Mrs. Jones recovered from her recent hospitalization for treatment of AKI secondary to pyelonephritis. During her hospitalization, it was discovered that Mrs. Jones has developed early signs of Congestive Heart Failure (CHF) evident by her increasing fatigue and difficulty controlling her high blood pressure over the years. During her hospitalization, an echocardiogram (ECG) was performed which showed that she currently has a 40% ejection fraction as well as mild left ventricular hypertrophy. Upon discharge, her antihypertensive regimen was changed to the following;
Discontinue
Lisinopril 10mg PO daily
Start
Metoprolol (Lopressor) 25mg PO BID
Furosemide (Lasix) 20mg PO daily
Continue the following
Ibuprofen 800mg PO q 6 hrs for moderate pain (4-6 verbal scale)
Hydrocodone/acetaminophen 5/325mg PO q 4 hrs for severe pain (7-10)
Aspirin 81mg PO q day
Vitamin D 800IU q HS
Calcium 600mg q HS
Hydroxychloroquine 400mg q day
Please answer the following questions about the pharmacological management of Mrs. Jones;
Which of the listed medications are prescribed to address Mrs. Jones new diagnosis of CHF?
Briefly describe how each of these medications help with CHF (ex: inotrope, reduce peripheral vascular resistance, etc.) BE SPECIFIC and use your drug book as a guide.
Are there safety concerns the patient needs to be aware of with these medications (Hint: synergistic effects? Self-assessments prior to administration?) If so, what are they?
What precautions/assessments need to be taken as the nurse when administering these medications to Mrs. Jones?
What important educational points does the nurse need to give Mrs. Jones regarding the newly prescribed medications?

Answers

Answer 1

Pyelonephritis is kidney inflammation that is usually brought on by a bacterial infection. The most typical symptoms are fever and discomfort in the flanks.

Which of the listed medications are prescribed to address Mrs. Jones new diagnosis of CHF?

Metoprolol is a beta blocker that is commonly prescribed for congestive heart failure. Aspirin is a blood thinner that has been known to be prescribed to patients with heart disease. Furosemide is a loop diuretic that rids the body of excess fluids and sodium in urine which helps relieve the heart’s workload.

Briefly describe how each of these medications help with CHF (ex: inotrope, reduce peripheral vascular resistance, etc.) BE SPECIFIC and use your drug book as a guide.

Aspirin thins the blood to lower the risk of blood clotting by inhibiting platelet aggregation by preventing the synthesis of thromboxane A2. Metoprolol suppresses beta1-receptor activation, which lowers blood pressure by preventing the release of renin from the kidneys, relieving symptoms of heart failure. In the loop of Henle, furosemide prevents salt and water absorption and promotes urine production. This aids in the treatment of CHF because it lowers blood pressure, decreases cardiac output, and reduces intracellular and extracellular fluid volume.

Are there safety concerns the patient needs to be aware of with these medications (Hint: synergistic effects? Self-assessments prior to administration?) If so, what are they?

The patient should be aware that taking aspirin together with diuretics like furosemide may lessen its efficacy, particularly if the patient has renal impairment, which she has given that she was treated for AKI. Additionally, she should be informed that combining NSAIDs with aspirin might raise the risk of GI side effects, and that ibuprofen in particular may have diminished cardioprotective and stroke-preventive properties. The patient should be aware that NSAIDs may lessen Metoprolol's therapeutic effectiveness. The patient using furosemide has to be advised that NSAID use, along with Ibuprofen use, may impair diuresis, and that strongly acidic solutions should be avoided.

What precautions/assessments need to be taken as the nurse when administering these medications to Mrs. Jones?

For Metoprolol, the assessments that need to be done before administering the drug include cardiovascular assessment as this drug can further depress myocardial contractility, worsening heart failure and to monitor for bronchospasm and dyspnea, as the drug competitively blocks beta2-adrenergic receptors in bronchial and vascular smooth muscles. For Furosemide, the nurse needs to assess the patient’s weight before and periodically during therapy to monitor fluid loss. The nurse should also monitor blood pressure, hepatic and renal function, as well as BUN, blood glucose, and serum creatinine, electrolyte and uric acid levels. For aspirin, the nurse should assess cardiovascular and respiratory function, as well as GI function, as this drug can cause CNS depression, GI bleeding and tinnitus.

