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40 likes · 273 were here. If you own seen or killed a mountain lion recently, the Texas Green Club UAH, Huntsville, Alabama. Beginning in 2008 as the solo endeavor of Addison Morarre, Atlanta-based Mountain Lion has experienced constant change and Sep 20, 2010 · how do i lure or attract a cougar/mountain lion? let alone a cougar/mountain lion to hang around on for endless. By contrast, Penn State University in central Pennsylvania uses the Nittany Lion as its mascot, "Nittany" being the name of a nearby mountain and of the valley in which the University is located, and "lion" being the abbreviated name of a stuffed mountain lion/cougar originally captioned as "Brush Lion" that was on display in a building at the When I lived in Colorado there were beautiful regular reports of Mountain Lion encounters.
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The cougar (Puma concolor) is a large felid of the subfamily Felinae. See for yourself why shoppers love our selection and award-winning customer service. The first was in 2007 when he bagged a record-book mountain then 420 lbs. In Association with ADM Milling Co, King Arthur Flour, Inc. Expands Recall of Unbleached All-Purpose Flour (5 Lb & 25 Lb) Sold at: Walmart stores. Newegg. 5 kg (190 to 210 lb). Discover the perfect patio furniture & backyard decor at Hayneedle, where you can purchase online while you explore our room designs and curated looks for tips, ideas & inspiration to assist you along the way.
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Rumors suggested it was killed in Wyoming, Montana, and Idaho and who knows how numerous hunters own claimed by now that it was taken by a "buddy of a friend. Microsoft Edge (or Internet Explorer) Most full-sized grills can accommodate a three-bone rib roast (5 to 6 pounds), but a larger roast will take up a lot of space—and since this is an indirect cooking method, the grill area needs to be at least twice the size of the roast. Most cougars are much smaller than this; males weigh about 125 pounds, and females weigh about 100 pounds. Print wherever you go with this HP OfficeJet portable color printer. Up to eight tracks can be recorded at a time through its combination XLR and 1/4 inch combo jacks.
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you will discover the ideal Disney Lion Guard Patio Chair correct here. ”+ 37 Then David added: “Jehovah, who rescued me from the claws of the lion and the bear, he is the one who will save me from the hand of this Phi·lisʹtine 36 Your servant struck below both the lion and the bear, and this uncircumcised Phi·lisʹtine will become love one of them, for he has taunted* the battle lines of the living God. 2 kg (276 lb) and 118 kg (260 lb) own been reported, though they were most likely exaggerated.
Discover new and used boats for sale on Boat Trader. The largest Mountain Lion ever to be documented weighed 276 pounds, but a Lion of this size is extremely rare. Apr 15, 2013 · These photos of a massive mountain lion own circulated the web for months over email, forums, and social media. A dedicated group of Friday volunteers witnessed the donation. 540 likes. Largest modern puma was 276 lbs before gutted so over 300 lb alive s Jul 22, 2016 · Trailcam sighting between Graham Hill Rd and Hollins Drive, on the west edge of the forest gulch separating them, looking along my back fence. nor the author can guarantee such accuracy. 6 ft) and a shoulder height of 1. The largest Asian black bear on record allegedly weighed 200 kg (440 lb).
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Assist the community by sharing what you know. The news that a mountain lion was killed final week in the rugged terrain of Palo Pinto County comes as no surprise to locals who own seen them repeatedly over the years. 27 Aug 2010 Rod Bradley got to experience the thrill of the hunt twice with the same animal. Mountain View Apartments for rent in Pendleton, OR. There was some talk about him potentially walking on at the University of Michigan. captain america toy) SEARCH IN CLASSIFICATION: Food Country, Mountain City, Tennessee.
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The jacket of the Mountain Lion is light brown in color, and the fur is short and rough. This lion weighed 260 lbs. If it was 360 per quarter that would mean a 1700 lb bull, not 1400 lb. :) The cougar (Puma concolor), also known as the puma, mountain lion, panther, or catamount, is a large cat of the family Felidae native Aug 18, 2016 · The largest recorded cougar, shot in 1901, weighed 105. When they were collected together at Soʹcoh,+ which belongs to Judah, then they took up camping between Soʹcoh and A·zeʹkah,+ in Eʹphes-damʹmim.
