Awakening from sleep with a sense of suffocation and the need to sit up in order to breathe is known as paroxysmal nocturnal dyspnea (PND).
Patients are informed that preventing PND involves sleeping with the upper body elevated on multiple pillows. In the later stages of HF, behavior alterations are observed. As fluid enters the vascular system again while lying down, the flow of blood to the kidneys increases, causing nocturia in those with HF. Dependent edema doesn't necessarily mean PND. The left ventricle's failure is what leads to PND. It cannot pump as much blood as the right ventricle, which is operating normally, when this occurs. You therefore get pulmonary congestion, a disease in which the lungs fill with fluid. Patients who have both left and right ventricular heart failure as well as elevated pulmonary fluid pressure have the disease. People who have medical conditions such as asthma, COPD, and congestive heart failure, which can lead to airway resistance, are at risk.
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patient was in the er complaining of constipation with nausea and vomiting when taking zovirax for his herpes zoster and percocet for chronic pain. his primary care physician came to the er and admitted him to the hospital for intravenous therapy and management of this problem. what is the level for number of complexity of the problems address at the encounter?
The level for number of complexity or the E/M code of the problems addressed at the encounter is 99221, based on the detailed history of the patient.
What does the code 99221 require?The code 99221 requires a detailed history and examination of the patient. It also requires a clear and specialized medical decision making.
What is an Intravenous therapy?Intravenous therapy, also known as IV therapy is a medical procedure that injects fluids, drugs, and nutrients straight into a patient's vein. IV fluids are liquids that have been properly made to prevent or cure dehydration. They can be given to persons of all ages who are ill, wounded, and dehydrated as a result of activity or heat, or having surgery. Intravenous rehydration is a straightforward, risk-free technique with few consequences.
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a client has a tentative diagnosis of primary biliary cirrhosis. which skin change would the nurse expect to observe when performing a physical assessment?
A vascular disease known as telangiectasia that is connected to cirrhosis is believed to be caused by elevated oestrogen levels.
Patches of depigmentation brought on by the death of melanocytes are referred to as vitiligo. Hirsutism is the overgrowth of hair, while cirrhosis is the loss of pubic and axillary hair as a result of hormone problems. Melanomas are malignant skin tumours; biliary cirrhosis is unrelated to them. When you pass a test, employ the psychological approach of looking into a mirror and saying aloud, I know the information, and I'll do well on the test, to increase your test-taking confidence. Try it; numerous students have discovered that it is effective at easing test anxiety.
The complete question is:
client has a tentative diagnosis of primary biliary cirrhosis. What skin change does the nurse expect to observe when performing a physical assessment?
1. Vitiligo
2. Hirsutism
3. Melanomas
4. Telangiectasia
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Why do you think this is? Do you think this variation represents a health difference or a health disparity?
Cardiovascular disease is the major cause of death in women over the age of 65. In the last 20 years, the prevalence of heart attacks has increased in middle-aged women while declining among middle-aged men.
A health disparity, which is an undesirable, unfair, and preventable difference, is created in the cardiovascular disease situation when a health difference and societal influences interact.
Which proportion of population health is attributable to healthy behaviors?Thirty percent or so People who engage in health behaviors, such as smoking and physical exercise, make positive changes to their health. About 30% of health outcomes are attributable to health behaviors, yet being healthy entails more than just trying to make good decisions.
What is the main reason for health inequalities?Racism-based social and economic inequality underlie health disparities and are the cause of them. In addition to advancing social justice, addressing gaps will also help our country's economy and general health.
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A patient receiving a nebulizer treatment should be in a ________ position.
the nurse is collecting data from a pregnant client with a history of cardiac disease and is checking the client for venous congestion. the nurse inspects which body areas, knowing that venous congestion is commonly noted in which areas? select all that apply.
The portion of your genitals that's on the outside of your body is called the vulva. Numerous individualities relate to this region as the although they actually mean the vulva.
What about cardiac diseases?A condition that affects the blood vessels or the heart.Smoking, high blood pressure, high cholesterol, a poor diet, inactivity, and rotundity may all raise one's chance of developing colorful cardiovascular ails.Although there's no given cure for coronary heart complaints, drugs can help control the symptoms and lower the threat of complications like heart attacks.Changes in life, similar to regular exercise and quitting smoking, are among the possible treatments.Smoking, high blood pressure, and high cholesterol are major threat factors for heart complaint.Because it harms the filling of the highways and increases their vulnerability to the conformation of shrine, which narrows the highways leading to the heart and brain, high blood pressure is a major contributor to heart complaints and stroke.Overall, life expectation might be reduced by 8 – 10 of what you allowed it to be.For example, a person without a heart complaint is predicted to pass away at the age of 85, still a heart attack reduces life expectancy by 10, or8.5 times.Any age can be affected by heart complaints and the causes that beget it.Youngish grown-ups( periods 35- 64) who have high rates of rotundity and hypertension are at an earlier stage of life threat for heart complaints.Learn more about cardiac diseases here:
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an unresponsive client is admitted to the emergency room with suspected alcohol poisoning. what intervention should the nurse initiate?