What important educational points does the nurse need to give Mrs. Jones regarding the newly prescribed medications?

To avoid disrupting the patient's sleep by increasing the urge to pee, it is recommended to take the once-daily dose of furosemide in the morning. It should also be given with food or milk to reduce GI distress. Additionally, as the medicine may result in orthostatic hypotension, she should be urged to walk slowly, eat foods high in potassium, and consume less salt. When using metoprolol, the patient should be instructed to never crush or chew the drug and to take it at the same time each day. They should be instructed to keep an eye on their heart rate and to alert their provider if it drops below 60 BPM.

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Related Questions

which special precaution would the nurse take when inserting an intravenous device in an older adult

Answers

According to Infusion Nurses Society standards, smaller-gauge needles are great for older patients who are in need of antibiotic administration or hydrating solutions by an infusion pump.

Explain about older adult:Avoid side access, which tends to push the vein away from the needle. Give yourself plenty of time. .Nurse is caring for an older adult with influenza droplet none contact airborne. The Flu is an infectious respiratory disease brought on by influenza viruses that often affect the nose, throat, and the lungs.Older adults experience changes in their skin’s tone and elasticity and they are more prone to bruising. Due to the loss of subcutaneous tissue, their veins are also less stable and are at high risk of developing vein tears. It can result in minor to severe the disease, and occasionally it can even be the fatal.The best Nurse approach to protect yourself from the flu is to get vaccinated every year. An influenza virus is the culprit behind the flu. In addition, the flu can be the contracted if you touch something that has the virus and then the touch your mouth, nose, or eyes.

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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?

Answers

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.

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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:

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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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i'm not a doctor, but i play one on tv and i only use tylenol for my toughest headaches. what kind of fallacy

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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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which phrase describes the therapeutic action of metoclopramide when administered to a patient who is having nausea and vomiting postoperatively

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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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the physician has ordered normal saline (ns 0.9%) to be given intravenously (iv) at 70 ml/hour. the student nurse knows that ns is an isotonic solution. what effect will this iv fluid have on cells?

Answers

There will not be an effect on cell size

What is a cell?The smallest component of all living things, including cells and tissues in the body, that is capable of independent living. The cell membrane, nucleus, and cytoplasm make up a cell's three basic structural components. The cell membrane, which encloses the cell, regulates the molecules that enter and exit the cell. The nucleus is a component of the cell that houses the nucleolus and the majority of the DNA. Most RNA is produced there as well.The fluid found inside a cell is called cytoplasm. The Golgi complex, the mitochondria, and the endoplasmic reticulum are among the additional minute cell components that are found there.

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There will not be an effect on cell size.

What is a cell?The smallest component of all living things, including cells and tissues in the body, that is capable of independent living.The cell membrane, nucleus, and cytoplasm make up a cell's three basic structural components.The cell membrane, which encloses the cell, regulates the molecules that enter and exit the cell.The nucleus is a component of the cell that houses the nucleolus and the majority of the DNA.Most RNA is produced there as well.The fluid found inside a cell is called cytoplasm.The Golgi complex, the mitochondria, and the endoplasmic reticulum are among the additional minute cell components that are found there.

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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?

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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.

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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 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.

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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.

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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?

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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 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.

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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

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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.

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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?

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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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which clinical manifestation is observed in a client who has an abdominal aortic aneurysm (aaa) rupture?

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The most typical manifestation of rupture is abdominal or back pain with a pulsatile abdominal mass.

What is abdominal mass?One area of the belly is swollen with an abdominal mass (abdomen). If fibroids don't hurt, don't bleed a lot, or don't grow quickly, they might not need to be removed. Aorta widening, stretching, or ballooning is a feature of abdominal aortic aneurysm. A growth or swelling in your abdomen's part is known as an abdominal mass. There are a variety of causes for an abdominal mass, from non-lethal to potentially fatal. Regular physical examinations are when most abdominal masses are discovered. They frequently take time to develop, and you might not even be able to feel them. On the basis of the location of the mass and your symptoms, your doctor will be able to eliminate some of the potential causes.

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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?

