Answer:
The slower you read, the more you remember.
Explanation:
an infant has a continuous-machine type of murmur best heard at the left upper sternal border throughout systole and diastole. the infant has a bounding pulse and a thrill on palpation. these clinical findings are consistent with which congenital heart defect?
Patent ductus arteriosus (PDA) causes the myocardium to enlarge consistent with a congenital heart defect.
What is a congenital heart defect?An hereditary cardiac illness called hypertrophic obstructive cardiomyopathy causes the myocardium to enlarge.
Since there is a continual pressure gradient driving blood from the aorta into the pulmonary artery during both systole and diastole, a patent ductus arteriosus results in a continuous murmur.
Therefore, a congenital heart, a patent ductus arteriosus results in a continuous murmur.
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the client has been prescribed a 4 gram bolus of magnesium sulfate to run over 20 minutes it arrives from the pharmacy diluted 250 ml of normal saline. what rate does the nurse set the iv bolus
The client has been prescribed a 4 gram bolus of magnesium sulfate to run over 20 minutes it arrives from the pharmacy diluted 250 ml of normal saline and the IV bolus rate at 250ml/hr.
Magnesium sulfate is employed for short relief of constipation. It's additionally used as a soaking answer to alleviate minor sprains, bruises, muscle aches or discomfort, joint stiffness or soreness, and tired feet. This medication could be a laxative and soaking answer. This medication is accessible while not a prescription.
Saline (also referred to as saline solution) could be a mixture of common salt (salt) and water. It's variety of uses in medication as well as improvement wounds, removal and storage of contact lenses, and facilitate with dry eyes.
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a client diagnosed with chronic kidney disease (ckd) is experiencing nausea and vomiting. which intervention would be most appropriate for the nurse to provide?
If a client diagnosed with chronic kidney disease (CKD) is experiencing nausea and vomiting, then the intervention that would be most appropriate is to restrict the intake of dietary protein.
What is the chronic kidney disease (CKD) conditions?Chronic kidney disease (CKD) makes reference to a medical condition in which the kidney function of an individual is limited due a gradual but progressive health problem and it is associated with failure to excreta metabolites from proteins.
Chronic kidney disease (CKD) is also known to eventually cause kidney failure and this disease is divided into different stages regarding the advance of the condition and its potential possibility for medical treatment.
Therefore, with this data, we can see that chronic kidney disease (CKD) is a slow but always progressive disease that eventually leads to kidney failure and it must be treated in a proper manner in clinical settings to avoid the last stages of the disease. where protein metabolites cannot be metabolized.
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a client with a history of hypertension has been prescribed a new antihypertensive medication and is reporting dizziness. which is the best way for the nurse to assess blood pressure?
The best way for the nurse to assess the hypertension of the client is to assess the blood pressure in the supine, sitting, then standing positions.
Ask the client to ambulate first, then assess the blood pressure.
Take the blood pressure on both arms, and compare the values.
Assess the blood pressure at the beginning and the end of the examination.
By measuring the client's blood pressure in the supine, sitting, and standing positions, the nurse can assess for postural hypotension. Asking the client to ambulate first and taking the blood pressure on both arms will not provide the most accurate information. Assessing at the beginning and end of the exam is incorrect because this measures a deficit and is not a tool for investigating hypotension.
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the manager and a staff nurse are having a conflict over how to use and apply a new procedure in the medical/surgical area. the staff nurse wants to use the new procedure based on newly released nursing research. the manager wishes to use a protocol that has been used in the department for a number of years. the manager later makes commens to other staff on the unit about hte credibilty of hte staff nurse. this behavior is associated with:
This conduct is linked to bullying with psychological harassment .
What psychological factors underlie harassment?The feelings of the harassee are typically heightened by angry outbursts, tears, feelings of grief, loneliness, and hurt, that may be mistakenly interpreted by a management as excessive emotion. Long-term harassment can have negative repercussions on a person's physical, psychological, and social wellbeing.
What constitutes an effective harassment claim?Typically, for a harassment case to be successful, the harass must be so pervasive or severe that any sane person would view it as purposefully unfriendly or abusive in nature.
