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Review Kennedy and Dunphy readings for age related changes Replicative senescence is theory states that cells can replicate or divide a specific number of times. This ability tends to decrease with age. Oxidative damage is the cumulative result of the aer
Review Kennedy and Dunphy readings for age related changes 
Replicative senescence is theory states that cells can replicate or divide a specific number of times. This ability tends to decrease with age. 
Oxidative damage is the cumulative result of the aerobic metabolism, which generates chemicals called free radicals. Free radicals may interact with other chemicals in the body and cause damage to cells. 
Telomere shortening is a theory that links aging to a reduction in cell division. Weakenin...
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- • 63 pages •
Review Kennedy and Dunphy readings for age related changes 
Replicative senescence is theory states that cells can replicate or divide a specific number of times. This ability tends to decrease with age. 
Oxidative damage is the cumulative result of the aerobic metabolism, which generates chemicals called free radicals. Free radicals may interact with other chemicals in the body and cause damage to cells. 
Telomere shortening is a theory that links aging to a reduction in cell division. Weakenin...
A >12% change from pre-bronchodilator to post-bronchodilator results indicate which of the following ? the obstruction is not reversible the patient has emphysema the patient has mild COPD the obstruction is reversible An increase in the FEV
A >12% change from pre-bronchodilator to post-bronchodilator results indicate which of the following ? 
 
 
the obstruction is not reversible 
 
 
the patient has emphysema 
 
the patient has mild COPD 
 
 
 
the obstruction is reversible 
 
An increase in the FEV 1 of > 12% after 2 bronchodilator puffs indicates reversibility. A postbronchodilator increase of < 12% indicates the condition is not reversible. Dunphy p. 399, Week 2: Spirometry video - Khan Academy 
 
The nurse practition...
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A >12% change from pre-bronchodilator to post-bronchodilator results indicate which of the following ? 
 
 
the obstruction is not reversible 
 
 
the patient has emphysema 
 
the patient has mild COPD 
 
 
 
the obstruction is reversible 
 
An increase in the FEV 1 of > 12% after 2 bronchodilator puffs indicates reversibility. A postbronchodilator increase of < 12% indicates the condition is not reversible. Dunphy p. 399, Week 2: Spirometry video - Khan Academy 
 
The nurse practition...
I.	A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has had a minimally productive cough for several years that does not bother her. On further questioning, she states that her breathing gets much worse when
I.	A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has had a minimally productive cough for several years that does not bother her. On further questioning, she states that her breathing gets much worse when she lies down. The most likely cause of her dyspnea is: 
 
Cardiac 
 
 
 
II.	A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness. He states that sweating, tachycardia, and some hand trembling are often...
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I.	A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has had a minimally productive cough for several years that does not bother her. On further questioning, she states that her breathing gets much worse when she lies down. The most likely cause of her dyspnea is: 
 
Cardiac 
 
 
 
II.	A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness. He states that sweating, tachycardia, and some hand trembling are often...
Atypical Squamous Cells of Undetermined Significance (ASCUS) o	Reflex testing for HPV on abnormal PAP results and repeat testing is based on those 	results	 Atypical Glandular Cells (AGCs) o	More common in older women (ages 40-69 years) o	1/3 of cases
Atypical Squamous Cells of Undetermined Significance (ASCUS) 
o	Reflex testing for HPV on abnormal PAP results and repeat testing is based on those 
 	results	 
 
Atypical Glandular Cells (AGCs) 
o	More common in older women (ages 40-69 years) 
 
o	1/3 of cases are associated with pre-malignancy or malignancy 
 
o	Risk of cancer increases with age 
 
o	Refer for Endometrial Biopsy 
 
 
Low-Grade Squamous Intraepithelial Lesions (LSIL) 
o	Cervical cells are mildly abnormal 
 
o	Usually caused by ...
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- • 31 pages •
Atypical Squamous Cells of Undetermined Significance (ASCUS) 
o	Reflex testing for HPV on abnormal PAP results and repeat testing is based on those 
 	results	 
 
Atypical Glandular Cells (AGCs) 
o	More common in older women (ages 40-69 years) 
 
o	1/3 of cases are associated with pre-malignancy or malignancy 
 
o	Risk of cancer increases with age 
 
o	Refer for Endometrial Biopsy 
 
 
Low-Grade Squamous Intraepithelial Lesions (LSIL) 
o	Cervical cells are mildly abnormal 
 
