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To percuss the kidneys, the physician must strike what? a. The base of the spine b. The soft tissue of the abdomen c. The costovertebral angle d. The vertebral column Which of the following would be an abnormal finding when palpating the testes? a. Ridged b. Smooth c. Oval d. Rubbery Which of the following is true of palpation of the prostate gland? a. It is not done. b. It is part of a patient's self-examination routine. c. It is usually done externally. d. It is usuall...

Which of the following is true regarding geriatric patients? a. Constipation becomes less of a problem. b. Esophageal reflux can be caused by weakening of the cardiac sphincter. c. Pancreatic atrophy is rare. d. The number of stomach glands decreases All parts of the human colon reside in the two lower quadrants of the abdomen The color of vomitus may help determine the cause. Polydipsia, polyuria, and asthenia are all related to ulcerative colitis Polydipsia, polyu...

Which of the following is an invasive diagnostic test? a. EKG b. Ultrasound of abdomen c. Hematologic study d. Chest X-ray c. Hematologic study Arteries are less flexible than veins. LSD and ecstasy are the most important recreational drugs to ask a patient about in terms of cardiac health. Arcus senilis in the eye is never a normal finding in a patient. When percussing the borders of the heart, an unexpected change from resonance to dullness is usually indicative ...

A nurse is caring for a client with elevated triiodothyronine and thyroxine, and normal thyroid-stimulating hormone levels. What actions does the nurse take? (Select all that apply.) a. Administer levothyroxine. b. Administer propranolol. c. Monitor the apical pulse. d. Assess for Trousseau sign. e. Initiate telemetry monitoring. ANS: C, E The client's laboratory findings suggest that the client is experiencing hyperthyroidism. The increased metabolic rate can cause an increase in the ...

The hand grasp strength of a client with metabolic acidosis has diminished since the previous assessment 1 hour ago. What is the nurse's best first action? A. Measure the client's pulse and blood pressure B. Apply humidified oxygen by nasal cannula C. Assess the client's oxygen saturation D. Notify the Rapid Response Team which body system will the nurse assess first to prevent harm for a client who has metabolic acidosis? a. GI system b. respiratory system c. cardiovascular...

Atrial Flutter Sawtooth *Risk for clots •Rate: 240-340 beats/min •Rhythm: regular •P waves: sawtooth •PR interval: cannot measure •QRS duration: cannot measure •QT: <0.40-0.46 second and constant Atrial Flutter s/s + tx *Risk for clots s/s: palpitation, dizzy, SOB fatigue complications: stroke tx: catheter ablation PR interval 0.12-0.20 s P wave atrial depolarization QRS complex ventricular depolarization QRS complex time 0.06-0.10 s Q...

In the "Plan" section, the text singles out which component of the plan as critical for legal reasons? a. Education b. Nonpharmacological interventions c. "Rule outs" d. Follow-up Which component of the treatment plan is typically reserved for hospitalized patients? a. Pharmacological interventions b. Referrals c. Nonpharmacological interventions d. Follow-ups Documentation that just indicates that the healthcare provider found "no problems" is unacceptable be...

Common symptoms: -Rhinorrhea, nasal congestion, cough, sneezing, sore throat, headache, hoarseness, malaise, myalgia -Fever common in kids, rare in adults -Self-limited, usually benign -No cure; just treatment of symptoms Over-the-Counter (OTC) Cold Remedies Combination cold remedies usually contain two or more of the following: -Nasal decongestant -Antitussive -Analgesic -Antihistamine (for cholinergic actions) -Caffeine (to offset effect of antihistamine) -not for use in young ...

When should you perform glucose checks on an infant of a diabetic mother? When infant shows s/s of hypoglycemia: - shaky/jittery/tremors (earlier sign) - apnea - cyanosis - hypothermia (no energy to keep body warm) - hypotonia/lethargy - poor feeding - seizures (late sign) What are risk factors for an infant developing an infection? Exposure to infected mother Improper maternal hygiene Spread through contact of hospital staff/environment What are the GBS infection assessment...

What are risk factors for developing endometrial/uterine cancer? s/s? Dx? Tx? - Risk factors: menopause hormone therapy including just estrogen for women with uterus, early menarche or late menopause, obesity, tamoxifen (used to decrease risk for breast cancer), never preg, DM - s/s: bleeding after menopause or AUB, abnormal vag discharge, dysuria, pelvic pain/pressure - Dx: endometrial biopsy, PET scan to determine if metastasized - Tx: hyst, radiation, chemo, progesterone, "-zumab" d...

