Except for a lower need for calories, an older adult's nutritional needs are unaltered.
With a patient scheduled for an endoscopic sphincterotomy for bile duct obstruction, which type of anesthesia would the nurse discuss?A treatment called common bile duct exploration is performed to determine whether something, such as a stone, is obstructing the bile's path from your liver and gallbladder to your gut. The procedure is done under general anesthesia.
Which clinical pain manifestation would the nurse anticipate in a patient with a peptic ulcer diagnosis?Abdominal pain that is abrupt in start, intense, and sharp is how patients with perforated peptic ulcer disease typically present. The majority of patients report widespread pain; a small number have severe epigastric pain.
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a child is diagnosed with community-acquired pneumonia and will be treated as an outpatient. the child is not vomiting. which antibiotic should the pnp prescribe?
High-dose amoxicillin is the antibiotic should the pnp prescribe.
What is the pneumonia outpatient treatment regimen?A macrolide or doxycycline should be part of the first round of outpatient treatment. An oral beta-lactam antibiotic combined with a macrolide, or a respiratory fluoroquinolone (levofloxacin, gemifloxacin, or moxifloxacin), should be administered to outpatients with comorbidities or who have recently taken antibiotics.Antibiotic substances. Oral antibiotics are used to treat the vast majority of children who are diagnosed with pneumonia in an outpatient environment. Children with simple community-acquired pneumonia are treated first with high-dose amoxicillin, which protects against Streptococcus pneumoniae.Outpatient oral empirical antibiotics with a macrolide, doxycycline, or an oral betalactam (amoxicillin, cefuroxime [Ceftin], or amoxicillin/clavulanate) are recommended by the CDC and others.To learn more about pneumonia refer to:
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a 2-month-old infant cries up to 4 hours each day and, according to the parents, and is inconsolable during crying episodes with fists and legs noted to be tense and stiff. the infant is breastfeeding frequently but is often fussy during feedings. the physical exam is normal, and the infant is gaining weight normally. what should the primary care pediatric nurse practitioner recommend?
Primary care pediatric nurse practitioner should recommend about eliminating certain foods from the mother's diet.
Explain the Importance of nutrition during pregnancy?Consume a variety of fruits, vegetables, whole grains, dairy products with low or no fat, and protein-rich meals. Select products that include fewer added sugars, saturated fats, and sodium (salt). Avoid meals like cookies, white bread, and several snack foods that include refined grains and carbohydrates.A healthy birth weight and good brain development are connected to eating a balanced diet throughout pregnancy, which also lowers the risk of numerous birth abnormalities. Additionally, a balanced diet will lower your risk of anaemia and other unpleasant pregnancy side effects including exhaustion and morning sickness.The importance of nutrition throughout pregnancy cannot be overstated. Numerous essential nutrients are now more critical than they were prior to pregnancy. Giving your kid everything he or she needs to develop will be easier if you make good dietary choices every day.Learn more about Pregnancy refer to :
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The primary care pediatric nurse practitioner should recommend that the parents keep a diary of their infant's crying episodes, noting the time of day, duration, and environmental factors that could be causing the crying.
What is nurse?A nurse is a healthcare professional who provides medical care and support to individuals, families, and communities to promote health and prevent illness. They work in tandem with doctors, physician assistants, and other healthcare providers to diagnose and treat illnesses, administer medications, educate patients about their health and treatments, and provide emotional and psychological support.
They should also be encouraged to use calming and soothing techniques during crying episodes, such as swaddling, providing a pacifier, rocking, and gentle massage. The nurse practitioner should also suggest that the parents identify and avoid any potential triggers, such as over-stimulation, hunger, or fatigue. Lastly, the nurse practitioner should suggest that the parents consult a lactation specialist for assistance in optimizing the infant's breastfeeding experience.
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a clinical nurse specialist is asked to assess a client who has returned to the emergency department for the fourth time this year with a suspected myocardial infarction. all tests have consistently been negative and it is believed the origin of the symptoms are psychological; the client has been given antianxiety medication. what information should the nurse gather to best determine a possible cause for the client's symptoms?