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a newborn baby boy is about to have a circumcision. the nurse knows that indications for circumcision include:
Phimosis, paraphimosis, and persistent UTIs are just a few of the medical conditions that call for circumcision.
What circumstances call for circumcision?The most typical indication for circumcision is a desire for it on a cultural or religious level. Additional signs (rare) Treatment for the inability to fully retract the (phimosis) -related infection (balanitis)
Dorsal slit, shield and clamp, and excision are the three main categories into which circumcision techniques can be divided.
Prematurity, deformities of the (such as chordee or curvature), hypospadias, epispadias, concealed or buried and unclear genitalia are all contraindications to circumcision.
The most prevalent subgroups of therapeutic circumcision complications were adhesions, meatal stenosis, and infections.
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henry, a construction worker, specializes in the restoration of old buildings. over time, he has developed a chronic cough and chest pain. this is most likely due to exposure to
henry, a construction worker, specializes in the restoration of old buildings. over time, he has developed a chronic cough and chest pain. this is most likely due to exposure to asbestos.
What is chronic cough?A chronic cough is described as a cough that lasts eight weeks or longer in adults, or four weeks in children. A chronic cough is more than just an annoyance. A chronic cough can interrupt your sleep and leave you feeling exhausted.
Silicosis is an illness that develops when a construction worker breathes in silica particles, which can penetrate into the lungs and cause inflammation and scarring. The treatment for silicosis is targeted at alleviating the symptoms, such as a chronic cough, shortness of breath, and chest pain.
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which instruction will a nurse provide a patient who is prescribed atorvastatin as an antihyperlipidemic drug to maximize lipid-lowering effects?
Instruction nurse will provide the patient who is prescribed atorvastatin as an antihyperlipidemic drug to maximize lipid-lowering effects to take drugs in the evening.
Atorvastatin is a statin drug used to treat abnormal cholesterol levels and prevent cardiovascular disease in people at high risk. Statins are the first line of defense against cardiovascular disease. It is consumed orally.
To reduce blood levels of cholesterol and triglycerides (fats), atorvastatin is combined with a healthy diet. This medication might aid in preventing health issues brought on by fats clogging blood arteries, such as chest discomfort, heart attacks, and strokes.
Atropine won't work as well if you consume foods high in fat or cholesterol. Steer clear of booze. It may increase your risk of liver damage and boost lipid levels. Grapefruit and atorvastatin may interact and produce undesirable side effects.
Doctors may recommend taking it in the evening. This is because your body makes most cholesterol at night.
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a patient diagnosed with bipolar disorder has rapidly changing mood cycles. the health care provider prescribes an anticonvulsant medication. to prepare teaching materials, which drug should the nurse anticipate will be prescribed?
Patients who have rapid cycling and those who are extremely paranoid and enraged appear to benefit from carbamazepine the most.
What is referred to as medicine?a dose form with one or much more active chemicals as well as potential inactive ones. The dosage forms of medications include tablets, capsules, liquids, lotions, and patches, among others. Additionally, they can be administered in a variety of methods, including orally, intravenously, or as drops in the ears or eye.
Medicine – a drug or not?In medicine, a pharmaceutical is a chemical compound, usually one with a well-known structure, that, when given to a living thing, has a biological impact. A pharmaceutical drug is a chemical compound that is used to treat, prevent, or diagnose an illness. It is also known as a medication or medicine.
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the nurse is caring for a client who has a diagnosis of human immunodeficiency virus (hiv). part of this client's teaching plan is educating the client about his or her medications. what is essential for the nurse to include in the teaching of this client regarding medications?
It is essential for the nurse to include the side effects of drug therapy in the teaching of this client regarding medications.
What is Client's teaching plan?Client education or client's teaching plan means the provision of the information to the client and to significant others, either individually or in a group, concerning alcohol and other drug abuse and related side-effects of the drug, available services and resources.
There are mainly two types of HIV treatment which are pills and shots.
1. Pills are recommended for those people who are just starting their HIV treatment.
2. People who have had an undetectable viral load or those have been virally suppressed for at least a period of three months may consider shots perfect for their treatment.
