After teaching a client about preparation for a colostomy, the client statements that indicate effective teaching are: I will need to make some dietary changes before and after surgery. I will be sure to get up and walk around as soon as I can after surgery. I will need to avoid heavy lifting for several weeks after surgery."
Here, correct option is D. all of these.
Effective teaching is when the client fully understands and can repeat back what they have been taught. In this case, a colostomy is a surgical procedure where the colon is redirected through an opening in the abdomen called a stoma. Clients who undergo a colostomy need to prepare both physically and emotionally for the procedure.
Clients who understand the importance of dietary changes before and after surgery, who know the importance of mobility as soon as possible after surgery, and who are aware of the need to avoid heavy lifting for several weeks after surgery are more likely to have been effectively taught about preparation for a colostomy.
Therefore, correct option is D. All of these.
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After teaching a client about preparation for a colostomy which client statements indicate effective teaching?
A. I will need to make some dietary changes before and after surgery.
B. I will be sure to get up and walk around as soon as I can after surgery.
C. I will need to avoid heavy lifting for several weeks after surgery."
D. All of these.
4. a client has been treated with an erythropoiesis-stimulating factor. which client assessment would the nurse interpret as indicating the goal of this treatment has been reached? select all that apply.
The client assessment that a nurse would interpret as indicating that the goal of the treatment with erythropoiesis-stimulating factor has been reached are: normalization of hematocrit level, absence of pallor, and adequate tissue perfusion.
What is erythropoiesis-stimulating factor?Erythropoiesis-stimulating factor (ESF) is a type of hormone, also known as erythropoietin, which is produced naturally by the kidneys. Erythropoietin helps to control erythropoiesis, which is the development of red blood cells (RBCs) from hematopoietic stem cells.
The objective of erythropoiesis-stimulating factor is to promote the production of red blood cells in the body. This is often given to people with chronic kidney failure, cancer, or other illnesses that affect red blood cell development.
What client assessments would the nurse interpret as indicating the goal of erythropoiesis-stimulating factor treatment has been reached?The following are client assessments that a nurse would interpret as indicating that the goal of erythropoiesis-stimulating factor treatment has been reached:
Normalization of hematocrit level (indicating that the erythropoietin treatment has stimulated the production of RBCs to maintain normal hematocrit level)Absence of pallor (as the increased amount of RBCs in the blood is supplying the tissues with more oxygen)Adequate tissue perfusion (as the increased amount of RBCs is ensuring that the tissues are receiving enough oxygen).The above question is partially written
The complete question is:
(
A client has been treated with an erythropoiesis-stimulating factor (ESF). Which client assessment would the nurse interpret as indicating that the goal of this treatment has been reached? Select all that apply.
A) Increased hemoglobin and hematocrit levels
B) Reduced oxygen saturation levels
C) Increased fatigue and decreased energy levels
D) Increased need for blood transfusions
E) Adequate tissue perfusion
Correct option is Option A & E
)
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a client is admitted to the hospital with cushing's syndrome. which nursing interventions are appropriate for this client? select all that apply.
Cushing's syndrome is a rare endocrine disorder caused by prolonged exposure to high levels of cortisol in the body. When caring for a client with Cushing's syndrome, nursing interventions should focus on managing symptoms and promoting overall health. Here are some appropriate nursing interventions for this client:
Monitor vital signs: Frequent monitoring of the client's vital signs can detect any changes in blood pressure or heart rate that may occur due to the condition.
Skin care: The client may have fragile and thin skin, which increases the risk of pressure sores. Proper skin care, including frequent turning, moisturizing, and padding, can prevent skin breakdown.
Fall prevention: The client may experience muscle weakness and atrophy, which increases the risk of falls. Fall prevention strategies, including bed and chair alarms, can be implemented to keep the client safe.
Nutrition management: The client may experience weight gain and muscle wasting. Appropriate nutrition management, including a low-sodium diet and monitoring of blood glucose levels, can help prevent further health complications.
Medication administration: The client may require medication to manage the symptoms of Cushing's syndrome, such as cortisol-lowering medications or diuretics to manage fluid retention.