o	Usually caused by ...
BOX 20-6 Treatment of Uncomplicated Gonococcal Infections of the Cervix, Urethra, and Rectum Ceftriaxone 250 mg IM in a single dose or Cefixime 400 mg orally in a single dosea or Other single-dose injectable cephalosporin regimensb (ceftizoxime 500 mg IM
BOX 20-6 Treatment of Uncomplicated Gonococcal Infections of the Cervix, Urethra, and Rectum 
Ceftriaxone 250 mg IM in a single dose 
or 
Cefixime 400 mg orally in a single dosea 
or 
Other single-dose injectable cephalosporin regimensb (ceftizoxime 500 mg IM, cefoxitin 2g IM with probenecid 1 gm orally, or cefotaxime 500 mg IM) 
plus 
Azithromycin 1 gm orally in a single dose (preferred) 
or 
Doxycycline 100 mg orally 2 times a day for 7 days 
Women with gonorrhea often remain asymptomatic, wi...
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- • 149 pages •
BOX 20-6 Treatment of Uncomplicated Gonococcal Infections of the Cervix, Urethra, and Rectum 
Ceftriaxone 250 mg IM in a single dose 
or 
Cefixime 400 mg orally in a single dosea 
or 
Other single-dose injectable cephalosporin regimensb (ceftizoxime 500 mg IM, cefoxitin 2g IM with probenecid 1 gm orally, or cefotaxime 500 mg IM) 
plus 
Azithromycin 1 gm orally in a single dose (preferred) 
or 
Doxycycline 100 mg orally 2 times a day for 7 days 
Women with gonorrhea often remain asymptomatic, wi...
Question 1.Question :	Which of the following is a crucial element of developing a guideline? Student Answer:	Creating a physician expert panel Reviewing the literature with ratings of available evidence Conducting an external review of a guideline Develop
Question 1.Question :	Which of the following is a crucial element of developing a 
guideline? 
Student Answer:	Creating a physician expert panel 
Reviewing the literature with ratings of available evidence Conducting an external review of a guideline Developing evidence-based 
tables Points Received:	2 of 2 
Comments: 
 
Question 2.Question :	African American patients seem to have a negative reaction 
to which of the following asthma medications? 
Student Answer:	Inhaled corticosteroids 
Long-te...
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Question 1.Question :	Which of the following is a crucial element of developing a 
guideline? 
Student Answer:	Creating a physician expert panel 
Reviewing the literature with ratings of available evidence Conducting an external review of a guideline Developing evidence-based 
tables Points Received:	2 of 2 
Comments: 
 
Question 2.Question :	African American patients seem to have a negative reaction 
to which of the following asthma medications? 
Student Answer:	Inhaled corticosteroids 
Long-te...
The phrase usual and customary refers to: The success rate of a specified procedure. How much an insurer will charge to provide coverage. Correct Answer How charges for a service compares with charges made to other persons receiving similar services and
The phrase usual and customary refers to: 
The success rate of a specified procedure. 
How much an insurer will charge to provide coverage. 
Correct Answer 
 How charges for a service compares with charges made to other persons receiving similar services and supplies. 
How an insurer evaluates the need for an ordered diagnostic test. 
 
The phrase usual and customary refers to the comparison of charges with other like charges for services and supplies received in the immediate vicinity as well ...
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- • 9 pages •
The phrase usual and customary refers to: 
The success rate of a specified procedure. 
How much an insurer will charge to provide coverage. 
Correct Answer 
 How charges for a service compares with charges made to other persons receiving similar services and supplies. 
How an insurer evaluates the need for an ordered diagnostic test. 
 
The phrase usual and customary refers to the comparison of charges with other like charges for services and supplies received in the immediate vicinity as well ...
A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. The pain has progressively worsened, and he
A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman, and McMurray tests; left hip with decreased in...
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- • 25 pages •
A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman, and McMurray tests; left hip with decreased in...
NR 511 WEEK 1 Study Quiz Define diagnostic reasoning Reflective thinking because the process involves questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidenc
NR 511 WEEK 1 Study Quiz 
 
 
Define diagnostic reasoning 
 
Reflective thinking because the process involves questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidence. 
 
Seen as a kind of critical thinking. 
 
What is subjective data? 
 
●	What the patient tells you, complains of, etc. 
●	Chief complaint 
●	HPI 
●	ROS 
 
What is objective data? 
 
What YOU can see, hear, or feel as part of your ...
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- • 10 pages •
NR 511 WEEK 1 Study Quiz 
 
 
Define diagnostic reasoning 
 
Reflective thinking because the process involves questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidence. 
 
Seen as a kind of critical thinking. 
 
What is subjective data? 
 
●	What the patient tells you, complains of, etc. 
●	Chief complaint 
●	HPI 
●	ROS 
 
What is objective data? 
 
What YOU can see, hear, or feel as part of your ...
I.	Define diagnostic reasoning Reflective thinking because thhe process involves questioning one's thinking to determine if all possible avenues have been explored & if thhe conclusions that are being drawn are based on evidence. Seen as a kind of cri
I.	Define diagnostic reasoning 
Reflective thinking because thhe process involves questioning one's thinking to determine if all possible avenues have been explored & if thhe conclusions that are being drawn are based on evidence. 
 
Seen as a kind of critical thinking. 
 
II.	What is subjective data? 
Anything thhe patient tells you or complains of regarding thheir symptoms 
 
Chief complaint HPI 
ROS 
 
III.	What is objective data? 
Anything YOU can see, touch, feel, hear, or smell as part of...
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- Exam (elaborations)
- • 75 pages •
I.	Define diagnostic reasoning 
Reflective thinking because thhe process involves questioning one's thinking to determine if all possible avenues have been explored & if thhe conclusions that are being drawn are based on evidence. 
 
Seen as a kind of critical thinking. 
 
II.	What is subjective data? 
Anything thhe patient tells you or complains of regarding thheir symptoms 
 
Chief complaint HPI 
ROS 
 
III.	What is objective data? 
Anything YOU can see, touch, feel, hear, or smell as part of...