A client who will start ambulatory electroconvulsive therapy (ECT) for the treatment of bipolar illness receives education from the nurse. There is a need for more instruction based on the client's comment, "I will receive a muscle relaxant to prevent me from damage during ECT."
A mood disorder called bipolar disorder can result in severe mood swings. You might occasionally experience intense "up," elation, irritability, or vigor. It's known as a manic episode. Sometimes you might feel "down," depressed, uncaring, or hopeless. We refer to this as a depression episode. You might experience both manic and depressed symptoms simultaneously. We refer to this as a mixed episode. Bipolar disorder alters behavior, energy levels, and activity levels in addition to mood swings. Manic depression and manic-depressive disorder were two previous names for bipolar illness.
We can therefore conclude that the client's statement that "I shall receive a muscle relaxant to prevent me from damage during ECT." points to the necessity for extra instruction.
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Complete Question
The nurse provides education to a client who will begin ambulatory electroconvulsive therapy (ECT) for the treatment of the bipolar disorder. which client statement indicates a need for additional teaching?
A. "It is common to treat the disorder with ECT before trying medications."
B. "I can have my disorder cured if I receive a series of ECT treatments."
C. "I will have seizures lasting 1 1/2 to 2 minutes during ECT."
D. "I will receive a muscle relaxant to protect me from injury during ECT."
the mother of a newborn infant questions why her baby needs a vitamin k injection immediately after birth. the best response by the nurse would be:
The mother of a newborn infant questions why her baby needs a vitamin k injection immediately after birth. The best response by the nurse would be: Infants are not born with the normal intestinal bacteria that synthesize vitamin K for clotting.
Hemorrhagic disease of the newborn is a life-threatening condition that is due to insufficient vitamin K levels in newborns as a result of various causes. Proper management of the disease can help reduce disease incidence. This activity outlines the evaluation and treatment of hemorrhagic disease of the newborn and explains the role of the interprofessional team in managing patients with this condition.
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the nurse has observed that a client's food intake has diminished in recent days. what intervention should the nurse perform in order to stimulate the client's appetite?
Make an effort to make sure the cuisine is both enticing and suitably heated for the client. Reduce the number of times the client eats to encourage appetite development. Offer dietary supplements and describe each's potential advantages.
What type of nursing intervention can be used to increase appetite?Encourage or offer dental hygiene. Explanation: There are numerous ways to increase a client's appetite in order to prevent malnutrition. Encouragement or provision of dental care is a helpful independent nursing intervention.
How can you motivate patients to consume more food?Encourage patients to eat whenever they are hungry or to regularly consume small meals, including their favourite foods. Snacks can pique patients' interest in eating, so offer them some.
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when arterial blood from a normal patient is exposed to room air: a. pco2 increases; po2 decreases b. pco2 decreases; po2 increases c. pco2 decreases; po2 decreases d. pco2 increases; po2 increases
The correct option regarding arterial blood is :
a. pCO2 increases; pO2 decreases
How does pCO2 increase and pO2 decrease when arterial blood is exposed to room air ?Usually, inadequate ventilation and carbon dioxide buildup result in respiratory acidosis. The main issue is a raised arterial partial pressure of carbon dioxide (pCO2) and a reduced ratio of arterial bicarbonate to arterial pCO2, which causes a drop in blood pH.
In the blood, bicarbonate (HCO3) and carbon dioxide are in equilibrium. An atmosphere that is acidic results from elevated CO2 levels. Respiratory acidosis, also known as an elevated CO2 level, can occur in people with COPD who have severe breathing issues.
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a client is admitted with a gastrointestinal bleed. what client symptom may indicate a peptic ulcer perforation to the nurse?
Abdominal pain that is abrupt in start, intense, and sharp is how patients with perforated peptic ulcer disease typically present.
What causes a gastrointestinal bleed?Hemorrhoids, peptic ulcers, rips or irritation in the esophagus, diverticular disease and cellulitis, ulcerative colitis , Crohn's, colonic polyps, or cancer inside the colon, stomach, or esophagus are just a few of the numerous potential reasons of GI bleeding.
Should I visit the hospital if I have gastrointestinal bleeding?Any disease, whether visible or hidden, has to be examined by a doctor because it could indicate a serious underlying illness. Small-volume, bright-red, or intermittent bleeding has to be evaluated but is not life-threatening.
