Welcome the patient by name and make an introduction. Ask "What brings you in today?" to learn more about the complaint being presented. Gather information on the patient's past medical and surgical history, including any allergies and the drugs they are currently taking.
Inquire about the patient's ancestry. During a medical examination, auscultation is the act of listening to the noises made by the body. A stethoscope is a common equipment used for auscultation. Regularly, medical professionals listen to a patient's heart, lungs, and intestines to assess the following aspects of the sounds: Frequency. When evaluating an infant, the fontanel's size and characteristics are distinctive and significant.
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the nurse is caring for four clients on a medical floor. for which client would the nurse suspect the health care provider might order a sulfonamide?
The nurse would suspect that the health care provider might order a sulfonamide for the client with a urinary tract infection (UTI).
Sulfonamides are a class of antibiotics that are commonly used to treat UTIs. They work by inhibiting the growth of bacteria that cause infections. UTIs are common infections that can occur in any part of the urinary tract, including the bladder, urethra, ureters, and kidneys. Symptoms of a UTI can include a strong, persistent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and lower abdominal pain or discomfort.
If a health care provider suspects that a client has a UTI, they may order a urine culture to determine the specific type of bacteria that is causing the infection and the most effective antibiotic treatment. Sulfonamides are one of the antibiotics that may be used to treat a UTI.
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the patient in the clinic presents with a history of gi bleed, a hemoglobin of 7.8 mg/dl along with heart palpitations and hr of 102 bpm. which additional manifestations should the nurse anticipate in this patient?
The additional manifestations should the nurse anticipate in this patient Dyspnea, option C.
An uncomfortable sensation of not being able to breathe adequately is known as shortness of breath (SOB), which is also referred to medically as dyspnea (in AmE) or dyspnoea (in BrE). The American Thoracic Culture characterizes it as "an emotional encounter of breathing uneasiness that comprises of subjectively particular impressions that change in power", and suggests assessing dyspnea by evaluating the force of its unmistakable sensations, the level of pain and distress included, and its weight or effect on the patient's exercises of day to day living. The tripod position is frequently assumed to be a sign because distinct sensations include effort or work to breathe, chest tightness or pain, and "air hunger" (the feeling of not having enough oxygen).
DiagnosisPro, an online medical expert system, listed 497 distinct causes in October 2010. The most common cardiovascular causes are acute myocardial infarction and congestive heart failure, while common pulmonary causes include chronic obstructive pulmonary disease, asthma, pneumothorax, pulmonary edema, and pneumonia On a pathophysiological basis, the causes can be divided into the following categories: (a) (b) (c) (d) (e 1) an expanded attention to typical breathing, for example, during a mental breakdown, (2) an expansion in crafted by breathing and (3) an irregularity in the ventilatory or respiratory framework.
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Complete question:
The patient in the clinic presents with a history of GI bleed, a hemoglobin of 7.8 mg/dL along with heart palpitations and HR of 102 bpm. Which additional manifestations should the nurse anticipate in this patient?
a Diarrhea
b Jaundice
c Dyspnea
d Sensitivity to cold
a patient with multiple sclerosis experiences exacerbations of new symptoms that last a few days and then disappear. the nurse correlates these clinical manifestations to which type of multiple sclerosis?
The type of multiple sclerosis is this patient most likely experiencing is Relapsing-remitting, option A.
A type of multiple sclerosis known as relapsing-remitting multiple sclerosis (RRMS) occurs when symptoms flare up (also known as relapses or exacerbations) followed by periods of partial or complete recovery (remission). Backslides are episodes of new or deteriorating side effects. Your side effects can keep going for several days up to two or three weeks.
RRMS is a sort of numerous sclerosis. The central nervous system is affected by MS, which is an autoimmune condition. Although the onset of symptoms can vary depending on the type, all forms of MS share similar symptoms. The portrayal or name of backsliding dispatching (RR) assists you with knowing what's in store over the illness course. The characterization additionally assists you and your medical care supplier with figuring out what kind of therapy may be best for you.
Having a blend of side effects during a backslide or attack is normal. Some people who recover completely won't show any symptoms. For other people, they'll have fragmented recuperation and will have industrious side effects, which a medical care supplier can normally make due. For instance, an individual with extreme firmness or spasticity as a rule finds help with an everyday extending program (oversaw by an actual specialist) with extra drugs.
