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Chapter 7: The Research Process During a study of the effects of pre-procedural teaching by an endoscopy nurse on the anxiety level of patients undergoing endoscopies, the researcher measures their level of anxiety by asking subjects to rate it on a scale from 0 to 10. What level of measurement is this? A. Interval B. Nominal C. Ordinal D. Ratio CORRECT ANSWER C. Ordinal

Chapter 16: Large Intestine What amount of liquid chyme enters the colon daily? A. 500-600 cc B. 1,000-2,000 cc C. 3,000-4,000 cc D. 5,000-6,000 cc CORRECT ANSWER B. 1,000-2,000 cc Chapter 17: Biliary System Blood is supplied to the gallbladder by the: A. Superior mesenteric artery B. Hepatic artery C. Celiac artery D. Inferior phrenic artery CORRECT ANSWER B. Hepatic artery Chapter 17: Biliary System By far the most common disease affecting the biliary system is: A. Choled...

Accountable Care Organizations CORRECT ANSWER Those organizations that, through the Affordable Care Act, will only be rewarded for improving quality and increasing cost savings. These are organizations in which physicians and hospitals work together to improve outcomes and share in cost savings. Acuity CORRECT ANSWER Level of intensity of care required by patients. Advocacy CORRECT ANSWER The act of expressing or defending the rights or causes of another. American Association of College...

6 year boy named Braden is pt in microsystem. He is terified of shots he has to get BID for next 3 weeks. It is most therapeutic med route for his illness & becomes hysterical every time the med is due & must be held down by two people while RN gives injection. They will not have 3 people at home to do this. Working on discharge planning, what should you do? A) Plan on Braden being in hospital for next 3 weeks to receive his injections B) Obtain restraints for the parents to use at home in ord...

AACN CORRECT ANSWER American Association of Colleges of Nursing National voice for baccalaureate and graduate nursing education. Educational areas, research, federal advocacy, data collection, publications, and special programs work to establish quality standards for nursing education; assist deans and directors to implement those standards; influence the nursing profession to improve health care; and promote public support for professional nursing education, research, and practice

Chapter 12: Evaluation A quality improvement (QI) review is: A. An acceptable, expected level of performance established by authority, custom, or consent B. An ongoing process of review in which data collected over a period of time are used to compare actual practice against standards of practice to determine if the care actually rendered meets a level of quality deemed acceptable within a practice setting C. A review of documentation for the purpose of determining whether specific objective...

1st African American nurse in the US. CORRECT ANSWER Mary Mahoney 1st system for charting and maintaining individual patient medical records, established nurse training programs and schools in Pa, MS, MI. CORRECT ANSWER Linda Richards 2 year program, if previous college education. Graduates-licensure exam for RN's, Hospital based clients and clinical skills CORRECT ANSWER Associate's Degree Program

A sampling of research sources CORRECT ANSWER Agency for Healthcare Research and Quality American Public Health Association Centers for Disease Control and Prevention National Center for Health Statistics DHHS Office of Minority Health Healthy People 2020 Robert Wood Johnson Foundation To name but a few. ACOs CORRECT ANSWER In addition to financial costs of physician turnover, there is an impact on accountable care organizations (ACOs) responsible for the health of a given population. ...

"Anterior Wall" ST elevation in... CORRECT ANSWER V3, V4 "Inferior Wall" ST elevation in... CORRECT ANSWER II, III, and aVF "Lateral Wall" ST elevation in... CORRECT ANSWER I, aVL, V5, V6 "Septal Wall" ST elevation in... CORRECT ANSWER V1, V2 A scaphoid abdomen, unequal breath sounds, dyspnea, and a shift in the PMI are a classic presentation of which of the following in the neonate patient? A. Tension pneumothorax B. Diaphragmatic hernia C. Aspiration pneumonia D. RDS,...

Atmospheric pressure at sea level? 33 ft lower? 66 feet lower? CORRECT ANSWER 1 ATM = 760 torr at sea level. 33 feet below sea level = 2 ATM 66 feet below sea level = 3 ATM. Barodontalgia (aerodontalgia) CORRECT ANSWER Use warm compresses to relieve dental pain on ascent. Baro = Boyle's Barogastralgia CORRECT ANSWER Unclamp NG/OG tube during ascent to relieve pressure. Baro = Boyle's

_______ is a serious allergic reaction that has a rapid onset of symptoms and, if unrecognized, can lead to respiratory arrest. A. Hypersensitivity B. A localized reaction C. Anaphylaxis D. A toxicity reaction CORRECT ANSWERS C. Anaphylaxis _______ is maintained when the supply of oxygen is sufficient to meet the cellular demands of the body. A. pH balance B. Homeostasis C. Hemostasis D. Lactic acid CORRECT ANSWERS B. Homeostasis _______ is maintained when the supply ...

