It's possible to assign accountability. Responsibility cannot be passed down. Despite the fact that some of these care-related tasks can and often are outsourced to others, the delegating registered nurse still has responsibility for all client care.
What is accountability in nursing?The Need for Delegation in the Modern Health Care Environment
Why should nurses delegate if it's such a difficult and legally complex decision to make? Delegation is required because of budgetary restraints, a nursing shortage, and an increase in the complexity of patient care. Delegation can greatly enhance patient care results when implemented properly.
Ineffective Delegation :The care of patients may suffer as a result of improper delegation, which may also put the delegator at risk of legal action.
Each member of the healthcare team can make a significant contribution to the provision of safe and efficient patient care.
Communication Foundations :When using the five rights of delegation in nursing practice, it's critical to keep in mind that how a work is asked to be completed by the delegatee can have a significant impact.
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upon assessment after giving oral penicillin, the nurse notes that a client has dilated pupils, increased blood pressure, and increased heart rate. the nurse would document these findings as which type of drug allergic reaction?
penicillin does not cause high blood pressure as a negative effect. Nausea, vomiting, epigastric discomfort, diarrhea, and black tongue are among side effects of oral penicillin. Skin eruptions maculopapular and exfoliative dermatitis, urticaria or other serum-sickness-like events, laryngeal edema, and anaphylaxis are among the hypersensitivity reactions that have been documented.
What are some uses for penicillin?Bacterial infections are treated with penicillins. The germs are either eliminated or their growth is stopped. Penicillins come in a variety of varieties. Every one of them is employed to cure various infections.
Can penicillin be used in place of amoxicillin?Penicillin-class medications include amoxicillin and penicillin. Amoxicillin was created by chemically altering naturally occurring penicillins to make them less potent, in contrast to the drugs penicillin V and penicillin G.
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a client with a diagnosis of tonic-clonic seizures is being admitted to the hospital, and the nurse needs to institute seizure precautions. during a seizure, which items are inappropriate to use and could cause harm to the client?
During a seizure, objects that are not appropriate to use and can harm the client are spoons or towels that are put in the mouth.
What is a seizure?Seizures are disturbances of electrical activity in the brain that occur spontaneously. This condition is generally characterized by uncontrolled body movements, which can even cause a loss of consciousness. Seizures can be a symptom of brain disease or other conditions that affect the brain.
The duration of the seizure is usually short, between 30 seconds and 2 minutes. If it lasts more than 2 minutes, the seizure is classified as an emergency and requires immediate medical attention.
When someone is having a seizure, do not put any object such as a spoon or towel into your mouth because it will block your airway and endanger your life.
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who funds death investigations in the county
In most counties, death investigations are typically funded by the government through the county's budget.
What are the sources of funding for death investigations in a county?The specific department responsible for death investigations, such as the coroner or medical examiner's office, may receive funding from the county, state, or even federal government.
In some cases, the funds for death investigations may come from a combination of sources, such as a combination of county and state funding.
In some rural areas, the cost of death investigations may be covered by the state government, as there may not be enough funding available at the county level.
In some instances, a county may have to rely on grants or private donations to fund death investigations.
It's worth noting that death investigations can be costly, and often require advanced equipment and training for the personnel involved, so adequate funding is crucial.
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triangular shaped glandular tissue located at the top of the kidney that secretes hormones related to the stress response.
nurse observes that a client is out of breath from running up a flight of stairs just prior to conducting a general survey. what is the best action of the nurse?
Bronchodilation occurs as a result of the respiratory tract's smooth muscles being relaxed by the drug albuterol (Proventil). The goal of this intervention is to facilitate breathing, and it adheres to the emergency care ABCs of airway, breathing, & circulation. After the initial episode of breathing difficulties has subsided, the use of a incentive aspirator may be taught.
The respiratory system consists of what three components?Throat-to-lungs passage known as the trachea. The bronchial tubes are tubes that connect to each lung at the base of the windpipe. The two lung organs are responsible for removing oxygen and transferring it to your blood.
The respiratory system include what organs?Lungs are the primary respiratory organs. The nose, trachea, diaphragm, and intercostal muscles are some more respiratory organs.
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This type of muscle blends into tendinous insertions that attached to bones pulling them which produces the desired movement
The required movement is created when skeletal muscle fuses with tendinous insertions that connect to bones and pull them.
