EHR systems' accessibility to precise patient data significantly improves patient treatment. It improves decision making for healthcare professionals, lowers medical errors, and facilitates fast and effective therapeutic actions.
Advantages of EHR systems to patientsThe accessibility of more precise patient data is one benefit of electronic health record (EHR) systems that considerably enhances patient care.
All patient data is kept in one place and made available to authorized healthcare practitioners using EHR systems. This implies that when making treatment decisions for a patient, doctors, nurses, and experts involved in their care can quickly and simply obtain the most current and comprehensive information. They have real time access to test findings, imaging reports, prescription histories, and other important information.
EHR systems frequently come with clinical reminders and decision support tools that can assist healthcare professionals in adhering to evidence-based recommendations and best practices.
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which concept describes the process in which the nurse collects information related to a patient problem by speaking with the patient? focused assessment objective data collection subjective data collection comprehensive assessment
The procedure through which the nurse obtains information about a patient condition by chatting with the patient is described by the term "data collection concept." Hence (d) is the correct option.
The nurse evaluates the patient during the evaluation phase by gathering both objective and subjective data using tried-and-true techniques. The patient interview, physical examination, and observation are the most often used procedures for gathering data. The three main techniques for gathering data are observation, interviewing, and examination. Every time the nurse interacts with the client or other support personnel, observation takes place. The majority of interviewing occurs during the nurse health history. The primary technique in physical health assessments is examination.
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which concept describes the process in which the nurse collects information related to a patient problem by speaking with the patient?
a. focused assessment
b. objective data
c. subjective
d. data collection
e. comprehensive assessment
a patient with a seizure disorder asks the purpose of staying awake all night before having an electroencephalogram (eeg) in the morning. what should the nurse explain to this patient?
The nurse should explain to the patient that staying awake all night before an electroencephalogram (EEG) is done in the morning is to ensure that the EEG can accurately capture the patient's brain activity.
During sleep, the brain goes through different stages, and the EEG patterns can change. By keeping the patient awake during the night, the EEG can capture the brain's activity during a time when it is typically more active and not in a resting stage. This helps to get a more accurate reading of the brain's electrical activity and can aid in diagnosing any abnormalities that may be present. The nurse should also explain that the patient may experience some fatigue during the day after staying awake all night and that it is important to rest and drink plenty of fluids after the EEG is done.
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a client understands that eating certain foods can increase the risk for developing cancer. which food choice demonstrates to the nuse that the client has made an appropriate protein choice?
The food choice that demonstrates to the nurse that the client has made an appropriate protein choice, considering the increased risk of developing cancer, is Grilled fish. The Correct option is A
Grilled fish is a lean source of protein that is generally considered to be healthier compared to other options. It is low in saturated fats and does not typically contain additives or preservatives that are associated with an increased cancer risk.
On the other hand, options B, C, and D (Bacon, Fried chicken, and Processed deli meat) are high in saturated fats, may contain carcinogens from cooking methods or processing, and are generally considered less healthy choices in terms of cancer prevention.
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Complete Question:
A client understands that eating certain foods can increase the risk for developing cancer. Which of the following food choices demonstrates to the nurse that the client has made an appropriate protein choice?
A. Grilled fish
B. Bacon
C. Fried chicken
D. Processed deli meat
at 10 days postpartum, a breast/chest-feeding parent develops mastitis in the right breast. the nurse instructs the client on which interventions? select all that apply.
At 10 days postpartum, a breast/chest-feeding parent who develops mastitis in the right breast would receive the following instructions from the nurse regarding interventions:
Apply warm compresses to the affected breast: Warm compresses can help alleviate pain and promote milk flow.Continue breastfeeding or pumping regularly: Continuing to breastfeed or pump helps in draining the breast and preventing milk stasis.Take over-the-counter pain relievers as needed: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain and reduce inflammation.Ensure proper latch and positioning during breastfeeding: Ensuring a proper latch and positioning can help ensure effective milk removal and prevent further engorgement.Get plenty of rest and stay hydrated: Rest and hydration are important for promoting healing and maintaining milk supply.Contact the healthcare provider for antibiotics if symptoms worsen: If symptoms worsen or there are signs of infection, such as high fever or pus discharge, contacting the healthcare provider for possible antibiotic treatment is essential.These interventions aim to relieve symptoms, promote healing, and prevent complications associated with mastitis.
