A newborn, experiencing ineffective alveolar expansion, is receiving treatment. intervention should the nurse implement to assure the administration of the prescribed medication has been effective Leukotriene receptor antagonists.
Alveoli are microscopic balloon-fashioned structures located on the giving up of the respiration tree. They make bigger at some stage in inhalation, taking in oxygen, and cut back for the duration of exhalation, expelling carbon dioxide.
Happily, alveolar cells have determined a way to counteract floor tension by producing surfactant, which is a phospholipoprotein that reduces the surface tension, preserving the alveoli open in order that we are able to breathe well.
The lungs are suspended inside the thoracic cavity which is normally at a slight terrible strain. while the diaphragm is lowered, that stress becomes greater bad and the lungs expand into the hollow space. Air from the atmosphere acts into the resulting partial vacuum and inflates the alveoli.
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a nurse is reviewing the medication profile of a client who recently began lithium therapy for bipolar disorder. which prescription or over-the-counter (otc) medication/substance should alert the nurse for an increased likelihood of toxicity?
A nurse is reviewing the medication profile of a client who recently began lithium therapy for bipolar disorder. The client runs 4 miles outdoors every afternoon.
It's used to deal with Lithium problems such as: mania (feeling incredibly excited, overactive or distracted) hypo-mania (just like mania, however much less extreme) regular intervals of despair, where remedy with other drug treatments has now not worked.
Lithium improves the body's potential to synthesize serotonin. This certainly means that the frame's levels of serotonin increase in response to lithium, which has the effect of improving temper and decreasing feelings of anxiety.
long-term lithium treatment is related to a discounted urinary concentrating capability, with subsequent polyuria and polid psia and nephrogenic diabetes insipidus (in 10-40% of sufferers).
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the mother of a newborn infant questions why her baby needs a vitamin k injection immediately after birth. the best response by the nurse would be:
The mother of a newborn infant questions why her baby needs a vitamin k injection immediately after birth. The best response by the nurse would be: Infants are not born with the normal intestinal bacteria that synthesize vitamin K for clotting.
Hemorrhagic disease of the newborn is a life-threatening condition that is due to insufficient vitamin K levels in newborns as a result of various causes. Proper management of the disease can help reduce disease incidence. This activity outlines the evaluation and treatment of hemorrhagic disease of the newborn and explains the role of the interprofessional team in managing patients with this condition.
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many people rely on laxatives because of what common misconception? a. they believe they will crave fewer snacks. b. they believe laxatives will make constipation more bearable. c. they believe they must have one bowel movement a day. d. they believe they will sleep better. e. they believe laxatives work better than high-fiber diets.
They feel you should have single bowel movement each day, according to the quote.
How does a diet heavy in fiber affect your body?Dietary fiber softens and boosts the weight and volume of your feces. Your likelihood of developing constipation is reduced by a large stool's ease of passage. Fiber absorbs water and gives stools volume, so if you've got loose, watery stools, it might help to solidify them. protects the health of the bowels.
Do high fiber diets cause constipation?Yes, raising your fiber intake might cause you to urinate more frequently, which can be particularly beneficial if you have constipation. Particularly insoluble fiber aids in getting water into colon and gives your stool volume and softness to make it easier for it to pass through.
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when arterial blood from a normal patient is exposed to room air: a. pco2 increases; po2 decreases b. pco2 decreases; po2 increases c. pco2 decreases; po2 decreases d. pco2 increases; po2 increases
The correct option regarding arterial blood is :
a. pCO2 increases; pO2 decreases
How does pCO2 increase and pO2 decrease when arterial blood is exposed to room air ?Usually, inadequate ventilation and carbon dioxide buildup result in respiratory acidosis. The main issue is a raised arterial partial pressure of carbon dioxide (pCO2) and a reduced ratio of arterial bicarbonate to arterial pCO2, which causes a drop in blood pH.
In the blood, bicarbonate (HCO3) and carbon dioxide are in equilibrium. An atmosphere that is acidic results from elevated CO2 levels. Respiratory acidosis, also known as an elevated CO2 level, can occur in people with COPD who have severe breathing issues.