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if a baby was 34 weeks gestational age and is now 10 weeks chronologically, what is their corrected age?
Age according to the calendar, minus the number of weeks the child would have been if they had been born at the 40-week mark.
The adjusted gestational age is what?
The Corrected age (CA), often referred to as the Gestationally Corrected Age (GCA) or simply the Gestational Age (GA), is based on the age the kid would have been if the pregnancy had truly continued to term. Chronological age (CH) is a phrase used to describe the age as of the child's actual birth.
There are several traits that may be utilized to determine the gestational age after the baby is delivered. Even if the LMP date is proven to be true, the gestational age may be off by up to two weeks.
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after measuring a nasogastric tube for insertion, the nurse marks the tube at the spot where the tube reaches the tip of the sternum. the nurse understands that this mark indicates the point at which the tube:
In addition, a chest tube may be put under the sternum to evacuate the pericardial sac following open heart surgery.
What is the sternum's primary function?Your heart, lungs, & chest blood arteries are all protected by your sternum, which also works in tandem with your ribs. Support. Your collarbone and the majority of your ribs link to your sternum, as do other skeletal components of your body.
When your sternum hurts, what does that mean?Infection, inflammation, injury, and cartilage degradation that affects the sternum itself can all produce pain in this region. This pain may also be brought on by issues with adjacent organs including the heart, lungs, or esophagus.
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which antihistamine is most likely to be prescribed for a patient with a history of excessive daytime sleepiness who has developed itching, watery nasal discharge, and rhinitis
A second-generation antihistamine(loratadine) having a wide range of applications, including the treatment of seasonal allergy-related pruritus, watery eyes, runny noses, and sneezing.
Drugs called antihistamine are frequently used to treat allergy symptoms such hay fever, hives, conjunctivitis, and responses to insect bites or stings. They are occasionally used as a short-term sleep aid and to stop motion sickness. On the other hand, Zyrtec works quickly. People who use it could get relief in just one hour. The goal of antihistamine like Zyrtec and Claritin is to reduce the histamine response that occurs when your body is exposed to an allergen.
Itchy skin, sometimes referred to as pruritus (proo-RIE-tus), is frequently brought on by dry skin. Given that aging skin tends to get drier, older persons frequently experience it. pruritus Your skin may seem normal, red, rough, or bumpy depending on what is making you scratch.
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a grand multiparous client had a precipitous delivery in the emergency room 6 hours ago. the client was given oxytocin intramuscularly after birth. the nurse examines the client and observes the pad under the buttocks is full of blood. which action should the nurse take first
The doctor diagnoses the patient with hypotonic dystocia and orders an oxytocin (Pitocin) injection to speed up her contractions. After birth, the client received oxytocin intramuscularly.
Which observation shows the nurse that a baby who is 4 days old is getting enough breast milk?A minimum of 2 to 3 wet diapers and 2 stools4 during the course of the second and third days show that your baby is nursing successfully and obtaining the milk she or he requires.
Which of the following would the nurse undertake while measuring the duration of a contraction?Start counting from the start of one contraction to the start of the next when timing contractions. The simplest method for timing contractions is to record them on paper. count the seconds that a contraction actually lasts, as in the example below, or keep track of the time that each contraction begins and ends.
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When a patient has problems with urinary incontinence, he/she may worry about which urinary function?.
A patient has problems with urinary incontinence, he/she may worry about urinary function diabetes.
The urinary machine's feature is to filter blood and create urine as a waste The organs of the urinary gadget encompass the kidneys, renal pelvis, ureters, bladder and urethra. The frame takes nutrients from food and converts them to power.
Excessive blood pressure and diabetes are the 2 most not unusual causes of kidney failure. They also can grow to be damaged from bodily harm, illnesses, or other disorders.
Urinary gadget, also referred to as the renal device or urinary tract, gets rid of waste out of your blood in the form of urine. It also facilitates adjust your blood quantity and pressure, and controls the extent of chemical substances and salts (electrolytes) on your body's cells and blood.
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many people rely on laxatives because of what common misconception? a. they believe they will crave fewer snacks. b. they believe laxatives will make constipation more bearable. c. they believe they must have one bowel movement a day. d. they believe they will sleep better. e. they believe laxatives work better than high-fiber diets.
They feel you should have single bowel movement each day, according to the quote.
