A pinkish-red, moist stoma indicates good health. Your stoma need to protrude a little bit from your skin. You should expect to notice some mucous. It's also typical to experience isolated blood spots or minor bleeding from your stoma.
What is a stoma and why do people get stoma?A stoma is an opening on the abdomen that can be attached to either your urinary or digestive systems to allow waste (feces or urine) to be diverted out of your body. It appears as a little, round piece of flesh that is sewed to your body and is reddish in color. Your body may find it quite flat or it may stick out.
Many different circumstances necessitate stomas, such as: abdominal trauma (for example, caused by a car accident or other major injury) surgical removal of colon cancer or other tumours in the pelvic region. ulcerative colitis and Crohn's disease are two examples.
Do you pee through a stoma and Are stoma bags painful?Following bladder removal surgery, you can have a small hole on your stomach that resembles a spout. This is known as a stoma (abdomen). Your stoma is now where your urine exits. As a result, getting used to it could take some time.
You might experience abdominal pain, and you should probably take painkillers for the next week or two. At initially, the stoma will be bloated. That is typical. For some time, you can experience very loose stools with your colostomy bag.
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the nurse encounters resistance when inserting the tubing into a client's rectum for a tap water enema. what action should the nurse implement
Ask the client to relax and run a small amount of fluid into the rectum.
An enema, also known as a clyster, is a fluid injection into the lower bowel via the rectum. The term enema can also refer to the liquid injected as well as the device used to administer the injection.
Enemas can help with constipation and bowel movement. However, many people use enemas for other ostensibly health reasons. Some proponents claim that enemas can help you lose weight, get rid of toxins and heavy metals, and improve your skin, immunity, blood pressure, and energy levels.
Enemas are fluid injections used to cleanse or stimulate bowel emptying. For many years, this procedure has been used to treat constipation and other similar issues. Constipation is a serious condition that causes your stool to move slowly. It also hardens and makes it difficult to excrete the stool.
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___are chemicals that help to combat infection by slowing down the multiplication of bacteria, fungi, or protists.
Antibiotics are substances that lessen the growth of bacteria, fungus, or protists, aiding in the fight against infection.
What is the purpose of antibacterial medication?Some varieties of bacterial infections are treated or prevented with the help of antibiotics. Bacteria are either eliminated or prevented from multiplying and spreading by them. Viral infections cannot be treated with antibiotics. This covers the typical cold, the flu, the majority of coughs, and sore throats.
I need antibiotics when, exactly?Only bacterial illnesses are treated with antibiotics. This comprises a variety of middle ear infections as well as sepsis, skin abscesses/impetigo, bacterial pneumonia, utis, and streptococcal pharyngitis.
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which type of emergency assessment is the nurse performing when the nurse reasesses level of conciousness and mental status in a client who survived a fire
Disability type of emergency assessment.
Victims with potentially fatal injuries or illnesses (such as head injuries, severe burns, severe bleeding, heart attack, breathing difficulties, or internal injuries) are assigned a priority 1 or "Red" Triage tag code (meaning first priority for treatment and transportation).
The Hospital Incident Command System (HICS) is a facility-level organizational model for disaster management that is part of the National Incident Management System (NIMS) implemented by the Department of Homeland Security and FEMA to standardize disaster operations.
At its most basic, consciousness is sentience and awareness of one's internal and external existence. However, the lack of definitions has resulted in millennia of philosophical, theological, linguistic, and scientific analyses, explanations, and debates.
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a nurse is assessing an elderly client with senile dementia. which neurotransmitter condition is most likely to contribute to this client's cognitive changes?
A decrease in acetylcholine levels has been linked to cognitive changes in healthy elderly clients as well as the severity of dementia.
Senility is an old-fashioned term for dementia, but using the two interchangeably implies that dementia symptoms are typical of aging, which is not the case. Dementia is a catch-all term for a variety of conditions that impair one's ability to think, concentrate, or remember.
For many years, the term senile dementia was used to describe elderly people who experienced cognitive decline, particularly memory loss. This term actually refers to a long history of ignorance about dementia, its causes, and treatment.
Choline acetyltransferase, an enzyme required for acetylcholine synthesis, has been discovered to be deficient in dementia patients. Norepinephrine is linked to aggression, sleep-wake patterns, and the regulation of physical responses to emotional stimuli, such as panic-induced increases in heart and respiratory rates.
