Vkosky73

1. The nurse is caring for a patient experiencing an acute exacerbation of multiple sclerosis (MS). Which pathophysiological change should the nurse recognize as causing the manifestations of MS? a. Myelin buildup in the central nervous system b. Demyelination and destruction of nerve fibers c. Gamma aminobutyric acid (GABA) deficiency d. Reduced acetylcholine receptors with impaired nerve impulse transmission - B. Demyelination and destruction of nerve fibers In multiple sclerosis, t...

The nurse is reviewing the medication history of a preoperative patient who is NPO. The patient is noted to have been on long-term oral steroid therapy. What action should the nurse take? a.Monitor vital signs and document. b.Administer the steroid medication topically. c.Hold steroid medication while the patient is receiving nothing by mouth. d.Ensure that the physician is informed of the patients history of steroid use. - d.Ensure that the physician is informed of the patients his...

ADHD - attention deficit hyperactivity disorder Adolescent - •Questions existing moral values and his or her relevance to society •Becomes more aware of contradictions in adults' value systems adren/o, adrenal/o - adrenal glands Adult - •Strives to make sense of the contradictions and learns to develop own set of morals and values •Begins to make choices that are based on an internalized set of principles advance directives - Patient's wishes are made known through execution of...

1. A 45-year-old patient reports a recent onset of unilateral shoulder pain which is described as diffuse and is associated with weakness of the shoulder but no loss of passive range of motion. What does the provider suspect as the cause of these symptoms? a. Acromioclavicular joint disease b. Cervical radicular pain c. Glenohumeral arthritis d. Rotator cuff injury - D. Rotator Cuff Injury Rotator cuff injury is usually characterized by diffuse pain, weakness of the joint, but no c...

1: Signing and Adhering to the Code or Conduct - To begin your certification process the first document you will want to familiarize yourself with is the Notary Signing Code of Conduct; it has become a requirement for certification that all NSAs read throu gh it and sign, starting that he or she promises to abide by the Code in his or her professional practice 2: Passing the Annual Certification Exam - The exam contains 45 questions, meaning you must correctly answer 36 of them to pas...

Blank Certificates - Never complete and return an extra acknowledgment or jurat that is not attached to a document. It is illegal Borrowers Certification Authorization - This document certifies all of the information provided in the loan application is true and complete. This is the Borrower's Certification and Authorization. By signing this document the borrower agrees and certifies that the information contained in the borrower's loan application is true and complete, without misre...

co-opertive learning model - CL model - pupils working together on clearly assigned tasks - groups purposefully selected by teacher based on diversity and complementarity - pupils work without direct supervision of teacher - children getting a range of experiences with different pupils - student learn co-operative skills which ^ their empathy, and they disrupt lessons less Constraints-Led Approach - purposeful manipulation of key constraints in an effort to acquire movement skills and ...

as minerals are shipped from all over the world to Asia for manufacturing + then shipped back across the world for consumption, what does this create? - global trading network Manufacturing of technological devices mostly occurs where? - in Asian NIC's such as Taiwan what are strategies to reduce environmental impacts of extraction, of a mineral resource project? - - Water sprayed on mine roads to reduce toxic dust in air - Choosing not to mine environmentally sensitive areas - On-sit...

A patient diagnosed with chronic obstructive pulmonary disease reports daily symptoms of dyspnea and cough. Which medication will the primary health care provider prescribe? a. Ipratropium bromide b. Pirbuterol acetate c. Salmeterol xinafoate d. Theophylline ANS: A - Ipratropium bromide is an anticholinergic medication and is used as first-line therapy in patients with daily symptoms. Pirbuterol acetate and salmeterol xinafoate are both beta2-adrenergics and are used to relieve br...

A 17-year-old male is brought to the clinic by a parent who is concerned that the patient has become more isolated and withdrawn and expresses suspicions that his teachers hate him and want him to fail. What will the provider tell this parent? a. The adolescent should be evaluated by a psychiatrist. b. The adolescent should be given a trial of antipsychotic medications. c. These are common adolescent behaviors and will eventually go away. d. These signs are diagnostic for schizophrenia. ...

