Excessive caloric intake can lead to increased [tex]PaCO_{2}[/tex]. She has to watch her GRV.
The primary goal of monitoring GRV is to improve safety in patients undergoing EN. In patients with reduced gastrointestinal tolerance, additional enteral feeding via feeding tube is not recommended when the stomach is already full (high GRV). Current enteral practice recommendations state that GRV should be monitored every 4 hours for her first 48 hours of gastric feeding and every 6–8 hours thereafter in non-critically ill patients. increase. Excessive caloric intake can lead to increased [tex]PaCO_{2}[/tex]. She has to watch her GRV.
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T/F. Non-medical use of prescription medications is safer than use of illicit drugs.
Answer:
it is probably F or false
a patient's continuous bladder irrigation (cbi) is infusing at 65 ml/hr your entire shift (0700 to 1900). the patient's total urine output for the shift is 2375 ml. how much actual urine output will you document on the intake and output record?
A medical practise called continuous bladder irrigation (CBI) involves flushing the bladder with sterile fluid. It is used by medical professionals to prevent or dissolve blood clots in the urinary tract following surgery. Through a little tube, sterile solution is introduced into the bladder; after that, the fluid is drawn out and collected in a bag. Over a few days, the process takes place.
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. A hospital is where the procedure is performed over a number of days. Filtering trash from your blood is done by your urinary system. It produces faeces.
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the nurse is assessing the degree of pain or discomfort a patient is feeling. the nurse knows that this will be dependent primarily on:
The nurse is assessing the degree of pain or discomfort a patient is feeling. The nurse knows that this will be dependent primarily on the perception of the pain or discomfort.
Pain is an uncomfortable indication that something is wrong. It is a complicated experience that varies considerably from person to person, even among individuals who have had identical traumas or diseases. Pain can be extremely subtle, nearly imperceptible, or explosive. Certain time-honored methods, such as meditation and yoga, as well as modern varieties, may help minimize your need for pain medication. According to research, because pain affects both the mind and the body, mind-body treatments may be able to decrease pain by altering how you experience it.
In most industrialized nations, the most common cause for consulting a physician is pain. In various arguments about physician-assisted self harm or euthanasia, pain has been invoked as a reason to allow terminally ill patients to terminate their lives.
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the nurse is admitting a patient with a diagnosis of a mallory-weiss tear. the patient reports that he has taken antacids for the past 5 years for his gastroesophageal reflux (gerd), ibuprofen for the past 10 years for arthritis, and protonix for the last year for treatment of an ulcer. he also drinks one glass of wine with his evening meal daily. using the above information, the nurse realizes that the most significant cause of the mallory-weiss tear may be:
The patient in this Question has a Mallory-Weiss tear due to use of non-steroidal anti-inflammatory medicines (NSAIDs).
A Mallory-Weiss tear is a tear in the lower esophageal tissue.
To determine the severity of symptoms like vomiting blood and having dark, sticky stools, a medical evaluation must be done right away.
risk elements
Smoke. Smoking may make peptic ulcers more likely in those with H. pylori infection.
ingest alcohol. Alcohol increases the amount of stomach acid produced and can irritate and erode the mucus lining of your stomach.
possess unresolved stress.
eat hot food.
Ibuprofen is the NSAID that has been used in this case
recently, and the patient is also taking medication for an ulcer, which is a serious adverse effect of NSAIDs use. NSAIDs harm because it damage the protective barrier of GIT
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42) a client is admitted to the neurological floor with a diagnosis of guillain-barre syndrome. the nurse inquires during the admission interview if the client has history of: a. seizures or trauma to the brain. b. meningitis during the last 5 years c. respiratory infection in the last month d. back injury or spinal trauma
The patient is questioned by the nurse about past back or spinal trauma during the Guillain-Barré admission interview. So, option D is correct.
When the body's nerves are damaged by the immune system of the person, Guillain-Barré syndrome (GBS) results. Weakening of the muscles and, on rare occasions, paralysis are the effects of this damage. Guillain-Barré syndrome's precise cause is uncertain. A respiratory infection or gastrointestinal illness is frequently followed by days or weeks of the disease's onset. Recent surgery or vaccinations can infrequently cause Guillain-Barre syndrome. Following Zika virus infection, there have been cases that have been recorded. It is less likely to have issues if treatment is received quickly. Fewer than 1% of people with Guillain-Barre syndrome experience complications, and even fewer people die from the condition. After Guillain-Barre syndrome goes into remission, life expectancy does not seem to be affected.