How does a diet heavy in fiber affect your body?Dietary fiber softens and boosts the weight and volume of your feces. Your likelihood of developing constipation is reduced by a large stool's ease of passage. Fiber absorbs water and gives stools volume, so if you've got loose, watery stools, it might help to solidify them. protects the health of the bowels.
Do high fiber diets cause constipation?Yes, raising your fiber intake might cause you to urinate more frequently, which can be particularly beneficial if you have constipation. Particularly insoluble fiber aids in getting water into colon and gives your stool volume and softness to make it easier for it to pass through.
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a client undergoing chemotherapy has a critically low platelet count. to stimulate platelet cell production, the nurse expects to administer:
When a client undergoing chemotherapy has a critically low platelet count, the nurse expects to administer Oprelvekin (Neumega), a thrombopoietin to stimulate platelet cell production.
One or more anti-cancer medications are used as part of a regular chemotherapy programme in chemotherapy, a type of cancer treatment. Chemotherapy can be administered with the goal of curing a condition, extending life, reducing symptoms, or all three. One of the main subspecialties of the medical field known as medical oncology, which is dedicated exclusively to pharmacotherapy for cancer, is chemotherapy. Importantly, using medications qualifies as systemic therapy for cancer since they enter the bloodstream and can, in theory, treat the disease at any anatomic site in the body. When treating cancer locally, techniques like radiation therapy, surgery, or hyperthermia therapy are frequently combined with systemic therapy.
Low platelet level indicates a low platelet count in the blood. There are causes of low platelet levels besides underlying illness. Pregnancy, altitude, and adverse drug reactions are a few examples. If your platelet count drops too low, your doctor may transfuse packed red blood cells or platelets to replenish lost blood. Your doctor can recommend medications to increase your platelet count if your disease is linked to an immune system issue. A corticosteroid could be the first treatment option.
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the body responds to infection by increasing the production of white blood cells (wbcs). the nurse should evaluate the differential count for what type of wbcs, which are the first wbcs to respond to an inflammatory event?
The body responds to infection by increasing the production of white blood cells (WBC). the nurse should evaluate the differential count to Verify that the client has signed a written consent form.
White blood cells are a vital and important part of your immune gadget. Produced in your bone marrow, they defend your frame against infections and disease. but, whilst there are too many white blood cells, it normally approaches you to have contamination or inflammation in your white blood cells, also referred to as leukocytes, which are chargeable for shielding your frame from infection. As a part of your immune machine, white blood cells flow into your blood and reply to harm or illness.
Body if you have got WBC counts between 50,000 and hundred,000 in line with a microliter of blood, it can mean that you have severe contamination, organ rejection, or a strong tumor. Very high WBC counts over one hundred,000 normally simplest arise with situations like leukemia or other forms of blood and bone marrow cancer.
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based on research findings, which is most accurate regarding the relationship between cardiovascular disease (cvd) and stress?
According to the given statement Stress can cause heart attacks and can play a role in CVD development.
What are cardiovascular diseases?Conditions affecting either heart or blood vessels are collectively referred to as cardiovascular disease (CVD). Atherosclerosis, a buildup of fatty deposits in the arteries, and a higher risk of blood clots are typically connected with it. Overall, life expectancy could be reduced by 8–10% of what you thought it would be. For instance, a person without heart disease is predicted to pass away around the age of 85, however a heart attack reduces life expectancy by 10%, or 8.5 years.
Can heart disease be treated?Even though coronary heart disease has no known cure, medicines can help manage the symptoms and preventing relapse like heart attacks. Among the proposed therapies include alterations in lifestyle, such as increased physical activity and stopping smoking.
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the clinic nurse is caring for a client complaining of a foreign agent splashed into the eye. what intervention would the nurse employ before treatment?
Evaluate the client's visual acuity intervention would the nurse employ before treatment.
What is treatment with example?The manner in which something is thought about and studied Chris Wilson treats the same topic considerably differently in his most recent book. More instances. The treatment of prisoners of war was inhumane and cruel. They were charged with treating the hostages inhumanely.
What phase of treatment is the first?Clients may be in the pre - contemplation, reflection, preparation, and early action stages of change in the early stages of treatment, depending on the group's makeup. No matter where they are in their early recovery, clients frequently have mixed feelings about quitting using drugs.