A client who is not responding is brought into the emergency room with possible alcohol poisoning. Inserting an NG, padding the side rails, obtaining a BG, and starting an IV with a large bore catheter are the interventions that the nurse should start.
The first thing to do is ask someone if they are OK in a loud voice if they appear unconscious or unresponsive. If they don't answer, give them a light shake. However, it is preferable to wait to move the person if they might have suffered spinal cord damage until help arrives. If they still don't answer, take the following actions in that order: Make sure that their airway is clear and not showing any symptoms of obstruction, such as rapid or laborious breathing. Check for breathing indications. Do a pulse or heartbeat check. Next, dial emergency medical services yourself or have someone else do it.
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what is the best patient body position for peak flow measurement?
The best patient body position for peak flow measurement is standing up facing forward.
Peak expiratory flow should be measured with the patient standing up straight, facing forward, with their arms at their sides and their feet shoulder-width apart when having their peak flow measured. The patient should inhale deeply before exhaling as forcefully and quickly as they can into the peak flow meter. The patient's lung function can be measured with the greatest degree of accuracy by standing and facing forward since doing so allows the lungs to fully expand and takes gravity out of the equation.
Peak expiratory flow rate (PEFR), a reliable indicator of both sufficient ventilation and airflow restriction, is the volume of air that is forcibly expelled from the lungs in a single, rapid exhale. Normal peak flow values vary from person to person and are influenced by factors like sex, age, and height.
Peak expiratory flow (PEF) is measured in litres per minute. Adults typically have peak flow numbers between 400 and 700 liters per minute, but older women can have lower values that are nevertheless considered acceptable.
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a nurse cares for a client with aplastic anemia. which laboratory results will the nurse expect to find with this client? select all that apply.
Hemoglobin 7 g/dL, Neutrophil count 12,000/microliter, Platelets 35,000 microliters. These are the laboratory results for aplastic anemia.
Aplastic anemia is a condition that occurs when the body can't make enough new blood cells. This condition leaves you exhausted and prone to infections and uncontrolled bleeding. Aplastic anemia is caused by damage to the stem cells of bone marrow, the spongy tissue of bone. Many diseases and conditions can damage bone marrow stem cells. As a result, the bone marrow makes fewer red blood cells, white blood cells, and platelets. Bone marrow transplantation is the only treatment for aplastic anemia. If you have to wait for a matching bone marrow donor, you can take immunosuppressive drugs such as anti-thymocyte globulin (ATG), cyclosporine, tacrolimus, and the thrombopoietin receptor agonist eltrombopag.
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According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to:A. perform blood glucose monitoring.B. give aspirin to a patient with chest pain.C. use an automatic transport ventilator.D. apply and interpret a pulse oximeter.
According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to, the correct option is (c) use an automatic transport ventilator.
According to the National Emergency Medical Services (EMS) Scope of Practice Model, an Emergency Medical Technician (EMT) would typically require special permission from the medical director and the state EMS office in order to use an automatic transport ventilator. This is because the use of ventilators is considered an advanced skill and requires specialized training and certification. While EMTs may perform blood glucose monitoring, give aspirin to a patient with chest pain and apply and interpret a pulse oximeter, these are considered basic or intermediate level skills and can be performed by EMTs without special permission.
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a consistent set of symptoms that appears after discontinuing use of a drug is known as a(n) blank .multiple choice question.impulserehabilitation protocolantecedentwithdrawal syndrome
Withdrawal pattern is a set of symptoms that can do when an individual stops using a medicine that they've come dependent on so option D is correct.
These symptoms which can vary from mild to severe and can include a range of physical and cerebral symptoms all the similar as anxiety, agitation, wakefulness, nausea and vomiting, headaches, and muscle pangs. In some cases, the pullout pattern and also can be life- hanging , so it's important for individualities to seek medical backing if they're passing any all of these symptoms. In order to manage pullout pattern, individualities may be some specified specifics and/ or appertained to a recuperation program. also Withdrawal pattern is the complex process, and it's important for individualities to be covered nearly by a healthcare professional to insure that they're entering the stylish care.
