The night nurse should be given more information regarding the method employed, as this will help the nurse know what to look for in a solution that the client cannot tolerate the prescribed intermittent tube feedings
A way to deliver nutrients directly to the gastrointestinal tract is through enteral feeding. The recommendations in this statement apply to feeding using orogastric, nasogastric, and gastrostomy tubes. Bolus, intermittent feeds, continuous feeds, medication delivery, free drainage and aspiration of stomach contents, stomach venting/decompression, and stenting of the esophagus are all possible uses for enteral feeding tubes.
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a 6-month-old infant, who was born 8 weeks premature, is seen in the clinic for a well-child visit. which statement by the parent is evidence further education is needed?
A statement by the parent of a 6-month-old infant, who was born 8 weeks premature, the evidence which shows further education is needed is "My infant should begin solids now, because my infant is 6 months old."
Around the six-month mark, your infant will start using sounds to express emotions. She or he may mimic words they hear, such as "ma, "oh," and even "no." As soon as your baby learns to recognise familiar faces, reach and grasp for toys, and is likely to be crawling, start preparing your home (and yourself) for a mobile child!
Your infant can begin eating solid foods when he or she is about six months old. These foods include infant cereals, meat or other nutrients, fruits, vegetables, grains, yoghurts, and cheeses, among others.
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a nurse is caring for a school-age child who weighs 35 kg. what is the child's daily maintenance fluid requirement? (round the answer to the nearest whole number.)
A nurse is caring for a school-age child who weighs 35 kg. The child's daily maintenance fluid requirement is 1800 ml/day
For infants between 3.5 and 10 kg, the daily fluid requirement is 100 ml/kg. For children between 11 and 20 kg, the daily fluid requirement is 1000 ml + 50 ml/kg for each kg over 10 years of age. Up to 2400ml per day.
To maintain homeostasis, the adult human body needs 2-3 liters (25-30 ml per day) to maintain the balance of nutrients, oxygen and water necessary to maintain a stable and healthy interior. /kg) fluid intake.
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the nurse provides dietary education for a client with newly diagnosed diabetes. the instructions include a food exchange list. the nurse determines that the teaching was effective when the client states that, instead of asparagus, broccoli, and mushrooms, the client could eat which food items?
String beans, beets, or carrots. Diabetes is a long- term( chronic) illness that affects how your body converts food into energy. The maturity of the food you consume is converted by your body into sugar( glucose), which is also released into your rotation. Your pancreas releases insulin when your blood sugar situations rise.
What about diabetes?The utmost kinds of diabetes warrant a honored precise etiology.Sugar builds up in the bloodstream in every situation.This occurs as a result of shy insulin production by the pancreas.Diabetes of either type can affect a blend of heritable and environmental causes.There's presently no treatment for type 2 diabetes, but our experimenters are embarking on a groundbreaking weight operation trial to help individuals in putting their condition into absolution.When blood glucose( or blood sugar) situations return to the normal range, this is known as absolution.This doesn't indicate that diabetes is permanently cured.Type 2 diabetes may be cured if you change your diet to a healthy bone , maintain a healthy weight, and borrow good life habits.Type 1 diabetes can not be cured on its own.Diabetes isn't solely brought on by stress.Still, there's some substantiation suggesting that stress and the threat of type 2 diabetes may be related.High quantities of stress hormones may help insulin- producing cells in the pancreas from performing rightly and beget them to produce lower insulin, according to our study.Learn more about diabetes here:
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i forget the name so we will say drug x is a new drug to treat alzheimer's disease. this drug is able to cross the blood-brain barrier and circulate in the csf. the drug is slightly acidic and at the recommended dose it decreases the csf ph from 7.4 to 7.3. will drug x have any effect on respiration?
Without knowing further specifics on Drug X's effects, it is challenging to respond to this query because different medicines have different impacts on respiration. Some medicines can change blood levels of oxygen or carbon dioxide or affect the central nervous system, which can have an impact on breathing. Therefore, further details would need to be known in order to provide a response.
What is Alzheimer's disease?Brain cells deteriorate and die as a result of the degenerative illness known as Alzheimer's disease. It is the most prevalent type of dementia and is marked by symptoms including personality changes, memory loss, confusion, and disorientation. It can also cause communication difficulties and trouble doing everyday tasks. Although there is no therapy for Alzheimer's disease, it can be slowed down with some medications.