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a 25-year-old client tells the nurse that she would like to become pregnant, but she has been diagnosed with blocked fallopian tubes due to pelvic inflammatory disease. when helping the client explore infertility treatment options, what is most appropriate for this client?
A science that changes constantly is medicine. Changes in treatment and medication therapy are necessary when fresh research and clinical experience increase our understanding. Female infertility is frequently brought on by salpingitis since it might harm the fallopian tube. Antibiotics are one of the treatment alternatives.
Which discoveries are regarded as promising prenatal indicators?Positive pregnancy symptoms are those that can be positively identified as pregnant symptoms. Fetal heart sounds, ultrasound scanning of the foetus, whole foetus palpation, foetal movement palpation, x-ray, and actual delivery of a newborn are among them. a. Fetal Heartbeat.
Exactly how will the nurse know if the patient is ovulating?Progesterone levels can be checked on day 21 of the menstrual cycle to confirm ovulation. women who check their basal body temperatures,7 days after ovulation, women who are aware of their ovulation date.
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a client's pre-exercise weight is 80.0 kg. their post-exercise weight is 78.0 kg. they consumed 1.0 liters of fluid during training. what was the volume of their sweat loss?
When a customer's pre-exercise weight is 80.0 kg, 3.0 liters of perspiration are lost by the client. Their weight after workout is 78.0 kg. They drank one litre of liquids while exercising.
What use does sweat serve in the body?Sweating is produced by glands in the dermis, the deeper layer of the skin. The forehead, armpits, palms, and soles of the feet have the most sweat glands on the body, despite the fact that they are present throughout the body. Although perspiration contains some salts, water makes up the majority of it. Its main function is to control body temperature. When the water in the perspiration evaporates, the skin's surface cools. Sweat helps in gripping by slightly moistening the hands.
Calculate sweat-loss volume by,
take the initial weight in (kg) - post weight in (kg) + fluid consumption (kg) - urine volume (kg).
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the nurse is caring for a burn-injured client who weighs 154 pounds, and the burn injury covers 50% of his body surface area. the nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 ml/kg/% burn of intravenous (iv) fluid for the first 24 hours. the nurse plans to administer what amount of fluid in the first 24 hours?
The nurse plans to administer 14L amount of fluid in the first 24 hours.
Why second-degree burns of more than 25% of the body is considered critical?
They affect the outer layer of skin, called the epidermis, and part of the second layer of skin called the dermis. Second-degree burns can be very painful and often take several weeks to heal. Burns that affect large areas of the skin can cause serious complications and may be prone to infection.
How do you calculate the percentage of burns?
The "rule of palm" is another way to estimate the size of a burn. The palm of the person who is burned (not fingers or wrist area) is about 1% of the body. Use the person's palm to measure the body surface area burned. It can be hard to estimate the size of a burn.
What is the most important aspect of the management of burn injury in the first 24 hours?
Accurately estimating the size of a burn is crucial to the management of burn patients in the first 24-48 hours. Many providers may be familiar with the “rule of nines” or the use of the Lund and Browder chart.
154 pounds/2.2 = 70kg
4*70kg*50 = 14,000ml, or 14 liters.
Thus, the nurse plans to administer 14L amounts of fluid in the first 24 hours.
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the clinic nurse is caring for a client complaining of a foreign agent splashed into the eye. what intervention would the nurse employ before treatment?
Evaluate the client's visual acuity intervention would the nurse employ before treatment.
What is treatment with example?The manner in which something is thought about and studied Chris Wilson treats the same topic considerably differently in his most recent book. More instances. The treatment of prisoners of war was inhumane and cruel. They were charged with treating the hostages inhumanely.
What phase of treatment is the first?Clients may be in the pre - contemplation, reflection, preparation, and early action stages of change in the early stages of treatment, depending on the group's makeup. No matter where they are in their early recovery, clients frequently have mixed feelings about quitting using drugs.
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the nurse is caring for a client who has a deep wound and whose saline-moistened wound dressing has been changed every 12 hours. while removing the old dressing, the nurse notes that the packing material is dry and adheres to the wound bed. which modification is most appropriate?
The nurse is worrying about a purchaser who has a deep wound and whose saline-moistened wound dressing has been modified every 12 hours to reduce the time c programming language b/w dressing changes.
