Sinclairrisk

Reflexes expected at 1 month - Moro until 4 months, Palmer until 4 months, Plantar util 8 months, Babinski (2 years is disease) Signs of fetal alcohol syndrome - small head, shoey palpebral fissure, inner epicanthal folds. Do IEP and early intervention specialist Rhett Syndrome - a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in which the child usually develops normally unitl about 6 to 18 months of age at which characteristics of the syndrome emerge...

Which theory of depression was developed based on observing that patients who were being treated for Hep C developed depressive symptoms? A. The monoamine theory B. The inflammation theory C. The HPA axis theory D. The stress-diathesis theory - b. The inflammation theory Which of the following health conditions have a high co-morbidity with depression? A. Hypertension B. Asthma C. Diabetes mellitus D. Cardiovascular disease E. Celiac disease F. Cognitive impairment G. Obesity H. C...

Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes ETOH withdrawal delirium may result in? - Seizures or death DSM Severity for ETOH - Mild = 2-3 sx Moderate = 4-5 sx Severe = >= 6 sx DSM ETOH Remission Criteria - Early = >3 mos & <12 mos Substantial Remission = >12 mos Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to Treatment CAGE - Cut down Annoyed Guilty Eye-Opener >=2 is c...

increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 3-year-old masturbates, play with self, says naughty things - Normal for Piaget 5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient and call CPS implement crisis 13-year-old want to smoke - - Ask him of his plan to stop smoking 14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 16-year-old falls with the wrong crowd - - Conduct dis...

1.2 milligrams is equal to how many micrograms? - 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function? - Compress the drain, then plug the bulb to establish suction Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action? - Deflate the balloon, advance the catheter further, then reinflate the balloon Your patient has sy...

What is goal of medical surgical nursing? - to promote, restore, or maintain optimal health for patients 18 years and older Safety in healthcare - the ability to keep the patient and staff free from harm and minimize errors in care Delegation - process of transferring a selected nursing task or activity to a competent UAP (unlicensed assistive personnel) Supervision - guidance or direction, evaluation, and follow-up by the nurse to ensure a task/activity is performed appropriately 5 ...

Which patients are at risk for fluid volume excess? A. 64 year old male with a diagnosis of kidney failure B. 46 year old male who is training for a marathon C. 35 year old male with diarrhea and vomiting for the past 2 days D. 83 year old female with a diagnosis of a stroke and has trouble talking - A Which solution is considered a hypertonic IV solution? A. 0.9% sodium chloride B. Total parenteral nutrition C. 0.45% sodium chloride D. Lactated Ringers solution - B What happens ...

Nurse that coordinates and documents pt care in the operating room - circulating nurse Pt often have alteration in mental status when suffering from this urinary disorder - urosepsis the lab work order to monitor the effectiveness of Synthroid dosage - TSH most serious complication of casting and splinting which occurs when increased pressure within a confined space compromises blood flow and low perfusion - compartment syndrome most common surgical urinary diversion and it also know...

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis? 1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC) 2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC) 3. Respiratory Status: Ventilation (NOC) and Respiratory Monitor...

Mechanical ventilation is commonly indicated in all of the following conditions except a. pneumothorax. b. drug overdose. c. status asthmaticus. d. thoracic surgery. - A During spontaneous breathing, air is drawn into the lungs by a. collapsing alveoli. b. low oxygen levels. c. negative pressure. d. positive pressure - C For a patient on mechanical ventilation, total collapse of the alveoli can be prevented by a. low tidal volumes. b. PEEP. c. an inspiratory/expiratory (I/E) rat...

A nurse is discussing restorative health care with a newly licensed nurse. Which examples should the nurse include in the teaching ? - Home health care, rehabilitation facilities, skilled nursing facilities. A nurse is explaining the various types of healthcare coverage clients might have to a group of nursing students. Which health care financing mechanisms are federally funded? - Medicare and Medicaid A nurse manager is developing strategies to care for the increasing number of clients w...

A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care -ANS: B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000 deaths result each year from errors in hospital care, accordin...

A 77-year-old woman is brought to the emergency department by her family after she has had diarrhea for 3 days. The family tells the nurse that she has not been eating or drinking well, but that she has been taking her diuretics for congestive heart failure (CHF). Her laboratory results include a potassium level of 3.0 mEq/L. What does the nurse include in the patient's medication teaching? Select all that apply. 1 Diuretics increase fluid retention. 2 Laxatives can lead to fluid imbalance. ...

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illnesses C. Older adults in a nursing home D. Working adults in a corporate setting - B. Hospitalized adults with acute and chronic illnesses Rationale The scope of medical-surgical nursing, someti...

What is the purpose of a debrief? - Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height - Three times How many breaths/minute do you deliver through the bag-mask device? - 10-12/ min or 1 every 5-6 sec An O2 sat of __% or higher is associated with effective ventilation - 94% Explain the difference between deceleration forces and acceleration forces? - Deceleration forces include injuries that are caused by a sudden s...

Splenic injury-narrowing PP - On going blood loss Difficult intubation elderly - Cervical arthritis Mandate report - 6 yr old loop bruising Obese hypo-ventilation - Increase airway resistance Decrease chest wall compliance Increase intra-abd pressure Facial Fx - CSF Tamponade - Muffled heart tones JVD Hypo-tension Tamponade Tx - Peri-cardio-centesis Hr 146 RR increased BP decreased Moan to pain - Decomp shock Early sign of Increased ICP - N/V Disaster management...

Components of SBAR and its purpose - S: Situation - B: Background - A: Assessment - R: Recommendation - Purpose- to provide framework for communication amount members of the healthcare team - p. 7 - Components of DESC and its purpose - D: Describe the specific situation or behavior - E: Express your concerns or how the situation makes you feel - S: Suggest alternatives and seek agreement - Purpose- used in conflict management; paraphrasing the other pe...

What is kinetic energy (KE)? - KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? - A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental controls (remove clothing and keep the patient warm) What is the Mnemonic for the Secondary Assessment? - F = Full set of VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and gastric t...

Biomechanics - Is the general study of forces & their effects Kinematics - Is the study of energy transfer as it applies to ID'ing actual or potential injuries Mechanism of Injury (MOI) - Is how external forces are transferred to the body, resulting in injury Newton's 1st Law of Motion - A body @ rest, stays @ rest unless acted on by an outside force Newton's Second Law - The acceleration of a body is parallel & directly proportional to the net force acting on the body, is in the ...

What are different tools to assess pain? - 1-10 scale, face scale When is a patient's pain level tolerable? - When they say it is How soon after giving a pain medication should you reassess a patient's pain level? - IV - 30min or less, PO - 30min-1hr What are standard precautions used for? - Every patient What is droplet precautions used for? - Flu, RSV, Pertussis, R/O Meningitis A patient with pneumonia pneumonia is on which type of precaution? - Standard - however is the patie...