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patients with immunodeficiency diseases should never be given live viral vaccines! several male infants with x-linked agammaglobulinemia have been given live oral polio vaccine and have developed paralytic poliomyelitis. what sequence of events would lead to development of polio in these baby boys?
A lack of B cells or the immunoglobulins (antibodies) that the B cells produce is the underlying cause of XLA, an inherited immunological illness. Bruton type agammaglobulinemia is another name for XLA.
Is XLA a primary immunodeficiency?In order to survive, people with X-linked agammaglobulinemia, often known as XLA, must receive lifelong immunoglobulin replacement therapy. XLA is a primary immunodeficiency illness that prohibits affected people from producing antibodies. Patients with XLA are more susceptible to invasive infections without immunoglobulins (or antibodies).With low levels of blood immunoglobulins and antibodies, which increases vulnerability to infection, common variable immune deficiency (CVID) is one of the most often identified primary immunodeficiencies, particularly in adults.A condition resulting from the human immunodeficiency virus (HIV). A higher risk of some malignancies and infections that typically exclusively affect people with compromised immune systems exists in people with acquired immunodeficiency syndrome. named AIDS as well.To learn more about agammaglobulinemia refer to:
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after teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which characteristic of stress incontinence?
after teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies the following as a characteristic of stress incontinence : Sneezing may be an initiating stimulus.
The involuntary passage of a small volume of urine in reaction to an increase in intra-abdominal pressure, including such sneezing, coughing, laughing, or physical effort, is defined as stress incontinence. It is particularly frequent in women in their 40s and 50s because of the weakening of the pelvic muscles and ligaments following delivery.
When physical movement or activity, such as coughing, laughing, sneezing, sprinting, or heavy lifting, exerts pressure (stress) on your bladder, leading you to leak urine, you have stress incontinence. Stress incontinence has nothing to do with psychological stress.
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Complete question :
After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which of the following as characteristic of stress incontinence?
A) Feeling a strong need to void
B) Passing a large amount of urine
C) Most common in women after childbirth
D) Sneezing may be an initiating stimulus
Question 7
Extending equal pay requirements to all persons who are doing equal work is known
as
O cost/benefit analysis.
O due process.
O comparable worth.
O fidelity.
Extending equal pay requirements to all persons who are doing equal work is known as Comparable worth.
Option C is correct.
Comparable worth :Similar worth, also known as sex equity or pay equity, is the idea that men and women should be treated equally for work that requires similar abilities, responsibilities, and effort. Comparable worth involves valuing jobs that are dominated by men and women. Discrimination based on gender only affects women. To meet customer preferences, one gender can be chosen over another. Under the Equal Pay Act, men and women working in the same position cannot be paid differently.
What is similarity in value analysis?Comparable worth emphasizes the value a position brings to a company. This indicates that the value of two very different jobs within the same organization could be found to be the same. Based on the review metric, for instance, it could be determined that an engineer and an accountant provide the same value to the business.
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carbidopa-levodopa is prescribed for a client with parkinson's disease, and the nurse monitors the client for adverse effects of the medication. which sign/symptom indicates the client is experiencing an adverse effect?
The sign/symptom indicates the client is experiencing an adverse effect are Dizziness, lightheadedness, nausea, vomiting, lack of appetite, hassle sleeping, uncommon dreams, or headache.
Dizziness, lightheadedness, nausea, vomiting, lack of appetite, hassle sleeping, uncommon dreams, or headache can also additionally arise. If any of those outcomes final or get worse, inform your health practitioner or pharmacist promptly. This medicinal drug can also additionally reason saliva, urine, or sweat to show a darkish color. Valproic acid can also additionally reason severe or life-threatening harm to the pancreas. This can also additionally arise at any time at some point of your treatment. If you enjoy any of the subsequent symptoms, name your health practitioner immediately: ongoing ache that starts withinside the belly vicinity however can also additionally unfold to the again nausea, vomiting, or lack of appetite.
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a 7-year-old child fell off a wood pile while playing and has been admitted to the icu with multiple broken bones and internal bleeding. what factor related to drug therapy will be altered in this client?
Pharmacodynamics may be altered factor related to drug therapy will be altered in this client.
What is internal bleeding?
One of the most devastating effects of trauma is internal bleeding. Usually, bleeding occurs as a result of apparent wounds that demand immediate medical attention. Internal bleeding can also happen with a less severe injury or can take hours or days to appear. Some internal bleeding brought on by trauma eventually ends.
