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MARYVILLE NURS 623 EXAM 3 VERIFIED QUESTIONS & ANSWERS 100% CORRECT 1. MARYVILLE NURS 623 Exam 3 study guide with verified answers 2. 100% correct NURS 623 Exam 3 questions and solutions 3. Maryville University NURS 623 third exam practice test 4. Verified NURS 623 Exam 3 answer key for Maryville students 5. MARYVILLE NURS 623 Exam 3 preparation materials with guaranteed accuracy 6. Latest NURS 623 Exam 3 questions and answers for Maryville 7. Maryville University nursing program NURS 623 Exam 3 review 8. Authentic NURS 623 Exam 3 question bank with explanations 9. MARYVILLE NURS 623 Exam 3 study materials with 100% success rate 10. Verified NURS 623 third exam questions for Maryville nursing students 11. MARYVILLE NURS 623 Exam 3 practice questions with detailed solutions 12. Reliable NURS 623 Exam 3 study resources for Maryville University 13. MARYVILLE NURS 623 Exam 3 sample questions with verified answers 14. Comprehensive NURS 623 third exam review guide for Maryville
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disorder?: excessive anxiety and worry of variety of things for at least 6 months
Five or more symptoms including at least one depressed mood or loss of interest present in the same two weeks and present nearly every day
*Anxiety *PTSD *Substance Abuse
*Gender *Personal Hx (migrains, PUD, chronic pain) *Fx Hx (depression, suicide, alcholism, substance abuse)
patient?: Somatic (general pain) Psychology (feeling of guilt/worry, suicidal, memory) Psychomotor (anxiety/agitation) Vegetative (poor appitite/sleep)
depressive disorder?: Interpersonal and cognitive behavior therapy
sive disorder?: SSRI, SNRI, TCA, MAO
Sertraline (Zoloft) Paroxetine (paxil) Citalopram (celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Desvenlafaxine (Pristiq)
slower metabolism requires lower dosing; greater risk of falls, osteoporosis, frac- tures
E-thanol abuse R-ational thinking loss S-ocial support loss O-rganized plan N-o spouse S-ickness
front of partner *gives evasive answers *Overly protective or controlling partner
Anger Bargaining
Depression Acceptance
Confront Accomadate Acknowledge the loss Reacting to the separation Recollecting and Re-experiencing the Relationship w/deceased
reluctant to speak in front of her partner and gives evasive answers
(PTSD)?: A: INTRUSIVE thoughts, nightmares or flashbacks B: AVOIDANCE any situation of activity that brings memories C: HYPERAROUSAL: Hypersensitive or on edge, unprovoked anger, jumpiness, and on guard
intrusive, avoidance, or hyper-arousal MUST HAVE PERSISTED FOR MORE THAN 1 MONTH
(paxil) or sertaline (Zoloft), anxiolytic buspirone (BuSpar) NON-PHARMACOLOGICAL: cognitive behavioral therapies, brief eclectic psy- chotherapy, narrative exposure therapy
preoccupation with weight, calories, and food, wear baggy clothes history of excessive exercise
anemic hypomagnesmia elevated TSH sinus bradycardia.
weight gain tooth erosion calluses on back of hands esophageal erosion negative body image eats rapidly until uncomfortably full swollen salivary (parotid) glands irregular menses eat large amounts of food in isolation signs or symptoms of depression
amylase
: 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.
higher prevalence in ethnic minorities & women
*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
diagnostic test you would order?: HCG
*prolonged NSAID/ ASA use *smoking
ets 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)
conjunc- tion with untreated constipation *Smoking *lack of exercise *obesity *NSAID and Opioid use
irritable bowel syndrome?: IBS: is chronic LLQ pain diarrhea, constipation, pass- ing 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
500mg x 3 d Cipro 750 mg one dose Levofloxacin 500 mg 1-3 days
medication induced, lactose intolerant Chronic: CRhons, IBS, IBD,
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
(GERD)?: heartburn, regurgitation, water brash (reflex salivation), sour taste in morning, belching, coughing, and hoarseness. Objective: only sign may be occult blood in stool.
with upper endo; refer if failed treatment of step 2- after 6 weeks of treatment
ment of GERD.: lifestyle changes including diet weight loss, raising the head of their bed 6-8 inches, avoid nicotine products avoid recumbency or sleeping for 3 to 4 hours after a meal, avoid bedtime snacks, avoid fatty and late meals, foods such as chocolate, alcohol, peppermint, caffeine, onions, garlic, citrus, and tomatoes, wearing loose comfortable clothing, and starting a routine exercise and weight loss program
PRN OTC H2ra and antacid; PPI; referral
Step-down: starts with PPI then step down until Sx under control
he wakes up with a sour taste in his mouth. What is the most likely cause of the patient symptoms?: GERD
complications/reoccurrence *PHARMACOLOGICAL therapy is the foundation of management (H2Ra, PPI, antacids, antibx w/H-pylori)
upper quadrant accompanied by nausea and vomiting and fever there is a positive Murphy sign what is the most likely diagnosis?: Cholecystitis
nosis of non-alcoholic pancreatitis?: Serum amylase, concurrent with Lipase
to lumbar area weight loss diarrhea N/V dyspepsia
tenderness, may feel pseudeocyst/mass mild jaundice.
for average risk?: Average Risk: 50-75 or African American 45+ fecal occult blood every 1 yr flex sig every 5 yrs Colonoscopy every 10 years
for high risk?: fecal occult blood every 1 yr At 40 y/o Barium enema or colonoscopy every 3-5 yrs
(worse after eating) relieved with passing stool or gas *colonic distention *W/itis: anorexia, vomiting, chills, tachycardic more common in elderly
plicated diverticular disease?: Requires no further intervention and can be managed with a high-fiber diet or a daily fiber supplementation with psyllium
or Bactrim
reduce the incidence of diverticular disease?: Increase the amount of fiber in the diet
A patient experiencing exacerbation of symptoms of ulcerative colitis should
straining, coughing, or bending over; burning or aching sensation at the bulge
Swollen, red, warm scrotum. -Testicle pain and tenderness, usually only on one side that comes on gradually
-Fever/chills -Blood in urine
-Painful periods -Pain with intercourse -Pain with BM or urination
-Blood in stool -Pencil-thin stools -Feeling of incomplete BM
muscles are attached, forming a high arch on the inferior border that results in a faulty shutter mechanism- : Direct inguinal
exits from the abdomen: Femoral
Developing suicidal ideations
symptoms including at least one depressed mood or loss of interest present in the same two weeks an present nearly every day
cludes: Emaciation/cachexia