Muscle confusion is a practise among bodybuilders for what reason?The phrase "muscle confusion" is frequently used in the bodybuilding community. It is typically used as an excuse to switch up your workouts to give your body something new to get used to.
What kind of exercise produces myofibrillar hypertrophy, which increases muscle strength, the most effectively?The biggest improvements in myofibrillar volume and density result with strength training at 80%+ of your 1-RM, rep ranges of 3–8, and 2-4 minutes of recovery. Therefore, you must lift heavy if you want to develop myofibril hypertrophy. the more muscle fibres are activated when you lift higher weights.
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a client had part of the ileum surgically removed. the nurse monitors the client closely for anemia based on which rationale?
A client who has had part of the ileum surgically removed may be at risk for anemia due to malabsorption of dietary iron.
The ileum is the last part of the small intestine and it is responsible for the absorption of iron, vitamin B12, and folate. The surgical removal of a portion of the ileum can lead to malabsorption of these nutrients and result in anemia. The nurse should monitor the client closely for anemia by assessing the client's vital signs, hemoglobin, and hematocrit levels. The nurse should also monitor for the signs and symptoms of anemia such as fatigue, weakness, pallor, tachycardia, and shortness of breath. Additionally, the nurse should monitor the client's diet and may need to administer supplements to correct deficiencies. It's important to note that clients with ileal resection may also have other nutrient deficiencies, like vitamin B12 and folate, which can lead to other health problems. Therefore, the nurse should also monitor for these deficiencies and provide appropriate care and interventions.
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the nurse is collecting data on a client with severe preeclampsia. which signs and symptoms are noted in severe preeclampsia? select all that apply
oliguria, proteinuria 3+, Blood pressure 168/116 mmHg. These are symptoms of pre-eclampsia
Women with preeclampsia are at increased risk of pulmonary edema, thrombocytopenia, hemolysis, coagulopathy, and oliguria. These women are also at increased risk of stroke. Signs and symptoms of pre-eclampsia include:
Proteinuria (>1+ dipstick urinary protein or >300 mg/dL 24-hour urinary protein, hypertension >140/90…2 readings at least 4-6 hours apart), swelling of face, eyes, extremities, headache, Blurred vision, etc. If a client complains of headaches or blurred vision, the doctor should be notified as these are signs of worsening pre-eclampsia. I have a strong headache. Changes in vision, such as temporary vision loss, blurred vision, or sensitivity to light. Pain in the upper abdomen, mainly under the ribs on the right side
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you can use any 2 methods of birth control for the ipledge program t or f
Yes, it is true that us can use any two methods of birth control for the iPledge program. The program requires us to use two effective forms of birth control to prevent pregnancy during treatment with isotretinoin.
What is iPledge program?
The iPledge program is an online education and prevention program created by the American Academy of Dermatology (AAD) to help people learn about the importance of skin cancer prevention and early detection.
It encourages individuals to take a pledge to practice safe sun habits and reduce their risk of developing skin cancer. The program further also provides information about skin cancer, including risk factors, prevention tips, and early detection measures.
The iPledge program also includes a complimentary skin exam with an AAD member dermatologist for those who take the pledge. The program also offers free educational materials such as brochures, posters, and bookmarks.
Additionally, AAD encourages users to spread the word about the program and its importance by sharing the pledge with friends and family on social media.
The goal of the program is to help reduce the risk of skin cancer and raise awareness about the importance of skin protection.
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which of the following statements about chronic versus acute exposure to toxins is true? group of answer choices a person has experienced acute exposure if the exposure was at high levels for a long period of time. chronic exposure to a toxicant occurs over a short period of time chronic exposure to a toxicant is more difficult to identify than acute exposure acute exposure to a toxicant is more difficult to identify than chronic exposure.
The right answer is that safe levels for long-term exposure to a toxin are lower than those for short-term exposure.
