The nurse should compare this finding to the range of motion to the right side when a client has decreased range of motion with lateral bending of the cervical spine to the left side.
What do you mean by range of motion?According to Kapandji and colleagues, ROM is "the extent of osteo-kinematic mobility available for movement activities, functional or otherwise, with or without help." The definition of ROM differs among published sources.
The following medical problems are linked to restricted joint range of motion:
Spondylitis with AnkylosingOsteoarthritis (OA)arthritis rheumatoid (RA)Juvenile RA, an autoimmune type of arthritis that affects those under 16 years old,spinal palsy (CP)The illness Legg-Calve-Perthes.Joint bacterial infection called sepsis, which affects the hip and other joints,Congenital Torticollis Syphilis is an infection spread through sexual contact (STI)To know more about range of motion, visit:
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the nurse is caring for a patient who is immobilized. which action taken by the nurse while positioning the patient
The nurse is caring for an immobilized patient. The action taken by the nurse while positioning them to help evacuate bowel contents without discomfort is: rolling the patient onto the bedpan, then elevating the head of the patient’s bed to 30-45 degrees.
What is a bedpan?A bedpan is a container that is used for the urination or defecation of a patient who is immobilized. The shape of a bedpan is designed to fit under a person that is lying or sitting in bed. The bedpans are usually made of ceramic, glass, plastic, or stainless metal. These materials are chosen because they are easy to clean and enduring.
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a client is admitted for an amniocentesis. initial assessment findings include 16 weeks' gestation, vital signs within normal limits, hemoglobin 12.2 g/dl (122 g/l), hematocrit 35% (0.35), and type o-negative blood. which action would the nurse complete first after amniocentesis has been completed?
The first thing a nurse does following an amniocentesis is measure the baby's heart rate and compares it to the pre-procedure baseline.
Amniocentesis: What is it?Amniocentesis is indeed a test that may be recommended to you during pregnancy to determine whether your unborn child has a chromosomal or genetic disorder like Down syndrome, Edwards syndrome, or Patau's syndrome. It includes taking a small cell sample in amniotic fluid, the liquid that surrounds the womb of the developing child, and testing them.
What is the process of amniocentesis?A little sample of amniotic fluid is removed during an amniocentesis operation for testing. That's the fluid that a pregnant woman's fetus is enclosed in. The amniotic fluid shields the fetus from harm and is transparent and pale yellow in color. provides infection protection.
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at a walkerton, ontario hospital in may 2000, numerous individuals of all ages were coming in with fever and bloody diarrhea. the epidemiologists at the local health department suspected an outbreak of e. coli o157:h7. after weeks of searching, they traced the outbreak to the town's water supply. when questioned, the town's water manager admitted to lying about properly treating the water and was later arrested for negligence. the e. coli o157:h7 strain isolated from victims was matched to a strain found in a herd of cattle on a farm near one of the water wells. seven people died during the epidemic. which approach to dealing with the epidemic would not be useful for preventing further illnesses?
A strategy based on enterotoxins would not be effective in stopping the epidemic's spread of illnesses.
What are diseases and their causes?Diseases are present - In most cases, illness results from an underlying ailment in the body. Whether it's a pathogen, virus, or an excessive generation of immature cells, the body is built to offer a natural response to any anomaly or hazard. However, such a reaction can make someone feel ill in the process.
What is a severe disease?The following definition has been suggested by Amy Kelley, MD, and others: A serious illness is a medical condition that has a significant mortality risk, adversely affects a person's cognitive living or quality of life, or places an undue burden on the person's carers.
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the nurse suspects that a client is not fully aware of the implications of a procedure and the client is about to sign an informed consent. what action would be most appropriate for the nurse to take?
The most appropriate action taken by the nurse is to explain to the client the purpose of the informed consent.
Informed consent is a principle in medical ethics and medical law, that patients must have sufficient information and understanding before making decisions about their medical treatment.
Informed Consent is approval for medical action given by the patient or his closest family after receiving a complete explanation of the medical action to be taken against the patient.
The purpose of informed consent is to improve communication between doctors and patients in shared decision-making and to support patients in making decisions for themselves. In addition, informed consent provides legal protection for doctors and patients.