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a) Write the negation for these propositions: i. The sun is shining but it is raining today. You are not allowed to enter the code. If I go to shop then I will buy a soft drink. ii. iii. (3 marks) b) The symbols p, q, r and s define the following propositions. p: It is Covid-19 endemic. q: You will be infected. r: You will stay quarantine at home. s: You will take suitable medicine. Represent each of the statements below using the defined symbols and logical connectives. i. If you will take suitable medicine or it is Covid-19 endemic, then you will not stay quarantine at home. (2 marks) ii. Either it is Covid-19 endemic, you will take suitable medicine, or you will not be infected. (2 marks)
a) Negation of the propositions:
i. Negation: The sun is not shining or it is not raining today.
ii. Negation: You are allowed to enter the code.
iii. Negation: If I go to the shop, then I will not buy a soft drink.
b) Logical representation using defined symbols:
i. If (s or p), then not r.
ii. (p or s) or not q.
a) To negate a proposition, we typically negate each component or reverse the logical connectives used in the original statement.
In the first proposition, the negation replaces "and" with "or" and negates both conditions. The original statement states that both the sun is shining and it is raining, so the negation states that either the sun is not shining or it is not raining.
In the second proposition, the negation simply states the opposite of the original statement. If the original statement says "You are not allowed to enter the code," the negation states "You are allowed to enter the code."
In the third proposition, the negation negates the outcome of the second clause. If the original statement says "If I go to the shop, then I will buy a soft drink," the negation states "If I go to the shop, then I will not buy a soft drink."
b) Using the defined symbols p, q, r, and s:
i. The statement "If you will take suitable medicine or it is Covid-19 endemic, then you will not stay quarantine at home" can be represented as (s ∨ p) → ¬r, where ∨ represents the logical OR, → represents implication, and ¬ represents negation.
ii. The statement "Either it is Covid-19 endemic, you will take suitable medicine, or you will not be infected" can be represented as (p ∨ s ∨ ¬q), where ∨ represents the logical OR and ¬ represents negation.
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your pharmacist is quizzing you on adverse reactions of medications and asks you which adverse reaction is associated with levaquin?
Levaquin (levofloxacin) is a fluoroquinolone antibiotic commonly prescribed to treat various bacterial infections.
When discussing adverse reactions associated with Levaquin, one notable concern is the risk of tendonitis and tendon rupture. This adverse effect, although rare, primarily affects the Achilles tendon and can occur even after a short duration of therapy. It is particularly important to be cautious in patients who are older, have a history of tendon disorders, or are concurrently taking corticosteroids.
It is recommended to inform patients about the signs of tendon pain or swelling and to advise them to discontinue the medication and seek medical attention if these symptoms occur.
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the nurse has created a plan of care for a client experiencing dystocia and includes several nursing actions in the plan of care. what is the priority nursing action?
In the plan of care for a client experiencing dystocia, the priority nursing action would be to assess the client's vital signs and fetal heart rate.
Dystocia refers to difficult or prolonged labor, which can potentially jeopardize the well-being of both the mother and the baby. By promptly assessing vital signs, including blood pressure, heart rate, respiratory rate, and temperature, as well as monitoring the fetal heart rate, the nurse can gather crucial information about the client's and baby's condition.
This assessment helps identify any signs of distress, such as maternal hypotension or fetal distress, guiding further interventions and notifying the healthcare provider if necessary.
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a patient is being prepared for a tensilon test. what does the nurse ensure is available before the beginning of this test?
Before the beginning of a Tensilon test, the nurse ensures the availability of several key components.
These include Tensilon (edrophonium chloride), the medication used in the test, which should be readily available and properly prepared for administration. The nurse also ensures that atropine sulfate, an antidote for Tensilon, is on hand in case of adverse effects. Emergency resuscitative equipment, such as a crash cart, oxygen supply, suctioning equipment, and resuscitation medications, must be easily accessible.
Additionally, monitoring equipment like a cardiac monitor, blood pressure cuff, and pulse oximeter is necessary to closely monitor the patient's vital signs during the test. Trained personnel should be present to administer the test and promptly respond to any complications.
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a primary health care provider prescribes 3000 ml of d5w to be administered over a 24-hour period. the nurse determines that how many milliliters per hour will be administered to the client? fill in the blank.
The nurse determines that 31 milliliters per hour will be administered to the client.
