The patient's primary care physician should be scheduled by the home health nurse.
What is multi-infarct dementia?Sudden confusion and hallucinations are noticeable in more than half of cases of multi-infarct dementia. Cardiovascular disease is also a factor in this illness. Increased home care for the patient is not the solution, nor is having a family member check on the patient at night. The nurse should make arrangements for the patient to see his primary care physician rather than referring the patient to an adult day programme, which may be advantageous for the patient but does not address the immediate difficulty the patient is experiencing.
One of the most typical causes of memory loss in the elderly is multi-infarct dementia (MID). MID is brought on by several blows (disruption of blood flow to the brain). Damaged brain tissue results from blood flow disruption.
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which condition would the nurse include in the teaching plan for a patient with assessment findings of moon face, acne, increased fat pads, and swelling who is taking methylprednisolone?
The nurse explains to a patient being evaluated for possible rheumatoid arthritis that an elevated erythrocyte sedimentation rate indicates the presence of:
a. immunoglobulins
b. erythropoiesis
c. atypical serum protein
What is acne?Acne is a skin condition that occurs when the follicles of your hair become clogged with oil and dead skin cells. It is the cause of whiteheads, blackheads, and pimples. Acne is most common in teenagers, but it can affect people of any age.
Acne treatments are effective, but acne can be stubborn. The pimples and bumps heal slowly, and when one starts to fade, others appear.
Acne, depending on its severity, can cause emotional distress as well as skin scarring. The earlier you begin treatment, the lower your risk of such complications.
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a 36-year-old client demonstrates a pattern of overexpressiveness with emotions. the client has a relationship history in which the client is attention seeking. the client has recently been experiencing difficulty maintaining appropriate boundaries with colleagues at a new job. the nurse would most likely suspect which disorder?
A client exhibits a tendency to express their feelings excessively. Most likely, the nurse would be suspicious of Histrionic personality disorder.
What do you refer to as someone who has a disorder?Use "someone living with such a mental health issue" or "person with a mental illness" instead. There are a lot more facets to individuals who suffer from mental illnesses than just their symptoms. Not only is it more respectful to embrace someone as an person first, but it also respects the many aspects of that individual that go beyond their diagnosis.
Which personality disorders are there?If you have a rigid or unhealthy habit of thinking, acting, and behaving, you may have a personality disorder. A personality disorder makes it difficult for the sufferer to perceive and relate to others.
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the nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter and finds that there is straw-colored drainage seeping from the wound. what description of this finding should the nurse include in the client's record
One-inch pressure sore draining serous fluid has to be included.
What is the reason for straw coloured drainage?
Purulent drainage is a sign of infection. It's a white, yellow, or brown fluid and might be slightly thick in texture. It's made up of white blood cells trying to fight the infection, plus the residue from any bacteria pushed out of the wound. There may be an unpleasant smell to the fluid, as well.
Hence, the answer is One- inch pressure sore draining serous fluid has to be included.
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efore they head back over to carl and layla's house, layla has paul bring all his medications and supplements. she says she'll help him sort them in the morning before she goes to work. paul fills up an entire grocery bag full of different medications and supplements. what is the best course of action to handle the situation?
Layla should organize his medication in the day and write a note about when johnny needs to take every pill in order to effectively manage the problem.
What purposes do medication serve?Medicines are compounds or molecules that alleviate symptoms, treat, stop, or prevent disease, or help with disease diagnosis. Thanks to modern medicine, doctors can now prevent and treat a wide range of illnesses. There are several places to get drugs now.
What sets one medication apart from another?Medication is another name for medicine. Both are equivalent in meaning. An antiviral is the only medication with COVID-19 that the authorities has approved. A small, circular piece of medication is called a tablet.
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the nurse prepares to administer an iv infusion of potassium chloride through a peripheral vein to a client with hypokalemia. the health care provider's prescription states: iv potassium chloride 10 meq (10 mmol)/100 ml 5% dextrose in water now, infuse over 30 minutes. what is the nurse's priority action?