Chronic exposure to toxin is a term for prolonged exposure. Both might have an impact on health. Acute exposure refers to a brief encounter with a chemical. It might last for a short while or several hours. Acute exposure causes health effects to manifest more quickly than chronic toxicity does. Chronic exposure is prolonged, continuous, or repeated contact with a toxic substance (months or years). The exposure would be chronic if the chemical were used daily at work. Some chemicals, like lead and PCBs, can accumulate in the body over time and have long-term negative effects on health.Acute toxicity refers to a substance's negative effects that follow either a single exposure or numerous exposures over a brief period of time (usually less than 24 hours). The adverse effects must manifest within 14 days of the substance's administration in order to be categorised as acute toxicity.
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which problem would the nurse rank as high priority when planning care for a group of clients? select all that apply. one, some, or all responses may be correct.
The problems to be ranked as high priority when planning care for a group of clients is: (A) Bleeding through nasogastric tube; (B) Audible wheezes; and, (E) Dyspnea.
Wheezes are the sounds produced when a person breathes. wheezing is a high-pitched whistling sound which is an indicator of difficulty in breathing. The difficult breathing can be due to allergies, asthma, bronchitis, etc.
Dyspnea is the condition of shortness of breath. It is the extreme tightness in the chest that causes breathlessness followed by a feeling of suffocation. Dyspnea is commonly caused due to heart or lung diseases. And therefore is treated only when the causative issue is treated.
The given question is incomplete, the complete question is:
Which problem would the nurse rank as high priority when planning care for a group of clients? Select all that apply. one, some, or all responses may be correct.
A) Bleeding through nasogastric tube
B) Audible wheezes
C) Not understanding how to complete the menu
D) Requesting medication for arthritis pain
E) Dyspnea
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a client with hypertension has been taking spironolactone, a potassium-sparing diuretic, 75 mg po daily for several weeks. what assessment findings should prompt the nurse to suspect hyperkalemia? (select all that apply.)
When a patient arrives at the emergency room with symptoms and signs of hyperkalemia, the nurse should put cardiac monitoring first.
A patient with known hyperkalemia or a patient with kidney failure who has suspected hyperkalemia should have IV access set up and be put on a cardiac monitor in the prehospital setting.
Calcium salts should be administered right away to all patients who have hyperkalemia and ECG changes. Additionally, steps should be taken to move potassium to the intracellular compartment and eliminate it from the body (e.g., insulin-glucose, beta-adrenergic agonists).Hyperkalemia may be fatal if there are common electrocardiographic changes or a sharp increase in serum potassium levels. Finding the cause of hyperkalemia is the first step in determining the course of long-term treatment. Urine potassium, creatinine, and osmolarity should be measured.
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The above question is incomplete. Check below the complete question -
A client with hypertension has been taking spironolactone, a potassium-sparing diuretic, 75 mg PO daily for several weeks. What assessment findings should prompt the nurse to suspect hyperkalemia? (Select all that apply.)
why is it often easier to start a fitness program than it is to maintain one?/549787735/introduction-to-fitness-test-passed-with-96-flash-cards/
It is often easy to start a fitness program than to maintain one because maintaining anything regularly would require hard work, commitment and patience to sustain the ever growing challenge from others.
Fitness program refers to the physical workout scheduled in regular patterns in sessions generally aimed at short term benefits which are organized at regular intervals to attract greater number of people from various cities and places. Homemakers are the first targets in such programs because it is easy for them to take out time to join these sessions and work for their own body. However, maintaining a fitness program tends to decreases the individual's ability to sleep because of the stress related to the work and its planning. This makes this task difficult to maintain and continue rather than to begin one.
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the valve between the right atrium and the right ventricle is the
The valve between the right atrium and the right ventricle is the Tricuspid Valve.
What is ventricle?The left ventricle is a chamber of the heart responsible for pumping oxygenated blood into the aorta and out to the rest of the body. The left ventricle is the most muscular chamber of the heart and is responsible for the highest pressure in the circulatory system. It is located on the left side of the heart, between the left atrium and the aorta. The left ventricle has thicker walls than the right ventricle, allowing it to generate the high pressure needed to pump blood through the body. The left ventricle also contains special valves that prevent backflow of blood from the aorta into the ventricle.
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Of the following individuals, who would be the most suitable for being programmed SAQ (speed, agility, and quickness) exercises/movements?O A client who has been exercising for 4 months with some strengthO A client who has been training 2 months with some improvements in strengthO An overweight client with adequate strengthO A client who has been training for 1 month with adequate strength
A client who has been training for 1 month with adequate strength would be the most suitable for being programmed SAQ (speed, agility, and quickness) exercises/movements.
