Tulloch

Which of the following instructions should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)? 1. Limit caffeine intake to two cups of coffee per day 2. Do not lie down for 2 hours after eating 3. Follow a low-protein diet 4. Take medications with milk to decrease irritation - 2. The nurse should instruct the client to not lie down for about 2 hours after eating to prevent reflux. The client is scheduled to have an upper GI tract...

1. The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask? 1. "How much weight have you gained recently?" 2. "What have you done to alleviate your heartburn?" 3. "Do you consume many milk and dairy products?" 4. "Have you been around anyone with a stomach virus?" - 2 2. The nurse caring for a client diagnosed with GERD writes the client problem of "behavior modification." Which intervention...

The nurse explains to the patient with gastroesophageal reflux disease that this disorder: A. results in acid erosion and ulceration of the esophagus caused by frequent vomiting, B. will require surgical wrapping or repair of the pyloric sphincter to control the symptoms, C. is the protrusion of a portion of the stomach into to esophagus through an opening in the diaphragm, D. often involves relaxation of the lower esophageal sphincter, allowing stomach contents to back up into the espopha...

During which steps of BST is a high quality task analysis checklist helpful? a. instructions b. modelling c. rehearsal d. feedback e. all of the above - e. all of the above T/F Feedback during training should focus on constructive feedback to increase the speed of skill acquistion - F When we systematicaly track our trainees activities completed throughout the day, across a specified number of weeks we are conducting a: - time study Describe what is related to this category of effectiv...

A basic premise of systems theory that guides the assessment of families is that: - functioning is influenced by internal and external factors Ecological systems theory provides a framework for understanding: - reciprocity between people and the environment According to ecological theory, the family is part of what system? - Microsystem According to ecological theory, a child's culture is part of what system? - Macrosystem In the 1970s, systems theory was developed as a reaction against _...

Identify the Articles of the Constitution of 1787 by the main topic of each - Article I : Legislative Article II : Executive Branch Article III : Judicial Branch Article IV : Full Faith and Credit/Federalism Article V : Amending Article VI : Supremacy Article VII : Ratification How many articles are there? - 7 How many sections did the Articles of Confederation have? - 13 Why do we refer to the U.S. Constitution as the Constitution of 1787? - The Articles of the Confederation formed ...

The appraiser could accept the assignment (as a new assignment) - as long as proper disclosure is made regarding the prior assignment & any confidential in formation is handled appropriately. in a deed being used in a purchase transaction, who is the grantee? - The party receiving title - "purchaser" is known as the grantee. Any services provided by an appraiser, other than an appraisal or appraisal review, would be appraisal practice w/ no applicable standards. this includes recommendat...

The ASB considers suggestions for changes to USPAP from: - Appraisers, users of appraisal services, regulators, and others You have a suggestion for a change to USPAP, and you want to tell the ASB about it. When making your suggestion, it is helpful to the ASB if you: - Explain how the proposed change will enhance public trust in appraisal practice The ASB has received numerous public comment letters in response to an exposure draft. When considering these comments, the ASB's primary focu...

The Appraisal Foundation has the authority to enforce the requirements of USPAP. - False; The Appraisal Foundation is a private entity. The Foundation and its boards have no enforcement authority in any jurisdiction. Which Foundation board is responsible for USPAP? - Appraisal Standards Board (ASB) Currently, the boards within The Appraisal Foundation include: - Appraisal Standards Board, Appraiser Qualifications Board, Board of Trustees Which entity is responsible for establishing educati...

The concept of public trust means that an appraiser must act: - in the public's interest USPAP establishes standards that are applicable in the appraisal of: - real property, intangible property, and personal property Which statement is TRUE regarding The Appraisal Foundation and USPAP enforcement authority? - The Appraisal Foundation does not have the authority to enforce the requirements of USPAP. Which entity is responsible for establishing education and experience requirements for lic...

The Appraisal Foundation has the authority to enforce the requirements of USPAP. - False Currently, the boards within the Appraisal Foundation include: - Appraisal Standards Board, Appraisal Qualifications Board, Board of Trustees Which Foundation board is responsible for USPAP? - Appraisal Standards Board Qualification criteria for appraiser certification and recertification are disseminated to state appraisal boards by the: - Appraisal Qualifications Board Which entity is responsible for...