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a child with heart disease starts on oral digoxin. when preparing to administer the medication, what should the nurse do first?
A nurse should assess the apical pulse for a full minute before administering digoxin due to its positive inotropic action , negative chronotropic action (it decreases heart rate), and negative dromotropic action (it decreases electrical conduction).
The nurse monitor blood pressure and apical pulse prior to administration. Cardiac monitor should be used on patients receiving digoxin, especially loading doses. Monitor serum digoxin levels closely, especially if receiving antibiotic therapy. Monitor serum electrolytes, especially potassium.Serum digoxin levels should be monitored, with a normal therapeutic range from 0.8 to 2 ng/mL. Serum potassium levels should also be closely monitored for patients on digoxin because hypokalemia increases the effect of digoxin and can result in digoxin toxicity.
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which career combines dna technology and medicine? pharmaceuticals paternity testing environmental studies biopesticide development
The career that combines DNA technology and medicine is paternity testing.
What is DNA technology?More recently there has been a lot of advancement in the field of genetics. What happens in genetics is that there is a lot of research that tries to understand the pattern of inheritance and this has been of a great use to the medical science ever since it became an independent discipline.
The area of DNA technology has been very impotant when it comess to paternity testing. What happens in paternity testing is that we are able to match the DNA of the supposed father and that of the child and look out for similarities.
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the nurse should identify which potential health disparities when conducting an admission assessment on a hospitalized patient? (select all that apply.)
The nurse should identify The following potential health disparities when conducting an admission assessment on a hospitalized patients recent divorce, a low-paying, unfulfilling job, and a regular smoker, Male African-American.
The nurse may use the factors that contribute to health disparities to pinpoint patients who are at risk. A risk factor for health disparities is exposure to stressful living conditions, such as the financial instability brought on by poor salary. One example of a selected unhealthy activity is smoking. Due to recent divorce and extreme stress, the patient is at risk. Race, a natural, biological component that is more prevalent in African Americans, may be a risk factor for hypertension. Having comprehensive insurance has the benefit of promoting better health, even though not having health insurance is unequal.
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the nurse recognizes which condition as an integumentary manifestation of chronic renal failure? seizures asterixis tremors gray-bronze skin color
The nurse will recognize gray-bronze skin color as an integumentary manifestation of chronic renal failure.
The major organ in the body that physically separates the internal environment from the outside environment, which it protects and maintains, is the integumentary system. The epidermis, dermis, and hypodermis, along with any accompanying glands, hair, and nails, make up the integumentary system.
Skin that is gray-bronze in color is an integumentary symptom of chronic renal failure. Other symptoms include rough, thinning hair, ecchymosis, purpura, thin, brittle nails, and dry, flaky skin. Neurologic signs of chronic renal failure include asterixis, tremors, and seizures.
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Hemoglobin is a complex protein that contains four polypeptide chains. The normal hemoglobin found in adults—called adult hemoglobin—consists of two alpha and two beta polypeptide chains, which are encoded by different loci. Sickle-cell hemoglobin, which causes sickle-cell anemia, arises from a mutation in the beta chain of adult hemoglobin. Adult hemoglobin and sickle-cell hemoglobin differ in a single amino acid: the sixth amino acid from one end in adult hemoglobin is glutamic acid, whereas sickle-cell hemoglobin has valine at this position. After consulting the genetic code provided in Figure 15.10, indicate the type and location of the mutation that gave rise to sickle-cell anemia.
GAA and GAG are two potential codons for glutamic acid. Codons that encode valine can be created by making a single base substitution in the second position in both codons: GAA-> GUA (Val), (Val) GAG -> GUG (Val)
What occurs if hemoglobin levels are low?Being anemic, or having low hemoglobin, can make you feel exhausted and frail. Anemia can have many different forms, each with a unique etiology. Anemia can be mild to severe and can be short-term or long-term. Anemia typically has multiple causes.
What hemoglobin level is considered dangerously low?According to some physicians, hospital patients with hemoglobin levels below 10 g/dL ought to have a blood transfusion. A blood transfusion may not be necessary for many individuals with levels between 7 and 10 g/dL, according to current studies. One blood unit is typically just as effective as two and may even be safer.
