Nursecate

Adrenal Crisis “Addisonian Crisis” p. 1178-1179 - A condition in which the pituitary gland doesn’t make enough adrenocorticotropic hormone or ACTH - A medical emergency and potentially life-threatening situation and require immediate emergency treatment - Causes of Adrenal Crisis • When the body cannot produce sufficient amounts of cortisol • Caused by either previously undiagnosed or untreated Addison’s disease • Suddenly stopping intake of glucocorticoids - Signs and Sy...

Question 1 of 10 The critical care nurse has just listened to a lecture on standards of professional performance. The nurse then agrees to serve as a preceptor for undergraduate nursing students who are scheduled for observation in the critical care unit. Which statement by the critical care nurse indicates an understanding of the standards of professional performance? CORRECT • “Professional standards include contributing to the professional development of others.” Precepting student...

· Brain metabolism o Soul source of energy for the brain is glucose. Brain needs glucose to function. Brain cannot store it, but needs a constant supply. If glucose levels start to fall you will some changed. o Cerebral glucose < 70 mg/dL = confusion o Cerebral glucose < 20 mg/dL = damage · Cerebral blood flow · Autoregulation o Changes in pressure o Changes in CO2 ▪ Alters cerebral blood volume with change in blood vessel size o Ability of the blood vessel in the brain ...

• Ethics o Informed consent  Competence  Voluntariness  Disclosure of information o Proxy- makes decisions for patient, designated by state • Comfort and Sedation o Rapid sequence intubation  Succinocholine and etomidate o Conscious sedations  Versed and fentanyl o Reversal for fentanyl narcan o Reversal for versed flumazenil o Medications  Benzos • Versed • Ativan • Valium • Precedex- similar to versed, not as addicting  Opioids • ...

1. Types of Traction Skin: Weights attached to patient’s skin to decrease muscle spams and immobilize the extremity before surgery. Ex Bryant traction (for hip dysplasia in children) and Buck ‘s traction for hip fracture in adult patients). Skeletal: Screws are inserted into bone. Used for long bone fractures such as femur, tibia, fibula, humerus, ulna, radius, metacarpals, phalanges and metatarsals. Halo: used for cervical bone fractures. Nurse should make sure wrench to release rods is ...

• Labs o Creatine kinase MB (CK-MB): 2-6 ng/mL  Release 4-6 hrs after MI  Myocardial muscle  So myocardial muscle death it will release CK-MB, elevated means cell death so a cardiac problem o Troponin: < 0.3 ng/mL  If pt has chest pain, first thing is do ECG and check troponin  Found in cardiac muscle  Enters blood stream before creatine kinase  Go to gold standard for cardiac cell death, rises 3 hours after injury, MI  Elevated levels point to cell dea...

- You cannot get HIV through kissing. - Not a disease you can get casually. - Retroviral disease – it replicates backward – that’s why it is difficult to cure. o Many are living longer with HIV. It is more a chronic disease today. Just like diabetes. - HIV is not AIDS o AIDS is the end stage of HIV. Takes about 8-10 years from HIV to AIDS. o Some do develop AIDS very quickly. - HIV is a virus suppresses/destroys the immune system. - Many will die from opportunistic diseases...

• Question 1 2 out of 2 points Who should be screened regularly for STIs? Selected Answer: c. Women who are sexually active • Question 2 2 out of 2 points All of the following diagnostic testing and procedures are now infrequently performed in clinical practice except: Selected Answer: d. Endometrial biopsy (EMB) • Question 3 2 out of 2 points Which organism causes 90% of vulvovaginal candidiasis episodes in women? Selected Answer: b. Cand...

How can liver and renal diseases result in abnormal uterine bleeding (AUB)? a. They cause an imbalance in platelet aggregation. b. They result in an inability to adequately clear estrogen from the body. c. They cause thyroid dysfunction, which leads to bleeding abnormalities. d. They result in elevated prolactin levels, which lead to bleeding abnormalities. What is now thought to be the most important causative agent in cervical cancer? a. PCOS b. Vulvar cancer c. Herpes simpl...

• Question 1 2 out of 2 points What term refers to the period from about 7 to 10 days before menstrual flow begins until the first or second day of menstrual flow? Selected Answer: d. Perimenstrual • Question 2 2 out of 2 points Where in the breast do most malignancies develop? Selected Answer: b. Upper outer quadrant • Question 3 2 out of 2 points Most functional ovarian cysts will resolve within: Selected Answer: b. 3 months • Qu...