The nurse's first course of action is to call the doctor to confirm the prescription.
Which prescription do you refer to?A prescription is a piece of paper over which your doctor orders medication and which you provide to a pharmacist or chemist in order to obtain the medication. You must visit a store with your prescription. 2. A noun that counts. A prescriptions is a drug that a doctor has recommended you take.
What does a pharmacy prescription mean?An electronic or printed instruction from a licensed doctor instructing a pharmacist to create or distribute pharmacological agents or drugs for the diagnosis, treatment, or prevention of a disease is known as a prescription. not taking your medication as directed by a doctor or other healthcare.
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hospice advocates emphasize the advantages of controlling pain for dying individuals. finding new treatments for many incurable diseases. finding a cure for all dying individuals. that it is possible to limit the administration of pain medication and prevent addiction.
Hospice advocates emphasize the advantages of controlling pain for dying individuals.
Most patients don't register in hospice till their time of death attracts close to. in keeping with a study that was revealed within the Journal of Palliative medication, roughly 1/2 patients who registered in hospice died among 3 weeks, while 35.7 % died among one week.
Morphine is a narcotic, a powerful drug wont to treat serious pain. Sometimes, anodyne is additionally given to ease the sensation of shortness of breath. with success reducing pain and addressing considerations concerning respiratory will give required comfort to somebody who is near to dying.
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during a home visit to a breastfeeding primiparous client at 1 week postpartum, the client tells the nurse that her nipples have become sore and cracked from the feedings. which instructions should the nurse give the client?
The best reaction from the nurse would be "It's common for some women to experience depression following the delivery of a child. I'm going to get in touch with your doctor."
How to Prevent Sore Nipples When Breastfeeding?Nipple discomfort is typical at the start of breastfeeding after giving birth. When your infant latches on or when your breast milk starts to let down, you could experience some minor pain. This moderate soreness is typical, and when you breast your infant, it should go away.
Breastfeeding should get easier over the course of the weeks. This isn't always the case, of course. Your nipples may occasionally get extremely uncomfortably tender as the discomfort worsens. Unfortunately, one of the major issues with nursing is uncomfortable nipples. However, you can frequently relieve sore nipples when nursing by making minor alterations to your breastfeeding positions and latch.
A bad latch during breastfeeding, improper use of a breast pump, or an infection are a few causes of sore nipples.
Once you have them, uncomfortable nipples can result in a challenging let-down, a limited supply of breast milk, or an early weaning. Therefore, you should aim to prevent sore nipples before they begin or treat any discomfort as soon as it manifests.
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a client has been admitted with placental abruption (abruptio placentae). she has lost 1,200 ml of blood, is normotensive, and ultrasound indicates approximately 30% separation. the nurse documents this as which classification of abruptio placentae?
Given classification of abruptio placentae is : grade 2.
The classifications for abruptio placentae are:
grade 1 (mild) – minimal bleeding (less than 500 mL), 10%to 20% separation, tender uterus, no coagulopathy, signs of shock or fetal distress.grade 2 (moderate) – moderate bleeding (1,000 to 1,500 mL), 20% to 50% separation, continuous abdominal pain, mild shock, normal maternal blood pressure, maternal tachycardia.grade 3 (severe) – absent to moderate bleeding (more than 1,500 mL), more than 50% separation, profound shock, dark vaginal bleeding, agonizing abdominal pain, decreased blood pressure, significant tachycardia, and development of disseminated intravascular coagulopathy.To know about pregnancy visit:
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you are assessing a patient in the front seat of a vehicle that was involved in a head-on collision. as you examine the interior of the vehicle, you notice the airbags have not deployed. what action should you take in order to render the scene safe to work?
The action you should take in order to render the scene safe to work is to detach the battery and wait two minutes before getting into the car.
What is head on collision?
