A+ revision material

Which postoperative client is manifesting the MOST serious negative effect of in- adequate pain management? 1.Demonstrates continuous use of call bell related to unsatisfied needs and dis- comfort 2. Develops venous thromboembolism r/t immobility caused by pain and discom- 2 fort 3. Refuses to participate in physical ther- apy because of fear of pain caused by exercises depressed about loss of function and hopeless about getting relief from pain A client with chronic pain reports to...

A 56 yr-old male is admitted to the ICU with a blood pressure of 225/135 and complains of a headache and nausea. He reports he ran out of blood pressure meds three days ago, but also appears to be confused to the date and situation. What is the most appropriate treatment approach? A patient has sepsis, receives Lactated ringers 500ml IV bolus.Which finding in- dicate that this intervention is having it's intended effect? 72 male patient in ICU for 6 days on the ventilator for treatmen...

The nurse observes that the patient's jugular veins distend in the semi-upright position to more than 5 cm above the sternal angle. This is an indication of: what is normal Pulmonary artery occlu- sion pressure (PAOP)? The resistance against which the left ventricle must pump to eject its volume is: When the tricuspid valve is open, central venous pressure reflects the filling pres- sure in the: Tachycardia is dangerous for the patient with ischemic heart disease because of: During ...

Two days following a near-drowning ac- cident, a pt is dyspneic, using accessory muscles, expectorating large amounts of secretions and reporting feeling of im- pending death. Changes to the assess- ment data include RR- 24 TO 36 CXR clear to bilateral diffuse infiltrates ABG 40% face mask or 100% non-re- breather mask pO2 120 mm Hg to 56 mm Hg pCO2 33 mmHg to 56 mmHg pH 7.42 to 7.35 HCO3 24 meq/L to 27 mEq/L Which of the ff do these changes most likely represent A. aspiration pneumo...

A 15-year-old female presents to her regular doctor with concerns over acne. Upon inspection, she has more than 10 cyst-like, erythematous lesions, ap- proximately 40 open and closed come- dones, and no scarring. Up to this point, she has been using a sensitive skin face wash 2-3 times daily and applying a non-comedogenic makeup once daily. What wo

Calculate the cardiac output for a pt with a HR of 70 and a SV of 65 ml. Calculate the cardiac output for a pt with a HR of 70 and a SV of 65 ml. HR X SV=CO What % of the cardiac cycle is provided 20% HR X SV=CO 70 X 65= 4550 4.6 L/min HR X SV=CO 70 X 65= 4550 4.6 L/min by the atrial kick? • 15% • 20% • 30% • 35% Atrial Kick A normal value for an EF would be? • 65% • 40% • 30% • 25% A 67 year old male is admitted with chest pain after collapsing at home. He...

Why is assessment of acutely ill patients and their families essential? Traditional approaches to Patient As- sessment include: Progressive care clinicians must bal- ance: Collection of assessment data is ob￾tained in: What is the crucial element to develop￾ing competence in assessing progres- sive care patients? Discuss the importance of a consistent and systematic approach to assessment of progressive care pt and families? Assessments should first focus on (2): What are the TWO s...

How do you calculate Serum Osmo Becks Triad for Diagnosing Tamponade Right Ventriculogram via Cath shows: Left Ventriculogram via Cath Shows: Aortagram via Cath Shows SvO2 Monitoring O2 consumption (VO2) indirectly reflects ? Impending Respiratory Failure seen when...... Pulmonary HTN can be associated with..... In PPHN there is RV pres- sures due to shunting of blood from the to the ? (Na x 2) + (Glucose/18) + (BUN/2.8) - JVD - Hypotension (huffled heard tones) - Tachycardia - ...

3 causes for Fetal shunt closure When does the Ductus Arteriosus close? When does the Foramen Ovale Close? What does Cardiac Output measure? Cardiac Output is the measure of what? How is cardiac output calculated? Define Preload Two factors contributing to DECREASE in preload Define Afterload Define Contractility Name one factor that decreases contrac￾tility in the heart How does dopamine affect heart func￾tion Describe the conduction pathway of the heart Define Chronic Heart ...

SIADH lab values DI lab values Osmolality formula Normal blood osmolality Normal urine osmolality ADH DKA expected lab values Risk factors for cerebral edema S/S of Hypernatremia What rate should the Na be increased in SIADH How fast should the glucose be lowered in DKA to prevent cerebral edema SIADH management Serum Na <130, serum osm <280, BUN <10, urine osm >600, USG >1.030 Serum osm >285, serum Na >145, urine osm <200, USG <1.010 (Na x 2) + gluco...