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which of the following is the most common mental disorder of the elderly, covering several diseases, each of which includes serious memory loss accompanied by declines in other mental functioning?
There are numerous potential causes of memory loss and other cognitive issues, such as depression, infections, and pharmaceutical side effects. Sometimes the issue is treatable, and cognition advances. Other instances, the issue is a brain ailment that is irreversible, like Alzheimer's disease.
What kind of memory deteriorates during the course of life until it peaks around age 70?
Adulthood sees a progressive reduction in short-term memory until the age of 70, at which point it becomes evident. Age has little bearing on semantic memory (generic information and facts) and implicit memories (bicycle riding).
is there a type of memory loss that doesn't come along with any other mental issues?
Amnesia, a memory loss that happens without other mental issues and can take the forms of retrograde amnesia and anterograde amnesia, are two of the memory dysfunctions. Alzheimer's disease also causes a progressive loss of memory.
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TRUE/FALSE. patterns are stored and analyzed by the cdc through the pulsenet program in order to assist in the investigation of possible infectious disease outbreaks.
True, The CDC uses the Pulse Net tool to store and analyze bacterial BLANK patterns in order to aid in the investigation of potential infectious disease outbreaks.
What are some instances of infectious diseases?Diseases brought on by living things like bacteria or viruses are referred to as infectious diseases. They are thought to be contagious and can spread from one person to another through bodily secretions, insects, or other means. SARS, influenza, the typical cold, tuberculosis (TB), and hepatitis A and B are a few examples.
Short answer: What are infectious diseases?Disorders produced by organisms, such as germs, viruses, fungus, or parasites, are known as infectious diseases. Our bodies are home to a variety of creatures. In most cases, they are beneficial or even safe. But certain microbes have the potential to cause disease in specific situations.
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personal information about patients such as their names, ages, and addresses is considered what type of information?
personal information about patients such as their names, ages, and addresses is considered as Protected health information (PHI).
Personal health information (PHI), also referred to as protected health information (PHI), is any information that a healthcare professional collects to recognise a patient and determine the best course of treatment. This information can include census information, health history, test as well as research lab results, mental health disorders, insurance details, and other data.
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is the principal legislation governing the use, access, and disclosure of PHI in the United States. According to HIPAA, PHI entails details on a person's past, current, or future health as well as details about the treatments they received and their associated costs. Regulations governing the production, acquisition, transfer, management, and storage of this data are applicable to any HIPAA-covered organisation.
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a pregnant client with preeclampsia is to receive magnesium sulfate iv. which assessment should the nurse prioritize before administering a new dose?
The assessment that must be prioritized by nurses before giving a new dose of IV magnesium sulfate to a preeclampsia client is breathing 16 times per minute and urine at least 30 ml/hour in the last 4 hours.
What is preeclampsia?Preeclampsia is a condition resulting from uncontrolled high blood pressure in pregnant women. The condition of preeclampsia in pregnant women must be treated immediately. If not, the condition of preeclampsia can develop into eclampsia and have fatal complications for both the mother and the fetus.
A pregnant woman can be said to have preeclampsia if she has a systolic blood pressure of 140 mmHg or more or a diastolic blood pressure of 90 mmHg or more on two examinations with a minimum distance of 4 hours.
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Which of the following is not a concern associated with using projective tests as a primary means of diagnosing mental disorders?
They are unreliable, often leading to different interpretations of client responses.
Support comes primarily from anecdotal endorsements rather than experimental tests.
They were developed relatively recently, so their utility is not yet known.
They are invalid, being based on untestable psychodynamic theories.
They were developed relatively recently, so their utility is not yet known.
A clinically significant disturbance in an individual's cognition, emotional regulation, or behavior characterizes a mental disorder. It is frequently associated with distress or impairment in critical areas of functioning. There are numerous types of mental disorders. A mental health professional, usually a clinical psychologist or psychiatrist, can diagnose such disorders.
The causes of mental disorders are frequently unknown. Theories may include findings from a variety of fields. Mental disorders are typically defined by how a person behaves, feels, perceives, or thinks. This is often associated with specific brain regions or functions in a social context. One aspect of mental health is a mental disorder. When making a diagnosis, cultural and religious beliefs, as well as social norms, should be considered.
