A patient is having an unusual response to a prescribed beta-blocker. Pharmgkb can tell you if there is a known pharmacogenomic result that explains its response.
The term "beta blockers" or "beta-adrenergic blocking agents" refers to medications that lower blood pressure. Beta blockers work by preventing the activities of the hormone epinephrine, generally known as adrenaline, in the body. Because they make the heart beat more gradually and gently, beta blocker lower blood pressure. Beta blockers also help to dilate veins and arteries, which improves blood flow. Beta blockers are not recommended as a first line of treatment for patients who only have hypertension. Beta blockers are frequently only used to treat high blood pressure after other medications, such diuretics, have failed to control the condition. A doctor might also suggest a beta blocker as one of several medications to lower blood pressure. When taken alone, beta blockers may not be as effective in managing high blood pressure in older adults and people of color.
To avoid, treat, or lessen symptoms in persons who have:
• An unsteady heartbeat (arrhythmia)
• Heart disease
Chest pain (angina)
Heart attacks
• Headache
• Particular tremor types
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a client is seen in the health care clinic for complaints of vaginal bleeding and mild abdominal cramping. on further data collection, the nurse notes that the client's last menstrual period was 10 weeks ago. the client reports that a home pregnancy test was performed and the results were positive. on physical examination, it is noted that the client has a dilated cervix. the nurse understands that the client is at risk for which type of abortion?
The nurse understands that the client is at risk for Inevitable type of abortion.
What's the sensation of a dilated cervix?
As a result of the cervical changes causing pain and cramping felt in the lower region of the uterus, early dilatation frequently feels like menstruation cramps. Similar to menstruation cramps in both location and sensation. Although cramping often seems like active labour, it can also be felt in a greater area (with more intensity of course).
What is dilated cervix?
The cervix opens when there is dilatation. The cervix may begin to shrink or stretch (efface) and open as labour approaches . As a result, the cervix is ready for the baby to enter the delivery canal. Each woman's cervix thins and opens at a different rate.
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the rda for nutrients is 2 standard deviations above the average requirement, while the rda for energy is the mean of the average requirement.
It is true that the RDA for nutrients is 2 standard deviations above the average requirement, while the RDA for energy is the mean of the average requirement.
Recommended Dietary Allowances (RDAs) are the amount of intake of essential nutrients that, on the premise of knowledge domain, are judged by the Food and Nutrition Board to be capable meet the known nutrient wants of much all healthy persons.
RDAs apply to vitamins and minerals from food and daily supplements. the aim of those pointers is to tell you the way abundant of a particular nutrients your body wants on a day to day. It's vital to satisfy your daily counseled dietary allowances in order that your body gets everything it must operate.
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the nurse is caring for an infant with myelomeningocele prior to having repair surgery. what nursing intervention(s) is necessary to include in this infant's plan of care? select all that apply.
diagnostic procedures are MRI, CT, ultrasonography, and myelography.
define myelomeningocele ?
When the spine and spinal cord do not grow properly during early development, a disorder known as spina bifida results, which causes myelomeningocele. The most dangerous kind of spina bifida is myelomeningocele. It occurs when nerves and spinal cord segments protrude through the spine's opening. Damage to the spinal cord, spinal nerves, and other impairments result from this. A myelomeningocele causes symptoms such as a loss of feeling below the spine's opening. Reduced leg mobility and an inability to regulate one's urine and intestines are other symptoms. Many kids with this illness accumulate excessive amounts of fluid around the brain (hydrocephalus).
To check for hydrocephalus, head circumference measurements are taken every day.
Among the diagnostic procedures are MRI, CT, ultrasonography, and myelography.
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a patient receiving intravenous iv heparin and /45 saline in sperate iv lines is scheduledfor the next aptt blooddraw at 1500. what us the best lication to retrieve thew sample
The best location to retrieve sample for aptt is on the inside of your arm at your elbow or in the back of your hand.
What is meant by aptt?
