Tulloch

ADDITIVE EFFECT - LIKE DRUGS ARE COMBINED, ENHANCES EFFECT EXAMPLE: TYLENOL 3 ADVERSE EFFECTS OF PPI? - HEADACHES, DIARREHA, UPPER RESP INFECTION, PNEUMONIA AGONIST - DRUG STIMULATES BODY FUNCTION ALPHA 1 RECEPTORS AGONIST EFFECT - ARTERIES AND VEINS-CONSTRICT (BP INC) BLADDER NECK-CONTRACT EYES DILATION ALPHA 1 RECEPTORS ANTAGONIST EFFECT - ARTERIES AND VEINS- DILATION (BP DEC) BLADDER NECK-RELAX EYES CONSTRICTION ALPHA 2 ADRENERGIC AGONIST - VERY POTENT, DEC HR AND BP ALUMINUM ANTAC...

A patient comes into the ER staggering. When the nurses try to get VS on him, he kicks and fights He refuses to let anyone touch him and insists that all he wants is to lie down. Which blood alcohol level do you expect? - 0.20% at least 5 drinks Anorexia Nervosa - self starvation, pt states they feel fat but weight 85lbs, keep pt in room after meals, observe/accompany them directly after meals if necessary; nurse-client contract Antisocial - manipulating, exploiting, and violating the right...

antisocial personality disorder - A personality disorder in which the person (usually a man) exhibits verbal abuse. Does not care about personal rights of others boarderline personality disorder - condition marked by extreme instability in mood, identity, and impulse control Co-occuring or Dual Diagnosis - mental illness and substance abuse occurs in every 3/4 people, 75% Complicated greif (Chronic, masked, delayed) - problems with mood and self esteem dependent personality disorder - afra...

A student nurse is studying clinical judgment and is working with Tanner's Model of Clinical Judgment. How can the student nurse best describe this model? - A reflective process where the nurse notices, interprets, responds, and reflects in action care coordination can include - -many changes - Different doctors at each locations Diabetic patient who is sweating profusely and grouchy. Lunch trays are being delivered late. What actions are you going to take? Hypoglycemia - Check finger blo...

a basic assumptions of freud psychoanalytic responses is what - all human behavior can be caused and explain a client has been making sexual comments to the nurse the nurse wants to spend some time talking to the client will respecting client privacy which would be most appropriate - in a quiet space in the day 4 ft away from everyone else a client is admitted to psychiatric facility for the treatment of pycho disorder and the client is at the end door yelling there is nothing wrong with m...

Chest configuration with a 1:2 ratio of anteroposterior to transverse diameter without a sunken sternum? A.) Pigeon chest B.) Barrel chest C.) Funnel chest D.) Standard chest - D.) Standard chest Crackles (Rales) - airflow by liquid -Fine (discontinuous, high-pitched, crackling, popping) -Coarse (Discontinuous, low-pitched, gurgling) Crepitus vs Fremitus - -Crepitus (crunching feeling under the skin) -Fremitus (vibration sensation) Diff between Thoracic Breathing & Diaphragmatic or Ab...

A client with COPD is expected to have which type of chest configuration? - -barrel chest Blocked airflow is... - -characterized by adventitious sound that is high-pitched and continues on auscultation Differentiate between bradypnea and hypoventilation - -bradypnea: slow, regular rhythm -hypoventilation: slow, irregular rhythm Differentiate between tachypnea and hyperventilation - -tachypnea: fast, regular rhythm, rapid over 20 rpm, shallow -hyperventilation: fast, deep How do you asses...

Communication: Congruent relationship - Relationships among written, verbal, nonverbal, and/or metacommunication are aligned to give the same "message." Communication: During a review of a low-fat cardiac diet by the nurse, Mr. Jones has nodded his head several times in feedback. Later in the day when the nurse checks his dietary choices, it was found that he selected several foods on the menu that were the highest in fat. The type of communication that Mr. Jones exhibited was: A. Co...

(SATA) Caring for patient on Vent. What actions would you take? - 1. Me sure the patient has SCD's on. 2. Limit suction time to 30 seconds. 3. Don't put NS down NG tube (SATA)Nurse caring for patient with burns over 60 % of their body. Which - 1. Give antibiotics per physician order 2. Pain meds per physician order 3. Notify next of kin (SATA)Patient with SOB with the following labs. BUN 95, CRT 9.2 pot of 6. You should anticipate to follow out which order? - 1. Give kayexalate 2...