The majority of the time, these kinds of car accidents involve the collision of two opposing-moving vehicles. A car, truck, or motorcycle may be involved. A head-on collision may also occur when a vehicle hits a stationary object, like a cement barrier, light pole, or tree.
In addition to seat belts, air bags are designed to provide the most effective level of protection. When a crash occurs, air bags lessen the likelihood that your upper body or head will hit the inside of the car. The electronic control unit of the air bag system typically sends a signal to an inflator inside the air bag module when there is a moderate to severe crash. In less than one twentieth of a second, or in the blink of an eye, an igniter in the inflator initiates a chemical reaction that results in the production of a harmless gas, which inflates the air bag.
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a client with long-standing type 2 diabetes is surprised to see high blood sugar readings while recovering from an emergency surgery. which factor may have contributed to the client's inordinately elevated blood glucose levels?
The situation's tension led to the release of cortisol.
Why Does Type 2 Diabetes Occur?The hormone insulin, which is created by the pancreas, acts as a key to open the door for blood sugar to enter your body's cells and be used as fuel. People with type 2 diabetes experience insulin resistance, which happens when cells don't respond to insulin as they should. The pancreas produces more insulin in an effort to get cells to react. The inability of your pancreas to keep up eventually causes your blood sugar to rise, which can result in type 2 diabetes and prediabetes. The body is harmed by high blood sugar, which also raises the risk of heart disease, kidney disease, and other serious health problems.
Diagnosis of Type 2 Diabetes:A fast blood test can be used to assess whether you have diabetes. If you got your blood sugar checked at a health fair or pharmacy, be sure the findings are accurate by scheduling a follow-up appointment at a clinic or doctor's office.
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the nurse is assisting in caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy (dic). which finding is least likely associated with dic?
Swelling of the calf in one leg is least likely associated with
Disseminated intravascular coagulopathy (DIC)
What is Abruptio placentae?
Abruptio placentae is a condition in which the placenta partially or completely separates from the uterine wall before delivery of the baby. This is a serious condition that can cause severe bleeding, premature birth, or even fetal death. It is most common during the third trimester of pregnancy and is often caused by hypertension, trauma, or other medical conditions. Women who have experienced abruptio placentae have an increased risk of developing it again in subsequent pregnancies.
What is Disseminated intravascular coagulopathy (DIC)?
Disseminated intravascular coagulopathy (DIC) is a disorder in which the body's clotting system is activated and can't turn off, leading to widespread clotting throughout the body. DIC is caused by an underlying disorder, such as infection, cancer, or trauma, and can lead to serious health complications if left untreated. Symptoms of DIC include a decrease in the number of blood cells called platelets, small clots forming in the blood vessels, and excessive bleeding from minor injuries.
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the nurse treats a client with end-stage kidney disease (eskd). the nurse is concerned that the client is developing renal osteodystrophy. upon review of the client's laboratory values, it is noted the client has had a calcium level of 11 mg/dl for the past 3 days and the phosphate level is 5.5 mg/dl. the nurse anticipates the administration of which medication?
Hypocalcemia with bone changes
Uremic bone disease, also known as renal osteodystrophy, is caused by complex changes in calcium, phosphate, and parathormone balance. Phosphorus retention, low serum calcium levels, abnormal vitamin D metabolism, and elevated aluminum levels all contribute to bone disease and metastatic and vascular calcifications.
A deficiency of vitamin D can cause hypocalcaemia. It may also indicate a problem with the four tiny glands in the neck (parathyroid glands), the kidneys, or the pancreas.
The majority of patients have no symptoms. Symptoms of severe cases include muscle cramping, disorientation, and tingling in the lips and fingers. Calcium and vitamin D supplements are used as part of the treatment.
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which nursing diagnosis is appropriate for the client with a new ileal conduit? select all that apply. risk for impaired skin integrity urinary retention chronic pain deficient knowledge: management of urinary diversion disturbed body image
Deficient knowledge: management of urinary diversion, disturbed body image, risk for impaired skin integrity nursing diagnosis is appropriate for the client with a new ileal conduit.