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People are aware that they’re dreaming and feel as though they’re conscious during:
Explanation:
People are aware that they’re dreaming and feel as though they’re conscious during :Lucid dreaming
LUCID DREAMING is the answer
why is fiber is not digested by the human digestive tract?
The body is unable to digest fibre, which is a form of carbohydrate. Although fibre cannot be converted into glucose, the sugar that results from the breakdown of most carbs, fibre travels through the body undigested.
What is in grapefruit that interacts with medications?
A crucial enzyme called CYP3A4 is involved in the small intestine's role in the metabolism (drug breakdown) of many medications. As a result, more of the medication reaches the bloodstream and is retained longer by the body rather than being digested by intestinal CYP3A4. Too much medication in your body as a result.
Therefore, grapefruit should not be taken with medications such as satin, cytotoxic medicines, anticoagulants etc.
the nurse is discussing ways to promote discipline with parents who are becoming increasingly frustrated with their adolescent. what would the nurse suggest to the parents?
When discussing ways to promote discipline with parents who are becoming increasingly frustrated with their adolescent, the nurse could suggest: Set clear expectations, positive reinforcement, communication, good role model, and Seek outside help.
Set clear expectations and consequences: It's important for parents to set clear expectations for their adolescent's behavior and to communicate the consequences of breaking those expectations.
Use positive reinforcement: Instead of only punishing negative behavior, parents can use positive reinforcement to reward good behavior. This can be as simple as verbal praise, extra privileges, or small rewards like a favorite treat.
Encourage open communication: Adolescents often have strong opinions and ideas about what they want, and parents should encourage open communication to better understand their adolescent's perspective.
Be a good role model: Adolescents are influenced by the behavior of their parents, so it's important for parents to be a good role model. By modeling positive behavior and communication, parents can teach their adolescent how to handle difficult situations.
Seek outside help: If the parents are struggling to handle their adolescent's behavior, the nurse could suggest seeking outside help from a therapist or counselor.
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what is the purpose of a differential white blood cell count?
The purpose of a differential white blood cell count is to identify and quantify the different types of white blood cells (also known as leukocytes) present in a blood sample.
What is WBC?
WBC stands for "White Blood Cells," which are also known as leukocytes. White blood cells are an essential part of the body's immune system, responsible for defending against infections, diseases, and other harmful invaders. They are produced in the bone marrow and circulate in the blood, lymphatic system, and other body tissues.
The purpose of a differential white blood cell count is to identify and quantify the different types of white blood cells (also known as leukocytes) present in a blood sample. White blood cells play a critical role in the body's immune response, defending against infections and diseases. By analyzing the types and numbers of different white blood cells, healthcare professionals can gain valuable insights into a patient's immune system and diagnose a range of medical conditions, including infections, autoimmune disorders, and cancers.
A differential white blood cell count typically involves examining a blood smear under a microscope and identifying and counting the different types of white blood cells, including neutrophils, lymphocytes, monocytes, eosinophils, and basophils. The results of a differential white blood cell count are often reported as a percentage of the total white blood cell count, and abnormal or imbalanced results can indicate underlying health issues that may require further investigation or treatment.
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Why are sociologists interested in studying health?
Health is a social issue as well as a biological or medical one, which is why sociologists are interested in researching it.
Sociologists acknowledge the considerable influence that social factors including socioeconomic class, color, gender, and culture, among others, have on health outcomes, access to healthcare, and the experience of disease. Sociologists investigate the social determinants of health, health inequities, and social factors that affect health behaviors and attitudes in order to better understand and manage these issues.
Furthermore, sociologists focus on health since it is a crucial component of social life. Aside from being personal experiences, health and sickness are social and cultural phenomena that are influenced by societal institutions, policies, and practices. For effective health policies, healthcare systems, and public health initiatives that can enhance the health and well-being of individuals and communities, an understanding of the socioeconomic determinants of health is a prerequisite.
Sociologists are academics who research social interactions and human society. They look at social structures, social institutions, and social connections using a range of research techniques. Sociologists seek to comprehend how social constructs including culture, socioeconomic class, ethnicity, gender, and others affect how people behave, think, and experience the world. Their research can help guide policies and actions that work to solve social issues, advance social justice, and enhance the wellbeing of people and communities. Sociologists are employed in a variety of sectors, such as academia, research institutions, the public sector, and non-governmental organisations.
