Patient after ingesting a large quantity of darvon with responsive to pain only and slow, shallow respirations so the most appropriate airway management for this patient involves inserting a nasal airway and assisting ventilations with a bag-mask device.
Airway management is that the assessment, planning, and series of medical procedures needed to keep up or restore a person's ventilation, or respiratory. By maintaining associate open airway, air will be due the nose and mouth into the lungs.
A nasal airway is a skinny, clear, versatile tube that's inserted into a patient's anterior naris. The aim of the nasal airway is to bypass higher airway obstruction at the amount of the nose, cavity or base of the tongue. It additionally prevents the tongue falling backward on the tubular cavity wall to forestall obstruction.
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a client reports a history of bleeding hemorrhoids to the nurse. which observation supports the client's statement?
A client reports a bleeding hemorrhoid history to the nurse. The observation supports the client’s statement: the digital examination and visual inspection.
How to identifies the patient’s history of bleeding hemorrhoids?A bleeding hemorrhoid is a condition where there is irritation or damage to the wall of hemorrhoid. To confirm the history of a patient, the nurse can do the following:
The digital examination by inserting a gloved, lubricated finger into the patient’s rectum to feel for unusual growth.Visual inspection by examining the lower portion of the patient’s colon and rectum with an anoscope, sigmoidoscope, or proctoscope.Learn more about hemorrhoids here https://brainly.com/question/28668384
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Developmental psychologists use measures at different levels of analysis. When dr gunnar collects spit sample to measure levels of the hormone, cortisol, in response to stress, which level of analysis is she using?.
When Dr. Gunnar collects spit samples to measure levels of the hormone, cortisol, in response to stress, the level of analysis she is using is systems-level measures.
System Level Measures are outcome-driven metrics that provide a structure for system integration and ongoing quality improvement. These requirements are made on a national level with a focus on children, young people, and vulnerable groups.
System Level Measures acknowledge that effective health outcomes depend on cooperation among health system partners. The implementation of the improvement plans for system-level measures (SLMs) in each district will therefore fall under the purview of the district alliances.
District alliances are local leadership groupings that comprise every PHO servicing the district's population as well as the DHB where they reside.
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you are examining a school-age child who complains of frequent stomach pain and headaches. the parent reports that the child misses several days of school each month. the child has a normal exam. before proceeding with further diagnostic tests, what will you initially ask the parent?
Ask the parent about the time of the symptoms each day and throughout the week if the child has a normal exam before moving on to other diagnostic tests.
The symptoms of school refusal or school anxiety in children frequently get better over the day and go away on weekends. To assess this pattern, the PNP should enquire about the frequency and length of the symptoms. When managing school phobia has started, the other choices are crucial questions to ask to discover the underlying causes of the unwillingness to attend school.
So, it follows that if a child has a normal exam, you should first ask the parent about the occurrence of symptoms each day and throughout the week before moving on to additional diagnostic tests.
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Complete Question
you are examining a school-age child who complains of frequent stomach pain and headaches. the parent reports that the child misses several days of school each month. the child has a normal exam. before proceeding with further diagnostic tests, what will you initially ask the parent?
a. About the timing of the symptoms each day and during the week
b. How well the child performs in school and extracurricular activities
c. If the parent feels a strong need to protect the child from problems
d. Whether there are any unusual stressors or circumstances at home
the nurse is admitting a client who has been diagnosed with posttraumatic stress disorder (ptsd). which symptoms might the nurse observe upon assessment? (select all that apply.)
PTSD common symptoms
Vivid memories (feeling like the trauma is happening right now)Obtrusive ideas or visuals.Nightmares.Extreme distress when reminded of the incident in real or symbolic ways.Physical reactions like trembling, sweating, nausea, or pain.What is posttraumatic stress disorder (ptsd)?
A horrific event can cause post-traumatic stress disorder (PTSD), a mental health disease that can be brought on by experiencing it or seeing it. Flashbacks, nightmares, excruciating anxiety, and uncontrollable thoughts about the incident are just a few possible symptoms.
How can PTSD be treated?
