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Case Brief: Perrier Sparkling Water’s reputation for purity has been in vogue since the time when Caesar (A Roman General and Statesman) ruled, it severely disrupted when North Carolina's lab reporters found traces of benzene (A potentially harmful chemical used in cleaning fluids) in some bottles of Perrier. Perrier Officials assured the public that only a few bottles shipped from France to the United States were contaminated.

How does hypoalbuminemia affect the process of prescribing? - Low albumin = more free drug (bc the drug can't bind to albumin aka protein) = increased adverse effects What is a Black Box Warning: - is considered a contraindication to administer that drug. What is the drugs half-life? - Half-life specifically means the amount of time it takes for an administered drug to be halfway cleared from the system. Peak of action: - the time between drug administration and maximum concentration of dr...

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. - A 2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. - C 3. The patients record, laboratory studies, objective data...

A 65-year-old patient remarks that she just can't believe that her breasts sag so much. She states it must be from lack of exercise. What explanation should the nurse offer her? - After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breast that sag The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying? - the first sign of puberty is enlargement of the testes A ...

According to Neinstein, all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. During which stage are eating disorders most likely to surface? - middle adolescence (14 to 16) Iris is a thirty-two-year-old married woman with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following would be a contra...

A 14-year-old junior high school student is brought in by his mother and father because he seems to be developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads to breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in good health. He has two older br...

When examining the foot of a patient, the nurse practitioner notes tenderness of the posterior medial malleolus. This could be suggestive of: - Tibial tendinitis When testing hand grip strength on a patient, the nurse practitioner asks the patient to squeeze which finger(s)?: - Second and third fingers A thickened nodule overlying the flexor tendon of the 4th finger and possibly the 5th finger near the distal palmar crease is suggestive of: - Dupuytren's contracture The forward slippage o...

What age does bronchiolitis occur? - most common at age 6 months- does not occur after age 2 main symptom of bronchiolitis - wheezing-lasts about 7 days most common cause of bronchiolitis - RSV Treatment for bronchiolitis - No specific treatment Order of lung exam - inspect, palpate, percuss, auscultate Pectus Excavatum - congenital posterior displacement of lower aspect of sternum -hollowed-out appearance -concave appearance of lower sternum Pectus carinatum - at birth -post CABG mid ...

Heberden's nodes are commonly found in which one of the following diseases? - Degenerative joint disease You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of the patient with hypothyroidism - dry and rough You are assessing a patient with joint pain and a...

Which of the following is a cause of bradypnea? Increased activity narcotic analgesics Test anxiety Decreased oxygen saturation - narcotic analgesics A damp/damp dressing is an example of what type of wound debridement? Autolytic Surgical Mechanical Enzymatic - Mechanical What statement describes a stage 2 pressure ulcer? Damage extends to the fascia Skin is intact and does not blanch Presents as open or fluid-filled blister, or shallow crater Base is covered with slough and wound ...

When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system? - Neurological While assisting the client with meal selection, the nurse realizes that clients who practice Islam or Judaism share an avoidance of: - pork products. The client wants to increase intake of an antioxidant in her diet. The nurse recommends including vitamin C, which is best found in: - Correct Answer: tomatoes. For a child who has ingested the rem...

1) The nurse would call the primary care provider immediately for which laboratory result? 1. Hgb = 16 g/dL for a male client 2. Hct = 22% for a female client 3. WBC = 9 × 103/mL3 4. Platelets = 300 × 103/mL3 - Answer: 2. Rationale: Option 2 is very low and can lead to death. The client's red blood cells participate in oxygenation. Options 1, 3, and 4 are within normal range and should not be reported to the primary care provider. Cognitive Level: Applying. Client Need: Physiological I...

Obtaining a capillary blood specimen to measure blood glucose, you should - ensure there is good blood flow at the puncture site True or False When testing for fecal occult blood, a green color indicates a guaiac positive result. - False A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: - Void a small amount of urine before collecting the specimen The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by - using a...

The client's temperature at 8:00 am using an oral electronic thermometer is 36.1°C (97.2°F). If the respiration, pulse, and blood pressure were within normal range, what would the nurse do next? 1. Wait 15 minutes and retake it. 2. Check what the client's temperature was the last time it was taken. 3. Retake it using a different thermometer. 4. Chart the temperature; it is normal - Answer: 2. Rationale: Although the temperature is slightly lower than expected for the morning, it would ...

If the capillary plasma hydrostatic pressure increases, what happens to the movement of fluid out of the capillary? a. increases b. decreases - increases Why would an intravenous infusion of albumin help resolve the edema related to liver failure? a. It would increase the plasma oncotic pressure b. It would increase in tissue oncotic pressure c. It would increase the plasma hydrostatic pressure d. It would increase the tissue hydrostatic pressure - It would increase the plasma oncotic pr...

Which of the following SSRIs requires up to a 5-week washout period because of the long half-life of its potent active metabolite? A. Escitalopram B. Fluvoxamine C. Fluoxetine D. Sertraline - C Which of the following symptoms is most likely to improve within approximately 1 week of starting treatment? A. Depressed mood B. Suicidal thoughts C. Anhedonia D. Sleep - D Of the following combinations of medications, which one would you want to avoid? A. Fluoxetine-lithium B. Fluoxetine-p...

Which of these characteristics belong in a broadened, inclusionary definition of family? Select all that apply A. composed of one or more persons B. geographic dispersion C. emotional involvement and commitment D. Sense of identity as a family - c. Emotional involvement and commitment d. Sense of identity as a family The family functions to meet the need of society by which of the following? a. Mediating between society's expectations and the needs of the individual b. Providing recrui...

A personality disorder is defined as "an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's ------------, is pervasive and -----------, has an onset in adolescence or early adulthood, is stable with time, and leads to distress or impairment" - culture inflexible Personality disorders were originally classified as Axis ---------- diagnoses in the DSM-IV-TR. - II Personality disorders were originally classified as Axis II diag...

How long must a Carrier keep log books for? - 6 months At what weight is a vehicle considered "commercial" and requires NSC #? - 5,000kg or more What is the purpose of NSC? - 1. To protect drivers, public, and cargo 2. To improve road safety What is carriers' responsibility? - 1. Educate himself 2. Proper maintenance of vehicles 3. Drivers are competent and qualified 4. Establishes policy for log books, vehicle files and driver files What is the purpose of Safety Plan? - Protect saf...

What connects the two hemispheres of the brain? - cerebral commissures What is the procedure that separated the two brain hemispheres? - commissurotomy Aphasia - brain damage-induced deficit in the ability to produce or comprehend language What did Broca discover in his research? - He discovered that all the aphasic patients that he saw had damage to their inferior prefrontal cortex. This became known as "Broca's Area" What is apraxia? What causes it? - the inability to perform certain m...