Held the second weekend in July in Pinedale, Wyoming. Browse our inventory of new and used CATERPILLAR 279C For Sale near you at MachineryTrader. Several male cougars in British Columbia weighed between 86. Site Navigation. Order online today and get quick, free shipping for your trade. Biologists conducting wildlife research in the northeast corner of Washington trapped and captured the largest mountain lion documented in the state. “You could tell he was a large cougar.
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appears to be a young adult, with no collar or tags Apr 06, 2015 · The sounds of North America's biggest feline — the cougar. Beautiful clearly written. Or if you desire to purchase fountains of a diverse helpful, you can remove filters from the breadcrumbs at the top of the sheet. FREE S&H If you're interested in finding fountains options other than "Brand: Wildon Home®" and "Brand: LB International", you can further refine your filters to get the selection you desire.
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2 kg (300 lb). P. Labrador Retriever, then jumped a six foot fence with it in its mouth. Sports. Lists animals sorted by their weight as an adult. Do you wish to remove the filter for this visit? Cougars also commonly known as the mountain lion, puma, panther, or catamount, are large cats found in Canada, North America and South America. The affected item was sold at select Food Lion stores listed under in a 20 oz. Free Sex, Free Porn, Free Direct Download.
The author has made every effort to ensure accuracy of information provided; however, neither Kitco Metals Inc. Deer can go through protein QUICK! We went to 1 and 2 ton feeders so we didn’t own to refill them every 2 weeks. Most likely it's the neighbors home cat, lol. The compact portable body easily fits in your backpack or car while the optimized performance delivers up to 7 color pages per minute.
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of Fish, Wildlife and Parks. The population was 132,929 in 2010 United States Census. The mountain lion (Puma concolor) is commonly recognized as cougar, puma, and panther. CALORIC RATIO PYRAMID™ This graphic shows you what percentage of the calories in a food come from carbohydrates, fats, proteins, and alcohol. Shut Adult Filtered Event The title and synopsis of this program cannot be viewed as the Adult Content Filter is athletic. Sometimes my searches yield over 20 pages — ugh! If you share my pain, there's a cool solution: PicClick. Field No. (See Appendix H, List1(a) or 1(b) for the code number of the port of unlading. Need assist deciding what bugspray you need? Call 1-800-877-7290 or visit us at WWW.
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Due to its wide range, it has numerous names including puma, mountain lion, red tiger, and catamount. See coupon for details. I can’t own him in the bathroom when I shower anymore though because he has to tug the curtains back and check the wall every 5-10 seconds to make certain there isn’t a snack in there. 5 kg (276 lb) after its intestines were removed, indicating in life it could own weighed almost 136. Sugar Cookies — Cooking School –– With a few well thought out flavoring embellishments, there is no need to expect that a beautiful cookie must be boring!
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turbinella grows throughout most of the range of the species as a whole . Huge range of used private and dealer boats for sale near you. The famed British sportsman known as the "Old Shekarry" wrote of how a black bear he shot in India probably weighed no less than 363 kg (800 lb) based on how numerous people it took to lift its body. She may own a boyfriend at the moment in Oliver Flynn, but Rabbit dreams of watching Oliver fuck another girl. Conveniently research marks, autographs, patterns, and symbols (M. 3 May 2009 Do photographs show a large mountain lion hit by a truck and killed in This one weighed 260 lbs.
Largest modern puma was 276 lbs before gutted so over 300 lb alive s If a mountain lion attacks a tiger, which animal will survive? 163,516. It is just a few pounds bashful of the 200-pound mark. This information is used primarily to document the distribution of cougars and assess the presence of the cats in certain areas. Order by 5PM for same-day pickup. Jan 14, 2009 · A friend of mine killed this mountain lion (aided by dogs) a couple of weeks ago. See pricing info, deals and product reviews for Nestle Pure Life Water, 8 Oz. 2 kg (276 lb) and 118 kg (260 lb) own 15 Apr 2013 These photos of a massive mountain lion own circulated the web for months over email, forums, and social media.
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154.) A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid?
2. Orange juice
3. Grapefruit juice
4. Green, leafy vegetables → 2. Confusion and irritability
Psychological symptoms of sleep deprivation include confusion and irritability. Elevated blood pressure is not a symptom of sleep deprivation. Rapid respirations are not a symptom of sleep deprivation. There may be a decreased ability of reasoning and judgment that could lead to inappropriateness. Decreased temperature is not a symptom of sleep deprivation.
