106 questions Flashcards
telangiectasia
spider viens
associated dx processes: rosacea, liver dz, scleroderma, lupus, corticosteroid use, raynauds
type 1 error
false postive
incorrectly rejecting the true null hypothesis
type 2 error
false negative
failing to reject a false null hypothesis
national mandate for VAP
HOB elevated
who is over licensure of APRN
BON
sensitivity
ability of test to correctly identify those with the disease
those that are postive
specificity
ability of test to correctly identify those with out the disease
those that are negative
p< 0.05
rejects null
p >0.05
fails to reject null
VAP management
Vanco
zosyn OR cefepime OR meropenem OR aztreonam
levofloxacin/cipro
tx for cardiac tamponade
pericardiocentesis
NP scope of practice
based on legal allowances in each State - according to practice acts
vaccines post splenectomy
meningococcal and PNU most important
also HIV, Flu, trap, zoster HPV MMR varicella
plasma cortisol of addisons dx
<5 at 0800
mtg of hypotension in addisons
administer D5NS
steps of research
formulate the problem
review literature
formulate hypothesis
select design
identify population
method of data collection
designing the study
conduct the study
analyze data
interpret result
communicate finding
normal urine specific gravity
1.010-1.030
arcus senilis
blue/grey corneal ring in elderly due to hyperlipidemia - permanent color change, no effect on vision
Changes to vent if a pt goes into ARDS
decrease tidal volume to prevent ALI - 4-6ml/kg
changes to vent if pt pulmonary shunting
increase PEEP
lab to assess if enteral feeding is beneficial
pre-albumin
complication of enteral feeding when someone hasn’t eaten in a while
refeeding syndrome
hypophosphatemia
hypokalemia
hypomagnesemia
hypocalcemia
thiamine deficiency
complications of synthorid that causes low compliance
alopecia
which patient most likely to have angioedema with ACE
African american
fidelity
faithful
veracity
truthfulness
labs associated to ASA OD
hyperkalemia
elevated LFTs
metabolic acidosis
what do you monitor with pt with cancer and bone mets
hypercalcemia
tx for antifreeze ingestion
fomepizole
GCS for TBI
mild- 13-15
moderate -9-12
severe- 3-8
initial tx for stridor secondary to anaphylaxis
subs epi
causes of pre-renal failure
impaired renal perfusion
- shock , dehydration, cardiac failure, burns diarrhea, vasodilation/sepsis
causes of intra-renal failure
nephrotoxic agents (aminogylcosides) allergic disorders, mismatched blood transfusion, damage to tubular portion of nephron (ATN)
s/s of meth OD
mydriasis (dilated pupils)
hyperthermia
hallucinations
mainstay tx of COPD
ipratropium bromide or sympathomimetics
when to administer thrombolytics for MI
uncontrolled CP > 30 minutes and < 6 hours PLUS ST elevation; contraindicated in severe uncontrolled HTN >= 185/110
genetic trait r/t sickle cell
inherited autosomal recessive, sickle cell trait
most preventable death
tobacco use
highest mortality rate in US following heart dx
cancer
IABP contraindication
aortic valve insufficiency
asthmatic treatment ladder
1.-SABA (albuterol)
2.-low dose ICS -budesonide,fluticasone, triamcinolone
3.-low dose ICS + LABA (salmeterol,formoterol) (combo drugs: fluticasone+salmeterol=Advair, Symbicort)
4.-medium dose ICS + LABA
5. high dose ICS + LABA
UC tx
mesalamine and hydrocortisone suppositories and/or enemas
diverticulitis tx
NPO
IVF
abx - cipro +flagly, levo +flagyl
tx for pericarditis
NSAIDS
echo
monitor for tamponade
pt presents with dysphagia, drooling and expiratory stridor - what do you suspect
epiglottitis
who do you test for HIV
IV Drug user
unprotected nail sex
unprotected vaginal sex
tx for pleural effusion with s/s
thoracentesis
who do you screen for AAA
65-75 who have ever smoked - selectively screen if never smoked - one time
who do you screen for colorectal ca
age 45*75 - stool based test q 3 years, colonoscopy q 10 years, flex sig q 5 ters
when do you screen PSA/DRE
annually starting at 40 y/o for men with family hx of prostate ca or AA; annually for all males 50+
what age do PAP start
21
with cytology q 3 years 21-65 y/o
cytology + HPV every 5 years 30-65 y/o
HPV vaccine
age 9-14 series of two 6 months apart
15+45 series of three of 0,2, 6 months
metabolic alkalosis is at risk for what
hypokalemia
research highest rated to lowest level
meta-analysis
systematic review of RCT
RCT
Quasi-experimental
qualitative cohort
case-controlled studies
expert opinion
CQI
quality improvement
systematic process of identifying and analyzing problems and then testing, implementing, learning from and revising solutions
tx for breakthrough cancer pain
transdermal fentanyl
tx for bone pain r/t cancer mets
biophosphonates
what do you administer pre-op to heochromocytoma
phentolamine IV then PO phenoxybenazmine after
tx for serotonin syndrome
dantrolen sodium
who gets pneumonia vaccine
65 and older
19-64 uf smoke or asthma
homonymous hemianopia
half vision
who developed standards of practice
ANA provides guidelines for nursing perforation - rules or definitions of what it means to provide competent care
purpose of managed care
focus on prevention and care management to produce better patient outcomes and help control healthcare costs
what diagnostic test order for pt with diverticultis
Plain abdominal film to look for pneumoperitoneium
gold standard test for cholecystitis
ultrasound
more useful test for acute pancreatitis
CT over US
dx of appendicits
ultrasound or CT
Iowa model
developed at university of Iowa hospitals and clinics in 1990 to serve as a guide for nurses to use research findings to help improve patient care
model was developed as pathway to EBP- a method to guide steep to help identify issues, research solution and implement changes