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How does globalization affect our society
Globalization is associated with rapid and significant human changes. The movements of people from rural to urban areas has accelerated, and the growth of cities in the developing world especially is linked to substandard living for many. Family disruption and social and domestic violence are increasing.
the healthcare provider prescribes diltiazem (cardizem) 0.87 mg po four times daily for an infant who weighs 22 pounds. the recommended maximum dose is 3.5 mg/kg/day. what action should the nurse take?
The first step the nurse should take is to calculate the maximum daily dose for the infant based on their weight.
To do this, we need to convert the infant's weight from pounds to kilograms. One kilogram is equal to 2.2 pounds, so the infant weighs approximately 10 kilograms (22 pounds / 2.2).
Next, we need to calculate the maximum daily dose based on the recommended maximum dose of 3.5 mg/kg/day.
Maximum daily dose = 3.5 mg/kg/day x 10 kg = 35 mg/day
Now we can compare the prescribed dose of diltiazem (0.87 mg po four times daily) to the maximum daily dose of 35 mg/day.
Prescribed daily dose = 0.87 mg x 4 doses = 3.48 mg/day
Since the prescribed daily dose is less than the maximum daily dose, the nurse can administer the medication as prescribed. However, the nurse should monitor the infant closely for any signs of adverse effects, such as low blood pressure or slowed heart rate, and report any concerns to the healthcare provider.
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which education would the nurse provide the parents of an infant with cerebral palsy to support setting care goals?
Education would the nurse provide the parents of an infant with cerebral palsy to support setting care goals are setting a realistic goal, being aware of the child need's, exercises that promote muscle tone and motor skills and providing a safe and comfortable environment.
The education that the nurse would provide the parents of an infant with cerebral palsy to support setting care goals is as follows:
The parents of an infant with cerebral palsy should be educated on the importance of setting realistic and measurable care goals that align with the needs of the child. In order to provide the best care to the child, it is necessary to be aware of the child's needs and develop a plan of care that includes achievable goals for the child.Cerebral palsy is a condition that affects muscle tone, movement, and motor skills. Therefore, the nurse must educate the parents about the specific care goals that will help the child maintain or improve their muscle tone and motor skills. For example, the parents can be advised to encourage their child to engage in physical activities that promote muscle tone and motor skills development.The nurse should also educate the parents about the importance of providing a safe and comfortable environment for the child. This may include modifying the child's living environment to reduce the risk of injury, providing adaptive equipment such as a wheelchair or walker, and ensuring that the child's physical needs are met on a regular basis.The nurse should also educate the parents about the importance of seeking medical care for the child when needed. This may include regular check-ups with the child's doctor, and seeking medical attention if the child's condition worsens or if new symptoms appear.The nurse should also encourage the parents to participate in support groups for parents of children with cerebral palsy. This will provide them with an opportunity to connect with other parents who are going through similar experiences and to gain valuable information and resources to help them care for their children.Learn more about cerebral palsy: https://brainly.com/question/20738005
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Which document serves to inform the nurse and the public of nursing expectations in ethical matters? 1. The International Code of Ethics for Nurses 2. The Code of Ethics of the American Nurses Association 3. The American Association of Critical Care Nurses Ethics Work Group 4. Ethical Foundations for Critical Care Nursing Research
The American Nurses Association's Code of Ethics: The Nurse and the Public's Ethical Expectations in Nursing. The correct answer is (2),
1. Based on social needs and values, the International Code of Ethics for Nurses provides a direction for action.
2. Professional ethics and values are laid out in detail in the American Nurses Association's Code of Ethics.
3. Case studies and scenarios about ethical dilemmas are created by the American Association of Critical Care Nurses' Ethics Work Group, a group of critical care nurses.
4. Ethical Foundations for Critical Care Nursing Research is responsible for the design and execution of research studies that focus on the requirements of patients and their families who are in critical condition.
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a 19-year-old presents with abdominal pain in the right lower quadrant. physical examination reveals rebound tenderness and a low-grade fever. a possible diagnosis would be:
A possible diagnosis when a 19-year-old presents with abdominal pain in the right lower quadrant, rebound tenderness, and a low-grade fever would be Appendicitis.
Appendicitis is an inflammation of the appendix. The appendix is a tube-like structure that extends from the large intestine. The inflammation of the appendix can lead to the formation of pus-filled abscesses and tissue death. Appendicitis is a medical emergency, and immediate surgery is required to remove the inflamed appendix. The disease can affect anyone regardless of age, but it is more common in individuals between the ages of 10 and 30. Individuals who have a family history of the disease have a higher risk of developing it. In addition, males are more likely to have it than females.
