A patient has been brought to the hospital after suffering injuries from a fall at a construction site. He needs complete parenteral nourishment since he has nerve damage that has rendered his gag reflex ineffective. Which nerve should the nurse think the client's injury may have been caused by?
What is parenteral nourishment?
Total parenteral nutrition (TPN) is a feeding technique that omits the digestive system. The majority of the body's nutritional requirements are met by a specific formula administered intravenously. When a person cannot or shouldn't receive feedings or fluids orally, the technique is utilized.
A patient has been brought to the hospital after suffering injuries from a fall at a construction site. He needs complete parenteral nourishment since he has nerve damage that has rendered his gag reflex ineffective. Clients' injury can be caused by Glossopharyngeal (IX).
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congratulations! after working your way through college as a certified nursing assistant (cna), you have now completed your nursing degree and are designated as a registered nurse (rn)! you are now a functioning rn at the hospital. some of the tasks between a cna and an rn overlap, but you should delegate some tasks to cnas because they have a lower of completing the tasks. your allows you to take on more complex nursing tasks.
Answer: A. opportunity costs
b, specialization
Explanation:
when providing instruction regarding the knowledge, skill, and attitudes (ksas) needed to develop core competencies based on the unstitute of medicine's (iom)
The nurse instructor is teaching nursing students about the knowledge, skills, and attitudes (KSAs) needed to develop core competencies based on the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN) initiative. The KSAs that are needed to develop the Quality Improvement competency are:
Educating and empowering patient.Using tools to reduce reliance on memory.Preparing an interdisciplinary plan of care.Participating in root cause analyses of issue.Implementing activities to improve care processesWhat do the KSAs for Informatics competence emphasize?The emphases of the KSAs for Informatics competence includes documentation, electronic data access, and data utilization. Informatics involves using technology and information to communicate, manage knowledge, mitigate error, and support decision-making.
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Complete Question: The nurse instructor is teaching nursing students about the knowledge, skills, and attitudes (KSAs) needed to develop core competencies based on the Institute of Medicine (IOM) and Quality and Safety Education for Nurses (QSEN) initiative. What KSAs are needed to develop the Quality Improvement competency?
perioperative use of gabapentinoids for the management of postoperative acute pain: a systematic review and meta-analysis. anesthesiology 2020
This is a typical side effect of gabapentin and will lessen with use, is the best nursing response.
What is Gabapentinoids ?The group of medications known as gabapentinoids, commonly referred to as "2 ligands," is derived from the inhibitory neurotransmitter gamma-Aminobutyric acid and is used to block voltage-dependent calcium channels that include the "2" subunit.
RLS can be treated with gabapentin extended-release tablets (Horizant) (RLS; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down).
The drug gabapentin belongs to the group of drugs known as anticonvulsants.
There are several gabapentinoids that are clinically used, including gabapentin, pregabalin, mirogabalin, and the gabapentin prodrug gabapentin enacarbil.
In addition to acting as a GABAB receptor agonist, phenibut has also been discovered to behave as a gabapentoid.
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the nurse plans to transfer a client with right-sided weakness from bed to wheelchair. the client has an iv attached to an iv pole on the right side of the bed. how should the nurse complete this transfer?
The nurse should (2) place the wheelchair on the right side of the bed, (4) face the wheelchair toward the head of the bed, and (6) have client grab the wheelchair with the left arm to properly complete the transfer.
The right side of the bed, where the equipment is, should receive the wheelchair. In order for the client's powerful left arm to reach the chair and aid in the transfer, it must face the head of the bed. The client should use their powerful left arm to grasp the wheelchair's arm.
Moving a patient from one flat surface to another is referred to as patient care transfer. From a bed to a stretcher and from a bed to a wheelchair are the two most typical patient transfers.
Successful patient transfers require knowing each patient's unique requirements and following evidence-based recommendations, despite the fact that they may seem obvious.
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Question correction:
The nurse is assisting a client with right-sided weakness to transfer from the hospital bed to a wheelchair. The client has an IV attached to an IV pole on the right side of the bed. How should the nurse complete this transfer? Select all that apply
1. Place the wheelchair on the left side of the bed.
2. Place the wheelchair on the right side of the bed.
3. Face the wheelchair toward the foot of the bed.
4. Face the wheelchair toward the head of the bed.
5. Have client grab the wheelchair with the right arm.
6. Have client grab the wheelchair with the left arm.
como jj, sutton erh, mccunn m, et al. characterizing the need for mechanical ventilation following cervical spinal cord injury with neurologic deficit. j trauma acute care surg 2005; 59: 912–916.