Nurses can be distinguished from other healthcare providers by their approach to patient care, training, and scope of practice. Nursing is a profession in the healthcare industry that focuses on the care of individuals, families, and communities so that they can achieve, maintain, or recover optimal health and quality of life.
Attendants practice in numerous strengths with varying degrees of solution authority. Although there is evidence of a global shortage of qualified nurses, nurses collaborate with other healthcare providers like physicians, nurse practitioners, physical therapists, and psychologists. Although nurses make up the majority of healthcare environments, Not at all like medical caretaker specialists, nurture commonly can't endorse prescriptions in the US.
Nurture experts are medical caretakers with an advanced education in cutting edge work on nursing. In more than half of the US, they practice independently in a variety of settings. Many of the traditional regulations and provider roles are changing as a result of the diversification of nurse education since the postwar period toward advanced and specialized credentials.
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clindamycin 210 mg po every 6 hours is ordered for an 15 kg toddler. the safe dose range of clindamycin is 25 - 40 mg/ kg/ day in divided doses every 6 hours. the supply of clindamycin is 75 mg/5 ml. from this information the nurse determines:
Every six hours for adults, 150 to 300 milligrammes (mg). 300 to 450 mg every 6 hours for more serious infections. Clendamycin (prescription only); Gardnerella Vaginalis (off-label).
Pneumocystis (Carinii) Jiroveci (Off-label): 300 mg PO q12hr for 7 days. Divided into six to eight hours' worth of doses per kilogramme every day. Clindam dosage (clindamycin). Clindamycin dosage for adults ranges from 150 to 300 mg every six hours. 300 to 450 mg every 6 hours for more serious infections. Clindamycin oral suspension should be taken in four evenly spaced dosages between 8 and 25 mg/kg/day. The kid is 30 kg in weight. 24 hour maximum dosage. Combining an oral daily dose with 600–900 mg of clindamycin injection USP (IV) every six hours or 900 mg (IV) every eight hours.
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clindamycin 210 mg po every 6 hours is ordered for an 15 kg toddler. the safe dose range of clindamycin is 25 - 40 mg/ kg/ day in divided doses every 6 hours. the supply of clindamycin is 75 mg/5 ml. from this information the nurse determines?
the nurse is caring for four 1-day postpartum clients. which client assessment requires the need for follow-up?
In caring for four 1-day postpartum clients, the nurse should prioritize assessments to identify any clients who require follow-up.
One assessment that may necessitate further attention is excessive postpartum bleeding. If one of the clients exhibits heavy or continuous bleeding, larger clots, or saturates more than one perineal pad per hour, it would require immediate follow-up. Excessive postpartum bleeding could indicate complications such as uterine atony, retained placental fragments, or trauma.
The nurse should promptly notify the healthcare provider, assess vital signs, perform fundal massage, and initiate appropriate interventions to prevent further complications and ensure the client's well-being.
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a nurse cares for a client suspected of having iron deficient anemia. which diagnostic test will the nurse expect the health care provider to order in order to definitively diagnose the condition?
The diagnostic test will the nurse expect the health care provider to order in order to definitively diagnose iron deficient anemia is:
Defective production of erythrocytesDestruction of erythrocytesLoss of erythrocytesAnemia caused by a lack of iron is known as iron-deficiency anemia. Iron deficiency is characterized as a diminishing in the quantity of red platelets or how much hemoglobin in the blood. When onset is slow, symptoms like feeling tired, weak, short of breath, or unable to exercise are often vague. Rapidly developing anemia typically presents with more severe symptoms such as confusion, fainting, and increased thirst. Pallor is commonly huge before an individual turns out to be perceptibly pale. Growth and development issues may arise in children with iron deficiency anemia. There might be extra side effects relying upon the basic reason.
Blood loss, insufficient dietary intake, or inadequate iron absorption from food are the causes of iron-deficiency anemia. Heavy periods, childbirth, uterine fibroids, stomach ulcers, colon cancer, and bleeding from the urinary tract are all potential causes of blood loss. Unfortunate ingestion of iron from food might happen because of a digestive issue like provocative inside infection or celiac sickness, or medical procedure like a gastric detour. Parasitic worms, malaria, and HIV/AIDS all raise the risk of iron deficiency anemia in developing nations. Blood tests are used to confirm the diagnosis.
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immobility is a major risk factor for pressure ulcers. in caring for the patient who is immobilized, the nurse needs to be aware that:
In caring for a patient who is immobilized, the nurse needs to be aware of several important factors. Firstly, regular repositioning of the patient is crucial to relieve pressure and prevent the development of pressure ulcers.