Symptoms of Appendicitis include:• Abdominal pain in the lower right quadrant that worsens over time• Pain that worsens with movement, coughing, or deep breathing• Rebound tenderness, which occurs when the pressure applied to the abdomen is quickly released and causes pain• Nausea and vomiting• Loss of appetite• Low-grade fever• Constipation or diarrhea• Abdominal bloating or gas. Doctors diagnose Appendicitis based on your symptoms, medical history, and a physical exam. The doctor may also order imaging tests like a CT scan or ultrasound.
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a professional health care provider has evidence that a patient has intentionally faked their illness. to determine whether the patient is malingering or experiencing a factitious disorder, what must be examined?
In order to determine whether a patient is malingering or suffering from a factitious disorder, a professional healthcare provider must examine the patient's motives for faking their illness.
A factitious disorder is a condition in which an individual intentionally produces or fabricates physical or psychological symptoms in order to receive medical attention, according to this source. Although the individual has no underlying physical or mental illness, they can go to great lengths to persuade medical professionals that they are unwell.
Factitious disorder is frequently known as Munchausen syndrome, and the individual is referred to as a malingerer. Malingering, on the other hand, refers to a person who fabricates or exaggerates the symptoms of a medical condition in order to obtain some sort of benefit, such as money, time off from work, or medications.
Malingering is a type of deception in which an individual feigns or pretends to be ill for personal gain, rather than a mental illness. The motives for faking an illness can differ in malingering and factitious disorder. Patients with factitious disorders may be motivated by the desire for attention or sympathy, whereas malingerers may be motivated by financial or other benefits.
As a result, determining the patient's motives is critical to distinguish between these two disorders.
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a new patient is apprehensive about an external gynecological exam where no speculum will be needed. which response from the nurse may reassure the patient
The nurse should reassure the patient by explaining that an external gynecological examination is necessary to assess the overall health and wellness of the patient.
Nurse's response to reassure the patient regarding an external gynecological exam without a speculum: she should clarify that the exam can be performed without the use of a speculum, which can be more comfortable for the patient. The nurse should emphasize that the exam is a routine part of women's health care and that it is necessary for identifying any potential problems or health issues
A new patient is apprehensive about an external gynecological exam where no speculum will be needed. In order to reassure the patient, the nurse can explain the following points:
An external gynecological examination is important for checking the overall health and wellness of a womanA speculum is not always required for the examination, so the patient does not need to worry.The examination is a normal and necessary part of women's health care to identify any potential health problems or issues.According to the patient's condition, the nurse can provide further clarification and explanation about the examination, and why it is necessary.Learn more about external gynecological at https://brainly.com/question/8107882
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what criteria must a nutrient meet to be classified as a vitamin?
To be classified as a vitamin, a nutrient must be an organic compound that is essential for normal growth and functioning, and it must be required in small amounts from the diet.
Vitamins are vital nutrients that our bodies require to function properly. They help to maintain good health and prevent disease. There are two types of vitamins: fat-soluble and water-soluble. The following are the criteria that a nutrient must meet to be classified as a vitamin:
The nutrient must be essential to the body and must be required in small quantities. This means that the body cannot produce the nutrient on its own, and it must be obtained through diet or supplements.The nutrient must have a specific function in the body, such as helping with the metabolism of carbohydrates, proteins, or fats, or aiding in the growth and maintenance of tissues.The deficiency of the nutrient must cause a specific deficiency disease, which can be prevented or cured by the intake of the nutrient.The nutrient must not be produced in the body in sufficient quantities to meet the body's requirements.Learn more about vitamins at https://brainly.com/question/9348916
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when caring for a client who has developed bacterial pneumonia, the nurse assesses for which of these abnormalities that supports presence of infection?
When caring for a client who has developed bacterial pneumonia, the nurse assesses for leukocytosis abnormalities that support the presence of an infection.
Thus, the correct answer is leukocytosis (C).
What is bacterial pneumonia?Bаcteriаl pneumoniа is а lung infection thаt cаn develop when bаcteriа gets into the lungs. Pneumoniа cаused by bаcteriа is the most common type of pneumoniа thаt аffects аdults. Streptococcus pneumoniаe is the most common bаcteriаl cаuse of pneumoniа.