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in the alternatives approach, many assume that people abuse drugs voluntarily to fill a need or basic drive. True or False?
Answer:
it were be ture
which would be included in the plan of care for an obstetrical client who has been taking carbamazepine
Analyses to rule out neural tube defects. The drug carbamazepine has been linked to neural tube abnormalities. Down syndrome, heart malformations, and fetal hydraenids are unrelated to carbamazepine use.
Why do heart malformations occur?The majority of these problems are not completely understood by researchers, but they speculate that genetics, specific medical disorders, particular drugs, and ambient or lifestyle factors, like as smoking, may all be involved. Congenital cardiac abnormalities can in a variety of forms.
What cardiac abnormalities are there?The most typical kinds are: Septal defects, also known as "holes in the heart," are openings in the heart's left and right wall surface. Defects in the lobes that control blood flow through the heart are referred to as heart valve defects. Large blood arteries with defects that affect how blood enters and exits the heart.
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give each child a probable diagnosis: (1) judy is extremely anxious and depressed; (2) jane acts disruptively and regularly gets into fights.
Give each child a probable diagnosis: (1) Internalizing tendencies (2) externalizing tendencies.
Many children have anxieties and worries, and may feel sad and hopeless from time to time. Strong fears may occur at different points during development. For example, toddlers are often highly disturbed about being away from their parents, even if they are safe and cared for. Although some anxieties and worries are common in youngsters, persistent or excessive forms of fear and sadness could be attributed to anxiety or depression. Learn about anxiety and depression in children.
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the nurse performs a cultural assessment with a patient from a different culture. which action by the nurse should be taken first?
An early step in performing a cultural assessment is to determine whether the patient feels an affiliation with any cultural group
Ask about ethnic background, preferred religion, familial structure, dietary preferences, eating habits, and health practises when doing a quick cultural assessment . Instead, a cultural assessment is used to comprehend deeply ingrained norms and values, drivers of behavior, and existing characteristics. Before the assessment, be aware of the important topics to discuss and how to do so without upsetting the patient and family. Reviewing the many cultural elements, such as the environment, traditions, interpersonal relationships, incentives, and values, is a part of doing this assessment.
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Almost all (99%) of the calcium in the body is used to:
maintain the blood level of calcium within very narrow limits.
provide rigidity for the bones and teeth.
regulate the transmission of nerve impulses.
provide energy for cells.
Calcium is a mineral that is most frequently linked to bone production and metabolism. Teeth and bones include calcium hydroxyapatite and constitutes and over 99 percent of the body's total calcium.
How come Bones was canceled?Due to declining ratings and the Fox channel's general opinion that the show had peaked, Bones was canceled. Despite having a fairly successful run throughout the course of its 12 seasons, the show's ratings started to fall after it was repeatedly relocated around the TV schedule.
Is the Bones girl autistic?Although it has been claimed that Brennan was modeled after an autistic person, the series' plot has never explicitly acknowledged this.
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after a thyroidectomy, the client develops a carpopedal spasm while the nurse is taking a bp reading on the left arm. which action by the nurse is appropriate?
Administer IV calcium gluconate as ordered.
A thyroidectomy is a surgical procedure that involves the removal of all or part of the thyroid gland. When a patient has thyroid cancer or another condition of the thyroid gland or goiter, endocrine or head and neck surgeons frequently perform a thyroidectomy in general surgery.
Thyroidectomy is a common surgical procedure with several potential complications or sequelae, including temporary or permanent voice changes, temporary or permanent low calcium, the need for lifelong thyroid hormone replacement, bleeding, infection, and the remote possibility of airway obstruction due to bilateral vocal cord paralysis. When the procedure is performed by an experienced surgeon, complications are uncommon.
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a patient has undergone a diagnostic peritoneal lavage. the nurse interprets which result as indicating a positive test?
The nurse interprets feces as evidence of a positive test when a patient has had a diagnostic peritoneal lavage.
