Topexcelgrades

The Dub sound of Lub-Dub is closure of which heart valves? ️️ Closure of the pulmonic and aortic valves (Distole) = Dub What are the normal Creatinine values? ️️ 0.6 - 1.5 mg/dl Which cranial nerve is the Vagus? ️️ 10 - gag reflex, swallowing, talking What is the normal heart and blood flow in the correct order? ️️ Blood enters: Right Atgrium => Tricuspid valve => Right Ventricle => Pulmonic Valve => Pulmonary Veins => Left Atrium => Mitral valve...

What is a major difference between a problem oriented medical record and a source oriented medical record? A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession's progress notes. B. The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP. C. The source oriented medical system uses charting by ...

When noticing that the fundus of a postpartum patient is soft and spongy, what should you do? ️️ Massage the fundus gently until it is firm Drugs that end in "lol" are normally used for what? ️️ Beta Blocker (for hypertension) ("Lo" Lowers the BP) What OTC tabs should patients not take with medication? ️️ Antacids tabs (effects the absorption of the med) Which tabs should not be crushed? ️️ Enteric Coated/sustained release tabs Can nurses adjust or change a patien...

The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding? 1. Severe and persistent diarrhea 2. Intense pain in the toe 3. Yellow-tinged sclera 4. Headache ️️ 3. Yellow-tinged sclera Correct - Jaundice is a common clinical finding of sickle cell disease, caused by bilirubin released from damaged or destroyed RBCs A client with Multiple Scleros...

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain? A. A history of radiation treatment in the neck region B. A history of recent orthopedic surgery C. A history of minimal physical activity D. A history of the client's food intake ️️ A. A history of radiation treatment in the neck region why? Previous radiation to the neck might have damaged parathyroid glands, which are located on the thyroid gland and inter...

A 68-year-old patient had surgery 3 days ago, for repairing of an abdominal aortic aneurysm. The patient remains intubated, is neurologically intact, and has active bowel sounds. The patient's liver function is within normal limits, and the patient has no s/s of heart failure. The patient's laboratory values are: BUN of 12mg/dL, Cr of 0.8mg/dL, PaCO2 of 37mmHg. The preferred form of nutritional support for this patient is: A. enteral feeding to the duodenum via nasogastric small-bore tube B....

Collaboration ️️ Action of working with someone to produce something. NP and MD collaborate together. Consultation ️️ When two people discuss and use expert knowledge for the patient's improvement. Conflict resolution ️️ Negotiation and Mediation Negotiation ️️ Process where two or more people work to come to a resolution. Mediation ️️ Process where a third person is involved to assist in resolving conflict. Specificity ️️ Ability of the test to correct...

Symptoms of irregular periods and galactorrhea (milky nipple discharge) would warrant a draw for what lab? ️️Prolactin What is transillumination used for? ️️To visualize fluid beneath the skin surface such as a hydrocele (swelling of the scrotum) This method is usually recommended in the clinical setting d/t a CT scan or ultrasound not be readily available What diagnosis are topical retinoids recommended for? ️️Acne vulgaris Topical retinoids (such as tretinoin) are the f...

root cause analysis. ️️A retrospective approach to error analysis, used to identify underlying sentinel events, is known as: evidence-based practice. meta-analysis. quality improvement. root cause analysis. National Standards for Culturally and Linguistically ️️What federal initiative emphasizes health care access for all persons, regardless of their primary language or racial or ethnic background? Genetic Information Nondiscrimination Act. Health Insurance Portability...

If a patient is diagnosed with left-heart failure, which of the following medications would the nurse practitioner more than likely use for treatment? Correct Answer Lasix When counseling patients who smoke cigarettes, which of the following is NOT good management advice? Correct Answer For asymptomatic adults, instruct the patient on how it is easier to stop now than when symptomatic. According to Prochaska and DiClemente, the 5 stages of preparation for patient change would include which...