# of lobes in right lung # of lobes in left lung 3 divisions of lungs 2 types of alveoli Muscle of inspiration Part of brain that controls breathing Compliance of lungs Resistance of lungs Which provides more resistance: ETT or TRACH Increased Resistance = Increase or De- creased tidal volume? Ventilation Perfusion Matching: V/Q = 0.8 3 2 1. Bronchi - cartilaginous 2. Bronchioles - membraneous 3. Alveoli - gas exchange units, lined by epithelial cells (2 types) Type 1 - gas ex...

The concept of health promotion c consists of efforts to prevent rather than to cure disease or disability. This description best describes: a. tertiary prevention b. secondary prevention c. primary prevention d. morbidity prevention Standards for well child care and health c promotion are set forth by the: a. Task Force on Preventative Services, US Department of Health and Human services b. American Academy of Family Physicians c. American Academy of pediatrics d. Healthy People ...

The concept of health promotion c consists of efforts to prevent rather than to cure disease or disability. This description best describes: a. tertiary prevention b. secondary prevention c. primary prevention d. morbidity prevention Standards for well child care and health c promotion are set forth by the: a. Task Force on Preventative Services, US Department of Health and Human services b. American Academy of Family Physicians c. American Academy of pediatrics d. Healthy People ...

A 15-year-old female presents to her regular doctor with concerns over acne. Upon inspection, she has more than 10 cyst-like, erythematous lesions, ap- proximately 40 open and closed come- dones, and no scarring. Up to this point, she has been using a sensitive skin face wash 2-3 times daily and applying a non-comedogenic makeup once daily. What would be the best next step? A. Reassurance and discontinue make- up use due to risk of exacerbation B. Start a topical benzoyl peroxide C. Presc...

PEEP is intended to do which of the fol￾lowing? A. Improve ventilation/perfusion match￾ing B. Decrease functional residual capacity C. Increased venous return to the heart D. Increased cardiac output In an infant with sepsis, factors that im- pair the release of oxygen by negatively affecting oxyhemoglobin dissociation in- clude: A. Hyperthermia B. Metabolic acidosis C. Respiratory acidosis D. Hypothermia In which condition might you observe a decreased V/Q ratio (<0.8)? A. S...

The most likely cause of bilateral puru￾lent conjunctivitis in a 1-day old infant is a. Gonorrheal opthalmia b. Chlamydia infection c. Symphilitic opthalmia d. Adenovirus infection Which of the following circumstances is most suggestive of excessive stress in a family with a chronically ill child? a. The father takes a second job to meet financial responsibilities b.The mother provides the majority of the care for the child c.The parents stop participation in a sup- port group d.A...

A rape victim with multiple injuries has been brought to the emergency depart- ment for evaluation and treatment. The first thing that the psychiatric and mental health nurse should communicate is: A. I'm so sorry this happened to you B.You are safe here. No one can hurt you C.This was not your fault D. I'm thankful you survived this attack A patient has signed the consent form for electroconvulsive therapy under pres- sure from her spouse but confides in the psychiatric and mental h...

A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination is unremark- able. Laboratory results are within nor- mal limits except for a markedly elevated alkaline phosphatase level. The psychi- atric-mental health nurse practitioner Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values and: A new patient arrives at the office for treatment for depression. The patient reports taking simvastati...

psychiatric nursing recognized subspe- cialty of nursing (National Organization of Nurse Practi￾tioner Faculties [NONPF] 2013/2014 9 Nurse Practitioner Core Competencies Nurse Practitioner (NP) Core Competen- cies Leadership Competencies Quality Competencies Policy Competencies 1950s , June Mellow (1968) and Hilde- gard Peplau (1952) NURSE PRACTITIONER ADVANCED PRACTICE CORE CONTENT (2013) X Scientific Foundations X Leadership X Quality X Practice Inquiry X Technology and Informa...

You are seeing a 4-week old infant whose mother states that the child's right eye is wet all the time and sometime there is thick mucus on the lashes.There has been no fever and the baby is feed￾ing well. Eye exam reveals a normal red reflex bilaterally with no evidence of pu￾rulent drainage, conjunctival erythema, or cloudiness over the cornea. You sus- pect: a) adenovirus conjunctivits b) nasolacrimal stenosis c) chlamydial conjunctivitis d) congenital cataract A 9-month-old inf...