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Questions and Answers

What is the primary mechanism of action of Ezetimibe?

  • Enhances renal excretion of cholesterol
  • Inhibits absorption of cholesterol in the small intestine (correct)
  • Inhibits cholesterol synthesis in the liver
  • Increases secretion of bile acids

What is a common side effect of Alirocumab?

  • Increased heart rate
  • Nausea and vomiting
  • Flu-like symptoms (correct)
  • Severe headaches

Which of the following medications is an example of an ACE inhibitor?

  • Lisinopril (correct)
  • Metoprolol
  • Losartan
  • Amlodipine

What is a contraindication for using Carvedilol?

<p>Asthma (A)</p> Signup and view all the answers

What should be checked prior to administering a beta blocker and a glycoside?

<p>BP and HR (D)</p> Signup and view all the answers

Which condition can cause Digoxin toxicity symptoms?

<p>Hypokalemia (B)</p> Signup and view all the answers

What is a expected effect of Furosemide in heart failure management?

<p>Removal of excess fluid (D)</p> Signup and view all the answers

What is a key nursing consideration when administering Milrinone?

<p>Place patient on a cardiac monitor (A)</p> Signup and view all the answers

What are the common signs associated with right-sided heart failure?

<p>Fluid retention (D)</p> Signup and view all the answers

Which condition is most commonly associated with left-sided heart failure?

<p>Coronary artery disease (C)</p> Signup and view all the answers

What does preload refer to in the context of heart function?

<p>The pressure in the heart before contraction (C)</p> Signup and view all the answers

What is the main mechanism of action for statins?

<p>Inhibit HMG-CoA reductase (B)</p> Signup and view all the answers

What serious complication should be reported when taking statins?

<p>Rhabdomyolysis (D)</p> Signup and view all the answers

What is the primary purpose of cholestyramine?

<p>Limit bile acid reabsorption (C)</p> Signup and view all the answers

How long before or after medications should cholestyramine be taken?

<p>2 hours before or 4 hours after (C)</p> Signup and view all the answers

What does gemfibrozil primarily help with?

<p>Break down triglyceride particles (C)</p> Signup and view all the answers

What is the primary use of Ezetimibe?

<p>To lower cholesterol (C)</p> Signup and view all the answers

Which of the following is a common side effect of Alirocumab?

<p>Flu-like symptoms (D)</p> Signup and view all the answers

What condition is Carvedilol contraindicated in?

<p>Asthma (A)</p> Signup and view all the answers

What should be monitored when administering Milrinone?

<p>Blood pressure and heart rate (D)</p> Signup and view all the answers

What effect do Beta Blockers have on heart function?

<p>Decrease blood pressure and slow heart rate (C)</p> Signup and view all the answers

How is Alirocumab administered?

<p>Subcutaneously (B)</p> Signup and view all the answers

What type of drug is Digoxin classified as?

<p>Cardiac glycoside (B)</p> Signup and view all the answers

Which symptoms may indicate Digoxin toxicity?

<p>Nausea and vomiting (C)</p> Signup and view all the answers

What is a mechanism of action of ACE inhibitors?

<p>Inhibit the conversion of angiotensin I to II (A)</p> Signup and view all the answers

What potential side effect could be associated with the use of Hydralazine and Isosorbide?

<p>Reflex tachycardia (D)</p> Signup and view all the answers

What condition is most commonly associated with right-sided heart failure?

<p>Fluid retention (B)</p> Signup and view all the answers

What is the primary cause of left-sided heart failure?

<p>Coronary artery disease (D)</p> Signup and view all the answers

What is the effect of gemfibrozil on HDL and VLDL levels?

<p>Increases HDL and reduces VLDL (A)</p> Signup and view all the answers

Which of the following is a common complication of statin use?

<p>Rhabdomyolysis (C)</p> Signup and view all the answers

What does cholestyramine do in the gastrointestinal tract?

<p>Binds to bile acids (C)</p> Signup and view all the answers

When should cholestyramine be administered in relation to other medications?

<p>2 hours before or 4 hours after (C)</p> Signup and view all the answers

What is the mechanism of action of statins?

<p>Inhibit HMG-CoA reductase (C)</p> Signup and view all the answers

What indicates a need to report potential statin complications?

<p>Rust-colored urine (A)</p> Signup and view all the answers

What is the main effect of preload in the heart?

<p>Involves the volume of blood in the ventricles (B)</p> Signup and view all the answers

What is the primary use of gemfibrozil?