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true or false? school health services are those provided by the school health workers to appraise, protect, and promote the health of students
It is true what is said. The services offered by school health professionals are those that evaluate, safeguard, and promote students' health.
Just what is health?A state of total physical, mental, and social well-being is referred to as health. It goes beyond simply being disease-free. A person is said to be healthy if they are free of any disease (infectious or deficiency), if they are mentally healthy and happy, and if they have healthy social relationships in a society.
School health services refer to the nursing, psychiatric, psychological, and occupational therapy services provided to children who are eligible for them under the federal Individuals with Disabilities Education Act (20 USC 1471 et seq.).
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sick sinus syndrome is suspected in the case of a child who is postoperative following cardiac surgery. which nursing action is most appropriate?
The most appropriate nursing action in this case would be to monitor the child's heart rate and rhythm closely. This is because sick sinus syndrome can cause irregular heartbeats, which can be dangerous.
In this case would be to monitor the child closely for signs and symptoms of sick sinus syndrome. These may include fatigue, dizziness, shortness of breath, and palpitations. It is important to keep track of the child's heart rate and rhythm, as well as their blood pressure and oxygen levels. If any changes are noted, it is important to promptly notify the child's physician.The child should also be kept on bed rest and monitored for signs of distress.
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elective cardioversion is similar to defibrillation except that the electrical stimulation waits to discharge until an r wave appears. the nurse knows elective cardioversion prevents what?
Contrary to defibrillation, elective cardioversion delays electrical stimulation discharge until a R wave manifests. The nurse is aware that elective cardioversion guards against disturbing the heart during the vital ventricular repolarization interval.
Defibrillation is comparable to this. One distinction is that the electrical stimulation device holds off on discharging until it detects the emergence of a R wave. The device avoids disturbing the heart during the crucial time of ventricular repolarization by doing this. Cardioversion is a medical treatment that replaces an irregular heart rhythm with brief, low-energy shocks. It is a remedy for some arrhythmias, such as atrial fibrillation, which are abnormal heartbeats (A-fib). Cardioversion may occasionally be performed using medicine.
When an arrhythmia (abnormal cardiac rhythm) develops in your heart's lower chambers and becomes potentially fatal, defibrillation is the use of an electrical current to assist your heart in returning to a normal rhythm (ventricles). It is used to treat cardiac arrhythmias that pose a serious risk to life, particularly ventricular fibrillation and non-perfusing ventricular tachycardia. A defibrillator gives the heart a dose of electric current.
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if one wanted to conduct a study to evaluate the immediate effects of nutrition on working memory (wm) performance, which features would be the best design features for the study?
The study features to evaluate the direct effect of nutrition on working memory (WM) performance:
1-hour studyIV= sugar or artificial sweetener (between subjects)DV= defined WM performance measure.What is working memory (WM)?Working memory is an important skill in learning and academic performance, as well as in problem-solving and higher-order reasoning. Working memory is often associated with attentional skills and executive function. Like attention and executive function, working memory has a significant impact on cognitive performance, learning, and academic performance.
The 3 components of working memory involved are phonological loops (or verbal working memory), visuospatial sketches (visual-spatial working memory), and central executive which involves the attentional control system.
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while teaching about advance care planning, which fact is important for the nurse to share with a client who has been diagnosed with a terminal illness?
Living wills provide specific instructions related to the client's personal property upon death has been diagnosed with a terminal illness.
What do you mean by diagnosed?the procedure of determining a diagnosis, disease, or injury based on its indications and symptoms. To aid in the diagnosis, testing like blood work, imaging tests, and biopsy may be done in addition to a physical examination and health history. It is necessary to formulate and test hypotheses in order to diagnose the issue.
How is a patient diagnosed?A medical practitioner will ask you about your background of symptoms in order to get a diagnosis. A doctor may occasionally order a few physical tests to rule out potential physical illnesses, but we are unable to assess mental health on its own through blood work or other biometric data.
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urgical repair of a myelomeningocele, which position should the nurse use to prevent musculoskeletal deformity in the infant?
Allow the hips to be abducted position should the nurse use to prevent musculoskeletal deformity in the infant.
What is an example of musculoskeletal pain?Musculoskeletal pain comes in a variety of different forms, including sprained muscles, pain from fractures, shoulder pain, and others. Chronic low back pain, neck pain, and pain from osteoarthritis and rheumatoid arthritis are the most common types.