One of various blood coagulation tests is the aPTT-Activated Partial Thromboplastin Clotting Time . It gauges how long it takes for your blood to clot. The efficiency of the clotting factors can be examined using the aPTT test. It is frequently combined with other tests that keep track of clotting factors.
Blood clots develop along a predetermined course, or pathway. In this test, the common final pathway and the intrinsic clotting pathway are mostly examined. Prekallikrein, high-molecular-weight kininogen, fibrinogen, factors XII, XI, XI, IX, VIII, II, V, and X.
A clean venipuncture must be used to quickly draw the aPTT. Get a special tube from the lab if the patient's hematocrit is greater than 55%. Within an hour of the draw, samples must be in the lab. Prothrombin Time, Fibrinogen, and Activated Partial Thromboplastin Time (aPTT) measurements can all be made on the same collection tube. Samples must be in the lab within an hour of being drawn if the patient is receiving heparin therapy.
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One problem with getting mrna vaccines to work was that the immune system responded and destroyed the rna too quickly. How did the immune system recognize the foreign rna?.
While getting mRNA vaccines to work was that the immune system responded and destroyed the RNA too quickly the immune system recognize the foreign RNA by pattern recognition receptors.
What is RNA?A polymeric molecule essential in various biological roles is known as RNA.
RNA stands for Ribonucleic acid .RNA composes around 50% of the structure of the ribosomes.biological roles in which it is involve are:Coding of genes.Decoding of genes.Regulation of genes.Expression of genes.Usage:Creation of proteins carries genetic info.mRNA:mRNA stands for Messenger Ribonucleic acid.It is used in the vaccines of RNA It is necessary for protein production.To Know more about RNA and immune visit
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the nurse cares for a client who underwent a kidney transplant. the nurse understands that rejection of a transplanted kidney within 24 hours after transplant is termed:
The nurse cares for a client who underwent a kidney transplant. the nurse understands that rejection of a transplanted kidney within 24 hours after transplant is termed: Hyperacute rejection
A healthy kidney from a living or deceased donor is surgically implanted into a patient whose kidneys are failing to function normally. The two bean-shaped kidneys are located on either side of the spine, just below the rib cage. They are all roughly the size of a fist in transplant. Urine production is their primary means of filtering and expelling waste, minerals, and fluid from the circulation. The buildup of hazardous levels of waste and fluid in the body leads to kidney failure and increases blood pressure. When the kidneys lose their capacity to filter, renal failure results. End-stage renal illness manifests when the kidneys are only around 90% capable of performing their regular functions. End-stage renal illness manifests when the kidneys are only around 90% capable of performing their regular functions.
End-stage renal illness may result from:
Diabetes
• Ongoing, unchecked hypertension
• Chronic glomerulonephritis, which enlarges and finally scars the small filters in the kidney.
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a client in a nursing home is diagnosed with alzheimer's disease and is exhibiting the following symptoms: difficulty with recent and remote memory, apraxia, irritability, depression, restlessness, difficulty swallowing, and occasional incontinence. what stage of alzheimer's disease should the nurse describe the client?
Alzheimer's disease is found in a care home patient. The nurse should describe the client as having middle-stage Alzheimer's disease.
What changes a person with Alzheimer's makes?While Alzheimer's progresses, cognitive impairment or other psychiatric impairments become more severe. Wandering & getting lost issues, difficulties handling money and bills, needing to ask questions more than once, requiring additional time to complete everyday duties, and changes in attitude and conduct.
What causes Alzheimer's disease primarily?According to current theories, the aberrant protein build within and surrounding brain cells is what causes Alzheimer's disease. Amyloid is a component of the proteins involved, and deposits of it create plaques surround brain cells. Some other protein is tau, which builds up inside brain cells to form tangles.
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the parents of a child with recently diagnosed leukemia ask the nurse why their child has too many white blood cells. which is the nurse's best response?
The nurse's best response to the parents' question would be:
"Leukemia is a form of cancer that affects the production of white blood cells in the body. Too many white blood cells can cause an increase in certain body symptoms, such as fatigue and fever. The doctor is treating your child’s leukemia to reduce the number of white blood cells and help improve their overall health."