Psychological therapies and medication are the main post-traumatic stress disorder (PTSD) treatments. Although dealing with traumatic events can be very difficult, addressing your emotions and getting professional help are frequently the only ways to effectively treat PTSD.
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a nurse is performing an external and ophthalmoscopic examination of an older client. which age-related change would the nurse expect to note?
Age-related changes in the retina include narrowed and straightened blood vessels opaque gray arteries and gray or yellow spots of hyaline degeneration called drusen near the macula.
The nurse would anticipate that a preschool-age child would have highly imaginative thoughts, according to Erikson. Playing peek-a-boo is a typical behavior for an 8-month-old. The infant understands that a person is still there even when out of sight. Standing by and holding on to furniture is typical behavior in an 8-month-old.
The first teeth to erupt in the oral cavity are the deciduous mandibular central incisors at approximately 5 to 8 months of age, followed by maxillary central incisors a month or two later. By the age of 19 months, a total of 12 baby teeth will normally have erupted. As you can see from the graph the first teeth begin to erupt from the gums around 6 months of age.
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a client in the first stage of labor enters the labor and delivery area. she seems anxious and tells the nurse that she hasn't attended childbirth education classes. her partner, who accompanies her, is also unprepared for childbirth. which nursing intervention would be most effective for the couple at this time?
Instruct the husband on touch, massage, and breathing patterns would be most effective nursing intervention.
What is nursing intervention?The actions that a nurse does in order to implement their patient care plan are referred to as nursing interventions. These actions can include any treatments, procedures, or teaching opportunities that are designed to improve the patient's comfort and health.
The pregnant lady and her family are educated by the prenatal nurse about the physiological and psychological changes that occur throughout pregnancy, the development of the foetus, labor and delivery, and the care of the newborn child. The prenatal nurse also offers emotional support.
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during which phase of the trajectory model of chronic illness is the focus of nursing care on reinforcing positive behaviors and offering ongoing monitoring?
Focus of nursing care during the stable phase is providing constant monitoring and encouraging favorable behaviors.
What is trajectory model of chronic illness ?A great deal has been written on the idea of a "illness trajectory" in respect to both chronic disease and the death process. It describes the course of the illness as determined by the person's reaction to the sickness, relationships with others around them, and interventions.A patient's sickness through time as well as the steps taken by their families, caregivers, and medical professionals to control or influence the course of the illness.The term "trajectory" describes the progression of a chronic illness through its many stages and phases.Chronic diseases are significant conditions that may last the entirety of the life of the patient, negatively impacting their mental, emotional, and social health.Learn more about Trajectory model of chronic illness refer :
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the nurse assesses that the oxygen saturation is 89% in an unconscious patient who was transferred from surgery to the postanesthesia care unit (pacu) 15 minutes ago. which action should the nurse take first?
The nurse assesses that the oxygen saturation is 89% in an unconscious patient was transferred from surgery to the postanesthesia care unit (pacu) 15 minutes ago. Continue to take vital signs every 15 minutes.
Perioperative and postanesthetic management of the affected person includes periodic evaluation and tracking of breathing and cardiovascular feature, neuromuscular feature, mental reputation, temperature, pain, nausea and vomiting, drainage and bleeding, and urine output (desk 1).
The p.c. is a critical care unit in which the affected person's essential symptoms are intently determined, ache management begins, and fluids are given. The nursing body of workers is professional in spotting and dealing with troubles in patients after receiving anesthesia. The percentage is under the route of the branch of Anesthesiology.
Perioperative and postanesthetic control of the affected person consists of periodic assessment and tracking of respiration and cardiovascular feature, neuromuscular function, intellectual status, temperature, pain, nausea and vomiting, drainage and bleeding, and urine output.
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a patient has received a heterograft for a tricuspid valve replacement. what statement made by the patient demonstrates understanding of the valve replacement?
A heterograft (or xenograft) valve is one that has been created from tissue like bovine pericardium or one that has been transplanted from another species, like a pig.
