Expert Minds

Delusions Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence. Their content may include a variety of themes (e.g., persecutory, referential, somatic, religious, grandiose). Persecutory delusions (i.e., belief that one is going to be harmed, harassed, and so forth by an individual, organization, or other group) are most common. Referential delusions (i.e., belief that certain gestures, comments, environmental cues, and so forth are directed at onese...

Protective factors of suicide Protective factors for suicide include cognitive flexibility, active coping strategies in difficult life situations, healthy lifestyles, active social networks, confidence and the sense of personal value, and the ability to seek advice from others and help from the health care system for subsequent treatment. It comprises also strategies for promoting mental health, social welfare, and education policies. • Epidemiological characteristics of suicide – compa...

NSG 3250 Adult Health I:NSG 3250 Adult Health I Exam 1 Unit 2::NSG 3250 Adult Health I Exam 3 : NSG 3250 Exam 3 Review: NSG 3250 Exam 3 Study Guide: Updated A+ Score Guide Solutions

NSG 3600 : NSG 3600 Package Deal: NSG 3600 Unit 1:NSG 3600 Unit 2:NSG 3600 Pediatrics Exam 2:NSG 3600 Pediatric Exam 3 : NSG 3600 Test 4:

A patient with COPD has ABGs: pH 7.31, PaCO₂ 58 mm Hg, HCO₃ 30 mEq/L. How should ⁻ the nurse interprets these results? a. Metabolic alkalosis with compensation. b. Respiratory acidosis with compensation. c. Respiratory alkalosis uncompensated. d. Metabolic acidosis uncompensated. 2 A patient with a potassium level of 2.5 mEq/L is most at risk for which complication? a. Ventricular dysrhythmias. b. Seizures. c. Cerebral edema. d. Respiratory depression. 3Which electrolyte abnorm...

Principles and Practices of Rehabilitation, pp. 164-191 o Rehab Goals: goal of rehabilitation nursing is to assist the patient to attain and maintain optimum health as defined by the patient o Rehab Team: Dynamic Process, Communication, Collaboration, Understanding roles, Education levels Team Members: Patient/family, Nurse, Physicians & NP’s, Physiatrists, Therapists (OT, PT, Recreational, Speech), Social workers, Psychologist, Spiritual advisory o Activities of daily living (ADLs): s...

Diabetes: o A group of diseases characterized by hyperglycemia caused by defects in insulin secretion, insulin action, or both o Affects nearly 25.8 million people in the United States; one third of the cases are undiagnosed o Prevalence is increasing o Minority populations and older adults are disproportionately affected • Risk Factors o Type 1: (AUTOIMMUNE DISEASE – CANNOT PRODUCE INSULIN) earlyonset, familial, genetic predisposition, possible immunologic or environmental (viral or to...

Alterations in Neurological Function Ch. 65: Assessment of Neurologic Function, pp. Health History: stable or progressive symptom-free periods as well as fluctuations in symptoms • Common Symptoms: o Pain (acute or chronic) o seizures (may be first obvious sign of brain lesion) o dizziness and vertigo (about 50% of patients with dizziness have vertigo) o visual disturbances (lesions of eye itself = cataract, lesions along pathway = tumor, lesions in visual cortex = stroke) o muscle wea...

Complications of fractures – fat emboli: s/s shortness of breath, petechiae, tachycardia, temp elevated, rapid respirations, hypoxia – compartment syndrome: assess pulses, sensation, temperature, edema, numbness/tingling (this will be first indicator), pallor, pain (distal to the fracture), paralysis – infection: monitor closely in compound/open fracture, scratching under the cast – osteomyelitis: deep bone infection (usually staph), SEVERE, IV antibiotics and hydration long term, c...

Determine the role of the nurse in the care of children with iron deficiency anemia and sickle cell anemia. iron deficiency anemia Microcytic, hypo-chromic anemia caused by inadequate supply of iron (LOW IRON = LOW HGB) Premature infants @ higher risk b/c of decreased fetal iron supply Factors r/t iron deficiency anemia: o Stopping breast feeding too early o Giving formula non-iron-fortified o Prolonging bottle feeding o Drinking more than 2 cups of cow’s milk a day (12 mo +) Importan...

Understand the prominent features or s/s of a child with Down’s syndrome. Extra chromosome (47 instead of 46) Poor muscle tone Hyper flexibility of the joints Short, broad hands w/ a single crease across the palm on one or both hands Broad feet w/ increase space btwn 1st and 2nd toes Slanting eyes w/ folds of skin at inner folds (epicanthic folds) Flat bridge of the nose Short, low-set ears Small head and protruding tongue Small oral cavity and airway (Snores) Short, high-pitched c...