A patient presents with white plaques on his knees. When the plaques are scratched off, the lesions bleed. This finding is known as what sign? - Auspitz's sign Ausptiz's sign is associated with what condition? - Psoriasis A "starry-sky" histological pattern is associated with what condition? - Epstein-Barr virus (also associated with Burkitt's lymphoma) reticular opacities, honeycombing, and 'ground glass' appearance in the lung tissue on CT - Idiopathic Pulmonary Fibrosis (IPF) or...

1. History & Physical/Cardiology Which of the following conditions would cause a positive Kussmaul's sign on physical examination? Answers A. Left ventricular failure B. Pulmonary edema C. Coarctation of the aorta D. Constrictive pericarditis - (u) A. Left ventricular failure results in the back-up of blood into the left atrium and then the pulmonary system so it would not be associated with Kussmaul's sign. (u) B. Pulmonary edema primarily results in increased pulmonary pressures r...

6 y/o male presents w/ hemarthrosis of the L knee. Coag studies: PT 12.5s (normal12-14 sec), INR 1.0, aPTT 58s (normal 18-28 sec), platelet 430,000/microliter (normal 150,000- 450,000/microliter), & bleeding time 4m (normal 2-12m). Which is the best tx option for this pt? A. Desmopressin acetate B. Corticosteroids C. Vitamin K D. Cryoprecipitate - (u) A. Desmopressin acetate is indicated in von Willebrand's disease, which presents with a prolonged bleeding time. (u) B. Corticosteroids a...

What is the most specific diagnostic test for PUD? - Endoscopy A patient complains of a rash on his palms and sole. He has a fever and chills. In conversation he mentions a strange painless chancre he had a few weeks ago. What is the most likely diagnosis? - Secondary syphilis. This is the most contagious stage. A patient present with watery bilateral discharge from the eyes and nontender preauricular adenopathy what is the most likely diagnosis? what is the most common pathogen? - viral c...

History & Physical/Hematology A 55-year-old non-smoking male presents with a hemoglobin of 18.5 g/dl and a hematocrit of 56%. Which of the following physical examination findings is the most likely to be noted with this patient? A. Splenomegaly B. Cheilosis C. Purpura D. Decreased vibratory sense - Explanations (c) A. Patients with polycythemia vera present with elevated hemoglobin and hematocrit. On physical examination plethora, engorged retinal veins, and splenomegaly are common. (u...

23 yo male with recent URI sxs presents c/o chest pain. His pain is worse when lying down and better sitting up and leaning forward. ECG shows widespread ST segment elevation. Dx - Pericardial friction rub 75 yo woman presents to the office with complain of vision loss. Exam reveals a palpable cord in the temporal region. Most helpful initial test to order - ESR Recommended LDL tor educe risk of CAD in a diabetic pt - 100mg/dL What is the reason for giving IV mag sulfate to a pt with pre-e...

A glucosan yield glucose units on hydrolysis. While inulin is a ____ a. fructosan b. hexosan c. pentosan d. diosan e. all of these - A The usual source of tannins from plants are from the : a. barks/stems b. seeds c. roots d. rhizomes e. all of these - A Ethanol and citric acid are produced by the cellular respiration of carbohydrates, especially a. glucose b. sucrose c. fructose d. xylose e. lactose - A Because mannitol is absorbed from the GIT and parenterally is not metabolized, then it...

The driving force for passive absorption of a drug is the: a. specific carrier proteins and shows saturation kinetics b. concentration gradient across a membrane separating body compartment c. both d. none - b. concentration gradient across a membrane separating body compartment Physical factors influencing absorption: a. total surface area available for absorption b. contact time at the absorption surface c. blood flow to the absorption site d. all e. none - d. all Clinical effective...

1. Which of the following is(are) true regarding phase I drug metabolism? I. Also known as conjugation reaction II. Includes oxidation, reduction, hydrolysis III. Generally tends to provide a functional group or "handle" to the molecule a. I, II and III b. I and II only c. I only d. II and III only e. I and III only - D 2. Which of the following is(are) true regarding phase II drug metabolism? I. Allows the attachment of small, polar, and ionisable endogenous compounds II. Allows th...