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an adolescent is found to have type 1 diabetes. the nurse plans to teach the adolescent that dietary control and exercise can help regulate the disorder. which additional information would the nurse include in the teaching plan? select all that apply. one, some, or all responses may be correct.
The additional information that the nurse should include in the plan include the following: insulin therapy, blood glucose monitoring and adherence to treatment regimen.
What is Type 1 diabetes?The type 1 diabetes is the type of diabetes that occurs when there is absence of secretion of insulin by the beta cells of pancreas.
The type 1 diabetes is also called juvenile diabetes as it mainly occurs in childhood.
The clinical manifestations seen in an individual with type 1 diabetes include the following:
Extreme thirstIncreased hunger (especially after eating)Dry mouthUpset stomach and vomitingFrequent urinationUnexplained weight loss, even though you’re eating and feel hungryFatigueBlurry vision.In the nursing management of an individual with type 1 diabetes, it is the responsibility of the nurse to carry out the following:
Educate the patient on how to carry out insulin therapy,blood glucose monitoring, and adherence to treatment regimen.Learn more about diabetes here:
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a client diagnosed with diabetic ketoacidosis has been admitted to the intensive care unit. the client is prescribed an intravenous insulin drip, so the nurse knows that what type of insulin will be administered?
The nurse is familiar with Regular since the client is recommended an intravenous infusion drip.
What is the purpose of insulin?In need for blood sugar to also be utilized as energy by the liver and muscles, glucagon assists inside its digestion. The liver receives a signal from insulin to conserve sugar levels for later use. When sugar levels enters cells, blood sugar levels fall, which tells insulin to do the same.
What is the distinction between diabetes and insulin?Blood sugar levels rise over normal when you have diabetes, a health issue with your body. Additionally known as hyperglycemia. Your body converts food you eat into sugar and releases it into your blood when you eat. Insulin then aids in transferring the blood's sugar to your cells.
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the more prolonged the depletion of nutrition, the weaker the immune system. what is the independent variable?
a client is suspected of having amyotrophic lateral sclerosis (als). to help confirm this disorder, the nurse prepares the client for various diagnostic tests. the nurse expects the physician to order:
A client is suspected of having amyotrophic lateral sclerosis (ALS) and to help confirm this disorder, the nurse prepares the client for various diagnostic tests and expects the physician to order electromyography (EMG).
Amyotrophic lateral sclerosis (ALS) is a nervous systemunwellness that weakens muscles and impacts physical perform. In this, nerve cells break down, that reduces practicality within the muscles that they provide. The main symptom is muscle weakness. Medication and medical care will slow ALS and scale back discomfort, however there isn't any cure.
Electromyography (EMG) is a diagnostic technique to assess the health of muscles and also the nerve cells that management them (motor neurons). EMG results will reveal nerve pathology, muscle pathology or issues with nerve-to-muscle signal transmission
.
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which of the following procedures is an endoscopic examination? a.thoracentesis b.bronchoscopy c.auscultation d.lung scan e.tracheostomy
Bronchoscopy of the following procedures is an endoscopic examination.
The correct option is B.
How long does a bronchoscopy usually take?The doctor will sedate you before inserting the bronchoscope into the lung via your mouth or nose. A team member will give you more medication if you show signs of discomfort until you feel at ease. Typically, the bronchoscopy lasts 30-45 minutes.
Why do doctors order bronchoscopy?A chronic cough, an illness, or something unexpected found on a lung X-ray or other test are common indications for needing a bronchoscopy. Additionally, bronchoscopy can be used to treat lung issues, remove obstructions from the airways or lung, collect samples of mucous or tissue, or remove foreign objects.
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Which action enhances the effectiveness of levothyroxine for the patient with hypothyroidism?.
Action enhances the effectiveness of levothyroxine for the patient with hypothyroidism Levothyroxine is highly protein bound, creating a long distribution half-life of 7 days.
Levothyroxine is a medicinal drug used to treat an underactive thyroid gland (hypothyroidism). The thyroid gland makes thyroid hormones which help to control strength tiers and increase. Levothyroxine is taken to replace the lacking thyroid hormone thyroxine. Levothyroxine is best to be had on prescription.