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a relapsing-remitting initial course followed by the disease with or without relapses are characteristics of which type of multiple sclerosis?
a relapsing-remitting initial course followed by the disease with or without relapses are characteristics of secondary progressive multiple sclerosis
Multiple Sclerosis may be a disease of the central nervous system, which is made up of the brain, spinal rope, and optic nerve.his disorder causes devastation of the myelin that encompasses and ensures nerve filaments. Secondary-progressive multiple sclerosis is the shape of the disease that creates from relapsing-remitting multiple sclerosis. The MS disease course shifts over people and not all patients who have RRMS will create SPMS. As of now, it isn't conceivable to foresee who will inevitably develop SPMS, but people who have visited extreme relapses and huge numbers of the brain and spinal line at the time of determination appear to be a higher chance.
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the nurse is planning education for a client who has exhibited aggression on techniques to manage anger. which situation would be best for providing this education?
The client who is sitting in the dayroom reading a book.
How to manage anger?It is not appropriate to teach a client how to control their anger and hostility when these emotions are already there. As a result, events that cause a client to argue with a roommate or threaten to hit another client both cause them to feel angry and aggressive. The client who is reading a book is more receptive to learning these strategies because they aren't confronted with circumstances that would otherwise encourage aggressive or violent behavior. The client should not be interrupted for education while eating lunch with family members because they are engaged in a social activity.To learn more about anger management, refer to
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a client with post-polio syndrome displays fatigue and decreased muscle strength. how should the nurse best respond to the client?
The nurse best respond to the client by saying that Intravenous immunoglobulin infusion may help you
What is post-polio syndrome ?Several decades after the initial polio infection, a group of potentially incapacitating signs and symptoms are known as post-polio syndrome. Typically, between 30 and 40 years after having had polio, these signs and symptoms start to show up. Historically, polio virus infection resulted in death and paralysis.
Your arms, legs, or both may feel weakened or paralysed. This weakness or paralysis may persist forever. When breathing muscles are affected, paralysis has the potential to become life-threatening. Later in life, people can develop post-polio syndrome (PPS).Learn more about Post-polio syndrome here:
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which diagnostic tests are a priority for a patient who had a stroke and needs a cardiac assessment select all that apply
A chest x-ray. cardiac indicators. Electrocardiogram digital tomography
What occurs when you experience a stroke?Brain activity is lost when brain cells are destroyed. It's possible that you won't be able to perform tasks that require that section of your brain. For instance, a stroke may impair your flexibility to shift, speak, eat, think, and recall, as well as your capacity to control your bowel & bladder, emotions, and other essential bodily processes.
What is the duration of a stroke?Every stroke is unique. Some people may resume normal activities after a few weeks, with really no long-term phy-sical or mental problems. However, for some people, healing or adjusting to any lengthy effects may take several months.
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1. you have inflammation of the large intestine, a condition called ulcerative colitis. what is the most probable reason that you would develop iron-deficiency anemia?
The most probable reason that would develop iron-deficiency anemia is that You are experiencing chronic blood loss in your stools
What is ulcerative colitis ?Inflammatory bowel disease called ulcerative colitis damages the colon's superficial lining by causing chronic inflammation and ulcers. And that also applies to the rectum.
In ulcerative colitis, one theory holds that the immune system misinterprets "friendly bacteria" in the colon, which aid in digestion, as a dangerous infection, causing inflammation in the colon and rectum.Inflammation in the intestine can prevent the body from properly absorbing iron in UC and Crohn's disease, another type of inflammatory bowel disease. Low iron levels as a result of this can result in anemia. Anemia can also be brought on by intestinal bleeding, which causes blood loss.Learn more about Ulcerative colitis here:
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which of the following are challenges to global public health informatics? (select all that apply) inability to handle massive outbreaks of disease systems need to integrate zoonotic with human data better diagnostic tools widespread indifference
Systems need to integrate zoonotic with human data is a major challenge in global public health informatics. Therefore, option (B) is correct.
What is zoonotic disease?An infectious disease known as a zoonosis has spread from non-human animals to people. Zoonotic infections can spread to people by direct contact, food, water, the environment, viral, bacterial, parasitic, or other unconventional agents.
The threat posed by zoonoses to human health and sustainable development is now widely acknowledged, raising serious concerns among national and international organizations. The large range of animal species involved and the frequently intricate natural histories of the infections in question make it difficult for public health officials to effectively monitor, prevent, and control zoonotic illnesses.