Air changes/hour (ACH) CORRECT ANSWERS- # of times air is replaced - dilutes and removes airborne microorganisms Allergies CORRECT ANSWERS- food: kiwi, banana, milk products, eggs - Culture specific issues (pork/beef) - Document type and timing of reaction, method to treat, arm band or notice on chart Anaphylaxis - nursing assessment for intra-op CORRECT ANSWERS- time out - known allergies - discuss prevent/protect/treatment

"Family of codes" in CMS grace period guidence CORRECT ANSWER any 3 character catagory (CCI) correct coding initiative bundling is used by providers to CORRECT ANSWER identify codes that can be billed together on the same day A non-exempt employee is paid CORRECT ANSWER an hourly wadge A phaco instrument is used during what CORRECT ANSWER cataract surgery A spill kit contains CORRECT ANSWER biohazard bag, absorbent pads, cleaning agents A subconjunctival hemorrhage can be caused...

A client developed atrial fibrillation, which a ventricular rate of 150 beats/min. The nurse should assess the client for which associate signs or symptoms? A. flat neck veins B. nausea and vomiting C. hypotension and dizziness D. hypertension and headache CORRECT ANSWER C A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. there are no P waves, but the QRS complexes are wide, and the ventricular rate is regular but more than 100 beats/min. the nurse dete...

1st degree AV block causes CORRECT ANSWER -diseases of the conduction system -inferior wall MI -meds -rheumatic fever, hypothyroidism, infection -potassium imbalance 1st degree AV block characteristics CORRECT ANSWER rate: atrial and ventricular the same -all sinus beats conducted to ventricles -P R interval: >0.20s, usually constant (not dangerous if asymptomatic but worry for progression) -QRS: typically normal -P waves: similar, 1:1 with QRS

Is observed in 50% of patients with endocarditis. CORRECT ANSWER Splenomegaly A diagnosis of infective endocarditis must be considered and exluded in all patients with (2) CORRECT ANSWER 1. Heart murmur 2. Fever of unknown origin ACT Normal & Therapeutic (2) CORRECT ANSWER 70-120 150-190 or > 300 seconds post PTCA/stent Acute Heart Failure CORRECT ANSWER Abrupt onset, usually follows acute MI or valve rupture APTT Normal & Therapeutic CORRECT ANSWER 28-38 seconds 1.5-2.5x norma...

Adverse effects of sympathomimetics Contraindications of them/ CORRECT ANSWER nausea/vomiting tachycardia dysrhythmia hypertension palps angina HA and hemorrhage of brain Contras--tachydysrhythmias VF pheochromocytoma adverse events from alpha 1 enabling these drugs are contraindicated in what cases? CORRECT ANSWER high bp profuse sweating lactating moms tachycardia vasospasms hypertension AEs --therapeutic uses, method, and Contras of ACE inhibs

ACE- end in 'PRIL' lisinopril CORRECT ANSWER (blocks RAAS) s/e- angioedema-worse in blacks, dry cough, hyperkalemia, hypotension, RF, do not take K+suppl, wean off only, take 1hr before meals Alpha blockers CORRECT ANSWER alpha blockers- end in "OSIN" doxazosin CORRECT ANSWER s/e orthostatic bp, tachy, ED, first dose syncope, avoid in elderly and liver issues ARBS END IN 'SARTAN' losartan CORRECT ANSWER (block aldosterone and angiotension receptors)- if dry cough w ACE- use ARBs inst...

A 50 year old male comes to the clinic stating he cannot shake this "flu" you observe that he is clammy, pale and has an irregular HR. He is a large man with rugged appearance. He is friendly and apologetic for bothering you with his silly complaints. What is your plan of care for this patient A. You suspect he ahs a low tolerance for being ill and offer him Tylenol while he waits to see the MD B. You suspect he has the newest flu going around and offer him hot tea while he waits to see the...

A 65 year old male is diagnosed with right-sided heart failure and admitted to the medical-surgical unit. Based on this diagnosis, the nurse will expect assessment to include which of the following findings: a. Dyspnea on exertion and bibasilar crackles b. Dependent edema and hepatic engorgement c. Distended veins and systolic murmur d. Cool extremities and weak peripheral pulses correct answer b. Dependent edema and hepatic engorgement