the nurse is performing a neurological assessment on an adult client suspected of having a traumatic brain injury (tbi). which signs/symptoms would indicate to the nurse that the client's icp is increasing.

Answers

Answer 1

Projectile vomiting and Delay in verbal response would indicate to the nurse that the client's ICP is increasing.

Because the vomiting center in the brain is being stimulated, projectile vomiting can occur. When you have a headache and the client vomits, you must assume that the ICP is rising! With increasing ICP, the client's speech may become slower or slurred. The verbal suggestion is delayed. To put it another way, they may be slow to respond to commands.

As ICP rises, the client develops systolic hypertension and a wider pulse pressure. With cardiac tamponade, the pulse pressure narrows.

A traumatic brain injury is typically caused by a violent blow or jolt to the head or body. Traumatic brain injury can also be caused by an object that passes through brain tissue, such as a bullet or shattered piece of skull. Mild traumatic brain injury can temporarily affect your brain cells.

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Related Questions

while assessing a client who has had knee replacement surgery, the nurse notes that the client has developed a hematoma at the surgical site. the affected leg has a decreased pedal pulse. what would be the priority nursing diagnosis for this client?

Answers

The priority nursing diagnosis for this client would be Risk for Peripheral Neurovascular Dysfunction.

What is Peripheral Neurovascular Dysfunction?

Peripheral Neurovascular Dysfunction (PND) is a condition that affects the functioning of the nerves and blood vessels in the body's peripheral nervous system. It can cause a wide range of symptoms, including numbness, tingling, burning, and pain in the arms and legs, as well as decreased blood flow to the extremities. PND can be caused by a variety of conditions, such as diabetes, trauma, autoimmune disorders, and vascular diseases. Treatment for PND typically involves lifestyle changes, medications, physical therapy, and, in some cases, surgery.

Because the hematoma in the client's instance may disrupt tissue perfusion, the most suitable nursing diagnosis is Risk of Peripheral Neurovascular Dysfunction. Because of the hematoma, there is also a danger of infection, although reduced neurovascular function is a more immediate concern. Neurovascular health takes priority over unilateral neglect and decreased sensation.

What is the Nervous system?

The nervous system is a complex network of nerve cells and fibers that transmit signals between different parts of the body. It is responsible for coordinating and controlling many of the body's functions including movement, coordination, and balance. It is made up of the central nervous system (the brain and spinal cord) and the peripheral nervous system (nerves that extend throughout the body).

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during rounds, a nurse finds that a client with hemiplegia has fallen from the bed because the nursing assistant failed to raise the side rails after giving a back massage. the nurse assists the client to the bed and assesses for injury. as per agency policies, the nurse fills out an incident report. which activity should the nurse perform related to documentation?

Answers

The activity should the nurse perform related to documentation Include the time and date of the incident.

The nurse should include the date and time of the incident in the incident report the events leading up to it the client's response, and a full nursing assessment. To prevent legal issues the nurse should not attach a copy of the incident report to the client's records.

Also to prevent litigation the mistake should not be highlighted in the client's records. As the client report is a legal document it should not contain the name of the nursing assistant. Attend school board meetings and advocate classes to teach children seat belt safety. Notify the care director that they feel that pediatric nurses are unqualified and untrained for the job.

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a teacher is talking to the nurse about a child in her classroom who has a tic disorder. the teacher mentions that the boy frequently trips other children although no one has ever been hurt. the teacher then further states that she ignores him when that happens because it is part of his disorder. what should the nurse tell the teacher?

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Tripping other children is not tic, so you can respond to that as you would in other children.

They're concept to be due to changes within the components of the brain that manage motion. They can run in households, and there may be probable to be a genetic cause in many cases. They also regularly manifest along different situations, which include: attention deficit hyperactivity sickness (ADHD)

Tourette syndrome (TS) is a neurological disease characterised by sudden, repetitive, rapid, and unwanted actions or vocal sounds referred to as tics.

TS is one in every of a collection of issues of the developing apprehensive device referred to as tic disorders. There's no treatment for TS, however treatments are to be had to help control some signs and symptoms.

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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?

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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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a heart rhythm that appears jagged and scattered on an electrocardiogram would likely indicate what?

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Answer: Disharmony or incoherence
A heart rhythm that appears jagged and scattered on an electrocardiogram (ECG or EKG) is known as a dysrhythmia. This type of rhythm can be caused by a variety of underlying conditions, including problems with the heart's electrical conduction system, structural abnormalities of the heart, or the presence of certain medications or substances. Dysrhythmias can be serious and may require medical treatment,

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?

Answers

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 public health nurse has been asked to speak to the local pto about contact dermatitis. the nurse explains various causes of irritant contact dermatitis. it is important for the nurse to include what as a potential cause of this skin disorder to prevent repeated cases?

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The nurse includes Soap or detergents as a potential cause of this skin disorder to prevent repeated cases.

Dermatitis is a broad term that refers to any type of skin irritation. It has numerous causes and manifestations, but the most common are itchy, dry skin and a rash. Alternatively, it may cause the skin to blister, ooze, crust, or flake off.