Following abdominal trauma, diagnostic peritoneal lavage (DPL), an invasive emergency treatment, is used to identify hemoperitoneum and assess whether a laparotomy is necessary. After inserting a catheter into the peritoneal cavity, the intraperitoneal contents are aspirated, frequently after being diluted with crystalloid. Following abdominal trauma, diagnostic peritoneal lavage (DPL), an invasive emergency treatment, is used to identify hemoperitoneum and assess whether a laparotomy is necessary. After inserting a catheter into the peritoneal cavity, the intraperitoneal contents are aspirated, frequently after being diluted with crystalloid. DPL has low specificity, detecting numerous lesions that cause bleeding but don't need to be surgically repaired, which leads to high negative laparotomy rate.
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a nurse is preparing to insert a rectal suppository and observes a small amount of rectal bleeding. what action should the nurse implement
A nurse preparing to insert a rectal suppository observes a small amount of rectal bleeding. Nurses should withhold from giving suppositories until they contact their doctor.
What are the uses and drawbacks of rectal suppositories?Rectal suppositories are intended for local or systemic action to relieve pain, constipation, irritation, inflammation, nausea and vomiting, fever, migraines, allergies, and sedation.
Drawbacks include: mucosal irritation, irregular and unwanted absorption; Gastrointestinal conditions affecting absorption; Diarrhea and sick conditions impairing absorption.
Why do rectal suppositories work so quickly?Medicines in rectal suppositories usually work quickly (usually 10-45 minutes). This is because suppositories dissolve in the body and are absorbed directly into the bloodstream.
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A 4-year-old girl is brought to the ED after 48 hours of vomiting and diarrhea. Her parents are concerned that she is becoming dehydrated. Which of the following is a sign of moderate dehydration?
ADecreased urine output
B-Hypotension
C-Lethargy
D-Mottled extremitie
After 48 hours of vomiting and diarrhea, a 4-year-old girl is brought to the ED. Her parents are worried that she's dehydrating.
decreased urine output is a sign of moderate dehydration.
The ability of the first responder to identify and effectively treat hypovolemic shock will determine whether or not a child with severe volume depletion survives at the emergency room. Although the fundamentals of fluid and electrolyte therapy have been studied for decades, the issue still presents difficulties because it is difficult to agree on a clinical management regimen and because fluid administration causes more side effects than any other medicine. However, more recent systematic reviews and meta-analyses have brought attention to the risk of hyponatraemia and hyponatraemic encephalopathy in some children receiving treatment with hypotonic fluids. The ancient concepts put forth by Holliday, Segar, and Finberg have endured the test of time. Despite contradictory research on fluid and electrolyte therapy.
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the nurse is removing a picc from a patient being treated for glaucoma. which instruction should the nurse give this patient?
When withdrawing a PICC from a patient receiving treatment for glaucoma, the nurse should urge the patient to "Hold your breath but do not bear down."
What is glaucoma?A group of eye diseases collectively referred to as glaucoma can damage the optic nerve, a nerve found in the back of the eye, causing vision loss and eventual blindness. The symptoms may not be apparent at first since they can develop gradually. The only way to tell if you have glaucoma is to undergo a comprehensive dilated eye exam.
What are the common causes of glaucoma?Glaucoma is a chronic, progressive eye disease that is caused by damage to the optic nerve, which impairs vision. One of the primary risk factors is eye pressure. When the drainage system fails, fluid can build up in the eye, which can cause significant pressure that damages the optic nerve.
Glaucoma frequently results from high intraocular pressure. However, diabetes can also make you more likely to get glaucoma. In this article, we'll examine the relationship between diabetes and glaucoma in greater detail. We'll also discuss some preventative measures you may take to help maintain the health of your eyes.
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which initial inference would the nurse make about a psychiatric client curled up in the fetal position
The first assumption a nurse would make about a mentally ill patient curled up in the fetal position is that the patient is engaging in regressive behavior, which is a reaction to extreme anxiety.
What do you mean psychiatric?The area of medicine known as psychiatry is dedicated to the identification, management, and prevention of mental, emotional, and behavioral disorders. An M.D. or D.O. A psychiatrist is a specialist in mental health, particularly problems related to substance use. The identification, prevention, and treatment of mental diseases are the primary goals of the medical specialty of psychiatry. These encompass a range of maladaptations in behaviour, emotion, cognition, and perception. Check out the psychiatry glossary.
