a 10-year-old child is brought to the office with complaints of severe itching in both hands that's especially annoying at night. on inspection, the nurse notes gray-brown burrows with epidermal curved ridges and follicular papules. the physician performs a lesion scraping to assess this condition. based on the signs and symptoms, what diagnosis should the nurse expect?

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Answer 1

A 10-year-old child is brought to the office with complaints of severe itching in both hands that's especially annoying at night. on inspection, the nurse notes gray-brown burrows with epidermal curved ridges and follicular papules. the physician performs a lesion scraping to assess this condition. based on the signs and symptoms, the nurse should expect Scabies.

Define Scabies?Gray-brown burrows, curved or linear epidermal ridges, and follicular papules are all indications that someone has scabies. Clients express complaints of intense itching, which frequently happens at night. Children at school-age suffer from scabies frequently. The finger webs, flexor surface of the wrists, and antecubital fossae are the most often infested locations. Impetigo is a superficial skin illness that is contagious and characterized by a tiny, red macule that develops into a vesicle, becomes pustular, and develops a honey-colored crust. Skin inflammation known as contact dermatitis is brought on by coming into contact with an allergen or irritant. Dermatophytosis, often known as ringworm, is an ailment that can affect the feet, groin, nails, and scalp. Erythematous patches and scaling are its defining features.

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Answer 2

The nurse should expect the physician to diagnose scabies.

What is nurse?

A nurse is a healthcare professional who is responsible for providing care for patients in a variety of settings, including hospitals, long-term care facilities, doctor’s offices, and home health care. Nurses are educated and trained to assess, diagnose, and treat illnesses and injuries, as well as promote health and well-being. They also provide patient education, provide emotional and physical support, and provide vital information to other healthcare professionals. Nurses must have a comprehensive understanding of the human body, be able to communicate effectively, and have excellent organizational and problem-solving skills. The profession requires a lot of dedication and compassion, as nurses are responsible for the overall health and well-being of their patients. Nurses must also be able to work long shifts and remain calm and professional in stressful situations.

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Related Questions

while the nurse is recording the health history of a client who is scheduled for a thyroid test, the client informs the nurse about an allergy to seafood. what is the nurse's most appropriate response?

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The nurse's most appropriate response is "thank you for telling me about your allergy to seafood. I will make sure this information is included in your health history for the thyroid test."

What are the main causes of thyroid disease?The main causes of thyroid disease are autoimmune conditions, environmental factors, radiation exposure, and certain medications. Autoimmune conditions such as Hashimoto’s thyroiditis, Graves’ disease, and postpartum thyroiditis cause the body to mistakenly attack its own thyroid gland, leading to abnormal production of thyroid hormones. Environmental factors such as certain toxins or heavy metals can disrupt normal thyroid hormone production. Exposure to radiation, such as during cancer treatments, can also damage the thyroid gland. Certain medications, such as lithium and interferon, can interfere with the body’s ability to produce thyroid hormones. Other, more rare causes of thyroid disease include iodine deficiency, certain genetic disorders, and tumors of the thyroid.

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Keep a record of the allergy and let the doctor know. The best reply from the nurse would be, "Thank you for letting me know about your seafood allergy.

What are the main causes of thyroid disease?Autoimmune disorders, environmental factors, exposure to radiation, and specific drugs are the major causes of thyroid illness. The body unintentionally attacks the thyroid gland in autoimmune diseases such Hashimoto's thyroiditis, Graves' disease, and postpartum thyroiditis, which results in aberrant thyroid hormone production.Environmental elements like heavy metals or certain poisons can interfere with the regular generation of thyroid hormones. Radiation exposure, such as that seen during chemotherapy drugs, can also harm the thyroid gland.Lithium and interferon are two medicines that can hinder the body's ability to manufacture thyroid hormones.

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leslie is an active labor and you note persistent variable decelerations on the fetal monitoring strip. which would be the most appropriate nursing action?

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Check the patient's level of health literacy. A nurse will instruct a patient on hypertension.

What is a hypertension?A state where there is an excessive amount of blood pressure exerted against the walls of the arteries Blood pressure over 140/90 is typically regarded as having hypertension, and BP over 180/120 is deemed to have severe hypertension.There are frequently no signs of high blood pressure. Health issues including heart disease and stroke can develop over time if left untreated.Lowering blood pressure can be achieved with a healthy diet that uses less salt, frequent exercise, and medication. Long-term development of high blood pressure is typical. Unhealthy lifestyle choices, such as not receiving enough regular exercise, might cause it. The risk of getting high blood pressure can also be increased by a number of other disorders, including diabetes and obesity.

