Patients whose injuries are serious but survivable should be given priority in care according to the system developed by Army Major John Letterman during the Civil War.
Letterman also established a strategy to optimize the lifesaving benefits of wound care by requiring that troops who could survive with prompt attention be given priority over those with deadly and mild injuries. This treatment prioritization technique is now known as triage, but it was not given that term until the First World War.
In this context of European medical and surgical innovation, Jonathan Letterman must be considered. Union surgeons, medics, and soldiers in 1861 were not only woefully unprepared for the devastation that would ensue over the next four years of war, but they were also far behind the professional forces of Europe.
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the nurse is caring for a client who is receiving amikacin for the treatment of a serious staphylococcus aureus infection. what assessment should the nurse prioritize?
When caring for a client who is receiving amikacin for the treatment of a serious Staphylococcus aureus infection, the nurse should prioritize monitoring the client's renal function.
Amikacin is an aminoglycoside antibiotic that is primarily eliminated through the kidneys. As such, it can be toxic to the kidneys, and can cause nephrotoxicity, especially if given in high doses or for prolonged periods. To prevent nephrotoxicity, the nurse should monitor the client's renal function by checking urine output, serum creatinine, and blood urea nitrogen (BUN) levels.
The nurse should also assess for signs of nephrotoxicity, such as decreased urine output, increased serum creatinine and BUN levels, and signs of fluid and electrolyte imbalances.
Other important assessments that the nurse should prioritize include monitoring for signs of ototoxicity (hearing loss, tinnitus, and vertigo) and ensuring that the client is well-hydrated to prevent kidney damage. The nurse should also assess for any signs of allergic reaction or adverse effects associated with the medication.
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when considering progression in your fitness program, what determines your adherence to the program?
Motivation is the adherence to the program.
What is the importance of motivation?Using strong patient motivation techniques can help put some of that control back into the provider's hands. Healthcare professionals can better encourage their patients to take part in important self-management activities by tapping into proven strategies catered to the specific patient,
The word "motive," which refers to a person's needs, wishes, wants, or drives, is the root of the word "motivation." It is the process of inspiring people to act in order to accomplish a goal. In the context of career aspirations, psychological factors influencing people's behaviour may include a desire for money.
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while assessing a one-month-old infant, which of the findings warrants further investigation by the nurse?
While assessing a one-month-old infant, the following findings warrants further investigation by the nurse:
C. Inspiratory gruntE. Nasal flaringF. CyanosisG. Asymmetric chest movementOptions C, E, F and G are correct.
Grunting occurs when a newborn uses partial glottic closure to preserve appropriate functional residual capacity in the face of poorly compliant lungs. When the newborn extends the expiratory phase against the partially closed glottis, there is a longer and increasing residual volume that keeps the airway open, as well as an audible expiratory sound.
Nasal flaring is an indication of difficulty breathing or respiratory discomfort when the nostrils expand during breathing.
Cyanosis is a bluish tint of the skin that signifies a reduction in the amount of oxygen connected to red blood cells in the circulation.
Asymmetric chest movement occurs when the aberrant side of the lungs expands less than the normal side and trails behind. This is an indication of respiratory trouble.
The complete question is:
While assessing a one-month-old infant, which of the findings warrants further investigation by the nurse? Select all that apply.
A. Abdominal respirationsB. Irregular breathing rateC. Inspiratory gruntD. Increased heart rate with cryingE. Nasal flaringF. CyanosisG. Asymmetric chest movementTo learn more about infant assessment, here
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What is useful in collecting blood specimens from small or fragile veins?
The answer to this question is (a) the clinical ladder provides a reward system for clinical excellence, with different responsibilities and advantages for each progressive level.
Scarring of veins causes tiny capillaries to form collateral circulation, making small, fragile veins available for venipuncture. Use of illicit intravenous drugs. When caustic drugs come into contact with the intimal lining of veins, scar tissue forms.
The clinical ladder is a structured system to provide nurses with career advancement while remaining in their current clinical setting, providing direct patient care. It is used to recognize professional development and differentiate between different levels of nursing care and expertise
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after alerting the pharmacist and apologizing to the patient, which next step is highly encouraged to appropriately handle a misfill?