Children who have their tricuspid valve replaced experience a non-negligible risk of complications. The tricuspid valve should always be repaired whenever possible because both mechanical and bioprosthetic valves in the tricuspid location in children have major drawbacks. In a few case series, the replacement of the tricuspid valve with a cryopreserved mitral homograft has been reported, with favorable mid-term outcomes in patients with a non-repairable valve. An intriguing alternative surgical tool is the replacement of the tricuspid valve with a mitral homograft, especially in a developing youngster with endocarditis. Despite being difficult technically, it has had fantastic mid-term outcomes.
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which assessment finding should the nurse expect when a patient with acute kidney injury (aki) has an arterial blood ph of 7.30?
The nurse expect when a patient with acute kidney injury (aki) has an arterial blood ph of 7.30 is Rapid, deep respirations.
What is the most common acute kidney injury?The term used to describe AKI brought on by tubule injury is acute tubular necrosis (ATN). The most typical form of intrinsic renal injury is this one. When acute glomerulonephritis is severe, AKI from glomerular injury develops (GN).
Can acute kidney injury be repaired?This differs from person to person and relies on the etiology of the AKI, its severity, and any additional health issues a person may have. The kidneys might fully recover to normal. However, if the kidneys were abnormal to begin with, they might not fully heal.
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a patient has been prescribed radioactive iodine (rai) therapy for hyperthyroidism. what does the nurse teach the patient about this therapy?
The nurse will teach the patient about radioactive iodine (rai) therapy for hyperthyroidism and that he will receive RAI in the form of oral I-131.
Hyperthyroidism (an overactive thyroid) and some forms of thyroid cancer can be treated with radioactive iodine (RAI). Although the word "radioactive" may conjure up images of danger, the treatment is safe, generally well-tolerated, and dependable since it only affects thyroid cells, sparing the cells in the rest of your body.
RAI is administered orally using capsules. Unless the dose is really high, which is rarely necessary, you don't need to be hospitalized. You will be instructed to consume large amounts of water after taking the tablet in order to flush any residual radioactive iodine from your body.
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a client in the critical care unit is receiving aminoglycosides for an infectious process. what does the nurse need to monitor?
Nurses should keep an eye out for indicators of diminished renal function in patients using aminoglycosides, nurses need to monitor liver function tests.
What are aminoglycosides?Testing for liver function patients with myasthenia gravis should avoid aminoglycosides due to the possibility of long-term neuromuscular inhibition.
Aminoglycosides are linked to major toxic side effects, such as acute kidney damage and impairment to hearing and/or balance (ototoxicity) (nephrotoxicity).
Therefore, nurses need to monitor liver function tests when clients receive aminoglycosides.
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the provider has discovered that the patient is unable to concentrate, claims a sense of superiority, appears to have thoughts that move faster than her ability to articulate them, sleeps little, and has added a number of hobbies and personal projects to her routine. what mnemonic did the provider most likely use to uncover this information?
After learning that such customer is unable to focus, the healthcare provider asserts his or her dominance DIGFAST.
Patient: Does it have two meanings?Despite having a similar sound, the adjectives "perseverance" and "patients" have very different connotations. "Patience" is the capacity to wait or endure hardship for a protracted period of time without becoming upset. "Patients" is the plural form of the adjective "patient," which designates a person who obtains medical care.
What is a patient, exactly?A patient is somebody who receives medical care from qualified professionals. The patient typically needs attention from either a doctor, nurse, optometrist, dentist, veterinarian, and perhaps other healthcare provider because they are ill or harmed.
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a nurse on a medical unit is caring for a patient who has experienced a recent exacerbation of hiv. the nurse is being vigilant in assessments and preventative measures related to the common complications of hiv infection. what assessment addresses the most common opportunistic infection related to hiv?
There are benefits and drawbacks to using alternative therapies, which are frequently used by HIV-positive people. Do you use any supplementary or alternative treatments?"
How would you define therapies?Therapy is a type of care that tries to assist in resolving psychological or emotional problems. There are numerous varieties of therapy. With psychotherapy, often known as talk therapy, a patient converses with a qualified therapist who may assist them in comprehending particular emotions and actions.
How many distinct types of therapy exist?The five counseling approaches recognized by that of the American Psychological Association (APA) are psychoanalytic, behaviour interventions, cognitive therapy, humanistic therapy, and integrative or holistic therapy.
