Havilah

The nursing instructor teaches the nursing students about the advantages of local anesthetics, such as lidocaine (Xylocaine). What will the best plan of the nursing instructor include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Amides have fewer side effects than esters. 2. Amides block potassium entry into the cell. 3. Amides are similar in structure to cocaine. 4. Amides tend to last longer than ...

. Serum potassium 2. Eye exams 3. Serum glucose 4. Blood pressure Correct Answer: 2 Rationale 1: Serum potassium monitoring is not necessary when the client receives hydroxychloroquine sulfate (Plaquenil). Rationale 2: Blurred vision, inability to read, and visual field disturbances can occur when receiving hydroxychloroquine sulfate (Plaquenil) so the client must have regular eye exams. Rationale 3: Serum glucose monitoring is not necessary when the client receives hydroxychloroquine s...

NATURE OF A FOSSIL; GEOLOGICAL TIME SCALE; DATING METHODS NATURE OF A FOSSIL • Fossils (DEF): provide evidence of pre-existing species. o If favorable conditions: minerals in the ground water will become incorporated in bone or the tooth filling up porous spaces, converting the bone into a rock. o A bone is not a uniformly dense structure rather there are lots of spaces where it can become impregnated with minerals and minerals can also replace some of the organic components of bone c...

Midterm Outline Chapter 1: The Role of the Advanced Practice Nurse as Prescriber Roles and responsibilities of APRN prescribers  Advanced practice  Final decision for meds  Degree of authority and autonomy decided by state by state  Every year updated titling, roles, and prescriptive authority  Scope of practice determined by NP license and licensing jurisdiction  Understand that employment sites may restrict this legal scope but cannot extend it Clinical judgement in...

 Hypothyroidism results from insufficient circulating thyroid hormones  Definition: insufficient secretion of thyroid hormone  Assessment finding: Early hypothyroidism: cold intolerance, lethargy, tiredness, slightly decreased temperature, constipation, weight gain Myxedema: periorbital and peripheral edema, thick speech, hoarseness, alopecia, bradycardia

Hypertension Most commonly prescribed drugs •Thiazides Inhibit reabsorption of Na and Cl ions in distal convoluted tubules in the kidneys •ACE Inhibitors Inhibits the conversion of angiotensin I to angiotensin II •ARBS Prevents angiotensin II from binding to angiotensin II receptors •Beta Blockers Inhibits epinephrine and norepinephrine from binding too beta-adrenoceptors •Calcium Channel Blockers Inhibit Ca+ entry into excitable cells

A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, including diabetes. Oxybutynin chloride, which is an antic...

1. A patient has damage to the cerebellum. Which disorder is most important for the nurse to assess? a. Imbalance b. Hemiplegia c. Muscle sprain d. Lower extremity paralysis ANS: A Damage to the cerebellum causes problems with balance, and motor impairment is directly related to the amount of destruction of the motor strip. A stroke can lead to hemiplegia. Direct trauma to the musculoskeletal system results in bruises, contusions, sprains, and fractures. A complete transection of the s...

Patients with a GSC of less than ___ usually require intubation. 8 The "A" in ABCD stands for _______. Airway maintenance with CERVICAL SPINE PROTECTION You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? Cervical spine injury Flail chest is invariably accompanied by ______ which can interfere with blood oxygenation. pulmonary contusion - do NOT over fluid resuscitate these pat...

ATLS Practice Test 1 Answers & Explanations Treatment of frostbite should be immediate to decrease the duration of tissue freezing, although rewarming should not be undertaken if there is the risk of refreezing. The injured part should be placed in circulating water at a constant 40°C (104°F) until pink color and perfusion return (usually within 20 to 30 minutes). This is best accomplished in a large tank, such as a whirlpool tank. Avoid dry heat since this risks burning the skin, and do...