After alerting the pharmacist and apologizing to the parting, document the error internally and on MERP is the next step that highly encourages to appropriately handle a misfill. Option 3 is correct.
A medical mistake is an avoidable unfavorable result of care, whether visible or damaging to the patient. This might involve an incorrect or insufficient diagnosis or treatment of an illness, accident, syndrome, behavior, infection, or other problem. Inexperienced physicians and nurses, novel treatments, extremes of age, and complex or urgent care can all contribute to medical blunders.
According to the study literature, medical mistakes are generated by both errors of commission and errors of omission. Errors of omission are produced when providers did not take action when they should have, whereas errors of commission occur when choices and action are delayed. Communication breakdowns have also been linked to commission and omission mistakes.
The complete question is:
After alerting the pharmacist and apologizing to the patient, which next step is highly encouraged to appropriately handle a misfill?
Identify contraindication to drug therapy.Deliver the correct dosage.Document the error internally and on MERP.To learn more about Medical error, here
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7. Explain why different routes affect the dose of medication given._
the nurse is conducting a support group for parents of 9- and 10-year-olds. the parents express concern about the amount of time their children want to spend with friends outside the home. what should the nurse teach the parents that peer groups provide?
The nurse should include a source of affection, regarding the role of the peer group in the life of a school-age child.
School age child development is a range from 6 to 12 times of age. During this time period observable differences in height, weight, and figure of children may be prominent. The language chops of children continue to grow and numerous geste changes do as they try to find their place among their peers.
Peer relationships give a unique environment in which children learn a range of critical social emotional chops, similar as empathy, affection, cooperation, and problem- working strategies. Peer connections can also contribute negatively to social emotional development through bullying, rejection, and counterculturist peer processes.
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when a patient is required to see a primary care physician in their network, the patient likely has which type of insurance?
Those who join health maintenance organizations (HMOs) are required to choose a primary care physician (PCP), who plays a crucial role in overseeing every aspect of the patient's medical care.
What does "excellent health" mean?
Human health is the degree to which an individual continues to be able to adapt to his or her surroundings on a physical, psychological, mental, and social level. There are a number of other definitions that could apply. Particularly, what is considered to be "excellent" health can differ greatly.
What are wellness and health?
Its World Health Assembly (WHO) then offered a definition that aspired higher, tying health to well-being in terms of "physiological, psychological, and societal well-being, and not only the absence of illness and infirmity," in 1948, in a major break from earlier definitions.
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the nurse is caring for a child weighing 30 kg. the healthcare provider orders gentamicin 100 mg iv three times per day. the recommended dosage range is 6 to 7.5 mg/kg/day. what action should the nurse take?
The nurse will divide the dose of gentamicin according to the baby weight and provide it via intermittent dosage during a single day.
Gentamicin or gentamicin injection pediatric, you can inject someone intravenously or intramuscularly. To determine the proper dose, the patient's pretreatment body weight should be acquired.
An estimation of the lean body mass should be used to determine the aminoglycoside dose for obese patients. The use of aminoglycosides should be restricted to brief periods of time. 6 to 7.5 mg/kg/day for children. Every eight hours, inject 2 to 2.5 mg/kg. Baby and newborn dosage: 7.5 mg/kg/day. 2.5 mg/kg given once every eight hours.
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what test is the process of having the patient perform a specific inspiratory and expiratory maneuvers?
The test that involves having the patient perform a specific inspiratory and expiratory maneuver is called a pulmonary function test (PFT).
In a PFT, the patient is asked to take a deep breath and then exhale as forcefully and completely as possible into a device called a spirometer. This measures the amount of air the patient is able to exhale, as well as how quickly they are able to do so. The test may also involve having the patient inhale a medication to see if it improves their lung function.
One specific type of PFT that involves inspiratory and expiratory maneuvers is the forced vital capacity (FVC) test. In this test, the patient is asked to take a deep breath and then exhale as forcefully and completely as possible, in order to measure the maximum amount of air they can exhale in one breath.
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the nurse assess the cardiac status of a client and identifies an increased pulse pressure. which is the best defintion for the nurse to recall when providing education regarding this phenomenon
Pulse pressure is the difference between the systolic and diastolic blood pressure readings.