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a client who experienced a stroke that left her with residual right-sided weakness was just discharged to go home. the client lives in a two-story house in which the bathroom is located on the second floor. a home health care nurse is visiting the client for the first time. which issue should the nurse address during this visit?
The bathroom is placed on the 2nd floor of the client's two-story home. Ability of the client to ascend stairs when using a walker.
What three sorts of healthcare are there?There are several levels of care in the health industry, including primary, secondary, tertiary, even quaternary. The primary care provider for your health is typically a family doctor or internist. Specialists are referred to as secondary care. Term used to describe care and equipment that are extremely specialized.
What does healthcare serve as a means for?The main goal of medical care is to improve health in order to improve quality of life. To maintain their valuation and continue to operate, commercial enterprises concentrate on generating financial profit. To accomplish its mission, health care must prioritize generating societal profit.
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a student asks the healthcare professional to explain the function of the papillary muscles. what response by the professional is best?
The papillary muscles' function is to prevent the atrioventricular valves from being expelled backward.
The papillary muscles of the heart are pillar-like muscles that are attached to the walls of the ventricles. They play an important role in maintaining proper cardiac valvular function.
Papillary muscles are classified into three types:
1. Anterior papillary muscle
2. Posterior papillary muscle
3. Septal papillary muscle
The chordae tendineae of the anterior and posterior cusps attach to the anterior papillary muscle. The chordae tendineae of the posterior and septal cusps attach to the posterior papillary muscle. The chordae tendineae of the anterior and septal cusps attach to the septal papillary muscle.
The largest muscle is the anterior papillary, the posterior is frequently bifid or triangulate, and the septal is the smallest. The chordae for the adjacent components of the cusps they support are supplied by these papillary muscles.
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a client receiving aminophylline reports heartburn on assessment to the nurse. what is the best response by the nurse?
The best response from the nurse when cline received aminophylline and told him that he had heartburn was to raise the head of the bed.
What medicine is Aminophylline?Aminophylline is a drug to relieve shortness of breath, heavy breathing, or wheezing in people with asthma, bronchitis, or chronic obstructive pulmonary disease. This drug is available in two preparations, namely tablets and injections.
Aminophylline belongs to a class of bronchodilators. This drug works by widening the narrowed airways, so that air can flow to and from the lungs unhindered. That way, sufferers can breathe more easily.
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A patient tells you, "i know why i got this cancer. It's my karma. " describe your personal feelings:.
Answer: its not that
Explanation: so I think its not because of karma its because some one in your family might of had it and then I few years later you came into the world and when you got older you most likely had sighs of cancer and then soon you got cancer there is no such thing of karma well that's what I think ️️ so there
a patient who has never had any prior surgeries tells the nurse doing the preoperative assessment about an allergy to bananas and avocados. which action is most important for the nurse to take? group of answer choices
Patient who has never had any prior surgeries tells the nurse doing the preoperative assessment about an allergy to bananas and me more about what happened to your mother."
It method "earlier than operation." in the course of this time, you'll meet with considered one of your docs. this may be your general practitioner or primary care doctor: This checkup normally desires to be performed inside the month before surgery. This gives your docs time to deal with any clinical issues you can have earlier than your surgical operation.
The suitable time-out process. A time-out is the surgical team's brief pause, simply before incision, to verify that they're about to carry out the right procedure on the suitable frame part of the right affected person [1]. A time-out calls for a marked operative web page, however should also be achieved if no web site is marked [2].
Commonly, earlier than having a general Anaesthetic, you'll now not be allowed whatever to eat or drink. this is due to the fact while the anaesthetic is used, your body's reflexes are quickly stopped. if your stomach has foods and drinks in it, there is a hazard of vomiting or bringing up meals into your throat.
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amy has been biting her fingernails for five years. her mother applied a terrible tasting medication to her fingernails to discourage her from biting them. so far, the nail biting has not decreased much even with the medication. what's one possible reason?
Her mother applied a terrible tasting medication to her fingernails to discourage her from biting them and the nail biting has not decreased much even with the use of the medication which is therefore as a result of previous learning history.