<p>Break down triglycerides (C)</p> Signup and view all the answers

What is a potential complication when taking gemfibrozil?

<p>Gallstones (B)</p> Signup and view all the answers

Which medication requires evaluation of the apical pulse prior to administration?

<p>Digoxin (C)</p> Signup and view all the answers

What is the primary action of alirocumab?

<p>Binds to LDL receptors (D)</p> Signup and view all the answers

Which of the following medications should be given with food to prevent heartburn?

<p>Gemfibrozil (A)</p> Signup and view all the answers

What is a significant adverse effect associated with amiodarone?

<p>Pulmonary toxicity (C)</p> Signup and view all the answers

Which statement is true regarding rivaroxaban?

<p>Antidote is andexanet alfa (B)</p> Signup and view all the answers

What must clients be educated about when taking metoprolol?

<p>They should not drive until they know how it affects them (D)</p> Signup and view all the answers

What is the recommended route of administration for milrinone?

<p>Intravenous (C)</p> Signup and view all the answers

What is the recommended dietary approach for clients suffering from heart failure?

<p>Low sodium and monitoring fluid intake (D)</p> Signup and view all the answers

Which adverse effect is associated with atorvastatin?

<p>Severe muscle pain and weakness (C)</p> Signup and view all the answers

What is the primary goal of anti-cholesterol drugs?

<p>Lower LDL levels (C)</p> Signup and view all the answers

What is a crucial instruction for a nurse administering Furosemide?

<p>Push slowly to avoid hearing loss (A)</p> Signup and view all the answers

What should be monitored before administering statin medications?

<p>Lipid profile and liver enzymes (A)</p> Signup and view all the answers

Which medication is known to block the production of LDL cholesterol?

<p>PCSK9 inhibitors (C)</p> Signup and view all the answers

What is a potential complication of IV crystalloid administration?

<p>Fluid overload leading to heart failure (B)</p> Signup and view all the answers

What should clients newly diagnosed with hyperlipidemia be educated about regarding medication?

<p>Lifestyle changes may reduce the need for medication (B)</p> Signup and view all the answers

What is the primary goal of parish nursing?

<p>To provide holistic health to individuals and the community (C)</p> Signup and view all the answers

Which type of exposure falls under chemical environmental exposures?

<p>Metals and pesticides (B)</p> Signup and view all the answers

What is the purpose of the Air Quality Index (AQI)?

<p>To assess the level of air pollution (D)</p> Signup and view all the answers

Which component is NOT a part of primary care?

<p>Promoting exclusive access to specialists (D)</p> Signup and view all the answers

What do Federally Qualified Health Centers (FQHCs) primarily provide?

<p>Comprehensive services to underserved populations (D)</p> Signup and view all the answers

Which of the following best describes 'mixed' environmental exposures?

<p>Combination of various agents ingested or inhaled (A)</p> Signup and view all the answers

What role do community collaborations play in nursing?

<p>Partnering with individuals and organizations for public health change (C)</p> Signup and view all the answers

Which factor is crucial in exposure assessment?

<p>Length of time and extent of exposure (B)</p> Signup and view all the answers

What is a key benefit of increasing the number of nurse practitioners in rural areas?

<p>Improved patient to nurse ratio (B)</p> Signup and view all the answers

Which level of control focuses on early recognition of a disease in occupational health?

<p>Secondary control (C)</p> Signup and view all the answers

What is the primary responsibility of Occupational Health Registered Nurses?

<p>Detecting and assessing occupational hazards (A)</p> Signup and view all the answers

Which of the following is NOT part of the Five Levels of Control in occupational safety?

<p>Employ comprehensive insurance (A)</p> Signup and view all the answers

What is the purpose of the Safety Data Sheet (SDS)?

<p>To describe properties and hazards of substances (B)</p> Signup and view all the answers

What is one of the goals of community organizing in the context of health?

<p>To achieve common goals for improving population health (A)</p> Signup and view all the answers

Which population is considered at greatest risk during disaster planning?

<p>Children, elderly, and disabled individuals (D)</p> Signup and view all the answers

What role do school nurses have in health promotion for students?

<p>Bridge healthcare and education (C)</p> Signup and view all the answers

Which of the following is an example of tertiary prevention in schools?

<p>Screening for signs of abuse (A)</p> Signup and view all the answers

Which of these is a common health stressor in urban communities?

<p>Decreased air quality (A)</p> Signup and view all the answers

What is one main function of the Employee Assistance Program (EAP)?

<p>Discuss work or social issues confidentially (B)</p> Signup and view all the answers

What intervention is recommended to promote safe environments in schools?

