Walden UniversityNURS 6550NURS 6550 Midterm Exam Review

NURS 6550 Midterm Exam Review (Week 1-6) Medicolegal Considerations and the Role of the Advanced Practice Nurse  Coding and billing in nursing practice o ICD-10, CPT, and E&M codes  Role of the acute care nurse pra ...

NURS 6550 Midterm Exam Review (Week 1-6) Medicolegal Considerations and the Role of the Advanced Practice Nurse  Coding and billing in nursing practice o ICD-10, CPT, and E&M codes  Role of the acute care nurse practitioner o populations, limitations, common practice settings  Certification exam content areas  Informed consent  HIPPA and patient confidentiality  Radiology – appropriate orders and interpreting reports  Evaluation, differential diagnosis, diagnostic studies, and treatment options for common symptoms o Cough (pg 20)  Acute  Persistent o Dyspnea (pg 23) o Hemoptysis (pg 26) o Chest pain (pg 27) o Palpitations (pg 30) o Lower extremity edema (pg32)  Chronic venous insufficiency  Unilateral  DVT  Postphlebitic syndrome  Wells Criteria  Bilateral o Fever and hyperthermia (pg 34)  Fever: indicative of illness  Hyperthermia: body metabolic heat production/ environment exceeds normal heat loss capacity – not cytokine related (i.e. heat stroke) - >41.1° C  Neuroleptic malignant syndrome  Serotonin syndrome: ingestion of serotonin increasing drugs in CNS  Malignant hyperthermia o Involuntary weight loss (pg 37)  >5% body weight over 6-12 months  Cancer, dementia, depression, GI disorders  Goal: 30-40 kcal/kg/day o Fatigue (pg 38)  Generalized weakness, easy fatigability, mental fatigue o Acute headache (ph 40)  Vascular events, infection, intracranial masses, preeclampsia, CO2 poisoning o Dysuria (pg 43) Assessment of the older adult  Evaluation, differential diagnosis, and treatment of geriatric disorders o Dementia (pg 57)  Progressive decline  Memory, aphasia, apraxia, agnosia, impaired executive function o Delirium (pg 61)  Acute onset, fluctuating, defecits in attention rather than memory o Urinary incontinence (pg 65)  Stress incontinence (urethra incompetence): cough, sneeze, standing  Urge incontinence (detrusor overactivity): urgency, inability to delay urination  Overflow incontinence (detrusor underactivity): variable presentation o Skin pressure injuries (pg 68)  Care of patients at the end of life o Symptom treatment (pg 72) / pain control (pg 82) o Decision making (pg 76) o DNR orders (pg 76)  Pain Management o Differentiate types of pain (pg 82)  Acute (pg 82)  Chronic (pg 83)  Cancer (pg 83) o Classes of medications to treat pain (opioids, NSAIDS, adjuvant)  NSAID (pg 85)  Opoids (pg 88)  Adjuvant (pg 100) o Side effects and adverse effects of the medications (pg 97-98)  Medications that treat neuropathic pain (pg 99) o Complications Psychosocial Health Conditions  Evaluation, differential diagnosis, and treatment of psychiatric disorders (pg 1063) (review medication indications of treatment and medication complications) o Trauma and stress related trauma disorders (pg 1064)  PTSD o Anxiety disorders (pg 1066)  Psychosocial, somatic components  Generalized anxiety disorder  Panic disorder  Phobic disorder o Somatic symptom disorders (pg 1071)  Physical symptoms can involve one or more organ systems  Correlated with psychosocial stress  Biogenic and developmental patterns  Conversion disorder  Somatic symptom disorder  Factitious disorders o Chronic pain** o Personality disorders (pg 1077) o Bipolar disorder (pg 1088)  Long term treatment, monitoring, complications  Mania  Cyclothymic disorders o Schizophrenia (pg 1078)  Schizophrenia  Delusional disorder  Schizoaffective disorder  Not permanent  Schizophreniform disorder  Symptoms >1 month, <6 months  Brief psychotic disorders  Symptoms <1 month o Depression and mania (Initial treatment and common side effects to monitor for) (pg 1086)  Adjustment disorder with depressed mood  Depressive disorders  Major depressive disorder  Dysthymia o >2 years  Premenstrual dsphoric disorder o Last 2 weeks of menstrual cycle