NUR 3045 LATRINA WALDEN REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+

NUR 3045 LATRINA WALDEN REVIEW STUDY GUIDE LATEST UPDATE 2023 GRADED A+. Erysipelas it cause by Group A Strep- clear marked lines on the checks (face cellulitis). Treatment with penicillin or Dicloxacillin *Pearly, waxy, may or may have an ulcerated center… Basal cell carcinoma! * Acne- treatment is a topical retinoids, returned and said it’s not working, next give ABX (oral tetracycline ), still not working refer to dermatology.Treatment is working but is causing the face to turn red, DO NOT STOP the medication have them use the topical every other day * Impetigo- honey crusted lesions Treatment: Topical mupirocin ( Bactrobam ) *Pityriasis rosea- herald patch (Christmas tree) found on chest/ abdomen Two possible drug test questions *Morton’s neuroma- Stepping on a pebble, Burning, numbness sensation 3 to 4 metatarsal. What is the name of the test? Squeeze test or Mulder's click” * Adam forward test is the test for scoliosis * Straight leg test Is the test for sciatica *Lumbar stenosis- feels better when sitting *Gold standard for imaging if someone has a back pain? MRI *Tennis Elbow is lateral twisting or grasping it is where it hurt * Addison’s disease- Fatigue, “bronzy or tan skin”. Check cortisol level (low), sodium(low), potassium (high) * Cushing- moon face, obese, check cortisol level (high) sodium (high) potassium (low) * Dawn effect in diabetics- you want to Increase night time insulin. Tend to have a naturally increased morning BS * Somogyi effects in diabetics- a dip (decrease) in BS during the night 3AM- treatment give bedtime snack or decrease night time insulin *PTH- it is the gland you need to check for the calcium. *Which drug to treat essential tremor? Propanolol * COPD- 1st line treatment is anticholinergic/SABA. Still can’t breathe what you do next? Add LABA, still can’t breathe what’s next? Inhaled corticosteroids. If returned? You need to referral. * Asthma- 1st line treatment is the SABA, return b/c using inhaled 3 to 4 times a night add and Inhaled corticosteroids, return using inhaled daily you add then a LABA, Using inhaled every day and every night, you increase the inhaled corticosteroids to medium dose. *Hypercapnia (increase in respiration) retention of CO2 b/c hyperventilation *Patient with emphysema and you percuss what do you hear? Hyper resonance * If a patient has exercise induced asthma what you instructed? 10-15 min before take inhaler * HGA1C- 9 or above started basil insulin What pancreas secret? Secrets insulin, amylase and also “Glucagon” *Fructosamine- name of a sugar test for past 3 to 4 weeks, when you start a new medication, for pregnancy patients. Very expensive test, some insurance doesn’t cover it *What medication causes Gynecomastia in men? Aldactone, Spironolactone * Cholecythiasis- Pain in the right upper abdomen radiating to the back after eating a fatty meal * Diverticulitis- Lower left quadrant pain, a little bloody, a little crampy * anuresis bed wetting, do bladder and bowel training *How long antibiotic treatment for H. pyloric? 14 days * Cranial nerves *Ocular movement- 3,4,6 *Should movement- 11 *Nose- 1 *Ears- 8 *Bell’s palsy- 7 (facial nerve) *Trigeminal- 5 * Subarachnoid hemorrhage SAH- worst headache of my life, sudden, young people after a car accident, older after a fall couples days ago * subdural hematoma SDH- diagnosed with CT, mom brings her 13 years old who fell on skateboard and after that he has been confused no following instruction, difficulty talking