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Which are included in learning domains? Select all that apply. a) Cognitive b) Conditional c) Attitude d) Behavioral e) Psychomotor f) Knowledge g) Skills h) Affective
The three learning domains are the cognitive, affective, and psychomotor domains. Option A, C and E is correct.
Cognitive: Knowledge, skills, and abilities related to intellectual or mental processes, including memory, analysis, and problem-solving.
Affective: Attitudes, values, and beliefs related to feelings, emotions, and motivation, including empathy, self-awareness, and social responsibility.
Psychomotor: Physical or motor skills related to movement and coordination, including fine and gross motor skills, manual dexterity, and physical fitness.
Conditional is not typically considered one of the learning domains, and Behavioral is often used interchangeably with psychomotor or cognitive skills, rather than being considered its own separate domain. Knowledge and Skills are components of the cognitive domain, while Affective refers to the affective domain.
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according to education law, article 130, section 6508, a board for each profession shall be appointed by the board of regents. the purpose of the state board for nursing is to:
The State Board for Nursing is a board appointed by the Board of Regents to regulate and oversee the practice of nursing in the state.
The board is assigned with the responsibility of guarding the public by setting norms and regulations for nursers, approving nursing education programs, and assessing the qualification of aspirants. The board also reviews and investigates complaints, takes correctional action when necessary, and provides guidance and advice to the public and
nursing professionals. Eventually, the board works to insure that nursers maintain their professional faculty, cleave to ethical norms, and give safe and effective nursing care to their cases.
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you are called for a patient who is complaining of being weak and dizzy. he reports that he does not have enough money to pay for his medications so he has not gotten them refilled. your service has an automatic blood pressure machine and you use it to measure the patient's blood pressure while you count his respirations. the blood pressure machine reports a blood pressure of 280/140. what should you do next? question 14 options: a) begin transport immediately b) call immediately for als response c) continue with vital sign assessment d) take a manual blood pressure
Answer to this question is (d) take a manual blood pressure
The manual recording of blood pressure is widely accepted to be more accurate than the recording of blood pressure using an automated device.
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a nurse is preparing to administer an enteral feeding. in which order will the nurse implement the steps, starting with the first one? 1. elevate head of bed to at least 30 degrees. 2. check for gastric residual volume. 3. flush tubing with 30 ml of water. 4. verify tube placement. 5. initiate feeding.
A nurse who is preparing to administer an enteral feeding, they will implement all the steps in the following order.
The steps in the order are:
(1) Elevate head of bed to at least 30 degrees.
(2) Verify tube placement.
(3) Check for gastric residual volume.
(4) Flush tubing with 30 mL of water.
(5) Initiate feeding.
If the absorption of the last feeding is low you might suspect an obstruction in the process. Checking gastric residual is also important because feeding with nasogastric tube has a risk to overfeed and might induce nausea and cause the patient to throw up.
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one of your patients sustained an ischemic cva. you notice that their gait is very unsteady. it almost appears as if they are intoxicated. what portion of the brain was most likely affected by the stroke? explain your answer.
A stroke is a type of acquired brain damage that can affect different parts of the brain. The patient may have a variety of symptoms depending on the damaged vascular, the site, and the size of the stroke.
The localisation of the stroke may be aided by these symptoms. It might be challenging to diagnose brain stem strokes since they can have complicated symptoms. Without the characteristic weakness on one side of the body that characterizes most strokes, a person may have vertigo, dizziness, and acute imbalance. Vertigo symptoms like imbalance or dizziness typically occur concurrently; stroke symptoms like dizziness do not. Additionally, a brain stem stroke can result in blurred vision, slurred speech, and a loss of consciousness.
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37) the nurse is providing discharge teaching to a client after a spinal surgery. for which of the following symptoms is the client instructed to return to the hospital? a. headache b. constipation c. redness and pain at the incision site d. problems passing urine
The symptom instructed to return to the hospital is constipation c. redness and pain at the incision site.
What is spine surgery ?Spine surgery aims to address the causes of spinal or back pain. This operation can be performed using open, laparoscopic, or robotic surgical techniques.
