...Hyperlipidemia * HTN * BPH Surgeries * None Problems at Birth: Patient reports that she was a full term healthy baby; 7lbs 8oz. Denies any problems at birth. Childhood Illnesses: The patient reports having had chicken pox. Immunizations: Patient claims to be up to date on all immunizations. Last flu shot (Fall of 2014) He denies any international travel or related immunizations. Family Health History: None Social History/Health Maintenance Activities: A.A. is married and lives with his wife. Retired engineer. Inactive lifestyle. Has a daughter that lives in Kansas. * Tobacco * Quit smoking 10 years ago. 2 pk/day x 50 years * Alcohol * Patient reports no alcohol use. * Diet * Patient reports a “regular diet”, “orders take-out often and drinks 4-6 diet cokes each day. * Exercise * Patient reports no regular exercise. * Colon * Patient denies any colon problems. He reports having a “normal” BM once daily or every other day. * Dental * Patient reports annual dental appointments. No complaints. * Skin * A.A. reports no regular dermatology appointments. He reports wearing sunscreen with prolonged sun exposure. * Eyes * Patient claims to have “good” vision. He does not report wearing glasses/contacts. Reports having last eye appointment last year. * Safety * Patient reports wearing seatbelt when in an automobile and...
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...International Classification of Diseases Coding II Chapter 17 – 27 Chapter 17: 1. Which of the following anemias is caused by a failure of the bone marrow to produce red blood cells and may be congenital or acquired? A. Bone marrow deficiency anemia B. Sickle-cell anemia C. Aplastic anemia D. Thalassemia 2. Which of the following terms refers to either a reduction in the quantity of hemoglobin or a reduction in the volume of red blood cells? E. Anemia F. Coagulation defect G. Thrombocytopenia H. Leukocytosis 3. When a diagnostic statement of anemia is not qualified in any way, what should the coder do? I. Review the record for a surgical procedure; and if the patient had surgery, code as anemia due to acute blood loss. J. Review the medical record before assigning an unspecified type of anemia. K. Review the medical record to determine if the patient has been prescribed iron tablets, and code as iron-deficiency anemia. L. Review the medical record to determine if the patient has received chemotherapy, and assign the code for anemia due to antineoplastic chemotherapy. 4. Which of the following statements is true regarding a patient with documented sickle-cell trait? M. The patient has sickle-cell disease. N. Both of the patient’s parents carried the sickle-cell gene. O. The code for sickle-cell disease should be assigned. P. The patient received...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS ...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS V - varicella zoster C - cutaneous diphtheria H -...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...*MEDCOM Pam 40-7-21 SUMMARY OF CHANGE MEDCOM Pamphlet 40-7-21 Algorithm-Directed Troop Medical Care This major revision-. Updates references (paragraph 3). . Expands the MTF commander’s responsibilities (paragraph 6). . Provides additional background information (paragraph 7). . Provides a new paragraph on the use of ADTMC (paragraph 8). . Revises guidance relevant to the assignment of screeners (paragraph 9). . Simplifies training requirements (paragraph 10). . Refines supervisory requirements (paragraph 11). . Significantly revises the screeners’ performance evaluation requirements (paragraph 13). . Allows the use of other approved algorithmic systems besides the ADTMC (paragraph 18). . Deletes the use of MEDCOM Form 425-R (Internal/External Audit Form for ADTMC). . Provides changes to the narratives that accompany the following algorithms: SORE THROAT, A-1 EAR PAIN/DISCOMFORT/DRAINAGE, A-2 SINUS PROBLEMS/PAIN, A-4 RINGING IN THE EARS (TINNITUS), A-8 EXTREMITY PAIN NOT ASSOCIATED WITH A JOINT, B-3 NAUSEA/VOMITING/DIARRHEA, C-1 RECTAL PAIN/ITCHING/BLEEDING, C-3 CONSTIPATION, C-4 CHEST PAIN, D-2 DIZZINESS/FAINTNESS/BLACKOUT, F- 1 NUMBNESS/TINGLING, F-3 PARALYSIS/WEAKNESS, F-4 FATIGUE, G-1 MEDCOM Pam 40-7-21 FEVER/CHILLS, G-2 ACNE, J-2 SHAVING PROBLEM--PSEUDOFOLLICULITIS BARBAE (PFB) (INGROWN HAIRS), J-3 DANDRUFF (SCALING OF THE SCALP), J-4 HAIR LOSS, J-5 ATHLETE’S FOOT (TINEA PEDIS), J-6 JOCK ITCH (TINEA CRURIS), J-7 SCALING, DEPIGMENTED...
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...*MEDCOM Pam 40-7-21 SUMMARY OF CHANGE MEDCOM Pamphlet 40-7-21 Algorithm-Directed Troop Medical Care This major revision-. Updates references (paragraph 3). . Expands the MTF commander’s responsibilities (paragraph 6). . Provides additional background information (paragraph 7). . Provides a new paragraph on the use of ADTMC (paragraph 8). . Revises guidance relevant to the assignment of screeners (paragraph 9). . Simplifies training requirements (paragraph 10). . Refines supervisory requirements (paragraph 11). . Significantly revises the screeners’ performance evaluation requirements (paragraph 13). . Allows the use of other approved algorithmic systems besides the ADTMC (paragraph 18). . Deletes the use of MEDCOM Form 425-R (Internal/External Audit Form for ADTMC). . Provides changes to the narratives that accompany the following algorithms: SORE THROAT, A-1 EAR PAIN/DISCOMFORT/DRAINAGE, A-2 SINUS PROBLEMS/PAIN, A-4 RINGING IN THE EARS (TINNITUS), A-8 EXTREMITY PAIN NOT ASSOCIATED WITH A JOINT, B-3 NAUSEA/VOMITING/DIARRHEA, C-1 RECTAL PAIN/ITCHING/BLEEDING, C-3 CONSTIPATION, C-4 CHEST PAIN, D-2 DIZZINESS/FAINTNESS/BLACKOUT, F- 1 NUMBNESS/TINGLING, F-3 PARALYSIS/WEAKNESS, F-4 FATIGUE, G-1 MEDCOM Pam 40-7-21 FEVER/CHILLS, G-2 ACNE, J-2 SHAVING PROBLEM--PSEUDOFOLLICULITIS BARBAE (PFB) (INGROWN HAIRS), J-3 DANDRUFF (SCALING OF THE SCALP), J-4 HAIR LOSS, J-5 ATHLETE’S FOOT (TINEA PEDIS), J-6 JOCK ITCH (TINEA CRURIS), J-7 SCALING, DEPIGMENTED SPOTS ON THE CHEST, BACK, AND UPPER...
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