NUR 3045 FINAL EXAM REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+

NUR 3045 FINAL EXAM REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+. Acne- treatment is a topical retinoids, returned and said it’s not working, next give ABX (oral tetracycline ), still not working refer to dermatology.Treatment is working but is causing the face to turn red, DO NOT STOP the medication have them use the topical every other day * Impetigo- honey crusted lesions Treatment: Topical mupirocin ( Bactrobam ) *Pityriasis rosea- herald patch (Christmas tree) found on chest/ abdomen Two possible drug test questions *Morton’s neuroma- Stepping on a pebble, Burning, numbness sensation 3 to 4 metatarsal. What is the name of the test? Squeeze test or Mulder's click” * Adam forward test is the test for scoliosis * Straight leg test Is the test for sciatica *Lumbar stenosis- feels better when sitting *Gold standard for imaging if someone has a back pain? MRI *Tennis Elbow is lateral twisting or grasping it is where it hurt * Addison’s disease- Fatigue, “bronzy or tan skin”. Check cortisol level (low), sodium(low), potassium (high) * Cushing- moon face, obese, check cortisol level (high) sodium (high) potassium (low) * Dawn effect in diabetics- you want to Increase night time insulin. Tend to have a naturally increased morning BS * Somogyi effects in diabetics- a dip (decrease) in BS during the night 3AM- treatment give bedtime snack or decrease night time insulin *PTH- it is the gland you need to check for the calcium. *Which drug to treat essential tremor? Propanolol * COPD- 1st line treatment is anticholinergic/SABA. Still can’t breathe what you do next? Add LABA, still can’t breathe what’s next? Inhaled corticosteroids. If returned? You need to referral. * Asthma- 1st line treatment is the SABA, return b/c using inhaled 3 to 4 times a night add and Inhaled corticosteroids, return using inhaled daily you add then a LABA, Using inhaled every day and every night, you increase the inhaled corticosteroids to medium dose. *Hypercapnia (increase in respiration) retention of CO2 b/c hyperventilation *Patient with emphysema and you percuss what do you hear? Hyper resonance * If a patient has exercise induced asthma what you instructed? 10-15 min before take inhaler * HGA1C- 9 or above started basil insulin What pancreas secret? Secrets insulin, amylase and also “Glucagon” *Fructosamine- name of a sugar test for past 3 to 4 weeks, when you start a new medication, for pregnancy patients. Very expensive test, some insurance doesn’t cover it *What medication causes Gynecomastia in men? Aldactone, Spironolactone * Cholecythiasis- Pain in the right upper abdomen radiating to the back after eating a fatty meal * Diverticulitis- Lower left quadrant pain, a little bloody, a little crampy * anuresis bed wetting, do bladder and bowel training *How long antibiotic treatment for H. pyloric? 14 days * Cranial nerves *Ocular movement- 3,4,6 *Should movement- 11 *Nose- 1 *Ears- 8 *Bell’s palsy- 7 (facial nerve) *Trigeminal- 5 * Subarachnoid hemorrhage SAH- worst headache of my life, sudden, young people after a car accident, older after a fall couples days ago * subdural hematoma SDH- diagnosed with CT, mom brings her 13 years old who fell on skateboard and after that he has been confused no following instruction, difficulty talking * Carpal Tunnel- nerve affected is the median nerve the 2 test are Tinnel and Phalang * gold standard for thalassemia and sickle cell hemoglobin electrophoresis *Tdap will not be given under age 7 NUR 3045 LATRINA WALDEN REVIEW STUD GUIDE LATEST DOWNLOAD 2022 GRADED A+ *Patient with Creatinine elevated and patient is on Digoxin? Check digoxin levels and lower the dose, DO NOT STOP IT!! * Scaphoid Fx (Snuff box)- pain, swelling, tenderness over the thumb/ wrist area Place in Thumb splint or cast, patient follow up in 2 weeks