What function does an ileal conduit serve?
You'll require a different method of urination after your cystectomy. Making a hole in your abdomen to let urine out is known as a urostomy.
One kind of urostomy is an ileal conduit. It makes a new passageway for pee by using a piece of your small intestine.
A stoma is the term for the opening on the exterior of your abdomen. To collect urine, you'll wear a urostomy bag strapped to your skin over the stoma.
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which miscellaneous drugs are often prescribed to help with pain management? (select all that apply.)
Answer:
acetaminophen and ziconotide paracetamol NSAIDs – ibuprofen, aspirin, and diclofenac gel. compound painkillers – co-codamol, paracetamol and ibuprofen, and codeine.
a client with obsessive-compulsive disorder washes the hands multiple times daily and is late for meals and milieu activities. what is most appropriate for the nurse to do initially?
Remind the client about meal and activity times so that the ritual can be completed on-time.
Obsessive-compulsive disorder (OCD) is characterized by a pattern of unwanted thoughts and fears (obsessions), which cause you to engage in repetitive behaviors (compulsions). These obsessions and compulsions disrupt daily life and cause significant distress.
Contamination/washing, doubt/checking, ordering/arranging, and unacceptable/taboo thoughts are the four main manifestations of OCD. The most common type of OCD is obsessions and compulsions related to contamination and germs, but OCD can encompass a wide range of topics.
The exact cause of OCD is unknown to experts. It is thought that genetics, brain abnormalities, and the environment all play a role. It usually begins in adolescence or early adulthood. However, it can also begin in childhood.
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the nurse recognizes the clinical assessment of a client with acute myeloid leukemia (aml) includes observing for signs of infection early. what nursing action will most likely help prevent infection?
Administering prophylactic antibiotics, as prescribed by the physician, to help prevent infection.
What is Acute myeloid leukemia (AML)?
Acute myeloid leukemia (AML) is a type of cancer that affects the blood and bone marrow. It is a type of leukemia that develops from abnormal changes in the cells that would normally develop into white blood cells. Symptoms of AML include fatigue, fever, anemia, bleeding, and frequent infections. Treatment typically includes chemotherapy or a stem cell transplant.
Additionally, the nurse should monitor the client's temperature, white blood cell count, and other vital signs regularly to detect signs of infection. Encouraging the client to practice good hand hygiene and to report any signs of infection promptly.
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the nurse is assessing an 80-year-old client who has scald burns on both hands and forearms (first- and second-degree burns on 10% of the body surface area). what should the nurse do first
The first thing nurse do is refer the client to a burn center.
What is a burn center?
A burn center, burn unit, or burns unit is a hospital specializing in the treatment of burns. Burn centers are often used for the treatment and recovery of patients with more severe burns.
The first thing nurse do is refer the client to a burn center.
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the nurse working in the holding area is performing an assessment on a client scheduled for surgery. which question will the nurse ask prior to the client receiving general anesthesia?
When was the last time you ate or drank anything, the question will the nurse asks prior to the client receiving general anesthesia.
What is general anesthesia?Usually, you need to start fasting six hours before surgery. You might be able to consume clear liquids up to the last few hours.
During the period that you are fasting, your doctor might advise you to take some of your normal prescriptions with a little sip of water.
Therefore, the question will the nurse ask is when was the last time you ate or drank anything before, receiving general anesthesia.
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a patient has acute kidney injury (aki) with a negative nitrogen balance. how much weight does the nurse expect the patient to lose? 1.0 kg/day 1.5 kg/day 2.0 kg/day 0.5 kg/day
A patient has acute kidney injury (aki) with a negative nitrogen balance. 0.5 kg/day much weight does the nurse expect the patient to lose.
What is acute kidney injury ?