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a nurse is reviewing the medication profile of a client who recently began lithium therapy for bipolar disorder. which prescription or over-the-counter (otc) medication/substance should alert the nurse for an increased likelihood of toxicity?
A nurse is reviewing the medication profile of a client who recently began lithium therapy for bipolar disorder. The client runs 4 miles outdoors every afternoon.
It's used to deal with Lithium problems such as: mania (feeling incredibly excited, overactive or distracted) hypo-mania (just like mania, however much less extreme) regular intervals of despair, where remedy with other drug treatments has now not worked.
Lithium improves the body's potential to synthesize serotonin. This certainly means that the frame's levels of serotonin increase in response to lithium, which has the effect of improving temper and decreasing feelings of anxiety.
long-term lithium treatment is related to a discounted urinary concentrating capability, with subsequent polyuria and polid psia and nephrogenic diabetes insipidus (in 10-40% of sufferers).
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What is the blood type of individuals who cannot add the terminal sugar to the h substance?.
Blood Type O (homozygous OO)
Person who are homozygous OO are cannot attach terminal sugars to the H substance and only express the H antigen
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when assessing a client with schizophrenia, the nurse observes positive and negative symptoms. which would the nurse document as a positive symptom? select all that apply.
When evaluating a client having schizophrenia, the nurse notices both good and negative indicators. Delusions and hallucinations are one of the positive symptoms that the nurse would record.
What kind of work does a nurse do?Registered nurses (RNs) deliver and oversee patient care, inform the public regarding various health issues, and offer patients' families emotional support and advice. In a variety of contexts, the majority of registered nurses collaborate with doctors and other healthcare professionals.
How long are nurses living?According to research published in a working paper by the Bureau of Economic Research, persons who have access to informal health knowledge—such as have a nurse or physician in the family—are 10% more likely to live past the age of 80.
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the nurse is caring for a client following a transurethral resection of the prostate (turp). the client has a 3 way irrigation catheter in place. which finding would indicate the need to increase the irrigation rate?
When making the irrigation solution, use sterile procedures, and make sure the drainage tubing is clear and unobstructed. If the urine is bright crimson or contains big clots, alert the surgeon.
What function does a 3-way urinary catheter serve in TURP patients?When irrigation of the bladder is expected to prevent or treat blood clots in the bladder, three-way Foley catheters are used. Patient safety and clinical results are influenced by effective bladder irrigation. After transurethral prostate removal, continuous bladder irrigation (CBI) is frequently employed 1, 2. (TURP).
What is bladder irrigation?A sterile liquid is flushed through your bladder as part of a medical procedure called continuous bladder irrigation (CBI). At the same time, it eliminates urine (pee) from your body. It is frequently used by medical professionals to prevent or dissolve blood clots following surgery on the urinary tract.
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Supplement connect is usada’s resource focusing on dietary supplement education. As your athletes and you search for answers to questions about dietary supplements, what information is not on the website?.
Dietary supplements may also help athletes who are gaining weight or who need to address known nutritional deficiencies.
Some of the most studied include protein creatine caffeine bicarbonate and beta-alanine. No supplements are required. Instead, whole foods and a balanced nutrition plan provide the right amount of key nutrients needed to be a healthy athlete and perform at peak performance can.
These extra ingredients may seem like a good idea, but the more ingredients the higher the chance of unwanted side effects. Start with only the vitamins or minerals you want to take. Don't buy more than you need. Too much vitamin A can cause headaches and liver damage, reduce bone strength and cause birth defects. Excess iron can cause nausea and vomiting and damage the liver and other organs.
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a 66-year-old man underwent a successful partial gastrectomy for the treatment of stomach cancer 3 years ago. the man had a scheduled follow-up appointment with his primary caregiver and had blood work completed. the results of the man's blood work indicated anemia. the nurse who is contributing to the patient's care should recognize that this patient's anemia may be attributable to what factor?
After a successful partial gastrectomy for the treatment of stomach cancer 3 years ago, the nurse who is contributing to the patient's care should recognize that this patient's anemia may be attributable to decreased vitamin B12 absorption.