What are white blood cells?
White blood cells, also known as leukocytes, are cells of the immune system that help defend the body against infection and disease. They are produced in the bone marrow and travel through the bloodstream, attacking and destroying foreign bodies such as bacteria, viruses, and fungi. White blood cells also play a role in the body's response to allergies and autoimmune diseases.
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when caring for the client with diabetic ketoacidosis, the nurse recognizes that fatty acids and ketones may be used for energy by most organs. which organ does the nurse recognize is reliant on glucose as the major energy source?
Brain is the organ does the nurse recognize is reliant on glucose as the major energy source.
What is diabetic ketoacidosis ?
DKA happens when your body doesn't produce enough insulin to let blood sugar enter your cells for use as fuel. Instead, your liver converts fat into fatty acids called ketones through the process of breaking down fat for energy. Ketones can accumulate in your body to harmful amounts if they are created in excess or too quickly.
What is ketones ?
Ketones are molecules that show up in the blood and urine when fats are broken down for energy. This can happen if you haven't eaten enough to provide your body adequate glucose for energy, or it can happen if you have diabetes because your body can't utilise glucose normally.
Therefore, Brain is the organ does the nurse recognize is reliant on glucose as the major energy source.
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a client who is being treated for chronic low back pain is using a tens unit for relief of pain. the nurse is aware that the use of this device is considered what type of pain relief?
The nurse is aware that the use of this device is considered Stimulus-induced analgesia type of pain relief.
To elicit the reflex, most research use the electric stimulation of the sural nerve distally at the ankle and report the muscle activity of the quick head of the ipsilateral biceps femoris muscle.
The nociceptive flexion reflex, also known as the RIII reflex, has been proposed as an objective and reproducible neurophysiological device for the evaluation of nociception.
Launch of inflammatory mediators including prostaglandins, cytokines, leukotrienes, and neuropeptides sensitizes nociceptors, frequently ensuing in a sturdy pain response to stimuli. pain can be associated with the subsequent changes: 1. Elevation of generally sensitive periosteum due to marginal osteophytes.
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a regular review of legal health record policies and procedures to ensure a healthcare entity remains in compliance with legal requirements is generally called a legal health record:
A regular review of legal health record policies and procedures to ensure a healthcare entity remains in compliance with legal requirements is - Any healthcare organization's official business records, which include data, documents, reports.
A federal law called the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule gives you the right to examine and receive a copy of your medical records. Most medical practices, hospitals, clinics, pharmacies, testing centers, and nursing homes as well as health plans. For a long time, healthcare organizations have struggled to identify their legal health records and link them with the designated record set required to meet the HIPAA privacy requirement. Questions about how the two sets differ from one another regularly come up because both sets define information that must be provided upon request. The expanding variety of health records makes it more challenging to define and put together these record sets. Information from a facility, the results of outpatient diagnostic tests and therapies, a pharmacy, a doctor, other healthcare providers, and the patient's own personal health record may all be included in a patient's record. Administrative and financial documents and data may be combined with clinical data.
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a nurse is providing discharge instructions to a client who has just been diagnosed with human papillomavirus (hpv) on her cervix. what is the most important discharge instruction for this client?
The most important discharge instruction for this client has Pap tests done as recommended by her provider.
What is human papillomavirus?
HPV is the most common STI. There were about 43 million HPV infections in 2018, many among people in their late teens and early 20s. There are many different types of HPV. Some types can cause health problems, including genital warts and cancers.
The Papanicolaou test is a method of cervical screening used to detect potentially precancerous and cancerous processes in the cervix or colon. Abnormal findings are often followed up by more sensitive diagnostic procedures and, if warranted, interventions that aim to prevent progression to cervical cancer.
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besides restriction of food intake to the extent that nutritional deficiency exists, what other criteria indicate a patient is suffering from avoidant/restrictive eating disorder? select all that apply.