An increased pulse pressure is when the systolic number is advanced than the diastolic number. An increased palpitation pressure can be caused by a number of conditions, including heart failure, anaemia, and dehumidification. It can also be caused by exercise or a unforeseen increase in exertion. It's important to cover the palpitation pressure
of a customer and to seek medical attention if there's cause for concern. Educating the customer on the significance of covering their pulse pressure, and consulting a healthcare professional when necessary, can help to help potentially serious health issues.
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which type of medication is most commonly used to treat parasitic infections?
Answer:
Common drug classes used to treat parasitic infections are antiparasitics, nitroimidazole antibiotics, and pyrethroids.
Explanation:
moms a doctor a surgeon actually :) ;)
Answer:
Common drug classes used to treat parasitic infection are antiparasitics, nitroimidazole antibiotics, and pyrethroids.
Explanation:
An 8 month old infant is eating and suddenly begins to cough. The infant is unable to make any noise shortly after. You pick up the infant and shout for help. You have determined that the infant is responsive and choking with a severe airway obstruction. How do you relieve the airway obstruction?
A. give sets of 5 back slaps and 5 chest thrusts
B. give abdominal thrusts
C. begin 2 thumb-encircling hands chest compressions
D. encourage the infant to cough
A baby who is 8 months old is eating when she suddenly starts coughing. Soon after, the baby is unable to make any noise. You must perform sets of 5 back slaps and 5 chest thrusts to clear the respiratory obstruction in the airway.
You've discovered that the baby is awake and choking due to a serious airway obstruction. Respiratory physiotherapy plays a critical role in managing and treating patients with respiratory illnesses. Tapotement, cupping, and clapping are additional terms for percussion.
With percussion, you can give your chest wall and lungs occasional bursts of kinetic force. The thorax is rhythmically struck over the emptied lung segments with a cupped hand or mechanical tool to do this.
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in which stage of cellular respiration is energy used to produce atp?
The stage of cellular respiration which produces the most ATP is Electron Transport Chain or Oxidative phosphorylation.
Cellular respiration can be explained as the process that involves the breakdown of glucose molecules into [tex]CO_{2}[/tex] and [tex]H_{2}O[/tex]. This is done in order to generate and release energy inform of Adenosine Triphosphate (ATP). Cellular respiration usually takes place in the cells of all the organism that exist. It is by converting all the biochemical energy present nutrients into Adenosine Triphosphate ultimately. On the other hand, it takes place in three stages which includes the following process: glycolysis, TCA cycle and most importantly Electron transport (Oxidative phosphorylation). Thus, oxidative phosphorylation is the final and crucial stage of aerobic cellular respiration that produces maximum ATPs.
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which action recognizes the needs of families in end-of-life care?
One action that recognizes families' needs in end-of-life care involves them in decision-making processes.
Which action should be taken in end-of-life care?In end-of-life care, the health provider should recognize the needs of the patient's family. This includes discussing treatment options and end-of-life preferences with family members and including their input in any decisions made. Additionally, providing emotional support and resources for families during this difficult time is important in recognizing their needs. This can include connecting them with support groups, providing counseling services, and offering grief support after the death of a loved one. Overall, recognizing the needs of families in end-of-life care involves considering their emotional, physical, and financial needs and taking action to support them.
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when a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing ethnic identity. Option C is correct.
The capacity of healthcare personnel to display cultural competence toward patients with varied values, beliefs, and feelings is referred to as cultural competence in healthcare. This method involves taking into account patients' particular social, cultural, and psychological requirements in order to facilitate effective cross-cultural communication with their health care professionals.
Cultural competency in health care aims to eliminate health inequities and offer patients with appropriate treatment regardless of their race, gender, ethnic origin, native languages spoken, or religious or cultural views. Cultural competence training is essential in health care disciplines that need frequent human interaction, such as medicine, nursing, allied health, mental health, social work, pharmacy, oral health, and public health.
