fnp hesi
SETS
peyronie disease
when should a complete heath data base…
signs of hyperthyroidism
nuchal rigidity
the presence of hard, nontender, subcutaneous plaques on the d…
during an initial home visit, in a primary health care setting…
tachycardia, weight loss, bulging eyeballs, nervousness, fatig…
occurs with inflammation of the brain; due to increased neck m…
peyronie disease
the presence of hard, nontender, subcutaneous plaques on the d…
when should a complete heath data base…
during an initial home visit, in a primary health care setting…
Causes the most interactions
Thiazolidinediones (TZDs) - Pioglitazon…
Atypical antipsychotics - ... Risperidone…
Bisposphonates-... Alendronate (Fosamax)... R…
Macrolides (erythro, clarithro, pediazole), Antifungals (ketoc…
Cause or exacerbate CHF in some patient. Do not use in Class I…
High risk of weight gain, metabolic syndrome, and type 2; ... Mon…
Jaw pain (jaw necrosis), chest pain, difficulty swallowing, bu…
Causes the most interactions
Macrolides (erythro, clarithro, pediazole), Antifungals (ketoc…
Thiazolidinediones (TZDs) - Pioglitazon…
Cause or exacerbate CHF in some patient. Do not use in Class I…
Hgb
Hct
RBC
WBC
14-18 (men)... 12-16 (women)
42-52 (men)... 37-47 (women)
4.7-6.1 (men)... 4.2-5.4 (women)
4.5-11 (4,500-11,000)... Neutrophils: 1800-7800
Hgb
14-18 (men)... 12-16 (women)
Hct
42-52 (men)... 37-47 (women)
Tetracycline: may cause permanent disco…
Tetracycline: adverse effect
Mild acne
Tetracycline first -line for moderate t…
Doxycycline PO BID first line chlamydial and atypical bacteria…
Photosensitivity, Esophageal ulceration
use topical benzamycin, Retin-A
if not better after 2-3 month of topical benzamycin, Retin-A u…
Tetracycline: may cause permanent disco…
Doxycycline PO BID first line chlamydial and atypical bacteria…
Tetracycline: adverse effect
Photosensitivity, Esophageal ulceration
Acid-Base Values
Respiratory acidosis
Respiratory alkalosis
Metabolic Acidosis
Normal values — The range of normal values varies among labora…
excess CO2 retention, pH <7.35, HCo3 >45, PaCO2 >45... S/S: anxie…
excess CO2 excretion, pH >7.45, HCO3 <35, PaCO2 <35... S/S: anxi…
HCO3 loss and acid retention, pH <7.35, HCO3<22, PaCO2 >35... S/…
Acid-Base Values
Normal values — The range of normal values varies among labora…
Respiratory acidosis
excess CO2 retention, pH <7.35, HCo3 >45, PaCO2 >45... S/S: anxie…
a. positive feedback
b. gums
d. there is less thirst perception in t…
c. Women have a lower hemoglobin than m…
An initial disturbance in a system sets off a chain of events…
What organ shrinks with age?... a. Prostate... b. Gums... c. Heart... d. A…
Which of the following is true?... a. An infant will have a slowe…
Which of the following is true?... a. Women snore more than men... b…
a. positive feedback
An initial disturbance in a system sets off a chain of events…
b. gums
What organ shrinks with age?... a. Prostate... b. Gums... c. Heart... d. A…
Serum Creatinine
Blood urea nitrogen... BUN
Urine Specific Gravity
Urine Osmolality
Men: 0.85-1.5 mg/dl... Women: 0.7-1.25 mg/dl... Indicates ability t…
5-20 mg/dl... test indicates ability of kidneys to excrete nitrog…
1.003-1.029... Measures ability of kidneys to concentrate urine.
