Archer Cat Rationales Questions And Answers Solved 100% Correct!!

Archer Cat Rationales Questions And Answers Solved 100% Correct!! Standard practice of infusing a unit of packed Red Blood Cells (PRBCs) is? Between 90 minutes and 4 hours When do you initiate blood after receiving it from the blood bank? Within 30 minutes -blood should not be returned to the blood bank for reissue Silent chest or absents of wheezing during asthma attack is? Complete obstruction, very bad! Most infants with atrioventricular canal also have a diagnosis of? Trisomy 21 - down's syndrome. -Can also present with an ASD or VSD Cholecystitis -Abdominal pain, colicky in the epigastric area that may radiate to the back and shoulder, triggered after eating fatty or fried foods. -Most common in overweight women older than 40 Gastric ulcer -ulceration of the mucosal lining that extends to the submucosal layer of the stomach -gnawing, sharp pain at the left mid-epigastric region 30-60 min after a meal Appendicitis -inflammation of the appendix, manifested by pain in the periumbilical area that descends to the right lower quadrant Cirrhosis -chronic hepatic disease characterized by diffuse destruction of hepatic cells, which are replaced by fibrous cells BMI -Underweight: Under 18.5 -Normal: From 18.5 to 24.9 -Overweight: From 25 to 29.5 -Obesity: From 30 to 39.9 -Extreme obesity: Over 40 Priority nursing action for a child that presents with the following: tripod positioning, blue lips, mottled skin, inspiratory stridor, and excessive drooling with vitals of t: 39 c, hr 188, rr 46, O2 82%. What is the priority action? -Keep the child calm and call for emergency airway equipment -Placing the child on high flow nasal cannula at 100% FiO2 may seem right bc O2 is 82% but is not the priority Why do you not check the cervix in a client with placenta previa? Because it develops in a problematic spot, either close or over the cervical os. To prevent bleeding or premature labor, women with placenta previa shouldn't have their cervix checked manually. Instead, an ultrasound may be performed. If you mistakenly give another women's breast milk to another child. You should...? -Inform the parent of the child you are feeding, inform the mother of the child whose milk you fed to the child, complete an incident report per facility policy, inform the providers who are caring for the infants, also assess both of the mothers for any infectious process -education: risk of transmission of disease is small Grief that are not normal and require intervention -Complicated grief: maladaptive coping methods with the loss and the loss of normal functioning six months after the injury -Unresolved grief: exaggerated and prolonged period of mourning The maximum dosage of acetaminophen with long term use should be limited to no more than? 3,000 mg per day The daily dosage acetaminophen is no more than? 4000 mg when the client is at risk for hepatic damage Hypercarbia increased carbon dioxide levels in the blood When experiencing conflict with another nurse that is not resolvable between the parties, what is the most appropriate action for the nurse moving forward? Report the conflict to the assigned charge nurse of the unit. Avian influenza (bird flu) -Abdominal pain, diarrhea, SOB, epistaxis -Ask if client has traveled recently in Asia or the Middle East -Airborne and contact precautions immediately Dermal layer (second-degree burn) - partial thickness burn -Different from the first degree burns bc blisters do form, and the skin is moist and red. These burns extend through the upper dermis and into the lower layer of the dermis where most pain sensory receptors are located. This makes the second degree burns the most painful burns First-degree burn the most superficial type of injury. The skin remains intact, and there is no break in the integrity of the epidermis. No blisters, only erythema or redness. Can be painful to touch but not as painful as partial thickness burns Third-degree burn (full-thickness burns) red, tan or black and dry and leathery. They involve nerve endings and destroy them, making them less painful than other burns 4th-degree burn (full-thickness burn) same characteristics as third degree burns but also expose muscle, bone, tendons, and ligaments C6-C7 spinal cord injury can.. -Retain some ability to extend shoulder, arms, and fingers with compromised dexterity in the hands and fingers. -Has the potential to change everything below the top of the ribcage, resulting in quadriplegia or paraplegia Rehabilitation focus: on learning to use the non-paralyzed portions of the body to regain varying levels of autonomy - may be able to drive a modified car with hand controls, can control motorized wheelchair, using crutches, swimming, electric bicycles and walking Presumptive signs of pregnancy include? -Amenorrhea, frequent urination, pigment changes in the skin Probable sign of pregnancy OTC pregnancy test and changes in reproductive organs Cranial nerve II Optic nerve -Client outcome: who is adversely affected with an impairment of the their 2nd CN, is at risk for falls Things to check for before performing a digital rectal exam? -Check aging male patients for BPH or prostate enlargement - difficulty starting a stream of urine or completely emptying their bladder Bulimia nervosa clients usually resort to which substance abuse disorder? -Amphetamine use as an additional way to control weight. Normal assessment vital signs for a toddler (1-4 years old) -BP: 80 to 112 mm hg over 50 to 80 mm Hg -Temp: 98.6 degrees -Pulse rate: 90 to 140 bpm -Resp. Rate: 20 to 40 per min Rules of 9 Head = 4.5 Arms = 4.5 Chest & upper back = 9% Abdomen & lowerback = 9% Legs: front and back 9% Groin = 1 Gastrostomy tube: enteral feedings -Enteral feedings = elevate head to prevent reflux and aspiration pneumonia -Prepared or open formula should be used within 24 hrs and unused portions should be stored in the fridge -If diarrhea for 2-3, call doctor or nurse -Consistent weight fain of more than 0.5 lb/day over several days should be reported promptly -- evaluate for fluid volume excess Why is nitrous oxide given together with thiopental sodium (pentothal)? To increase the effectiveness of each drug at lower dosages Nitrous oxide is used for? Dental procedures or brief obstetrical or surgical procedures, allows the patient to remain conscious and follow instructions while experiencing full anesthesia, can be used alone or with others Physiological indicators of pain -Variations in HR, BP, O2 sat and breathing patterns -Pain increases: HR, and BP, decreases in oxygen sat, and more rapid or shallow breathing -Big limitation of physiological indicators is that these variations may be due to the underlying illness itself rather than the pain. This makes them less specific for pain.