Particularly for individuals with high full C-SCI, definitive airway control, tracheostomy, and ventilator reliance are crucial. Based on these findings, we advise patients with complete C-SCI—especially those with levels of C5 and higher—to consider early intubation and tracheostomy.
What is the spinal cord?The spinal cord is a long, tube-shaped ring of tissue. It connects your lower back and brain. The spinal cord acts as a conduit for nerve signals traveling from the brain to the body. These nerve transmissions allow you to feel things and move your body. Any spinal cord damage can make it difficult for you to move or carry out other tasks.
The Spinal Cord's Main Functions:Communicating electrochemically. Different body parts can communicate with the brain by transmitting electrical impulses as they move up and down the spinal cord and through nerves.Walking.Reflexes.To know more about Spinal Cord visit:
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Why are a patient’s vital signs checked when they enter a medical facility?
Answer:
B. to provide signs of disease or abnormality
which problems can arise during the working phase of a nurse-client relationship that serve to impair the therapeutic work? select all that apply.
The problems can arise during the working phase of a nurse-client relationship that serve to impair the therapeutic work are as follow:
The client struggles with expressing feelingsThe client demonstrates dependence on the groupThe nurse demonstrates evidence of countertransferenceTherapeutic work generally involves using an activity such as art, play or reading a story, to communicate with a child in relation to their emotional wellbeing. During these sessions the child will learn coping strategies and techniques to support them.
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Please help meee please!!
Answer:
True, Percussive, and suspended Sorry if im wrong
Explanation:
the clinic nurse is caring for a client diagnosed with leukopenia. what does the nurse know this client has?
The client has a general reduction in all white blood cells called Leukopenia.
A low white blood cell count (leukopenia) is a decrease in disease-fighting cells (leukocytes) in your blood. Leukopenia is almost always related to a decrease in a certain type of white blood cell (neutrophil). The definition of low white blood cell count varies from one medical practice to another.
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Describe the signals produced by the heart, and explain the filter circuit system used in the device that detects such signals
Answer:
Electrocardiogram signals (ECG) and are detected by ECG machine or a sphygmomanometer which is made up of a low pass filter
Explanation:
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Lack of the spleen in 48-years-old male is typical for
Answer:
lack of blood supply
Explanation:
Propranolol and hydralazine have which of the following effects in common?
0/1
Decreased cardiac force
(B) Decreased cardiac output
(C) Decreased mean arterial blood pressure
(D) Increased systemic vascular resistance
(E) Tachycardia
Correct answer
(C) Decreased mean arterial blood pressure
Which of the following is very short-acting and acts by releasing nitric oxide?
1/1
Atenolol
(B) Captopril
(C) Diltiazem
(D) Fenoldopam
(E) Hydrochlorothiazide
(F) Losartan
(G) Minoxidil
(H) Nitroprusside
(I) Prazosin
Which of the following drugs is absolutely contraindicated in pregnancy?
1/1
Propranolol
B.. Lisinopril
C. Clonidine
D.Doxazicine
E. Minoxidile
Tick the drug that inhibit partial fatty acid oxidation and hence, improve the metabolic status of ischemic tissue and is used for instable angina
0/1
Ranolasine
(B) Propranolol
(C)Atenolol
Nicorandil
(E) Ivabradine
Trimetazidine
Correct answer
Trimetazidine
A 54-year-old contractor complains of anginal pain that occurs at rest. On examination, his blood pressure is 145/90 and his heart rate is 90. A treatment of angina that often decreases the heart rate and can prevent vasospastic angina attacks is
1/1
) Diltiazem
(B) Nifedipine
(C) Nitroglycerin
(D) Propranolol
(E) Timolol
Clonidine belongs to which class of antihypertensive drugs?
1/1
Central acting sympatholytic
B. Beta-adrenoreceptor antagonist
C. Angiotensin II receptor antagonist
D. Peripheral alpha1-adrenoceptor antagonist
E. Angiotenzin II converting enzyme inhibitors
F. Presynaptic alpha2-adrenoceptor agonists
A patient is admitted to the emergency department with severe tachycardia after a drug overdose. His family reports that he has been depressed about his hypertension. Which one of the following drugs increases the heart rate in a dosedependent manner?