The client with sleep deprivation is often withdrawn, not talkative.
Pancreatitis patients → put them in fetal position, NPO, gut relax, prepare antecubital site for PICC cuz they’ll probably be getting TPN/Lipids
Common S/S of pernicious anemia → red beefy tongue
POSt bolus feeding position → on correct side, HOB UP
gout → if uric acid is high what is pt.
CABG? → the grand saphenous vein is taken it is turned inside out due to the valves that are inside.
Knee replacement? → You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
IV pylogram → influences carbohydrate metabolism, indirectly influences fat and protein metabolism, and produces insulin and glucagon.
School aged kids and five year olds?
→ Preload affects quantity of blood that goes to the R ventricle.
Afterload is the resistance the blood has to overcome when leaving the heart.
Implementation → Standard
After Thyroidectomy? → the stimulus to breathe is low PO2, not increased PCO2 love the relax of us, so
don’t slam them with oxygen. Urge pursed-lip breathing which promotes CO2
elimination, urge up to 3000mL/day fluids, high-fowlers and leaning forward.
IVF → ISOTONIC: 0.9%NACL,LR, D5W
HYPOTONIC: D2.5W, 1/2NACL, 0.33%NACL, tap water
HYPERTONIC: D10W, 3% NACL, 5%NACL, D5LR, D51/2NACL, D5NACL, TPN
ASTHMA — → what is pt.
if s/s of pale freezing low Hct, and low Hgb and sore tongue
149.) A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider’s office that a dose was taken this morning. The nurse determines that:
1. The client should reschedule the appointment.
2. A lower dose of allergen will need to be injected.
3. A higher dose of allergen will need to be injected.
4. The client should own the skin test read a day later than usual. → 1. The client should reschedule the appointment.
Fexofenadine is an antihistamine, which provides relief of symptoms caused by allergy.
Antihistamines should be discontinued for at least 3 days (72 hours) before allergy skin testing to avoid false-negative readings. This client should own the appointment rescheduled for 3 days after discontinuing the medication.
0. INFECTIOUS MONONUCLEOSIS — → aids in the diagnosis of diabetes mellitus. 2 hours after injection or ingestion of glucose, a level higher than 200 mg/dL confirms the diagnosis of diabetes mellitus.
186.) A nurse prepares to ister sodium polystyrene sulfonate (Kayexalate) to a client. Before istering the medication, the nurse reviews the action of the medication and understands that it:
Releases bicarbonate in exchange for primarily sodium ions
2. Releases sodium ions in exchange for primarily potassium ions
3. Releases potassium ions in exchange for primarily sodium ions
4. Releases sodium ions in exchange for primarily bicarbonate ions → 4. Does not alter respirations or mask neurological signs as do other opioids
Codeine sulfate is the opioid analgesic often used for clients after craniotomy. It is frequently combined with a nonopioid analgesic such as acetaminophen for added effect. It does not alter the respiratory rate or mask neurological signs as do other opioids.
Side effects of codeine include gastrointestinal upset and constipation. The medication can lead to physical and psychological dependence with chronic use. It is not the strongest opioid analgesic available.
Which of the following symptoms should the nurse assess with a client who is deprived of sleep?
1. Elevated blood pressure and confusion
2. Confusion and irritability
3. Inappropriateness and rapid respirations
4. Decreased temperature and talkativeness → bind with the ingested drug.
Rationale: Activated charcoal binds with the drug so that it isn’t absorbed. It isn’t given to promote vomiting or stimulate bowel motility, and it doesn’t neutralize the drug.
Postoperative Nursing: Recognizing development of deep vein thrombosis → monitor for soreness or pain when standing or walking, calf tenderness, and skin warmth.
*use compression stockings or foot pump
*give low dose of warfarin
Cardioversion → elective procedure, informed consent, give vallium
Common S/S of Infectious Mononucleosis?
→ HYPERTENSION, BRADYpnea, BRADYcardia (cushings triad)!
Infant w/ Spina Bifidia: Care → generally seen in kids bone breaks on one side and bends on the other
Which of the following symptomatology is reflective of a lower urinary tract infection? (Select every that apply.)
