Brainarium

A 52-year-old male patient has received a bolus dose and an infusion of alteplase (Activase) for an ST-segment elevation myocardial infarction (STEMI). To determine the effectiveness of this medication, the nurse should assess the patient for the A. presence of chest pain. B. blood in the urine or stool. C. tachycardia with hypotension. D. decreased level of consciousness. - Answer-A. presence of chest pain. Contraction is the return of the internal cell negative polarity and muscle repol...

beta blockers - ️️what is the second class med for tachydysrhythmias? potassium channel blockers - ️️what is the third class med for tachydysrhythmias? calcium channel blockers - ️️what is the 4th class med for tachydysrhythmias? sodium channel blockers - ️️-class used for tachydysrhythmias -prolong depolarization time -slow conduction in atria, ventricles, purkinje fibers -used for supra ventricular and ventricular tachycardias beta blockers - ️️-class used for tachyd...

What type of shock can these conditions cause: infection - Answer-septic What type of shock can these conditions cause: Physical obstruction impeding the filling or outflow of blood resulting in reduced cardiac output: Cardiac tamponade, tension pneumothorax, superior vena cava syndrome, abdominal compartment syndrome, pulmonary embolism - Answer-Obstructive Cardiac output= - Answer-stroke volume x heart rate What is stroke volume? - Answer-the volume of blood ejected by the left ventricle...

what cancers usually cause SCC in the cervical spine? - Answer--breast -head/neck cancers -lymphomas -occasional lung with SCC, what are the neuro deficits from? - Answer--spinal cord is compressed -tumor/bone interrupts blood supply to cord -compression of nerves -permanent paralysis if left untreated how is SCC diagnosed? - Answer--MRI illustrates site of compression and degree of impingment what is physical restraints? - Answer-any equipment that restricts freedom of movement what ...

The emergency department nurse is caring for patients exposed to a chlorine leak from a local factory. The nurse would closely monitor these patients for nary edema. ylactic shock. ratory alkalosis. tubular necrosis. - Anary edema. The nurse receives an order for a patient with lung cancer to receive influenza vaccine and pneumococcal vaccines. The nurse will the health care provider to question the order. ister both vaccines at the same time in different arms. ister the flu shot and...

What does the water-seal chamber do? - Answer-has 2 cm. of water, acts as a one-way valve. Air enters from collection chamber and bubbles up. The water prevents backflow of air into the patient from the system what is the suction control chamber for - Answer-applies suction to the chest drainage system. Water suction is vented to the atmosphere - turn up vaccuum until bubbling is present nursing assessments for chest tube - Answer-never put the drainage system above the patient (back flow...

A nurse is reviewing the health records of five clients. Which of the following clients are at risk for developing ARDS? (Select all) A. A client who experienced a near-drowning incident B. A client following CABG C. A client who has a Hgb of 15.1 D. A client who has dysphagia E. A client who experienced a drug overdose - Answer-A. A client who experienced a near-drowning incident B. A client following CABG D. A client who has dysphagia E. A client who experienced a drug overdose A nu...

what is SIRS characterized by? - Answer-generalized inflammation in organs unrelated to initial insult what is the SIRS criteria? - Answer-- temp > 38C, 100.4F or <36C, 98.6F -HR >90 -RR >20 -WBC >12000 or <4000, or 10% immature bands what does the SIRS criteria represent? - Answer-markers of inflammation what is sepsis? - Answer-life threatening organ dysfunction caused by response to infection what are the abnormal response characteristics in sepsis? - Answer--system...

A patient with a large tumor in the chest is undergoing aggressive chemotherapy. The health care provider has prescribed allopurinol for the patient. Which change would the nurse expect in the patient after treatment with allopurinol? a. increased urine output b. decreased uric acid level c. increase in sodium level d. decrease in calcium level - Answer-b. decreased uric acid level the nurse is assessing a patient who has prostate cancer with spinal cord compression. Which finding would ...