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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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client was brought to the hospital in an agitated state and admitted to a psychiatric unit for observation and treatment. on admission, the client was found to be talking rapidly and folding and unfolding garments several times while putting personal belongings away. the client is unable to settle down. which assessment of the client would have highest priority at this time?

Answers

Client's feelings of anxiety. This assessment of the client would have highest priority at this time.

What is meant by anxiety?

A sensation of worry, dread, and unease is known as anxiety. You can start to perspire, become agitated and anxious, and experience rapid heartbeat.It can be a typical response to stress. You might have anxiety, for instance, when confronted with a challenging challenge at work, before taking a test, or before making a crucial decision.Childhood, adolescence, or adulthood traumatic experiences are frequently the start of anxiety disorders.Being subjected to stress and trauma when you're very young is probably going to have a significant effect.Speak with a someone you can trust. It could be a relief to discuss your worries with someone you can trust.

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The highest priority assessment of the client at this time would be to assess for suic ide risk. It is important to ensure that the client is not in immediate danger of harming themselves or others.

What is priority assessment?

Priority assessment is a process used to determine the level of importance of an individual or organization. It is used to identify the most important items that need to be addressed first and is typically used in emergency situations. It involves evaluating the needs of individuals or organizations and assigning a priority level to each need. This helps to ensure that the most important needs are addressed first and resources can be allocated accordingly. Priority assessment also helps to identify any gaps in resources and provide strategies to close those gaps.

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which assessment findings would alert the nurse that the child is in respiratory distress? (select all that apply.) hesi pediatric

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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.

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patient jamey smith has been seen at oceanside hospital four times prior to this current encounter. unfortunately, because of clerical errors, jamey's information was entered into the mpi incorrectly on the four previous admissions and consequently has four different medical record numbers. the unit numbering system is used at oceanside hospital. in looking at the entries into the mpi, which medical record number should be used for all visits?

Answers

The most recent medical record number for Jamey Smith should be used for all of his visits to Oceanside Hospital. The unit numbering system is used at the hospital.

What is numbering system ?A numbering system in a hospital is a system used to assign unique identification numbers to patients and their medical records. This allows for easy tracking and organization of patient information, as well as efficient communication between healthcare providers.There are different types of numbering systems used in hospitals, such as:Unit numbering system: assigns a unique number to each patient based on the unit they are admitted to, such as a specific floor or department.Encrypted numbering system: assigns a unique number to each patient that is encrypted and not linked to personal information.Master patient index (MPI): assigns a unique number to each patient and links all of their medical records together.Date of birth and last name, also called "Birthday System" assigns a unique number to each patient based on their date of birth and last name.The choice of numbering system depends on the hospital's size, budget, and the type of patients they serve. The most important thing is that the system must be able to produce a unique number for each patient, and the system should be able to track each patient's information and history accurately.

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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:

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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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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

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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.

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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?

Answers

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.

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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

Answers

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.

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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?

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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.

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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?

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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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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.

Answers

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.

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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?

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"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)

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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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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?

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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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the client is admitted to the hospital with a diagnosis of suspected hodgkin's disease. which signs and symptoms of the client are associated with hodgkin's disease? select all that apply.

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Enlarged lymph nodes,lymph nodes in your neck, armpits, or groyne may swell painlessly. persistent tiredness Fever. Sweats during night.

How is Hodgkin disease determined to exist?A lab examines a sample of your blood to determine your general health and check for cancerous growths. imaging exams To check for Hodgkin's lymphoma in other parts of your body, imaging tests are utilised. X-ray, CT, and positron emission tomography tests are possible (PET).The neck, armpit, or groyne swelling is the most typical sign of Hodgkin lymphoma. Even while some individuals say the swelling hurts, the edoema is often harmless. A lymph node's enlargement is brought on by an overabundance of afflicted lymphocytes (white blood cells) (also called lymph glands).Enlarged lymph nodes,lymph nodes in your neck, armpits, or groyne may swell painlessly. persistent tiredness Fever. Sweats during night.

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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?

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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.

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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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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

Answers

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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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?

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The student becomes anxious, starts to hyperventilate, and complains of dizziness and tingling in the hands as the location is being prepped for needle insertion. The nurse would give the pupil instructions. Inhale into your cupped palms.

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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the maternity nurse prepares the client for which techniques commonly used to relieve shoulder dystocia?

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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.

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