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Bronchovesicular breath sounds in young children that are loud and harsh are an indication of: On a CXR, which of the following is true of the diaphragm? Which of the following statements is most accurate in describing hepatic jugular reflux? Chest pain in a child with an organic cause is more likely the result of: The American Thoracic Society suggests replacing the term rales with: Heart position can vary depending on body habitus. In a short, stocky individual, you would expect the heart...

You are examining Mr. S., a 79-year-old diabetic man complaining of claudication. Which of the following physical findings is consistent with the diagnosis of arterial occlusion? The adnexa of the uterus are composed of the: You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her? The examiner percusses for ...

A 23-year-old female presents with severe right lower quadrant tenderness. All of the following should be considered in the differential except: What is the initial diagnostic radiology test that should be ordered if you suspect a ruptured ovarian cyst? A 17-year-old male was brought into the emergency room with testicular/scrotal pain. The differential diagnosis should include all except: A nursing mother complains that her breasts are tender. You assess hard, shiny, and erythremic breasts b...

Unusual white areas on the skin may be due to: Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to: Mr. Abdul is a 40-year-old Middle Eas...

The reliability of health-related findings and observations is the responsibility of the: Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as: When palpating joints, crepitus may occur when: A grade IV mitral regurgitation murmur would: Electrical activity recorded by the...

Share with the class the name of your disease process assigned to you by your faculty this week. Tell us if this is a disease that you have encountered in caring for patients in your own nursing practice. Feel free to share a practice exemplar. If this is a completely new disease that you will learn about, tell us if it relates to your nursing practice in terms of the populations for which you care.

In your initial post, respond to the following scenario (Hint: use the pharmgkb website to guide your responses): Before initiating abacavir, an anti-retroviral, for a newly diagnosed HIV positive patient the nurse practitioner orders HLA-B*5701 allele genetic testing. The test confirms that the patient carries the HLA-B*5701 allele. * Describe what these results mean. * Should the nurse practitioner prescribe abacavir in this case? If not, state why. A patient is prescribed antiplate...

Tameka Johnson (DOB 6/1/2017) has been … with bilateral otitis media. She has not taken antibiotics in the past month, and has no known drug allergies. You decide to prescribe the first-line recommended therapy which is high dose amoxicillin at 80-90mg/kg/day divided into 2 doses for 10 days. She is a toddler and cannot yet swallow pills, so you will be giving her a liquid form. She weighs 22 lbs. and has NKDA. Her address is 7490 Highland Oak Drive, Dayton, OH 45066. Your NP license number is...

The purpose of this assignment is to provide the student with an opportunity to explore the most recent guidelines and recommendations in the student’s state of practice for pain management therapies and education; as well as to understand specific state regulations governing controlled substance prescriptions. Through this assignment, the student will demonstrate the ability to: Identify and describe at least one current state specific guideline (Kentucky State) for pain management ther...

Margaret is a 59-year-old Caucasian female who presents to the clinic for follow-up of her hypertension. She reports that she has a worsening of a tremor in her hand over the last few months. She was seen by a neurologist previously and was diagnosed with an essential tremor but opted to not take medication because it wasn’t particularly bothersome. … reports now that she has difficulty pouring a drink, drinking from a cup, using utensils to eat, and writing or drawing. Margaret also repo...

Louis Brown (DOB 10/12/1975) returns to your office for a 6 month follow-up visit with a stable, well-controlled seizure disorder. He needs a prescription refill on his levetiracetam which he has been taking without issue for several years. He was … by his neurologist last year since he has had no seizure activity on the current dose of medication for more than 2 years. After consulting with the neurologist, you have agreed to take over writing for his maintenance dose as long as he continues ...

Question: G-Protien coupled receptors and how they interact with drugs Question: What neurotransmitters are excitatory? Question: Which is the most common CYP enzyme in the body? What role does it play? Question: What is the clinical significance of being an ultra-rapid CYP2D6 metabolizer? Question: What would be the concern if a drug is a CYP450indicer? How that might affect the metabolism of other drug the patient is taking? Question: Explain the significance of a drug being an inhibitor ...

Question: Which of the following is not a classification for migraine headaches? Question: In which patient would taking naproxen … contraindicated? Question: What question should the provider Robin during the assessment? Question: In what person is Sumatriptan contraindicated? Question: How does Sumatriptan work?

NR 565 Week 5 Grand Rounds Presentation Part 1 – Test Your Knowledge Questions (Version 1) Question: Which of the following is TRUE regarding community acquired pneumonia? Question: Which of the following is NOT a result of low economic status leading to an increased risk of CAP? Question: Which of the following is NOT a category … in the Pneumonia Severity Index (PSI) for Adults? Question: Which of the following medication is contraindicated in a patient with a penicillin allergy? Q...

Week 6 – MINIMUM of three (3) peer presentations following the criteria outlined in the rubric no later than Thursday. Responses to three (3) peer presentations must … to the Week 6 discussion board by Thursday In each discussion response to a peer, you must: Provide an alternative drug (or drugs) that could … for the condition DIFFERENT than that … by the peer presenter. Provide the approximate retail cost of the alternative drug selected. Provide the approximate cost of the ...

Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut. A review of his records show that acute coronary syndrome was ruled out ...

Consider the case scenario you described in Week 6. Continue with this unfolding case scenario by assuming that the change process is proceeding in an effective manner, and address the following. Provide a concise introduction for your posting. Identify the stakeholders who are … by the change at the micro-, meso-, and macro-levels, and discuss how you will engage those stakeholders in the change process. Describe two supportive factors within the system that will facilitate your recomme...

Purpose The purpose of this assignment is to synthesize insights gained through learning activities and personal reflection in order to create a personal leadership style and change advocacy statement. Students will record a video of themselves presenting their individual leadership style and change advocacy statement. Students will conclude by noting how the selected leadership style can facilitate the change process. A concise summary paper is included. Requirements – Criteria for Cont...

Reflect upon a current or previous organization, and consider the organizational mission, vision, and values, as well as the organizational culture and leadership practices. Provide a concise introduction for your posting. In what ways did the organizational mission, vision, and values reflect a culture of excellence? How were the mission, vision, and values similar to and different from your personal philosophy of nursing and core values? How were the mission and values … in the ...

Purpose The purpose of this assignment is to consider the value of a culture of excellence and leadership strategies which support a culture of excellence within the student’s selected MSN track. Students will identify organizational characteristics which support a culture of excellence. In addition, students will identify an existing organizational mission, vision, and values and create an original concept map to portray the interrelationships between each element. The extent to which the or...