How does pain in the musculoskeletal system feel?The most common symptoms include pain, exhaustion, or a change in regular sleep patterns, with people typically explaining it as whole entire body throbbing or that their joints feel pulled or overused. Anyone can experience musculoskeletal pain, which can impair the body's key systems.
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a community care nurse plans care for older adults as the fall season sets in and cooler weather starts. which client is at greatest risk for development of hypothermia?
The client with dementia faces numerous risks for hypothermia, such as sensory loss, trouble making decisions, and living alone.
What is hypothermia?Mild hypothermia 32-35C: The signs and symptoms can be elusive and include hunger, nausea, weariness, shivering, and pale, chilly, or dry skin. The body's attempts to enhance thermogenesis frequently result in elevated blood pressure, tachycardia, tachypnea, and increased muscle tone.
The danger of acquiring hypothermia is higher in young children and elderly people. This results from a diminished capacity to control their body temperature. These age groups should wear suitable winter clothing. If you want to assist prevent hypothermia at home, you should also control the air conditioning.
The main goal is to get the person out of the cold and securely rewarm him or her until help arrives. Blood warming, passive rewarming, warming intravenous infusions, lung irrigation, and blood warming may all be used in medical treatment.
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a client with diabetes is prescribed to take insulin glargine once daily and regular insulin four times daily. how will the nurse teach the client to take these two medications when the first dose of regular insulin should be given at the same time of day as the insulin glargine dose?
One shot can last for up to 24 hours it can be administered twice day but is typically given intravenously.
What dosage of insulin should a Type 1 diabetic take?Patients with type 1 diabetes typically need 0.5 to 1.0 unit of insulin per kg each day.
Does type 1 diabetes need insulin every day?You must administer insulin intravenously (or wear an insulin pump) if you have type 1 diabetes. In order to control your blood sugar levels and provide your body with energy, you need insulin. Insulin cannot be consumed as a tablet. That's because your stomach's acid would obliterate it before it entered your bloodstream.
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a patient comes to the emergency department with reports of chest pain after using cocaine. the nurse assesses the patient and obtains vital signs with results as follows: blood pressure 140/92, heart rate 128, respiratory rate 26, and an oxygen saturation of 98%. what rhythm on the monitor does the nurse anticipate viewing?
Vital signs of chest pain after using cocaine with results of blood pressure 140/92, heart rate 128, respiratory rate 26, and an oxygen saturation of 98% anticipate sinus tachycardia.
Chest pain following cocain use could be a common presenting symptom. the bulk of patients square measure young, male, smokers and have a previous history of cocain abuse. The medical diagnosis of cocaine-induced hurting includes: aortal dissection.
Sinus tachycardia may be a common condition that happens usually in response to disagreeable things. Your heart beats over 100 times per minute, but typically returns to ancient once the disagreeable event has passed. If your symptoms continue once your body is at rest, it's a smart attempt to visualize your tending provider.
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what underlying infection should a physician immediately suspect when confronted with a patient with confirmed cryptococcal meningoencephalitis, and why?
HIV infection/disease. People with healthy immune systems generally fend off this fungalinfection before it becomes clinically symptomatic
What is cryptococcal meningoencephalitis ?An infection known as cryptococcal meningitis is brought on by the fungus Cryptococcus neoformans, which is frequently discovered in bird droppings. Meningitis can be brought on by inhaling the spores, which can then multiply and spread from the lungs to the membranes covering the brain or spinal cord.
Brain damage is a component of the cryptococcal meningitis pathophysiology. Therefore, if the illness is not treated for an extended period of time, it may result in serious nervous system damage, some of which is irreversible. Seizures, altered levels of consciousness, coma, and even death can result from this harm.Learn more about Cryptococcal meningoencephalitis here:
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a nurse advises a client with recurring utis to drink large amounts of water. what normal protective action is the nurse telling the client to utilize?
The nurse advises a client with recurring UTIs to drink large amounts of water to Increase the washout of urine.
Urine that flows normally serves to remove pathogens from the urinary system. A patient's urine may grow stagnant and encourage infection if they don't drink enough. The washout will rise with increased water usage. Immune performance, mucus consistency, or acidity are unaffected by water.
