AHN 568COMPILED EXAMS PACKAGE DEAL ALL GRADED TO PASS

During palpation of the pericardium you feel a thrill in the apex area late in diastole, you know that this finding is consistent with which murmur? - Aortic Stenosis - Pulmonic Stenosis - Mitral Stenosis - Mitral Regurgitation - ️️Mitral stenosis - the apex clues you in that this involves ...

Allen test? - ️️Before radial art line. Patient clench fist until blanched. Occlude radial and ulnar arteries, release ulnar artery. Blood flow under 15 seconds. What patients benefit from Swan? - ️️Cardiogenic shock, pulmonary artery hypertension, severe chronic heart failure, heart lung...

Relative refractory periods - ️️occurs towards the end of the T-wave when most ventricular cells are repolarized and vulnerable to new stimuli; can lead to VT if PVC lands during this time Refractory = resistant Supraventricular Tachycardia (SVT) - ️️§ regular but fast rhythm § rate 1...

Murmur grades - ️️Grade I: barely audible. very faint and may not be heard by professionals Grade II: Quiet, soft, and audible. Grade III: Moderately loud. audible w/o thrill Grade IV: Loud, but still of intermediate intensity; palpable vibration or thrill; detection of a palpable thrill in...

Helps patients say the why and how they might change? - ️️Motivational interviewing. Points out the pros and cons of a given behavior. 2 depression screening questions? - ️️Past 2 weeks, are you down, depressed, or hopeless? 2 weeks have you felt little interest or pleasure in doing thing...

HypoCalcium Management, Asymptomatic - ️️1. Chronic 2. Calcium carbonate 2-3 gm divided doses daily 3. Adjunct therapy: docusate/senokot 4. Adequate fluid intake 5. Vitamin D supplement: Calitriol (Rocaltrol) 0.5-2mcg/day Severe HypoNatremia management - ️️1. Only hypotonic hyponatremia...

What is the proper location for a Chest Tube? - ️️fourth to fifth intercostal space in the anterior or mid axillary line at the horizontal level of the nipple; once this is felt, move hand laterally toward anterior axillary line which is the area of incision, the insertion site is one interco...

The bell of your stethoscope can be used to detect low pitch sounds including S3, S4, and which diastolic murmur? - Aortic stenosis - Pulmonic Stenosis - Mitral Stenosis - Mitral regurgitation - ️️Mitral stenosis - this is the only diastolic murmur listed. The bell of the stethoscope will ...

What model acknowledges the different yet complementary perspectives of the clinician and patient? - ️️Disease illness distinction model. Helps patients say the why and how they might change? - ️️Motivational interviewing. Points out the pros and cons of a given behavior. Part of the ass...

HyperNatremia Management - ️️1. >145 mEq/L 2.Correct 1-2 mEq/L to avoid cerebral edema. 3.D/c or reduce saline administration. 4. Increase oral water intake. 5.Mild volume depletion: D5%W 6. Moderate volume depletion: 0.45% NS 7. Severe volume depletion: 0.9% NS; follow with 0.45%NS or ...