Explain the mechanism of action of PPI and H2RA

• What does lifelong learning mean to you?
• What are your plans to build upon your nursing knowledge?
• Where do you see yourself professionally in five (5) years? Ten (10) years?

Conceptual skills refers to the ability of the hospital administrator to:

Six week after you start working with a patient with cardiac diagnosis he admits that he has been under a lot of stress during exercise stress testing he rubs his chest and says that he feels really heavy on his chest right now you feel his pulse and note that his skin is slightly diaphoretic and that he is agitated and appears to be anxious what is the first action you are going to do.

Sit or lie down

Check vital signs

Continue stress testing

Ask whether he has NTG tablets

A nurse is caring for a client who had an angiogram (cardiac cath) two hours ago. Which of the following findings would be essential for the nurse to follow up?

1. Apical pulse = 109 beats per minute
2. Blood urea nitrogen (BUN), 19 mg/dL
3. Decrease in respiratory rate from 21 to 18 over the past two hours.
4. BP increase from 97/54 mm Hg to 115/60 mm Hg over the past 2 hours.

A male patient diagnosed with cad has had the following laboratory results total cholesterol 240mg/dl HDL 35mg/dl LDL 112 mg/dl and Triglycerides 178 mg/dl which lab values are of concern at this time.

LDL

HDL

Triglycerides

All of the lab values

The day after a 60-yr-old patient has open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the nurse identifies the priority nursing diagnosis as.
a. activity intolerance related to deconditioning.
b. risk for constipation related to prolonged bed rest.
c. risk for impaired skin integrity related to immobility.
d. risk for infection related to disruption of skin integrity

An 82-year-old widow, arrives by ambulance to the ER .the patient was found lying on the bedroom floor, incontinent of urine and stool, with complaints of pain in her right hip Her daughter reports a past medical history of hypertension, angina, and osteoporosis. On examination, you see an elderly woman, approximately 100 pounds, holding her right thigh. You note shortening of the right leg with external rotation and a large amount of swelling at the proximal thigh and right hip. M.C. is oriented to person only and is confused about place and time, but she is able to say that her “leg hurts so bad.” M.C.'s vital signs (VS) are 90/65, 120,24, 97.5° F (36.4° C); her Spo2 is 89%. She is profoundly dehydrated. Preliminary diagnosis is a fracture of the right hip. Based on her history and your initial assessment what priority interventions would you expect to be initiated. Select all that apply

Oxygen by nasal cannula

Start an IV

Monitor lung sounds and vs

Reposition/internally rotate the hip

Get a thorough report from the patient

Explain anterior tooth preparation in fized partial dentutes

A nurse says that her conscience clearly dictates that she should not assist at a particular operation. One of the doctors present says that he went to a Catholic medical school and he would assure her that the operation is not immoral. Should the nurse follow her conscience or the advice of the doctor?

how has Medicare changed then from now, and how can I use these changes towards my life or career

A patient reports to the ER complaining of vague discomfort, nausea, vomiting, stomach pain, watery diarrhea, chills, and fever. The patient reports she has not traveled outside the U.S. Since it occurs at the height of the norovirus season, the ER physician assumes it is another run of the mill case. When the lab reports a quick test of cholera, the public health department is called in. Could this be a potential bioterrorism attempt? Why or why not? Provide a solid rationale for your response along with appropriate references.

1. Len Kumar, age 46, is going to be immobilized for several weeks while his injuries heal. Design an activity program to help prevent boredom and depression.

2. How would you handle the situation if a new amputee states that she has no interest in learning to wrap her stump properly?

3. How would you explain to an older patient who has had a stroke and has hemiparesis how using a walker can both protect her safety and provide more independence for her?

4. Tom King has suffered a motorcycle accident that has left him paralyzed from the waist down. What are some interventions that will decrease his risk for constipation?

Med Surge 49

1.Describe the pathophysiology signs and symptoms, complications, and treatment of hyperthyroidism , thyroid cancer, hyperparathyroidsm , and hypoparathyroidism.

2. Assist in the development of nursing care plans for patients with disorders of the thyroid glands.

Med Surge Ch50

1. Explain the pathophysiology signs and symptoms complications diagnostic tests and treatment of diabetes mellitus and hypoglycemia

2. Explain the difference between type 1 and type 2 diabetes mellitus.

3. Describe the role of insulin in the body

med surge CH 8

1. Define Pain

2. Explain the physiologic basis for pain.

med surge Ch8

3. Explain the relationships between past pain experiences anticipation culture anxiety and a patients response to pain.

4. Identify differences in the duration of pain and patient responses to acute and chronic pain.

Stages of pathogenesis including virulence factors involved in pathogenesis for Legionnaires Disease

1. Describe how the pathogen is exposed to the host, this should at least include:
   a. the portal of entry
   b. the median infectious dose and lethal infectious dose. If this cannot be found, please say so.

2. Describe how the pathogen adheres to the host, this should at least include: a. the adhesin virulence factor(s) of the pathogen
   b. the host molecule(s) to which the adhesin(s) interact

3. Describe how the pathogen invades the host's cells/tissues, this should at least include a. the virulence factor(s) used to enter the cell or tissue
   b. a description of the pathogen invasion

4. Describe how the pathogen infects the host's cells/tissues, this should at least include
   a. the manifestation of the infection (see Week 13, How Pathogens Cause Disease, Outcome 7) b. the virulence factor(s) not yet mentioned that lead to the disease state

i. virulence factor(s) for survival in the host and/or immune evasion would go here

c. a description of the pathogen infection
i. for bacteria, fungi or protozoans this may include how the bacteria survives in the host

ii. for fungi, protozoans, or helminths this may include the life cycle of the organism iii. for viruses this must include the specific viral replication cycle

5. Describe how the pathogen transmits to a new host, this should at least include: a. the portal(s) of exit (if applicable)

Med Surge Ch49

1. Describe the pathophysiology signs and symptoms complications and treatment of hyperthyroidism , hypoparathyroidsim.

2. Assist in the development of nursing care plans for patients with disorders of the thyroid or parathyroid glands.