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COHN-S Exam.docx

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Exam of 24 pages for the course PH Occupational Health Nursing at PH Occupational Health Nursing (COHN-S E)

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COHN-S Exam
Tolulene -
An isocyanate, is a respiratory sensitizer that can lead to occupational asthma

Primary concern of a kerosene splash -
Lung irritation

Benzene -
Adversely affects the hematopoietic system. Therefore, individuals with a history of
thrombocytopenia would be at increased risk if exposed to Benzene

SWOT -
Strengths Weaknesses Opportunities Threats; way to asses an environment

Jaundice is a common symptom of -
Carbon tetrachloride poisoning

OSHA PEL for airborne lead exposure -
50ug/m3

Action level for lead blood levels -
30ug/100g

What unique contribution can the OHN make to workplace safety and health programs? -
Provide screening to specific exposures

What are other problems that usually accompanies sleep apnea? -
Diabetes and cardiovascular disease

Doxycycline -
And anti-malarial preventative. Take the drug daily one or two days before travel and for 28 days
after a trip.

The occupational health and safety OSHA's 18001 is described as? -
An international consensus standard for occupational health and safety management systems

What are the five classes of drugs tested for DOT purposes? -
Cannabinoids, cocaine, amphetamines, opiates, PCP

Primary prevention -
Actions that change overall background conditions to prevent some unwanted event or
circumstance, such as injury, disease, or abuse. For example immunizations

secondary prevention -

, -focuses on early identification of individuals or communities experiencing illness, providing
treatment, and conducting activities that are geared to prevent worsening health status
-examples: communicable disease screening and case finding; early detection and treatment of
diabetes; exercise programs for older adult clients who are frail. Screenings

tertiary prevention -
Intervention for example chronic disease monitoring cardiac rehab physical rehab treatment

Pre-placement Exam -
Match the job with employee, and sure the compatibility of the person with the job demands, and
serve as a baseline for future evaluations

Nursing Process -
ADPIE; ASSESSMENT, DIAGNOSIS, PLANNING, INTERVENTION, EVALUATION

Nursing Diagnosis -
describes a health problem that can be treated by nursing measures; a step in the nursing process

Emergency triage categories -
Level 1 - resuscitation CPR,
Level 2- emergent based on clarity of mind acute distress
Level 3- urgent need at least two resources 30 to 40% of ER visits
Level 4- non-urgent require some hospital resource
Level 5- requires little or no treatment

Hazmat responses; three zones -
Hot-Evacuation with ABCs, only enter with appropriate PPE
Warm-Decontamination, ABCs, only enter with appropriate PPE
Cool-Stabilization and treatment, non-contaminated area, PPE not required to treat the decontaminated
evacuee.

Primary Survey -
an examination of the patient to determine the presence of any life-threatening emergencies; the
initial assessment of airway, breathing, and circulation on a patient
Suspect C-spine dislocation with high-voltage shock
Supplement oxygen in all traumatic injuries

Secondary Survey -
a head-to-toe physical assessment; an additional assessment of a patient to determine the existence
of any injuries other than those found in the primary survey

Physical Assessment -
IPPA; Inspect, Palpate, Percuss, Auscultate
Abdominal exam order IAPP; Inspect, Auscultate, Percuss, Palpate

Approximately 80 to 90% of all types of skin disease can be classified as? -
Contact dermatitis

Sensitizing agents -

, Response after single or multiple exposures and only and some individuals
Systemic responses include difficulty breathing, inflammation of Airways, pulmonary edema

Common chemical sensitizing agents -
Phenol, epoxy, rubber, acrylics, nickel, plant resins

Approximately 20% of common contact dermatitis comes from? -
Poison ivy, oak and sumac

Solvents that most frequently cause occupational skin disease: -
Acetone, coronated hydrocarbons, toluene, xylene, petroleum distillate, alcohol

Chloracne -
Swelling sebaceous glands from exposure to hydrocarbons for, example dioxin

Macule -
flat, colored spot on the skin, Freckles, measles

papule -
small, solid, raised lesion on surface of the skin; wart, insect bite

Pustules -
pus-filled sacs such as those seen in acne, or pimples

Vesicles -
Fluid filled blister such as those seen in chicken pox

Nodules -
small lumps, lesions, or swellings that are felt when the skin is palpated; solid mass

wheal -
hives

Tetanus (lockjaw) -
Clostridium tetani
Results in tectonic or tonic contractions of the muscles
Incubation: 2 days - 2 months (mostly two weeks)

Electrical burns cause? -
Neurologic, vascular and dermal injuries

Electrical burns travel? -
Least to most path of resistance; nerve, blood, vessel, muscles, skin, tendon, fat, bone

Chemical burns; acidic/alkali -
Irrigate with copious amounts of water for at least 20 minutes;
Except for dry lime brush first
Neutralizing is obsolete

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