<p>Training staff in first aid and CPR (D)</p> Signup and view all the answers

How does telehealth contribute to addressing rural health disparities?

<p>By facilitating remote healthcare consultations (B)</p> Signup and view all the answers

Which type of exposure involves physical threats that can affect health?

<p>Physical (A)</p> Signup and view all the answers

What is the primary purpose of Federally Qualified Health Centers (FQHC)?

<p>To serve underserved populations on a sliding scale (A)</p> Signup and view all the answers

What does the Air Quality Index (AQI) indicate?

<p>The degree of air pollution in an area (A)</p> Signup and view all the answers

Which type of environmental exposure involves agents like bacteria and viruses?

<p>Biological (B)</p> Signup and view all the answers

Which factor is NOT considered in exposure assessment?

<p>Cost of treatment (D)</p> Signup and view all the answers

Which aspect is critical in the case management process?

<p>Communication and resource promotion (D)</p> Signup and view all the answers

What is the primary goal of community organizing in health improvement?

<p>Build relationships to achieve common health goals (A)</p> Signup and view all the answers

Which factor contributes to increased health disparities in rural areas?

<p>Lower patient-to-PCP ratio (B)</p> Signup and view all the answers

Which of the following is considered a primary prevention activity in schools?

<p>Providing mental health education (B)</p> Signup and view all the answers

What is an example of a tertiary prevention strategy?

<p>Screening for abuse in students (D)</p> Signup and view all the answers

Which route of exposure involves the ingestion of harmful substances?

<p>Gastrointestinal (D)</p> Signup and view all the answers

What is the role of OSHA regarding workplace safety?

<p>Require record-keeping of workplace injuries (C)</p> Signup and view all the answers

Which of the following elements is NOT a part of the five levels of hazard control?

<p>Increase employee workload (C)</p> Signup and view all the answers

What is the focus of the WSCC framework?

<p>Fostering healthy lifestyle behaviors among students (B)</p> Signup and view all the answers

Which of the following statements about telehealth is correct in the context of rural healthcare?

<p>It increases access to healthcare services for rural populations. (A)</p> Signup and view all the answers

Which population is considered to be at greater risk during disaster management?

<p>Children and elderly individuals (A)</p> Signup and view all the answers

What should employers undertake to ensure employee safety regarding hazardous substances?

<p>Provide access to Safety Data Sheets (SDS) (B)</p> Signup and view all the answers

Which of the following is a critical responsibility of school nurses?

<p>Provide care coordination and health teaching (B)</p> Signup and view all the answers

Which is NOT an intended outcome of health promotion programs in schools?

<p>Providing financial services (C)</p> Signup and view all the answers

What level of health care is a nurse practicing when developing an anti-smoking campaign?

<p>Primary (B)</p> Signup and view all the answers

Which of the following is one of the most effective health promotion efforts in primary health care?

<p>Administration of vaccines (C)</p> Signup and view all the answers

In planning a response to an E.coli contamination, which role does the public health nurse primarily take?

<p>Disaster preparedness (C)</p> Signup and view all the answers

Which nursing action represents the role of a case manager when assisting a client with a substance abuse diagnosis?

<p>Advocacy (C)</p> Signup and view all the answers

Establishing affordable housing options for low-income clients illustrates which nurse role?

<p>Community partnership (D)</p> Signup and view all the answers

Which challenge is commonly faced in providing healthcare within rural communities?

<p>Access to care (C)</p> Signup and view all the answers

What factor largely affects health disparities in rural communities?

<p>Difficulty recruiting healthcare providers (B)</p> Signup and view all the answers

A public health nurse in a rural community would be least expected to assist with which role?

<p>Social justice reform (laws) (A)</p> Signup and view all the answers

What nursing action is crucial for addressing health needs in a rural community?

<p>Use of cultural competence (A)</p> Signup and view all the answers

Which factor does NOT influence health in an urban community according to public health nursing?

<p>Access to green spaces (D)</p> Signup and view all the answers

What is the focus of a public health nurse working within the community to identify and implement common goals?

<p>Coalition building (C)</p> Signup and view all the answers

What type of nursing is practiced within a faith community?

<p>Parish nursing (A)</p> Signup and view all the answers

What recommendation should the school nurse make regarding this disaster response plan?

<p>Practice the plan a number of times each year (D)</p> Signup and view all the answers

In the epidemiological triangle, what aspect would assist John in understanding the toxic exposure incidents?

<p>When the exposure occurred (D)</p> Signup and view all the answers

Who serves as the best resource for community-based participatory research?