The nurse should encourage frequent position changes and use supportive devices such as cushions or specialized mattresses to distribute pressure evenly. Skin assessment should be performed regularly to identify any signs of early pressure ulcers. Maintaining proper hygiene and keeping the skin clean and dry is also essential. Adequate nutrition and hydration should be provided to support healthy skin integrity.
Additionally, the nurse should promote mobility within the patient's abilities and collaborate with the healthcare team to develop an individualized care plan to address the specific needs and risks associated with immobility.
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the patient with a chronic aneurysm presents to the clinic with back pain. what objective assessment finding is most concerning to the nurse?
When a patient with a chronic aneurysm presents to the clinic with back pain, the objective assessment finding that is most concerning to the nurse is the presence of a pulsatile or throbbing mass on palpation.
This finding suggests possible rupture or enlargement of the aneurysm. A pulsatile mass indicates that the arterial wall is expanding and contracting, which can be a sign of imminent rupture. Other concerning signs may include severe tenderness, signs of hypovolemic shock (such as low blood pressure and tachycardia), or signs of neurological compromise if the aneurysm is pressing on surrounding structures.
Immediate medical intervention and further diagnostic imaging are typically warranted to evaluate the extent of the aneurysm and plan appropriate management.
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which symptom should be concerning to the nurse caring for a patient with a lower extremity venous thromboembolism (vte)?
The nurse caring for a patient with a lower extremity venous thromboembolism (VTE) should be particularly concerned if the patient exhibits any of the following symptoms:
sudden onset of intense leg pain, swelling, warmth, or redness in the affected leg. These symptoms may indicate a deep vein thrombosis (DVT), a type of VTE where a blood clot forms in a deep vein. Other concerning signs include significant calf tenderness, a palpable cord-like structure in the affected leg, or visible veins.
Additionally, if the patient experiences shortness of breath, chest pain, or coughing up blood, it may suggest a pulmonary embolism (PE), a potentially life-threatening complication of VTE. Prompt recognition and intervention are crucial in these cases to prevent further complications.
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the nurse is preparing to document care provided to the client during the day shift. the nurse documents that the client experienced an increased pain level while ambulating which required an extra dose of pain medication; took a shower; visited with family; and ate a small lunch. which information is important to include during the oral end-of-shift or handoff reporting? select all that apply.
During the oral end-of-shift or handoff reporting, it is important to include the following information:
The client experienced an increased pain level while ambulating, requiring an extra dose of pain medication. This is crucial as it indicates a change in the client's condition and the need for intervention.The client took a shower. This information is important to provide an update on the client's hygiene and self-care activities.The client visited with family. Including this detail highlights the client's social interactions and emotional well-being, which are relevant aspects of their care.The client ate a small lunch. Mentioning the client's dietary intake helps in monitoring their nutritional status and assessing their appetite.These details together offer a comprehensive overview of the client's day and any notable events or changes that occurred, ensuring effective communication during the shift handoff.
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Complete Question:
Which information is important to include during the oral end-of-shift or handoff reporting? Select all that apply.
The client experienced an increased pain level while ambulating, requiring an extra dose of pain medication.The client took a shower.The client visited with family.The client ate a small lunch.the nurse is caring for a postterm, small for gestational age (sga) newborn infant immediately after admission to the nursery. what would the nurse monitor as the priority?
The nurse caring for a postterm, small for gestational age (sga) newborn infant immediately after admission to the nursery would prioritize monitoring the following parameters: Respiratory status.
The nurse would monitor the newborn's breathing rate, effort, and oxygen saturation to ensure that they are getting enough oxygen and are not experiencing respiratory distress.
Temperature: The nurse would monitor the newborn's temperature to ensure that it is within normal range and to prevent hypothermia or hyperthermia.
Cardiovascular status: The nurse would monitor the newborn's heart rate and blood pressure to ensure that they are getting enough blood flow and are not experiencing any cardiovascular distress.
Grasp reflex: The nurse would monitor the newborn's grasp reflex to ensure that it is present and to identify any potential neurological issues.
Suck-swallow-breathe reflex: The nurse would monitor the newborn's suck-swallow-breathe reflex to ensure that it is present and to identify any potential feeding issues.
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polit, ch 19: what effect can occur when a nurse researcher accumulates a sample over an extended period of time to achieve adequate sample sizes?