Before recommending spinal surgery, the doctor will suggest other treatment methods to treat spinal pain. These methods include taking drugs, physiotherapy, and using a support or brace. If the above treatment methods are not effective in eliminating spinal pain, new patients will be recommended to undergo spinal surgery.
If after surgery the patient experiences complaints such as pain in the incision that does not go away accompanied by fever or discharge from the incision site, immediately return to the hospital.
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what are the potential health benefits of eating a vegetarian diet?
what is the function of the centrifuge step
The function of the centrifuge step is to separate different components of a mixture based on their densities.
By spinning the mixture at a high speed, the centrifuge causes the denser components to move to the outer edge of the container while the less dense components remain in the center. This allows for the separation and isolation of specific components, such as separating red blood cells from plasma in a blood sample. The centrifuge step is commonly used in laboratory and medical settings for a variety of applications.When the sample is placed in the centrifuge, the force generated by the rapid rotation causes the denser particles to migrate towards the bottom of the sample tube while the less dense particles remain at the top. This separation enables researchers to isolate specific components, such as proteins, nucleic acids, or cells, from a complex mixture for further analysis.
The centrifuge step can also be used to concentrate the target molecules or particles by collecting them at the bottom of the tube. In addition, it can be used to purify or wash the sample by removing unwanted materials.
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an adolescent girl diagnosed with premenstrual dysphoric disorder and depression is prescribed sertraline 50 mg daily. the nurse will assess the client for which potential complication?
The nurse will assess the client for potential side effects of sertraline, such as nausea, vomiting, diarrhea, headache, dizziness, insomnia, fatigue, and changes in sexual desire or performance.
What is insomnia?Insomnia is a disorder that affects a person's ability to get enough sleep. It can range from difficulty falling asleep, to waking up frequently through the night, to waking up too early in the morning and not being able to fall back asleep. It can be caused by a number of factors, such as stress, anxiety, depression, a disruption in one's sleep schedule, and certain medications or substances. Symptoms of insomnia can include feeling tired during the day, difficulty concentrating or focusing, low energy, irritability, and mood swings. It is important to seek help from a doctor if you are experiencing insomnia, as it can have serious impacts on one's physical and mental health.
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a client who has undergone a lower limb amputation is preparing to be discharged home. what outcome is necessary prior to discharge?
The outcome is the patient can demonstrate safe use of assistive devices.
Amputation is the surgical removal of a limb due to trauma, sickness, or surgery. It is performed as a surgical procedure to manage discomfort or a disease condition in the afflicted limb, such as cancer or gangrene. It is often performed on individuals as a prophylactic surgery for such conditions. A specific instance is congenital amputation, a congenital condition in which embryonic limbs are severed by constrictive bands. Amputation is being used to punish criminals in various nations.
The majority of new amputations in the United States are caused by vascular system (blood vessel) problems, particularly diabetes. In the United States, there were an average of 133,735 hospital discharges for amputation every year between 1988 and 1996.
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a client has received thrombolytic treatment for an ischemic stroke. the nurse should notify the health care provider (hcp) if there is a rapid increase in which vital sign?
After receiving thrombolytic treatment for an ischemic stroke, the nurse should notify the healthcare provider immediately if there is a rapid increase in blood pressure.
This is because thrombolytic therapy can increase the risk of bleeding, and elevated blood pressure can further increase this risk. Additionally, high blood pressure can exacerbate cerebral edema, which is a potential complication of ischemic stroke. Therefore, it is important to monitor the client's blood pressure frequently and to notify the healthcare provider if there is a sudden and significant increase in blood pressure.
Thrombolytic treatment, also known as thrombolysis, is a medical intervention that involves the use of medications to dissolve blood clots that are obstructing blood flow in the arteries.
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brief family interventions like the strengthening families program and the five-session preparing for the drug-free years have been found to
The three family intervention modalities of behavioral parent training, family therapy, and family skills training or behavioral family therapy are effective in lowering risk variables and raising protective factors.
Standardized family-based treatments are the most effective approach of preventing or treating adolescent substance misuse and misbehavior. Included is new epigenetic evidence that indicates caring parenting considerably delays the phenotypic manifestation of inherited genetic illnesses, such as substance misuse.
Children who grow up in households with substance-using, depressed, excessively stressed, and dysfunctional parents contribute to these developmental problems. The effectiveness of evidence-based family interventions is examined, along with the principles and forms of those intervention, study findings, steps for cultural adaptation for ethnic and multinational translation, and distribution concerns.
