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Symptoms common to all somatic symptom disorders anxiety/stress, chest, abdominal, back pain, fatigue, dizziness, headache, swelling, SOB, insomnia Nursing diagnoses associated with somatic symptoms disorders ineffective coping Deficient knowledge Chronic pain Fear Disturbed sensory Self care defic...

A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of ane...

What is psoriasis? A condition in which skin cells build up and form scales and itchy, dry patches. Chronic; usually appears between ages of 15-35 Tends to be familial Mild: 3% of body Severe: greater than 10% of body Weakened immune system At risk for cardiovascular disease At risk for social isol...

In the shift change of report, an off going nurse criticizes a patient who wears heavy makeup; which comment by the nurse who received the report best demonstrates advocacy our patients need our help to learn behaviors that will help them get along in society Which outcome, focused on recovery, wou...

Which of the following patients has severe respiratory distress? A.Jason, 3-mos-old resp. rate 18 B.Jackson, 3-yrs-old resp. rate 22 C.Megan, 13-yrs-old resp. rate 24 D.Michelle 19-mos-old resp. rate 26 A.Jason, 3-mos-old resp. rate 18 *The nurse in an outpatient center is caring for a 4-month-old...

Post Traumatic Stress Disorder occurs after an individual experiences a traumatic event/series of event Symptoms of PTSD Re-experiencing of the trauma (flashback) Avoidance of stimuli associated with trauma Persistent symptoms of increased arousal (hypervigilance, easily startled, irritability, rec...

A nurse is taking care of a patient who is 1 day postoperative. The patient is receiving morphine sulfate by PCA for pain. Vital signs are: temperature 98.9° F, apical pulse 88/minute, respirations 12/minute, and blood pressure 136/88 mm Hg. The nurse would be most concerned about administering mor...

Immunity the ability of an organism to resist a particular infection or toxin by the action of specific antibodies or sensitized white blood cells. passive immunity between mother and baby -mother interaction at birth -immune systems are not fully mature and are more susceptible to infection -anyth...

What spectrum is Amphotericin B? Broad Spectrum What are adverse effects of Amphotericin B? Bone Marrow Suppression Hypokalemia Nephrotoxicity Infusion Reactions How to combat infusion reactions during administration of Amphotericin B? Diphenhydramine and Acetaminophen before infusion How to decr...

The circulating nurse explains to a nursing student that thiopental sodium (Pentothal) is commonly administered to a surgical patient during induction of anesthesia. Why is this drug considered to be a mainstay of anesthesia induction? (select all that apply) - causes a smaller drop in blood pressur...

Post partum hemorrhage -bleeding of more than 500 mL after vaginal deliver -bleeding of more than 1000 mL after C-section Major obstetric hemorrhage blood loss of more than mL or bleeding that required more than 5 units of transfused blood Primary postpartum hemorrhage occurs in the first...

Identify 4 ways patients can decrease the risk of antibiotic-resistant infections and explain why each one decreases risk. "1. Do Not Take Antibiotics to Prevent Illness (unless prescribed) Doing this increases your risk for developing resistant infection. Exceptions include taking antibiotics as p...

At what GCS score do you intubate? 8 Most common childhood cancer for <14 leukemia How is leukemia definitively diagnosed? bone marrow aspiration Hallmark manifestation of retinoblastoma cat eye reflex (white glow) Describe Wilms tumor and treatment embryonal kidney tumor treated by surgery ...

Hemorrhage (Causes, RF, S/S, Diagnostics, Gen Treatment) Causes: bleeding inside and outside the body RF: meds that cause bleeding, recent surgery etc. S/S: cool moist skin, down BP, up HR, down output, delayed cap refill Diagnostics: RBC might be falsely high for 2-3 days, low RBC, Hgb, Hct ...

A nurse is providing care to a 7 y/o child in the emergency room. Which of the following interventions may be most helpful in this situation? A.) Distract the child with a toy that has flashing lights B.) Provide treatments with the parents out of the room if possible C.) Explain the process of trea...

Intravenous benzodiazepines produce a loss of which functions? memory surrounding a procedure Intravenous benzodiazepines, depending on the dosage, produce amnesia and/or unconsciousness and reduce anxiety. Benzodiazepines do not affect sensation. A loss of all sensations and consciousness is produ...

A nurse on a medical-surgical orthopedic unit is caring for a patient who underwent a posterior hip arthroplasty yesterday. What should the nurse include in her plan of care to prevent dislocation of the new prosthesis? A. Keep the affected leg in a position of adduction. B. Ambulate with a gait bel...

Mental health A state of well-being in which each individual is able to realize his/her own potential, cope with the normal stresses of life, work productively, and make a contribution to the community. Mental and physical health are interconnected- any distinction between mental and physical illnes...

Which of the following post-op positions would best prevent aspiration or airway obstruction in the PACU? 1.) Side-lying 2.) Semi-fowlers 3.) Fowlers 4.) Supine side lying The nurse is performing pre-op teaching for the patient. Which of the following items must be included in the teaching? SELECT...

The nurse is caring for a patient who receives a divided dose of IV amikacin (Amikin) twice a day. When will the nurse draw blood for measurement of a trough aminoglycoside level? Just prior to administration of next dose A hospitalized patient is receiving gentamicin (Garamycin) 80 mg IV twice dai...

Standard Precautions (Tier One) • Masks, eye protection, and face shields when patient care may include splashing or sprays of blood, body fluid secretions, or excretions, and during bronchoscopy, endotracheal intubation, and open suctioning of the respiratory tract • Fluid-resistant nonsterile ...

Aseptic technique practiced as each surgical item is opened and placed on the instrument table -practiced in or to prevent infection -implemented through the creation and maintenance of a sterile field -center of sterile field is the surgical incision Scrubbing method for surgery fingers to elbows ...

Evidence based practice is defined as... a problem-solving approach to clinical practice based on best practices Evidence based practice has been established to advance nursing practice. The goals for this practice have been to... facilitate the highest quality of care and the best client outcomes ...

Goal of pediatric nursing To promote healthy development of the child as a physical, intellectual, and emotional-social being within the context of the family and the community Scope and standards of pediatric nursing Society of Pediatric Nurses (SPN) American Nurses Association (ANA) Code of Ethic...

Which statement made by the patient demonstrates an understanding of the treatment of choice for patients managing the effects of traumatic events? a. "I attend my therapy sessions regularly" b. "those intrusive memories are hidden for a reason and should stay hidden" c. "keeping busy is the ke...

A patient is admitted to the emergency department with an attempted aspirin overdose. The nurse notes that the patient is hyperventilating and monitors for which acid-base disorder? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis B. Respiratory alkalosis...