250-900 mOsm/L ... Excellent indication of renal function. Osmola…
Serum Creatinine
Men: 0.85-1.5 mg/dl... Women: 0.7-1.25 mg/dl... Indicates ability t…
Blood urea nitrogen... BUN
5-20 mg/dl... test indicates ability of kidneys to excrete nitrog…
when maintained well, maintains skin an…
pts with advanced cancer are often ____
involves the administration of a nutrie…
asymptomatic disease with mild discomfo…
nutrition
malnourished
total parenteral nutrition
diverticulosis
when maintained well, maintains skin an…
nutrition
pts with advanced cancer are often ____
malnourished
increases force of contraction
decreases heart rate
take apical pulse for one full minute
Normal digoxin level
What is the positive inotrope for Digoxin do?
What is the negative chronotrope for Digoxin do?
How do you assess for the positive inotrope and negative chron…
0.5-2 ng/mL
increases force of contraction
What is the positive inotrope for Digoxin do?
decreases heart rate
What is the negative chronotrope for Digoxin do?
Cord protruding out vagina
COPD pt lying flat
Pt taking medicine precose, how to know…
Inflate blood pressure cuff
Lift pressure of cord
Elevate pt
A1c < 7%
Teach about HTN
Cord protruding out vagina
Lift pressure of cord
COPD pt lying flat
Elevate pt
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
low pH, low HCO3
high pH, high HCO3
low pH, high CO2
high pH, low CO2
metabolic acidosis
low pH, low HCO3
metabolic alkalosis
high pH, high HCO3
when maintained well, maintains skin an…
pts with advanced cancer are often ____
involves the administration of a nutrie…
asymptomatic disease with mild discomfo…
nutrition
malnourished
total parenteral nutrition
diverticulosis
when maintained well, maintains skin an…
nutrition
pts with advanced cancer are often ____
malnourished
The nurse hears short, high-pitched sou…
The nurse is assessing an older client…
A client's family asks why their mother…
Several hours after surgical repair of…
B ... Fine crackles are short, high pitched sounds heard just bef…
A... Ptosis is the term used to describe an eyelid droop that cov…
B... Pulmonary artery catheters are used to measure central press…
D... Postoperative complications of surgical repair of AAA are re…
The nurse hears short, high-pitched sou…
B ... Fine crackles are short, high pitched sounds heard just bef…
The nurse is assessing an older client…
A... Ptosis is the term used to describe an eyelid droop that cov…
What is the limitations when taking mel…
Recommended product for hyperlipidemia
Contraindication for fish oil
Western herb used for anxiety and depre…
Not recommended to take melatonin more than three nights a wee…
Plant sterols.
Coagulation disorders
St. John's wort.
What is the limitations when taking mel…
Not recommended to take melatonin more than three nights a wee…
Recommended product for hyperlipidemia
Plant sterols.
acid base analysis - patho
amputation
APN neuro exam
bronchitis - patho r/t dx
Metabolic acidosis: Decreased pH, decreased HCO 3 -... Metabolic…
...
...
defined as hypersecretion of mucus and chronic productive coug…
acid base analysis - patho
Metabolic acidosis: Decreased pH, decreased HCO 3 -... Metabolic…
amputation
...
The nurse hears short, high-pitched sou…
The nurse is assessing an older client…
A client's family asks why their mother…
Several hours after surgical repair of…
Fine crackles are short, high pitched sounds heard just before…
Ptosis is the term used to describe an eyelid droop that cover…
Pulmonary artery catheters are used to measure central pressur…
Postoperative complications of surgical repair of AAA are rela…
The nurse hears short, high-pitched sou…
Fine crackles are short, high pitched sounds heard just before…
The nurse is assessing an older client…
Ptosis is the term used to describe an eyelid droop that cover…
Inflammation
Signs of Inflammation
Interleukins
Interferons
Vasodilation (Drop in BP)... Increased Vascular permeability & le…
Redness... Heat... Swelling... Pain
Produced by macrophages & lymphocytes... Enhances the adaptive im…
Proteins that primarily protect against viral infection and mo…
Inflammation
Vasodilation (Drop in BP)... Increased Vascular permeability & le…
Signs of Inflammation
Redness... Heat... Swelling... Pain
Beta 2 adrenergic agonist
Anticholinergics
MethylXanthine Derivatives
Antiinflamatories
- End in -TEROL except terbutaline... - Albuterol (Proventil) - o…
- End in -PIUM... - MOA: blocks acetylcholine which bronchoconstr…
- Theophylline (caffeine)... - Aminophylline is a prodrug of Theo…
...
