*NURSING > EXAM REVIEW > Walden UniversityNURS 6550NURS 6550 Midterm Exam Review (All)
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 [Show More]
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