History of childhood trauma is the information should the nurse gather to best determine a possible cause for the client's symptoms.
What is childhood trauma?Abuse that is sexual, physical, or psychological. violence in communities or schools. suffering or witnessing domestic violence. Terrorism or major catastrophes are regarded as childhood trauma.Trauma from childhood cannot be reversed, but it may be treated. Through effort and assistance, it is possible to recover from childhood trauma. Usually, the process starts with self-awareness and comprehension. Acceptance might result from facing ACEs and the manner in which they have affected your life.Kids who had been exposed to manhandle or injury as small kids had higher paces of tension, sadness, self-hurt, self-destructive contemplations, PTSD, medication and liquor abuse, and conjugal issues.You can have trouble trusting people, poor self-esteem, judgmental worries, a relentless need to please others, angry outbursts, or persistent social anxiety symptoms.Learn more about childhood trauma refer to :
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The client's medical history, including any past cardiac or psychological issues.
What is psychological?Psychology is the scientific study of the mind and behavior. It is a multifaceted discipline that seeks to understand individuals and groups by establishing general principles and researching specific cases. In this field, a professional practitioner or researcher is called a psychologist and can be classified as a social, behavioral, or cognitive scientist.
2. The client's current diet, lifestyle, and any potential environmental stressors.
3. The client's current medications, including any over-the-counter drugs and supplements.
4. The client's family history, including any history of cardiac or psychological issues.
5. The client's history of alcohol, tobacco, or drug use.
6. The client's history of physical activity.
7. The client's current level of stress, anxiety, or depression.
8. The client's sleep patterns and quality of sleep.
9. The client's social support system and current relationships.
10. The client's coping strategies and any potential triggers.
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the client diagnosed with acquired immunodeficiency syndrome has been prescribed zidovudine. the nurse reviewing the primary health care provider's prescription, should expect to note that which laboratory test has been prescribed
The nurse reviewing the primary health care provider's prescription, should expect to note Complete blood count.
A entire metabolic panel (CMP) and complete blood count number (CBC) have to be monitored robotically. Zidovudine ought to be monitored carefully when using other medications that reason bone marrow suppression.
Zidovudine might also cause blood and bone marrow problems. signs of bone marrow issues include fever, chills, sore throat faded skin, or unusual tiredness or weak point. these issues may also require blood transfusions or temporarily preventing treatment with zidovudine.
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the maternity nurse prepares the client for which techniques commonly used to relieve shoulder dystocia?
Because most cases of shoulder dystocia can be relieved with the McRoberts maneuver and suprapubic pressure, many women can be spared.
What is shoulder dystocia? Shoulder dystocia happens when one of the baby's shoulders gets stuck behind the mother's pubic bone (the bone behind the pubic hair) or sacrum (the bone at the back of the pelvis, above the tailbone) during birth.Shoulder dystocia occurs when one or both of your baby’s shoulders get stuck inside your pelvis during childbirth. The word dystocia comes from the Greek words “dys,” meaning difficult, and “tokos,” meaning birth.Shoulder dystocia is a medical emergency. Babies with this condition are usually born safely. But it can cause serious complications for you and your baby.To learn more about shoulder dystocia refer to:
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the nurse is assigned to a hospitalized client with chronic pancreatitis. the nurse reviews the client's record and expects to note a serum amylase level that is most likely which value?
The nurse is assigned to a hospitalized client with chronic pancreatitis. The nurse reviews the client's record and expects to note a serum amylase level that is most alike to 300 units/L.