1. Chills and fever
2. Nausea and vomiting
3. Frequency or urgency
4. Cloudy or blood-tinged urine
Pelvic tenderness or flank pain
6. Burning or pain when voiding → 1. Chills and fever
2. Nausea and vomiting
3. Frequency or urgency
4. Cloudy or blood-tinged urine
6. Burning or pain when voiding
Glaucoma → Person’s peripheral vision decreases, halos, headache, eye pain, Avoid mydriatics( Atropine)
Hyponatremia? → renagel
iv CA put on herat monitor
by auscultation you can hear the fetus → 18-20 weeks
48-72 hours → imitation
chicken pox → fat in stool, every the layer are affected
15.) The client with little cell lung cancer is being treated with etoposide (VePesid).
The nurse who is assisting in caring for the client during its istration understands that which side effect is specifically associated with this medication?
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension → 4. Orthostatic hypotension
A side effect specific to etoposide is orthostatic hypotension. The client’s blood pressure is monitored during the infusion. Hair loss occurs with almost every the antineoplastic medications. Chest pain and pulmonary fibrosis are unrelated to this medication.
119.) A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol (Tenormin) for the control of angina pectoris.
Because of the effects of atenolol, the nurse determines that which of the following is the most dependable indicator of hypoglycemia?
4. Low blood glucose level → 1. The client should reschedule the appointment.
Fexofenadine is an antihistamine, which provides relief of symptoms caused by allergy. Antihistamines should be discontinued for at least 3 days (72 hours) before allergy skin testing to avoid false-negative readings. This client should own the appointment rescheduled for 3 days after discontinuing the medication.
Signs of a hip fracture?
normal calcium range → encapsulated above the kidneys causing flank
ICP (intracranial pressure) should be _____. and measure ________. → after 24 hours.
S/S of hypoglycemia → irritable, confusion, tremors, blurred vision, skin cool clammy, tachycardia
Common S/S of guillian Barre Syndrome → Salty skin
→ Never release traction unless you own an order from an MD to do so
LVN/LPN cant? → Handle any blood
While ambulating in the hallway of a hospital, the client complains of extreme dizziness. The nurse, alert to a syncopal episode, should first:
1. Support the client and stroll quickly back to the room
2. Lean the client against the wall until the episode passes
3. Lower the client gently to the floor
4. Go for assist → Adjusting to retirement, deaths of family members, and decreased physical strength
→ -upturned nose
-flat nasal bridge
-thin upper lip
Med that can’t be infused Intra osseously? → wash area gently, apply baby powder, cornstarch, elevate limb, apply elastic bandage
Implementation for sleep apnea → uneven gluteal folds and thing, limited abduction of hip, ortolani’s sign, shortened limb on affected side , use pavlik harness thatshould be changed regarding the kid growth
44.) A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should own which item available for possible use after giving this medication?
2. Intubation tray
3. Nasogastric tube
4. Suction equipment → 2. 4 to 12 hours after istration
Humulin NPH is an intermediate-acting insulin. The onset of action is 1.5 hours, it peaks in 4 to 12 hours, and its duration of action is 24 hours. Hypoglycemic reactions most likely happen during peak time.
1-7 → imitation
Minere → low sodium diet, person has severe vertigo
Shortly after being admitted to the coronary care unit with an acute myocardial infarction (MI), a client reports midsternal chest pain radiating below the left arm.
The nurse notices that the client is restless and slightly diaphoretic and measures a temperature of 99.6° F (37.6° C), a heart rate of 102 beats/minute; regular, slightly labored respirations at 26 breaths/minute; and a blood pressure of 150/90 mm Hg. Which nursing diagnosis takes highest priority? → 1. Tinnitus
Cisplatin is an alkylating medication. Alkylating medications are cell cycle phase-nonspecific medications that affect the synthesis of DNA by causing the cross-linking of DNA to inhibit cell reproduction. Cisplatin may cause ototoxicity, tinnitus, hypokalemia, hypocalcemia, hypomagnesemia, and nephrotoxicity.
Amifostine (Ethyol) may be istered before cisplatin to reduce the potential for renal toxicity.
42.) A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen?
1. «My ulcer will heal because these medications will kill the bacteria.»
2. «These medications are only taken when I own pain from my ulcer.»
3. «The medications will kill the bacteria and stop the acid production.»
«These medications will jacket the ulcer and decrease the acid production in my stomach.» → 3. «The medications will kill the bacteria and stop the acid production.»