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Complete question:
A patient with multiple sclerosis experiences exacerbations of new symptoms that last a few days and then disappear. Which type of multiple sclerosis is this patient most likely experiencing?
1) Relapsing-remitting
2) Primary progressive
3) Progressive relapsing
4) Secondary progressive
a nurse cares for older adult clients in a long-term care facility. the nurse notices that many of the clients have chronic anemia. what long-term impact does the nurse associate with this population and the presence of anemia?
The long-term impact does the nurse associate with chronic anemia is Decreased cognitive function.
Mental capabilities are mental cycles which empower people to secure, store, interaction, and use data. People are able to carry out intricate activities like problem-solving and planning thanks to these procedures.
The following are some examples of cognitive functions:
Perception: Discernment happens when one sees a new thing in the climate and one's mind processes the data to conclude whether it is a danger.Attention: Focused attention, sustained attention, selective attention, alternating attention, and divided attention are all types of attention. The focused and selective varieties are two of the most well-known types: Focused attention enables a person to completely immerse themselves in a task, whereas selective attention enables a person to concentrate on specific tasks in the midst of distractions.Memory: There are two types of memory: short-term memory and long-term memory. While long-term memory can last for months or years, short-term memory only lasts about 20 seconds.Learn more about cognitive function:
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mr. smith has a prescription for diazepam 5mg and would like to know if you have it in stock. how may you help the patient?'
As a healthcare professional, to assist Mr. Smith in determining the availability of diazepam 5mg, I would take the following steps:
Contact the pharmacy: I would reach out to the pharmacy or speak directly with the pharmacist to inquire about the current stock of diazepam 5mg. They will have access to real-time information on medication availability.Check alternative pharmacies: If the medication is unavailable at the initial pharmacy, I would explore other nearby pharmacies to see if they have it in stock.Provide options: If diazepam 5mg is not available, I would inform Mr. Smith of alternative medications with similar properties that his healthcare provider could consider prescribing instead.Facilitate communication: I would assist Mr. Smith in communicating with his healthcare provider to discuss the availability of diazepam 5mg and explore potential alternatives or solutions.By taking these steps, I aim to help Mr. Smith determine the availability of diazepam 5mg and provide suitable options to ensure he receives the necessary medication for his prescription.
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Complete Question:
Mr. Smith has a prescription for diazepam 5mg and would like to know if you have it in stock. How may you, as a healthcare professional, help the patient?
EHR systems are becoming extremely popular due to their benefits and advantages. These advantages include better quality of care, more accurate patient info, interoperability, increased efficiency, increased revenue, scalability, accessibility, customization, security, and support.
Based on the above advantages I noted; can you elaborate on one and why you think it is a good advantage for patient care?
EHR systems' accessibility to precise patient data significantly improves patient treatment. It improves decision making for healthcare professionals, lowers medical errors, and facilitates fast and effective therapeutic actions.
Advantages of EHR systems to patientsThe accessibility of more precise patient data is one benefit of electronic health record (EHR) systems that considerably enhances patient care.
All patient data is kept in one place and made available to authorized healthcare practitioners using EHR systems. This implies that when making treatment decisions for a patient, doctors, nurses, and experts involved in their care can quickly and simply obtain the most current and comprehensive information. They have real time access to test findings, imaging reports, prescription histories, and other important information.
EHR systems frequently come with clinical reminders and decision support tools that can assist healthcare professionals in adhering to evidence-based recommendations and best practices.
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a client with pneumonia is experiencing problems with ventilation as a result of accumulated respiratory secretions. the nurse determines that which data accurately indicate effectiveness of the treatments prescribed for this problem?
The pH is 7.4, the Po2 is 80 mm Hg, and the Pco2 is 40 mm Hg, according to arterial blood gases. The prevention of VAP is aided by proper placement (keeping the head of the bed between 30-45 degrees) and encouraging early mobility of mechanically ventilated patients.
Hand washing is a useful HAI prevention strategy, and staff education typically centres on it. According to studies, having availability to bedside antiseptic hand washes increases hand hygiene compliance, which can lower the overall number of HAIs. Analyse the clinical symptoms. Clinical signs including pleuritic discomfort, bradycardia, tachypnea, and exhaustion, as well as the use of accessory muscles for breathing, coughing, and purulent sputum, should also be identified by a respiratory assessment.