The phrase ARF has recently been replaced by the phrase acute kidney injury (AKI). AKI is defined as a sudden (within hours) decline in kidney function, which includes both injury (structural damage) and impairment (loss of function). Rarely does a syndrome have a single, clear pathophysiology.
What is nitrogen balance ?
According to the idea of nitrogen balance, a change in nitrogen intake or loss corresponds to an increase or decrease in total body protein. The patient is said to be anabolic or "in positive nitrogen balance" if more protein (nitrogen) is given to them than they lose.
Therefore, a patient has acute kidney injury (aki) with a negative nitrogen balance. 0.5 kg/day much weight does the nurse expect the patient to lose.
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a client with liver cirrhosis develops ascites. which medication will the nurse prepare teaching for this client? furosemide ammonium chloride acetazolamide spironolactone
Ascites is treated with the prescription drug spirolactone (aldactone).
What is ascites?Fluid builds up in your abdomen's cavities when you have ascites. If ascites is bad, it could hurt. You might not be able to move about comfortably due to this issue. A stomach infection may start as a result of ascites. Additionally, fluid may circulate around your lungs in your chest. Breathing is challenging as a result.
Why does ascites occur?Cirrhosis of the liver is the primary cause of ascites. One of the most frequent causes of liver cirrhosis is binge drinking.
This syndrome can potentially be caused by certain cancers. Cancer-related ascites are particularly prevalent in cases of advanced or recurring disease. Other issues like heart conditions, dialysis, low protein levels, and infections can also result in ascites.
What signs and symptoms indicate ascites?Ascites symptoms include these:
abdomen-related swellinggaining weightFeeling of fulnessBloatingfeeling of weighta nauseous or stomachacheVomitingthe lower legs swellingbreathing difficultyHemorrhoidsTo learn more about ascites visit:
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people with schizophrenia who experience hallucinations and delusions and speak in word salad are demonstrating
People with schizophrenia who have hallucinations, delusions, and verbal muddles are exhibiting the disease's positive symptoms.
What does the term "schizophrenia" mean to you?
Schizophrenia is a mental illness marked by abnormalities in thought, perception, emotional reaction, and social interactions. While every individual's experience with schizophrenia is different, the illness is frequently chronic and can be quite severe or even incapacitating. Schizophrenia is a serious mental condition in which victims have odd perceptions of reality. Schizophrenia can cause incapacitating hallucinations, delusions, and extremely irrational thinking and behavior that can make it impossible to carry out daily tasks. According to a story by Catherine Harrison, PhD, for about.com, a Swiss psychiatrist by the name of Eugen Bleuler originally characterized schizophrenia in 1911.
People with schizophrenia who have suffered delusions, hallucinations, and verbal muddles are exemplifying the positive. He first classified symptoms as either negative or positive.
In light of the foregoing findings, we can conclude that individuals with schizophrenia who have had hallucinations, delusions, and speaking incoherently are exhibiting the positive symptoms of the disease.
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which of the entries on a patient's medical record are evidence of preeclampsia with severe features? (select all that apply.) 1 lb (454 grams) weight gain in 1 week
Epigastric pain, 3 lb (1.4 kg) weight gain in 1 week, scotomata, oliguria, blood pressure 182/116 mmHg are the entries on a patient's medical record are evidence of preeclampsia with severe features.
The presence of one or more of the following symptoms in a preeclamptic woman indicates a diagnosis of "preeclampsia with severe characteristics."Affected organ systems include: CNS; Liver; Kidney; Lungs; as well as Cardiovascular system; Lungs; and Liver (low platelets, and elevated pressures)If the patient is on bed rest, SBP of 160 mm Hg or DBP of 110 mm Hg on two occasions at least four hours apart (unless antihypertensive therapy is initiated before this time, in which case the patient meets the criteria with just one set of BP). Thrombocytopenia (less than 100,000 platelets per microliter)Progressive renal insufficiency (serum creatinine concentration greater than 1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease) Impaired liver function as indicated by abnormally elevated blood concentrations of liver enzymes preeclamptic (to twice normal concentration), severe persistent right upper quadrant or epigastric pain that is unresponsive to medication and not accounted for by alternative diagnoses, or both respiratory edema fresh onset of visual or mental problems.To know more about patient check the below link:
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the nurse reviews the prenatal record in anticipation of a birth. which finding would alert the nurse to the possibility of an intestinal obstruction in the infant? select all that apply.