There is no proof that the patient lacks a supply of food that is readily available, and there is no proof that the patient's impression of their body weight is off. Children are more likely to have this disorder than adults, but this is not the only age group.
What is restrictive eating disorder?
If a person refuses to consume particular foods, that is an easy method to tell if they are engaging in restricted eating. Even though avoiding a food is limiting, it is not always a cause for concern, thus it is crucial to comprehend the rationale behind the restriction.
Stomach pain and bloating might result from limiting your food intake or purging by vomiting, which prevents your stomach from emptying normally and nutrients from being digested. vomiting and nauseous. fluctuating blood sugar levels.
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6
As you check Mrs. Bailey's breathing, you look to see whether
her chest rises and falls, listen for escaping air and feel for breathing
against the side of your cheek. Is this the correct course of action?
Select the correct answer to this question.
Yes
No
Answer:
Yes
Explanation:
so in the previos scenario, someone on a 2000 calorie diet would have to eat 4.65 grilled chicken sandwiches to satisfy the daily intake of calories. however, eating this many chicken sandwiches would mean they would have eaten 37.2 grams of saturated fat. why would this be a problem?
Someone on a 2000 calorie diet would have to eat 4.65 grilled chicken sandwiches to satisfy the daily intake of calories and however, eating 2.5 chicken sandwiches would mean they would have eaten 37.2 grams of saturated fat.
According to this nutrition label, eight grams of fat is four-hundredth of the daily counseled allotment of saturated fat. 2.5 grilled sandwiches would be (8 x 2.5 grams) = twenty grams of saturated fat. 37 grams of fat is nearly doubly the counseled daily allotment.
Saturated fat is a variety of dietary fat. it's one amongst the unhealthy fats, together with trans fat. These fats are most frequently solid at temperature. Foods like butter, palm and coconut oils, cheese, and beef have high amounts of saturated fat.
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you are admitting a 30-year-old who has a hearing impairment. the client is accompanied by family members. what information would be important to ask the family members to help you care for your client?
as the nurse arrives to visit a family 2 days after release from the hospital, she hears shouting and swearing between the mother and father and several loud crashes, just as she is going to knock on the door. what action by the nurse is the most appropriate?
The most appropriate action by the nurse is to return to the car and call the police.
How can the above action be justified?
The nurse must think about how best to serve this family while also keeping his or her own personal safety in mind. Before entering the house due to the possibility of violence, the nurse needs to acquire some backup assistance. If the nurse's safety is in jeopardy, they shouldn't enter the house.
Hence, the answer to the question is, to return to the car and call the police.
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during a nutritional counseling session, an adolescent says, 'i am not following my diet properly, but i know i should do it.' which stage of change model does the adolescent belong?
In the contemplation stage of the change model, an adolescent who is receiving nutritional counseling admits, "I am not following my diet properly, but I know I should do so."
With different life, stages come diverse nutritional needs. It's critical to consider the additional demands these changes will impose on your body if you want to stay fit and healthy.
You should take in: to satisfy your body's regular nutritional requirements.
1. a large selection of wholesome foods
2. daily consumption of water
3. enough kilojoules, with carbs being the preferred source of energy.
4. necessary fatty acids from foods like avocados, almonds, and oily fish
5. sufficient protein for cellular upkeep and repair
6. vitamins that are both fat- and water-soluble
7. essential minerals like calcium, zinc, and iron
8. foods rich in phytochemicals, which can help prevent certain cancers, heart disease, diabetes, arthritis, and osteoporosis.
These fundamental needs can be satisfied by a varied diet that emphasizes fruits, vegetables, whole grains, legumes, dairy products, and lean meats.
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the charge nurse assigns a nursing procedure to a new staff nurse who has not previously performed the procedure. what action is most important for the new staff nurse to take
The most important action for a new staff nurse who has never performed the procedure is to refuse to perform the tasks that go beyond the nurse's experience.
It is the nurse's responsibility, according to state nursing practice acts, to perform within the scope of her or his competency. Hence, tasks that go beyond the nurse's experience must be refused.