Levothyroxine does no longer commonly have any side effects, because the capsules certainly replace a missing hormone. side effects typically only occur in case you're taking too much levothyroxine. this will purpose troubles which includes sweating, chest ache, headaches, diarrhoea and being sick.
The risk of having a heart assault became better in patients who have been already taking levothyroxine on the time of heart failure and lower in patients who started out levothyroxine treatment after this diagnosis.
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h5n1 avian influenza is widely considered to be the most serious global pandemic threat today and is the target of much worldwide surveillance. the human h5n1 infections thus far have resulted in a mortality rate of almost 60%, underscoring the danger of this virus. currently, the virus is not readily passed person to person, but reports that the virus may have recently entered (or re-entered) the swine population are of concern because of .
Possible assortment of the influenza genome with swine and human strains
What is human h5n1 infections?
influenza virus strains that primarily affect birds but can also infect people.
The most common way to catch this disease is through contact with sick birds. Additionally, it can be spread from person to person.
Within two to eight days, symptoms start to appear, and they may resemble the common cold. Shortness of breath, muscle aches, headaches, fever, sore throat, and cough are possible symptoms.
In humans, the sickness may result in a high fatality rate. If administered within two days of symptoms, several antiviral medications may be helpful.
Types A, B, C, and D are the four different types of influenza viruses.
Humans and a variety of animals are both susceptible to influenza A viruses. An influenza pandemic could be brought on by the appearance of a brand-new, radically different influenza A virus with the capacity to infect people and maintain sustained human-to-human transmission.Humans are exposed to influenza B viruses, which spread and lead to seasonal epidemics. Seals can contract infections, according to recent evidence.Both people and pigs can contract influenza C viruses, but illnesses are typically mild and hardly documented.Influenza D viruses are known to primarily infect cattle; they are not known to infect or afflict humans.Hence, Possible assortment of the influenza genome with swine and human strains
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a school nurse is examining a student at an elementary school and notes vesicular lesions that ooze, forming crusts on the face and extremities. which actions by the nurse are most appropriate?
A school nurse is examining a student at an elementary school and notes vesicular lesions that ooze, forming crusts on the face and extremities, so the nurse will consider it as impetigo.
A vesicle, conjointly called a blister or a vesicle lesion, forms once fluid becomes unfree underneath the highest layer of skin (epidermis), making a bubble-like sac. Skin vesicles is caused by varicella, eczema, rash thanks to skin irritation or hypersensitivity reaction, shingles, friction, bacterial infections, and herpes simplex.
Impetigo is a common and extremely contagious skin infection that in the main affects infants and young kids. it always seems as ruby sores on the face, particularly round the nose and mouth and on the hands and feet. Over a few week, the sores burst and develop honey-colored crusts.
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the power relationship between a physician and patient is immediately evident when the patient enters the doctor's office because
Patients have to wait until a "gatekeeper" lets them in before they can see the doctor in the "back zone" of the office.
What do the physicians do?Doctors and surgeons work with both preserving health and identifying and treating diseases and wounds. Doctors perform physical examinations, ask about medical history, and order, conduct out, and review diagnostic testing. They frequently provide patients with guidance on nutrition, hygiene, and preventative healthcare.
Why is a physicians called a doctor?Because the term "physic" traditionally covered the both practice of medicine and natural science, medical professionals are referred to as physicians. Physics as it related to healing was thrown out in favor of medicine as scientific sciences advanced.
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during a routine assessment the nurse notes the postpartum client is tachycardic. what is a possible cause of tachycardia?
Persistent palpitations with Peripartum cardiomyopathy, postpartum thyroiditis, and postpartum depression are the causes of tachycardia in a post-partum patient in the ER and could be an early warning sign of Group A Streptococcus infection.
What is the duration of postpartum heart palpitations?
Most postpartum cardiomyopathy patients regain a portion or all of their heart function. You will need to maintain close contact with your doctor. Some women recover only a portion of their heart function after 6 months or more, while others recover completely within 2 weeks.