If the dressing sticks to the wound, moisten it and strive again unless your issuer informed you to pull it off dry. placed the antique dressing in a plastic bag and set it aside. smooth your arms again after you are taking off the old dressing.
To deal with deep and wet wounds, an absorptive filler and a cowl dressing must be decided on. Filler dressing alternatives include absorptive dressing, calcium alginate (flat or rope), hydro-fiber, hydro polymer, or distinctiveness gauze.
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Many species of bacteria have become resistant to antibiotics because antibiotics have been so widely used. Now, bacteria that used to be killed by antibiotics are more difficult to treat. What is the best way to proceed in dealing with this public health problem?.
Many species of bacteria have become resistant to antibiotics because antibiotics have been so widely used. The B-cells produce antibodies more quickly if the measles virus is encountered again.
Antibiotics are drugs that combat infections as a result of micro organism in humans and animals with the aid of either killing the bacteria or making it difficult for the bacteria to develop and multiply. bacteria are germs. They live within the surroundings and all over the inside and outside of our our bodies.
Antibiotics are chemical materials produced by using a dwelling organism that kill or forestall the boom of disorder-inflicting micro-organisms along with fungi and bacteria. Examples of antibiotics: Penicillin. Streptomycin.
Antibiotics are used to treat or prevent some forms of bacterial infection. They kill bacteria or save you them from reproducing and spreading. Antibiotics aren't effective against viral infections. This includes the common cold, flu, most coughs and sore throats.
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a client is admitted to the emergency department with a urinary tract infection and is experiencing a stress response from hospitalization. the client does not speak any of the dominant language. what is the priority nursing intervention?
When a client experiences a stress response when the hospitalized nurse should provide social support to the client.
What is a urinary tract infection (UTI)?An illness known as a urinary tract infection occurs when the urinary system's organs get contaminated.
These organs might be the bladder, kidneys, ureters, or urethra, urinary tract infections, however, often affect the bladder and urethra.
Therefore, the nurse should provide social support to the client, and reduce stress from hospitalization.
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when caring for a child who has a diagnosis of acute glomerulohephritis, which nursing interventions would most likely be included in the child's plan of care? select all that apply
Few nursing interventions that would most likely help the patient to recover from acute glomerulonephritis could include promoting complete rest, restricting the consumption of salt and fluid intake, and restricting protein in the food.
Acute glomerulonephritis refers to the inflammation in the glomerulus of kidney due to which the kidney malfunctions occurs and the proper absorption or excretion of minerals from the body does not take place. Some symptoms of this disease are blood in urination, nausea or fatigue, hypertension, pain or swelling in joints etc. Periorbital edema may accompany or precede hematuria. One way of treatment of this disease in extreme cases could be through dialysis or kidney transplant. But this is not easy. It is advised to avoid processed food, spicy or tangy food in this disease rather foods such as cauliflower, garlic, olive oil or blueberries must be included in the diet.
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based on research findings, which is most accurate regarding the relationship between cardiovascular disease (cvd) and stress?
According to the given statement Stress can cause heart attacks and can play a role in CVD development.
What are cardiovascular diseases?Conditions affecting either heart or blood vessels are collectively referred to as cardiovascular disease (CVD). Atherosclerosis, a buildup of fatty deposits in the arteries, and a higher risk of blood clots are typically connected with it. Overall, life expectancy could be reduced by 8–10% of what you thought it would be. For instance, a person without heart disease is predicted to pass away around the age of 85, however a heart attack reduces life expectancy by 10%, or 8.5 years.
Can heart disease be treated?Even though coronary heart disease has no known cure, medicines can help manage the symptoms and preventing relapse like heart attacks. Among the proposed therapies include alterations in lifestyle, such as increased physical activity and stopping smoking.
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What is the blood type of individuals who cannot add the terminal sugar to the h substance?.
Blood Type O (homozygous OO)
Person who are homozygous OO are cannot attach terminal sugars to the H substance and only express the H antigen
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the nurse has observed that a client's food intake has diminished in recent days. what intervention should the nurse perform in order to stimulate the client's appetite?