Leukocytosis is most commonly cаused by infection or inflаmmаtion. Leukocytosis refers to аn increаse in the totаl number of white blood cells (WBCs) due to аny cаuse. From а prаcticаl stаndpoint, leukocytosis is trаditionаlly clаssified аccording to the component of white cells thаt contribute to аn increаse in the totаl number of WBCs.
Your question is incomplete, but most probably your options were
A. leukemoid reaction
B. neutropenia
C. leukocytosis
D. leukopenia
Thus, the correct option is C.
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a client has sustained a head injury and is to receive mannitol by i.v. push. in evaluating the effectiveness of the drug, the nurse should expect to find:
A client who has sustained a head injury and is to receive mannitol by i.v. push, the nurse should expect the drug to be effective in reducing intracranial pressure by decreasing the absorption of water and sodium in the kidneys, reducing the volume of intracellular fluid and cerebral spinal fluid (CSF), and reducing intracranial pressure (ICP).
Mannitol (Osmitrol) is a diuretic that works by decreasing the absorption of water and sodium in the kidneys, reducing the volume of intracellular fluid and cerebral spinal fluid (CSF), and reducing intracranial pressure (ICP).Mannitol is typically administered to people who have a traumatic brain injury, cerebral edema, or increased ICP, all of which cause swelling in the brain. Mannitol's primary objective is to decrease intracranial pressure by reducing cerebral edema.
Mannitol is sometimes used to treat intraocular pressure caused by ocular surgery or acute glaucoma in addition to reducing intracranial pressure (ICP). A client with head injury receiving mannitol intravenous should expect that the drug will help to reduce the intracranial pressure by decreasing the absorption of water and sodium in the kidneys, reducing the volume of intracellular fluid and cerebral spinal fluid (CSF). This will decrease the edema in the brain and thus the intracranial pressure (ICP).
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12 the rn is called to the patient's room and finds the patient is experiencing a seizure. what is the rns priority action at this time? a. administer intravenous diazepam b. observe the sequence of the patients movements c. administer oral lorazepam straight away d. start oxygen by a rebreather mask to prevent hypoxia
The priority action of the RN at the time when a patient is experiencing a seizure is to "start oxygen by a rebreather mask to prevent hypoxia.
Seizure is an abnormal activity of the brain that can lead to a change in behavior, feelings, and movements. It can be caused by many factors, such as infections, strokes, head injuries, brain tumors, epilepsy, metabolic disturbances, and more. The priority action of the RN at the time when a patient is experiencing a seizure is to "start oxygen by a rebreather mask to prevent hypoxia."
Hypoxia is a condition in which the body or a part of the body is deprived of oxygen, which can cause cell death and organ damage, especially in the brain. A rebreather mask is a type of oxygen mask that is used to deliver high-flow oxygen to the patient's lungs, with a reservoir bag that allows the patient to inhale pure oxygen and exhale carbon dioxide that is collected in the same bag. This helps to maintain a high level of oxygenation in the blood and prevent hypoxia in the patient. A RN may also observe the sequence of the patient's movements and administer intravenous or oral anticonvulsant medication, such as diazepam or lorazepam, to stop the seizure and prevent complications such as status epilepticus.
However, the priority action is to start oxygen by a rebreather mask to prevent hypoxia.
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you are planning to conduct a health education among populations vulnerable to tub ercyulosis (tb) infection?
When planning a health education session on tuberculosis (TB), it is important to understand the potential risk factors for developing TB and how to prevent its spread. Here are some steps to help you conduct a successful health education session on TB:
Identify populations that are most vulnerable to TB infection.Research and identify information that should be included in your health education session.Create a lesson plan that includes facts, statistics, and other relevant information about TB.Present the lesson plan in a way that is clear and easy to understand for your target audience.Encourage questions from the audience and answer them thoroughly.Provide resources for further information about TB and health education.By following these steps, you will be able to provide an effective health education session on tuberculosis and its prevention.
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a nurse is creating a pain management protocol for patients on a cardiac surgery unit. which category of theory would be most helpful to the nurse at this time?