What is chronic pancreatitis?Repeated episodes of abdominal (tummy) discomfort are the most typical sign of chronic pancreatitis. There can eventually be digestive issues as well. Usually beginning in the middle or left side of the abdomen, the discomfort might occasionally progress up your back. Chronic pancreatitis patients require continual medical care to control their symptoms, slow pancreatic organ deterioration, and handle any consequences. Most of the time, a treatment only manages the symptoms, not the underlying issue.It is suggested that alcoholic chronic pancreatitis be split into four stages: I) latent or subclinical, II) early, or stage of inflammatory problems, III) late, or stage of severe pancreatic insufficiency, and IV) advanced, or level of secondary painless pancreatitis.The range of the serum amylase normal value is 25–151 units/L. The elevation in the serum amylase level in chronic pancreatitis typically doesn't go higher than three times the normal value. The value may be greater than five times the normal value in acute pancreatitis. Since the other choices have normal values, 300 units/L is the right answer.To learn more about chronic pancreatitis refer to:
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i'm not a doctor, but i play one on tv and i only use tylenol for my toughest headaches. what kind of fallacy
The genetic fallacy is a type of irrelevant fallacy when arguments or facts are accepted or rejected based purely on where they came from rather than what they really say.
What is genetic fallacy examples?A fallacy of irrelevance known as the genetic fallacy occurs when arguments or facts are accepted or rejected entirely on the basis of where they came from, rather than what they really say. In other words, a claim is discounted or given credence based on who made it rather than the validity of the assertion itself.The origin of evidence might be important to its appraisal, as in the case of a dependable expert, according to articles on the genetic fallacy. Genetic reasoning is not necessarily an error.The genetic fallacy occurs whenever we reject a proposition or an argument because of where it came from or how it was presented. 1) Given that Bob's concept was inspired by a dream, you cannot accept it. 2) Tim, according to the psychologist, believes in God since he lost his father when he was a small child. Therefore, God is not real.Explanations :
I'm not a doctor, but I play a doctor on TV, and I wouldn't dream of using anything but Tylenol for my toughest headaches : Appeal to inappropriate authority.
According to Freud, your belief in God stems from your need for a strong father figure. So don't you see that it's silly to continue believing in God? : genetic fallacy
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the nurse is screening a woman during a home visit following birth. the nurse identifies which risk factors for developing postpartum depression?
Postpartum depression is characterized by a sense of overwhelm and helplessness, a lack of support, low self-esteem, and low socioeconomic level.
What is postpartum depression?Depression following giving delivery. A higher chance of serious depression later in life exists for those who experience postpartum depression.Insomnia, anorexia, severe irritability, and a hard time connecting with the infant are possible symptoms.The disease could last for months or longer if left untreated. Antidepressants, hormone therapy, and counseling are among forms of treatment. The first four to six weeks after giving birth are typically considered to be the postpartum phase, and this is when many PPD episodes start. In the first several weeks following delivery, most moms have symptoms (often within 6 weeks). But for some individuals, PPD symptoms do not appear until six months have passed. For months or more, PPD symptoms might be present in women.To learn more about postpartum depression refer to:
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the nurse monitors a 5-year-old child admitted to the hospital for a neuroblastoma for signs and symptoms related to the location of the tumor in the adrenal gland. which descriptions would the nurse expect to be documented in the child's record specific to this tumor? select all that apply
Firm, nontender, irregular mass in the abdomen
Urinary frequency or retention from compression on the bladder
What are the symptoms of neuroblastoma ?During a child's development, and occasionally even before birth, neuroblasts undergo gene alterations that lead to the majority of neuroblastoma. We don't understand what brings about these acquired gene alterations. Perhaps they are only random cellular occurrences that occasionally take place without any external causeaspiration and biopsy of the bone marrow To the bone marrow, neuroblastoma frequently spreads (the soft inner parts of certain bones). Finding cancer cells in a bone marrow sample alone can diagnose neuroblastoma if catecholamine levels in the blood or urine are elevated (without getting a biopsy of the main tumor)Infants and young children are more likely to develop neuroblastoma. Over the age of 10, it is incredibly uncommon among humans.To learn more about neuroblastoma refers to:
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as the site is being prepared for needle insertion, the student becomes agitated, starts to hyperventilate, and complains of dizziness and tingling of the hands. which would the nurse instruct the student to do?
