patients and their families. The fundamental premise of the synergy model is that patient's characteristics drive the nurse's competencies. - Three outcomes: Patient outcomes, nurse outcomes and system outcomes. 40. Which statement best describes raynauds disease - Vasospastic disorder of the small arteries and arterioles of the fingers and less commonly on the toes 41. The surfactant produced by type II alveoloar cells facilitates alveolar distention and ventilation by which mechanisms - Decreasing surface tension in the alveoli 42. Septic shock caused from release of too much endotoxins and releases vasoactive peptides and cytokines, which reduced blood pressure, decreases oxygen delivery, and produced cardiovascular shock, it can also activate coagulation cascade leading to DIC, 43. Which hormone increases the formation of glucose from amino acids and free fatty acids? - CORTISOL
44. 24) difference between innate and adaptive - innate- non specific , BORN WITH Adaptive- specific to only one type of antigen , ACQUIRED 45. Klinefelter: caused by at least 2 X chromsomes and 1 Y / s/s male appearance but develops breasts, small testes, long limbs, sparse body hair 46.. What is most common form of vitamin b12 deficiency? -pernicious anemia 47. The nurse practitioner orders bilateral wrist X-rays on a 69-year-old gentleman complaining of pain in both wrists for the past 6 weeks not related to any known trauma. The nurse practitioner suspects elderly onset rheumatoid arthritis. The initial radiographic finding in a patient with elderly onset rheumatoid arthritis would be: - Soft tissue swelling 48. Your 77-year-old patient complains of frequent urination, hesitation in getting the stream started, and nocturnal frequency of urination that is bothersome. On DRE, there is an enlarged, firm, non-tender, smooth prostate. The clinician should recognize these as symptoms of: - BPH 49. What is primary prevention - Prevention of disease 50. What is secondary prevention - Early screening and detection of disease 51. What is tertiary prevention - The restoration of health after illness or disease has occurred 52. How does varencline work in the body? - selectively binds to alpha, beta, and nicotinic acetylcholine receptors, acting as a nicotine agonist (preventing the binding of nicotine to receptors) 53. Flu vaccine - Can get starting at 6months and older
54. As an Advanced Practice Nurse (APN) who wants to lobby for state practice changes in modifying scope of practice. What specific resource would you use when communicating with your state legislators? - IOM nursing report 55. How has the Quality Chasm Report been used to direct US health care? - This report has been used as the framework and foundation for multiple health policy initiatives since its release in 2001 47. . A pt reports pain oral lesions 3 days after feeling pain and tingling in the mouth. The provider notes vesicles and ulcerative lesions on the buccal mucosa. What is the most likely cause of the symptoms? - -herpes simplex virus 48. How is herpes simplex 1 virus spread - Herpes simplex type 1, which is transmitted through oral secretions or sores on the skin , can be spread through kissing or sharing objects such as toothbrushes or eating utensils
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