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which intervention is appropriate to include in the plan of care for a patient experiencing narcolepsy

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Instruct the patient to increase carbohydrates in the diet. Have patient limit fluid intake 2 hours before bedtime.

What is carbohydrates?What’s most important is the type of carbohydrate you choose to eat because some sources are healthier than others. The amount of carbohydrate in the diet – high or low – is less important than the type of carbohydrate in the diet. For example, healthy, whole grains such as whole wheat bread, rye, barley and quinoa are better choices than highly refined white bread or French fries. (1)Many people are confused about carbohydrates, but keep in mind that it’s more important to eat carbohydrates from healthy foods than to follow a strict diet limiting or counting the number of grams of carbohydrates consumed.

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The intervention appropriate to include in the plan of a patient's care experiencing narcolepsy is to instruct the patient to increase carbohydrates in diet and have patient limit fluid intake 2 hours before bedtime.

What does narcolepsy mean and its causes?

A sleep disorder called narcolepsy causes patients feel extremely sleepy during the day. Narcolepsy patients have trouble remaining awake for extended periods of time. They suddenly nod off. This could seriously interfere with their regular activities. Lack of brain chemical hypocretin, known as orexin, which controls wakefulness, is common cause of narcolepsy. Hypocretin is believed to be lacking because the immune system erroneously attacked the cells that make it or the receptors that enable it to function.

Does eating sugar (carbohydrate) worsen narcolepsy?

The findings show that in narcolepsy patients, glucose (carbohydrate) was linked to shorter waking times, earlier sleep onsets, and more spontaneous and induced sleep stage shifts during the WAVT, although the nap exhibited a greater intensity of drowsiness following glucose as determined by the polygraphic Score.

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the nurse is teaching the of a preschool child how to administer the chld's insulin injection receiving 2 unit of humulin r insulin and 12 units of humulin n insulin every morning how should parents to prepare the insulin?

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Humulin R U-100 may be administered by subcutaneous injection in the abdominal wall, the thigh, the gluteal region or in the upper arm.

what is insulin?

Insulin is a hormone that lowers the level of glucose (a type of sugar) in the blood. It's made by the beta cells of the pancreas and released into the blood when the glucose level goes up, such as after eating.In 1910, Sir Edward Albert Sharpey-Shafer suggested only one chemical was missing from the pancreas in people with diabetes. He decided to call this chemical insulin, which comes for the Latin word insula, meaning “island.”They called the condition madhumeha, meaning honey urine. During the third century B.C.E., Apollonius of Memphis mentioned the term “diabetes,” which may have been its earliest reference.

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EMS as we know it today had its origins in 1966 with the publication of:
Select one:
A. the Emergency Medical Services Act.
B. the Department of Transportation's White Paper: Death and Dying.
C. Emergency Care and Transportation of the Sick and Injured.
D. Accidental Death and Disability: The Neglected Disease of Modern Society.

Answers

EMS as we know it today had its origins in 1966 with the publication of Accidental Death and Disability: The Neglected Disease of Modern Society, which means option D is correct.

EMS stands for Emergency Medical Services. These services began during the era of Civil War, when numerous people died due to lack of medical support or first aid. Its use was first seen in the accidental death and disability publication. Under this facility, quick redressal system, ambulance care, easy and safe transportation facilities, and medical assistance on the spot were to be ensured in case of any mishappening. With the advancements made in technology, better services could be provided. However, uniform laws were still not made and training personnel were not serious about their jobs.

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the nurse is reinforcing dietary instructions for a client diagnosed with peptic ulcer disease. which action would the nurse encourage the client to do?

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The nurse encourage the client to do As long as it doesn't aggravate or create pain, you can eat anything.