What is the Nurse Practice Act?The Nursing Practice Act, or NPA, can be defined as the body of California legislation that requires the Board to clarify the scope of practice and responsibilities of registered nurses, or RNs. Every state and territory enacted a nurse practice act, which created a board of nursing (BON) with the authority to establish administration regulations or rules to clarify or narrow the law. Rules and regulations must adhere to the NPA and cannot deviate from it.
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the hypothalamus is the area where afferent impulses from all senses and all parts of the body are sorted out and then relayed to the appropriate area of the sensory cortex. t or f
The hypothalamus is the area where afferent impulses from all senses and all parts of the body are sorted out and then relayed to the appropriate area of the sensory cortex, is False
What is Hypothalamus?
The primary function of the hypothalamus is to maintain homeostasis as much as possible in the body. A healthy and balanced internal state is referred to as homeostasis. The body strives to establish this balance at all times.
The hypothalamus functions as a bridge between the neurological and endocrine systems. The network of hormone-producing organs and glands known as the endocrine system aids in the control of body processes.
As various bodily organs and systems send messages to the brain, the hypothalamus can be made aware of any imbalanced elements that require attention. To restore this balance, the hypothalamus reacts by promoting pertinent endocrine activity.
For instance, the hypothalamus will tell the body to sweat if it receives a signal that the internal temperature is too high.
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while considered an organ of the gastrointestinal system, the ________ is not part of the gastrointestinal tract.
The liver is not part of the gastrointestinal tract while considered an organ of the gastrointestinal system.
What is the Liver?
The liver is a major organ found in the upper right part of the abdominal. It is the largest internal organ in the human body and performs a wide range of important functions, including filtering toxins from the blood, producing bile to aid in digestion, and regulating hormones. The liver also stores energy in the form of glycogen, which it can release as glucose when needed. Additionally, the liver is responsible for breaking down and metabolizing fats, proteins, and carbohydrates.
What is the Gastrointestinal tract?
The gastrointestinal (GI) tract, also referred to as the digestive tract, is a long, hollow tube that starts at the mouth, continues down the esophagus, through the stomach, small intestine, and large intestine, and ends at the anus. The GI tract is responsible for breaking down food, absorbing nutrients, and eliminating waste products.
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an 8-year-old client with a fractured forearm is to have a fiberglass cast applied. which information will the nurse include when teaching the child and family about the cast?
Information that nurses pass on when teaching children and families about casts is "casts can stabilize broken bone structures, and reduce the pain of injuries."
What is fiberglass cast?A cast is a tool that is often attached to parts of the body that have broken bones, such as the legs or arms. Casts are also useful for reducing pain and muscle contractions in injured areas of the body. Casts used in cases of broken bones are divided into two, namely fiberglass and plaster.
There are several ways to properly care for casts, including:
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a client brought to the emergency department states that he has accidentally been taking two times his prescribed dose of warfarin for the past week. after noting that the client has no evidence of obvious bleeding, the nurse plans to take which action?
Draw a sample for prothrombin time (PT) level and international normalized ratio (INR).
Warfarin is an anticoagulant medication that is sold under the brand names Coumadin and others. It is commonly used to prevent blood clots like deep vein thrombosis and pulmonary embolism, as well as stroke in people with atrial fibrillation, valvular heart disease, or artificial heart valves.
Anticoagulant medications, such as warfarin, are frequently prescribed for people who have had a blood clot-related condition, such as a stroke. a coronary artery disease Deep vein thrombosis is a blood clot that forms in a deep vein in the body, typically in the leg.
A prothrombin time (PT) test determines how long it takes for a blood clot to form in a sample of blood. An INR (international normalized ratio) is a calculation based on the results of a PT test. Prothrombin is a protein that the liver produces. It's one of a group of substances known as clotting (coagulation) factors.
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a client at 28-weeks gestation arrives at the labor and delivery unit with a complaint of bright red, painless vaginal bleeding. for which diagnostic procedure should the nurse prepare the client?
Abdominal ultrasound is the diagnostic procedure should the nurse prepare the client.