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which option is a nursing-sensitive indicator that the nurses can use to measure patient safety and quality for the unit
One nursing-sensitive indicator that nurses can use to measure patient safety and quality for the unit is the incidence of hospital-acquired infections (HAIs).
HAIs are infections that patients acquire while receiving treatment in a healthcare facility. They can significantly impact patient outcomes and increase healthcare costs. By tracking and monitoring the incidence of HAIs, nurses can assess the effectiveness of infection control practices, identify areas for improvement, and implement interventions to reduce the occurrence of these infections.
This indicator reflects the quality of nursing care in terms of infection prevention and control, ultimately contributing to improved patient safety and outcomes.
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Complete Question:
Which option is a nursing-sensitive indicator that nurses can use to measure patient safety and quality for the unit?
the nurse is caring for a terminally ill pediatric client. the parents have decided to remove their child from life support. this decision was met with much opposition from other nurses on the unit. which action by the nurse displays the role of client advocate?
The nurse's behaviour demonstrates the client advocate's duty by respecting the parent's decision. In providing care for the dying kid and his or her family, nurses are crucial.
A multidisciplinary and family-focused approach is taken when caring for a dying kid. During this trying time, nurses should be sensitive to the child's physical, emotional, and spiritual needs as well as those of the family. The quality of life of the patient is frequently taken into account when making decisions about their care. Nursing duties include promoting patient comfort, reducing pain and other symptoms, and offering support to patients, their families, and other people who are close to them.
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a postpartum client who received an epidural analgesic after giving birth by cesarean section is lethargic and has a respiratory rate of 8 breaths per minute. the nurse would obtain which medication from the emergency cart after notifying the primary health care provider?
In this situation, a postpartum client who received an epidural analgesic after a cesarean section is exhibiting lethargy and a significantly low respiratory rate of 8 breaths per minute, indicating potential respiratory depression.
This condition requires immediate attention from healthcare professionals. The nurse should promptly notify the primary healthcare provider of the client's condition. Meanwhile, to address the potential respiratory depression, the nurse would obtain naloxone from the emergency cart.
Naloxone is an opioid antagonist that can reverse the effects of opioids and help restore normal respiratory function. Administering naloxone under the guidance of the primary healthcare provider can potentially counteract the respiratory depression and improve the client's condition.
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The medication nurse would obtain from the emergency cart after notifying the primary health care provider is : Naloxone (Narcan) (Option 3).
In this scenario, the postpartum client who received an epidural analgesic is presenting with lethargy and a respiratory rate of 8 breaths per minute. These symptoms indicate respiratory depression, which could be a result of the analgesic medication. The nurse should take immediate action to address this potentially life-threatening situation.
First, the nurse should notify the healthcare provider to report the client's symptoms and seek further guidance. Prompt communication with the healthcare provider is crucial to ensure appropriate intervention.
Next, the nurse should obtain naloxone (Narcan) from the emergency cart. Naloxone is an opioid antagonist that can rapidly reverse the effects of opioid medications, including respiratory depression. Administering naloxone can help restore normal respiratory function in the client.
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complete question:
A postpartum client who received an epidural analgesic after giving birth by cesarean section is lethargic and has a respiratory rate of 8 breaths per minute. The nurse should obtain which medication from the emergency cart after notifying the health care provider?
1. Betamethasone
2. Morphine sulfate
3. Naloxone (Narcan)
4. Meperidine hydrochloride (Demerol)
the nurse is preparing medications for a client with encephalitis. which medication does the nurse question before administering?
The nurse should question the administration of Acetaminophen (Tylenol) to a client with encephalitis.
Encephalitis is characterized by inflammation of the brain, and Acetaminophen is a common over-the-counter medication used to reduce fever and relieve pain. However, in cases of encephalitis, the client's fever may be a vital indicator of the body's immune response and may aid in diagnosing and monitoring the condition.
By administering Acetaminophen, the nurse may mask the fever, making it difficult to assess the client's condition accurately. Therefore, the nurse should consult with the healthcare provider before administering Acetaminophen to ensure appropriate management of the client's encephalitis.
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the nurse has provided instructions to a client in an arm cast about the signs/symptoms of compartment syndrome. the nurse determines that the client understands the information if the client states to report which early symptom of compartment syndrome?
The nurse should determine that the client understands the information about the early symptoms of compartment syndrome if the client is able to correctly state the early symptom as the one that occurs first, which is pain.