The nurse creating a pain management protocol for patients on a cardiac surgery unit would likely benefit from using a theoretical framework from the field of nursing or pain management.
One category of theory that could be helpful in this context is the "gate control theory" of pain. This theory posits that pain is not simply a result of physical damage to the body, but is also influenced by psychological and social factors. According to the gate control theory, pain signals are modulated by a "gate" in the spinal cord that can be opened or closed based on various factors, including the patient's emotional state and past experiences with pain.
Using the gate control theory as a framework for pain management on a cardiac surgery unit could involve strategies such as providing emotional support and reassurance to patients, offering distraction techniques during painful procedures, and using pharmacological interventions that target the gate control mechanism.
Other theoretical frameworks that could be helpful for pain management on a cardiac surgery unit include the biopsychosocial model of pain, which recognizes the interplay between biological, psychological, and social factors in pain perception, and the transtheoretical model of behavior change, which can help nurses tailor pain management interventions to individual patient needs and readiness for change.
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a postoperative client has developed thrombophlebitis in the right leg. what new plan of care will need to be added because of this complication?
Thrombophlebitis, or inflammation of a vein with a blood clot formation, is a potential complication after surgery. A new plan of care should be added to address this complication, which may include:
Bed rest: The client should be encouraged to rest and avoid prolonged standing or sitting to prevent the clot from worsening.
Compression stockings: The nurse should apply compression stockings to promote blood flow and prevent the formation of new clots.
Anticoagulant therapy: The client may need to start anticoagulant therapy, such as heparin or warfarin, to prevent the clot from growing or new clots from forming.
Pain management: Pain associated with thrombophlebitis can be managed with nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen.
Education: The client should be educated about the importance of compliance with medication, symptoms to report, and the need for follow-up appointments to monitor the clot.
Overall, the new plan of care should be aimed at preventing the worsening of the thrombophlebitis and promoting the client's overall health and recovery.
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target zones for cardiorespiratory endurance are most accurate if they are based on a percentage of group of answer choices maximal speed. metabolic rate. maximal heart rate. heart rate reserve.
The target zones for cardiorespiratory endurance are most accurate if they are based on a percentage of the maximal heart rate.
Cardiorespiratory endurance is the capacity of the heart, lungs, and blood vessels to supply oxygen and nutrients to the body's muscles for an extended period.
It is the primary component of fitness that indicates how efficiently your heart, lungs, and muscles work together to perform sustained physical activity. Cardiorespiratory endurance can be improved through exercise. One way to ensure that exercise is effective for increasing cardiorespiratory endurance is to exercise within the target heart rate zone.
The target zones are the range of heart rates that your body requires to improve cardiorespiratory endurance. This heart rate range is referred to as the target zone or the heart rate training zone. Working out in this range is also known as heart rate training or cardiovascular exercise.
Therefore, correct option is maximal heart rate.
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when teaching parents about fifth disease (erythema infectiosum) and its transmission, the nurse should provide which information?
When teaching parents about fifth disease (erythema infectiosum) and its transmission, the nurse should provide the following information:
Fifth disease (erythema infectiosum) is a mild disease caused by a virus that primarily affects children. It is usually not a major concern for most people. Although anyone may get fifth disease, it is more common in children between the ages of 5 and 15. It's characterized by a red rash that starts on the face and spreads down the body. The rash usually goes away after several days, but it may come and go for several weeks.Notify the school, daycare, or babysitters of the diagnosis of your child's fifth disease.Erythema infectiosum spreads through respiratory secretions, such as saliva, sputum, or nasal mucus. A person who has the virus is contagious before they show any symptoms. It is recommended that children stay home from school or daycare if they are experiencing symptoms of erythema infectiosum. The incubation period of erythema infectiosum is between 4 and 14 days.Talk to your healthcare provider about the risks and benefits of the disease, as well as treatment options. There is currently no cure for erythema infectiosum. Over-the-counter (OTC) pain relievers can help relieve pain and fever.Erythema infectiosum is also referred to as "slapped-cheek syndrome," "fifth disease," or "parvovirus B19 infection." It is caused by human parvovirus B19, which spreads through respiratory secretions such as saliva, sputum, or nasal mucus.To learn more about "erythema infectiosum" here:
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which condition is identified when a patient with an extensive history of alcohol abuse experience hallucination. ?