What is SAQ?Training for speed, agility, and quickness (SAQ) is too frequently linked to sports, strength and conditioning, and other physically demanding activities. Upon closer inspection, we see that we have overlooked commonplace events and activities that would benefit greatly from SAQ training.
You never know when you're going to chase after your kids, play pick-up basketball, or ski through the trees on your upcoming ski trip. This method of training can assist with the aforementioned situations, but it will also improve workouts for anyone who participates in recreational sports, works out regularly, or just enjoys simple activities like walking a dog or playing with their child.
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a person moving on rollerblades throws a medicine ball in the direction opposite to her motion. choose the correct impulse-momentum bar chart for this process. the person is the system.
The force and timing of the kick that the soccer player delivers to the ball together make up the impulse.
An instantaneous force that is delivered to an object and causes a change in its momentum is known as an impulse. It has both magnitude and direction since it is a vector quantity. Impulse is the result of applying a force to an item for a predetermined amount of time. It is computed as the result of multiplying the average applied force by the length of time the force is applied.
The impulse-momentum theorem states that an object will undergo an impulse equal to the change in its momentum. Now that we understand how the impulse-momentum theorem works, we can see how a little net force applied over a long time may have the same effect on velocity as a large net force applied over a short time.
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which action will the nurse take to determine whether theray for viatmin b 12 deficiency is effective
The nurse will Review hemoglobin and hematocrit levels to determine whether theraphy for viatmin b 12 deficiency is effective .
Red blood cell content in your blood is measured by a hematocrit. A element of your red blood cell is haemoglobin. Red blood cells utilize haemoglobin to carry oxygen throughout the body. Your red blood cells' colour is also due to haemoglobin. The amount of haemoglobin in your red blood cells is determined by a haemoglobin test.
Low hematocrit or haemoglobin typically indicates that your body is not making enough red blood cells or that you are losing them as a result of acute bleeding, a bleeding condition, or accelerated red blood cell deterioration.
While the clinical definition of anaemia is connected to either an abnormal Hct or Hgb result, haematocrit (Hct) (%) is typically defined as being three times the value of haemoglobin (Hgb).
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1. All cultures have systems of health beliefs to explain what causes illness, how it can be cured or
treated, and who should be involved in the process. Do you believe the amount of education a person
received has an effect on how they react to their medical care? How do cultural stigmas affect the
quality of medical care a person receives? What should doctors do to ensure they have a trustful
relationship with their patients in regard to cultural differences between them and their patients?
All cultures have systems of health beliefs to explain what causes illness, how it can be cured or treated, and who should be involved in the process.
Do all cultures have a system of health beliefs?The degree to which patients believe that patient education is culturally relevant to them can have a significant impact on how well-received and useful they find the material.
Western industrialised societies, such as the United States, favour medical treatments that fight microbes or employ cutting-edge technology to identify and treat disease because they view illness as a result of natural scientific processes.
Other cultures encourage prayer or other spiritual treatments to combat the alleged hostility of strong powers because they think illness is the outcome of supernatural events. Cultural factors are a significant factor in patient compliance. According to one study, a group of adult Cambodians with no formal schooling made a lot of effort to adhere to therapy and did it in a way that was consistent.
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what is the name of the equipment used to measure blood pressure?
a nurse is preparing a sterile field and has removed the sterile drape from the outer wrapper. the nurse places the inner drape in the center of the work surface with the outer flap facing in which direction?
The nurse should places the inner drape in the center of the work surface with the outer flap facing away from the body.
In order to keep the space free of germs and to prevent infection, sterile procedures must be followed before and during particular patient care activities. During operations or invasive procedures, there are measures to prevent and reduce infection, including performing a surgical hand scrub, using sterile gloves, and setting up a sterile field.
Sterile procedures must be followed before and during certain patient care activities in order to keep the area clean and avoid infection. There are precautions to avoid and decrease infection during surgeries or invasive procedures, such as completing a surgical hand scrub, putting on sterile gloves, and setting up a sterile field.
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A nurse is preparing a sterile field and has removed the sterile drape from the outer wrapper. The nurse places the inner drape in the center of the work surface with the outer flap facing in which direction?
a) Facing away from the body
b) Facing toward the body
c) Toward the right side
d) Angled to the left side
which action would the nurse take to decrease a client's risk for sensory and cognitive disturbances after coronary artery bypass surgery?