UTIs are frequent illnesses that develop when bacteria enter the urethra and infect the urinary tract. These germs are frequently from the skin or rectum. Although the infections can affect different regions of the urinary tract, a bladder infection is the most prevalent kind (cystitis).
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according to the privacy rule, which item must be included in a record of disclosures of protected health information?
According to the Privacy Rule in HIP-AA, patients must provide written authorization before health information is released to anyone else
What is Privacy Rule in HIP-AA ?With a few exceptions, the HIP-AA Privacy Rule (the Privacy Rule) gives people the legally-binding right to inspect and obtain copies of the information in their medical and other health records, as kept by their healthcare providers and insurance plans, upon request.
Ensure that all e-PHI they produce, receive, maintain, or transmit is confidential, reliable, and readily available, identify and guard against threats to the integrity or security of the information that are conceivably present; shield from reasonably anticipated, prohibited uses or disclosuresLearn more about Privacy Rule in HIP-AA here:
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a nurse initiates acute care for an elders' unit in a medical facility. which factor should the nurse include when teaching the nursing staff about delivering medications to the older adults on the unit?
A nurse initiates acute care for an elderly unit in a medical facility. the factor should the nurse include when teaching the nursing staff about delivering medications to the older adults on the unit?"I am trying to lose weight on the Grapefruit Diet.
The remedy is another phrase you may use for medicine. They mean the identical element. An antiviral drug is the only government-accepted medicinal drug for COVID-19. A pill is a small, rounded item that consists of a medicinal drug.
A prescription consists of all the records, non-public details, and commands that a pharmacy desires in order to know what remedy to dispense. medication describes the drug(s) and/or clinical appliance(s) used to deal with or save scientific situations.
People should purchase merchandise classified as 'pharmacy drug treatments' ( P ) however simplest from a pharmacy and within the presence of a pharmacist. these drugs, also called 'pharmacy-only medicines', aren't typically displayed on open shelves. A rectangular field enclosing the letter P appears on the packaging of pharmacy medicines.
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a leukemia patient is treated with a hematopoietic stem cell (hsc) transplant from an allogeneic donor. once the patient is taken off of immunosuppressive drugs, they develop a severe skin rash, and bloodwork reveals elevated levels of various liver enzymes. which complication did this patient suffer from that explains these symptoms?
Erythroid cell (hsc) transplantation from an allogeneic donor is used to treat leukemia patients and prevent graft-versus-host disease.
What does the word "patient" mean?The willingness to await patiently or endure hardship for a protracted time period without getting irritated or impatient is referred to as "patience" as a noun. However, when the word "patient" is used in the plural form, "patients," it refers to a person who requires medical care.
Patient Are there two meanings to it?Despite having a similar sound, the words "compassion" and "patients" have very different meanings. "Patience" is the capacity to wait, endure hardship for a long time, or control one's emotions. Patients is the plural form of the noun "client," which designates an individual who receives medical care.
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as a first-year nursing student, you are assigned to care for a dying patient. to best prepare you for this assignment, you will want to:
The nursing student should compare this experience to the death of his/her family member and then take care of the dying patient.
The care for dying patients can be given by comfort care in palliative care that addresses physical, intellectual, emotional, social, and spiritual needs. The goal is to give patients autonomy, access to information, and choice. Remember that comfort care can be provided in a hospital, nursing home, or private home.
According to ELNEC (2010), the nurse's role includes three things:
(1) the nurse must support the grieving process by how to evaluate the deceased;
(2) nurses should assist patients with grieving problems and concerns;
(3) nurses to assist survivors.
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the nurse visits the home of a client with terminal illness. which assessment findings indicate to the nurse that the client might die within a few months?
Difficulty in swallowing,Rapid breathing,decreased urine output etc
Despite intensive medical care aimed at curing it, terminal illness is a progressive, irreversible condition that will cause the patient to pass away.
Increased pulse and respiration rates, Cheyne-Stokes respirations, cool/mottled skin, and decreased urine output are among the most typical warning signs and symptoms prior to death.
Rapid breathing spurts, brief periods when there is no breathing, coughing or noisy breaths, or shallower and shallower breathing, especially in the final hours or days of life.