Postpartum heart palpitations may be innocuous because a woman's heart rate innately increases during pregnancy. They could, however, be the result of something much more serious.
Therefore, Peripartum cardiomyopathy, postpartum thyroiditis, and postpartum depression and anxiety are some of the causes of tachycardia.
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patient on 2 antibiotics or more complaining of burning in the tongue and not wanting to eat, while inspecting the tongue it reveals white, milky, plaque that does not come off with rubbing what is in this condition?
The affected person on 2 antibiotics or greater complaining of burning within the tongue and now not looking to eat, whilst analyzing the tongue it is well-known shows white, milky, plaque that does not come off with rubbing Leukoplakia .
Leukoplakia appears as thick, white patches on the inner surfaces of your mouth. It has some feasible causes, such as repeated harm or irritation. it may additionally be a sign of precancerous changes in the mouth or mouth of most cancers.
It is handiest when there's too much Candida that infections like thrush can arise. Leukoplakia has a tendency to present without signs and symptoms aside from the appearance of white or grey lesions even as thrush can purpose throat and mouth aches. unlike leukoplakia, you will be capable of removing oral thrush lesions through scraping and brushing.
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a nurse is leading a medication education group for clients with depression. a client states he has read that herbal treatments are just as effective as prescription medications. the best response is ...
The best response is "we need to look at the research very closely to see how reliable the studies are."
Which of the following complementary and alternative medicine practices is frequently employed in the management of depression?Acupuncture: Compared to standard therapy, acupuncture has been proven to be beneficial in reducing depression at three months in a recent clinical research. Acupuncture may be more effective at reducing both pain and depression for people who experience both, compared to counseling and regular medical therapy.
Cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy are three of the most popular approaches to treating depression.
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long-term use of broad-spectrum antibiotics in hospital patients often leads to superinfections, e.g., clostridium difficile diarrhea. which barrier defense is compromised in this population?
According to the claim, this population's normal flora has a degraded barrier defense.
Which word should I use, patience or patients?Because tolerance is a noun, you can own it. Whilst it's not very simple to do, you can be the epitome of patience. Patient cannot exist. People is the plural form of the adjective patient, which refers to an individual undergoing medical treatment. It is utilized here primarily for convenience since it matches patience.
What are patience and being patient?As a noun, "patience" is the ability to wait patiently or put up with adversity for a long period of time without being upset or impatient. The multiple version of the term "patient," however—"patients"—designates an individual who gets medical attention.
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a client with delusions presents with strong defensiveness, even when watching the news or listening to the radio. the nurse would document this finding in the health history as what?
The nurse would document this finding in the health history as a Grandiose delusion.
Focus on distracting activities such as reading singing listening to music gardening or exercising. speak to the voice. Challenge them and insist they go away. Manage your stress and anxiety levels. Get enough sleep. Assure the person that they are safe and will not be harmed.
Let the other person know that you recognize the emotions that delusion creates. Speak clearly and use short sentences in a calm, non-threatening voice. Empathize with how the person feels about their beliefs and experiences. Identify the person's own experiences of frustration and stress and the positive aspects of those experiences.
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a postpartum client comes to the clinic for her 6-week postpartum check up. when assessing the client's cervix, the nurse would expect the external cervical os to appear:
Full Question :.A postpartum client comes to the clinic for her 6-week postpartum checkup. When assessing the client's cervix, the nurse would expect the external cervical os to appear: A. shapeless. B. circular. C. triangular. D. slit-like.
After birth, the external cervical os is no longer shaped like a circle but instead appears as a jagged slit-like opening, often described as a "fish mouth."
What is Cervical ?
Any organ or structure's neck, or the neck of the neck. The neck is where the cervical lymph nodes are found. Cancer of the uterine cervix, often known as the "neck" of the uterus, is referred to as cervical cancer.
What is external cervical?
External cervical resorption (ECR), which commonly starts on the cervical region of the root surface of teeth, is the loss of dental hard tissue as a result of odontoclastic activity. Review of the etiology, risk factors, diagnosis, and treatment of ECR.