Good arterial blood gas values, appropriate gag and cough reflexes, and ventilator-free breathing.
Providing care to people in order for them to achieve, maintain, or recover optimal health and quality of life is the core objective of the nursing profession. They are also crucial in providing support, situation analysis, and counseling. Nurses may differ from other healthcare workers in terms of how they handle problems, where they acquired their education, and the range of their job.
Nurses work in a range of conventional power settings and with a variety of specialities. Babysitters often run healthcare facilities, however there is evidence that there is a global scarcity of qualified babysitters.
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Which of the following is the current universal claim form submitted for outpatient medical billing?a) I-9b) Superbillc) CMS-1500d) HCFA-1500
When a provider is eligible for a waiver from the Administrative Simplification Compliance Act's (ASCA's) requirement for electronic submission of claims, they can charge a Medicare fiscal intermediary (FI) using the CMS-1450 form, which is currently known as the UB-04.
An intelligent-free 10-position numeric identification is the NPI (10-digit number). In place of PIN and UPIN numbers, NPI numbers are used as identification. If the documentation was properly submitted, it should take about 10 days to get an NPI. Call 1-800-465-3203 with any inquiries. The claim form for institutional institutions, including hospitals or outpatient clinics, is the UB-04 (CMS-1450) form. This would apply to services provided by facilities such as radiography, laboratories, and surgery. To submit charges covered by Medicare Part B, utilize the HCFA-1500 form (also known as CMS-1500).
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a nurse is doing a physical examination of a child with sickle cell anemia. when the child asks why the nurse auscultates the lungs and heart, what would be best the response by the nurse?
The nurse 's stylish response to the child asking why their lungs and heart are being auscultated would be to explain.
that it's a veritably important part of the physical test that helps us to learn a lot about how your body is performing. Auscultation is a way to hear to the sounds made by your heart and lungs. It helps us to identify any abnormal sounds that may indicate that commodity isn't relatively right. It can also help us to hear any other sounds that are normal, and may give us suggestions as to how your body is performing. Auscultation helps us to make sure that your heart and lungs are working duly. This is especially important when you're living with sickle cell anemia, as it can help us to make sure that your heart and lungs are healthy.
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a patient with digoxin toxicity is prescribed digoxin immune fab. which nursing intervention would the nurse impl
Still, the nurse should consider the following nursing interventions, If a case is specified digoxin vulnerable fab for digoxin toxicity.
First, the nanny should insure that the case is duly doused and has acceptable nutrition, as these are important factors of the treatment. Second, the nanny should cover the case’s vital signs and electrolytes, including electrolyte situations and renal function. Third, the nanny should be apprehensive of the side goods of digoxin vulnerable fab, similar as nausea, puking, and fever. Fourth, the nanny should administer the digoxin vulnerable fab as specified and cover the case’s response. Eventually, the nanny should educate the case regarding the significance of taking the drug as specified and the implicit pitfalls associated with digoxin toxin.
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A nurse is preparing to insert an indwelling urinary catheter for a female patient. When beginning the insertion procedure, the nurse should instruct the patient to
Hold the sterile catheter 2 to 3 inches (5 to 7.5 cm) from the tip and avoid touching it to anything. While inserting the catheter tip, ask the patient to take a deep breath and gently exhale.
Move it 2 to 3 inches forward until urine flow begins. Advance it another 1 to 2 inches to ensure it is completely into the bladder.
To visualize the urinary meatus, place the patient in a supine or lithotomy position with her knees bent and legs abducted. 14 If the patient is unable to endure supine or lithotomy positioning, position her on her side in a kneechest position. Urinary catheters are often attached to either the upper thigh or the abdomen.
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what would the nurse identify as the desired response of the combination of codeine and acetaminophen rather than each given separately?
When codeine and acetaminophen are administered together rather than individually, the cumulative impact results in greater pain control, which is the desired outcome, according to the nurse.