The complete question is:
When a home-bound client expresses her past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
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a patient has had an ischemic stroke and has been admitted to the medical unit. what action should the nurse perform to best prevent joint deformities? a) place the patient in the prone position for 30 minutes/day. b) assist the patient in acutely flexing the thigh to promote movement. c) place a pillow in the axilla when there is limited external rotation. d) place patients hand in pronation
The answer to this question is (c) place a pillow in the axilla when there is limited external rotation
pillow in the axilla prevents adduction of the affected shoulder and keeps the arm away from the chest. The prone position with a pillow under the pelvis, not flat, promotes hyperextension of the hip joints, essential for normal gait.
To promote venous return and prevent edema, the upper thigh should not be flexed acutely.
The hand is placed in slight supination, not pronation, which is its most functional position.
In summary, here are some nursing interventions for patients with stroke:
Positioning. Position to prevent contractures, relieve pressure, attain good body alignment, and prevent compressive neuropathies.
Prevent flexion. Apply splint at night to prevent flexion of the affected extremity.
Prevent adduction. Prevent adduction of the affected shoulder with a pillow placed in the axilla.
Prevent edema. Elevate affected arm to prevent edema and fibrosis.
Full range of motion. Provide full range of motion four or five times a day to maintain joint mobility.
Prevent venous stasis. Exercise is helpful in preventing venous stasis, which may predispose the patient to thrombosis and pulmonary embolus.
Regain balance. Teach patient to maintain balance in a sitting position, then to balance while standing and begin walking as soon as standing balance is achieved.
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children who have not been formally identified as having a disability but who may be developing conditions that lead to one are called_____.
Children who have not been formally identified as having a disability but who may be developing conditions that lead to one are called "at-risk" children.
"At-risk" children refers to children who have not been formally diagnosed with a disability but who have one or more risk factors for developing a disability or delay. These elements may include:
Family history of a certain ailment: If a kid has a family history of a particular impairment, they may be more likely to develop that disease themselves.
Delayed developmental milestones: A child may be at risk of acquiring a handicap if they do not achieve specific developmental milestones, such as speaking, walking, or socialising.
Environmental issues: Children who are exposed to environmental factors such as lead or chemicals may experience developmental delays or impairments.
Medical issues at birth: Children with medical conditions at birth, such as low birth weight, may be more likely to acquire impairments.
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achieving optimal vitamin d status is consuming adequate calcium when it comes to bone health. multiple choice question. more important than just as important as less important than
Calcium is as important as vitamin D,they work together to complete the process of bone mineralisation.
Calcium and vitamin D serve to maintain and strengthen bones, and vitamin D aids in the efficient absorption of calcium by the body. Therefore, even if you are getting enough vitamin D, it may be wasted if you are not getting enough calcium, or vice versa.
For our heart, muscles, and nerves to work correctly as well as for blood to clot, calcium is required. Osteoporosis is considerably exacerbated by inadequate calcium levels. Vitamin D is crucial for the growth and calcification of bones, among other bodily processes.
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what statement made by a person regarding hydrochlorothiazide is correct? 1. "Hydrochlorothiazide (Microzide) enhances kidney function causing you to urinate more and that decreases your blood pressure." 2. "Hydrochlorothiazide (Microzide) decreases the fluid in your bloodstream and this lowers your blood pressure." 3. "Hydrochlorothiazide (Microzide) dilates your blood vessels so you urinate more and your blood pressure decreases." 4. "Hydrochlorothiazide (Microzide) increases your heart rate; this pumps blood faster to your kidneys so you urinate more and your blood pressure decreases."
The correct statement regarding hydrochlorothiazide is option 2: "Hydrochlorothiazide (Microzide) decreases the fluid in your bloodstream and this lowers your blood pressure."
Hydrochlorothiazide is a medication that belongs to the class of drugs known as diuretics or "water pills." It is used to treat high blood pressure (hypertension) and fluid retention (edema) caused by conditions such as congestive heart failure, liver disease, or kidney disease. By helping the body get rid of excess fluid and salt, hydrochlorothiazide can lower blood pressure and reduce swelling. It is typically taken orally in the form of a tablet or capsule. Like all medications, hydrochlorothiazide can have side effects, including dizziness, headache, and increased sensitivity to sunlight.