Compartment syndrome is a serious medical condition that can occur after an injury or surgery, particularly in the arms or legs. It occurs when there is increased pressure within a specific compartment of the body, which can lead to ischemia (lack of blood flow) and tissue damage.
Early symptoms of compartment syndrome may include pain, tingling, numbness, and decreased pulses in the affected limb. However, it is important to note that these symptoms can also be caused by other conditions, so it is important to evaluate the client's condition urgently.
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the nurse is providing discharge instructions to a client who has been prescribed gabapentin 300mg by mouth three times a day for post-herpetic neuralgia. which symptom should the nurse tell the client to report to the hip? a. sexual dysfunction b. gastric irritation c. rapid weight gain d. photosensitivity
The symptom that the nurse should instruct the client to report to the healthcare provider (not hip) while taking gabapentin for post-herpetic neuralgia is a. sexual dysfunction.
Sexual dysfunction refers to any difficulties or changes in sexual desire, performance, or satisfaction. While uncommon, gabapentin has been associated with sexual side effects, including changes in libido, erectile dysfunction, or difficulty achieving orgasm.
It is important for the nurse to educate the client about the potential for sexual dysfunction and emphasize the significance of reporting any concerns or changes in sexual function to the healthcare provider. This allows for appropriate assessment, management, and potential adjustment of the medication regimen to optimize the client's overall well-being.
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the nurse is caring for a client on hemodialysis who is following the food choice list regarding dietary restrictions. which client choice reflects an understanding of the healthiest food to consume?
The nurse is caring for a client on hemodialysis who is following a food choice list to adhere to dietary restrictions.
To determine the client's understanding of the healthiest food to consume, the nurse should assess the client's food choices. An appropriate choice would be selecting foods low in sodium, potassium, and phosphorus. For instance, if the client chooses grilled chicken breast, steamed broccoli, and a small side salad without added salt or high-potassium ingredients, it reflects an understanding of the dietary restrictions.
This meal choice is low in sodium, potassium, and phosphorus, which are typically restricted for clients on hemodialysis. By making appropriate food choices, the client can better manage their condition and maintain optimal health while on hemodialysis.
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the home health nurse is visiting an older client whose family has gone out for the day. during the visit, the client experiences chest pain that is unrelieved by sublingual nitroglycerin tablets given by the nurse. which action by the nurse would be appropriate at this time?
In this situation, when an older client experiences chest pain that is unrelieved by sublingual nitroglycerin tablets given by the nurse, it indicates a potentially serious condition that requires immediate attention.
The nurse's appropriate action would be to prioritize the client's safety and well-being. Considering that the client is alone and the chest pain persists, the nurse should call emergency medical services (EMS) or 911 to request urgent medical assistance. It is crucial to ensure that the client receives timely and appropriate care from healthcare professionals who can assess, diagnose, and provide appropriate interventions for the client's chest pain.
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a nurse is planning a class for parents of a school-aged children about iron intake. which of the following should the nurse include as a manifestation of iron deficiency? a. decreased sleeping time b. increased risk of infection c. lowered intellectual performance d. elevated temperature
When planning a class for parents of school-aged children about iron intake, the nurse should include lowered intellectual performance as a manifestation of iron deficiency. The Correct option is C
Iron plays a vital role in cognitive development, and inadequate iron levels can impair brain function, attention, and learning abilities. Children with iron deficiency may exhibit difficulties in concentration, memory, problem-solving, and academic performance. While decreased sleeping time, increased risk of infection, and elevated temperature can be associated with various health conditions, they are not directly linked to iron deficiency.
By emphasizing the impact of iron deficiency on intellectual performance, the nurse can educate parents about the importance of ensuring an adequate iron intake for their children's cognitive well-being and academic success.
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after the deflation of the balloon of a client's sengstaken-blakemore tube, the nurse would monitor the client closely for which priority esophageal complication?
After the deflation of the balloon of a client's Sengstaken-Blakemore tube, the nurse would monitor the client closely for a priority esophageal complication called aspiration.
The Sengstaken-Blakemore tube is a type of feeding tube that is inserted through the nose or mouth and into the esophagus to provide nutrition to patients who are unable to swallow. The tube is typically left in place for a short period of time (usually a few days to a week) until the patient's swallowing function improves.
