Clinical Insights & Study Materials

A client receiving alteplase (tPA) should not be prescribed anticoagulants like - Answer warfarin simultaneously, as this increases the risk of life-threatening hemorrhage. ischemic stroke, indicated - 12-lead ECG, bedside swallow testing, Monitoring electrolyte levels. Not indicated - - Answer maintaining systolic BP less than 120 mmHg, Keeping the client in a supine position, administration of TPA In hemorrhagic stroke, blood pressure control (target SBP <160 mmHg) and anticoagu...

What statement made by the nurse demonstrates understanding of the role of rennin in the absorption of protein? - Answer "Rennin and calcium prevent rapid absorption of milk in an infant." Which enzyme that is involved in the digestion of protein is responsible for attacking acid in the small intestine? - Answer Carboxypeptidase Which chemical is responsible for unfolding and denaturing complex protein chains? - Answer Hydrochloric acid Which combination of foods will the n...

A female UTI is treated with either a single-dose, short course, or long course of antibiotics, depending on the etiology. Eighty percent of female recurrent UTIs are due to reinfection versus relapse and should be treated as a new infection with a short course of antibiotics. Short-course therapy is more efficacious than single dose therapy in treating uncomplicated UTIs in nonpregnant women with symptoms that last less than seven days. A patient who has traveler's diarrhea asks the nurse...

Strategic business units (SBUs) - Answer A profit center that focuses on product offering and market segment Sustainable competitive advantage - Answer Company assets, attributes, or abilities that are difficult to duplicate or exceed and provide a superior or favorable long-term position over competitors Factors that can help a business develop a sustainable competitive advantage - Answer Customer loyalty, location, distribution and information systems (Getting products at a cheap p...

If Tom and Jenny want to save a fixed amount annually to accumulate $2 million by their retirement date in 25 years (rather than an amount that grows with inflation each year), what level annual end-of-year savings amount will they need to deposit each year, assuming their savings earn 7% annually? - Answer Set your calculator to the "End" mode and "1 P/Yr." Inputs: FV = 2000000, I/YR = 7, N = 25, PV = 0, then PMT = $31,621 On December 31 of last year (year 1), Samuel ha...

Bone Marrow failure due to hematopoietic stem cell deficiency Causes: -Autoimmune -Infections (Parvo B-19, EBV) -Drugs (Carbamazepine, Chloramphenicol, Sulfonamides) -Exposure to radiation or toxins (benzene, solvents) Pancytopenia: -Anemia (fatigue, weak, pallor) -Thrombocytopenia (mucosal bleeding, easy bruising, petechiae) -Leukopenia (recurrent infections) BIOPSY: Hypocellular bone marrow with fat and stromal cells - Answer infant with pallor, fatigue, easy bruising/bleeding, petec...

An older client is admitted to a nursing home. The client is incontinent of urine. The client's rheumatoid arthritis contributes to severely painful joints. Which client need would the nurse identify as the primary consideration in the care of this client? - Answer Relief of pain A client with severe chronic rheumatoid arthritis reports that pain lasts for 2 to 3 hours after exercising. Which information would the nurse teach the client? - Answer Decrease the time and number of ex...

A patient with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be given in the first 24 hrs. Is 30,000 mL. The initial rate of administration is 1875, L/hr. After the first 8 hours, what rate should the nurse infuse the IV fluids? - Answer 938 mL/hr. Which nursing action is a priority for a patient who has suffered a burn injury while working on an electrical power line? - Answer Stabilize the cervical spine The nurse ...

What is a morphological change associated with secondary hyperparathyroidism? - Answer Increased Chief Cells Which of the following is not a risk factor of decreased Lower Esophagus Sphincters LES tone? - Answer Regular exercise What are lifestyle modifications for managing GERD? - Answer -Avoid eating within 3 hours before bedtime -Weight loss -Elevate the head of the bed -Avoid triggers (e.g., alcohol and coffee) What is medical therapy for managing GERD? - Answer - Antacids -Histami...

Atomic Weight - Answer The sum of the number of protons and the number of neutrons in the nucleus of an atom; atomic weights of elements are found on the periodic table Base - Answer A compound which liberates hydroxide ions and have a pH above 7 Biochemical Oxygen Demands (BOD) - Answer The quality of oxygen utilized in the biochemical oxidation of organic matter under standard lab procedures for 5 days at 20 °C, usually expressed as a concentration (mg/L). BOD measurements are used ...