What is Medication?This is referred to as drugs which contains chemical substances and they are used to treat different types of sickness or illness.
In this scenario, her mom discouraged her from biting them and the nail biting has not decreased much even with the medication as a result of previous learning history or sensitivity to the consequence.
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a 9-year-old patient with pharyngitis later develops complications resulting in damage to his heart valves. what could have prevented the complications? group of answer choices penicillin treatment at the first sign of heart valve damage acetaminophen there is no preventative treatment immunization against streptococcus in infancy penicillin treatment of the pharyngitis
Pharyngitis later develops complications resulting in damage to his heart valves and the complications could have been prevented through penicillin treatment at the first sign of heart valve damage.
Pharyngitis is pain or irritation within the throat that may occur with or while not swallowing, usually accompanies infections, like a chilly or contagious disease. The foremost common explanation for a inflammatory disease (pharyngitis) could be a infection, like a chilly or the contagious disease. It is caused by a scourge and resolves on its own.
Penicillins are accustomed to treat infections caused by bacterium. They work by killing the bacterium or preventing their growth. There are many completely different styles of penicillins. Each is employed to treat completely different styles of infections.
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a client with severe acute respiratory syndrome privately informs the nurse of a desire not to be placed on a ventilator if the condition worsens. the client's partner and children have repeatedly expressed their desire that every measure be taken for the client. the most appropriate intervention by the nurse would be to:
Encourage the individual to think about a power of attorney or living will.
A nurse is what kind of worker?A nurses is a member of the medical profession who tends to patients. Giving mental health assistance, taking vital signs, and treating patients are all possible aspects of being a nurse. The type of doctor your choose to be will determine the type of care you offer, however many nurses collaborate with physicians or midwives.
Can a nurse become a physician?Without a doubt, an RN can become a physician. By obtaining a Bachelor's degree then entering to medical school like any other student, they can obtain a MD or DO. Or, a registered nurse (RN) could earn a doctor or nurse (Aprns), which is an academic degree that confers no clinical authority.
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a pregnant woman with diabetes is having a glycosylated hemoglobin (hgba1c) level drawn. which result would require the nurse to revise the client's plan of care?
8.5% rationale: an HbA1C level of more than 8% indicates poor control and the need for intervention is the result that would require the nurse to revise the client's plan of care.
Hemoglobin that has been bonded chemically to sugar is known as glycated hemoglobin. When present in human bloodstreams, the majority of monosaccharides, including glucose, galactose, and fructose, naturally link with hemoglobin.
A glycated hemoglobin test calculates the level of blood glucose (sugar). The test is frequently referred to as A1c or HbA1c. Detect prediabetes, which is elevated blood sugar levels that can result in diabetes, heart disease, and stroke.
You have too much sugar in your blood if your HbA1c is high. As a result, you have a higher risk of developing serious eye and foot complications as a result of your diabetes.
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while performing a morning assessment of an elderly patient on a subacute medical unit, the nurse notes petechiae on a patient's lower extremities. when checking this patient's most recent blood work, the nurse should pay particular attention to the patient's level of:
The nurse should pay close attention to the patient's number of platelets while reviewing this patient's most recent blood test. A platelet count lab test counts the number of platelets in your blood. Blood components called platelets aid in blood clotting. Compared to red or white blood cells, they are smaller.
Our blood contains tiny, colorless cell fragments called platelets, or thrombocytes, which form clots to slow or stop bleeding. The sponge-like tissue inside our bones called bone marrow is where platelets are created. Stem cells that differentiate into red blood cells, white blood cells, and platelets are found in the bone marrow.
So, we can say that a nurse on a subacute medical unit observes petechiae on a patient's lower extremities while conducting a morning assessment of an elderly patient. Therefore, the nurse should focus especially on the patient's level of platelets when examining this patient's most recent blood work.
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Complete Question
While performing a morning assessment of an elderly patient on a subacute medical unit, the nurse notes petechiae on a patient's lower extremities. When checking this patient's most recent blood work, the nurse should pay particular attention to the patient's level of:
1- Platelets
2- Neutrophils
3- Iron
4- Albumin
a client's physician has ordered a liver panel in response to the client's development of jaundice. when reviewing the results of this laboratory testing, the nurse should expect to review what blood tests?