What is the effect of drug on respiration?The effect of drugs on respiration can vary depending on the type of drug taken. Some drugs, such as opioids, can depress respiration while other drugs, such as stimulants, can speed up respiration. Many drugs can also cause side effects that affect respiration, such as coughing, chest tightness, and difficulty breathing.
Drug X is not expected to have any direct effect on respiration. The slight drop in CSF pH from 7.4 to 7.3 is not likely to have an effect on respiration, as the normal range of CSF pH is 7.35-7.45 and even if the CSF pH were to drop to 7.2, it would still not have an effect on respiration.
The primary way in which respiration is regulated is through the central nervous system, and as Drug X does not cross the blood-brain barrier, it is not expected to have an effect on respiration. Respiration is also affected by chemical compounds in the blood such as carbon dioxide, oxygen, and hydrogen ions, but as Drug X does not affect the levels of these compounds in the blood, it is not expected to have an effect on respiration.
The inability of Drug X to penetrate the blood-brain barrier and its lack of impact on the concentrations of substances in the blood that control respiration mean that it is not anticipated to have any effect on respiration.
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a client arrives at the health care clinic and reports taking several pills for a headache and severe cough without relief. which adverse effect should the nurse be aware may develop from this combination?
In this scenario, a adverse effect of gastrointestinal bleeding may occur if the client reports taking several pills for a headache and severe cough without relief.
Hemorrhage in the digestive tract, anywhere from the throat to the rectum, is referred to as gastrointestinal (GI) bleeding. A person may lose a small amount of blood, like when a haemorrhoid bleeds, or they may have a haemorrhage, which results in a significant blood loss.
There have also been reports of short-lived anxiety, excitement, sleeplessness, difficulty concentrating, headaches, epistaxis, and allergies.
After oral intake, this frequently causes headaches, dizziness, stomach pain, and localised numbness. Large doses have been shown to be capable of causing dry, scaly skin, nail discolouration, photosensitivity, and redness of the eye, as well as yellowish discoloration of the skin and nails.
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the nurse's forearm is splattered with blood when cleaning a patient's open wound. what action should the nurse take?
You are using a resuscitation mask to give ventilations to a child. After you position and seal the mask, which of the following should you do next?Select one:a. Blow into the mask.b. Tilt the victim's head back to open the airway.c. Place the victim's head in a neutral position to maintain an open airway.d. Place the victim in a recovery position.
Option C ; Place the victim's head in a neutral position to maintain an open airway.
After positioning and sealing the resuscitation mask, the next step is to place the victim's head in a neutral position to maintain an open airway. This is done by aligning the axis of the victim's face with the axis of the spine, with the head in a neutral position. This technique is referred to as the "head-tilt, chin-lift" maneuver. This maneuver should be done gently to avoid hyperextending the neck, which can compromise the airway. Blowing into the mask is the next step after the head is in the neutral position and the airway is open. Tilt the head back or placing the victim in a recovery position is not the next step after you position and seal the mask. You should perform these actions only after you have started ventilations and the victim is breathing.
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the nurse is providing care for a client who has been prescribed a diuretic to treat hypertension. the client states that the effects of the drug are problematic, causing the client to wake up numerous times during the night to urinate. what assessment question should the nurse prioritize?
"How many times do you usually get up during the night to urinate?" assessment question should the nurse prioritize to a client who has been prescribed a diuretic to treat hypertension
What is hypertension?The force that the body's arteries, which are its main blood vessels, are subjected to as a result of blood flow is known as blood pressure. Blood pressure that is too high is referred to as hypertension.
It takes two numbers to represent blood pressure. Systolic pressure, or the first number, refers to the blood vessel pressure experienced by the heart during each heartbeat. The pressure in the vessels between heartbeats, or diastole, is indicated by the second number.
A diagnosis of hypertension is made if, when the blood pressure is measured on two different days, the systolic and/or diastolic readings are both below 140 millimetres of mercury.
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an elderly client has been taking a new medication for 2 months. during a follow-up visit, the client's son tells the nurse that he feels his mother's memory is getting worse. what concerns should the nurse have at this time?
This may be coincidental, and the memory loss may be attributed to changes with aging.