1 cup = oz - 8 oz 1 Tablespoon = ML - 15 1 teaspoon = - 5 Data Cluster (s&s) for a Hemorrhaging patent - -thrombocytopenia -increase risk for bleeding -melena (maroon stool) hematuria (the presence of blood in urine) -petichial rash (small red or purple spot on the skin, caused by a minor bleed from broken capillary blood vessels. Data Cluster (S&S) for Hypovolemia

How do you prevent VAP? - mouth care, sit them up, swab mouth w/chlorhexidine How long can you suction a patient? - 10 seconds How much fluid can a subcutaneous shot contain? - 1 or 2 mL If a pt WBC are increased, what does that indicate? - Infection INR - 0.8-1.2 K - 3.5-5 Late signs of respiratory distress - cyanosis, pink frothy sputum Lithium - 0.6-1.2 Mg - 1.5-2.5

76-year-old client lives alone at home. Which of the following is the highest priority question for his home health nurse to ask regarding his safety? A."Do you use softglow light bulbs in your front room lamps?" B."At what temperature is your thermostat set?" C."Why don't you consider selling your two-story home and buying a house without stairs?" D."Do any of your medications cause you to be physically unsteady?" - D. "Do any of your medications cause you to be physically unste...

Acronym used for fire extinguisher - P.A.S.S Angioedema develops in a patient after an IV drip of a medication. What do you do? - Give epinephrine Aspirin - Blood thinner (anti platelet), usually prescribed for heart attack, can cause tinnitus & GI bleed Can an LPN give morphine IV push? - No Can you as an LPN take abnormal values from a patient's lab results back home? - Yes How do we confirm malignant cancer? - Biopsy How do we properly identify patient's? - Name and DOB Normal find...

1 day post op following ilioconduit. What do you need to report to the RN immediately? - Abdominal pain and rigidity, Low abd. Discomfort with 26 ml/hr urinary output. Aware that elderly patient is at risk for falls. What do you implement? - Bed rails up at all times. Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was not at hosp. when this occurred. Wife appears angry and states "What have you all done to him?" What would be your response as a nurse? - Exp...

4 areas we are assessing during the mental status exam - -General Description -Emotional State -Experiences -thinking 78 yo rape/trauma patient is now standing near a window quietly staring out of it. How would you approach this patient? - Encourage to speak and communicate thoughts and feelings 78yo patient transfers from another facility. During admission she expresses to you that she was sexually assaulted at the previous facility. What are some therapeutic strategies we may use duri...

A married patient comes into the ER with a black eye stating she fell into a doorknob. she is accompanied by a male known as her husband he interrupts her frequently, answers the questions the nurse asks, and grabs a patient roughly. How would you proceed? - arrange an interview with the woman alone a nurse on a psychiatric unit trying to avoid malpractice what would the nurse focus on? - Caring for the patient with the level of expertise that the nurses training and duties require A patie...

________________ & __________________ ultrasound scanning are used for: - transabdominal, transvaginal -early identification of pregnancy -observation of fetal heartrate & breathing -detection of more than one embryo/fetus -fetal measurements to assess growth patterns -estimations of birthweight -detection of fetal anomalies -examination of fetal cardiac structures -location of placenta -detection of amniotic fluid volume -determination of fetal position & presentation -detection of ...

1 cup=___ml - 240 ml 1 Liter=___ml - 1000 ml 1 oz=___ml - 30 ml 1 T= ___ ml - 15 ml 1 tsp=___ml - 5 ml A patient in long term care with COPD is observed laughing and playing cards with family. His RR is 14, HR 73, Pulse Ox of 86% and has a BP of 133/88, what do you do? - try another finger A patient is hemorrhaging and has thrombocytopenia, what other manifestations will present? - petechiae, low hemoglobin, bloody gums, high apical pulse, low BP, hematuria and melena A patient is on Lo...

The LPN has a patient admitting themself to the psyche unit & a few days later they request to go home for a "Quinceanera". What would the LPN say? - Tell patient she can leave - Have the physician write the order right away The LPN has a patient concerned about ants climbing up the walls & into the room. How does the LPN respond to the patient? Share that the nurse does not see any ants The LPN has a patient having difficulty communicating their medical history. What should the LPN d...

Anorexic nervosa signs and symptoms - Perfectionist Rapid speech Hyperactivity Denies hunger At what level is lithium toxic - 1.5 At which level is lithium dangerous and what can it cause - 2.5 nystagmus ( uncontrolled eye movement) Bipolar disorder what can person go from - Person can go from euphoric and energetic to Melancholy and depressed Can a person with intracranial pressure get electric compulsive therapy - Heck to the no Can you still have therapeutic communication with som...