Rapid or deep breathing, or hyperventilation,,is typically brought on by worry or stress. It's possible that this excessive breathing, as it's frequently termed, will make you feel out of breath. You breathe in oxygen and breathe out carbon dioxide. It results in a decrease in blood carbon dioxide (CO2) levels. You can have dizziness as a result. Additionally, you can feel out of breath and have a rapid heartbeat. Additionally, it might cause anxiety, fainting, aching chest muscles, and tingling or numbness in the hands or feet. exercise excessive breathing. Hyperventilation can occur in swimmers. Hyperventilation is subjected to using the transitive verb. He took big breaths, filling his lungs to the brim.
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clinical nurse researcher is analyzing twelve months of data following the implementation of a fall reduction program in a long term care facility. this type of research is
A clinical nurse researcher is analyzing data from the first twelve months of a fall prevention program in a long-term care facility. This is an example of outcome research.
What is an outcome research?Outcomes research is a subfield of public health research that investigates the long-term effects of the health-care system's structure and processes on the health and well-being of patients and populations.Outcomes are important because we cannot compare the results or findings of different research studies if each one measures a different outcome.Process outcome research is a subset of process research that combines therapy process data and outcome data from the same patients in order to identify aspects of therapies that can be beneficial or harmful.Outcomes-based research has been promoted as a mechanism for providing the necessary information to make rational health-care decisions in the future.To learn more about outcome research refer to :
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an infant has a difficult time passing through the birth canal and the physician uses forceps to deliver the child. in the process, the facial nerve was damaged, resulting in a facial droop. which condition does the nurse recognize this to be?
The nurse recognizes this as a case of facial nerve palsy or Bell's palsy.
Facial nerve palsy is a condition that occurs when the facial nerve, which controls the muscles of the face, is damaged or impaired. This can cause weakness or paralysis on one side of the face, resulting in a drooping or asymmetry of the face. This can be caused by a variety of factors, including trauma, infection, or underlying medical conditions. In this case, it was caused by the use of forceps during delivery. The infant will likely require physical therapy and possibly other interventions to improve function and reduce the appearance of asymmetry. In some cases, the condition may improve over time without treatment, but in other cases, the damage may be permanent.
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which assessment is the priority when caring for an unconscious patient brought to the emergency department who has a history of laennec cirrhosis and esophageal varices?
Find out what is causing your pulse and blood to race, such as an illness, an electrolyte imbalance, medicine, or a gastrointestinal bleeding.
What is esophageal varices?irregular veins in the lower portion of the tube from the throat to the stomach.Blood flow obstruction to the liver is typically the cause of esophageal varices. With severe liver disease, they frequently happen.When veins don't bleed, there are typically no symptoms. Blood-filled vomit, tar-like or bloody feces, and, in more serious cases, shock are all signs of bleeding esophageal varices.A liver transplant is an uncommon form of treatment, along with beta blockers and methods to control bleeding. Esophageal varices are aberrant, swollen veins that are located in the tube that connects the throat and stomach (esophagus). People with severe liver problems are more likely to develop this syndrome. As a result of a clot or scar tissue in the liver restricting normal blood flow to the liver, esophageal varices form.To learn more about esophageal varices refer to:
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the other nurses trust her judgment because she has a track record of successfully treating patients and she is considered an expert in many aspects of nursing. what element of credibility is most relevant in this instance?
Because she has a history of treating patients successfully and is regarded as an authority in many nursing-related fields, the other nurses respect her judgment. As a result, the (a) competence component of creditability is the one that is most pertinent in this situation.
What aspect of trustworthiness in this situation matters the most?According to social scientists, trustworthiness may be broken down into three parts. Unsurprisingly, there was little deviation from Aristotle's original work in the areas of competence, trust, and goodwill.Credibility is an ascribed variable, which is its key feature. Since this trait is the result of specific communication activity, whether examined in an interpersonal or organizational situation, it can be regarded as a communication-based variable.Most academics concur that trustworthiness and competence are the two main components of credibility, which is a perceived attribute.Proving your fairness, openness, and lack of a secret goal. For instance, presenting thoughts in a balanced manner without appearing weak and intrepid to the point where you lack any semblance of a rational point of view.To learn more about Patients refers to:
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The complete question is :the other nurses trust her judgment because she has a track record of successfully treating patients and she is considered an expert in many aspects of nursing. what element of credibility is most relevant in this instance? (a)Competence, (b)Character, and (c) Caring
A nitroglycerin drip i to be infued at a rate of 8 mL/hr. Available: nitroglycerin 100 mg/250 mL 0. 9% normal aline olution How many microgram per minute i being delivered?