Make an effort to make sure the cuisine is both enticing and suitably heated for the client. Reduce the number of times the client eats to encourage appetite development. Offer dietary supplements and describe each's potential advantages.
What type of nursing intervention can be used to increase appetite?Encourage or offer dental hygiene. Explanation: There are numerous ways to increase a client's appetite in order to prevent malnutrition. Encouragement or provision of dental care is a helpful independent nursing intervention.
How can you motivate patients to consume more food?Encourage patients to eat whenever they are hungry or to regularly consume small meals, including their favourite foods. Snacks can pique patients' interest in eating, so offer them some.
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a client with a history of myocardial infarction is admitted with shortness of breath, anxiety, and slight confusion. data collection findings include a regular heart rate of 120 beats/minute, audible third and fourth heart sounds, blood pressure of 84/64 mm hg, bibasilar crackles on lung auscultation, and a urine output of 5 ml over the past hour. this data may reflect that:
The stated statement indicates that the client is entering myocardial ischemia.
What makes the heart so unique?Maintaining an oxygen-rich blood flow across your body is the heart's primary duty. Your heart is essential to your existence, so it's necessary to maintain it by eating healthy foods, getting regular exercise, and avoiding things that can harm it, like cigarettes.
What purpose does the heart serve?It is the muscle that your circulatory system depends on to pump blood throughout your body while your heart is beating. All of your brain's parts receive oxygen and nutrition from this blood, which also removes waste materials and excess carbon dioxide.
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the nursing instructor is teaching a session explaining mast cell stabilizers. the instructor determines the session is successful when the students correctly choose which drug as an example?
The nursing instructor is teaching a session explaining mast cell stabilizers and determines the session is successful when the students correctly choose which drug as an example of Cromolyn.
Cromolyn is employed to treat the symptoms of mastocytosis. Mastocytosis could be a rare condition caused by too several mast cells within the body. These mast cells unleash substances that cause the symptoms of the unwellness, like abdominal pain, nausea, vomiting, diarrhea, headache, flushing or skin sensation of skin, or hives.
Mast cell stabilizers are medications accustomed stop or management bound allergic disorders. They block mast cell degranulation, stabilising the cell and thereby preventing the discharge of histamine and connected mediators. One suspected pharmacodynamic mechanism is that the block of IgE-regulated calcium channels. While not intracellular calcium, the amine vesicles cannot fuse to the semipermeable membrane and degranulate.
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when assessing a client with schizophrenia, the nurse observes positive and negative symptoms. which would the nurse document as a positive symptom? select all that apply.
When evaluating a client having schizophrenia, the nurse notices both good and negative indicators. Delusions and hallucinations are one of the positive symptoms that the nurse would record.
What kind of work does a nurse do?Registered nurses (RNs) deliver and oversee patient care, inform the public regarding various health issues, and offer patients' families emotional support and advice. In a variety of contexts, the majority of registered nurses collaborate with doctors and other healthcare professionals.
How long are nurses living?According to research published in a working paper by the Bureau of Economic Research, persons who have access to informal health knowledge—such as have a nurse or physician in the family—are 10% more likely to live past the age of 80.
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the body responds to infection by increasing the production of white blood cells (wbcs). the nurse should evaluate the differential count for what type of wbcs, which are the first wbcs to respond to an inflammatory event?
The body responds to infection by increasing the production of white blood cells (WBC). the nurse should evaluate the differential count to Verify that the client has signed a written consent form.
White blood cells are a vital and important part of your immune gadget. Produced in your bone marrow, they defend your frame against infections and disease. but, whilst there are too many white blood cells, it normally approaches you to have contamination or inflammation in your white blood cells, also referred to as leukocytes, which are chargeable for shielding your frame from infection. As a part of your immune machine, white blood cells flow into your blood and reply to harm or illness.
Body if you have got WBC counts between 50,000 and hundred,000 in line with a microliter of blood, it can mean that you have severe contamination, organ rejection, or a strong tumor. Very high WBC counts over one hundred,000 normally simplest arise with situations like leukemia or other forms of blood and bone marrow cancer.
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during a client's genitourinary exam, the nurse notes that the client's scrotum is enlarged and easily transilluminates. what should the nurse suspect?