A patient develops a hospital-acquired surgical wound infection. Which organism should the nurse recognize as being the most likely cause of this infection? a. Shigella b. Salmonella c. Campylobacter d. Staphylococcus aureus - D Staphylococcus aureus is the most common pathogen causing hospital-acquired surgical wound infections. A patient is admitted for treatment of an antibody-antigen response. What should the nurse explain to the patient about this response? (Select all that app...

A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopoid maneuvers. Which of the following images indicates the first step of Leopoid maneuvers? - Picture of nurse palpating top of belly; where bottom is A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. Which planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medicat...

A cardiac care nurse is aware of factors that result in positive chronotropy. These factors would affect a patients cardiac function in what way? A. Exacerbating an existing dysrhythmia B. Initiating a new dysrhythmia C. Resolving ventricular tachycardia D. Increasing the heart rate - Ans: D Feedback: Stimulation of the sympathetic system increases heart rate. This phenomenon is known as positive chronotropy. It does not influence dysrhythmias. A group of nurses are participating in o...

A nurse is caring for a patient who has sickle cell anemia and the nurses assessment reveals the possibility of substance abuse. What is the nurses most appropriate action? A) Encourage the patient to rely on complementary and alternative therapies. B) Encourage the patient to seek care from a single provider for pain relief. C) Teach the patient to accept chronic pain as an inevitable aspect of the disease. D) Limit the reporting of emergency department visits to the primary health care ...

Accountability in Nursing (227) - Being answerable for the actions or interventions one performs as a nurse; taking responsibility for professional growth; RN is accountable to herself, pt, society, and profession. As a charge nurse, what is the best way to get feedback from the multiple generations of nurses in your unit? - Consider everyone's view-points. Everyone should be involved. IMPUT FEEDBACK. Think: democratic leader. Clara Barton (193) - Nurse during the Civil War; founder o...

"My instructors did not go over all of the material on the exam." "I probably would have passed if it wasn't so cold in the room." "If someone would have told me that it was going to be so difficult then I would have been more prepared." - A student takes the NCLEX-RN® exam and does not pass. Which of the following statements are examples of external locus of control (select all that apply)? 1 5/7 - 3 × 4/7= 1/2 - The lowest fraction 10/20 can be reduced to is: 3 3/4 - The ...

1. A geriatric nurse is teaching student nurses about the risk factors for development of delirium in older adults. Which student statement indicates that learning has occurred? A. Taking multiple medications may lead to adverse interactions or toxicity. B. Age-related cognitive changes may lead to alterations in mental status. C. Lack of rigorous exercise may lead to decreased cerebral blood flow. D. Decreased social interaction may lead to profound isolation and psychosis. - ANS: A The ...

A forensic nurse assesses a child who has injuries that indicate possible abuse. What is the best way to document the assessment findings? a. Tape recorded statements from the child b. Digital photographs of injuries c. Video recording to record statements and show injuries d. Written documentation and photography - D Documentation of all forms of violence should include written documentation as well as photography. A forensic nurse has collected trace evidence. Which of the following ...

A 46-yr-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center. Which instructions should the nurse provide to the patient before discharge? a. Sitting at the work counter, rather than standing, is recommended. b. Exercise, such as walking or jogging, can cause recurrence of varicosities. c. Elastic compression stockings should be applied before getting out of bed. d. Taking an aspirin daily will help prevent clots from form...

2. A staff nurse has demonstrated the ability to be competent as a participant in surveillance and investigation activities. What skills would you expect that nurse to possess? Select all that apply. a. The ability to identify appropriate data sources b. The ability to communicate effectively using written reports c. The ability to collaborate with community agencies d. The ability to create a budget - ANS: A, C, D The staff nurse must have analytic assessment skills, communication skil...