and still complaining of pain, get x-ray * Rotator cuff tear- older lady complaining of shoulder pain, weakness, and can’t get a good sleep, she can lift her arm but it hurt really bad * Difference between Valgus- medium and Varus- Lateral *Galactorrhea- milk production without being pregnant, check the Prolactin levels * Screening test for Syphilis -VDRL or RPR, confirm with FTA-ABS, we notify the health department *What’s another name for condyloma acuminatum? Genital Warts, treat with “Trichloroacetic acid” TCA or cryotherapy *What happens to our breast when we get old? Loose elasticity, slaggy, dense tissue gets replace by fat * Students gets to you and reports no eating or drinking and you found one ulceration on his mouth? The differential is aphthous Stomatitis, you treat with mouth wash, 15 month baby with multiple ulceration on the mouth and lip? Viral Stomatitis, you give baby hydration, cold juice, popsicle, ice cream NUR 3045 LATRINA WALDEN REVIEW STUD GUIDE LATEST DOWNLOAD 2022 GRADED A+ *Legg–Calvé–Perthes disease (LCPD- “Osteonecrosis”- Limping, uneven lengths. Lack of blood flow to the femoral head decreases. Positive Trendelenburg test group B strep test GBS between 35 to 37 weeks in pregnant * Rhogam given at 28 weeks and 72 hours after delivery *Highest risk of suicide? Older white men *The Coombs test will help your doctor determine if you have antibodies in your bloodstream that are causing your immune system to attack and destroy your own red blood cells. * abruptio placenta- painful bleeding, abdomen rock hard, extreme pain, baby needs to get out NOW! *Placenta Previa- non-painful bleeding, noticed in 2-3 trimester. Normally seen after sex. Instructed bed rest and no sex. If she is cramping give IV magnesium sulfate *Bronchiolitis- 1st line treatment cool mist treatment, nebulizer.. NOT ANTIBIOTICS * Croup- harsh, sparkling loud cough… treat with steroid shot dexamethasone * Sickle cell- give all vaccine on time * Heterogeneous- you have a 25% chance of carrying the disease NUR 3045 LATRINA WALDEN REVIEW STUD GUIDE LATEST DOWNLOAD 2022 GRADED A+ * No valium or Benadryl to our elderly patient Esto lo vi en una pregunat pero no es del review de Latrina Mallory-Weiss syndrome (MWS) is a condition marked by a tear in the mucous membrane, or inner lining, where the esophagus meets the stomach. caused by severe vomiting because of alcoholism or bulimia, but can be caused by any conditions which causes violent vomiting and retching such as food poisoning * Cocaine use- nose bleeding with a deviated septum. She is an IV drug user what cdc recommend you test for? Hepatitis C * Marijuana – EXCEPT: does not cause low sperm count * Corneal abrasion- round and irregular * Macular degeneration- central vision loss 1st *Glaucoma, what would you see when you do a funduscopic exam? You will see coping of the optic disc CUP-to DISK * Acute angle closure glaucoma- sudden, painful, halo, corneal cloudy. Send to ER (won’t lose their sight on my watch, close that door send to ER) * Open angle glaucoma- non-painful, slow onset, peripheral vision lost 1st. can’t drive * Retinal detachment- halo, flashes of light, closing Curtin NUR 3045 LATRINA WALDEN REVIEW STUD GUIDE LATEST DOWNLOAD 2022 GRADED A+ * Cholesteatoma(cauliflower ear)- malformation of the ear, foul smelling. Treatment- send to ENT * Stomatitis- ulcerations of the mouth (may see questions like: mom brings baby into the office and won’t eat, assessment ulcers in mouth without any other ulcers on the body). If they mentions ulcer in the mouth, hand and foot, then it is Hand -foot mouth disease * Papilledema- Optic disc swelling with blurred edges (caused by ICP) most common cause HTN. This is Why we should also ask when their last eye exam * Hypertension retinopathy- Retinal hemorrhage, AV nicking (artery crosses vein that causes kinking), Copper wiring arterial