THE PERFECTIONIST

A 16 year old patient was admitted to the unit for asthma exacerbation. The patient has a suicide attempt the previous shift and states "I want to die because I am being bullied at school." Which of the following is the MOST important action? - Place the patient on suicide precautions to prevent a second suicide attempt A 78 year old male is admitted from the ED for syncope with ground level fall. You note his heart rate is 50 and the patient is confused. His daughter states she think...

3 Drugs can cause cardiac toxicity - doxorubicin traztuzmab (herceptin) pertuzamab (perjeta) 3 Hormonal Therapies - -anastrozole (Armidex) -biculatamide (Casodex) -Tamoxifen (Soltaox) 1500 - Neutropenic Level Alcohol - Solvent used in Carmustine ANC - (poly+bands)WBC Aromatase Inhibitors - used for postmenopausal women- osteoporosis Asparaginase - Test dose is given prior Atropine - used to treat early diarrhea from Irinotecan (Camptosar) Biologic Response Modifier - MOA: modifies th...

"Natural" Does Not Always Mean Safer - ◦ Some active chemicals are the same as in prescription and OTC medications ◦ Substituting alternative therapy for established medical treatment may prolong condition ** Oral Drugs Enter Hepatic Portal Circulation (First-Pass Effect) - 1. Drug is absorbed 2. Drug enters hepatic circulation, goes to liver 3. Drug is metabolized to inactive form 4. Drug conjugates and leaves liver 5. Drug is distributed to general circulation 6. Many drugs ar...

A client says to the admitting nurse, "Why do you need to know the names of all the over-the-counter supplements I take? They aren't drugs." Which of the nurse's responses are appropriate?Standard Text: Select all that apply. 1. "The admitting physician needs to know everything you are taking." 2. "You're right. I'm not sure why the admitting paperwork asks for this information. Would you mind listing them anyway?" 3. "The law requires us to keep a list of over-the-counter dr...

The nurse is caring for a patient who is receiving intravenous theophylline. The patient complains of headache and nausea. The nurse will contact the provider to a. change the medication to an oral theophylline. b. obtain an order for a serum theophylline level. c. request an order for an analgesic medication. d. suggest an alternative methylxanthine medication. - ANS: B Theophylline has a narrow therapeutic index and a risk for severe symptoms with toxic levels. When patients report ...

When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including: a. hypothermia and seizures. b. nausea and diarrhea .c. confusion and sweating. d. fruity, acetone odor to the breath. - Early symptoms of hypoglycemia include the central nervous system manifestations of confusion, irritability, tremor, and sweating. Hypothermia and seizures are later symptoms of hypoglycemia. The other options are incorrect. A 22-year...

A nurse explains to a young patient's parent that, in children, the frequency of certain diseases decreases with age. Which condition should the nurse state as an example to prove her point? Headaches Acne Type 1 diabetes mellitus Tonsillitis - Tonsillitis Rationale: The types of illnesses that children contract are dependent on age. The incidence of upper respiratory tract infections like tonsillitis decreases with age. Headaches and acne increase in frequency with age. Type 1 or ...

Autophagy - A process in which lysosomes decompose damaged organelles to reuse their organic monomers function of golgi apparatuses - processes and packages protiens secretory vesicles that break away from the gogli complex and migrate to a variety of intracellular extra cellular destinations Golgi apparatuses - a complex of vesicles and folded membranes within the cytoplasm of most eukaryotic cells, involved in secretion and intracellular transport

1) A nurse educator is teaching nursing students about the application of personal protective equipment (PPE) and emphasizes the importance of appropriate technique when removing the face mask. Which student response indicates appropriate understanding? A) "I will touch the mask by the strings only." B) "I will bend the strip at the top of the mask." C) "I will tie the strings in a bow." D) "I will loop the ties over the ears." - Answer: A Explanation: A) Touching the mask b...

A ________ succedaneum may appear over the vertex of the newborns head as a result of pressure against the mothers cervix while in utero. - Ans: Caput Rationale: This pressure causes localized edema and appears as an edematous area on the infants head. The edema may cross suture lines, is soft to the touch, and varies in size. It usually resolves quickly and disappears entirely within the first few days after birth. Caput may also occur as the result of an operative delivery when a vacu...