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Which of the following infection control measures is indicated in the patient with an active methicillin resistant staphylococcus aureus wound infection? A. Droplet precautions B. Contact preacutions C. Protective isolation D. Airborne precautions - Answer - B. Contact precautions Rationale: CDC recommends contact precautions for patients with active MRSA infection. A patient with a hand wound caused by a high-pressure paint gun is awaiting surgical wound exploration. Preoperatively,...

Chapter 1. Mental Health and Mental Illness Multiple Choice 1. A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the clients behaviors? 1. The clients behaviors demonstrate mental illness in the form of depression. 2. The clients behaviors are extensive, which indicates the presence of mental illness. 3. The c...

Hemophilia Pedigree - Father has hemophilia, mother does not. What is the outcome for their kids? - Answer - His daughters would be carriers. This is x-link recessive. Autosomal: Dominant: - Answer - Autosomal: males and females equally affected. Dominant: non-carrier parents polymerase chain reaction (PCR) - Answer - The process of copying DNA in the lab. Uses Template DNA, Nucleotides (dNTPS), DNA Polymerase, and DNA primers. 3 Steps of PCR - Answer - 1. Denaturation: DNA is heated...

An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following abdominal imaging study: Question options: 1) Magnetic resonance image (MRI). 2) Computed tomography (CT) scan. 3) Ultrasound. 4...

A patient is experiencing impaired circulation secondary to increased systemic arterial pressure. Which of the following statements is the most relevant phenomenon? Question 1 options: Increased preload due to vascular resistance High afterload because of backpressure against the left ventricle Impaired contractility due to aortic resistance Systolic impairment because of arterial stenosis Question 2 (2 points) Saved A nurse practitioner employed in a hospitalist notices that a patient...

1. The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take? a. Turn on the television. b. Explain the procedure. c. Tell the patient “Close your eyes.” d. Ask the family to leave the room. ANS: B Explaining the procedure educates the patient regarding the dressing change and involves him in the care, thereby allowing the patient some control in decreasing anxiety. Telling the pa...

Food Food and drink are necessary and desirable, but their abuse can cause serious physical and metal problem. Many physicians believe that overeating is one of the country's main health problems, since it places a great strain on the heart, can lead to diabetes, and often shortens the individual's life span. To fill an emotional void. People often turn to food when they are bored or lonely. Another area of concern is alcohol consumption. The results of alcohol abuse are widely publicize...

Polymers are made of monomer subunits that are joined by what type of bonds? a)ionic bonds b)covalent bonds c)hydrogen bonds d)hydrophobic bonds - Answer - b)covalent bonds Which polysaccharide has the greatest number of branches? a)cellulose b)chitin c)amylose d)amylopectin e)glycogen - Answer - e)glycogen A polysaccharide you are studying contains unbranched β glucose molecules and cannot be digested by humans. Which polysaccharide are you studying? a)cellulose b)DNA c...

Bohr Effect chart (low pH) - Answer - C- High CO2 H- High H+ A- Acidic R-Release of O2(rt. Shift) T- tense state (in tissues) Primary structure - Answer - Sequence of amino acids that make up a protein Secondary Structure - Answer - Sequence of amino acids fold. Tertiary Structure - Answer - -more folding in a 3D shape. -R groups (side chains) Quaternary Structure - Answer - Protein has more than 1 polypeptide chain. Chemical reaction - Answer - -absorb and release energy -a...

1. During a two-week postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and describes feelings of malaise. Her vital signs are: temperature 101.8°F, blood pressure 100/50, heart rate 104 beats/minute, and respirations 18 breaths/minute. Which action should the nurse take? a. Determine the client's current oxygen saturation rate. b. Instruct the client to drive to the hospital for admission c. Recheck the client's...

A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? A. Report the client's serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not allow...

A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse question? - Answer - The dose A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? - Answer - Observe the rate, depth, and character of the client's respirations. A nurse is caring for ...

Surgery risk classes - Answer - Class 1: benefits outweigh risk, should be done Class 2a: reasonable to perform Class 2b: should be considered Class 3: rarely appropriate General rules for surgery: testing - Answer - ECG before surgery only if coronary disease, except when low risk surgery Stress test not indicated before surgery Do not do prophylactic coronary revascularization Meds before surgery - Answer - - Diabetic agents: Use insulin therapy to maintain glycemic goals(iii) Disco...

Chapter1 MULTIPLE CHOICE 1. Florence Nightingale’s contributions to nursing practice and education: a. are historically important but have no validity for nursing today. b. were neither recognized nor appreciated in her own time. c. were a major factor in reducing the death rate in the Crimean War. d. were limited only to the care of severe traumatic wounds. ANS: C By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale’s nurses dramatically ...

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse - Answer - b. Distended neck veins A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treat...

SCNM Q4 Capstone Physiology Q1, Q2, and Q3 review/SCNM CLPR Q1 SOAP NOTES/VITALS 2022

Chapter 10: Medical and Surgical Asepsis - Hand Hygiene: Use antimicrobial soap and water when your hands are visibly soiled, before you eat, after using the bathroom, and after contact of bodily fluid. Scrub your hands for 15 seconds - Alcohol based product use 3-5ml of the product - Stand 3 feet away from those coughing - Keep nails short - No gel polish because it increases risk of microbes - Remove jewelry from hands and wrist - Never shake linens - Clean the least soiled area firs...

What is the normal pulse for an average adult? - Answer- 60-100 BPM What is the normal pediatric range of pulse rate for less than 1 years old? - Answer- 100-160 BPM What is the normal pediatric range of pulse rate for 1-2 yo? - Answer- 90-150 BPM What is the normal pediatric range of pulse rate for 2-5 yo? - Answer- 80-140 BPM What is the normal pediatric range of pulse rate for 6-12 yo? - Answer- 70-120 BPM Tachycardia is: a) Fast heart rate b) Slow heart rate c) pulmonary ...

Botox blocks which of the following: A.Acetylcholine receptors B.sodium channels C.exocytosis D.acetylcholinesterase - Answer -Exocytosis The slowest sensory axons are A.group I, type A B.group II, type A C.group III, type A D.type C - Answer -type C Rod sodium channels are regulated by binding which of the following: A.cAMP B.cGMP C.lidocaine D.acetylcholine - Answer -cGMP What stimulates IGF-1 production by the liver? A.somatostatin B.TSH

Can a patient successfully sue a doctor if there is no physician-patient relationship? - Answ- No If there is no prior physician-patient relationship, are you legally obliged to respond to a call from a patient for treatment? - Answ- No Does being on call give rise to a physician-patient relationship? - Answ- No How can one terminate a physician-patient relationship, without abandonment if there is ongoing treatment? - Answ- 30 days written notice; must provide for emergency Does a p...