The nurse would suspect preeclampsia if which of the following was found during assessment? A. Hypertension and diminished reflexes B. Ankle edema and ketonuria C. Proteinuria and hypertension D. Glucosuria and proteinuria - Answer-C. Proteinuria and hypertension Which of the following is an indication to turn off magnesium sulfate in a woman managed with preeclampsia? A. BP 190/110 B. N/V C. Epigastric pain D. Resp. Rate of 13 breaths/min - Answer-D. Resp. Rate of 13 breaths/min Typ...

magnesium and potassium - ️️the 2 electrolytes that affect the heart the most and will most likely cause a dysrhythmia if they are abnormal Depolarization (heart is Doing the work) - ️️release of energy resulting in myocardial *contraction* Repolarization (Relaxing, Recovering after a contraction) - ️️myocardial cells are recovering/relaxing P-wave - ️️represents atrial depolarization/contraction (sending blood to ventricles); firing of SA node; represents conduction of el...

What is a way the nurse can know that treatment for hypvolemic shock has been effective? - Answer-Increased urinary output. Cardiogenic shock - Answer-The heart is not pumping enough blood. No loss of blood. Most common cause of cardiogenic shock? - Answer-MI. Manifestations: cardiogenic shock - Answer-Pulmonary congestion, decreased blood pressure, jugular vein distention, tachycardia, decreased O2, MAP less than 60. What percentage of fluid loss is considered hypovolemic? - Answer-15%. ...

What BG is considered hyperglycemia? Severe? - Answer-greater than 140, severe= greater than 180 What are some signs and symptoms of hypoglycemia? (8) - Answer-reduced cognition, tremors, diaphoresis, weakness, hunger, headache, irritability, seizure What are some signs and symptoms of hyperglycemia? (10) - Answer-polyuria, polydipsia, dehydration, fatigue, fruit breath odor, kussmaul breathing, weight loss, hunger, poor wound healing What are some causes of hyperglycemia? - Answer-insuff...

In hypovolemic shock preload ___, afterload ___, and vascular tone ___ - ️️decreases, increases, increases S/S of ___: crackles, increased HR, SOB, neck vein distension, ascites, peripheral edema - ️️Cardiogenic shock Treatments for cardiogenic shock include mechanical devices such as ___ and ___. Inotropics such as ___, ___, and ___. Other types of drugs include ___ and ___ - ️️Balloon pump and L-vad Dopamine, digoxin, dobutamine Vasodilators and diuretics By the time there...

the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most for the nurse to obtain? - Answer-Ulcerative colitis A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease proc...

Acquiring Listings - Answer-Illegal for licensee to "initiate" discussion with an owner who has a current "exclusive" listing on property; Owner may initiate discussion with licensee, at which point licensee may write a listing to become effective after expiration of current listing; Party must be given copy of listing "at the time it is signed"; All changes to a listing initialed by all parties involved Missouri Broker Disclosure Form - Answer-To be given to a prospectiv...

How much of their own money may a broker keep in an account? - Answer-$1000 What is the hearing procedure for violations? - Answer-MREC investigates and then sends to the administrative hearing commission who then recommends punishment and the final decision is made by MREC. MREC may issue what for records? - Answer-May subopena for records relevant to complaint Selling real estate without a license is what level of violation? - Answer-Class B misdemenor MREC may issue a restraining orde...

True or False: A tactic to inspire action from your readers is to get them to vote on a post. A. True B. False - Answer-A. True A tool frequently used to develop infographic content is ___________. A. WordPress B. Blogger C. Easelly D. Optin Skin E. Tumblr - Answer-C. Easelly In podcasting, what does a pop filter do? A. It removes background noise B. It's a filter over your voice to make it clearer and more modulated. C. It keeps the microphone physically protected from dust and ...

For a foreign educated applicant to fulfill the clinical service requirements, which of the following conditions MUST be met? - ️️A mid and end point evaluation about sill level is to be conducted by the supervising physical therapist Where is the Physical Therapy Board of California located? - ️️Sacramento Which of the following criteria MUST be met in order for a licensee to be accepted in a substance abuse rehabilitation program? - ️️Agreement to any medical and/or psychiatr...

what level of seated balance requires external support? (normal, good, fair, or poor) - ️️poor what level of seated balance can a patient maintain balance independently but accept no challenge? (normal, good, fair, or poor) - ️️fair what areas of the brain are affected when a patient demonstrates perseveration? - ️️premotor cortex or prefrontal cortex If a PT suspects a p/o infection, does this warrant contact with physician or emergency services? - ️️physician Burns inc...