Assessing a pt for abuse - Study guides, Class notes & Summaries

LOC • Alert: responsive, answer questions appropriately, opens eyes spontaneously. • Lethargic: open their eyes, can answer questions but easily falls asleep. • Stupor: barely responds to painful stimuli (like rubbing the patients’ sternum) • Comatose: unconscious/does not respond to painful stimuli • Decorticate: flexion/ internal rotation of upper extremities, joints and legs • Decerebrate: neck/elbows extension, wrist and finger flexion Torts: unintentional torts- negli...

ATI RN Capstone Comprehensive Exam Test B Latest Update 2023 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority? A. Assess fluid intake every 24 hours B. Ambulate three times a day C. Assist with deep breathing and coughing D. Monitor the incision site for findings of infection C The priority action the nurse should take when using the airway, breathing, circulation approach to client care is to assist the client with deep...

A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A. Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing - Occlusive dressing A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You should A. Apply an air splint and transport B. Apply spinal immobiliz...

PCCN Exam 120 Questions with Verified Answers Two days following a near-drowning accident, a pt is dyspneic, using accessory muscles, expectorating large amounts of secretions and reporting feeling of impending death. Changes to the assessment data include RR- 24 TO 36 CXR clear to bilateral diffuse infiltrates ABG 40% face mask or 100% non-rebreather mask pO2 120 mm Hg to 56 mm Hg pCO2 33 mmHg to 56 mmHg pH 7.42 to 7.35 HCO3 24 meq/L to 27 mEq/L Which of the ff do these changes mos...

 Question 2 1 out of 1 points Central obesity, “moon” face, and dorsocervical fat pad are associated with: A . Metabolic syndrome B . Unilateral pheochromocytoma C . Cushing’s syndrome D . None of the above  Question 3 1 out of 1 points An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender ...

Exam 1 med surg study guide Unit 1 Specialty practice of medical-surgical nursing Promote, restore, or maintain optimal health for patients 18 years and older Nurses must have knowledge, skills, an d attitudes to be Care coordinators Transition managers Caregivers Pt educators Leaders Advocates for the pt and family The joint commission: effective care coordination and transition management Understandable discharge instructions for the patient and family Explanation of self-care activities Ongoi...

Which of the following findings is assoc. with thyroid hypofunction? A. Graves Disease B. Eye Disorder C. Thyroid storm D. Myxedema D. Myxedema Myxedema or myxedema coma is seen in patients with severe hypothyroidism. It refers to the skin changes (thickened skin) seen in chronic severe hypothyroidism. It is a medcial emergency with mortality rates exceeding 20%. It is tx with very high doses of thyroid hormone. A thyroid storm occurs when there is the extreme elevation of thyroid hormone...

PMHNP Exam Reported Questions and Answers Latest August Fall 2022 Test Bank. DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and reprocessing What is dissemination? - Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Confere...

2 yo pt has a resp rate of 30 breaths per minute. This is considered? o Too fast/ inadequate/normal/too slow Reason: Normal 24- 40 • When assessing distal circulatory function in a 3 yo, a reliable indicator is? o Pulse ox/ BP/ Cap refill/ skin temp Reason: Circulation cap refill and pulse • Neonatal 2 week old F is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about? o Altered mental status/cerebral hypoxia/ respiratory acidosis/ ca...

nurse does ED triage. unemancipated minor requests treatment. registration clerk states they need guardian's consent for treatment. which is the nurse's next action? - triage after guardian consent obtained - ask minor about medical reason for seeking treatment - request HCP perform medical screening exam - notify nursing supervisor - Answer- ask the minor about the medical reason for seeking treatment (wrong, picked d) rationale: unemancipated minors may consent to medical treatment ...