What is vaginal bleeding?
Vaginal bleeding can have causes that aren't due to underlying disease. Examples include menstruation, objects in the body (such as an IUD), medication side effects, or childbirth.
Bright red, painless vaginal bleeding occurring after 20 weeks gestation can be an indicator of placenta previa, which is confirmed by abdominal ultrasound (C). (A, B, and D) are invasive procedures that increase the risk for premature onset of labor, and are not indicated at this client's gestation.
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a client who is pregnant has been instructed on prevention of genital tract infections. which statement by the client indicates an understanding of these prevention measures?
A client is pregnant and has been instructed on the prevention of genital tract infections. which statement by the client indicates an understanding of these prevention measures Anterior pituitary gland.
Female genital infections involving anaerobes are polymicrobial and include Soft tissue and perineum. Bacterial vaginosis; Vulvar and Bartholin gland abscesses; Endometritis; Piometra; Salpingitis; However, more serious yeast infections can last up to two weeks. Yeast infections do not cause serious long-term medical complications such as infertility or scarring if left untreated for any reason.
The time it takes for an infection to heal depends on the type of vaginal infection and how quickly it is treated. For infections treated with antibiotics (bacterial vaginosis, trichomoniasis, chlamydia, etc.), the course is usually about 7 days.
This depends on two factors: the extent of the infection and the method of treatment. Minor yeast infections can go away in as little as three days. You may not even need treatment. However, moderate to severe infections may take 1 to 2 weeks to heal.
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a parent tells the nurse that the primary discipline method used in the home is corporal punishment. what should the nurse tell the parent about corporal punishment?
a parent tells the nurse that the primary discipline method used in the home is corporal punishment. the nurse tell the parent about corporal punishment Corporal punishment is an aversion technique that teaches children what not to do. Children can commonly become accustomed to physical punishment, so the punishment must be more severe to get the same results.
The most prevalent type of child abuse is corporal punishment. It is any punishment that involves the use of physical force and is meant to inflict some level of pain or suffering. It is against children's rights to respect for bodily and intellectual integrity. The three main types of physical punishment are paddling, pinching, and slapping. There are many situations and ways in which corporal punishment may be used. The advantages of physical punishment include: A quick technique to stop bad conduct is through corporal punishment.
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a nurse is preparing to administer lidocaine viscous to a client scheduled for minor surgery. which instruction regarding the intake of food should the nurse give the client?
The instruction regarding the intake of food that the nurse should give to the client that's going to use lidocaine viscous is that it's better to eat before using the medication. If not, it's recommended to wait for at least an hour after using this medication before eating any food.
Lidocaine viscous is a local anesthetic medication used to numb painful sores in the mouth and throat. It's also used to prevent gagging during dental procedures. It works by numbing the nerves, making them less sensitive.
The usage of lidocaine viscous may cause the muscles in the throat to not work well. That may cause the user to choke. That's why it's recommended to eat before taking this medication or to wait at least an hour after taking it before eating.
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what is 200000+20000 times 200000
Answer:
4.4×10(9)
Explanation:
200000+20000=220000
220000X200000=4.4000000000 or in shorter terms4.4×109
cwhen preparing to discharge a patient who had an indwelling urinary catheter removed 24 hours ago, the nurse would offer patient education regarding which common complication?
Education from nurses to patients regarding common complications that often occur after 24 hours of catheter removal is '' after removing the catheter, you may experience pain when urinating if you feel that complaint immediately come to the health service.''
What is a catheter?A catheter is a tool in the form of a small flexible tube and is commonly used by patients to help empty the bladder. The installation of this tool is done specifically for patients who are unable to urinate normally on their own.
Inserting a urinary catheter can result in a urinary tract infection (UTI), such as an infection in the urethra, bladder, or kidneys. Apart from UTI, patients with urinary catheters can also experience other side effects such as Bladder spasms and pain, possibly feeling like stomach cramps.
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true or false: an amniocentesis is performed for all pregnancies, regardless of the age of the mother.