nurse is developing a plan of care for the nutritional needs of a client who has stage IV Parkinson’s disease. Which actions should the nurse include in the plan of care? (S...

Med Surg 2 Final 1. A patient in her late fifties has expressed to the nurse her desire to explore hormone replacement therapy (HRT). Based on what aspect of the patients health history is HRT contraindicated? A) History of vaginal dryness B) History of hot flashes and night sweats C) History of vascular thrombosis D) Family history of osteoporosis Ans: C 2. The nurse is administering eye drops to a patient with glaucoma. After instilling the patients first medication, how lon...

1. The nurse is caring for a 100-kg patient being monitored with a pulmonary artery catheter. The nurse assesses a blood pressure of 90/60 mm Hg, heart rate 110 beats/min, respirations 36/min, oxygen saturation of 89% on 3 L of oxygen via nasal cannula. Bilateral crackles are audible upon auscultation. Which hemodynamic value requires immediate action by the nurse? a. Cardiac index (CI) of 1.2 L/min/m3 b. Cardiac output (CO) of 4 L/min c. Pulmonary vascular resistance (PVR) of 80 dynes/sec/cm...

Week 4: Staffing Budgets/FTEs/ Variance Analysis Assignment Guidelines with Scoring Rubric This assignment provides learners with the opportunity to apply budgeting knowledge and skills by calculating full-time equivalents for a nursing unit, projecting FTE needs related to census changes, and analyzing a variance scenario. DUE DATE: Sunday 11:59 p.m. MT at the end of Week 4 TOTAL POINTS POSSIBLE: 150 REQUIREMENTS Description of the Assignment This assignment is in two scenario-based sec...

RNSG 1137- correct qyestions and answers part 1-5 2021 latest edition

Part I: Small Bowel Obstruction NextGen Unfolding Reasoning Mary O’Reilly, 55 years old Primary Concept Elimination Interrelated Concepts (In order of emphasis) • Patient Education • Clinical judgment NCLEX Client Need Categories Covered in Case Study NCSBN Clinical Judgment Model Covered in Case Study Safe and Effective Care Environment Step 1: Recognize Cues • Management of Care Step 2: Analyze Cues • Safety and Infection Control ...

5. Healthcare Organizations/Teamwork Collaboration Question 1 What are the major goals of healthcare reform? Increased number of nurses, cost containment, and increased quality of services Increased number of medical facilities, increased number of nurses, and cost containment Cost containment, increased access to care, and increased quality of services Taylor, pg.151­152 Increased pay, increased quality of services, and increased number of providers Question 2 What pur...

. Safety/Quality Improvement Question 1 According to the American Nurses’ Association statement on the impact of fatigue on the nurse and the quality of patient care, which statement is correct? Nurses form the infrastructure of safety Solutions to balance work load and promote safe staffing are the responsibility of the leadership Poor work environments have little effect on fatigue and emotional exhaustion Fatigue and early detection of adverse events are unrelated. Limiting ex...

3. Evidence Based Practice/Patient Centered Care LATEST Attempt 1 13 minutes 90 out of 100 Question 1 Before developing a procedure, a nurse reviews all current research­based literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review? Institutional Practice Nursing Authoritative Nursing Evidenced Based Nursing Evidence­based nursing practice (EBNP) is the conscientious, explicit, and judicious use of research­based information in making ...

2. Ethical/Legal Precepts/Health Information Technology Question 1 A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic abortions, a procedure which contradicts the nurse's personal beliefs. What is the nurse's ethical obligation to these patients? The nurse should adhere to professional standards of practice and offer service to these patients. The nurse should make the choice to decline this position and pursue a different nursing...

1. Clinical Judgment /Professionalism Question 1 Which of the following regarding values is/are true as related to decision­making? (Select all that apply) In decision making final choices are limited by each person's value system Value judgments rarely play a role when there is objective criteria Values influence perceptions Values determine which problems in one’s personal life will be addressed or ignored, but does not usually impact professional issues For some personal belief...

Saved The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over the patient’s mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus. The patient is asked to let the clinician know when the sound fades away. This is an example of which type of test? Question 1 options: a) Weber test b) Schwabach test d) Auditory brainstem response (ABR) test Question 2 (2 po...

Marketing: the activity, set of institutions, and processes for creating, communicating, delivering, and exchanging offerings that have value for customers, clients, partners, and society at large Marketing Concept: the business orientation model that involves creating value and satisfying consumer needs Marketing Mix: consists of four elements: product, place, price, and promotion, also called the 4 Ps Marketing Plan: a tool used to set up various elements of a company's marketi...

Novel Coronavirus Disease (COVID-19) Part II: Admission to MedSurg Unfolding Reasoning John Taylor, 68 years old Primary Concept Immunity/Gas Exchange Interrelated Concepts (In order of emphasis) • Clinical judgment • Communication NCLEX Client Need Categories Covered in Case Study NCSBN Clinical Judgment Model Covered in Case Study Safe and Effective Care Environment Step 1: Recognize Cues  • Management of Care  Step 2: Analyze Cues  • Safety and Infection C...

Case Study 124 Appendicitis Scenario: R.O. is a 12-year-old girl who lives with her family on a farm in a rural community. R.O. has four siblings who have recently been ill with stomach pains, vomiting, diarrhea, and fever. They were seen by their primary care provider (PCP) and diagnosed with viral gastroenteritis. A week later, R.O. woke up at 0200 crying and telling her mother that her stomach “hurts really bad!” She had an elevated temperature of 37.9° C (100.2° F). R.O. began to vom...

1. Which statement by an older adult during the health history indicates the person is at a high risk for falls and needs further evaluation? a. “My spouse’s things clutter my house.” b. “I recently had cataract surgery.” c. “It helps me when I focus on one thing at a time.” d. “I will be 64-years-old this month.” 2. The RN is making a home visit to conduct a health history for a patient who will require assistance in the home following an extensive surgical procedure. A...