The nurse suspected the client had hydrocele when she observed that his scrotum was enlarged and easily transilluminated.
A male's scrotum swells as fluid fills it, resulting in a hydrocele. Although it is not a serious health concern, it may be painful and unsightly. Male newborns are more likely to have hydroceles than adult males, however, the condition may be treated.
In most cases, a hydrocele can be treated non-operatively. Within six to twelve months of age, a hydrocele normally resolves on its own. For the sake of avoiding more issues, the hydrocele must be surgically corrected if it does not go away on its own.
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the charge nurse is teaching a new nurse about beta blockers. which teaching would the nurse include?
Explanation:
First-generation beta blockers are nonselective and block beta1 and beta2 receptors.
The nurse would include this in the teaching because first-generation beta blockers are nonselective and block beta1 and beta2 receptors.
the nurse is planning education for a client who has exhibited aggression on techniques to manage anger. which situation would be best for providing this education?
The client who is sitting in the dayroom reading a book.
How to manage anger?It is not appropriate to teach a client how to control their anger and hostility when these emotions are already there. As a result, events that cause a client to argue with a roommate or threaten to hit another client both cause them to feel angry and aggressive. The client who is reading a book is more receptive to learning these strategies because they aren't confronted with circumstances that would otherwise encourage aggressive or violent behavior. The client should not be interrupted for education while eating lunch with family members because they are engaged in a social activity.To learn more about anger management, refer to
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which intervention will the nurse expect for form for a patient who takes tricyclic antidepressants and who has
The recommended course of treatment for TCA toxicity is sodium bicarbonate. Through the creation of an alkalosis and a sodium load, this serves to enhance cardiac conduction.
Tricyclic antidepressants induce toxicity in what ways?TCAs are largely metabolized by and their metabolism may be affected by the enzyme inducers and inhibitors of this pathway. The main substance or one of its metabolites may be toxic. The unbound percentage of TCA may rise in cases of respiratory or metabolic acidosis, which might intensify the negative consequences.
Dry mouth, hazy vision, dilated pupils, sinus tachycardia, pyramidal neurological symptoms, and sleepiness are the most prevalent clinical characteristics.
If an overdose results in respiratory depression, an acidosis, which decreases protein binding, and a rise in the quantity of unbound tricyclic, these effects may also occur.
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the nurse is caring for a client following a transurethral resection of the prostate (turp). the client has a 3 way irrigation catheter in place. which finding would indicate the need to increase the irrigation rate?
When making the irrigation solution, use sterile procedures, and make sure the drainage tubing is clear and unobstructed. If the urine is bright crimson or contains big clots, alert the surgeon.
What function does a 3-way urinary catheter serve in TURP patients?When irrigation of the bladder is expected to prevent or treat blood clots in the bladder, three-way Foley catheters are used. Patient safety and clinical results are influenced by effective bladder irrigation. After transurethral prostate removal, continuous bladder irrigation (CBI) is frequently employed 1, 2. (TURP).
What is bladder irrigation?A sterile liquid is flushed through your bladder as part of a medical procedure called continuous bladder irrigation (CBI). At the same time, it eliminates urine (pee) from your body. It is frequently used by medical professionals to prevent or dissolve blood clots following surgery on the urinary tract.
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a client is admitted with a gastrointestinal bleed. what client symptom may indicate a peptic ulcer perforation to the nurse?
Abdominal pain that is abrupt in start, intense, and sharp is how patients with perforated peptic ulcer disease typically present.
What causes a gastrointestinal bleed?Hemorrhoids, peptic ulcers, rips or irritation in the esophagus, diverticular disease and cellulitis, ulcerative colitis , Crohn's, colonic polyps, or cancer inside the colon, stomach, or esophagus are just a few of the numerous potential reasons of GI bleeding.
Should I visit the hospital if I have gastrointestinal bleeding?Any disease, whether visible or hidden, has to be examined by a doctor because it could indicate a serious underlying illness. Small-volume, bright-red, or intermittent bleeding has to be evaluated but is not life-threatening.
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if a baby was 34 weeks gestational age and is now 10 weeks chronologically, what is their corrected age?
Age according to the calendar, minus the number of weeks the child would have been if they had been born at the 40-week mark.