Triple therapy for Helicobacter pylori infection generally includes two antibacterial drugs and a proton pump inhibitor. Clarithromycin and amoxicillin are antibacterials. Esomeprazole is a proton pump inhibitor. These medications will kill the bacteria and decrease acid production.
Common sites for metastatsis? → after 28 weeks record FHR, client should eat snacks, excellent result is 2 or more FHT, acceleration of 15 bpm lasting 15 sec to 20
LEPROSY → lioning face.
8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin.
The nurse reviews the client’s medication record and would contact the (HCP) if the client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin) → 3. Confusion
Cimetidine is a histamine 2 (H2)-receptor antagonist. Older clients are especially susceptible to central nervous system side effects of cimetidine. The most frequent of these is confusion. Less common central nervous system side effects include headache, dizziness, drowsiness, and hallucinations.
A nurse is developing a nursing diagnosis for a client.
Which information should she include?
a) Actions to achieve goals
b) Expected outcomes
c) Factors influencing the client’s problem
d) Nursing history → c) CORRECT ANSWER Factors influencing the client’s problem
Reason: A nursing diagnosis is a written statement describing a client’s actual or potential health problem. It includes a specified diagnostic label, factors that influence the client’s problem, and any signs or symptoms that assist define the diagnostic label.
Actions to achieve goals are nursing interventions. Expected outcomes are measurable behavioral goals that the nurse develops during the evaluation step of the nursing process. The nurse obtains a nursing history during the assessment step of the nursing process.
Protocol for Airborne Transmission? → HIGHEST PRIORITY FOR AN ELDERLY CLIENT DX WITH HERPES ZOSTER IS?
Traction in kids? → What traction is used in a school-age kid with a femur or tibial fracture with extensive skin
damage? Ninety, ninety.
Huh? I never heard of it either. The name refers to the angles of the
joints. A pin is placed in the distal part of the broken bone, and the lower extremity is in a boot
cast. The relax is the normal pulleys and ropes you’re used to visualizing with balanced
suspension. While we’re talking about traction, a kid’s hinder should clear the bed when in
Bryant’s traction (also used for femurs and congenial hip for young kids).
20-36 weeks → COAL TAR SHAMPOO IS PRESCRIBED FOR WHAT TYPE OF SKIN CONDITION?
Immunizations rules? → Amniotic fluid is alkaline, and turns paper blue.
Urine and normal vaginal discharge
are acidic, and turn it pink.
Ulcerative Colitis → RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position).
The nurse should instruct the family of a kid with newly diagnosed hyperthyroidism to:
a. hold their home warmer than usual
b. urge plenty of outdoor activities
c. promote interactions with one friend instead of groups
d. limit bathing to prevent skin irritation → hypersecretion or hyposecretion of hormones from the gland or organ. When hypersecretion occurs, treatment is aimed at blocking the hormone release through medication or surgery.
When hyposecretion occurs, treatment is aimed at replacement therapy.
A physician writes the following order for a client: «Prednisone 5 mg P.O. daily for 3 days.» When the order is transcribed on the Kardex, the nurse who transcribes the order neglects to put the limitation of 3 days on the prescription. On the 4th day after the order was instituted, a nurse isters prednisone 5 mg by mouth. During an audit of the chart, the error is identified. The person most responsible for the error is the: → Produce a false-high measurement
Rationale: Using an undersized blood pressure cuff produces falsely elevated blood pressures because the cuff can’t record brachial artery measurements unless it’s excessively inflated.
The sciatic nerve would be damaged by hyperinflation of the blood pressure cuff because the sciatic nerve is located in the lower extremity of the body
When planning care for a client with a head injury, which position should the nurse include in the care plan to enhance client outcomes?
b) 30-degree head elevation
d) Side-lying → RHOGAM is needed
Protocol for Droplet Precautions?
→ high protein, high calorie, low fat and low fiber
Kernigs sign? → One of the physically demonstrable symptoms of meningitis Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees.
A patient with a history of mitral valve replacement, hypertension, and type 2 diabetes mellitus undergoes emergency surgery to remove an embolus in her correct leg. Which factor contraindicates the use of epidural analgesia in this patient?
1) Anticoagulant therapy
2) Diabetes mellitus
4) Embolectomy → 1) Anticoagulant therapy
Absent reflexsive? → Hyper reflexes (upper motor neuron issue «your reflexes are over the top»)
Absent reflexes (lower motor neuron issue)
29.) A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to happen is:
1. 2 to 4 hours after istration
2. 4 to 12 hours after istration
16 to 18 hours after istration
4. 18 to 24 hours after istration → 4. «Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing.»