Polyhydramnios and a sibling with cystic fibrosis would alert the nurse to the risk of the newborn having an intestinal obstruction.
An intestinal obstruction is a blockage that prevents food or liquid from flowing through the small or large intestines (colon).
An intestinal obstruction is a blockage that prevents food or liquid from flowing through the small or large intestines (colon). Fibrous bands of tissue (adhesions) in the abdomen that form after surgery; hernias; colon cancer; certain drugs; or strictures from an inflammatory intestine caused by certain illnesses, such as Crohn's disease or diverticulitis, can all cause intestinal obstruction.
Without treatment, the clogged intestinal portions can die, causing major difficulties. However, with appropriate medical attention, intestinal blockage is frequently treatable.
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a client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. to reverse hypertensive crisis caused by pheochromocytoma, the nurse expects to administer:
To reverse hypertensive crisis caused by pheochromocytoma, the nurse expects to administer is phentolamine (Regitine).
What is acute hypertensive ?
Acute hypertensive episodes (AHE) are severe blood pressure elevations that could injure internal organs. People who already have hypertension are more likely to develop AHE, despite the possibility of "de novo" events occurring independently.
What is pheochromocytoma ?
Pheochromocytoma, often known as an adrenal gland tumour, is a rare and frequently benign (noncancerous) condition. One of your two adrenal glands is located in the top region of each kidney. The adrenal glands produce hormones as part of the body's endocrine system.
Therefore, to reverse hypertensive crisis caused by pheochromocytoma, the nurse expects to administer is phentolamine (Regitine).
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An increase in sympathetic nerve activity stimulates constriction of afferent arterioles. Put the events in order regarding the sympathetic nerve effects on the glomerular filtration rate.Blood Pressure ->baroreceptor reflex ->increase in sympathetic nerve activity -> vasoconstriction of afferent arterioles in kidneys -> decrease in GFR ->decrease in urine production ->and increase in blood volume ->NEGATIVE FEEDBACK
Blood Pressure ->baroreceptor reflex ->increase in sympathetic nerve activity -> vasoconstriction of afferent arterioles in kidneys -> decrease in GFR ->decrease in urine production ->increase in blood volume -> NEGATIVE FEEDBACK
What is glomular filtration rate?
A glomerular filtration rate (GFR) is a blood test that checks how well your kidneys are working. Your kidneys have tiny filters called glomeruli. These filters help remove waste and excess fluid from the blood. A GFR test estimates how much blood passes through these filters each minute.
A GFR can be measured directly, but it is a complicated test, requiring specialized providers. So GFR is most often estimated using a test called an estimated GFR or eGFR. To get an estimate, your provider will use a method known as a GFR calculator. A GFR calculator is a type of mathematical formula that estimates the rate of filtration. It does this by comparing the results of a blood test that measures creatinine, a waste product filtered by the kidneys, with other information about you.
The results of a blood test that measures creatinine, a waste product filtered by the kidneys
AgeWeightHeightGenderRaceHence, the events in order regarding the sympathetic nerve effects on the glomerular filtration rate.
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those who chronically have difficulty dealing with others and establishing meaningful relationships most likely suffer from a personality disorder. t or f
False. Chronic difficulty dealing with others and establishing meaningful relationships can be a symptom of a personality disorder, but it is not necessarily the case. There are many possible causes of difficulty establishing relationships, including personal, social, and psychological factors, and a personality disorder is just one potential cause. It is important to note that personality disorders are complex mental health conditions that can affect a person's thoughts, behaviors, and relationships. A proper diagnosis of a personality disorder can only be made by a qualified mental health professional after a comprehensive evaluation.
the nurse is collecting data from a client during the first prenatal visit at 12 weeks' gestation. the client is anxious to know what the fetus will look like at this time. the nurse correctly responds to the client by providing which information? select all that apply.