<p>Public health nurse (C)</p> Signup and view all the answers

What type of environmental hazard is the patient experiencing after mixing household cleaning products?

<p>Chemical hazard (C)</p> Signup and view all the answers

Which benefit is associated with care provided at a nurse-managed health center?

<p>Affordable care (B)</p> Signup and view all the answers

What are the stress, pain, and anxiety experienced by the family after the weather event classified as?

<p>Psychosocial factors (D)</p> Signup and view all the answers

What aspect of exposure is the nurse most concerned about when the patient has a long history of workplace toxin exposure but current levels are normal?

<p>Bioaccumulation/Accumulation (D)</p> Signup and view all the answers

What term describes a source that contributes to decreased air quality in an industrial area?

<p>Point source (D)</p> Signup and view all the answers

How should a nurse respond when told that the company is not required to maintain an OSHA 300 form?

<p>That’s incorrect. The OSHA 300 logs should be kept when the company has 10 employees (A)</p> Signup and view all the answers

What level of prevention does the use of personal protective equipment (PPE) fall under?

<p>Primary prevention (D)</p> Signup and view all the answers

What significant true statement can be made about the American workforce?

<p>Approximately 43% of teenagers are employed and in their first job by the age of 19 years (C)</p> Signup and view all the answers

What health issue should be screened for among migrant workers in addition to routine health assessments?

<p>Skin cancer (D)</p> Signup and view all the answers

Which of the following is a primary prevention method regarding bioterrorism?

<p>Creating a bioterrorism response plan (D)</p> Signup and view all the answers

Which principle of environmental health is not relevant to nursing practice?

<p>Implementing waste management practices (A)</p> Signup and view all the answers

What is the term used for the process that evaluates potential health effects from environmental exposure?

<p>Exposure risk assessment (B)</p> Signup and view all the answers

Which factor should not be included in the assessment of a client affected by a hazardous substance?

<p>If the substance reaches susceptible organs (A)</p> Signup and view all the answers

Which of the following is a significant health issue related to severe weather caused by climate change?

<p>Malnutrition (B)</p> Signup and view all the answers

What is considered the most effective level of control in the hierarchy of controls to prevent workplace hazards?

<p>Elimination/substitution (C)</p> Signup and view all the answers

Which component should be included in the initial assessment of an environmental health history?

<p>Time and location of exposure (C)</p> Signup and view all the answers

Which organization is responsible for enforcing federal guidelines in workplace environments to protect public health?

<p>Occupational Safety and Health Administration (OSHA) (B)</p> Signup and view all the answers

What is an example of a tertiary prevention measure in a workplace?

<p>Providing psychological support after incidents (B)</p> Signup and view all the answers

Which type of health impact does frostbite from cold exposure fall under?

<p>Physical (B)</p> Signup and view all the answers

What intervention can help reduce workplace stress effectively?

<p>Meditation and relaxation techniques (C)</p> Signup and view all the answers

What is a criterion for a client to be considered disabled?

<p>Physical or mental impairment that limits life activities (D)</p> Signup and view all the answers

Which action demonstrates cultural competence while assisting underrepresented clients?

<p>Utilizing cultural competence in care planning (C)</p> Signup and view all the answers

Which method is effective in assessing emergency preparedness in workplaces?

<p>Identifying levels of emergency supplies needed (C)</p> Signup and view all the answers

Which of the following actions represents an example of local regulation in the school system?

<p>Hearing and vision screening must be completed for each student prior to the start of the school year (D)</p> Signup and view all the answers

What is a key step a school nurse should take when preparing for a potentially life-threatening event in the school?

<p>Training staff in CPR (D)</p> Signup and view all the answers

How does a school nurse contribute to addressing the issue of cyberbullying among students?

<p>Providing treatment for cyberbullying victims (A)</p> Signup and view all the answers

What type of prevention is represented by a community-wide program aimed at raising awareness about nicotine use and supporting teens to quit smoking?

<p>Health promotion (B)</p> Signup and view all the answers

Which approach does a public health initiative take when encouraging unvaccinated patients to get vaccinated?

<p>Primary health prevention focused on health promotion (D)</p> Signup and view all the answers

In the medical home model, which of the following elements does not fit?

<p>Specialized focused care (C)</p> Signup and view all the answers

What is the primary characteristic of collaboration within a healthcare setting?

<p>The nurse partners with key individuals and organizations (B)</p> Signup and view all the answers

Which of the following is not a characteristic need of a rural population?