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a patient with a gram-negative infection is being treated with gentamicin. what system should the nurse expect to be tested daily while on this medication? a patient with a gram-negative infection is being treated with gentamicin. what system should the nurse expect to be tested daily while on this medication? ophthalmic system respiratory system musculosketal system renal system\
Gram-negative infection is being treated with gentamicin, so renal system should the nurse expect to be tested daily while on this medication.
Gentamicin is an antibiotic wont to treat many varieties of microorganism infections. this could embrace bone infections, carditis, girdle disease, meningitis, pneumonia, tract infections, and infection among others. It's not effective for venereal disease or chlamydia infections.
The renal system consists of the urinary organ, ureters, and therefore the duct. The function of the system filters just about two hundred liters of fluid daily from urinary organ blood flow that permits for toxins, metabolic waste product, and excess particle to be excreted whereas keeping essential substances within the blood.
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the nurse is teaching a course on calcium channel blockers. which description of the mechanism of action will the nurse provide?
Calcium channel blockers enable coronary artery dilatation while preventing smooth muscle contraction.
What is coronary artery?The arteries supply blood to the heart muscle. The heart gets blood with oxygen to operate, just as every other organ. Additionally, anemic blood must be eliminated. The arteries encircle the heart on the outside. Epidermis little branches carry oxygen to the heart.
Why is a blocked coronary artery?Plaque accumulation in the walls of the arteries supplying blood to the heart is what causes coronary artery disease (called coronary arteries). Deposits of cholesterol make form plaque. Over time, plaque formation causes the interior of the vessels to narrow. Atherosclerosis is the name of this process.
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the nurse is caring for a client with acute glomerulonephritis. the nurse instructs the assistive personnel (ap) to implement which action when caring for the client?
To prevent infections that can lead to some forms of glomerulonephritis, such as HIV and hepatitis, follow avoid intravenous drug use.
Interventions for acute glomerulonephritis may include promoting rest, restricting salt and fluid intake, and restricting protein depending on the severity of the disease process. Drug therapy includes the administration of antihypertensives, diuretics, or antibiotics.
Acute kidney failure due to contamination-associated glomerulonephritis is treated with dialysis. Dialysis makes use of a device that works like an synthetic, external kidney that filters your blood. give up-stage kidney ailment is persistent kidney ailment that may best be controlled with the aid of everyday kidney dialysis or a kidney transplant.
To save you infections that may result in some types of glomerulonephritis, along with HIV and hepatitis, comply with avoid intravenous drug use. Control excessive blood strain, which lessens the probability of harm on your kidneys from high blood pressure.
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your patient has just returned from the pacu following orthopedic surgery. the patient is complaining of pain, and you are preparing to administer the patient's first dose of meperidine. prior to administering the drug, what assessment would you prioritize?
To meet the patient's needs from orthopedic surgery pain should be reassessed after each procedure to assess efficacy and determine
In orthopedic surgery Early clinical practice guidelines on acute pain management published by the Health Policy Research Institute address the assessment and management of acute pain.22 These guidelines provide comprehensive pain assessments that are most useful when administered before surgery. It outlines the assessment. n the pain history, the nurse identifies the patient's attitudes, beliefs, level of knowledge, and past pain experiences. Patient and family expectations for postoperative pain management reveal unrealistic expectations that can be addressed before surgery. This comprehensive pain history forms the basis of a postoperative pain management plan jointly developed by physicians (physicians and nurses), patients, and their families.
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following a lecture on hemostasis, a nursing student accidently cuts her hand while preparing supper for her family. she watches the laceration very closely. sure enough, the first thing she notes is:
She observes blood first, which is what she first notices.
What disease can be caused by a vitamin K deficit quizlet's absence of clotting factors?Factor VIII insufficiency is the most prevalent coagulation factor deficiency and is the cause of hemophilia. Hemophilia B, commonly known as Christmas illness, is caused by a factor IX deficit, and vitamin K insufficiency is an acquired coagulation disorder.
What type of clotting disease is inherited most frequently?Variable V The most typical inherited disorder that can cause blood clots is leiden. One gene is impaired and one gene is normal in nearly all individuals with factor V Leiden.
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