How to prevent memory loss in old age?Many elderly people are concerned about their memory and other cognitive abilities. For example, they may be apprehensive about learning new things taking longer than usual, or they may occasionally forget to pay a bill. These changes are typically indicative of mild forgetfulness, which is generally a normal aspect of ageing, rather than major memory difficulties.
Memory loss and difficulties with language and logical reasoning are frequently symptoms of neurodegenerative dementias such as Alzheimer disease and vascular dementia, which are common and incurable.
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he nurse is unsure whether the medications in the bottles match what is on the label. What action should the nurse take to help identify the medications?
The nurse is unsure whether the medications in the bottles match what is on the label therefore the action the nurse should take to help identify the medications is to check the color, texture, or smell and if not convinced consult the pharmacist.
Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to prevent complications.
In a scenario where the nurse is unsure whether the medications in the bottles match what is on the label then it is best to check the color, texture, or smell and of not convinced consult the pharmacist for prompt advise and assistance in this type of scenario.
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the nurse is caring for an adult client of asian descent. when considering safe dosing and risk reduction for this client, which aspect of pharmacokinetics will be of greatest concern?
Patient-centered interactions enable patients to take on a larger role in decision-making, changing behaviors that affect their health, and managing their own care.
Why is it crucial for patients to understand how food and drugs interact?Food-drug interaction is the term used to describe how a food affects a medication in the body. Food can alter the effectiveness of medication, make unwanted side effects better or worse, or even bring on brand-new negative effects. Drugs may alter how the body processes food.
How can drug interactions with food be avoided?Drugs used orally must pass via the stomach or small intestine to be absorbed, just like food. As a result, food in the lower intestine may inhibit the absorption of a medicine. These confrontations are frequently avoidable.
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which transducer would be most suitable for imaging a 3 cm mass in the posterior segment of the liver in an obese patient?
The transducer which would be most suitable for imaging a 3 cm mass in the posterior segment of the liver in an obese patient is 3 MHz Vector.
Transducers are the equipment which helps in converting one form of energy into another, the latter being electrical energy. It can be of many types such as resistive, capacitive, inductance, piezoelectric and ultrasonic etc. The imaging of the mass inside the body can be best provided by 3MHz vector. It is because at this frequency, the waves would be easily able to penetrate the skin to identify the presence of some material and return back. This kind of scan is also called as CT scan or MRI (Magnetic Resource Imaging), which helps in easy analysis of hepatic steatosis.
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the nurse is administering an antibiotic to a client with a diagnosis of cellulitis of the left leg. which client condition would have the greatest effect on the drug's distribution?
The nurse is giving an antibiotic to a client who has cellulitis in his left leg. As a result, peripheral vascular disease would have the largest impact on medication delivery.
PVD (peripheral vascular disease) is a cardiovascular illness that progresses gradually. PVD can be caused by blood vessel constriction, blockage, or spasm. Other than the heart, PVD can damage any blood vessel, especially arteries, veins, and lymph vessels.
Cellulitis is a prevalent bacterial skin infection that produces skin redness, swelling, and discomfort in the affected region. It can develop and create major health concerns if left untreated. Cellulite prevention requires wound care and cleanliness.
Cellulitis is a common and potentially serious bacterial skin infection. Affected skin is swollen, inflamed, and usually painful and warm to the touch. Cellulite usually occurs on the legs, but it can also appear on the face, arms, and other areas.
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a nurse is examining a client who underwent a vaginal birth 24 hours ago. the client asks the nurse why her discharge is such a deep red color. what explanation is most accurate for the nurse to give to the client?
"The discharge consists of mucus, tissue debris, and blood; this gives it the deep red color."
Lochia serosa = leukocytes, decidual tissue, RBCs & serous fluid. Only RBCs & leukocytes = blood, leukocytes and decidual tissue = lochia alba Contraction of muscle fibers; catabolism, which reduces character myometrial cells; regeneration of uterine epithelium. The lady begins off evolved to provoke moves on her personal and making selections with out counting on others. Women who underwent anesthesia attain this section most effective hours after her delivery. She begins off evolved to cognizance at the new child rather than herself and starts off evolved to actively take part in new child care.