<p>Higher life expectancy compared to urban populations (B)</p> Signup and view all the answers

What action could a nurse take to effectively serve a community where the patient load is increasing but time is limited?

<p>Set up a telehealth system for basic inquiries (C)</p> Signup and view all the answers

What describes the effort when community members repair broken windows and maintain buildings?

<p>Community organization (B)</p> Signup and view all the answers

Which activity is specific to the role of a parish nurse?

<p>Improving spiritual health through practices such as grief counseling (A)</p> Signup and view all the answers

Which component does not belong in the Whole School, Whole Community, Whole Child (WSSC) model?

<p>Comprehensive academic programs (A)</p> Signup and view all the answers

What does health protection cover in the context of school nursing?

<p>Administering STI vaccines (D)</p> Signup and view all the answers

How should a new school nurse handle established scoliosis screening procedures in the school?

<p>Consult state guidelines regarding required screenings (C)</p> Signup and view all the answers

Flashcards

Right-sided HF

Fluid buildup in the body due to right ventricle dysfunction; characterized by dependent edema, vein distention, and fluid retention.

Left-sided HF

Most common type of HF; blood backs up into the pulmonary veins and causes pulmonary congestion due to left ventricular issues.

Preload

Pressure in the heart as blood volume builds up, affecting contraction.

Afterload

Resistance to blood ejection from the ventricles.

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Statin MOA

Inhibit HMG-CoA reductase, reducing LDL production by the liver.

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Statins use

Used to lower cholesterol.

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Statin Complications

Hepatotoxicity (liver damage) and rhabdomyolysis (muscle breakdown).

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Cholestyramine MOA

Binds to bile acids to reduce their reabsorption, lowering cholesterol.

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Ezetimibe MOA

Inhibits cholesterol absorption in the small intestine

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Ezetimibe Use

Lowers cholesterol

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Alirocumab MOA

Binds to PCSK9, increasing LDL receptors, reducing LDL in the liver.

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Alirocumab Route

Administered Subcutaneously (SUBQ)

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ACE-1 Inhibitors Examples

Captopril, Lisinopril, Enalapril

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ACE-1 Inhibitors Action

Reduce BP, afterload, preload, improving cardiac output

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Digoxin Action

Increases heart contractions and force; lowers heart rate

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Milrinone Administration

Typically given intravenously (IV)

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Right Sided HF

Fluid buildup in the body due to right ventricle dysfunction, causing edema, vein distention, and fluid retention.

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Left Sided HF

Most common form; blood backs up into lungs, causing pulmonary congestion.

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Preload

Pressure in the heart due to blood volume, impacting heart contraction.

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Afterload

Resistance to blood ejection by ventricles.

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Statin MOA

Reduce LDL production in the liver by inhibiting HMG-CoA reductase.

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Statins Use

Lowering high cholesterol levels.

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Statin Complications

Liver damage (hepatotoxicity), muscle breakdown (rhabdomyolysis).

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Cholestyramine MOA

Binds bile acids, reducing reabsorption to lower serum cholesterol.

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Gemfibrozil MOA

Breakdown of triglycerides, increasing HDL, decreasing VLDL.

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Gemfibrozil Use

Used for high cholesterol.

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Ezetimibe MOA

Inhibits cholesterol absorption in the small intestine

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Ezetimibe Use

Lowers cholesterol

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Alirocumab MOA

Inhibits PCSK9, increasing LDL receptors in the liver

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Alirocumab Route

Administered subcutaneously (SUBQ)

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ACE-1 Inhibitors Example

Captopril, Lisinopril, Enalapril

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ACE-1 Inhibitors Action

Reduce blood pressure, afterload, and preload improving cardiac output.

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Digoxin Action

Increases heart contractions and force; lowers heart rate

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Digoxin Toxicity

Visual disturbances, anorexia, nausea and vomiting

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Milrinone Administration

Typically given intravenously (IV)

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Milrinone Use

Used in advanced HF exacerbations

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Cholestyramine Use

Reduces serum cholesterol and LDL levels.

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Gemfibrozil Effect on HDL

Increases HDL levels.

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Alirocumab Route

Administered via subcutaneous injection (SUBQ).

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Rivaroxaban Monitoring

Does not require INR monitoring.

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Metoprolol Action

Slows heart rate and lowers blood pressure.

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Amiodarone Half-Life

Long half-life (up to 50 days).

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Milrinone Administration

Administered intravenously (IV).

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Digoxin's Effect on HR

Lowers heart rate.