Alcohol withdrawal, acute intoxication, and chronic alcoholism are all conditions that can lead to psychosis. The term "alcohol hallucinosis" refers to psychosis brought on by drinking.
What exactly does acute intoxication mean?A change in behaviour or mental health during or after alcohol usage. One's judgement may be impacted by alcohol intoxication. Slurred speech, lack of coordination, as well as changes in mood and behaviour, are all signs of alcohol consumption. Comas can happen occasionally.Rest, hydration, and quitting drinking are ways to treat alcohol intoxication. Severe instances necessitate hospital admission, intravenous fluids, observation, and supportive treatment. A chemical that is poisonous by nature or dose can induce an organism to enter a pathological state known as acute intoxication. It is a dynamic process that is frequently brief but severe, and it has the potential to quickly deteriorate and cause life-threatening complications.To learn more about acute intoxication, refer to:
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the nurse administers a tube feeding to a client via the intermittent gravity drip method. the nurse should administer the feeding over at least which period of time?
The nurse should administer the tube feeding over at least one hour using the intermittent gravity drip method.
This method involves using a container of formula that is placed at a height above the patient's stomach and the formula is allowed to drip slowly into the stomach at a controlled rate.
The nurse must monitor the rate of the drip and adjust it as needed. This method is used to minimize the risk of aspiration or vomiting, as well as to ensure that the nutrition is being properly absorbed by the body.
It also allows the patient to rest and relax, which can help to reduce any discomfort caused by the process.
The nurse should pay close attention to the patient's vital signs during the procedure and should adjust the rate of the drip as needed.
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a patient has returned to the floor after having a craniotomy for clipping of a large, ruptured aneurysm. what are the most important nursing intervention for the next 48 hours? a. monitor the patient for sign of vasospasm b. mobilize the patient to the toilet c. infuse normal saline at 100mls an hour d. ensure the patient passes urine post-surgery e. encourage coughing and deep breathing exercises
The most important nursing interventions for the next 48 hours after a craniotomy for clipping of a large, ruptured aneurysm are a. monitor the patient for sign of vasospasm, c. infuse normal saline at 100mls an hour, and d. ensure the patient passes urine post-surgery The correct options are a, c, and d.
Monitoring the patient for signs of vasospasm is critical as it is a common complication following this type of surgery and can lead to ischemia and stroke. Encouraging coughing and deep breathing exercises is important to prevent respiratory complications such as atelectasis and pneumonia.
Ensuring the patient passes urine post-surgery is also important to prevent urinary retention, which can lead to bladder distention and subsequent infection. Mobilizing the patient to the toilet and infusing normal saline at 100mls an hour are also important interventions, but not as critical as the others mentioned above.
The patient may not be able to mobilize to the toilet immediately after surgery and the infusion rate of normal saline may vary based on the patient's fluid balance and electrolyte levels.
Hence, a, c, and d are the correct answers.
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the nurse is caring for a client prescribed oral griseofulvin for treatment of a fungal toenail infection. which instruction by the nurse is essential in understanding the treatment plan?
The nurse is caring for a client prescribed oral griseofulvin for treatment of a fungal toenail infection. The instruction by the nurse that is essential in understanding the treatment plan is as follows: Take the medication exactly as prescribed by the doctor.
Griseofulvin is a medication that is used to treat fungal infections of the skin, hair, and nails. Griseofulvin works by killing fungi that are responsible for infection. It works by preventing fungi from reproducing, which is required for infection to spread. Griseofulvin is available in various forms, including tablets and capsules. When a person is infected with a fungal infection of the toenail, griseofulvin may be recommended by the doctor.
Griseofulvin is typically taken once a day with a meal or a glass of milk. Griseofulvin, like other medications, has the potential to cause side effects. Some of the most common side effects of griseofulvin include: Dizziness, headache, or tiredness Abdominal discomfort or diarrhea Stomach upset or nausea If a patient experiences any of these side effects, they should inform their doctor right away.
The doctor may adjust the medication or prescribe a different treatment. In addition to the side effects mentioned above, griseofulvin may interact with other medications. It is essential to inform the doctor of any other medications or supplements being taken when being prescribed griseofulvin.