After the tube is removed, the nurse would expect the client to experience some discomfort as the esophagus adjusts to the absence of the tube. However, the primary concern is aspiration, which occurs when food, saliva, or other material is inhaled into the lungs and can cause pneumonia or other respiratory complications.
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a client is scheduled for a spiral computed tomography (ct) scan with contrast to evaluate for pulmonary embolism. which information in the clients history requires follow up by the nurse ? a.) metal hip prosthesis was placed twenty years ago b.) takes metformin hydrochloride for type 2 diabetes mellitus c.) ct scan that was performed six months earlier d.) report of clients sobriety for the last five years
The nurse needs to follow up on the presence of a metal hip prosthesis before the scheduled spiral CT scan with contrast. The Correct option A
Metallic implants can cause artifacts in the imaging or interfere with the accuracy of the results. It is essential to assess whether the metal hip prosthesis could potentially affect the quality and interpretation of the CT scan for pulmonary embolism evaluation. The nurse should collaborate with the radiology department or the healthcare provider to determine if any precautions or modifications are necessary, such as using alternative imaging methods or adjusting the contrast protocol.
This follow-up is crucial to ensure the safety and effectiveness of the CT scan and to provide optimal care for the client. Additionally, the nurse should obtain further details regarding the type and model of the hip prosthesis to accurately assess its potential impact on the imaging procedure.
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which classification of medication would make a child most susceptible to an opportunistic infection?
The classification of medication that could make a child most susceptible to an opportunistic infection is immunosuppressant medication.
Immunosuppressants are drugs that suppress the immune system's activity, often prescribed to children with certain medical conditions, such as autoimmune diseases or organ transplants. While these medications are necessary to manage specific health conditions.
They weaken the immune response, making individuals more vulnerable to infections, including opportunistic infections caused by organisms that typically do not cause disease in individuals with a healthy immune system. It is crucial for healthcare providers to closely monitor children on immunosuppressant medications and take appropriate measures to prevent and manage infections.
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the nurse is preparing to perform an assessment on holly. what age-appropriate interventions should the nurse implement to decrease anxiety or stress that holly may be experiencing?
There are several interventions that a nurse can implement to decrease a client's anxiety during an examination. These interventions may include:
1. Providing a calm and supportive environment: The nurse can ensure that the environment is quiet and comfortable, and that the client feels supported and safe.
2. Offering reassurance: The nurse can offer verbal reassurance to the client, letting them know that they are there to help and that the examination is important for their health.
3. Educating the client: The nurse can explain the examination procedure to the client in detail, including what they can expect and how long it will take.
4. Using relaxation techniques: The nurse can teach the client relaxation techniques, such as deep breathing or progressive muscle relaxation, to help them relax and stay calm during the examination.
5. Using distraction techniques: The nurse can engage the client in conversation or provide distractions such as music or TV to take their mind off the examination.
Overall, the nurse should assess the client's anxiety level and tailor interventions accordingly to ensure that they are effective in reducing anxiety and increasing comfort during the examination.
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the nurse is picking up a unit of packed red blood cells at the hospital blood bank. after putting the pen down, the nurse glances at the clock, which reads 1300. the nurse calculates that the transfusion must be started by which time?
According to the nurse's calculations, the transfusion must begin by 1:30. As soon as possible and no later than 30 minutes after receiving blood from the blood bank, it must be hung. Hence (a) is the correct option.
Check to see if the client has signed a consent form in writing. For the circulatory system to remain fluid-balanced, albumin is crucial. Because normal saline does not cause red blood cells to clump, it is preferred over solutions that contain dextrose. The transfusion should be halted if the temperature increases by 1 C or more from the starting temperature. If the temperature rises more than normal or there are more severe symptoms (such as rigours), it is prudent to suspect an acute hemolytic reaction or bacterial infection.
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The nurse is picking up a unit of packed red blood cells at the hospital blood bank. After putting the pen down, the nurse glances at the clock, which reads 1:00. The nurse calculates that the transfusion must be started by:
a. 1:30
b. 2:00
c. 2:30
d. 3:00
the nurse is caring for a client with a nutrition problem who is receiving feedings by nasogastric tube. the client suddenly begins to vomit, and the nurse quickly repositions the client. the client is coughing and having difficulty breathing. what is the nurse's priority action?
If the chest tube accidentally pulls out of the pleural cavity in a client with a pneumothorax, the initial nursing action should be to apply an occlusive dressing or a petroleum gauze to the site without delay.