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Diuretic therapy goal

To promote increased urination (polyuria)

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Anti-cholesterol drug target

Lowering LDL (bad) cholesterol levels

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Hyperlipidemia lifestyle change

Possible to avoid medication through diet and exercise changes

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Common hyperlipidemia drug

Statin medication

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Loop diuretic example

Bumetanide is a loop diuretic

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Increased cardiac output achieves with

Reducing afterload improves cardiac output.

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Heart failure dietary recommendation

Low sodium and monitor fluid intake

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IV Lidocaine side effect

Central nervous system (CNS) toxicity (confusion, psychosis), numbness, tingling

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Parish Nursing

Registered nurses who use their knowledge of nursing and spiritual care to promote holistic health for individuals and communities.

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Toxicity

The ability of a substance to cause harm to humans, especially when it enters the body and reaches organs.

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Exposure Assessment

Evaluating how long and to what extent someone has been exposed to harmful substances in the environment.

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Types of Environmental Exposures

There are five main types of environmental exposures: chemical, biological, physical, psychosocial, and mixed.

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Point Source

A specific location, like a factory, that releases polluting substances into the environment.

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Air Quality Index (AQI)

A measure of air pollution in a specific area, ranging from 0 to 500.

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FQHC (Federally Qualified Health Center)

Health centers that provide comprehensive care to underserved populations, often on a sliding scale, and receive federal funding.

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Patient-Centered Medical Home

A healthcare model focused on providing comprehensive, coordinated, and continuous care for all individuals, from children to seniors.

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Community Organizing

Building relationships with organizations (like government, churches, community groups) to achieve common goals and improve health in a population.

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Urban Health Disparities

Unequal access to health resources in urban areas due to factors like crime, violence, mental health stressors, and poor air quality.

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Rural Health Disparities

Unequal access to health services in rural areas, often due to fewer healthcare providers, limited transportation, and less technology.

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Occupational Health Nurse

A registered nurse responsible for assessing workplace hazards, implementing interventions to protect workers, and promoting safety.

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OSHA’s Primary Prevention

Preventing workplace illnesses and injuries through measures like engineering controls (using less hazardous chemicals) and personal protective equipment (PPE).

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OSHA’s Secondary Prevention

Early detection of occupational diseases using methods like screenings and monitoring, such as hearing tests or breathing tests.

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OSHA’s Tertiary Prevention

Managing and treating occupational illnesses after they develop, which may involve providing accommodations or working with primary care providers.

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Safety Data Sheet (SDS)

A document providing information about a substance's properties, hazards, safe handling procedures, and emergency first aid instructions.

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Disaster Planning

Strategies to prevent or reduce the negative consequences of disasters, including assessing risks and identifying vulnerable populations.

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Disaster Management

Coordinating emergency response plans throughout the duration of a disaster event, ensuring essential services are available.

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School Nurse Roles

School nurses promote health, prevent disease, and provide care coordination for students. They help students reach their educational goals while learning healthy habits.

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WSCC 5 Tents

A framework for school health programs focusing on five essential elements: healthy lifestyles, safety, student engagement, support, and academic challenges.

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Primary Prevention in Schools

Comprehensive educational efforts to prevent health problems, including classes on sexuality, mental health, substance use, violence prevention, and health education.

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Secondary Prevention in Schools

Interventions to detect and address health problems early, such as screenings for abuse, violence, substance use, and other challenges.

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Tertiary Prevention in Schools

Managing and providing care for students with health conditions, such as providing treatment, medication, accommodations, and emergency response plans.

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Point Sources of Air Pollution

Specific locations, like factories, that release polluting substances into the environment.

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Community Collaboration

Nurses partnering with key individuals, groups, and organizations to effect change in public health programs and services.

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Primary Health Care

Focuses on preventative measures and health promotion to prevent illness before it occurs. It involves actions like vaccinations, health education, and early detection screenings.

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Secondary Health Care

Deals with early detection and treatment of diseases to prevent them from worsening. It includes things like screenings, diagnostic tests, and early interventions.

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Tertiary Health Care

Focuses on managing chronic conditions and rehabilitating patients after serious illnesses or injuries. It involves specialized care and long-term support.

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Case Management

Coordinate and manage care for individuals with complex health needs, ensuring they receive appropriate services and resources.

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Community Partnership

Collaboration between healthcare providers, community organizations, and individuals to address health concerns and improve the well-being of a population.

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Disease Surveillance

Monitoring the occurrence and patterns of diseases within a population to identify trends, outbreaks, and potential public health threats.