What is peptic ulcer disease?An infection that appears on the stomach, small intestine, or esophagus. The lining of the digestive tract is harmed by stomach acid, which leads to ulcers. Anti-inflammatory painkillers like aspirin and the bacterium H. Pylori are common culprits. A frequent symptom is upper stomach pain.Medications that reduce stomach acid production are frequently used as treatment. Antibiotics might be required if bacteria are the root of the problem. The bacterium Helicobacter pylori (H. pylori) and prolonged use of nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen (Advil, Motrin IB, and others), as well as naproxen sodium, are the two main causes of peptic ulcers (Aleve). Peptic ulcers are not exacerbated by hot food or stress. Indigestion symptoms may result from peptic ulcers. include are typical signs.

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a nursing instructor asks a student nurse assigned to care for an infant with a diagnosis of tricuspid atresia to describe the infant's disorder. which statement by the student indicates the need to further research this disorder?

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The disorder means there is no communication from the right atrium to the right ventricle of the heart.

What is supplied by the proper ventricle?

Blood is pumped into the pulmonary artery by the right ventricle through the pulmonary valve at low pressure. The blood then travels to the lungs to receive new oxygen.

What distinguishes the right from the left ventricle?

The thickest chamber of the heart, the left ventricle is in charge of delivering oxygen-rich blood to tissues throughout the body. The right ventricle, in contrast, only pumps blood to the lungs.

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the physician writes an order for the patient to have an exploratory visual examination of the right knee as soon as possible. how does the medical assistant interpret this order:

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The medical assistant interpret this order as Arthroscopy

What is Arthroscopy?A procedure for identifying and treating joint issues is called an arthroscopy (ahr-THROS-kuh-pee). Through a tiny incision, about the size of a buttonhole, a surgeon inserts a slender tube connected to a fiber-optic video camera. An HD video monitor receives the image from within your joint. Using an arthroscope, an endoscope put into the joint through a small incision, damage to the joint is examined and occasionally treated during arthroscopy, a minimally invasive surgical procedure. During ACL reconstruction, arthroscopic operations can be carried out. Doctors utilise an operation called an arthroscopy to examine, identify, and treat issues inside joints.

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a nurse is caring for a client recovering from a hypophysectomy. what would be included in the client's care plan? select all that apply.

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Observe for swelling of the neck, tracheal deviation, and severe pain.

A client who had transsphenoidal hypophysectomy would have a clear nasal drainage assessment as part of their care plan because this is a sign of a cerebrospinal fluid leak. Because the pituitary gland generates hormones that control fluid volume, strict intake and outflow would be kept to monitor fluid balance.

To avoid problems, thyroidectomy requires attentive postoperative nursing care. Priorities for nursing care will be reducing pain, treating hyperthyroidism before surgery, educating patients about the procedure, their prognosis, and required treatments, and avoiding complications.

Quick pain management, evaluation of the surgery site and drainage tubes maintaining the rate and integrity of Intravenous fluids and IV access and determining the patient's degree of awareness, circulatory, and safety are all necessary nursing interventions in postoperative care.

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joint commission standards require that a complete history and physical be documented on the health records of operative patients. determine if this carries a time requirement?

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Joint Commission standards require that a complete history and physical be documented on the health records of operative patients. This report carry a time requirement is Yes, prior to surgery.

What is Joint Commission standard?Health care companies can monitor, assess, and improve performance by using Joint Commission criteria as the foundation for an objective evaluation process. The guidelines put a lot of emphasis on crucial aspects of resident, patient, or individual care and organisation that are necessary for delivering safe, high-quality care. Although the certification procedure is optional, many hospitals consider it to be fundamental. The company receives a sizable overall advantage. Most significantly, when a facility complies with national health, quality, and safety requirements, patients may be sure they are getting the best care possible.By reviewing healthcare organisations and motivating them to excel in providing safe and effective treatment of the greatest quality and value, The Joint Commission seeks to constantly enhance public health care in conjunction with other stakeholders.

The complete question is,

Joint Commission standards require that a complete history and physical be documented on the health records of operative patients. Does this report carry a time requirement?

Yes, prior to surgery

Yes, within 24 hours postsurgery

No, as long as it is done ASAP

Yes, within 8 hours postsurgery

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the nurse is caring for a group of clients. which client is most likely to have a serum phosphorus level of 2.0 mg/dl (0.64 mmol/l)?

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A client with a history of alcoholism has a serum phosphorus level of 2.0 mg/dl (0.64 mmol/l).

Under normal conditions, the kidneys will filter and remove excess phosphate in the blood through urine. Too high or too low levels in the body will be a sign of kidney disease or other medical conditions. A normal blood phosphate level is 2.5 to 4.5 mg/dL.