A nitroglycerin drip is to be infused at a rate of 8 mL/hr. Available: nitroglycerin 100 mg/250 mL 0.9% normal saline solution. Micrograms per minute delivered is 8 ml/ hr.
What are nitroglycerin drips used for?Nitroglycerin injections are used to treat high blood pressure (hypertension) during surgery or to control congestive heart failure in patients who have had a heart attack. It can also be used to induce hypotension (hypotension) during surgery.
What are the side effects of a nitro infusion?Bluish lips, nails or palms. Difficulty breathing. Dizziness or lightheadedness. headache. fast heart rate. sore throat. unusual fatigue or weakness;
What are the risks of intravenous nitroglycerin?Increased blood pressure, risk of angina pectoris. Nitroglycerin IV potentiates the action of ergoloid mesylate by slowing metabolism. Avoid or use alternative medicines. Increased blood pressure, risk of angina pectoris.
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all of the following diseases have a strong documented association with periodontal disease except: group of answer choices a) copd b) diabetes c) hospital-acquired pneumonia d) acvd
With the exception of coped, every one of the following illnesses have a strong proven link to periodontal disease.
Describe COPD.Chronic obstructive disease (COPD), an inflammatory responses lung disease, is characterized by airflow restriction from the lungs as a symptom. Symptoms include wheezing, coughing, snot (sputum) production, and breathing difficulties. Nearly nine out of 10 instances of COPD are thought to be caused mostly by smoking.The walls of the lung and airways can get damaged by the harmful substances in smoke. The progression lung symptoms and the possibility of flare-ups can be stopped and the likelihood if flare-ups reduced despite the lack of known cure for COPD. Early identification and treatment are therefore essential. If a person displays the typical COPD symptoms, COPD should indeed be assumed, and the diagnoses should be confirmed by spirometry, a breathing test that assesses lung function.To learn more about COPD refer to:
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a 45-year-old woman visits her physician with complaints of fatigue, heat intolerance, goiter, and unusual hair loss. blood is collected and serum t4 value is below the healthy reference interval. what laboratory assay would confirm that this might be a pituitary disorder?
A laboratory assay to confirm this might be a pituitary disorder would be a thyroid-stimulating hormone (TSH) test.
What is a TSH Test?
A TSH test is a blood test used to measure the amount of thyroid stimulating hormone (TSH) in your blood. The test is used to help diagnose and monitor thyroid gland disorders, including hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid).
It is also used to check for any problems with the pituitary gland. TSH is produced in the pituitary gland and stimulates the thyroid gland to make hormones such as thyroxine (T4). If the thyroid gland is not functioning properly, the amount of TSH in the blood can be affected.
A TSH test measures the amount of TSH in the blood to help diagnose any underlying thyroid problems. It may also be used to monitor the effectiveness of medications used to treat thyroid disorders.
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the nurse is discussing smoking cessation with a client diagnosed with coronary artery disease (cad). which statement should the nurse make to the client to try to motivate the client to quit smoking?
"If you quit now, your risk of cardiovascular disease will decrease to that of a nonsmoker in 3 to 4 years." is the best statement that would said to the client by the nurse.
What is cardiovascular disease?Unhealthy eating, inactivity, usage of tobacco products, and abusing alcohol are the main behavioural risk factors for heart disease and stroke.The term "cardiovascular disease" (CVD) is used to refer generally to conditions that affect the heart or blood vessels. Reduced blood flow to the body, brain, or heart can be brought on by: fatty deposits accumulate inside an artery, causing a blood clot (thrombosis), which causes the artery to harden and narrow (atherosclerosis)To learn more about cardiovascular disease refer:https://brainly.com/question/25622221
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The best thing the nurse could have said to the client was, "If you quit now, your risk of cardiovascular disease will reduce to that of a non smoker in 3 to 4 years."