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Community-Based Participatory Research

Research conducted in partnership with a community, involving its members in all phases of the research process.

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Nurse-Managed Health Center

A healthcare facility owned and operated by nurses, offering affordable and accessible primary care services to the community.

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School Health Nurse Roles

School nurses play various roles in promoting student health, including providing care coordination, advocating for quality care, and bridging health care and education.

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Dating Violence Prevention in Schools

Programs and interventions aimed at reducing the risk of dating violence among high school students, focusing on education and prevention strategies.

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Bioterrorism Prevention: Primary Method

Creating a bioterrorism response plan is a primary prevention method, as it aims to stop an event from happening.

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Environmental Health Principle

Assessing environmental hazards is a key principle in environmental health nursing, focusing on identifying potential risks.

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Exposure Risk Assessment

This process evaluates the potential harm to a community from environmental exposures, like pollution.

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Environmental Health History

A crucial component of this history includes understanding the time and location of environmental exposures.

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Climate Change and Health

Rising temperatures from climate change can lead to severe weather, causing injuries, mental health issues, and fatalities.

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Air Pollution Measurement

The Air Quality Index (AQI) measures the level of air pollution in a specific area.

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Workplace Safety Enforcer

The Occupational Safety and Health Administration (OSHA) enforces federal guidelines in the workplace to protect workers.

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Primary Prevention in the Workplace

This type of prevention focuses on using personal protective equipment (PPE) to stop hazards at the source.

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Physical Exposure Category

Frostbite from cold temperatures is classified as a physical exposure, as it's caused by a non-living factor.

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Workplace Assessment: Key Question

Identifying the mechanisms of hazardous exposures, like how chemicals are handled, is a crucial question in a workplace assessment.

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Easing Job Stress

Employee assistance programs (EAPs) can help employees cope with work, financial, or social issues, reducing stress.

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Workplace Stress Intervention

Meditation and relaxation techniques are effective interventions for reducing stress in the workplace.

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Disability Criteria

A physical or mental impairment that limits life activities, a record of impairment, and needing accommodations to fulfill a job role are disability criteria.

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Cultural Competence in Workplace Health

Using cultural competence when planning care ensures sensitivity to the needs of underrepresented clients in the workplace.

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Hierarchy of Controls: Most Effective

Elimination/substitution of hazards is considered the most effective control method in the hierarchy of controls.

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Epidemiological Triangle

A framework that illustrates the interaction of three factors: Agent (the harmful substance), Host (the person exposed), and Environment (where the exposure occurs) to understand environmental health issues.

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Mixed Exposure

Exposure to multiple environmental hazards, often occurring simultaneously, making it difficult to pinpoint the cause of illness.

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Psychosocial Hazards

Environmental stressors that negatively impact people's mental and emotional well-being.

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Bioaccumulation

The gradual build-up of toxic substances in an organism's body over time from repeated exposure.

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Point Source Pollution

A localized source, like a factory or sewage treatment plant, that releases pollutants into the environment.

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Primary Prevention in Occupational Health

Preventing workplace illness and injury through measures like engineering controls and personal protective equipment (PPE).

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OSHA 300 Form

A log required by OSHA to be kept by companies with 10 or more employees to record workplace injuries and illnesses.

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School Nurse Advocacy

A school nurse acts as a champion for various policies and practices within the school environment.

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Local Regulation

Rules or laws specific to a certain area, like a city or county, that impact how a school operates.

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School Nurse Emergency Prep

Preparing for a potentially dangerous event at school by taking actions like training staff in CPR and emergency procedures.

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Cyberbullying & School Nurse Role

A school nurse's responsibilities in addressing cyberbullying include providing support and resources to victims and working with school staff.

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Hazard Communication Standard

This policy requires both employers and employees to understand and be aware of workplace hazards.

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Health Promotion

Efforts to encourage and support healthy behaviors in a population, such as creating smoking cessation programs.

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Primary Prevention Approach

A public health strategy focused on preventing health problems before they occur, like vaccination campaigns.

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Medical Home Model

A healthcare approach centered on individual patients that focuses on coordinated, comprehensive, and continuous care.

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Collaboration in Healthcare

Working together, like a team, between nurses, doctors, social workers, and other healthcare professionals.

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Rural Community Needs

Rural populations often face unique health challenges, such as lower socioeconomic levels, less access to care, and higher smoking rates.

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Community Organization

A process of bringing community members together to address shared concerns and improve their overall well-being.

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WSCC Framework

A comprehensive approach to school health that focuses on five key components: health, safety, engagement, support, and academic challenges.