1/1
) Captopril
(B) Hydrochlorothiazide
(C) Losartan
(D) Minoxidil
(E) Verapamil
a 67-year-old client is admitted for diagnostic studies to rule out cancer. the patient is white, married, has been employed as a landscaper for 40 years, and has a 36-year history of smoking a pack of cigarettes daily. what significant risk factors does the nurse recognize this patient has? select all that apply.
Having worked as a landscaper for 40 years she can develop skin cancer from exposure to the sun and chemicals and has 36 years of daily smoking a pack of cigarettes which predisposes her to develop lung cancer.
What does skin cancer mean?Skin cancer is a tumor that affects the skin, being the most frequent cancer in US and in the world. It is most common in people over the age of 40 and is considered rare in children and people of color. Mainly caused by excessive exposure to the sun.
What is lung cancer?Lung neoplasms represent a large group of diseases, with lung cancer as the main representative. Currently, this cancer is the leading cause of death from neoplasms in the United States, both among men and women.
Whit this information we can conclude that which predisposes her to develop lung cancer and skin cancer .
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a 25-year-old client at 27 weeks' gestation reports waking up with leg cramps. which suggestion should the nurse point out to the client to help relieve this discomfort?
The suggestion the nurse should point out to the client to help relieve waking up with leg cramps 27 weeks' gestation reports is: Dorsiflex the foot while extending her leg during the cramp.
Gestation is the time period when the pregnant female carries the fetus inside her womb. In human females, this time period if 9 months. All the nutrition, oxygen, and other requirements if provided to the fetus through the mother during this period.
Dorsiflex is the backward bending and contraction of the feet or hands. Dorsiflexion of foot helps in the free movement of the tibia towards forward direction, hence helps in easing the cramps.
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27 year old g1p0 woman complains of modd swings and fatigue in the week prior to her menstrual period
Correct option is A, symptom diary for two months is the most appropriate next step in this patient's management who complains of mood swings and fatigue in the week prior to her menstrual period.
The premenstrual syndrome has a considerably more severe variant known as premenstrual dysphoric disorder (PMDD). Women who are childbearing age may be impacted. It's a serious, long-lasting medical problem that need attention and care.
In certain cases, medications and lifestyle modifications might help control symptoms. PMDD's precise etiology is unknown. It can be a strange response to the regular hormone fluctuations brought on by the menstrual cycle. Further history gathering using a menstrual calendar identifies the cyclical pattern of PMS or PMDD symptoms and aids in determining the best course of treatment.
While dietary modifications could be beneficial, it's first crucial to make the diagnosis. There is no need for a mental evaluation or an anxiolytic medication.
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Question correction:
A 27-year-old G1P0 woman complains of mood swings and fatigue in the week prior to her menstrual period. These symptoms have worsened over the past six months. Some months the symptoms are so severe she misses several days of work. Her medical history is otherwise unremarkable and a physical examination is normal. Which of the following is the most appropriate next step in this patient's management?
A. Symptom diary for two months
B. Dietary changes
C. Anxiolytic agent
D. Psychiatric consultation
E. Pelvic ultrasound
anderson gd, lynn am. optimizing pediatric dosing: a developmental pharmacologic approach. pharmacotherapy. 2009; 29(6):680–90.
In the past, medications were found by separating the active component from conventional treatments or by accident, such as penicillin. More recently, a procedure known as classical pharmacology was used to screen chemical libraries of synthesized small molecules, natural products, or extracts in intact cells or complete organisms to identify compounds that had a desired therapeutic effect. It has become standard practice to use high throughput screening of large compound libraries against isolated biological targets that are hypothesized to be disease-modifying in a method known as reverse pharmacology since the sequencing of the human genome enabled rapid cloning and synthesis of large quantities of purified proteins. Hits from these screenings are next evaluated for effectiveness in cells and then on animals.
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In older women, osteoporosis, high blood cholesterol and athlerosclerosis can result from which of
the following effects of old age?
Answer:
Menopause
Explanation:
tingen ms, burnett ah, murchison rb, zhu h. the importance of nursing research. j nurs educ. 2009 mar;48(3):167-70. doi: 10.3928/01484834-20090301-10. pmid: 19297969; pmcid: pmc3677814.