The stages of terminal illness:
denial, anger, bargaining, depression, and acceptance.
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which symptom does a nurse expect to find a patient who develops neuroleptic malignant syndrome after administering antipsychotic drugs
High fever and Myoglobinemia and Unstable blood pressure neuroleptic malignant syndrome after administering antipsychotic drugs.
What causes neuroleptic malignant syndrome?A severe illness known as neuroleptic malignant syndrome (NMS) is brought on by a negative reaction to drugs with dopamine receptor antagonist characteristics or by the abrupt discontinuation of dopaminergic medicines. The following therapies could be used to treat patients with antipsychotic drugs malignant syndrome Benzodiazepines may be helpful for restraint. Stop taking any neuroleptics. Intravenous fluids could be used to treat hypotension and volume depletion.
How is neuroleptic malignant diagnosed?Muscular rigidity, hyperthermia (temperature above 38°C), recent neuroleptic treatment (within the last 1-4 weeks), and at least five of the following characteristics all support the diagnosis: a shift in mental state. Tachycardia. either high or low blood pressure.
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what is the primary reason osteoporosis incidence in the united states is expected to increase in the next two decades? group of answer choices inadequate preventive measures increased longevity of the population increased diagnosis decline in milk consumption
The primary reason osteoporosis incidence in the united states is expected to increase in the next two decades is Spinach.
Osteoporosis causes bones to come to be weak and brittle — so brittle that a fall or maybe mild stresses which include bending over or coughing can purpose a fracture. Osteoporosis-related fractures maximum normally arise inside the hip, wrist, or spine. Bone is living tissue that is continuously being damaged and changed.
The quick answer is not any, osteoporosis can not be completely reversed and isn't taken into consideration curable, but there are a number of health and lifestyle changes you could make to enhance bone loss. Your provider may prescribe you medicinal drugs to help rebuild and gradually down bone loss.
Similarly to inflicting everlasting pain, osteoporosis reasons a few patients to lose their peak. while osteoporosis impacts vertebrae or the bones of the spine, it frequently results in a stooped or hunched posture. Osteoporosis may additionally restrict mobility, which often leads to feelings of isolation or depression.
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a client has been diagnosed with posttraumatic stress disorder (ptsd) after a house fire. which nursing intervention is most appropriate?
The client suffering from post traumatic stress disorder after a house fire, should get into nursing therapy, or psychotherapy. Etc.
What is a posttraumatic stress disorder?Posttraumatic stress disorder happens after witnessing the horrible incidents . When a person can't cope up with the incidents then they feel anxiety, depression, nightmares many times in life.
It depends on the mental status of the person. A single incident can have different impacts on different people. Example is house fire. A person suffering from PTSD after seeing a house fire faces anxiety when seeing fire in day to day life. So they should undergo counselling and psychological therapy to handle the fear.
Hence, trauma focused nursing interventions should be done.
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the nurse is preparing to administer 10 units regular insulin via insulin injection pen to a client with a body mass index (bmi) equal to 40. how will the nurse best administer this medication?
The nurse is preparing to administer 10 units regular insulin via insulin injection pen to a client with a body mass index (BMI) equal to 40 and nurse will administer this medication at 90-degree angle using a 5/8-in (1.6-cm) needle.
Insulin is employed to manage blood glucose in those that have sort one diabetes in those that have sort two diabetes that can't be controlled with oral medications alone. Human endocrine is in a very category of medicines known as hormones. Human endocrine is employed to require the place of endocrine that's commonly created by the body.
Body mass index is a worth derived from the mass and height of someone. The BMI is outlined because the body mass divided by the sq. of the body height, and is expressed in units of kg/m², ensuing from mass in kilograms and height in metres.
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what percentage of patients with neuropathic pain is likely to have a complete response to treatment with pregabalin or duloxetine, alone or in combination?
Pregabalin or duloxetine, either alone or in combination, are likely to completely relieve 10% to 20% of patients with neuropathic pain.
Describe neuropathic pain.Damage or injury to the nerves that transmit data from the skin, muscles, and other parts of the body to the brain and spinal cord results in neuropathic pain. The affected areas are frequently sensitive to touch, and the pain is frequently described as having a burning sensation.
