Skin, Hair, and Nail Disorders
On Assessment the Findings are Swelling, pain, purulent drainage, odor and the Medical and Surgical Management: local, systemic antibiotic therapy; or surgery
What is Onychocryptosis?
A 33 year old male patient who is a firefighter is brought to the hospital for a bun located on the forearm. You as the LPN notice soot located on his face, arms, and hands. What complication do you suspect?
What is smoke inhalation? Box 66-1 S/S of smoke inhalation
exhibiting withdrawal and avoiding problems.
What is psychic numbing?
Natural endogenous chemical messengers that communicate information that affect thinking, behavior, and bodily functions.
What are neurotransmitters?
While these older antidepressants like amitriptyline are effective, they are notorious for their cardiotoxicity in overdose, often presenting on an EKG as a prolonged QT interval and a widened QRS complex.
What is a TCA?
Your patient is diagnosed with alcohol withdrawal syndrome and is exhibiting tremors, sweating, agitation, anxiety, insomnia, and hallucinations. What medication do you expect to administer during detox and why?
What is a sedative (Benzos:Lorazepam, Valium)? How is it administered?
Your patient has been prescribed Aricept what education would you give the patient and family?
What is prolonging symptoms or disease progression. There is no treatment. The disease will progress and the pt will get worse but administering the medication may assist in prolonging or slow the progression.
Calculate Run time. Order: 380 mL D5W IV at 50 mL/hour
What is 8 hours
A 43 year old male has been diagnosed with Atopic dermatitis and has called into the triage line where you work. The patient is asking for interventions to help with pruritus and skin hydration.
What is short cool showers, increase water intake, use emollients, avoid hot baths, light cotton clothing, mild detergents and soap, avoid scratching, and antihistamines?
During the first 24 hours of burn shock, nurses should expect this electrolyte to be elevated due to cellular destruction, while this hematologic value is high as a result of massive plasma loss and hemoconcentration.
What is potassium and hematocrit?
The patient has been diagnosed with anxiety recently. What were the patients signs and symptoms? How is a diagnosis made?
What is restlessness, pacing, increased heart rate, BP, respirations, perspiration, sleep is disturbed, and irritability.
Psychobiologic disorder
What is a condition where psychological factors—such as chronic stress, anxiety, or emotional trauma—directly influence and manifest as physical symptoms or illnesses.
It is the clinical intersection where the mind (psyche) meets the body (biology).
Serotonin in cerebrospinal fluid is higher in patients with depression, low levels of NE develop psychomotor retardation or agitation, and patients with excess dopamine results in distortion of thoughts.
What is the monoamine hypothesis?
Your patient has been prescribed Antabuse what should you educate your patient regarding this medication?
What is do not drink for at least 12 hours before taking this drug, and do not take if intoxicated. What happens if they do?
Nursing intervention or management for dementia patients
What is nutrition-swallowing, chewing ability, minimize distractions, simple one step commands, remove locks from bathroom doors, safety regarding wandering, stove, lighters, knives, and chemicals safety. page 1316
Order: 225 mL D5W infused over 30 mins
Available: infusion pump
What is 450mL/hour
Herpes Zoster is a
What is a reactivated virus? Can you get Herpes Zoster more than once? What is the treatment? Signs and symptoms?
While a partial-thickness burn is excruciatingly painful, this Full-Thickness stage involves the destruction of the entire dermis and nerve endings, often resulting in a wound that is leathery, waxy, and paradoxically painless to the touch.
What is a third degree burn?
Patient is experiencing disabled learning, fragmented thoughts, speech is incoherent, and symptoms include dyspnea, fainting, tremors, and diaphoresis. What level of anxiety is the patient experiencing?
What is the panic level of anxiety?
Alarm, Resistance, and Exhaustion
What are the three stages of general adaptation syndrome?
This life-threatening condition, often caused by combining SSRIs with MAOIs is characterized by the clinical triad of altered mental status, autonomic hyperactivity, and neuromuscular abnormalities like hyperreflexia and clonus.
What is serotonin syndrome?
While this term refers to the brain's reward-driven 'craving' despite harmful consequences, Dependence is characterized by physical withdrawal symptoms, and Tolerance is the physiological need for increasing doses to achieve the same effect.
What is addiction?
Unlike its chronic, progressive counterpart, this acute state of confusion is considered a medical emergency characterized by a fluctuating level of consciousness, rapid onset, and is often reversible once the underlying cause—such as a UTI or hypoxia—is treated.
What is delirium?
Calculate the IV Run time. Order: 220 mL D5½NS at 70 mL/hour
What is 3 hours
An antiviral that is used to slow the progression of Herpes Zoster
What is Acyclovir? Patient education?
The acute/intermediate phase follows the emergent/resusciative phase and includes maintaining fluid replacement. What are the goals of fluid resuscitation?
What is restoration of intravascular volume, prevent tissue death, and maintain vital organs?
Behavioral Manifestations: Attention is heightened. Sensory perception is expanded. Focus is on stimuli. Reality is intact. Information processing is accurate. Person feels in control.Physical Manifestations: Muscle tone increases. Heart rate, BP, and breathing slightly increase. Perspiration is noticeable.
What is mild level of anxiety?
Examples of effective coping mechanisms
What is support from family and friends, exercise, avoiding procrastination, communicate feelings, journaling, and say not when necessary.
In suicide risk assessment, this 4-letter mnemonic helps clinicians evaluate lethality by assessing the Specificity of the plan, the Lethality of the method, the Availability of means, and the Proximity of help.
What is the SLAP Mnemonic?
Synthetic medication used to treat opioid dependence that forestalls withdrawal, decreases toxic overdoses, decreases bloodborne infections, and reduces crime related to legally providing the drug.
What is methadone?
Nursing management includes assessing and protecting cognitive function, physical safety, and promoting independence in self care.
Alzheimer's (examples of each)
Order: 380 mL D5½NS 12 NOON–6 PM
Available: microdrip (60 gtt/mL)
(Round to the nearest whole number)
What is 63gtt/mn
The treatment for this disorder is symptomatic treatment, drug therapy, biologic therapy, photochemotherapy, antineoplastic; methotrexate.
What is plaque psoriasis?
Client: 45-year-old male (90 kg)
Setting: Emergency Department (ED)
History: Admitted following a house fire. He has deep partial-thickness and full-thickness burns to his entire chest, abdomen, and the anterior surface of both legs.
Current Assessment:
Vitals: BP 88/52 mmHg | HR 128 bpm | RR 26 bpm | Temp 96.8°F.
Physical: Distant heart sounds, weak thready pulses, and cool extremities.
Urine Output: 10 mL in the last hour via foley catheter.
Respiratory: Soot-tinged sputum noted; singed nasal hairs.
What is burn shock? What are the other complications of burns?
Anxiety nursing interventions
What is building trust (communication), restoring comfort, modifying communication, adjusting teaching, help problem solve, and ensure safety.
What is an adjunctive medication prescribed with Lithium? What is the purpose of the adjunctive medication?
Anticonvulsant medication (Valproic acid) to briefly sedate and relieve bizarre thought processes.
While most symptoms of this withdrawal peak within 3 days, patients often report a specific triad of increased appetite, difficulty concentrating, and extreme irritability, as the brain's nicotinic receptors demand a return to their stimulated state.
What is nicotine withdrawal?
Prepare ¼ strength Ensure. Total volume is 65 mL. How much water is required? (Round to the nearest tenth)
What is 48.8mL