Maryville NURS 623 Exam 3 Study Guide Questions And Answers Verified 100% Correct

Maryville NURS 623 Exam 3 Study Guide Questions And Answers Verified 100% Correct What do labs look like in bulemia? - ANSWER Hyponatremia, hypochloremia, elevated amylase Discuss sleep hygiene strategies for a patient complaining of insomnia - CORRECT ANSWER Maintain a regular sleep and wake schedule Eat regular meals every day Develop a relaxing bedtime routine Limit amount of liquid consumed in evening Limit amount of caffeine consumed later in day Avoid tobacco and alcohol later in the day Avoid daytime naps Exercise regularly Limit exposure to bright lights or television in evening Bed should be used for sleeping and sex only Turn any clocks facing the bed away If not asleep after 20 mins get out of bed and engage in quiet activity before reattempting to fall asleep. What is the The most common long term effect of sexual assault - ANSWER PTSD In an attempt to promote behavioral changes in a patient, what is the best approach to take as the provider? - ANSWER Educate the patient on all of the options available to them and allow them to choose their plan what are the risk factors for substance abuse disorder - ANSWER *Underlying mental health/emotional problems *low socioeconomic status *access to medications and substances patterns commonly seen in domestic violence among victims? - ANSWER - Feels afraid of their partner -Avoids certain topics out of fear of angering partner -Feels they deserve to be hurt or mistreated -Feels emotionally numb or helpless patterns commonly seen in domestic violence among perpetrator? - CORRECT ANSWER -Humiliates/Criticizes partner -Blames the victim for their abusive behavior -Acts jealous and possessive -Limits partners access to money, phone, car What are different types of abuse? - ANSWER *Physical *verbal *psychological *sexual populations that domestic violence typically affects? - ANSWER -Can occur in ANY population higher prevalence in ethnic minorities & women Risk factors of suicide in the elderly? - ANSWER *male gender *being single, divorced, or separated and without children *personal or family history of a suicide attempt *drug or alcohol abuse *severe anxiety or stress *physical illness *a specific suicide plan with access to firearms In a female patient who presents with abdominal pain, what is the first diagnostic test you would order? - ANSWER HCG risk factors for development of a peptic ulcer/PUD - ANSWER *H. Pylori infection *prolonged NSAID/ ASA use *smoking Differentiate among diverticulosis and diverticulitis - ANSWER Diverticula are pockets that form in the lining of the colon. They can be present and simply an incidental finding (diverticulosis) or they can become infected or inflamed (diverticulitis) What are the risk factors of diverticulitis? - ANSWER *Having diverticulosis in conjunction with untreated constipation *Smoking *lack of exercise *obesity *NSAID and Opioid use How would you differentiate between a diagnosis of gastroenteritis and irritable bowel syndrome? - ANSWER IBS: is chronic LLQ pain diarrhea, constipation, passing mucous and occurs 1 or more times a week over 3 months. Gastroenteritis: (stomach bug) is caused by a bacteria, (no constipation) diarrhea, N/V symptom limited to several days How do you treat travelers diarrhea? - ANSWER azithromycin 1000mg 1 one dose; or 500mg x 3 d Cipro 750 mg one dose Levofloxacin 500 mg 1-3 days differential diagnosis, for a patient presents with diarrhea - ANSWER Acute: Gastritis, medication induced, lactose intolerant Chronic: CRhons, IBS, IBD, mode of transmission for Hepatitis A - ANSWER fecal-oral mode of transmission for Hepatitis B - ANSWER direct contact with infected blood or blood products or by sexual contact mode of transmission for Hepatitis C - ANSWER blood, semen, maternal- neonate Describe the clinical presentation of appendicitis? (Subjective and objective findings) - ANSWER Vague symptoms first 24 hours, worse when walking or jumping, N/V, low grade temp, +Rovsings, Psoas, obturator, mcburneys Describe the various maneuvers for diagnosing appendicitis? - ANSWER ROVSING'S: Deep Papation LLQ do sudden unexpected release; Positive if causes Tenderness to RLQ. PSOAS: Pt on back and raise RT leg against pressure or on left side extend RT leg at hip; Positive if increased pain OBTURATOR: Pt on back with the right hip and knee flexed the examiner slowly rotates the right leg internally; Positive if pain over RLQ McBURNEY'S: pressure applied to McBurney's point (halfway between the umbilicus and the anterior spine of the ilium); Positive if pain with pressure applied