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MSNCB, MED SURG CERTIFICATION EXAM 2024/2025
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MSNCB, MED SURG CERTIFICATION EXAM 2024/2025
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MSNCB, MED SURG CERTIFICATIONEXAM 2024/2025
Ethics - Precise Answer ✔✔Rules of conduct applying to persons or groups in society, can be flexible
Morals - Precise Answer ✔✔Internal compass of right and wrong, generally inflexible
Normative ethics - Precise Answer ✔✔Criteria set by societal values, Ethics Code for Nurses based on
these in 2015, holds RNs morally accountable for actions
How many ethical principles in nursing? - Precise Answer ✔✔9 in 2014
Deontology - Precise Answer ✔✔Rightness of an act is determined by the intent to conform with a
moral rule, not by the consequences of the act
Utilitarianism - Precise Answer ✔✔Rightness of an act is determined by its ability to produce good
consequences and avoid harm.
Outcomes justify the means. Greatest benefit for the greatest number - Precise Answer
✔✔Utilitarianism
Duties and obligations are of prime importance, not the end results. - Precise Answer ✔✔Deontological
ethics
Autonomy - Precise Answer ✔✔Independent decision making based on your own best interest
Nonmaleficence - Precise Answer ✔✔Duty to do no harm
Beneficence - Precise Answer ✔✔Duty to act in the best interest of involved person
,Justice - Precise Answer ✔✔Equitable distribution of available resources
Veracity - Precise Answer ✔✔Truth-telling
Fidelity - Precise Answer ✔✔Faithfulness to promises
Ethnocentrism - Precise Answer ✔✔"My culture is the best"
RN must notify regional OPO in __ hour. - Precise Answer ✔✔1 hour of time of death
UNOS is under contract with _____ based on ________ act - Precise Answer ✔✔United Network of
Organ Sharing maintains organ transplant wait list for contract with Dept. of Health and Human Svcs due
to the Uniform Anatomical Gift Act of 1968
Required Request - Precise Answer ✔✔Every family must be asked about organ donation since 1987.
No TJC accreditation means... - Precise Answer ✔✔No Medicare or other insurance authorization
PHI = - Precise Answer ✔✔DOB, SS#, DL#, photos, MR#, address, DX, name, identifying distinctive marks,
e.g. tatoos
Authorized Disclosure - Precise Answer ✔✔Signed written permission to share PMI
Exceptions to Authorized Disclosure - Precise Answer ✔✔reporting of elder or child abuse, disasters,
imminent danger, public health reporting, state-specific requirements (e.g. gunshots)
pyridostigmine bromide - Precise Answer ✔✔--Mestinon
--*anticholinesterase* agent used to *increase strength in pts w/ myasthenia gravis* (myasthenia gravis
involves lack of Ach receptors)
, --hold before EMG
--pyridostigmine can also be used as anti-hypotensive
education for nitrates - Precise Answer ✔✔--side effects are flushing & headache & low BP
--pt should *wait 24 hrs after taking a 5-PDE inhibitor* (eg sildenafil) before taking a nitrate
--*wait 5 days after stopping long-acting nitrates* to start the 5-PDE inhibitors
--before calling 911, pt should take 1 sl tab but if no relief call 911 and take *1 dose every 5 minutes for
up to 3 total doses*
--may develop tolerance & need nitrate free intervals (14 hrs)
parkinson's meds - Precise Answer ✔✔--*levodopa* (converted to dopamine) and *carbidopa* (added
to avoid early metabolism of levodopa)
--*bromocriptine*
--ropinirole (requip) (dopamine agonist)
--*selegiline* (monoamine oxidase type B inhibitor) allows conservation of dopamine and enhances
therapeutic effects of levodopa
--*side effects of meds*: *nausea*, constipation, *involuntary movements*, *hallucinations*,
confusion,
gout meds - Precise Answer ✔✔--NSAIDs such as *indomethacin* (Indocin) for pain
--*colchicine* to *stop acute attacks*
--allopurinol, febuxostat, probenecid and sulfinpyrazone for tx of chronic gout
--*encourage low purine diet* (avoid beer, organ meat, wild game, red meat, high fat foods, anchovies,
tuna)
Biguanides - Precise Answer ✔✔--oral *antidiabetic* meds that work by *↓ production of glucose in
the liver*, making tissues more sensitive to ↓ amt of sugar absorbed by intestines
--most common one is *Metformin*---- *should not be used in pts w/ severe renal insufficiency* and is a
*contraindication for IV contrast* media
--another big side effect is *hypoglycemia* and *metabolic acidosis*
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