People with a history of alcoholism tend to have problems with their kidneys. If the kidneys work If the kidneys are impaired and cannot function properly, the kidneys may not be able to remove the remaining phosphate from the body. As a result, phosphate levels become too high in the blood.

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which type of bone or joint injury occurs when a muscle is overused or overstretched? fractures and breaks fractures and breaks dislocations dislocations sprains sprains strains

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Strains is the type of bone or joint injury occurs when a muscle is overused or overstretched

What is a joint vs bone?The area of the body where two or more bones come together to provide movement is called a joint. Except for the hyoid bone in the throat, every bone in the body connects to at least one other bone at a joint. The function of a joint determines its shape. An articulation is another word for a joint. Where two bones touch, there are joints. Movement would not be possible without them since they enable the skeleton to be flexible. Our bodies may move in numerous ways thanks to our joints. An articular capsule that separates the two linked bones is what gives synovial joints their distinctive appearance. At synovial joints, articular cartilage covers the bony surfaces to provide protection.

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When a coder extracts information from a patient record in order to appropriately assign CPT codes, three criteria must be considered:

The examination that was documentedThe history that the physician documentedThe medical decisions the physician documented.

The Current Procedural Terminology (CPT) codes provide doctors and other health care workers with a standard language for classifying medical services and procedures in order to improve reporting accuracy and efficiency. CPT codes are also utilised in administrative management, like as claim processing and setting criteria for medical care evaluation. The CPT language is the most extensively used medical nomenclature in the United States for reporting medical, surgical, radiological, laboratory, anesthesiology, genetic sequencing, evaluation, and management (E/M) activities covered by public and commercial health insurance systems.

CPT codes are all five digits long and can be numeric or alphanumeric based on the category. CPT code descriptors is clinically focused and apply common standards to provide a shared understanding from across medical health care paradigm to a varied range of users. Our health-care system is driven by data, which is combined with medical innovation for improve patient care. With feedback from stakeholders throughout the health care landscape, the CPT code set is primed and ready to develop and evolve.

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a client is admitted to the hospital with lagnnec cirrhosis and chronic pancreatitis. bile salts (bile acid factor) are prescribed, and the client asks why they are needed. how would the nurse respond

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A patient with liver cirrhosis and chronic pancreatitis is admitted to the hospital. When bile salts are given, the customer queries their necessity. They help fat-soluble vitamins absorb, the nurse would reply.

Exocrine and endocrine pancreatic parenchyma are irreversibly destroyed by chronic pancreatitis, a persistent inflammatory condition, due to atrophy and/or replacement with fibrotic tissue. Functional repercussions include diabetic mellitus, malabsorption, and excruciating stomach discomfort. Chronic pancreatitis is a disorder in which inflammation causes chronic damage to the pancreas, a tiny organ below the stomach and below the ribs. Compared to acute pancreatitis, when the inflammation lasts only a few days, this is distinct. Drinking high amounts of alcohol over a long period of time is the most frequent cause of chronic pancreatitis. This might lead to recurrent acute pancreatitis episodes, which further damages the organ.

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Is there anything else I need to know about an epithelial cells in urine test?

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An epithelial cell in urine test is used to descry any abnormalities in the order and urinary tract.

It can help diagnose infections, inflammation, and other issues that may be causing pain or discomfort. This test is generally done when a case is passing urinary problems, similar as urgency, frequence, pain, and burning. Other tests, similar as a urinalysis, may also be done to determine the cause of the issue. The epithelial cell test looks for cells that have been exfoliate from the filling of the urinary tract and collects them in the urine. The cells are also examined under a microscope for abnormalities, similar as the presence of white blood cells, red blood cells, or bacteria. This can help diagnose infections or other issues in the feathers or urinary tract.

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which area of the body would the nurse explain is affected by pituitary and hypothalamic dysfunction because of the effects of radiation therapy?

Answers

Central nervous system is area of the body would the nurse explain is affected by pituitary and hypothalamic dysfunction because of the effects of radiation therapy.