Flushing is a side effect of this medication. Aspirin or a nonsteroidal anti-inflammatory drug can be taken 30 minutes before taking the medication to decrease flushing. Alcohol consumption needs to be avoided because it will enhance this side effect. The medication should be taken with meals, this will decrease gastrointestinal upset. Taking the medication with meals has no effect on the flushing. Clay-colored stools are a sign of hepatic dysfunction and should be immediately reported to the health care provider (HCP).
On the second postpartum day a gravida 6, para 5 complains of intermittent abdominal cramping.
The nurse should assess for:
b) postpartum hemorrhage.
d) afterpains. → d) CORRECT ANSWER afterpains.
Reason: In a multiparous client, decreased uterine muscle tone causes alternating relaxation and contraction during uterine involution, which leads to afterpains. The client’s symptoms don’t propose endometritis, hemorrhage, or subinvolution.
Position during epidural puncture? → Definitive diagnosis for abd. aortic aneurysm (AAA) —> CT scan
No PEE, No ?? → K+; DO NOT give Potassium without adequate urine output.
Increased perfusion for VEINS and ARTERIES → Diptheria is an upper respiratory tract infection.
It is characterized by sore throat, low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight… It just looks love a whiteish yellow capsule around the tonisils
A 74-year-old client has three grown children who each own families of their own. The client is retired and looks back on his life with satisfaction. According to Erickson, the nurse assesses that the client is in a stage of: → generativity.
Which of the following groups of clients is at an increased risk for developing a wound infection?
→ Clients who are undernourished
MRI → demylination of white matte in brain and spinal canal, charges in vision, sensation, motor function
Nutrition for infants: introducing solid foods → Private Room — negative pressure with 6-12 air exchanges/hr
Mask, N95 for TB
Immobilizing Interventions: prioritizing care for a client with a endless arm cast → PPD is positive if area of induration is:
>5 mm in an immunocompromised patient
>10 mm in a normal patient
>15 mm in a patient who lives in an area where TB is extremely rare.
Common S/S of Malaria?
→ — stepladder love fever with chills
Bryant’s traction= → children <3y, <35 lbs with femur fx
Paracentesis- → semi fowlers or upright on edge of bed, empty bladder.
Post- v.s., report elevated temp, observe for signs of hypovolemia.
When patient is in distress? → is a psychiatric disorder that causes an individual to self-inflict injury
or illness or to fabricate symptoms of physical or mental illness, in order to get medical care
In a variation of the disorder, Munchausen by proxy (MSBP), an individual,
typically a mom, intentionally causes or fabricates illness in a kid or other person under her
2.) Oral iron supplements are prescribed for a 6-year-old kid with iron deficiency anemia.
The nurse instructs the mom to ister the iron with which best food item?
3. Apple juice
4. Orange juice → 4. Orange juice
Vitamin C increases the absorption of iron by the body. The mom should be instructed to ister the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water will not help in absorption. Orange juice contains a greater quantity of vitamin C than apple juice.
When changing a diaper, the nurse observes that a 2-day-old baby has had a green black, tarry stool.
What should the nurse do?
1) Notify the physician.
2) Do nothing; this is normal.
3) Give the baby sterile water until the mother’s milk comes in.
4) Apply a skin barrier cream to the buttocks to prevent irritation. → 2) Do nothing; this is normal.
During the first few days of life, a term newborn passes green black, tarry stools known as meconium. Stools transition to a yellow green color over the next few days. After that, the appearance of stools depends upon the feedings the newborn receives.
Sterile water does nothing to alter this progression. Meconium stools are more irritating to the buttocks than other stools because they are so sticky and the skin generally must be rubbed to cleanse it.
132.) The client with non-Hodgkin’s lymphoma is receiving daunorubicin (DaunoXome). Which of the following would indicate to the nurse that the client is experiencing a toxic effect related to the medication?
3. Complaints of nausea and vomiting
4. Crackles on auscultation of the lungs → 4. Crackles on auscultation of the lungs
Cardiotoxicity noted by abnormal electrocardiographic findings or cardiomyopathy manifested as congestive heart failure is a toxic effect of daunorubicin.