To treat stomach cancer, a doctor might perform a Partial gastrectomy: This procedure removes a part of the abdomen. Doctors usually take away liquid body substance nodes and fat additionally to assist guarantee all the cancer is gone. Total gastrectomy: Doctors take away the whole abdomen, close liquid body substance nodes and fat.
Anemia is a condition within which you lack enough healthy red blood cells to hold adequate gas to your body's tissues. Having anemia, additionally mentioned as low haemoglobin, will cause you to feel tired and weak. There are several kinds of anemia, every with its own cause.
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which intervention will the nurse expect for form for a patient who takes tricyclic antidepressants and who has
The recommended course of treatment for TCA toxicity is sodium bicarbonate. Through the creation of an alkalosis and a sodium load, this serves to enhance cardiac conduction.
Tricyclic antidepressants induce toxicity in what ways?TCAs are largely metabolized by and their metabolism may be affected by the enzyme inducers and inhibitors of this pathway. The main substance or one of its metabolites may be toxic. The unbound percentage of TCA may rise in cases of respiratory or metabolic acidosis, which might intensify the negative consequences.
Dry mouth, hazy vision, dilated pupils, sinus tachycardia, pyramidal neurological symptoms, and sleepiness are the most prevalent clinical characteristics.
If an overdose results in respiratory depression, an acidosis, which decreases protein binding, and a rise in the quantity of unbound tricyclic, these effects may also occur.
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the nurse is caring for a client who has a deep wound and whose saline-moistened wound dressing has been changed every 12 hours. while removing the old dressing, the nurse notes that the packing material is dry and adheres to the wound bed. which modification is most appropriate?
The nurse is worrying about a purchaser who has a deep wound and whose saline-moistened wound dressing has been modified every 12 hours to reduce the time c programming language b/w dressing changes.
If the dressing sticks to the wound, moisten it and strive again unless your issuer informed you to pull it off dry. placed the antique dressing in a plastic bag and set it aside. smooth your arms again after you are taking off the old dressing.
To deal with deep and wet wounds, an absorptive filler and a cowl dressing must be decided on. Filler dressing alternatives include absorptive dressing, calcium alginate (flat or rope), hydro-fiber, hydro polymer, or distinctiveness gauze.
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the nursing instructor is teaching a session explaining mast cell stabilizers. the instructor determines the session is successful when the students correctly choose which drug as an example?
The nursing instructor is teaching a session explaining mast cell stabilizers and determines the session is successful when the students correctly choose which drug as an example of Cromolyn.
Cromolyn is employed to treat the symptoms of mastocytosis. Mastocytosis could be a rare condition caused by too several mast cells within the body. These mast cells unleash substances that cause the symptoms of the unwellness, like abdominal pain, nausea, vomiting, diarrhea, headache, flushing or skin sensation of skin, or hives.
Mast cell stabilizers are medications accustomed stop or management bound allergic disorders. They block mast cell degranulation, stabilising the cell and thereby preventing the discharge of histamine and connected mediators. One suspected pharmacodynamic mechanism is that the block of IgE-regulated calcium channels. While not intracellular calcium, the amine vesicles cannot fuse to the semipermeable membrane and degranulate.
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the nurse is caring for a burn-injured client who weighs 154 pounds, and the burn injury covers 50% of his body surface area. the nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 ml/kg/% burn of intravenous (iv) fluid for the first 24 hours. the nurse plans to administer what amount of fluid in the first 24 hours?
The nurse plans to administer 14L amount of fluid in the first 24 hours.
Why second-degree burns of more than 25% of the body is considered critical?
They affect the outer layer of skin, called the epidermis, and part of the second layer of skin called the dermis. Second-degree burns can be very painful and often take several weeks to heal. Burns that affect large areas of the skin can cause serious complications and may be prone to infection.
How do you calculate the percentage of burns?
The "rule of palm" is another way to estimate the size of a burn. The palm of the person who is burned (not fingers or wrist area) is about 1% of the body. Use the person's palm to measure the body surface area burned. It can be hard to estimate the size of a burn.
What is the most important aspect of the management of burn injury in the first 24 hours?
Accurately estimating the size of a burn is crucial to the management of burn patients in the first 24-48 hours. Many providers may be familiar with the “rule of nines” or the use of the Lund and Browder chart.
154 pounds/2.2 = 70kg
4*70kg*50 = 14,000ml, or 14 liters.
Thus, the nurse plans to administer 14L amounts of fluid in the first 24 hours.
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