What is cardiovascular disease?The primary behavioural risk factors for heart disease and stroke include unhealthy diet, inactivity, use of tobacco products, and alcohol abuse. Heart and blood vessel problems are collectively referred to as "cardiovascular disease" (CVD).
Fatty deposits build up inside an artery, generating a blood clot (thrombosis), which causes the artery to stiffen and constrict, which can reduce blood flow to the body, brain, or heart (atherosclerosis). cardiovascular disease pulmonary embolism and deep vein thrombosis, chest pains, and a heart attack.
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The nutrition facts panel on a box of granola indicates that one serving contains 1 gram of saturated fat and 2 grams of unsaturated fat. The label on this product is allowed to state that it is
A) Fat free
B) Low fat
C) Saturated Fat free
D) Reduced Calorie
The label on this product is allowed to state that it is option B) Low fat
The nutrition facts panel on a box of granola indicates that one serving contains 1 gram of saturated fat and 2 grams of unsaturated fat. A product can be labeled as "low fat" if it contains 3 grams or less of total fat per serving. Since this granola contains 1 + 2 = 3 grams of total fat per serving, it can be labeled as "low fat." It can't be labeled as "fat free" or "saturated fat free" because it does contain some fat and saturated fat. And it can't be labeled as "reduced calorie" because it doesn't contain any information about calories on this serving size.
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which law or practice guideline did the occupational safety and health administration (osha) and the oncology nursing society (ons) establish?
The law or practice guideline which the OSHA and the ONS must establish are Personal protective equipment (PPE) should be used when handling chemotherapy drugs, which means option C is correct.
OSHA refers to the laws pertaining to the safety of the worker at the workplace under which their health, ease of work, and other safety measures are taken. Proper lighting, availability of equipment and machinery etc. are important at workplace. Apart from this proper gloves and hats must be used by the workers at the site. The organization of ONS is aimed at providing financial help and medical assistance to the workers suffering from any kind of cancer. There are almost 35000 registered nurses under ONS.
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Refer to complete question at:
Which law or practice guideline did the Occupational Safety and Health Administration (OSHA) and the Oncology Nursing Society (ONS) establish?
Patients have the right to be free of restraint in hospitals and nursing homes.Staff should stay at least 3 ft away from a patient with a droplet-borne infection.Personal protective equipment (PPE) should be used when handling chemotherapy drugs.Patients seen in an emergency department must have emergency medical screening examinations.which assessment findings would alert the nurse that the child is in respiratory distress? (select all that apply.) hesi pediatric
Assessment findings that will warn that the child is in respiratory distress:
Inability to speak without gasping.Refusal to lie flat.Presence of subcostal retractions.Absence of wheezing with increased respiratory rate.Acute respiratory distress syndrome is a serious respiratory disorder caused by a buildup of fluid in the air sacs (alveoli) in the lungs. Difficulty breathing in a child with pneumonia is often a medical emergency due to a variety of factors.
Children with breathing problems often show signs of gasping or not getting enough oxygen, which indicates a breathing problem. Below is a list of some of the signs that your child is not getting enough oxygen. It's important to know the signs of difficulty breathing so you can react appropriately:
An increase in the number of breaths per minute may indicate that the person is having difficulty breathing or is not getting enough oxygen.Increased heart rate. Low oxygen levels can increase the heart rate.Snoring. A grunting sound is heard every time the person exhales. This snoring is the body's attempt to keep the air in the lungs open.Wheezing. Loud sounds, whistles, or music with every breath can indicate that your airways are narrowing and making it hard to breathe.Stridor. Breath sounds can be heard over the upper airways.Body position. Low oxygen levels and difficulty breathing can force your child to push his head up with his nose (especially when lying down). Or your child leans forward when sitting. The child automatically uses this position as a last resort to improve breathing.Learn more about respiratory distress at https://brainly.com/question/10537735.
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a pregnant client has just been admitted to the hospital with severe preeclampsia. the nurse knows it is important to monitor for additional complications at this time. which assessment would be part of the plan of care?
An assessment that will be part of a client's treatment plan with severe preeclampsia is controlling blood pressure.