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A qualitative review of a health record reveals that the history and physical for a patient admitted on June 26 was performed on June 30 and transcribed on July 1. Which of the following statements regarding the history and physical is true in this situation? Completion and charting of the H&P indicates
A. noncompliance with Joint Commission standards.
B. compliance with Joint Commission standards.
C. compliance with Medicare regulations.
D. compliance with Joint Commission standards for nonsurgical patients.
The following statements regarding the history and physical is true in this situation is noncompliance with Joint Commission standards option - A is correct answer.
For what purposes are health records used?Different healthcare settings have different names for the health record. Whatever name is given to it, the main purpose of the health record is to support and document patient care services.
The process by which a doctor or other practitioner authenticates an entry that he or she is unable to review because it has not yet been transcribed or the electronic entry cannot be displayed is known as auto-attestation. As a method of authentication in a health record, this procedure is categorically prohibited.
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the nurse is assessing factors that may affect the absorption of a drug that the nurse will soon administer. what factor should the nurse prioritize?
The factor which the nurse must prioritize that may affect the absorption of drug is route of administering the drug into the body.
The medical administration of drugs into the body of the patient is mainly due to the inability of the person to either consume it orally or they are unconscious. It is done in prescribed dosage under the observation of the doctor. Generally, the size of the particle of drug, its composition, dissolution rate, amorphism, and nature of the dosage are the main factors which affect the absorption of drug.
It is important to check the vital signs of the body before directly infusing the drug. The drug is said to be absorbed when it crosses the biological barriers which are the epithelial tissues and the cell membrane.
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a client newly diagnosed with immune thrombocytopenia purpura (itp) is admitted to the medical unit. after the admission assessment, the client asks the nurse to explain the disease. what potential etiology should the nurse explain to this client?
Nursing care for patients diagnosed with thrombocytopenia: There may be decreased platelet production.
Thrombocytopenia is a condition when the number of blood platelets (thrombocytes) is lower or below normal. Platelets play a role in stopping bleeding when an injury or damage occurs in a blood vessel. A low number of platelets can make it difficult for blood to clot.
The normal number of platelets in the blood is 150,000–450,000 cells per microliter of blood. A person can be considered suffering from thrombocytopenia if the platelet count is less than 150,000. People with thrombocytopenia are prone to bleeding, such as easy bruising, nosebleeds, or bleeding gums.
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a client with complex health needs takes a large number of medications. in order to reduce the likelihood of drug-food interactions, the nurse should encourage the client to:
all nurses be involved in delivering ethical care or ensuring that the drug is in the customer's best interests when dealing with specific clients
prevent drug-food interactions?Drugs used orally must pass via the stomach or small intestine to be absorbed, just like food. As a result, food there in digestive track may inhibit the absorption of a medicine. By taking the medication an hour before or two hours after eating, these interactions are frequently avoidable.
Which aspect should the nurse consider when giving medication to senior citizens on the unit?Which aspect should the nurse consider when giving medication to senior citizens on the unit? As a consequence of the changes brought on by aging, older adults.
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a nurse is assessing a client for signs and symptoms of infection. what would the nurse expect to asses? select all that apply.
Lymph node enlargement, increased respiratory rate, and fever nurse assessing a client for signs and symptoms of infection.
Check the skin or mucous membranes for any signs of local infectious processes. Localized swelling, localized redness, discomfort or tenderness, loss of function in the affected area, and palpable heat are some of the warning signs and symptoms. Every patient in a hospital is at risk of acquiring a nosocomial infection. Young children, the elderly, and people with weakened immune systems are more susceptible to contract an illness than other patients.
To make decisions based on the best available information, infection control nurses must collect and analyse infection data. Providing medical and public health workers with information on infection control procedures to help them be more prepared for emergencies.
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a nurse is interviewing a client who uses an expression with which the nurse is unfamiliar. what is the most appropriate phrase for the nurse to use to clarify the expression's meaning from the client?
A nurse is interviewing a patient who uses an expression with which the nurse is unfamiliar. What is the most appropriate expression for the nurse to use to clarify the expression's meaning from the patient?
A) Tell me what you mean by ________?
B) I think that expression means ____________
C) That expression is unclear to me
D) Where did you hear that expression
A) Tell me what you mean by ________?
In the United States, language, interpretation, and translation are playing an ever-more-important role in medical practice. It is often too late by the time the patient comes in front of the clinician because these factors are frequently overlooked. The integration of interpretation, translation, and sensitivity to language into the clinical workflow must be carefully thought out and prepared well in advance of the patient's need for care.
