Expert Minds

when is autonomy not applied to patient care (Ans- if the individual does not have the mental competency to make decisions for themself patients’ bill of rights (Ans- language prohibiting paternalistic and discriminatory principles i.e. withholding information from client informed consent (Ans- a legal document protecting the clients right to self-determination, before procedure or something like that how is veracity related to informed consent (Ans- clients have right to know...

Administration of MAOI (Phenelzine) (Ans- 2 to 4 weeks to ascertain the onset of the full therapeutic effect. phentolamine or another adrenergic blocker standby in case of hypertensive crisis. Safety and S/E of MAOI (Phenelzine) (Ans- Dizziness, vertigo, headache, overactivity, hyperreflexia, tremors, mania, weakness, drowsiness, fatigue, sweating, orthostatic hypotension, constipation, diarrhea, dry mouth, edema, anorexia, potential for hypertensive crisis. Risk of suicidality. ...

Which four environmental observations should the nurse address first with this older adult client? (Ans – -Lack of fresh foods -Medications in a box near a chair -Multiple small rugs on the floor -Handrail on front steps For each environmental assessment finding in the left column, click to specify if the finding is a fall risk, nutritional risk, other health risk, or no risk. Select only one option for each row. (Ans - Fall Risk: -Handrail on front steps loose -Multiple small rug...

A 3-year-old boy is brought to the emergency department by his mother. He is lethargic, with retractions and nasal flaring. He has a respiratory rate of 70/min, with warm extremities and brisk capillary refill. Which immediate life-threatening condition could this child's condition most likely progress to if left untreated? (Ans- Respiratory Failure You are evaluating a 10-year-old child who is febrile and tachycardic. The child's capillary refill time is 5 seconds. What parameter w...

Which of the following is likely to be the most helpful technique to identify potentially reversible metabolic and toxic causes during the attempted resuscitation of a young child in cardiac arrest? - Obtaining a urine sample for toxicology screen - Obtaining chest and abdominal radiographs - Soliciting a history from the caregiver or family - Obtaining a venous blood gas (Ans- Soliciting a history from the caregiver or family You are caring for a patient who developed a tension pneumoth...

A 10-year-old child is being evaluated for a head ache. Which is a normal finding for this 10-year-old child? A. Blood pressure of 60/50 mm Hg B. Heart rate of 88/min C. Respiratory of 8/min D. Temperature of 39.6 C (103.2 F) (Ans- B. Heart rate of 88/min A 6-year-old boy is being evaluated for difficulty breathing. Which finding would suggest this child has respiratory distress? A. Audible inspiratory stridor B. Decreased respiratory effort C. Oxygen saturation of 95% D. Respiratory...

A child is unresponsive and is not breathing. You have activated the emergency response system and your pulse check reveals that the child has a pulse. What should you do now? 1. Perform a brief head to toe assessment. 2. Place the child in the recovery position. 3. Give epinephrine 1mg IV push 4. Open the airway and provide ventilations and oxygen. (Ans- 4. A child is unresponsive and is not breathing. Emergency response was activated and now a pulse check shows that the child does hav...

You are caring for a patient who developed a tension pneumothorax after several hours of positive-pressure ventilation. Which of the following would be the most appropriate site for needle decompression? Over the third rib at the midclavicular line Under the eighth rib at the midaxillary line Over the fifth rib at the sternal border Under the sixth rib at the midclavicular line (Ans- Over the third rib at the midclavicular line You attempted synchronized cardioversion for an infant with...

You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) associated with respiratory distress. Bradycardia persists despite establishment of an effective airway, oxygenation, and ventilation. There is no heart block present. What first drug should you administer? (Ans- *Epinephrine* You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You deliver 2 unsynchronized shocks. A team member established IO acce...

What other preparedness activities are appropriate now? (Answer- Appropriate Preparedness Activity -Schedule training sessions -Ensure emergency radios are working and accessible -Prepare a contact list of incident command staff Not Appropriate Preparedness Activity: -Move personal protective equipment carts to every room -Conduct an after-action review -Install new smoke detectors to replace those over 10 years old Which action is most appropriate for John to take next...