What is preeclampsia?Preeclampsia is an increase in blood pressure and excess protein in the urine that occurs after more than 20 weeks of gestation. If not treated immediately, preeclampsia can cause complications that are dangerous for the mother and fetus.
The cause of preeclampsia is still not known with certainty. However, this condition is thought to occur due to abnormalities in the development and function of the placenta, which is the organ that functions to distribute blood and nutrients to the fetus.
For the treatment of clients who experience preeclampsia, they are given blood pressure-lowering drugs and drugs to prevent seizures and control blood pressure on a regular basis.
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while auscultating the lungs of a patient with respiratory distres, you hear adventitious sounds. this means that the patient has
When auscultating the lungs of a patient with respiratory distress, you hear additional sounds. this means that the patient has abnormal breath sounds.
Lung or respiratory disorders can be detected using several methods. One of the methods used by doctors to diagnose disorders of the respiratory system is to listen to the sound of breathing using a stethoscope, which is known as the auscultation technique.
Normal lung sounds are clear and soft, like air passing through an unobstructed pipe.
Abnormal lung sounds referred to include wheezes and crackles. Wheeze is a lung sound caused by a narrowing of the respiratory tract or thickening of the walls of the respiratory tract. Crackle is a lung sound caused by a deviation in the direction of air in the respiratory tract.
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A 46-year-old man is brought to the emergency department 30 minutes after being found intoxicated in a park. The patient reports a 10-day history of fevers, night sweats, weight loss, and productive cough with foul-smelling sputum. He drinks 1 or 2 pints of vodka daily and has been hospitalized multiple times for intoxication. Temperature is 38.9 C (102 F), blood pressure is 110/65 mm Hg, pulse is 102/min, and respirations are 22/min. Lung auscultation reveals coarse crackles over the right lower lobe. Heart sounds are normal with no murmurs. Laboratory results show an elevated leukocyte count. Chest x-ray reveals a cavitary lesion with an air-fluid level in the superior segment of the right lower lobe of the lung. Which of the following is the most likely cause of this patient's lung findings?
A. Aspiration of gastric acid (%)
B. Aspiration of oropharyngeal bacteria (%)
C. Hematogenous spread from another focus of infection (%)
D. Primary mycobacterial infection (%)
E. Simple pulmonary aspergilloma (%)
Answer:
Explanation:classic symptoms for tuberculosis.Immunocompromised
Cavitary lung
which phrase describes the therapeutic action of metoclopramide when administered to a patient who is having nausea and vomiting postoperatively
The therapeutic action of metoclopramide when administered to a patient who is having nausea and vomiting postoperatively is to block the action of dopamine in the chemoreceptor trigger zone (CTZ) in the brainstem.
Metoclopramide is a dopamine antagonist drug, which means that it blocks the action of dopamine, a neurotransmitter that plays a role in regulating nausea and vomiting. By blocking the action of dopamine in the CTZ, metoclopramide helps to reduce the sensation of nausea and decrease the likelihood of vomiting. Additionally, metoclopramide also increases the contractions of the muscles in the upper gastrointestinal tract, which promotes the movement of stomach contents, this action is called prokinetic effect. This may help to prevent the build-up of stomach contents that can lead to nausea and vomiting.
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a 38-year-old male presented to the e.r. complaining of severe cough, chest pain, shortness of breath, and fatigue. microscopic examination of a bloody sputum specimen revealed this suspicious form. the patient is most likely suffering from:
After the microscopic analysis, the sputum specimen reveals that the patient is most likely to suffer from Paragonimus westermani.
Paragonimus westermani is a kind of lung fluke which creates difficulty in breathing or other respiratory problems. It can cause severe inflammation of the lung tissues. It is transferred to the human body mainly through the non vegetarian marine food such as crabs or crayfish. It causes a disease named paragonimiasis, whose symptoms are visible in the patient. Though it can be cured using some anti parasitic pills or anthelmintic drug injections, yet it will cause weakness in the body. It is important to cure the body as soon as possible because the worms will give eggs in the body then these disease can be life threatening.
