Jackline98

Assesses the clients HPI - ️️OLDCARTS TRUE or FALSE... The history of present illness is a breakdown of the clients chief complaint - ️️TRUE What is needed to make a sound clinical decision - ️️Evidence based research clinical practice guidelines published evidence-based algorithms (few false positives) high percentage of healthy people will show a normal result - ️️high specificity high number of false positives - ️️low specificity if a diagnostic study ha...

Daniel, age 45, is of Northern European ancestry and has a dysfunctional and disfiguring condition affecting the palmar tissue under the skin of the distal palm and fourth and fifth fingers. What do you suspect? - ️️Dupuytren contracture. When teaching Alice, age 77, to use a cane because of osteoarthritis of her left knee, an important point to stress is: - ️️Advancing the cane with the ipsilateral leg. The nurse practitioner suspects adolescent idiopathic scoliosis in Victoria, a...

The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety? - ️️Gamma-aminobutyric acid (GABA) The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least? - ️️6 months A 20-year-old woma...

Define diagnostic reasoning - ️️Reflective thinking because the process involves questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidence. Seen as a kind of critical thinking. What is subjective data? - ️️Anything the patient tells you or complains of regarding their symptoms Chief complaint HPI ROS What is objective data? - ️️Anything YOU can see, touch, feel, hear, or smell as...

All of the following medications are used for the control of nausea and vomiting. Which medication works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? 1.Anticholinergics, such as scopolamine (Donnatal). 2.Antidopaminergic agents, such as prochlorperazine (Compazine). 3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan). 4.Tetrahydrocannabinols, such as dronabinol (Ma...

Question 2: Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? a. Cholinesterase inhibitors b. Anxiolytics c. Antidepressants d. Atypical antipsychotics - ️️a. cholinesterase inhibitors pg Question 3: Most adult poisonings are: a. intentional and self-inflicted. b. accidental. c. caused by someone wishing to do harm to the person. d. not attributed to any reason. - ️️b. accidental. Question 4: A 58-year-old woman presents wit...

What is the goal of nursing research? A. Make decisions regarding nursing education based on published literature B. Determine topics that could develop nursing knowledge C. Gather information from published literature to make decisions about application to clinical practice D. Conduct studies to develop a body of nursing knowledge - ️️D. Conduct studies to develop a body of nursing knowledge Which is the most important question to ask in evidence-based practice? A. What findings co...

Sensitivity - ️️Few false negatives Specificity - ️️Few false positives Predictive Value - ️️Likelihood person has disease 3 key components that determine risk-based E&M codes - ️️History Physical Medical Decision Making Complexity of a visit is based on three criteria (aka MDM) - ️️Risk Data Diagnosis 13. Identify the 3 components required in determining an outpatient, office visit E&M code - ️️Place of service Type of service (consult, office visit,...

A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent "horseplay" with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman, and McMurray tests; left hip with decreased inte...

A maximum of 20 alternative hours can be used as part of the 125 hour practicum requirement for each clinical course--> T/F - ️️Fasle- Can use only 15 Maddie has a history of asthma that is classified as mild, intermittent asthma. She comes to the office today with wheezing which is not improving with her inhaler. Which would be the best ICD-10 code to apply wiith only the information given? A. Severe persistent asthma (J45.5) B. Mild intermittent asthma with acute exacerbation (J4...

Janet is a 30 year old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspician of cauda equna compression. Which of the following is a sign or symptom of cauda equina compression? a. gastrocnemius weakness b. reduced or absent ankle refles c. numbness of the lateral foot d. paresthesia of the perineum and buttocks - ️️d. paresthesia of the perineum and buttocks The patient has acute pancreatitis with 7 ...

What are common causes of N/V associated with gastritis? - ️️Alcohol, NSAIDs, ASA, ABX, and illicit substances What is the most common cause of nausea and vomiting? - ️️Acute Gastroenteritis (AGE) What are some manifestations of AGE? - ️️Nausea, vomiting, and diarrhea, fever, abdominal pain. May also include fatigue, malaise, anorexia, tenesmus and borborygmus. How is the severity of AGE gauged? - ️️Dehydration secondary to profuse watery diarrhea, fever greater than 101...

DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - ️️Taking a client history OLDCARTS Specificity and Sensitivity Reimbursement Clinical Decision-Making OLDCARTS - ️️Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity True or False: the history of the present illness is a breakdown of the client's chief complaint - ️️True Specificity: Low - ️️Getting a positive result when it is not present- a high number of false p...

The most cost-effective screening test for determining HIV status is which of the following? - ️️Enzyme-linked immunosorbent assay Which blood test is a nonspecific method and most helpful for evaluating the severity and course of aninflammatory process? - ️️C-reactive protein (CRP Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter? - ️️Dopamine Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbo...

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