The adjusted gestational age is what?
The Corrected age (CA), often referred to as the Gestationally Corrected Age (GCA) or simply the Gestational Age (GA), is based on the age the kid would have been if the pregnancy had truly continued to term. Chronological age (CH) is a phrase used to describe the age as of the child's actual birth.
There are several traits that may be utilized to determine the gestational age after the baby is delivered. Even if the LMP date is proven to be true, the gestational age may be off by up to two weeks.
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a relapsing-remitting initial course followed by the disease with or without relapses are characteristics of which type of multiple sclerosis?
a relapsing-remitting initial course followed by the disease with or without relapses are characteristics of secondary progressive multiple sclerosis
Multiple Sclerosis may be a disease of the central nervous system, which is made up of the brain, spinal rope, and optic nerve.his disorder causes devastation of the myelin that encompasses and ensures nerve filaments. Secondary-progressive multiple sclerosis is the shape of the disease that creates from relapsing-remitting multiple sclerosis. The MS disease course shifts over people and not all patients who have RRMS will create SPMS. As of now, it isn't conceivable to foresee who will inevitably develop SPMS, but people who have visited extreme relapses and huge numbers of the brain and spinal line at the time of determination appear to be a higher chance.
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which antihistamine is most likely to be prescribed for a patient with a history of excessive daytime sleepiness who has developed itching, watery nasal discharge, and rhinitis
A second-generation antihistamine(loratadine) having a wide range of applications, including the treatment of seasonal allergy-related pruritus, watery eyes, runny noses, and sneezing.
Drugs called antihistamine are frequently used to treat allergy symptoms such hay fever, hives, conjunctivitis, and responses to insect bites or stings. They are occasionally used as a short-term sleep aid and to stop motion sickness. On the other hand, Zyrtec works quickly. People who use it could get relief in just one hour. The goal of antihistamine like Zyrtec and Claritin is to reduce the histamine response that occurs when your body is exposed to an allergen.
Itchy skin, sometimes referred to as pruritus (proo-RIE-tus), is frequently brought on by dry skin. Given that aging skin tends to get drier, older persons frequently experience it. pruritus Your skin may seem normal, red, rough, or bumpy depending on what is making you scratch.
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a grand multiparous client had a precipitous delivery in the emergency room 6 hours ago. the client was given oxytocin intramuscularly after birth. the nurse examines the client and observes the pad under the buttocks is full of blood. which action should the nurse take first
The doctor diagnoses the patient with hypotonic dystocia and orders an oxytocin (Pitocin) injection to speed up her contractions. After birth, the client received oxytocin intramuscularly.
Which observation shows the nurse that a baby who is 4 days old is getting enough breast milk?A minimum of 2 to 3 wet diapers and 2 stools4 during the course of the second and third days show that your baby is nursing successfully and obtaining the milk she or he requires.
Which of the following would the nurse undertake while measuring the duration of a contraction?Start counting from the start of one contraction to the start of the next when timing contractions. The simplest method for timing contractions is to record them on paper. count the seconds that a contraction actually lasts, as in the example below, or keep track of the time that each contraction begins and ends.
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a 66-year-old man underwent a successful partial gastrectomy for the treatment of stomach cancer 3 years ago. the man had a scheduled follow-up appointment with his primary caregiver and had blood work completed. the results of the man's blood work indicated anemia. the nurse who is contributing to the patient's care should recognize that this patient's anemia may be attributable to what factor?
After a successful partial gastrectomy for the treatment of stomach cancer 3 years ago, the nurse who is contributing to the patient's care should recognize that this patient's anemia may be attributable to decreased vitamin B12 absorption.
To treat stomach cancer, a doctor might perform a Partial gastrectomy: This procedure removes a part of the abdomen. Doctors usually take away liquid body substance nodes and fat additionally to assist guarantee all the cancer is gone. Total gastrectomy: Doctors take away the whole abdomen, close liquid body substance nodes and fat.
Anemia is a condition within which you lack enough healthy red blood cells to hold adequate gas to your body's tissues. Having anemia, additionally mentioned as low haemoglobin, will cause you to feel tired and weak. There are several kinds of anemia, every with its own cause.
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