Nursing research has a tremendous influence on current and future professional nursing practice, thus rendering it an essential component of the educational process. This article chronicles the learning experiences of two undergraduate nursing students who were provided with the opportunity to become team members in a study funded by the National Institute of Nursing Research. The application process, the various learning opportunities and responsibilities performed by the students, and the benefits and outcomes of the experience are described. The authors hope that by sharing their learning experiences, more students will be given similar opportunities using the strategies presented in this article. Nursing research is critical to the nursing profession and is necessary for continuing advancements that promote optimal nursing care.
Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.
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the nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. which serum blood level would the nurse monitor
The nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. The serum blood level would the nurse monitor in Potassium
This is further explained below.
What is serum blood level?Generally, The quantity of a certain medicine that is present in your blood at the moment that it is tested is referred to as its serum blood level.
In conclusion, Many of the drugs that are used to treat bipolar illness have what is known as a narrow "therapeutic window," which means that the gap between what is considered a therapeutic level and what is considered a toxic level may be rather narrow in some people.
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1. janet m presents to the clinic with lower left quadrant pain. predict what organs and cavities might be involved in causing her pain. come up with one potential medical cause.
The lower left quadrant pain can involve organs like left kidney, left ureter, colon, bladder, blood vessels, and nerves. In females left fallopian tube and ovary are also included. The pain could be due to several reasons like: indigestion, inflammation or infection, menstrual cramp, etc.
The lower left quadrant pain is the pain present in the stomach region on the left side of the body, in the lower half portion. The reason for the pain can differ according to the organ involved in the pain. The general reasons can be inflammation, some injury, or lack of proper digestion.
Menstrual cramp is the severe pain experienced by females just before the or during the menstruation.
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Process of formation of the blood clot is called
Answer:
It's called blood clotting, or coagulation. Excessive bleeding when a blood vessel is injured.
for which patient can the nurse delegate to nursing assistive personnel (nap) the task of routine blood glucose monitoring?
It is the patient with type 2 diabetes who has had a closed reduction of a fracture of the right wrist.
Although his or her blood glucose level would not be affected by this disease, it would interfere with their capacity to perform blood glucose monitoring on themselves.
So, it may be assigned. Patients with diabetes experience an 87% longer healing time for fractures and are 3.4 times more likely to experience problems such delayed union, non-union, redislocation, or pseudoarthrosis.
Human clinical investigations show that diabetes slows the healing of fractures. In a closed reduction, the skin is not sliced open in order to fix (reduce) a fractured bone. When a fractured bone is set in its proper position, it might heal with better alignment. When it is carried out as soon as the bone breaks, it works best.
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Question correction:
For which patient can the nurse delegate to nursing assistive personnel (NAP) the task of routine blood glucose monitoring?
- Patient with non insulin-dependent diabetes for whom steroid therapy has been ordered
- Patient with type 2 diabetes who required insulin coverage at the last testing
- Patient with type 1 diabetes who has had nausea and vomiting for 24 hours
- Patient with type 2 diabetes who has had a closed reduction of a fracture of the right wrist
The physician orders 100 mg of a medication IM (intramuscular). On hand you have 50 mg/ mL. How many milliliters will you give?
The volume of the drug you will give in millilitres= 2mL
Calculation of drug dosageThe prescribed dosage of the medication which would be given intramuscularly is = 100mg
The on hand dose or available dose of the drug = 50mg/mL
Therefore, to calculate the volume of the drug in millilitres,
If, 50mg = 1 mL
100mg = X mL
Make X mL the subject of formula,
X mL = 100× 1 / 50
X mL = 100/50
X mL = 2 mL
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the nurse is preparing to transfer a patient with left-sided weakness from the bed to a wheelchair using a transfer belt. which position would the nurse instruct the patient to assume?
To transfer a patient with left-sided weakness from the bed to a wheelchair using a transfer belt the nurse should tell the patient to "Place your stronger leg forward and your weaker leg toward the back".
What is a transfer belt?A transfer belt is a device that is designed in a way to provide mobility to individuals that bed ridden from one surface to another.
The use of a transfer belt requires some postures and positions that would enable a successful transfer is the patient.