These signs comprise: Symptoms of spontaneous pain include shooting, burning, stabbing, or electric shock-like pain as well as tingling, numbness, or a "pins and needles" sensation. Pain that is induced by stimuli that are typically not painful, such as cold, pressure, a soft brushing motion against the skin, etc.
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a client comes to the ed with signs and symptoms of a stroke. which of the following is a priority action that will dictate the treatment course? question 4 options: determine if the stroke is left or right sided determine if the stroke is ischemic or hemorrhagic determine if the patient has a history of hyperlipidemia determine if the stroke is embolic or thrombotic
The priority action that will dictate the treatment course by determining if the stroke is ischemic or hemorrhagic.
What is an ischemic stroke?
When a blood artery that supplies the brain gets "clogged," it prevents blood flow to a portion of the brain, resulting in an ischemic stroke. Lack of oxygen and nutrition causes the brain's cells and tissues to start dying within minutes.
What is an thrombotic stroke
A thrombus (blood clot) that forms in the arteries delivering blood to the brain is what causes thrombotic strokes, which are types of strokes. Older people are more likely to get this type of stroke, especially if they have diabetes, high cholesterol, or atherosclerosis (a buildup of fat and lipids inside blood vessel walls).
What distinguishes a right-sided stroke from a left-sided stroke?
A left-sided stroke affects the left side of the brain, whereas a right-sided stroke affects the right side. Each of them has the potential to result in weakness and reduced feeling on the body's opposite side.
Hence ischemic or hemorrhagic is a correct answer.
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while sitting a client raises both legs while the nurse holds the lower legs below the knee. what does this finding indicate?
The nurse holds the lower legs below the knee Normal quadriceps muscle strength.
What is the working of nurse?Identifying patients' needs for care, focusing on them, and responding to them. creating a sympathetic atmosphere by offering counseling. addressing patient needs or issues or reporting on them.
Why do u want to be a nurse?You have the power to significantly impact someone's life as a nurse. People need hope, sometimes in the worst moments of life. Patients and families frequently seek the advice of nurses after getting a sad diagnosis, join them in joy when they learn of good news, and grow to trust them as confidantes.
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what should be the priority intervention provided by the primary health care provider to a 49-year-old patient who had a car accident and is admitted to the emergency department?
Maintain patent airway should be the priority intervention provided by the primary health care provider to a 49-year-old patient who had a car accident and is admitted to the emergency department.
Keeping a BLS airway open and establishing an ALS airway with endotracheal intubation may be dynamic and difficult tasks that call for the collaboration of several rescuers. As a result, it's important to employ strategies and tactics that enable you to accomplish your objective of efficient airway care and breathing. The CE post for this month gives 10 suggestions in a step-by-step progression that cover everything from BLS to ALS airway care and ventilation. Our goal is to depart from the more "conventional" airway and ventilation advice and provide advice gleaned from recent airway literature.
Effective breathing requires a patent upper airway, which is essential. The lower the breathing pressure and volume needed for efficient ventilation, the more open the airway is. A patent open airway may be made in three steps, according to Richard Levitan, one of the first emergency care doctors to employ an airway camera and the author of more than 20 airway management research articles:
Position the patient correctly.
Place a nasal or oral airway.
Raise the submandibular and jaw structures.
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a school nurse is planning a class on injury prevention for a group of high school students. which guidelines would the nurse include?
The Nurse offers the following guidelines when planning injury prevention for groups of high school students: Swim with a buddy, Use well-traveled walkways and Refuse to play 'chicken' with others.
What is the key to injury prevention?• A well-known injury prevention framework is called the Education, Engineering and Enforcement (“3E”) approach to injury prevention.
• Create a fitness plan that includes cardio, strength training and flexibility. This helps reduce the risk of injury. Take turns training different muscle groups and train every other day. Cool down properly after training or playing sports.
How important is injury prevention?Avoiding injury is important for several reasons. Ethical/Moral: Injury can have serious adverse effects on a person's life and livelihood. Legal: NSW businesses are required to provide a safe working environment under the Health and Safety at Work Act 2011.
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a client who experienced serious and repeated traumas has been diagnosed with dissociative identity disorder after being rescued from an abuser. before caring for this client, the nurse should be prepared for:
Answer: wide variations in the personality that the client exhibits.
Hope This helps!
