AHA BLS Exam Review (Latest 2022/2023)

1. When should the rescuer initially ensure that the scene is safe? a. When the rescuer first sees a potential victim

b. After the rescuer activates the emergency response system c. As emergency medical services arrive on the scene

d. After an AED that is attached to the victim delivers a shock –

2. As soon as an AED becomes available, which of the following is the first step the rescuer should perform to operate the AED?

a. Place the AED pads on the chest

b. Deliver 2 rescue breaths before using the AED c. Turn on the AED

d. Complete 5 cycles of chest compressions –

3. After the AED delivers a shock, the rescuer should a. Wait for the AED to reanalyze the rhythm

b. Immediately restart CPR, beginning with chest compressions c. Provide 2 ventilations to the victim

d. Immediately check the carotid pulse for no more than 10 seconds –

4. The 2010 AHA Guidelines for CPR and ECC recommend that to identify cardiac arrest in an unresponsive victim with no breathing (or no normal breathing), a healthcare provider should check a pulse for no more than

a. 25 seconds

b. 10 seconds

c. 15 seconds

d. 20 seconds –

5. After you identify an unresponsive victim with no breathing (or no normal breathing) and no pulse, chest compressions should be initiated within

a. 25 seconds

b. 10 seconds

c. 30 seconds

d. 60 seconds –

6. Which of the following victims need CPR?

a. A victim with a pulse and who is having trouble breathing b. A victim with chest pain and indigestion

c. A victim who is unresponsive, no normal breathing and absent/ inadequate pulse d. A victim who is unresponsive but is breathing adequately –

7. Where should the hands be placed to perform chest compressions on an adult? a. On the lower half of the breastbone

b. In the center of the breastbone

c. On the upper portion of the abdomen

Cultural Interview Assignment

 

Interview someone from a different culture.  You will create a PowerPoint presentation of your findings.

1. For this assignment, you will Interview a client whose culture is different from yours. The client can be a patient, neighbor, grandparent, in-law, or friend. Do not use your parent, brother, sister, spouse, or significant other. This interview is the basis of your paper. Use the Organizing Framework (12 boxes in Chapter 2) to guide your interview.

2. Interview your selected person on three or four domains of the model. Complete a literature review of the cultural group from which your interviewee comes. Compare and contrast data obtained from your interview with what you find in the literature. Provide at least two recommendations for clinical practice, two recommendations for research, and two recommendations for the health-care organization on this cultural group; be specific in your recommendations. Value of this exercise to your current or future practice.

 

Submission Instructions:

· Presentation is original work and logically organized in current  APA style.  Incorporate a minimum of 4   current (published within last five years)  scholarly journal articles or  primary legal sources (statutes, court opinions) within your work.

· Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.

· The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.

· Speaker notes expanded upon and clarified content on the slides.

Strategic Plan Presentation

Assignment Content

1. Imagine the following: Now that you have completed your review of the Stevens District Hospital Strategic-Planning Scenario in previous weeks’ assignments, you have been asked to give a presentation to the hospital’s governing board. This board is comprised of the hospital’s president, 4 business leaders from the community, and 3 medical staff leaders.

   Assignment Preparation
   Use components from your previous weeks’ assignments for this assignment and update them with faculty feedback you received.

   Assignment Directions
   Create a 12- to 16-slide presentation, including detailed speaker notes, for the hospital’s governing board in which you summarize your analysis and goals created. In your presentation:

   • Provide an overview of the market.
   • State the mission statement and vision statement for Stevens District Hospital.
   • Provide the SWOT analysis.
   • Summarize the strategic goals created for Stevens District Hospital, including the rationale for the goals.
   • Describe itemized resources that may be needed.
   • Explain how the strategic plan provides focus and direction for Stevens District Hospital.
   • Cite references to support your presentation.

Patient Information:

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A .

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

P. 

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.