The effect can occur when a nurse researcher accumulates a sample over an extended period of time to achieve adequate sample sizes is Cohort effect, option B.
The term partner impact is utilized in sociology to depict varieties in the qualities of an area of study (like the occurrence of a trademark or the age at beginning) over the long haul among people who are characterized by some common transient experience or normal educational experience, like year of birth, or year of openness to radiation.
For epidemiologists looking for patterns in illnesses, cohort effects are crucial. Cohort effects can serve as an indicator of the anticipation phenomenon, which may have a social impact on certain diseases. A cohort study can be carried out by a researcher to ascertain whether or not there is a cohort effect.
When groups have an impact on the structures of influence within their larger organizations, cohort effects are crucial to resource dependency, economics, and theorists. Organizational cohorts are frequently identified by entry or birth date and share a common characteristic (size, cohesiveness, competition) that has the potential to influence the organization. Cohort effects, for instance, are significant issues in school enrollment.
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Complete question:
What effect can occur when a nurse researcher accumulates a sample over an extended period of time to achieve adequate sample sizes?
A)
Overt effect
B)
Cohort effect
C)
Ordering effect
D)
Carryover effect
the nurse is monitoring the intravenous (iv) infusion of an antineoplastic medication. during the infusion, the client complains of pain at the insertion site. on inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. the nurse suspects extravasation and would take which actions? select all that apply.
When suspecting extravasation during the intravenous (IV) infusion of an antineoplastic medication, the nurse would take the following actions:
Stop the infusion: The nurse should immediately stop the infusion of the medication to prevent further leakage into the surrounding tissue.Disconnect the IV line: Disconnecting the IV line from the catheter will help prevent further infiltration of the medication.Aspirate residual medication: The nurse may aspirate any remaining medication from the catheter if it can be done without causing further tissue damage.Notify the healthcare provider: Inform the healthcare provider immediately about the situation, providing them with details of the client's symptoms, the appearance of the site, and the slowed infusion rate.Elevate the affected limb: Raising the affected limb above heart level may help reduce swelling and limit the spread of the extravasated medication.Apply cold compresses: Applying cold compresses to the site may help alleviate pain and reduce swelling.Document the incident: It is crucial to document the occurrence, including the client's symptoms, actions taken, and notifications made. Accurate documentation will assist in monitoring the client's progress and guide further interventions.Remember, this information is not a substitute for professional medical advice. In a real-life situation, it is important to consult with healthcare professionals and follow institutional protocols for managing extravasation.
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a hospital is undergoing a major reconstruction project and a new director of nursing has been hired. at the same time, the nursing documentation component of the ehr has been implemented. the fact that nursing staff satisfaction scores have risen is:
The nursing documentation component of the ehr has been implemented. the fact that nursing staff satisfaction scores have risen is: Uncertain due to existence of confounding variables (Option D)
The rise in nursing staff satisfaction scores cannot be definitively attributed to any specific factor based on the information provided. Several factors are at play simultaneously, including the reconstruction project, the new director of nursing, and the implementation of the nursing documentation component of the EHR. Without further data or analysis, it is difficult to isolate the exact cause of the increase in satisfaction scores.
Confounding variables refer to additional factors that may influence the outcome but are not accounted for in the given scenario. In this case, factors such as changes in management practices, improvements in working conditions, or other unidentified variables could be contributing to the rise in satisfaction scores.
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complete question:
A hospital is undergoing a major reconstruction project and a new director of nursing has been hired. At the same time, the nursing documentation component of the EHR has been implemented. The fact that nursing staff satisfaction scores have risen is:
a. A result of anecdotal benefits of EHR
b. A result of qualitative benefits of EHR
c. A result of reconfiguration of the nursing units
d. Uncertain due to existence of confounding variables
a nurse is caring for a client with di which data warrants the most immediate intervention by the nurse? serum sodium of 185
A serum sodium level of 185 indicates severe hypernatremia, which is an electrolyte imbalance characterized by high sodium levels in the blood. This data warrants the most immediate intervention by the nurse.
Hypernatremia can have serious consequences on the body, particularly on the central nervous system. It can cause neurological symptoms such as confusion, irritability, seizures, and even coma if left untreated. Additionally, it can lead to dehydration and imbalances in fluid volume.
Immediate intervention by the nurse is necessary to address this critical situation. The nurse should promptly notify the healthcare provider and implement interventions to lower the serum sodium level. These interventions may include initiating intravenous fluids, adjusting the rate and composition of fluids, and closely monitoring the client's neurologic status, vital signs, and electrolyte levels.