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Health Protection in Schools

A school nurse's responsibility to protect students' health by implementing preventive measures like health education.

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Scoliosis Screening Guidelines

State-specific regulations that dictate how often and who should be screened for scoliosis in school settings.

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Study Notes

Heart Failure (HF)

  • Right-sided HF is characterized by dependent edema, vein distention, and fluid retention. This condition arises from left ventricular dysfunction, such as a myocardial infarction (MI), hypertension, coronary artery disease (CAD), or cardiomyopathy. Blood backs up into the left atrium and pulmonary veins, causing pulmonary congestion.
  • Left-sided HF (more common) is due to blood backing up into the left atrium and pulmonary veins, leading to pulmonary congestion. This condition occurs from problems like MI, hypertension, CAD, or cardiomyopathy.
  • Preload: The precontraction pressure in the heart as the volume of blood builds up.
  • Afterload: The resistance to blood ejection from the ventricle.
  • Statins work by inhibiting HMG-CoA reductase, reducing low-density lipoprotein (LDL) production in the liver. Common side effects include hepatotoxicity, rhabdomyolysis, and muscle aches.
  • Cholestyramine binds bile acids, limiting their reabsorption in the gastrointestinal tract. This action reduces serum cholesterol and LDL. It must be taken with 60-80 ml of liquid.
  • Gemfibrozil breaks down triglycerides (TG) particles, increasing high-density lipoprotein (HDL) and reducing very-low-density lipoprotein (VLDL). Potential side effects are gallstones, gastrointestinal distress, and liver function issues.
  • Ezetimibe inhibits cholesterol absorption in the small intestine, lowering cholesterol levels. Potential side effects include elevations in liver enzymes and GI issues.
  • Alirocumab is an example of a PCSK9 inhibitor. It reduces LDL by binding to the low-density lipoprotein (LDL) receptors in the liver. Given subcutaneously. Possible adverse events include flu-like symptoms.
  • ACE-I Inhibitors (Captopril, Lisinopril, Enalapril) and ARBs (Losartan) reduce blood pressure by reducing afterload and preload, which helps improve cardiac output. Potential side effects include dizziness, orthostatic hypotension, and cough.
  • Diuretics (such as Furosemide, Thiazides, Spironolactone) help remove excess fluid, a key aspect in managing HF.
  • Beta-blockers (Metoprolol, Carvedilol) slow heart rate and decrease blood pressure. Carvedilol is contraindicated with severe asthma or bronchospastic issues.
  • Digoxin increases heart contractions and force, which lowers heart rate. Potential adverse effects include visual disturbances, nausea, vomiting. Check heart rate and blood pressure before administering with other heart medications. Digoxin toxicity includes visual halos and anorexia.
  • Vasodilators such as Hydralazine and Isosorbide help relax blood vessels, reducing blood pressure. Milrinone is typically given intravenously for acute HF management. Adverse effects of milrinone include dysrhythmias.
  • Dysrhythmias: Irregular heartbeats. Monitor ECG and assess vitals

Other Medications

  • Procainamide and Lidocaine: Sodium channel blockers used to treat ventricular arrhythmias. Procainamide has a black box warning for bone marrow suppression. Lidocaine can cause toxicity such as confusion and fever.

  • Amiodarone: Antiarrhythmic drug. Possible side effects include pulmonary toxicity, bradycardia, and hypotension

  • Calcium Channel Blockers: (Diltiazem, Verapamil) slow AV node conduction, decrease contractility, and are used to treat hypertension, angina, and certain types of cardiac arrhythmias. These drugs are typically given to lower heart rate and slow conduction through AV node.

  • Adenosine: Decreases contractility and conduction through AV node. This medication is given intravenously and can be used to manage supraventricular tachycardia (SVT).

  • Digoxin: Digitalis glycoside used to treat HF by increasing heart contractility.

  • Anticoagulants: Heparin, Enoxaparin, Warfarin, Dabigatran, and Rivaroxaban. Used to prevent blood clots such as deep vein thrombosis (DVT) and pulmonary embolism (PE).

  • Antiplatelets: Aspirin, Clopidogrel, Eptifibatide, and Tirofiban prevent platelet aggregation, preventing clot formation.

  • Thrombolytics: Alteplase, Reteplase, Streptokinase, and Tenecteplase dissolve or break down clots.

  • Hemostatics: Desmopressin(DDAVP). Prevents or stops bleeding.

Nursing Considerations

  • Monitor weight, input/output, and oxygen saturation (SpO2).

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