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a 36-year-old man presents with extreme abdominal pain and a history of peptic ulcer disease. upon assessment, the nurse notes his abdomen is rigid and boardlike with absent bowel sounds. you suspect:
The patient is having recurrence of perforated peptic ulcer which has symptoms of belly hurts to palpate, there is noticeable rebound soreness, the abdominal muscles are stiff, and bowel sounds are either reduced or nonexistent.
Adhesion-free ulcer generally develop in the front wall of the duodenum or, less frequently, in the stomach. These ulcers can also perforate into the peritoneal cavity. The patient has an acute abdomen pain when they arrive.
Suddenly, intensely, and continuously, there is epigastric pain that quickly extends across the abdomen, frequently focusing in the right lower quadrant and occasionally radiating to one or both shoulders. Because even deep breathing makes the discomfort worse, the sufferer often lies immobile.
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a defendant was recognized as legally insane by the court and was sent to a psychiatric facility. the forensic nurse is assigned to assess the defendant and to conduct group acitivities. which role of forensic psychiatric nursing does the nurse assume
A defendant was recognized as a very legally insane by the court and was sent to a psychiatric facility. The role of forensic psychiatric nursing does the nurse assume competency evaluator.
A forensic nurse should play various roles and functions. The role of the competency evaluator to regularly assess the mental condition of a defendant who is mentally ill and not stable. The nurse should plan a treatment plan and conduct one-on-one and group actives for the defendant. This helps to eventually stabilize the defendant and give effective treatment for the mental illness. The role of fact witness is to give the statement in the court and to testify about the initial condition and treatment given to any victim. The role of forensic examiner is to primarily observe the behavior of the defendant in the courtroom, jail, and also at the site of the incident. This helps to identify and make an opinion whether the defendant is legally insane or sane. The role of the hostage negotiator is to address and elicit the mental state of the perpetrator before, during, and after the hostage crisis.
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a nurse is working with a single-parent family. when planning the care for this family, which need should the nurse anticipate as being a priority concern?
The nurse is working with a single-parent family, so when planning the care for his family, the priority concern is Financial concerns, Shift in roles
When initiating family caregiving, three factors organize the handling of the family caregiving process.
Nurses consider all individuals within the family context, families influence individuals, and individuals influence families. The nurse should ask about previous financial problems and how the family has dealt with them. This information helps caregivers assess the coping skills of family members. Similarly, asking about a family member's history of addiction can help caregivers learn how the family is coping with the crisis. Her four criteria for determining priorities. They are the nature of a condition or problem, categorized as a health condition/probability, threat to health, poor health, or foreseeable crisis.
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Labor-intensive intertillage is often practiced in: _______
Labor-intensive intertillage is often practiced in traditional subsistence agriculture, particularly in developing countries where mechanized farming methods are not widely available or affordable.
In intertillage, crops are planted in rows with space left between the rows, and the soil between the rows is regularly tilled to remove weeds and promote healthy crop growth.
This process is typically done manually,with hes or other handheld tools , and requires a significant amount of labor from farmers.
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Explain the pathophysiology of hypotension for a client who is experiencing sepsis
a nurse caring for a client with diarrhea needs to establish an intravenous (iv) access to administer fluids and medication. when explaining intravenous access to the client, what would the nurse most likely incorporate into the description?
When explaining intravenous access to the client, the nurse most likely would incorporate the insertion of a catheter into a peripheral vein into the description.
Intravenous access, often shorten as IV access, is a procedure in which a cannula is placed inside a vein to provide access to the veins. It is mainly used to administer fluid, medication, parenteral nutrition, blood products, and even chemotherapy.
IV access allows faster resuscitation when doing those things mentioned above. The rapid and quality resuscitation it gives allows the pitfalls of hemorrhage. Peripheral venous cannulation is the most commonly to be used, especially for administering fluids and medication.
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a nurse is assessing a client who gave birth vaginally about 4 hours ago. the client tells the nurse that she changed her perineal pad about an hour ago. on inspection, the nurse notes that the pad is now saturated. the uterus is firm and approximately at the level of the umbilicus. further inspection of the perineum reveals an area, bluish in color and bulging just under the skin surface. which action would the nurse do next?