Treating hypernatremia requires a careful and controlled correction of the sodium imbalance to prevent complications such as cerebral edema or fluid shifts. Therefore, the nurse should take swift action to initiate appropriate interventions and closely monitor the client's response.
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true or false most water soluble vitamins such as thiamin can be stored and therefore it may take years before an individual experiences
Most water-soluble vitamins, including thiamin, cannot be stored in large amounts in the body. False
These vitamins are not readily stored in significant quantities, and any excess is typically excreted through urine. Therefore, regular intake of water-soluble vitamins is necessary to maintain adequate levels in the body.
Deficiencies in these vitamins can occur relatively quickly, within weeks or months, if the dietary intake is insufficient or if there are other factors that affect absorption or utilization. Unlike fat-soluble vitamins, which can be stored in the body for longer periods, water-soluble vitamins require consistent intake to prevent deficiencies.
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Complete Question:
Most water-soluble vitamins, such as thiamin, can be stored, and therefore it may take years before an individual experiences deficiencies in these vitamins?True or false
a patient with lung cancer is ordered oxygen therapy at home. the patient tells the nurse a son who is a smoker lives in the home. which is the best response for the nurse to use when teaching the patient?
The average SaO2 for COPD patients should be between 88 and 92% (as opposed to between 94 and 98% for most acutely sick patients who are not at risk of hypercapnic respiratory collapse).
Generally speaking, chronic diseases are problems that last for a year or longer, necessitate continuous medical care, restrict everyday activities, or both. In the US, the most common causes of death and disability are chronic illnesses like diabetes, cancer, and heart disease
Application of personal protective equipment (e.g., gloves, masks, eyewear). Cough etiquette and respiratory hygiene. safety of sharps (engineering and work practise controls).
Therefore, average SaO2 for COPD patients should be between 88 and 92% (as opposed to between 94 and 98% for most acutely sick patients who are not at risk of hypercapnic respiratory collapse).
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the nurse is caring for a client who has overdosed on phenobarbital. the nurse anticipates which assessment finding with this client?
In a client who has overdosed on phenobarbital, the nurse anticipates various assessment findings, including:
CNS depression: The client may exhibit drowsiness, lethargy, confusion, or even coma due to the sedative effects of phenobarbital.Respiratory depression: Phenobarbital overdose can suppress the respiratory drive, leading to shallow or slow breathing.Hypotension: The client may have low blood pressure due to the medication's effect on the cardiovascular system.Bradycardia: Phenobarbital can slow down the heart rate, resulting in a decreased pulse rate.Hypothermia: The client may have a lower body temperature due to the CNS depressant effects of the medication.It is crucial for the nurse to promptly recognize these assessment findings, initiate appropriate interventions such as airway support and monitoring vital signs, and notify the healthcare provider for further management and treatment of phenobarbital overdose.
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putting medications in a bottle with a child-proof cap is an example of which method of preventing unintentional injury?
Putting medications in a bottle with a child-proof cap is an example of the "environmental modification" method of preventing unintentional injury.
Environmental modification involves altering the physical environment to reduce the risk of harm or injury. Child-proof caps are designed to be difficult for young children to open, providing an extra layer of protection against accidental ingestion of medication. By implementing this method, caregivers create a safer environment by reducing the accessibility of potentially harmful substances to children, thereby minimizing the risk of unintentional injury or poisoning.
Other examples of environmental modification include installing safety gates, using outlet covers, and securing heavy furniture to prevent tipping hazards.
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the nurse notes that the site of a client's peripheral intravenous (iv) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the iv catheter. after taking appropriate steps to care for the client, the nurse would document in the medical record that which occurred?
If the nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter, it is likely that the client has developed an infection at the IV site.
This is a serious complication that can occur if the IV site is not properly cared for or if the catheter is not properly maintained.
The nurse should take appropriate steps to care for the client, such as cleaning and disinfecting the site, changing the IV site if necessary, and administering antibiotics if the infection is severe. The nurse should also document the event in the medical record, including the date and time of the event, the client's symptoms, and any actions taken to manage the condition.
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the primary health care provider (phcp) arrives on the nursing unit and deflates the esophageal balloon of a sengstaken-blakemore tube in a client with cirrhosis. the nurse would contact the phcp immediately if which occurs?
