Master Medicine with Fun Quizzes & Brain Teasers!

studies have found that to prevent the progression of mets to t2dm and cvd, substituting _______________ for _________________ in the diet improves insulin sensitivity.
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is lung transplantation a solution for emphysema? can new technology be useful in the treatment of emphysema? why or why not
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why food inspectors often use an overall nitrogen content test to determine the protein conetne in a prroduct
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which is not one of the three common criteria for identifying psychological disorders? deviance distress dysfunction disconnection
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is the following true or false or uncertain: "certain occupations, such as coal mining, are inherently dangerous to workers health and safety.
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the priority nursing diagnosis for a patient with mnire's disease who is experiencing an acute attack is
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An 82-year-old is on the cardiac floor of Shadow General Hospital after being admitted for chest pain. Which of the following findings would be due to vessel narrowing?A) BruitsB) TachycardiaC) Harsh holosystolic murmurD) Regurgitation
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Cardiogenic ShockBrief Patient History: Mrs. K is a 58-year-old Amish American female admitted to the coronary care unit from the emergency department after an episode of ventricular tachycardia with a pulse. Mrs. K did not want to go to the hospital, verbalizing this was not needed. However, family members convinced Mrs. K to seek medical treatment because of her complaints of fatigue, palpitations, nausea, and shortness of breath for the past couple of weeks, with one syncopal episode 3 weeks ago.Clinical Assessment: Mrs. K is restless, stoic, orthopneic, and short of breath with minimal exertion. Bilateral breath sounds are diminished with bibasilar crackles, S1, S2, S3; jugular vein distention with the head of the bed at 45 degrees; and capillary refill greater than 4 seconds, and peripheral pulses are 1+. Skin is cool, pale, and diaphoretic, and peripheral edema is noted. Amiodarone (Cordarone) is infusing IV at 1 mg/min, and a Foley catheter is draining clear amber urine at 20 mL/hr. A pulmonary artery catheter is inserted with the following hemodynamic readings: right atrial pressure (RAP): 15 mm Hg; pulmonary artery pressure: 38/26 mm Hg; pulmonary artery occlusive pressure (PAOP): 25 mm Hg; cardiac output (CO): 2.8 L/min; cardiac index (CI): 1.4 L/min; and SVCO2: 65%. Mrs. K has a body mass index (BMI) of 32.Diagnostic Procedures Mrs. Ks vital signs include blood pressure (BP) of 84/50 mm Hg, pulse of 118 beats/min that is irregular and weak, respiratory rate of 26 breaths/min, temperature of 98.2 F, and SpO2 of 90% on O2 at 4 L per nasal cannula. Electrocardiogram (ECG) reveals sinus tachycardia without ST changes; however, a Q wave 0.04 seconds and greater than 0.2 mV is evident in V1-V4, and there are occasional multifocal premature ventricular contractions (PVCs). Chest radiograph shows cardiomegaly and bilateral congestion. ECG indicates left ventricular hypertrophy with an ejection fraction of 15%. Serum cardiac enzymes are negative; serum B-type natriuretic peptide (BNP), 700 pg/mL; hematocrit, 26%; hemoglobin, 8.8 g/dL; lactate level, 3 mmol/L; white blood count, 6,000/mcL; and serum potassium, 3.8 mEq/dL. Serum glucose, 196 mg/dL; cholesterol, 350 mg/dL; triglycerides, 200 mg/dL; and high-density lipoprotein, 40 mg/dL.Medical Diagnosis Acute decompensated heart failure Cardiogenic shock Old anteroseptal myocardial infarction from ECG1. What major outcomes do you expect to achieve for this patient?2. What problems or risks must be managed to achieve these outcomes?3. What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?4. What interventions should be initiated to promote optimal functioning, safety, and wellbeing of the patient?5. What possible learning needs would you anticipate for this patient?6. What cultural and age-related factors may have a bearing on the patients plan of care?
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for a private nfp hospital, how are donated supplies accounted for?
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The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours shouldobserve for signs of which overall imbalance?A) Metabolic acidosisB) Metabolic alkalosisC) Some increase in the serum hemoglobinD) A little decrease in the serum potassium
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A 10 year-old child is recovering from a splenectomy after a traumatic injury. The child's laboratory results show a hemoglobin of 8.8 g/dL and a hematocrit of 26%. What is a priority approach that the nurse should include in the plan of care?
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Which of the following allows reusing (instead of duplication) of dimensions? A) Time column. B) Snowflaking C) Galaxy of stars. D) Degenerate dimension.
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A nurse is caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following meal choices should the nurse request for the client?a. Turkey and cheese sandwichb. Spaghetti with tomato saucec. Pork chop and applesauced. Scrambled eggs and bacon
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A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the client, in which sequence should the nurse completes these actions? (Rank the first action at the top with the remainder in descending order)1. Observe breathing patterns.2. Assess blood pressure.3. Measure body temperature.4. Palpate for pedal edema.
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1. describe why alcohol and drugs are ineffective at curing depression.
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before bernard received his employee medical benefits, he had to rely on a neighbor to help feed and bathe him and take him to the doctor. this invaluable help is called
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what are the implications of each choice? that is, if the dagger is imaginary, what does this vision suggest about macbeth's state of mind?
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A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurses priority to include? a. Admin phenytoin IV bolus to the client. b. Provide the client O2 at 6 L/min using a nasal cannula. c. Admin diazepam IV to the client. d. Turn the client to the lateral position during seizure activity.
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A home health nurse is performing eye assessment of an older adult client. Which of the following findings is the priority for the nurse to report to the provider? a. Conductivities ok b. Increased sensitivity to glare c. Decreased near vision d. Hemianopsia
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A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of contrast media. What pharmacologic agent is of greatest use in this situation?a. Dopamine (Intropin).b. Loratadine (Claritin).c. Nitroprusside (Nipride).d. Epinephrine (Adrenalin).
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prior to the 1950s, few schizophrenic patients who entered a mental hospital ever left. the discovery most responsible for alleviating that situation was the discovery of ____.
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A nurse is preparing to exit the isolation room of a client who has disseminated varicella zoster virus which requires airborne precautions.
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if a patient is in shock, why does his pulse increase?
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Wear goggles with face-mask, or face-shield alone when (check all that apply):A. There is potential splash from respiratory secretions.B. There is potential spray of blood or body fluid.C. Irrigating an infectious wound.D. Performing an intravenous insertion on a known infectious patient.
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