It takes spoken, written, or signed language to ensure an open flow of accurate information and a clear understanding of how to enhance human health and prevent sickness. Understanding how to interact with people in a fair and trustworthy manner while respecting the complexity and values within and among other cultures is essential to effectively communicating this knowledge.
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the nurse is caring for a client following a total abdominal hysterectomy. the nurse anticipates that which postoperative outcome will be the priority in the first 24 hours following surgery?
The postoperative outcome that must be a priority in the first 24 hours following the surgery of a total abdominal hysterectomy is: pain.
Hysterectomy is the surgical removal of the uterus of a female. The menstrual cycle ceases after the removal of the uterus. Also, pregnancy cannot be achieved after the removal. The removal is done through an incision upon the lower abdominal region.
Pain is the feeling of uneasiness that an individual feels due to some tissue damage in the body. It is a form of detection done by the brain that something is wrong with the body. The detection of pain is done by the help of specialized nerve cells called noci-receptors that sense and transmit the information to the brain.
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a female client has a 12-year history of etoh abuse. the client is injured in a motor vehicle accident and requires surgery with general anesthesia. what would the nurse expect for this client?
A larger- than-normal dose of the general anesthetic. With a general anesthetic, medicines are used to put you to sleep so that you will not flash back the procedure and will not move or witness any discomfort. For surgical operations where it's safer or further affable for you to remain asleep, general anesthesia is administered.
What about anesthesia?A lack of knowledge or sensation brought on by medicines or other substances.Cases are kept pain-free throughout surgeries and other operations thanks to anesthesia.A bitsy part of the body loses feeling due to original anesthetic.A medical practice called anesthesia securities cases from discomfort during operations including surgery, some individual and webbing tests, the junking of towel samples( like skin necropsies), and dental work.It enables cases to suffer surgeries that ameliorate their health and outstretch their lives.By suppressing nervous system impulses, anesthesia operates.The brain, spinal cord, and jitters make up the nervous system.The spinal cord and jitters carry signals from the body to the brain.Anesthesia prevents the brain from entering pain signals.Anesthesia- related specifics might loiter in your body for over to 24 hours.After entering sedation, indigenous, or general anesthesia, you should not drive or go back to work until the drug has left your system.As long as your croaker gives the each-clear, you should be suitable to get back to your regular routine after original anesthetic.Emergence is the process of arising from anesthesia.The anesthesiologist will gradually lower the body's anesthetic drug lozenge during emergence.As a result, the anesthesia's goods are less severe and the case can restore knowledge.Learn more about anesthesia here:
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a client is receiving 250 mg of a drug that has a half-life of 8 hours. how much drug would remain after 24 hours?
If a client is receiving 250 mg of a drug that has a half-life of 8 hours after 24 hours only 31 mg drug would remain .
The half-life of a medicine refers to how long it takes for its active component to break down by half in your body. This depends on how the chemical is processed and excreted by the body. It could linger for a few hours, days, or even weeks.
The half-life of a drug is the amount of time it takes for its plasma concentration to decrease to half of what it was initially. The half-life of a medication tells you how long it takes for it to exit your body. For instance, Ambien has a two-hour half-life.
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when an emt inspects the abdomen of a patient with pain to his right upper quadrant, it appears large and possibly distended. to determine if the abdomen is indeed distended, the emt would ask:
When an EMT inspects the abdomen of a patient having pain to his right upper quadrant, it appears large and possibly distended. To determine if the abdomen is indeed distended, the EMT would ask: is the belly normally appears in that size or not.
EMT stands for Emergence Medical Technician. It is an ambulance technician who provides emergency medical services to the patients. They are skilled workers who have the essential knowledge to provide first hand treatment to the patient.
Abdomen refers to the body part of a human that comprises of stomach, small intestine, large intestine, liver, spleen, gallbladder, pancreas, uterus, fallopian tubes, ovaries, kidneys, ureters, bladder and many blood vessels.
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a patient is prescribed of antibiotic for.the antibiotic is available in vials that contain of the drug.how many
According to question, a patient is prescribed of antibiotic for the antibiotic is available in vials that contain 20.0 mg/vial of the drug.
To treat critical, perhaps fatal illnesses like pneumonia and sepsis, the body's severe response to an infection, we rely on antibiotics. People who are at a greater risk for getting infections also need effective antibiotics.