An opioid analgesic is codeine. It works by activating opioid receptors that are present all over the body. The gastrointestinal system is also impacted by opioid receptors, which causes unwanted, off-target effects. The target areas for the desirable effects are receptors in the central nervous system. A prodrug called codeine only interacts to the mu opioid receptor very sluggishly. Its analgesic effects depend on its conversion to morphine, which has a 200-fold stronger affinity for the mu opioid receptor than codeine. When using an opioid analgesic is appropriate, codeine is advised for the treatment of mild to moderately severe pain. There is a chance of overuse and misuse with codeine, a Schedule II prohibited substance.
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a physician ordered a steroid to be administered at a dosage of 2.25 mg/kg body weight. the patient is 170.1 lb, and the available solution of the steroid is 11.9 mg/ml. how many ml of the solution will the patient receive? 1 kg
The patient receive 50 ml of the steroid solution.
What is an appropriate dose?We must constantly question what the precise dose of the medication we select is when administering care to a patient or even just taking it on our own. And the truth is, from preparing meals to taking prescriptions, we dose (or should dose) almost everything in our lives! However, there are several drug dosages that vary depending on the particular drug and/or the patient.
1. One dosage: Medicines with a single fixed dosage are the simplest to use; you simply take them and go on (e.g., vaccines). No dose calculating methods are required!
2. Distinct, fixed dosages: The doctor typically determines the dosage of these medications based on the patient's needs or age (e.g., hypotensive drugs).
3. Various, varying dosages: In this instance, the doctor typically recommends a sample dosage, which the patient subsequently modifies in accordance with his or her needs and the circumstances (e.g., insulin).
4. Doses based on blood concentration: This subset of medications is relatively tiny. Depending on the serum level of the drug's active ingredient, different doses are required (e.g., vitamin K antagonists, lithium, etc.).
5. The patient's body weight affects the drug's dosage: The patient's weight affects the drug's dosage. It implies that two people with the same illness can receive varying dosages of the same medication!
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an older adult patient who weighs 70 kg is in status epilepticus. which dose is an appropriate loading dose of phenytoin for this patient?
The appropriate loading dose of phenytoin in an older patient weighing 70 kg, who is in status epilepticus will be: 450 mg.
Phenytoin is the medication used to prevent seizures in an individual. The loading dose of phenytoin is 15 to 20 mg/kg which is divided into three doses administered 2 to 4 hours apart. A dose of 20 mg/kg is 1400 mg; 1400 / 3 = 466 mg, therefore 450 mg falls within the safe range.
Status epilepticus is the condition of epilepsy where a seizure lasts for a longer duration of time or where the seizures are so frequent that the person does not get time to recover at all. This condition requires immediate medical attention and management.
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a client with an anxiety disorder has been prescribed alprazolam 0.5 mg po t.i.d. during a follow-up assessment, the client tells the nurse that the medication causes drowsiness that interferes with the client's work performance. what is the nurse's best action?
The best action for the nurse if the client is drowsy after taking alprazolam is to ask the client to take alprazolam immediately after eating to reduce drowsiness.
What is alprazolam?Alprazolam is a sedative used to treat anxiety disorders and panic disorders. This drug is usually used for short-term treatment. Alprazolam should only be used as prescribed by a doctor.
Alprazolam works by increasing the activity of the natural chemical GABA (gamma-aminobutyric acid) in the central nervous system. GABA itself has a function to suppress brain activity. That way, alprazolam can produce a calming effect so that the symptoms of anxiety disorders and panic disorders can subside.
One of the side effects that occur after taking alprazolam is drowsiness. To reduce these side effects, alprazolam should be taken immediately after eating
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a patient with a lens-to-retina distance of 2.5 cm and a lens strength of 45 d can clearly see an object. what is the distance from the patient's eye to the object?
The retinal image and the object at infinity. Convexity of the eye lens results in a focal length of f=2.5cm=.025m.
Retinal imaging is a non-invasive diagnostic method that produces detailed pictures of the retina. To magnify your retina, optic nerve, and internal blood vessels, specialized cameras and scanners are used. A digital image of the retina is captured during retinal imaging. It displays the retina (where light and images are reflected), the optic disk (a region of the retina that houses the optic nerve, which transmits information to the brain), and blood vessels.The retina creates an actual, inverted image. Rod and cone cells, specialized light-sensitive cells found in the retina, are present. These cells are stimulated and send signals to the brain, which transform them into erect images.To know more about retinal image here
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