This step helps to prevent air from entering the pleural space through the open wound and promotes the re-establishment of negative pressure within the pleural cavity. Applying an occlusive dressing helps to maintain lung expansion and prevents complications associated with a tension pneumothorax.
Once the dressing is applied, the nurse should notify the healthcare provider immediately to ensure prompt evaluation and reinsertion of the chest tube to re-establish appropriate drainage and lung re-expansion.
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the nurse is educating unlicensed nursing assistive personnel (nap) about recording output for a client. what fluids should the nurse include in the output for accuracy? select all that apply.
When educating unlicensed nursing assistive personnel (NAP) about recording output for a client, the nurse should emphasize the importance of including the following fluids in the output measurement for accuracy:
A. Urine output: This includes any voided urine or urine collected through a catheter.
B. Gastric drainage: This refers to any fluids drained from the stomach, such as through a nasogastric tube or gastric tube.
C. Emesis (vomitus): This includes any vomited material that is expelled by the client.
D. Wound drainage: This pertains to any fluid or exudate draining from a wound or surgical site.
E. Drainage from surgical drains: This involves any fluid collected from surgical drains, such as Jackson-Pratt or Hemovac drains.
F. Diarrhea: This refers to loose or watery stool that is passed by the client.
Accurately measuring and recording these fluids helps assess the client's fluid balance, organ function, and response to treatment. It allows for early identification of potential issues or complications, ensuring appropriate interventions and care planning.
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Complete Question:
The nurse is educating unlicensed nursing assistive personnel (NAP) about recording output for a client. Which of the following fluids should the nurse include in the output measurement for accuracy? Select all that apply.
A. Urine output
B. Gastric drainage
C. Emesis (vomitus)
D. Wound drainage
E. Drainage from surgical drains
F. Diarrhea
the nurse is conducting a prepared childbirth class and is instructing pregnant clients about the method of effleurage. the nurse instructs the clients to perform the procedure by doing which action?
The nurse instructs the clients to perform the procedure by doing Massaging the abdomen during contractions, using both hands in a circular motion.
The uterine muscle, a woman's largest muscle, contracts and relaxes on a regular basis during labor. Something triggers the pituitary organ to deliver a chemical called oxytocin that invigorates the uterine fixing. When actual labor contractions will begin, it is difficult to predict.
Withdrawals are many times depicted as a squeezing or fixing vibe that beginnings toward the back and moves around to the front in a wave-like way. Others claim that the contraction feels like back pressure. The abdomen becomes hard to touch during a contraction. A series of contractions complete the work of labor during childbirth. The cervix and lower part of the uterus stretch and relax during these contractions, facilitating the baby's passage from the uterus into the birth canal for delivery. The contractions also cause the upper part of the uterus, known as the fundus, to tighten and become thicker.
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the nurse has obtained a unit of blood from the blood bank for administration to a client with anemia. the nurse has checked the blood bag properly with another nurse. just before beginning the transfusion, the nurse would assess which priority item?
The nurse has checked the blood bag properly with another nurse, just before beginning the transfusion, the nurse assesses Vital signs, option A.
A blood transfusion is the intravenous injection of blood products into a person's circulation. Transfusions are used to replace blood components that have been lost in various medical conditions. While whole blood was used in early transfusions, plasma, platelets, red blood cells, white blood cells, and other blood components are typically used in modern medicine.
Red platelets (RBC) contain hemoglobin, and supply the cells of the body with oxygen. White blood cells are a part of the immune system and fight infections, but they are rarely used in transfusions. Plasma is the "yellowish" fluid piece of blood, which goes about as a cradle, and contains proteins and significant substances required for the body's general wellbeing. The body is prevented from bleeding because platelets are involved in blood clotting. Before these parts were known, specialists accepted that blood was homogeneous. Many patients died as a result of being given blood that wasn't compatible with them because of this scientific misunderstanding.
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Complete question:
The nurse has obtained a unit of blood from the blood bank and has checked the blood bag properly with another nurse. Just before beginning the transfusion, the nurse assesses which priority item?
a. Vital signs
b. Skin color
c. Urine output
D. Latest hematocrit level
a patient in a barbiturate coma for increased intracranial pressure (icp) has audible gurgling through the endotracheal tube. what should the nurse do first before suctioning this patient?
