Neemagee

The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Tachycardia and tachypnea B. Sluggish and unequal pupillary responses C. Increased head circumference and bulging fontanels D. Blood pressure fluctuations and syncope Answer- B. Sluggish and unequal pupillary responses A client with acute pancreatitis is ...

1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? - C) Security 2. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? -B) "Would you please clarify what you have written so I am sure I am reading it correctly?" 3. What is the most important consideration when teaching parents how to reduce risks in the home -D) Age of children in the home. 4. A 35 year-...

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? - Increase the infusion rate of...

PATHOPHYSIOLOGY EXAMS FROM EXAM 1 TO EXAM 5. QUESTIONS WITH WELL WRITTEN ANSWERS.

What is polyuria? Excessive urination What is proteinuria? Protein in the urine; indication of kidney disease What is hematuria? Whole red blood cells in urine due to kidney or tissue damage What is bacteriuria? Bacteria present in the urine What is GFR (glomerular filtration rate)? Amount of filtrate formed in all the renal corpuscles of both kidneys each minute How do you calculate GFR? Q= (PA-PE)/ R Q= flow PA= pressure in afferent arteriole PE= pressure in e...

What is cholelithiasis? - Cholesterol gallstone formation What are risk factors for getting gallstones - -TPN: total parenteral nutrition -Obesity -Rapid weight loss -High spinal cord injuries -pregnant women S/S of cholelithiasis - -biliary colic- persistent epigastric or RUQ pain -they are related to diet: fatty food S/S of cholecystitis - -severe RUQ pain/ epigastric pain -pain can radiate to right shoulder or back -fever -n/v -jaundice and pruritus What changes are ha...

ARDS (acute respiratory distress syndrome) - Systemic inflammatory response: edema in interstitial tissues not in airway! Damage to alveolar and capillary membrane Large molecules leak into alveoli Damage type 2 alveoli = no surfactant Alveolar collapse can't participate in gas exchange Type 1 pneumocytes - gas exchange Type 2 pneumocytes - produce surfactant Pulmonary embolism - DVT breaks off and occludes pulmonary circulation Virchow's triad - Stasis, hypercoagula...

Atherosclerosis overview Path: -Progressive disease - formation of fibro fatty plaques in intima of arteries --Fibrous plaque form over fatty deposit - hypercholesterolemia and inflammation Impairs blood flow relating to atherosclerosis -Effects on body depends on structures involved and extent of altered flow -Ischemia- reduction in arterial flow to a level that is insufficient to meet o2 demands - Infraction- area of ischemic necrosis in an organ produced by occlusion art...

Define atrophy and give an example A decrease in cell size. Essentially, if you do not use it, you lose it. An example/cause would be disuse diminished work load, inadequate nutrition, aging, etc. Define hypertrophy and give an example An increase in cell size. For example, the heart goes through hypertrophy to deal with high blood pressure. Another example would be ventricular hypertrophy. Define hyperplasia and give an example. An increase in the NUMBER of cells. Examples- Keloid ...

ATI RN ADULT MEDICAL SURGICAL PRACTICE- PROCTORED EXAM WITH NGN 2019-2023