The assessment finding by the nurse is the most important and should be reported to the HCP immediately is Hematemesis, option A.
In patients with bleeding esophageal varices and a cirrhosis diagnosis, a Sengstaken-Blakemore tube may be inserted. It has both an esophageal and a gastric inflatable. The esophageal balloon stops the bleeding by putting pressure on the ruptured esophageal varices. In order to lessen the likelihood of esophageal tissue trauma, such as esophageal rupture or necrosis, the balloon's pressure is periodically released. The client may begin to bleed again from the esophageal varices when the balloon is deflated, resulting in blood vomiting (hematemesis). The remaining options have nothing to do with the esophageal balloon being deflated.
The vomiting of blood is known as hematemesis. It is possible to mistake it for the more common hemoptysis (coughing up blood) or epistaxis (nosebleed). The upper gastrointestinal tract, typically above the duodenal suspensory muscle, is the typical site of the infection. It very well might be brought about by ulcers, cancers of the stomach or throat, varices, delayed and enthusiastic regurgitating, gastroenteritis, ingested blood (from draining in the mouth, nose, or throat), or certain medications.
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Complete question:
The nurse has been caring for a client who required a Sengstaken-Blakemore tube because other treatment measures for esophageal varices were unsuccessful. The health care provider (HCP) arrives on the nursing unit and deflates the esophageal balloon. Which assessment finding by the nurse is the most important and should be reported to the HCP immediately?
1. Hematemesis
2. Bloody diarrhea
3. Swelling of the abdomen
4. An elevated temperature and a rise in blood pressure
the rdn is collaborating with the client to identify goals of the intervention and expected outcomes, writing a nutrition prescription, and defining time and frequency of care including intensity, duration and follow up. the rdn is in what step or phase of the nutrition care process?
the rdn is collaborating with the client to identify goals of the intervention, so the step or phase of the nutrition the rdn is in is Planning Phase (option A).
The Registered Dietitian Nutritionist (RDN) is currently in the Planning-Phase of the Nutrition Care Process. In this phase, the RDN collaborates with the client to identify goals of the intervention and expected outcomes. This involves discussing the client's dietary needs, preferences, and health concerns, and then developing a nutrition prescription that aligns with the client's specific requirements. The RDN also determines the appropriate time and frequency of care, considering factors such as the intensity and duration of the intervention, as well as the need for follow-up appointments to monitor progress and make any necessary adjustments. The Planning Phase is a crucial step in designing a tailored nutrition intervention for the client and sets the foundation for the subsequent phases of implementation and monitoring/evaluation.
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complete question:
The RDN is collaborating with the client to identify goals of the intervention and expected outcomes, writing a nutrition prescription, and defining time and frequency of care including intensity, duration and follow up. The RDN is in what step or phase of the Nutrition Care Process?
A. Planning Phase B. Data Collection C. Implementing Phase D. Monitoring and Evaluation
a client with acute kidney injury (aki) has been treated with sodium polystyrene sulfonate by mouth. the nurse evaluates this therapy as effective if which value is noted on follow-up laboratory testing?
A client with acute kidney injury (AKI) has been treated with sodium polystyrene sulfonate by mouth. The nurse evaluates the effectiveness of this therapy by monitoring follow-up laboratory testing.
In the case of sodium polystyrene sulfonate administration, the nurse would expect to see a decrease in the client's serum potassium levels on laboratory testing. Sodium polystyrene sulfonate is a medication used to treat hyperkalemia (high levels of potassium in the blood) by exchanging sodium ions for potassium ions in the gastrointestinal tract, leading to increased potassium excretion in the stool.
Therefore, if the therapy is effective, the client's follow-up laboratory testing should show a reduction in serum potassium levels, indicating successful management of hyperkalemia.
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a novice nurse asks the preceptor why the staff spends time talking about the clients between shifts when the oncoming nurses can read the charts instead. which is the best response by the preceptor?
The best response by the preceptor would be to explain the importance of handoff communication and its benefits beyond what can be obtained from reading charts alone.
The preceptor could mention that talking about clients between shifts allows for the exchange of vital information, such as changes in condition, recent interventions, and any specific concerns or observations. This information helps ensure continuity of care, enhances patient safety, and promotes effective collaboration among the healthcare team.
It also allows for the sharing of critical insights and experiences that may not be documented in the charts, fostering a comprehensive understanding of the client's needs and facilitating better decision-making and care planning.
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