How is the pituitary gland affected by radiation?The pituitary gland's remaining healthy components might be harmed by radiation. Over time, this may lead to a loss of pituitary function, necessitating hormone therapy. Radiation exposure might harm healthy brain tissue close to the pituitary, which could have long-term effects on mental function.To avoid "after-drop," core rewarming techniques such as heated gastric lavage, heated oxygen, and warm IV fluids should be used during mild hypothermia before using exterior rewarming techniques such as heated blankets and warm packs.The primary nurse's care plan is used by the associate nurse to deliver care.

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for a medication to work properly, the person taking the medication needs to take 1/2 oz. of this medication for every 40 lbs. per day. of body weight. how much medication should a person that weights 180 lbs. take per day?

Answers

The medication which a person who weighs 180 lbs. should take as per the prescribed dosage is equal to 2.25 oz.

The numerous values given in the question are stated below:

Medication of a person who weighs 40 lbs. = 1/2 oz. = 0.5 oz

Since the medication dosage is given in the per day form, therefore quantity of medication for 40lbs. person is 0.5 oz. per day. (The value of per day is taken as a constant figure.)

Paxil and Paxil CR are pharmacologic alternatives because they contain the same active ingredient, but are different dosage forms.

Alternative medicine refers to any method that seeks to produce the curative benefits of medicine despite a lack of biological plausibility, testability, repeatability, or clinical trial data. Complementary medicine (CM), complementary and alternative medicine (CAM), integrated medicine or integrative medicine (IM), and holistic medicine all try to blend complementary and alternative therapies with conventional care. Alternative treatments all have one thing in common: they exist outside of medical science and rely on pseudoscience.

Traditional practises become "alternative" when they are applied outside of their original contexts and without enough scientific explanation and proof. New age or pseudo-medicine are often used disparaging names for related activities, with little differentiation from quackery.

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which actions are desirable in a transformational nurse leader? select all that apply. one, some, or all responses may be correct.

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The nurse leader avoids making conscious decisions. The nurse leader chooses to do nothing when an intervention is indicated.

Open communication, inspiration, passion, promoting good change, and empowering others via shared decision-making are among the traits of transformational leaders, according to the American Nurses Association's (ANA) Nursing Administration: Scope and Guidelines of Nursing Practice.

Having a strong desire to go above and beyond the norm is necessary for transformational leadership in nursing. Nurse leaders that are transformational aren't hesitant to take chances, try new things, make mistakes, and promote progress.

Instead of acting in a reactive way, a transformational leader coaches and mentors followers to fix their mistakes. The implementation of a Magnet Recognition Program in the company is encouraged by a nurse. The nurses have a good understanding of the goals of the group and think beyond their own needs.

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the nurse is caring for a client with class |1l heart disease who is beginning the second stage of labor. for which medical intervention would the nurse prepare the client at this time?

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The second stage of labor begins when the cervix is completely opened and ends with the delivery of the baby. The second stage is often referred to as the "pushing" stage. The woman becomes actively involved by pushing the baby through the birth canal to the outside world.

What is meant by canal?

A man-made canal or river that has been upgraded artificially that is used for irrigation, transportation, or both.Waterways or engineered channels constructed for drainage management or for the transportation of water transport vehicles are known as canals or artificial waterways.They can be compared to artificial rivers since they have free, calm surface flow under air pressure.Slack water levels often just referred to as levels are the name given to these reservoirs.A canal can be referred to as a navigation canal if it runs parallel to a natural river, shares some of the river's discharges, and has locks and dams built to extend and lengthen its stretches of low water while remaining in the river's valley.

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3. a client is admitted with severe anxiety. what interventions would the nurse take to help decrease the anxiety and develop a therapeutic relationship with the client?

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Effective communication, active listening, in-person visits, medicine, music, and aromatherapy are just a few of the ways nurses can help patients feel less anxious. Each nurse learns how to spot the warning indications of patients' worry or anxiety.

What is severe anxiety?Anxiety is what we experience when we are stressed, tense, or fearful, especially when those feelings are related to upcoming events or potential future occurrences. When we feel threatened, anxiety is a normal human reaction. It can be felt through our ideas, emotions, and bodily sensations. In challenging circumstances like giving a public speech or taking a test, anxiety might be common. When feelings of anxiety become excessive, overwhelming, and interfere with daily life, they are simply a sign of an underlying sickness. Anxiety disorders are frequently brought on by challenging events in childhood, adolescence, or adulthood. It is likely to have a particularly large impact if you experience stress and trauma when you are very young.

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