Attention Deficit Hyperactivity Disorder: • Attention Deficit Disorder (distractibility) with hyperactive component. Very common. • Signs & Symptoms: Inattention along with behaviors displaying hyperactivity & impulsivity. Characteristics of Attention Deficit Hyperactivity Disorder & behaviors. • Diagnosis: Evaluation by multi-disciplinary team: medical & developmental histories, physical exam, vision & hearing assessment, & detailed neurologic evaluation. Psychologic testing ident...

• Pituitary o Located on the inferior aspect of the brain and is divided into anterior and posterior lobes. The gland is controlled by the hypothalamus, which is an adjacent area of the brain o Gland that secretes hormones that influence growth, metabolism and regeneration o Releases ACTH which stimulates the adrenal to release cortisol o Pituitary signals releases ACTH (adrenocorticotropin hormone) signals adrenal glands to release Cortisol (-) fdbck system • Anterior Pituita...

Gastrointestinal System Rectal Atresia: ● Closure of rectal passage → No stool ● Initially anus may appear to be normal in appearance, but it is later determined as an abnormal situation & is a complete obstruction. Immediate surgical intervention is mandatory for rectal atresia. ● NPO as soon as diagnosed, start IV fluids to prepare for surgery ● Diagnosis: ○ Physical exam ○ Radiological imaging/MRI/Ultrasound ○ IV pyelogram - urinary tract ● Collaborative Care: ○...

Which constitutional provision mandates that federal regulations have priority over state law? Less YOUR CORRECT ANSWER ANSWER Third Amendment Supremacy Clause Prioritization Clause Federalist Number 10 Mistake 2. Which doctrine is used by U.S. courts to align current cases with prior legal decisions? Less YOUR CORRECT ANSWER ANSWER Stare decisis Judicial review Equitable estoppel Respondeat superior Correct 3. Two corporations have combined their management and operations in...

INFANT 30- 50 ● ● Narrow airways that are easily occluded → Grunting is a BAD sign Persistent expiratory grunting should be addressed immediately. ○ Expiratiry sound is trying to keep alveoli open ● Obligatory nose-breathers (until 3-4 months), then abdominal breathers. ○ Nasal cannula b/c can not mouth breath ○ **They have to suck, swallow and then breathe. ** ○ This is why when resp > 60 feedings are stopped ● Produces little respiratory mucus; coughs usually non...

Type 1 Diabetes: ● Autoimmune disease (destruction of pancreatic cells that produce insulin) ● S/S: ○ 3 P’s → Polyuria, Polydipsia, Polyphagia ○ Weight loss ○ Nocturia ○ Fatigue ● Diagnosis: ○ Blood glucose in excess of 200 mg/dL ○ HgBA1c (7-7.5%) fasting blood sugar may be > 126 mg/dL ● Management: ○ Hypoglycemia: too much time between meals, eating too little, insulin goes in muscle and not subcutaneous tissue ■ (give 10-15 skittles or candies, check...

Newborn-refers to the stage ◦ immediately after birth until 1 month ◦ Infancy is the period between 1-12 months of age ◦ The Toddler stage is from 12 months until approximately 3 years ◦ Preschool stage (or early childhood) is from 3-6 years of age. ◦ School-age children are from 6 to 12 years old. ◦ Adolescence is the period from 12-18 years old. Nature vs. Nurture o Nature ▪ Traits inherent at birth (the basic “wiring”) o Nurture ▪ Influence of external events ...

Movement made possible by the musculoskeletal system Bones-classified by size and shape • Long-arms and legs • Short-ankle and wrist • Flat-skull, scapulae, ribs, sternum, clavicle • Irregular- vertebrae, pelvis, facial Central part of long bone contains marrow • Red-red and white blood cells • Yellow-produces fat cells Epiphysis The epiphysis is the rounded end of a long bone, its primary function is to connect adjacent bones to form joints. The diaphysis, or shaft, of t...

Cardiac conditions I. Pediatric Indicators of Cardiac Dysfunction • Poor feeding r/t activity intolerance (tire out quickly) • Failure to thrive/poor weight gain/activity intolerance Developmental delays (poor growth = poor development) o Shunt: blood flow through an opening between 2 structures or vessels of the heart o Murmur: a sound heard when listening to the heart; reflects flow of blood w/in the heart (requires a follow up on!) Congestive heart failure: Inability of the heart ...