Depending on where the bleeding is occurring inside the body, there may be signs and symptoms that suggest undetected internal bleeding, such as pain at the location of the injury.
tight, bulging abdomen.
vomiting and nauseous.
Breathlessness, clammy sweaty skin, intense thirst, and unconsciousness.
GI bleeding frequently ceases on its own. If not, the type of treatment depends on where the bleeding originated. In many instances, a method or dose of medication to stop bleeding can be administered during specific examinations.
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the nurse is using a postoperative pain management scale to determine if a newborn recovering from emergency surgery is experiencing pain. which observation(s) indicates that the newborn is experiencing pain at this time? select all that apply.
A postoperative pain management scale is being used by the nurse to identify whether or not a newborn recuperating from emergency surgery is in discomfort. The following findings suggest that the kid is now suffering level 3 pain:
A high-pitched cryHeart rate increased by more than 20% above baselineThe baby has not yet fallen asleepMany variables contribute to children's poor pain management. Current evidence suggests that severe pain in children has more long-lasting and significant effects than in adults. Recent research indicates a lack of appropriate postoperative pain treatment in children, particularly following outpatient surgery. Studies show that exposure to pain at an early age further increases the risk of developing problems in adulthood (chronic pain, anxiety, and depressive disorders).
Your doctor may recommend giving your child clear fluids for the first few hours until the nausea subsides. After that, you can give small amounts of normal food. For babies, your doctor can tell you if you need to change anything about breastfeeding or bottle feeding.
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Complete question :
The nurse is using a postoperative pain management scale to determine if a newborn recovering from emergency surgery is experiencing pain. Which observations indicate that the child is experiencing level 3 pain this time? (Select all that apply.)
a. Baby falls asleep for short periods and then wakes up crying
b. High-pitched cry
c. Baby is grimacing
d. Heart rate elevated to greater than 20% over the baseline
e. Baby has not fallen asleep
10. Hydrocortisone belongs to the drug class of
A. steroids.
B. anti-inflammatory.
OC. antibiotics.
O D. retinoids
Hydrocortisone belongs to the drug class of
A. steriods
a client with a tentative diagnosis of gastroesophageal reflux disease (gerd) is going to undergo ambulatory ph monitoring. the nurse assists in the procedure and would bring which item to the bedside?
The nurse helps with the procedure and brings the Nasogastric (NG) tube to the gastroesophageal reflux client's bedside.
A nasogastric (NG) tube is a thin, flexible tube that is passed through the nose and down into the stomach. This type of tube is commonly used for various medical procedures, including ambulatory pH monitoring. Ambulatory pH monitoring is a test used to measure the pH (acid level) in the esophagus over a 24 to 48 hour period. The test is used to help diagnose and evaluate the severity of gastroesophageal reflux disease (GERD).
The NG tube is inserted through the nose and passed down the esophagus into the stomach. A small sensor at the tip of the tube measures the pH in the stomach and sends the information to a recording device worn by the patient. The patient is able to move around during the test and keep a diary of symptoms experienced. After the test, the pH data is analyzed to determine the presence and severity of acid reflux.
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a client at the public health clinic reports performing self-breast examinations monthly. which protective health factor does this represent?
The protective health factor for the self-breast examination is valuing health.
Breast self-examination is a self-examination of your breasts. To improve breast awareness, use your eyes and hands to see if your breasts have changed in appearance and feel. If you notice new breast changes, talk to your doctor. Circular method, wheel spoke method, and then the grid method. When doing breast self-examination, always use the fat pads on your three middle fingers. Monthly breast self-examination is an important tool for early detection of breast cancer. Doing her BSE on a regular basis gives her an idea of how her breasts normally feel, so she can better spot any changes.
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a client in the second trimester of pregnancy is diagnosed with cervical cancer. for which treatment should the nurse instruct the client as causing the least harm to the developing fetus?
The nanny should instruct the patient with cervical cancer in the alternate trimester of gestation to pursue the least dangerous treatment for both the mama and the developing fetus.
As the fetus is at a critical stage of development, the threat of detriment from any type of treatment needs to be minimized. The most suitable treatment for this situation is external ray radiation remedy, as it doesn't bear direct contact with the fetus, and the radiation won't be suitable to access the uterus. This is the most effective form of treatment for cervical cancer that doesn't pose too great a threat to the fetus. The nanny should also emphasize to the customer that careful monitoring of the gestation is necessary to insure the safety of both the mama and the future baby. It's also important to give emotional support to the customer during this time, as the opinion and treatment can be veritably stressful.