Beta 2 adrenergic agonist
- End in -TEROL except terbutaline... - Albuterol (Proventil) - o…
Anticholinergics
- End in -PIUM... - MOA: blocks acetylcholine which bronchoconstr…
After talking w/ the HCP, a male pt con…
A 26 yr old male client w/ Hodgkin's di…
The nurse hears short, high-pitched sou…
A client is admitted to the ER w/ a ten…
As the prostate gland enlarges, its cells contribute more PSA…
Permanent sterility occurs in the male client who receive radi…
Crackles in the right and left lower lobes... Fine crackles - sh…
A deviation of the trachea toward the side opposite of the pne…
After talking w/ the HCP, a male pt con…
As the prostate gland enlarges, its cells contribute more PSA…
A 26 yr old male client w/ Hodgkin's di…
Permanent sterility occurs in the male client who receive radi…
what are the five elements of evidence-…
what is ASHA's definition of evidence-b…
what are some scope of practice issues?
under what was therapy caps instituted?
1. research... 2. integrated with practice... 3. client preferences…
the term evidence-based practice refers to an approach in whic…
1. expansion and contraction of services... 2. technological adva…
the balanced budget amendment of 1997
what are the five elements of evidence-…
1. research... 2. integrated with practice... 3. client preferences…
what is ASHA's definition of evidence-b…
the term evidence-based practice refers to an approach in whic…
How do you pose a pregnant woman when l…
Why do we lay women on her left side?
Immediately after delivery where is the…
Contractions occur ___-___ hours post d…
Lay her on her left side
This takes pressure off desending abdominal aorta and it provi…
immediately after delivery the fundus is several inches below…
12-24 hours post delivery due to the high oxytocin levels so e…
How do you pose a pregnant woman when l…
Lay her on her left side
Why do we lay women on her left side?
This takes pressure off desending abdominal aorta and it provi…
The nurse is caring for a client who ha…
A female client calls the clinic and ta…
The nurse is making early morning round…
A client prescribed atenolol has a bloo…
A. Take the medication at bedtime.... B. Report presence of incre…
Discontinue the antibiotic because original symptoms have subs…
Tachycardia.... Increased blood pressure.... Rapid resolution of w…
Lower the head of the bed and assess the client for orthostati…
The nurse is caring for a client who ha…
A. Take the medication at bedtime.... B. Report presence of incre…
A female client calls the clinic and ta…
Discontinue the antibiotic because original symptoms have subs…
Subjective data
Objective data
Purpose of the assessment
Diagnostic reasoning
What the person says about himself or herself during history t…
What the health professional observe by inspecting, percussing…
Is to make a judgement or diagnosis
Process of analyzing health data and drawing conclusions to id…
Subjective data
What the person says about himself or herself during history t…
Objective data
What the health professional observe by inspecting, percussing…
What does Assessment entail?
Use the Bell when listening for?
Use the Diaphragm when listening for?
How often should Wellness exams(breast…
●Inspection=observation of appearance, behavior, movement... ●Pal…
Low pitched sounds
High pitched sounds
Annually in a physician's office, and... Monthly at home
What does Assessment entail?
●Inspection=observation of appearance, behavior, movement... ●Pal…
Use the Bell when listening for?
Low pitched sounds
Pulse Oximetry
Marfan's Syndrome
Acromegaly
Cachexia
Measures O2 saturation
think Abe Lincoln
Hyperpituitarism- occurs during adulthood.
wasting syndrome (cancer patients)
Pulse Oximetry
Measures O2 saturation
Marfan's Syndrome
think Abe Lincoln