Although most antibiotic medications require a prescription, some topical antibiotics are available over-the-counter (OTC). Ask a doctor for advice if you believe you have a bacterial illness to determine if a prescription or over-the-counter antibiotic is best for you.
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carter was born with very distinct facial features. he presents with a flat nose and almond shaped eyes. the doctor has informed his parents that he has a congenital heart defect along with poor vision. the doctors have educated his parents on his chromosomal abnormality known as .
Since Carter was born with distinct facial features such as a flat nose and almond shaped eyes, along with congenital heart defect and poor vision, therefore the doctors described this chromosomal abnormality as Noonan syndrome.
What is Noonan syndrome?Noonan syndrome is caused by a defective gene that is generally passed through one of the child's parents. Children with Noonan syndrome are usually normal length at birth. However, at around 2 years old you may notice that they don't grow as quickly as other children of the same age.
What is a syndrome? Is syndrome genetic?A syndrome is really a collection of traits or distinctive features that run together. The traditional definition of syndromic ASD is a disorder with a clinically defined pattern of somatic abnormalities and a neurobehavioral phenotype that may include Autism spectrum disorder (ASD).
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a client is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. when a second dose of the pain medication is given, the client develops redness of the skin, itching, and swelling at the site of injection of the drug. the most likely cause of this response is:
The most likely cause of this response is an allergic response.
What is an allergic response?
allergic responses are extremely prevalent. An allergic reaction is caused by an immunological response that is similar to hay fever. The majority of allergic reactions occur shortly after interaction with an allergen.
Many allergic reactions are moderate, but some can be severe and even fatal. They can be localised to a certain part of the body or they can affect the entire body. Anaphylaxis or anaphylactic shock is the most severe kind. People with a family history of allergies are more likely to experience allergic responses.
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* which factor is known to hinder the ability of the triage nurse to adequately prioritize care?
The patient who is having chest discomfort and diaphoresis should be given priority while the emergency room nurse is triaging patients.
Healthcare.
Healthcare may be simply described as organised medical treatment provided to an individual, group, or even community by a physician, nurse, or other qualified healthcare practitioner.
Healthcare-associated infections, on the other hand, are those that patients might get while receiving treatment for another ailment because they are caused by bacteria, viruses, fungi, and other pathogens.
For this reason, the primary goal of healthcare is to improve quality of life and healthy living via the provision of high-quality healthcare services.
As a result, the patient with chest discomfort and diaphoresis should receive priority attention from the emergency department nurse.
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the complication which is not likely to result from a compound, transverse fracture of the tibia and fibula is
The complication which is not likely to result from a compound is air embolus.
Compound (or open) fractures are while the bone both punctures the pores and skin or in any other case may be visible out of doors the body. The maximum not unusualplace reasons of compound fractures are falls, accidents, overuse, and osteoporosis. Osteomalacia describes a ailment of "bone softening" in adults this is typically because of extended deficiency of vitamin D. This effects in extraordinary osteoid mineralization. Infection. This is the maximum not unusualplace difficulty of open fractures. Infection is the end result of micro organism getting into the wound on the time of the injury. Infection can arise early on in the course of restoration or a lot later after each the wound and fracture have healed.
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the nurse is caring for a diverse group of clients. in which client should the nurse assess for an alteration in drug metabolism?
The nurse is caring for a diverse group of clients the nurse should assess for an alteration in drug metabolism
c) A 50 yr old man with cirrhosis of the liver.
Cirrhosis of the liver, also known as hepatic cirrhosis, is a chronic hepatic disease characterised by hepatic cell destruction and fibrotic regeneration. The disease alters the liver structure and normal vasculature, impairs blood and lymph flow, and eventually causes hepatic insufficiency as necrotic tissues yield to fibrosis. Malnutrition, inflammation (bacterial or viral), and poisons are some of the causes (e.g., alcohol, carbon tetrachloride, acetaminophen). Cirrhosis is the fourth leading cause of death among people aged 35 to 55 in the United States, and it poses a serious threat to long-term health.
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Q. the nurse is caring for a diverse group of clients. in which client should the nurse assess for an alteration in drug metabolism?
A. a 35 yr old woman with cervical cancer
B. a 41 yr old man with kidney stones
C. A 50 yr old man with cirrhosis of the liver
D. A 32 yr old women with urosepsis