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which action will the nurse include when teaching a patient newly diagnosed with systemic lupus erythematosus (sle) about the effects of sunlight on the disease
When teaching a patient newly diagnosed with systemic lupus erythematosus (SLE) about the effects of sunlight on the disease, the nurse should include the action of limiting sun exposure to prevent disease exacerbation.
What is Systemic Lupus Erythematosus (SLE)?Systemic Lupus Erythematosus (SLE) is an autoimmune condition that affects the entire body. The immune system mistakenly attacks healthy cells, resulting in inflammation and damage to various body parts. Some of the signs and symptoms of SLE include rashes, joint pain, and fever, among others.
Sunlight and ultraviolet (UV) radiation can trigger or worsen SLE flares, causing a variety of symptoms. Some patients have increased skin sensitivity to sunlight, which can result in rashes, hives, and other skin reactions. Sunlight and UV radiation can also cause inflammation and organ damage, particularly in the kidneys and heart.
To prevent disease exacerbation, the nurse should include the action of limiting sun exposure. Patients should avoid exposure to direct sunlight between the hours of 10 a.m. and 4 p.m. when the sun is the strongest. They should also use sunblock with a high SPF (at least 30) and reapply it often. Wearing long-sleeved shirts, pants, and wide-brimmed hats is also recommended when outdoors.
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an intensive care unit nurse is caring for a client who suffered a myocardial infarction involving the anterior wall, and notes a change in the cardiac rhythm. the rhythm has a pr interval that does not change, but there are twice as many p waves as there are r waves. the nurse prepares for a temporary pacemaker insertion because the client has developed:
The nurse prepares for temporary pacemaker insertion because the client has developed a Second-degree atrioventricular block (Type 2).
What is a second-degree AV block (Type 2)?Second-degree atrioventricular block (Type 2) is a heart rhythm disorder that causes the heart to beat slowly or skip beats. It is caused by a blockage in the electrical system that conducts signals from the upper to the lower chambers of the heart.
Second-degree AV block (Type 2) happens when only some of the electrical impulses reach the ventricles, and others are blocked. The PR interval remains constant in the second-degree atrioventricular block (Type 2). This means that the time it takes for the electrical signal to travel from the sinoatrial node (SA node) to the ventricles is consistent.
The heart rate is slower because the ventricles are not receiving as many electrical impulses as they should. As a result, the P waves are not accompanied by QRS complexes. Second-degree AV block (Type 2) requires temporary pacemaker insertion because it can quickly progress to a complete heart block.
The temporary pacemaker insertion can maintain the heart's normal rhythm and prevent complications from occurring.
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the nurses making assignments for the next shift. which client can be assigned to a licensed practical nurse/licensed vocational nurse (lpn/lvn) select all that apply a. a client who just returned after having hemicolectomy b. a client who needs initial admission assessment c. a client who needs assistance with colostomy irrigation d. a client who is receiving subcutaneous heparin e. a client just admitted with acute abdominal pain
The clients who can be assigned to a licensed practical nurse/licensed vocational nurse (LPN/LVN) are a client who needs assistance with colostomy irrigation and a client who is receiving subcutaneous heparin, the correct options are (c) and (d).
Colostomy irrigation is a procedure that involves flushing the colon through a stoma, which is an opening in the abdominal wall. LPN/LVNs can perform this procedure as they have been trained to provide basic nursing care, including the management of ostomies. Subcutaneous heparin is a medication that is commonly used for preventing blood clots. LPN/LVNs can administer this medication under the supervision of a registered nurse or a physician.
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The complete question is:
The nurses make assignments for the next shift. which client can be assigned to a licensed practical nurse/licensed vocational nurse (LPN/LVN) select all that apply
a. a client who just returned after having a hemicolectomy
b. a client who needs an initial admission assessment
c. a client who needs assistance with colostomy irrigation
d. a client who is receiving subcutaneous heparin
e. a client just admitted with acute abdominal pain
the nurse is caring for a patient who has fractured the femur. which is the approximate amount of blood loss that can be expected?
The approximate amount of blood loss that can be expected when a patient has fractured the femur is between 500 and 1000 mL. Depending on the severity of the fracture and the associated trauma, blood loss can range from minimal to excessive.
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the nurse documents pitting edema in the bilateral lower extremities of the client. what does this documentation mean?