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the cna finds a patient unresponsive and not breathing. the cna knows to begin cpr immediately if the patient's code status is:
A code blue will be called right away by any medical professional who discovers a patient who is not breathing has no pulse or is unresponsive may have a cardiac arrest.
What are the responsibilities of CNAs?While they wait for additional assistance, they will also begin attempting to revive the patient.
The CNA/Nurse Aide should contact for assistance right away, use the emergency call light or button, and shout "Code Blue" or another signal if they notice that a patient is undergoing a cardiac arrest (there is no trace of a pulse or respiration).
Therefore, if they notice that a patient is undergoing cardiac arrest.
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a client has a nasogastric tube in place that is attached to suction. the client is at risk for developing which electrolyte imbalances with prolonged suction? select all that apply.
A client has a nasogastric tube in place that is attached to suction. the client is at risk for developing Hypokalemia, Hyponatremia, Hypomagnesemia electrolyte imbalances with prolonged suction? select all that apply.
What is hypokalemia?Low blood potassium levels are known as hypokalemia. To function properly, your body needs potassium. Through the food you eat, it receives potassium. Hypokalemia is frequently brought on by an excessive potassium loss in the digestive tract as a result of vomiting, diarrhoea, or laxative use.There are causes of low potassium that aren't connected to underlying illnesses. Examples include consuming too little potassium in your diet, throwing up or having diarrhoea, experiencing pharmaceutical side effects, or consuming too much caffeine. Alcohol usage is one of the reasons for potassium depletion (excessive) a persistent renal condition. ketoacidosis in diabetics.Weakness and weariness, cramps, pains and stiffness in the muscles, tingling and numbness, heart palpitations, breathing issues, digestive issues, and changes in blood pressure are all common indicators of potassium deficiency.The whole query is:
Which electrolyte imbalances in the client are at danger of developing with continued suction? Please check all that apply. Hyponatremia, hypomagnesemia, and hypokalemia.
To learn more about hypokalemia refer to:
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the nurse is preparing for a health fair about tobacco use and the development of coronary heart disease. which information would the nurse include? select all that apply.
Nicotine reduces the amount of oxygen that the heart receives. Hypnosis may be useful for quitting smoking.
What is meant by tobacco?A plant whose leaves contain a lot of nicotine, a highly addictive substance. Tobacco leaves are harvested and then processed in a variety of methods, including curing and aging. The end results can be used to make cigarettes, cigars, and pipes, as well as dipping and chewing tobacco and inhalation devices (as snuff).Plants that produce tobacco are used to make tobacco. Nicotine is a very addictive substance that is present in it. You consume carcinogenic and poisonous compounds that are harmful to your health when you smoke tobacco in cigarettes, cigars, or pipes. Several plants in the Solanaceae family genus Nicotiana go by the common name "tobacco," which is also the name for any product made from the cured leaves of these plants.To learn more about tobacco refer to:
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a client presents with excessive salivation and hepatic dysfunction. a diagnosis of wilson disease (a copper deposition disease) is made through liver biopsy and urine copper levels. which treatment option is available for the client?
Treatment options available for clients with Wilson's disease and liver dysfunction are administering drugs to excrete excess copper and adopting a low-copper diet.
What is Wilson's disease?Wilson's disease is an inherited disorder that causes damage to the liver and brain. This damage occurs due to a buildup of copper in the body.
The body generally absorbs adequate amounts of copper. If the absorption of excess copper is, the body will excrete it through feces and urine. However, in people with Wilson's disease, excess copper cannot be excreted from the body. As a result, there is a buildup of copper which can be life-threatening.
There are various ways to treat Wilson's disease, such as drugs that function to remove excess copper, a low-copper diet, and liver transplant surgery.
Your question is not complete, maybe what your question means is :
A client presents with excessive salivation and hepatic dysfunction. a diagnosis of Wilson disease (a copper deposition disease) is made through liver biopsy and urine copper levels. which treatment option is available for the client?
Administering drugs to excrete excess copper and adopting a low-copper diet.MRI examination and acupuncture therapy.Learn more about the functions of the liver here :
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