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how long does it take for a fractured ankle to heal
Answer:It can take anywhere between 6-8 weeks depending on how serious the injury.
Explanation:
Answer: 6 to 8 weeks but it could be different depending on how bad it is
Explanation:
why do less active americans not explain why there is a growing concern over the physical fitness of children and adolescents. their activity levels?
There is growing concern over physical fitness of children and adolescents because of the combination of poor nutrition and sedentary lifestyle, which is the main cause of obesity among them, which means option B is the right answer.
The children and adolescents in America, which is a developed nation are mostly engaged in indoor activities and eat junk food which has caused them suffer from body shaming by other peers. This has led to the culture of increased physical awareness at younger age. However what they perform is inspired by adults and this is hampering their actual growth and development. Instead of growing fit and healthy, they are more drifted towards constructing muscles/ abs, for which they consume protein relentlessly whose effects are generally seen after mid age. Thus, it is important to engage children in physical activities from younger age which can be in the form of sports, outdoor events and also keep them away from mobiles and junks.
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Refer to complete question below:
Why is there a growing concern over the physical fitness of children and adolescents?
A. Children and adolescents are overly concerned with exercise and fitness.
B. A combination of poor nutrition and a sedentary lifestyle are leading to greater occurrences of obesity in children and adolescents.
C. Children and adolescents are getting too much of the wrong kind of exercise.
D. Although the diets of children and adolescents have improved over the years, participation in exercise has decreased .
which statement by the client and significant other indicates a need for the nurse to reteach them about the halo device
While I am donning the halo, we must refrain from engaging in sexual behavior.The client and their significant other's comments show that the nurse has to reintroduce the halo device to them.
A Halo device:
After surgery or an accident, the cervical spine and neck are immobilized and safeguarded using a brace called a halo device or halo-vest. The halo device is a ring that surrounds the patient's head and is anchored to the patient's outer skull via pins. Some Halo equipment does not require a pin, but only in particular circumstances.
The halo device changes the body's equilibrium and its added weight has the potential to make people tired. To prevent skin ulcers, the customers should regularly cleanse the area under the vest. They should also refrain from applying powders or lotions to their bodies. Additionally, the client should have their meal chopped into small pieces for easier eating and should drink using a straw. The nurse's instructions for pin care are followed. Due to the halo device's reduced field of vision, the client is completely unable to drive following implantation.
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Note: The correct question would be as bellow,
Which statement by the client and significant other indicates a need for the nurse to reteach them about the halo device?
I will need to be careful whenever I lean forward or backward
I will need to avoid swimming and contact sports such as FB
We will need to avoid sexual activity while I am wearing the halo
I will need someone to help clean the pin sites as recommended
the mentoring nurse is orienting a new graduate rn to the geriatric floor. what assessment technique will the new graduate nurse perform to identify an age-related physiological change associated with medication metabolism?
The new graduate nurse will perform an external palpation of the liver in order to identify an age-related physiological change associated with medication metabolism.
What do you mean by the external palpation of the liver?Palpation refers to the testing of the abdomen for abdominal crepitus, abdominal discomfort, or abdominal tumours. Normal people can feel their liver and kidneys, but any additional lumps are abnormal. The objective of an external liver palpation is to estimate liver size and to assess for discomfort and masses. The liver palpation can be examined by placing the right hand in the right lower region of the patient's abdomen. Then gently raising the right upper quadrant lateral to the rectus muscle and asking the patient to take a deep breath while gently pushing in and up. If the liver is big, it will protrude downwards to meet the fingertips and will be visible.
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the school nurse is providing education on poisoning risks to adolescent students. which topic does the nurse include in the teaching?
Poisoning in the school-age group is most often associated with experimentation with drugs and inhalants.
Adolescents and young adults who experiment with drugs can suffer harmless poisoning and death. The availability of inhalants on store shelves and in homes can provide opportunities for children to sniff out or “inhale” these harmful substances. Teenagers can also ingest the drug in self-harm. Ingestion of substances containing reciprocal occurs in the preschool population. Exposure to toxic fumes (cleaning agents) and carbon monoxide affects individuals of all age groups.
This question is multiple choice:
A. malfunction of a carbon monoxide monitor in the home.B. the ingestion of substances in the home that contain lead.C. experimentation with drugs and inhalants.D. exposure to toxic fumes in the home.Learn more about drug poisoning at https://brainly.com/question/859008
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