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which type of medication is most commonly used to treat parasitic infections?
the largest deflection from the isoelectric line in the ecg is found in the:____.
The largest deflection from the isoelectric line in an ECG (electrocardiogram) is found in the QRS complex.
What is QRS complex?The QRS complex represents the depolarization of the ventricles of the heart, and it is typically the largest waveform in the ECG. The QRS complex consists of three waves: the Q wave, the R wave, and the S wave, and the deflection of the QRS complex is measured from the isoelectric line (the baseline) to the peak of the R wave or the lowest point of the S wave.
The amplitude of the QRS complex can be used to diagnose certain cardiac conditions, such as ventricular hypertrophy or myocardial infarction.
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which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?
The nurse should monitor for the following complications of cardiac catheterization within the initial 24 hours after the procedure: cardiac arrhythmias, pericardial effusion or tamponade, cardiac perforation, vascular complications, and allergic reactions.
What is cardiac catheterization?Cardiac catheterization is a medical procedure used to diagnose and treat certain heart conditions. The procedure involves the insertion of a thin, flexible tube called a catheter into a vein or artery in the arm, groin, or neck. This catheter is then guided to the heart, where it is used to measure the pressure in the chambers and take X-rays of the heart. It may also be used to inject contrast dye, allowing doctors to see the coronary arteries and any blockages that may be present.
The nurse should also monitor for signs and symptoms of infection, such as fever, chills, and redness or swelling at the catheter insertion site. In addition, the nurse should assess for signs and symptoms of bleeding, such as bruising or bleeding at the insertion site, or shortness of breath.
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the nurse is caring for a 12-year-old with cerebral palsy who is unable to communicate verbally. which pain assessment tool is the most appropriate for the nurse to use when assessing pain in this client?
The most appropriate pain assessment tool for a client with cerebral palsy who is unable to communicate verbally is the Nonverbal Pain Scale (NVPS).
What is cerebral palsy ?A group of disorders known as cerebral palsy (CP) have an impact on a person's ability to move, balance, and maintain posture. The most prevalent motor impairment in kids is cerebral palsy (CP).
Having to do with the brain is what is meant by cerebral. Palsy is a term used to describe muscle weakness or functional issues. Damage to the developing brain or abnormal brain development that impairs a person's capacity to control their muscles is the cause of cerebral palsy (CP).
Everyone experiences CP symptoms differently. If CP is severe, the person may need to walk with the aid of specialised equipment or may not be able to walk at all and require lifelong care.
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After assisting with a bedpan, the nurse notes that the patient's stool is streaked with bright-red blood. What would the nurse do first?A. Notify the patient's health care provider.B. Ask if the patient has a history of hemorrhoids.C. Check the medical record to see if the patient has a history of blood in the stool.D. Document the observation in the medical record, indicating a need for follow-up.
The first thing that the nurse would do after noticing bright-red blood in the patient's stool is to ask if the patient has a history of hemorrhoids.
Hemorrhoids, also known as piles, are swollen veins in the lower part of the anus and rectum. When the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop, swelling or hemorrhoids can form.
Hemorrhoids are a common cause of bright-red blood in the stool. In the case above, it is important to determine if this is the source of the bleeding before taking any further action. Once the nurse has this information, they can then take the appropriate next steps, such as notifying the patient's healthcare provider, checking the medical record, or documenting the observation.
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13. What is 90 mL =
OZ
nursing students are discussing the requirement that they carry personal professional liability insurance as students. the nurse instructor should offer additional information when which statements are made? select all that apply.
The nurse instructor should offer additional information when which statements are made A. "I'm worried about the cost." and B. "What does it cover?"
What is nurse instructor?A nurse instructor is a registered nurse with advanced education and experience in the nursing field who provides clinical instruction and mentoring to nursing students. They use their expertise and knowledge to teach nursing theory, clinical practice, and other nursing-related topics. Nurse instructors are responsible for creating a learning environment in the classroom and clinical setting that fosters student success and provides an atmosphere of inquiry and critical thinking.
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Complete Question:
nursing students are discussing the requirement that they carry personal professional liability insurance as students. the nurse instructor should offer additional information when which statements are made? select all that apply.
A. "I'm worried about the cost."
B. "What does it cover?"
C. "I don't think I need it."
D. "I understand why it's important."