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REXPN. Things to remember Questions and Answers 2024
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REXPN. Things to remember
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REXPN. Things to rememberSchizophrenia - answers/s: illusion (false sensory), delusion (fixed personal belief),
hallucination (perceived experiences, but no sensory)
when hearing voices:
- Do: Validate, listen to music to decrease voices, be factual, use simple statement of
reality, focus on feelings of pt., determine if using drugs if no indication of violence
- Don't: Pretend to heat it too, argue out of delusions
manic episode - answer- recognize language used is due to illness. but set limits to it
also
- don't discriminate if no hx of violence
- stay with pt. to observe is best option
- help them stay in reality
- may experience 'grandiosity'
avolition - answerinability to act on plans
MRSA - answerspreads to direct contact with contaminated surface
Those most at risk are the ones on antibiotics, and those prone to wounds
Therefore, use occlusive tape over cuts and wear PPE when interactive with pt.
blood clot - answer______ increases after delivery.
Therefore, it's important to increase peripheral vasomotor activity to decrease this.
Baby stools colour - answerstart off as balck and sticky meconium. Goes brown/green
to yellow as milk comes in.
over distended bladder - answerThis causes the fundus to displace
Combative patients - answer- do not handle alone
- be pleasant, but firm
- do not let the patient get between you and the door
- do not let a patient's inappropriate response cause one from you
- get help when a patient exhibits inappropriate behavior
Wound sepsis - answerWhen wound becomes contaminated
Not evident until 3-5 days
, A B C - answerairway, breathing, circulation
burn to tissue - answerThis causes peripheral circulation to be unstable.
Therefore, IM meds are less effective than IV.
(IV has increased absorption in this case)
Testes self exam - answerBest to do in shower. Use warm water, as it helps it to be
more palpable.
Insulin - answerA protein hormone synthesized in the pancreas that regulates blood
sugar levels by helping transport glucose through the cell membrane
Do not massage into skin
- does not matter if different insulins are in the same syringe
Alzheimer's patient - answer- Don't give med if this patient doesn't give consent
D/t no evidence that they are incapable
- do not be too complex when being therapeutic. instead, allow them to express their
feelings quietly and distract them
Diaphragm contraception - answerShallow dome shaped device with flexible rim that
covers the cervix. Not as effective without spermicides.
Be alert for s/s of toxic shock syndrome (fever, HA, vomiting, joint pain, low b/p)
Needs annual assessments fit q2years
Pap test - answertest for cervical or vaginal cancer
NEEDED annually
tubial ligation - answersterilization of a women by cutting and tying the uterine tubes
-> the most effective birth control
Moral distress - answernot being able to do what is right
Non-maleficence - answerduty to do no harm
simple carbs - answermonosaccharides and disaccharides eg. sugar and honey
complex carbs - answerstarch and glycogen fibre
HbA1c - answerglycosylated hemoglobin (measured to test for diabetes)
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