Pitting edema is a clinical finding that refers to an indentation that remains after applying pressure to an area of swelling, typically in the lower extremities. The nurse's documentation of pitting edema in the bilateral lower extremities of the client means that when pressure is applied to the skin over the client's legs, the skin remains indented or depressed and does not immediately return to its normal shape.
Pitting edema is commonly seen in conditions that cause fluid accumulation in the tissues, such as heart failure, kidney disease, liver disease, or venous insufficiency. It can also be a side effect of medications, such as calcium channel blockers, corticosteroids, and nonsteroidal anti-inflammatory drugs.
The degree of pitting edema can be graded on a scale of 1+ to 4+, with 1+ indicating mild pitting and 4+ indicating severe pitting. The nurse should document the degree of pitting edema, as well as the location, size, and shape of the swelling, in the client's medical record.
Assessment of pitting edema is an important nursing intervention, as it can provide valuable information about the client's fluid balance and overall health status. The nurse should also monitor the client's vital signs, urine output, and laboratory values, and report any significant changes or concerns to the healthcare provider.
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sherpath which explanation should a pediatric nurse provide to parents regarding why health promotion activities need to be ongoing?
Parents may receive an explanation from a pediatric nurse on the value of health promotion activities for the general health and well-being of their children.
Activities aimed at promoting a healthy lifestyle, preventing disease, and lowering the chance of being sick or hurt fall under the category of health promotion.
Healthy eating practices, exercise, routine doctor visits, vaccines, and steps to prevent injuries are a few examples of health promotion activities.
Health promotion
The nurse may clarify that because a child's health and development are continually changing, continuing health promotion efforts are necessary. Children's healthcare requirements alter as they mature and mature, and some diseases or disorders may make them more susceptible to them. Furthermore, as kids grow more independent, they could decide for themselves what health behaviors to engage in, which may have an impact on their long-term health outcomes.
Parents can assist their children in forming lifelong healthy habits by participating in ongoing health promotion activities. Regular check-ups with medical professionals can aid in identifying and preventing illnesses or disorders before they worsen. Children can be protected from infectious diseases through vaccinations, and accidents and injuries can be prevented through the use of preventative measures.
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the patient is to take 80 mg fluoxetine po daily in the morning. the nurse should instruct the patient to take ml daily?
The nurse should instruct the patient to take 80 mg of fluoxetine orally (PO) in the morning daily.
Fluoxetine is typically prescribed in milligrams, so no conversion of milliliters (ml) is necessary. This is an important step in ensuring the patient takes the correct dose as prescribed by the doctor.
It is important to stress the importance of taking the medication as prescribed by the doctor, including taking the correct dose, at the same time each day, and not skipping or doubling doses. The patient should also be informed of the side effects they may experience while taking the medication, and to contact their doctor if any symptoms worsen or do not improve.
Patients should be encouraged to inform their doctor or pharmacist of any over-the-counter medications, vitamins, or supplements they are taking, as these can interact with their prescribed medications. Patients should be encouraged to ask questions and to always inform their doctor if they are experiencing any changes in their mental health.
Overall, it is important for the nurse to provide clear instructions for the patient on how to correctly take the prescribed dose of fluoxetine. The nurse should also provide any necessary information about the medication, as well as information on potential side effects and how to contact their doctor in case of any concerns. Here, the patient should be instructed to take 80 mg of fluoxetine orally (PO) in the morning daily.
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the nurse is concerned that a postpartum client with a cervical laceration is developing hypovolemic shock. what did the nurse assess in this client?
The nurse assessed for signs of hypovolemic shock in a postpartum patient with a cervical laceration, which includes a weak and rapid pulse.
This is among other symptoms such as low blood pressure, rapid breathing, cool and clammy skin, and decreased urine output.
Hypovolemic shock is a life-threatening condition that occurs when there is a significant loss of blood or fluid from the body, leading to decreased circulating blood volume and inadequate perfusion of vital organs. In the case of a postpartum patient with a cervical laceration, the nurse should be vigilant for signs of bleeding and monitor the patient's vital signs closely.
A weak and rapid pulse is a common early sign of hypovolemic shock and may be accompanied by other symptoms such as low blood pressure, rapid breathing, cool and clammy skin, and decreased urine output. Early recognition and intervention are critical to prevent the progression of hypovolemic shock and ensure the patient's safety and well-being.
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