Bone marrow depression is also a toxic effect. Nausea and vomiting are frequent side effects associated with the medication that begins a few hours after istration and lasts 24 to 48 hours. Fever is a frequent side effect, and diarrhea can happen occasionally. The other options, however, are not toxic effects.
*keep in mind that the question is asking about a toxic effect and think: ABCs—airway, breathing, and circulation*
PCA → may own itching
Tidal volume? → ends in a VOWEL, comes from the BOWEL (Hep A)
Hepatitis B=Blood and Bodily fluids
Hepatitis C is just love B
28.) The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin.
The nurse knows that which of the following is the appropriate intervention?
1. The medication is istered within 60 minutes before the morning and evening meal.
2. The medication is withheld and the HCP is called to question the prescription for the client.
3. The client is monitored for gastrointestinal side effects after istration of the medication.
4. The insulin is withdrawn from the Penlet into an insulin syringe to prepare for istration. → 4. «Swallow the tablets with large amounts of water or milk.»
Diflunisal may be given with water, milk, or meals. The tablets should not be crushed or broken open. Taking the medication with a large quantity of water or milk should be tried before contacting the health care provider.
S/S of decreased RBC → portal hypotension + albuminemia
Based on a client’s history of violence toward others and her inability to manage with anger, which of the following should the nurse use as the most significant indicator of goal achievement before discharge?
a) Acknowledgment of her mad feelings.
b) Ability to describe situations that provoke mad feelings.
c) Development of a list of how she has handled her anger in the past.
d) Verbalization of her feelings in an appropriate manner. → Care Includes: Elevate the foot of the bed for counter-traction.
84.) Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The nurse assists in planning care, knowing that the primary therapeutic effect of this medication is which of the following?
1. Increased muscle tone
2. Decreased muscle spasms
3. Increased range of motion
Decreased local pain and tenderness → 2. Decreased muscle spasms
Baclofen is a skeletal muscle relaxant and central nervous system depressant and acts at the spinal cord level to decrease the frequency and amplitude of muscle spasms in clients with spinal cord injuries or diseases and in clients with multiple sclerosis. Options 1, 3, and 4 are incorrect.
109.) A client taking buspirone (BuSpar) for 1 month returns to the clinic for a follow-up visit. Which of the following would indicate medication effectiveness?
No rapid heartbeats or anxiety
2. No paranoid thought processes
3. No thought broadcasting or delusions
4. No reports of alcohol withdrawal symptoms → 1. No rapid heartbeats or anxiety
Buspirone hydrochloride is not recommended for the treatment of drug or alcohol withdrawal, paranoid thought disorders, or schizophrenia (thought broadcasting or delusions). Buspirone hydrochloride is most often indicated for the treatment of anxiety and aggression.
What to do in the case of tube feeding with decreased LOC?
→ intercostal retractions
A primigravid client gives birth to a full-term girl. When teaching the client and her partner how to change their neonate’s diaper, the nurse should instruct them to:
a) fold a cloth diaper so that a double thickness covers the front.
b) clean and dry the neonate’s perineal area from front to back.
c) put a disposable diaper over a cloth diaper to provide additional protection.
d) position the neonate so that urine will drop to the back of the diaper. → b) CORRECT ANSWER clean and dry the neonate’s perineal area from front to back.
Reason: When changing a female neonate’s diaper, the caregiver should clean the perineal area from front to back to prevent infection and then dry the area thoroughly to minimize skin breakdown.
For a male, the caregiver should clean and dry under and around the scrotum. Because of anatomic factors, a female’s diaper should own the double thickness toward the back. The diaper, not the neonate, should be positioned properly. Placing a disposable diaper over a cloth diaper isn’t necessary. The direction of urine flow can’t be ensured.
non stress test → occlude both ulnar and radial artery until hand blanches then release ulnar. If the
hand pinks up, ulnar artery is excellent and you can carry on with ABG/radial stick as planned.
must be put on ice and whisked to the lab.
HYPER thyroid → fatigue, muscle weakness, renal calculi, back and joint pain (increased
calcium), low Ca, high phosphorus diet
* William’s position → A metabolic disorder characterized by abnormally increased secretion (endogenous) of cortisol, caused by increased amounts of adrenocorticotropic hormone (ACTH) secreted by the pituitary gland.
autologous blood → comes from self, can be used up the 5 weeks before surgery
→ check for allergies, warm flush feeling, post procedure fluids urge, during the procedure the dye is injected