This medication is given to stop vaginal bleeding, but contraindicated with hypertension. Methergine This drug is always administered via small titrations for induction during labor. Pitocin or oxytocin This needs to be administrated intravenously before an epidural is placed. IV fluids bolus This medication crosses the placenta and makes baby sleepy Opioid -You do this with cervidil if the contractions are every minute -Remove it This is the definition of tachystole. ...

Terbutaline: Use? Special information? Use: tocolytic used to temporarily stop or slow down contractions, prevent contractions from invasive procedures such as external cephalic version Special information: 3 dose max, careful with asthmatic patients Pitocin: use? special information? use: speed up labor in bishop score of 6-8, prevent PPH special considerations: can cause tachysystole and hypertonic contractions Ephedrine: use? special information? use: treats low BP, can be used...

Wound infection: definition, risks, findings, treatment, nursing interventions Definition: often occurs at laceration or incision site (episiotomy or c/s) Risks: poor wound healing, poor hygiene, exposure to bacteria, surgical/operative interventions Findings: REEDA (redness, edema, echymosis, discharge, approximation) Treatment: broad antibiotics, culture and sensitivity if unresponsive, may require surgical intervention Interventions: manage pain, admin antibiotics, assess status, encoura...

What are three examples of teratogens? - Drugs - Alcohol - Chemical and toxic substances What is Rhogam? Injection used to prevent RH incompatibility from developing during pregnancy. What type of blood types do not need Rhogam? Positive blood types How does the umbilical arteries work? (3 factors) - 2 arteries & 1 vein - Arteries carry waste from baby back to the placenta. - Vein delivers things to the baby. When should you screen for intimate partner violence? Ever...

List some complications associated with Anorexia Nervosa. Osteoporosis, hypothyroidism, bradycardia, dizziness, hypotension, left ventricular systolic dysfunction, prolonged QT syndrome, reduced peripheral circulation, lanugo, GERD, bloating, constipation, and delayed gastric emptying. What is an Atrial Septal Defect (ASD)? An opening in the septum that allows shunting of blood between the atria. What are the clinical features of Atrial Septal Defect? Fixed widely split S2, right ve...

Which of the following is NOT a general danger sign? a. Lethargy/difficult to awaken b. Convulsion c. Difficulty of breathing d. Inability to drink or breastfeed Which of the following is an inflammation of the male reproductive system where there is inguinal and scrotal pain, fever, and tenderness of the affected part? Urinalysis result of patient with this condition shows bacteria and WBCs. Treatments for this includes antibiotics and symptomatic relief. A. Phimosis B. Epididymitis ...

Contraceptive standard follow up regimens: -Re-check placement of IUDs in 4-6 weeks, then follow yearly -Follow-up with pills, patches and rings in 3 months, then every year -Depo injections, follow-up for injection q 12 wk 2 types of Pap tests: Conventional: cervical cells are collected using a wooden spatula and/or brush and placed on glass slide. Least expensive method. Liquid Prep: cervical cells are obtained with a "broom" and placed into a bottle containing liquid. Residual...

Use of plans or oils to obtain many therapeutic effects, such as analgesic, psychological, and antimicrobial benefits aroma therapy 3 conditions whose symptoms may be improved with the use of gingko biloba Alzheimer's Disease Anxiety Schizophrenia A set of meanings, norms, beliefs, values, and behavior patterns shared by a group of people culture Self-identified race, tribe, or nation with which a person or group identifies and which greatly influences beliefs and behavior...

PA Burns Scalding - splash, immersion Contact Open fire flame Electrical Labs for Physical Abuse >2yr CBC, PT, PTT CMP with lipase AST/ALT > 80 - get CT abdomen skeletal survey Definitive indication of SA pregnancy presence of semen Std No consensus previously "indeterminate findings" insufficient of conflicting data Lichen Sclerosis most common congenital condition that mimics SA autoimmune condition does involve males Markers: pale, fragile sk...

Most common congenital heart malformation VSD Window for spontaneous closure of PDA Up to age 1 year. Spontaneous closure after that age is rare. Leading cause of HF in 1st month of life Coarctation of aorta - either alone or in combination with ASD, VSD or other cardiac anomalies. Syndrome commonly seen in female patients with coarctation of the aorta? Turner's Syndrome Features of tetralogy of fallot 1) Pulmonary stenosis 2) RV hypertrophy 3) Overriding aorta 4...