A nurse is assessing a client who gave birth vaginally about 4 hours ago. The action would the nurse do next, Option B. notify the health care provider
A healthcare provider is an individual or institution that offers medical care or treatment. Doctors, nurse practitioners, midwives, radiologists, laboratories, hospitals, urgent care clinics, medical supply companies, and other professions, facilities, and businesses that provide such services are examples of healthcare providers.
A health care provider is an individual health professional or a health facility company that is certified to provide health care diagnosis and treatment services such as medication, surgery, and medical gadgets. Health insurance companies frequently compensate health care providers for their services.
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Complete Question is:
A nurse is assessing a client who gave birth vaginally about 4 hours ago. The client tells the nurse that she changed her perineal pad about an hour ago. On inspection, the nurse notes that the pad is now saturated. The uterus is firm and approximately at the level of the umbilicus. Further inspection of the perineum reveals an area, bluish in color and bulging just under the skin surface. Which action would the nurse do next?
A. Massage the fundus
B. notify the health care provider
C. apply warm soaks to the area
D. encourage the client to void
the patient is experiencing muscle weakness and increased salivation after receiving a cholinergic medication. which action by the nurse is the priority?
The action which is the priority is to Notify the health care provider about potential cholinergic overdose. Option 4 is correct.
Cholinergic drugs are pharmacological substances that operate on the neurotransmitter acetylcholine, which is the major neurotransmitter in the parasympathetic nervous system (PNS). Cholinergic medications are classified into two types: direct-acting and indirect-acting.
By mimicking the effect of Ach, cholinergic medications activate the parasympathetic nervous system. They are prescribed for Alzheimer's disease, glaucoma, urinary retention, and myasthenia gravis, among other conditions. Cholinergic agonists are primarily used to treat the condition Myasthenia Gravis. Lambert-Eaton Myasthenic Syndrome is characterized by muscle weakness and tiredness. Activating cholinergic receptors causes muscular contraction, heart rate reduction, constriction of the eye and lens, mucus production, and bronchoconstriction.
The complete question is:
The patient is experiencing muscle weakness and increased salivation after receiving a cholinergic medication. What should the nurse do first?
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the nurse is administering a medication intravenously to a child. the nurse understands which is the most appropriate reason the child should be closely monitored for effects after receiving the medication?
The nurse is aware that the circulation of drugs that are active can rise in children. Therefore, after receiving the medications, the youngster should be carefully watched for side effects, the correct option is B.
The reactions of children to medications are very similar to those of adults and other mammals. It is frequently believed that pharmacological effects vary in children, although this belief is frequently unfounded since the drugs have not been sufficiently examined in pediatric populations of varied ages and disorders.
Due to the fact that it is more challenging to evaluate the outcome measures in youngsters, it may also be challenging to measure modest but substantial effects.
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The complete question is:
The nurse is administering medication intravenously to a child. The nurse understands which is the most appropriate reason the child should be closely monitored for effects after receiving the medication?
A- The liver of a child metabolizes the drug quickly.
B- Children can have an increase in active drug circulation.
C- Children have less blood volume, so more medication is required.
D- A child's kidney excretes more of the medication.
a nurse is preparing to administer nitroglycerin 20 mcg/min by continuous iv infusion for a client who has angina. available is nitroglycerin 25 mg in dextrose 5% in water 250 ml. the nurse should set the iv pump to deliver how many ml/hr? (round the answer to the nearest whole number. use a leading zero if it applies. do not use a trailing zero.)
In order to stop chronic chest pain brought on by heart disease, nitroglycerin is utilised. A nitrate, that is. It also causes blood vessels to relax. When the heart needs more oxygen than it can get, chest pain might result.
Blood can flow more freely when blood vessels are relaxed. And in doing so, it lessens the strain on the heart and the amount of oxygen it needs. Salicylates (aspirin), beta-blockers (propranolol), calcium channel blockers (diltiazem), diuretics (furosemide, hydrochlorothiazide), medications for high blood pressure, phenothiazines (thioridazine), or phosphodiesterase type 5 inhibitors are a few medications that may interact with nitroglycerin (sildenafil). Only for intravenous use. not for intravenous injection directly. Before being infused, nitroglycerin injection MUST BE diluted with dextrose (5%) or sodium chloride (0.9%) injection (SEE DOSAGE AND ADMINISTRATION SECTION).
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