Albert123

Billy Johnson 13 yo “I hate school” With his mother Observations ● Fidgeting ● Warm, dry skin Last Visit One year ago, billy was seen for his well check. He was noted to be a little hyperactive at times; his parents had recently divorced and he was a little irritable and frustrated with having to go between his mother’s and father’s house. Had difficulty following his coach’s directions. Father has a history of cocaine abuse. History 1. How can I help you today? a. M...

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? 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 increase venous return. 2. A 26-year-old, gra...

1. The nurse is caring for a 3-year-old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? Right foot is cool to the touch and appears pale and blanched 2. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? Place the infant in a knee- chest position 3. A child admitted with diabetic ketoacidosis is demonstrating...

1) A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? a. Hypokalemia b. Hypercalcemia c. Gastrointestinal bleeding d. Confusion 2) A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following ac...

1. The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months. All subjects will be given gift certificates for participating. One subject says, “Well, I guess if the drug doesn’t work, I’ll just have to put up with the symptoms for 6 months.” What will the nurse tell the subject? a. “Participation for the duration of the study is required.” b. “Participation may end at any time without penalty.” c. “Withdrawal from th...

Ray has been diagnosed with hypertension and an ACE inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for: A. Hypokalemia B. Impotence C. Decreased renal function D. Inability to concentrate 2. Carbamazepine has a Black Box warning recommending testing for the HLA-B*1502 allele in patients with Asian ancestry prior to starting therapy due to: C. Increased risk for Stevens-Johnson syndrome in Asian patients with HLA-B*1502 allele 3. Jamie has frac...

• Articular structures include joint capsule and articular cartilage, the synovium and synovial fluid, intra-articular ligaments and juxta-articular bone o Articular disease involves: ▪ Swelling ▪ Tenderness of the joint ▪ Crepitus ▪ Instability “locking” ▪ Deformity ▪ Limits active and passive range of motion due to stiffness or pain • Extra-articular structures include periarticular ligaments, tendons, bursae, muscle, fascia, bone, nerve and overlying skin o Extra-...

There are three types of muscle tissue found in the body. True False Smooth and cardiac muscle tissue are both under voluntary control. True False The lumbar plexus is part of the central nervous system. True False False- this is a peripheral nerve A motor signal is a signal that is sent from a muscle to the central nervous system. True False False- this is sensory input The cervical plexus contains nerves that innervate the thigh. True...

1. Pt with malignant melanoma; risk factors; what will the skin look like? ABCDE ABCDE of Melanoma • Asymmetry • Border Irregularity • Color Variation • Diameter Greater than 6mm • Evolving Changes Risk Factors • Sun sensitivity, difficulty tanning, hx of prolonged sun exposure, use of tanning booths, occupationalexposure to chemicals like tar and radiation QUIZ QUESTION: Nevi this big and has color variation should be alerted for? – Malignant Melanoma 2. How to asse...

A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on this finding, the nurse anticipates assisting the physician with which treatment? Perform synchronized cardioversion. A female client who received a nephrotoxic drug is admitted with acute renal failure and asks the nurse if she will need dialysis for the rest of her life. Which pathophysiologic consequence should the nurse explain that supports the need for temporary dialysi...