The nurse should do first before suctioning this patient who is in coma for increased intracranial pressure is Administer 100% oxygen.
Intracranial strain (ICP) is the tension applied by liquids like cerebrospinal liquid (CSF) inside the skull and on the mind tissue. The ICP, which is measured in millimeters of mercury (mmHg), typically ranges from 7 to 15 mmHg for an adult lying down. The body uses a variety of mechanisms to keep the ICP stable. Normal adults' CSF pressures fluctuate by about 1 mmHg due to shifts in CSF production and absorption.
Changes in ICP are ascribed to volume changes in at least one of the constituents contained in the skull. The valsalva maneuver, communication with the vasculature (the venous and arterial systems), and sudden changes in intrathoracic pressure during coughing (which is induced by contraction of the diaphragm and abdominal wall muscles, the latter of which also increases intra-abdominal pressure) have been shown to influence CSF pressure.
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Complete question:
A patient in a barbiturate coma for increased intracranial pressure (ICP) has audible gurgling through the endotracheal tube. What should the nurse do first before suctioning this patient?
1) Administer 100% oxygen
2) Elevate the head of the bed
3) Interrupt sedative administration
4) Place the head in a neutral position
the nurse is teaching a patient with pad about positioning and activity. what suggestion does the nurse give to the patient? select all that apply.
It's important for the patient to follow the healthcare provider's recommendations for positioning and activity, as these can help to reduce pain and improve overall function.
The nurse should give the patient with pad the following suggestions for positioning and activity:
Avoid positions that put pressure on the pad, such as crossing the legs or sitting for long periods of time.
Maintain good posture, with the shoulders back and the head held up.
Avoid activities that cause pain or discomfort, such as lifting heavy objects or engaging in strenuous exercise.
Use pillows to support the affected area and reduce pain and swelling.
Wear compression stockings to help improve circulation and reduce swelling.
Apply heat or cold to the affected area as recommended by the healthcare provider.
Follow the healthcare provider's recommendations for pain management, which may include medication or other interventions.
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Correct Question:
The nurse is teaching a patient with pad about positioning and activity. what suggestion does the nurse give to the patient?
what condition is treated with allopurinol (aloprim, zyloprim), febuxostate (uloric), probenecid (probalan)?
Allopurinol (Aloprim, Zyloprim), febuxostat (Uloric), and probenecid (Probalan) are medications commonly used in the treatment of gout.
Gout is a form of arthritis characterized by recurrent attacks of joint inflammation, most commonly affecting the big toe. It occurs due to the accumulation of uric acid crystals in the joints, leading to pain, swelling, and inflammation. Allopurinol and febuxostat are xanthine oxidase inhibitors that help lower uric acid levels in the body, preventing the formation of uric acid crystals.
Probenecid, on the other hand, increases the excretion of uric acid by the kidneys, also reducing its accumulation. These medications are prescribed to manage gout and prevent the occurrence of gout attacks.
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an individual with a total blood cholesterol level of 290 milligrams (mg)/dl would be considered at low risk for cardiovascular disease. group of answer choices true false
The answer is True. According to the American Heart Association, an individual with a total blood cholesterol level of 290 mg/dl is considered at low risk for cardiovascular disease.
The association recommends that adults under the age of 50 with a total cholesterol level of 200-249 mg/dl should have their cholesterol levels checked every four to six years, while those with a total cholesterol level of 200 mg/dl or higher should have their levels checked more frequently.
It is important to note that cholesterol levels are just one factor that can affect an individual's risk for cardiovascular disease, and that other factors such as high blood pressure, smoking, and a family history of heart disease can also play a role. Therefore, it is important to work with a healthcare provider to develop a comprehensive plan for managing cardiovascular health.
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the nurse is reviewing orders written for a patient with a new spinal cord injury. which order does the nurse question?
The nurse is reviewing orders written for a patient with a new spinal cord injury and identifies an order that raises concern.
The order that the nurse would question depends on the specific context and information provided. However, in general, if the nurse comes across an order that seems inappropriate, contradictory, or potentially harmful to the patient's condition, it is their responsibility to clarify and seek clarification from the healthcare provider.
This may involve discussing the order with the provider, consulting the interdisciplinary team, or referring to established protocols and guidelines. The nurse's primary role is to ensure patient safety and advocate for their well-being by questioning any orders that appear questionable or unclear.
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