The nurse should be expected to review the following in the client's liver panel in response to the client developing jaundice.
Alanine aminotransferase (ALT)
Gamma-glutamyl transferase (GGT)
Aspartate aminotransferase (AST)
The yellow hue of many newborns' skin is caused by jaundice. When a substance called bilirubin accumulates in the infant's blood, it causes jaundice. After birth, the infant's liver must remove the bilirubin that the mother's liver removed for the baby throughout pregnancy.
A blood test called the alanine aminotransferase (ALT) test evaluates liver disease.
The amount of gamma-glutamyl transferase (GGT) in the blood is determined using a GGT test. While GGT is an enzyme present throughout the body, the liver is where it is most frequently found. The circulation may become contaminated with GGT if the liver is destroyed. High levels of GGT in the blood could indicate liver illness or bile duct injury.
The aspartate aminotransferase (AST) test is also a blood test that checks for liver damage.
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the nurse is changing the iv solution container and administration set for a client with an electronic infusion device. which part of the set-up must be removed prior to inserting new tubing into the device?
The part of the setup that must be removed prior to inserting new tubing into the device for electronic infusion is the administration set.
When changing the IV solution container and administration set of an electronic infusion device, the nurse must remove the current administration set from the device first. Following the manufacturer's directions, the nurse would then insert a new administration set into the infusion device. The slide clamp and drip chamber is part of the administration set and cannot be removed separately. Once the new administration set is inserted, the access cap of the short extension tubing is removed to attach the new administration set.
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What psychological disorder is characterized by nightmares and flashbacks, elevated arousal, anxiety, and emotional disturbances?.
Answer:
post traumatic stress disorder
Explanation:
I have it
a nurse is providing community education regarding adolescents with oppositional defiance disorder (odd). which point should the nurse include in the educational session?
Parental attention to a child's maladaptive actions might lead to behavior issues.
The ODD-related disruptive, defiant behaviors typically start at home with parents or other parental figures and are more severe here than they are elsewhere. The development of ODD might result from persistently focusing on maladaptive behaviors while dismissing any favorable ones. When a child engages in maladaptive behavior, attention is often given, whether it is good or negative, which leads to ODD. This is because parents or other parental figures often miss opportunities to praise the child for displaying beneficial behaviors. ODD can be prevented or perpetuated in large part by parents and other parental figures. Problematic conduct is ingrained and unintentionally reinforced in the home.
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the nurse is assessing a client with crackling breath sounds or pulmonary congestion. what is the cause of the congestion?
Troponin (most accure serum determinant of an MI) is the cause of the congestion.
What is pulmonary congestion caused by?Congestive heart failure frequently results in pulmonary edema. Water can back up into to the veins that carry blood into the lungs when the heart is unable to pump blood effectively. Fluid is forced into the lungs' air sacs (alveoli) as the tension in these vascular system rises.
Can pulmonary congestion lead to death?Breathing becomes challenging as a result of the fluid accumulating in the air sacs. Acute or flash oedema, a condition which requires prompt medical attention, is the name given to pulmonary edema that occurs suddenly. If this ailment is not addressed right away, it could be fatal.
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the client has been diagnosed with asthma and is being treated with two inhalers, albuterol and flunisolide. the nurse teaches the client that the two medications should be administered in what order?
We are aware that our patient has asthma and that the doctor has instructed them to take two metered-dose inhalers in this case (Fluticasone and Albuterol).
Can you use a nebulizer and an albuterol inhaler simultaneously?The jet nebulizer linked to a strong air compressor should be used with the albuterol inhalation solution. The patient will get instructions along with the breathing solution and nebulizer. Please carefully read and adhere to these guidelines.
Combining albuterol and oxymetazoline nasal may intensify adverse cardiovascular effects including escalating heart rate and blood pressure or unsteady heartbeat. If you have any questions or concerns, especially if you have a history of high blood pressure, an arrhythmia, or cardiac disease, speak with your doctor.
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