The evaluation findings that the nurse should give the most attention to include gestational hypertension, hyperemesis gravidarum, and the absence of FHR.
During pregnancy, nausea (morning sickness) is frequently experienced. It's usually nothing to worry about. Although it can be very painful, morning sickness normally goes away after 12 weeks.
Pregnancy-related hyperemesis gravidarum (HG) is a severe form of morning sickness that causes intense nausea and vomiting. Frequently, hospitalization is required. However, a hormone called human chorionic gonadotropin, whose blood level is rising swiftly, is likely to be the cause (HCG). HCG is secreted by the placenta.
Mild morning sickness is rather common. Hyperemesis gravidarum is less common and more severe. Hyperemesis gravidarum is a condition characterized by severe nausea, vomiting, loss of weight, and electrolyte imbalance. dietary adjustments.
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the nurse is admitting a patient with severe diarrhea related to clostridium difficile colitis. which type of shock is the patient at the greatest risk for? obstructive shock distributive shock cardiogenic shock hypovolemic shock
Hypovolemic shock is the most dangerous type of shock for the patient.
Hypovolemic shock is an emergency condition in which the heart is unable to pump enough blood to the body due to substantial blood or other fluid loss. Many organs may stop working as a result of this type of trauma.
Hypovolemia symptoms include:
Standing causes dizziness.
Dry skin, as well as a dry mouth.
Tiredness (fatigue) or weakness
Cramping of the muscles
Inability to pee (urinate) or urine that is darker than usual.
Once you're in an ambulance or a hospital, your provider will administer fluids (such as saline) before administering blood via an IV. They will also give you medications to help you return to normal blood pressure levels.
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a client is receiving the first of two prescribed units of packed red blood cells (prbc). shortly after the initiation of the transfusion, the client reports chills and experiences a sharp increase in temperature. what is the nurse's priority action?
If the client reports the symptoms such as chills, low back pain, and nausea it may be a sign of a hemolytic transfusion reaction. The action that should be taken by the nurse is to immediately stop the transfusion of the blood.
Definition of hemolytic transfusion
The hemolytic transfusion reaction is a problem which occurs after a blood transfusion. What is generated in hemolytic transfusion is that there is a destruction of the red blood cells that are received in the transfusion, this process is called 'hemolysis'.
This situation happens when the blood type of the transfusion is different from that of the person receiving it, then the antibodies in the recipient's plasma will destroy the red blood cells which enter because they are different.
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a nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids (uterine myomas). the nurse determines that the teaching was successful based on which statement
A nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids (uterine mylomas). If I continue hormone therapy after stopping the medication, my fibroids can come back.
Noncancerous uterine growths known as uterine fibroids are common during the childbearing years. Uterine fibroids, also known as leiomyomas or myomas, don't enhance the risk of uterine cancer and hardly ever turn into the disease. Fibroids can be small enough to be invisible to the normal eye or large enough to stretch and expand the uterus. Fibroids can be isolated or spread out. In extreme circumstances, many fibroids may cause the uterus to enlarge to the point where it touches the rib cage and gains weight. Uterine fibroids are a common condition in women. However, because uterine fibroids frequently don't manifest any symptoms, you might not be aware that you have them. Inadvertent fibroids may be found by your doctor when performing a pelvic exam or prenatal ultrasound. Many women with fibroids have no symptoms at all. The location, size, and quantity of fibroids in individuals who do can affect symptoms. The most typical uterine fibroids symptoms and signs in women who experience them are as follows: extreme menstrual bleeding, longer than a week's worth of menstrual cycles, Pelvic pressure or discomfort, often urinating, bladder emptying challenges, Constipation
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