Therefore, to transfer a patient with left-sided weakness from the bed to a wheelchair using a transfer belt, the nurse should tell the patient to "Place your stronger leg forward and your weaker leg toward the back".
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fatoba aj, adeleke ma. diagnosis and control of chicken coccidiosis: a recent update. j parasit dis. 2018;42(4):483–93.
The fatal illness of coccidiosis reduces the welfare and production of chickens. The disease thus poses a significant threat to the global chicken industry.
The apicomplexan parasite known as coccidiosis, which affects various parts of the chickens' intestinal tract, has seven main types. Ineffective poultry handling has been connected to the disease caused by consuming sporulated oocysts.
Mixed infection among the species of this parasite results in both the pathogenicity and inaccurate identification of the disease. It has been claimed that this parasite has advanced in terms of pathological, morphological, and molecular methods for identification and diagnosis. The majority of the literature on this condition has concentrated on prevention measures, such as anticoccidial drugs, vaccines, and herbal remedies.
However, the increase of genetic and antigenic diversity with implications for anticoccidial medications resistance among several strains of the parasite Eimeria has raised questions about the efficacy of the available anticoccidial vaccinations.
Therefore, it is crucial to take a fresh look at the control method. With a focus on :
(1) Avian coccidiosis
(2) Epidemiology of chicken coccidiosis
(3) Eimeria parasite and distribution in poultry
(4) Diagnosis of Eimeria parasite
(5) Control measures of coccidiosis
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which term reflects a nurse's actions related to planning, implementation, and evaluation of patient care using an interprofessional plan of action
Collaboration is the process of using an interdisciplinary plan of action to jointly plan, carry out, and evaluate patient care.
What is nurse's interprofessional plan of action?The use of interprofessional care lessens duplication and overlap in patient care. An interprofessional team may go on clinical rounds together or convene to discuss the rounds and create a plan for the patients' treatment.
Interprofessional collaboration is the coordinated effort of different healthcare professionals working with patients, families, carers, and communities to take each other's distinct perspectives into account and express them.
Therefore, Interprofessional Collaboration term reflects a nurse's actions related to planning, implementation, and evaluation of patient care.
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a newborn has just been delivered. you notice a greenish-brown substance on the infant, and observe a vigorous cry and active movement. what is the appropriate way to manage this patient?
To the best of my knowledge, the appropriate way to manage a newborn with a greenish-brown substance and vigorous cry and active movement is to
rub the infant with a dry towel and place the newborn on the mother's chest.
Healthcare managementHealthcare management can simply be defined as those processes, activities and ways to coordinate and give effective healthcare delivery to patients who has health conditions or health problems.
The sole aim and objective of effective and proper health management is to enhance good and quality healthy living
So therefore, to the best of my knowledge, the appropriate way to manage a newborn with a greenish-brown substance and vigorous cry and active movement is to
rub the infant with a dry towel and place the newborn on the mother's chest.
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Healthcare Information Technology Mind Map
a nurse encourages a client to attend alcoholics anonymous (aa) meetings after discharge. what do self-help groups such as aa help their members do?
Self-help groups such as AA help their members by providing recovery from alcoholism for the people who are unable to do so.
According to a study conducted by the Stanford School of medicine, alcoholic abstinence is the most effective pathway to abstinence. AA, an abbreviation used for alcoholic abstinence, is international mutual aid, a 12-step program. When followed strictly, this program proves better than any other clinical administration and medication.
The twelve steps of the AA program are determined to suggest self-improvement by initially admitting the person who is not able to control his alcoholic urges. Then the person is acknowledged with the adversities of alcohol- how it affects social, mental, and physical well-being. The treatment for this adversity is then followed by some strict rules over alcoholism and regular meditations.
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the nurse is caring for a client who suffers from anxiety. the client informs the nurse that he has been taking the herb kava. what should the nurse be aware that kava is associated with?
The correct answer for this question is
Nurses should be aware that use of the herb kava (Piper methysticum) is associated with liver damage and should not be recommended to clients.
Kava has been used to treat stress and anxiety. Kava and liver issues are the subject of a public safety advisory from the US Food and Drug Administration (FDA). It has been discovered that certain herbal and diet supplement items contain additives or contaminants that could be dangerous. If you want more information about the specific brand you use, ask your pharmacist. The safety and efficacy of this product have not been examined by the FDA. For more information, speak with your doctor or pharmacist.
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