What is an example of psychiatric and what is the most common psychiatric issue?Among the mental health conditions that psychiatrists treat are schizophrenia, bipolar disorder, depression, anxiety disorders, personality disorders, panic disorders, and anxiety disorders. They also deal with drug and substance abuse, dependency, and addiction.
Anxiety disorders are the most prevalent psychiatric disorders in the general population of the United States. The most prevalent psychiatric diagnoses in the general population, according to European data, are mood and anxiety disorders, which have roughly equal prevalence rates.
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the nurse is monitoring a client postoperatively after a permanent pacemaker insertion. which finding would be most concerning to the nurse?
The nurse monitors the client after surgery with a permanent pacemaker. The finding that worried the nurses was the damage to the blood vessels.
What is a pacemaker?A pacemaker is a medical device that electrically stimulates the heart muscle to contract to produce a heartbeat. The cardiologist places this small, lightweight device in the upper chest surgically or non-surgically through a vein, depending on the type. The pacemaker keeps the heart rate according to the program so that the body gets enough oxygen and nutrients contained in the blood.
The doctor can install a pacemaker permanently or temporarily according to the patient's condition. This pacemaker can sense every beat of the wearer's heart and only stimulates the heart muscle when the rate drops below the programmed rate limit.
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which finding would the nurse expect as common for a multiparous client giving birth to a viable neonate at 41 weeks' gestation with the aid of a vacuum extractor?
nurse would expect caput succedaneum as common for a multiparous client giving birth to a viable neonate at 41 weeks' gestation with the aid of a vacuum extractor
A newborn with caput succedaneum will have swollen scalp. The uterus or vaginal wall pressure during a head-first (vertex) delivery is the primary cause. At birth, caput succedaneum typically manifests as swelling (edoema) on the top of the scalp. This swelling does transcend suture lines, makes the scalp feel spongy, and begins to subside shortly after birth. A newborn's cephalohematoma is an accumulation of blood (haemorrhage) beneath the scalp.
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in a cdi program, asking questions of providers for clarification on documentation is done through a ____.
Clarification on documentation of provider in CDI program is done through Query.
The term "Clinical Documentation Improvement" (CDI) refers to the process of enhancing medical records to guarantee better patient outcomes, high-quality data, and proper compensation. Hospitals started CDI programs in reaction to the introduction of DRGs (Diagnosis Related Groups) as a method of payment. In order to improve hospital reimbursement and data gathering, the majority of physicians have encountered requests for supplemental paperwork to support additional or more precise ICD codes. In order to represent the integrity of the financial, clinical, and quality outcomes, a strong and effective CDI program helps to ensure that physician documentation appropriately depicts the patients' clinical picture.
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A nurse is caring for a client with diabetes insipidus. The nurse should anticipate administering:
a. insulin.
b. furosemide (Lasix).
c. potassium chloride.
d. vasopressin (Pitressin).
A nurse is caring for a client with diabetes insipidus. The nurse must anticipate administering d. vasopressin (Pitressin).
What is diabetes?Diabetes Mellitus (DM) occurs as a result of an unhealthy lifestyle which causes an accumulation of sugar levels in the blood and is above the normal threshold which is chronic and long-term.
Diabetes can cause complications including heart attacks and strokes, severe foot infections (causing gangrene, which can lead to amputation), and end-stage renal failure.
While Diabetes insipidus is a health problem characterized by frequent thirst and frequent urination with a larger volume, even up to 20 liters in one day.
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which medication would a nurse anticipate providing teaching about for an adolescent with dysmennorhea
The majority of teenagers who come with dysmenorrhea are suffering from primary dysmenorrhea, which response well to initial treatment with nonsteroidal anti-inflammatory medications (NSAIDs), hormone suppression, or both.
What treatment for dysmenorrhea works best?The day before you anticipate the start of your period, start taking regular doses of ibuprofen (Advil, Motrin IB, and other brands) or naproxen sodium (Aleve) to ease the pain. Nonsteroidal anti-inflammatory medications are also offered with a prescription.
Does ibuprofen help with period cramps?Period pain relievers are available over the counter. Many of the same over-the-counter painkillers that you use for migraines also work to ease the discomfort of menstrual cramps. Ibuprofen (Advil, Motrin IB), naproxen (Aleve), and even acetaminophen are some of these (Tylenol).
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