Irritating substances such as soaps and detergents, such as shampoo, washing-up liquid, and bubble bath, are common triggers. Environmental allergens include things like cold and dry weather, dampness, and more specific things like house dust mites, pet fur, pollen, and moulds.

Dermatitis is a type of skin inflammation that is characterized by itching, redness, and a rash. Small blisters may form in short-term cases, while the skin may thicken in long-term cases. The amount of skin involved can range from minor to total body coverage. Dermatitis is frequently confused with eczema, and the distinction between the two terms is not well defined.

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a client with cancer of the tongue has had a radical neck dissection. what nursing assessment should the nurse prioritize?

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The nursing assessment that the nurse should prioritize for this patient is to maintain Respiratory status and airway clearance. That is option C.

What is radical neck dissection?

Radical neck dissection is defined as a type of surgical procedure that involves solving the problem of metastatic neck disease.

The indication for Radical neck dissection include the following:

surgical control of metastatic neck disease in patients with squamous cell carcinomas of the upper aerodigestive tract,

salivary gland tumors, and

skin cancer of the head and neck (including melanomas).

The nursing assessment that needs to be prioritized is monitoring of respiratory status of the individual and maintenance of their respiratory status.

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Complete question:

a client with cancer of the tongue has had a radical neck dissection. what nursing assessment should the nurse prioritize?

Presence of acute pain and anxiety• Tissue integrity and color of the operative site• Respiratory status and airway clearance• Self-esteem and body image

the nurse discusses the possibility of a client's attending day treatment for clients with early alzheimer's disease. what is the best rationale for encouraging day treatment?

Answers

The best rationale for encouraging day treatment for patients with early Alzheimer's disease is that "the client would benefit from increased social interaction". The correct answer to this question is 3.

The enhancement of social interactions is the best rationale for encouraging day treatment for the patient with Alzheimer's disease. Excellent staff, more daily structure, and allowing caregivers more time for themselves are all positive aspects; however, these factors are not as responsive to the client's needs. 

Does social interaction aid in the treatment of Alzheimer's?

Being socially engaged can help the brain stay healthy and may even help prevent the beginning of Alzheimer's. More over, social interaction is able to improve BDNF expression, which improves cognition in Alzheimer patients. The benefits of BDNF on brain processes are numerous. For instance, it improves neurogenesis, synaptic plasticity, and cognitive abilities.

This question should be provided with options to choose, which are:

The client would have more structure to his day.Staff are excellent in the treatment they offer clients.The client would benefit from increased social interaction.The family would have more time to engage in their daily activities.

The correct answer is 3.

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the nurse is assisting in developing a plan of care for a client with a psychotic disorder who is experiencing altered thought processes. on review of the client's record, the nurse notes documentation that the client believes that the food is being poisoned. the nurse plans to use which communication technique when developing strategies that will promote adequate nutrition and encourage the client to discuss feelings?

Answers

The use of information and communicative technology (ICT) can be used for improving the health-promoting lifestyle behviour.

What are needed to improve health?

In addition to promoting recovery from sickness, it improves healthy lives, physical health, and functional capacities. Additionally, it provides significant social advantages for educational success, economic productivity, interpersonal and familial ties, social cohesiveness, and general quality of life for the entire community.

Ways to improve the health are:

Observe Your Weight and Measure It.Eat healthful meals and limit unhealthy foods.Consider taking multivitamin supplements.Limit sugary beverages, stay hydrated, and drink plenty of water.Regularly engage in physical activity.Reduce your screen and sitting time.Take Time to Sleep Well.Avoid alcohol and keep your mouth shut.

Therefore, The use of information and communicative technology (ICT) can be used for improving the health-promoting lifestyle behviour.

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a client who is diagnosed with methillicin-resistant staphylococcus aureus receives a prescription for vancomycin (vancocin). which assessment should the nurse perform to identify a potential adverse effect

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Whisper test should the nurse perform to identify a potential adverse effect.

Vancomycin is a glycopeptide antibiotic that is used to treat bacterial infections. It is prescribed intravenously for methicillin-resistant Staphylococcus aureus skin infections, bloodstream infections, endocarditis, bone and joint infections, and meningitis.

Vancomycin is used to treat bacterial infections. It works by either killing or preventing the growth of bacteria. Vancomycin is ineffective against colds, flu, and other viral infections. Vancomycin injection is also used to treat severe infections for which other medications may be ineffective.

Vancomycin (Vancocin) can harm the kidneys, including causing kidney failure. If you have or have had kidney problems, are over 65 years old, or take kidney-damaging medications, your risk of this increases.

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the emergency department nurse is caring for clients involved in a chlorine exposure accident at a local chemical plant. the nurse is aware that permanent damage can occur to which body systems?

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Respiratory. The volume, mode, and duration of chemical exposure all affect the goods of exposure to chlorine and other respiratory poisons.

What about nurses?According to the Merriam- Webster dictionary, nurses are trained in promoting and maintaining health and should work autonomously or under the supervision of a croaker, surgeon, or dentist.From the time of birth to the top of life, nursers are present in every community, big and little.The maturity of long- term care in the country is handled by nurses, who also structure the largest single group of the sanitorium labor force.The four- time Bachelorette of Science in nursing( BSN) degree is the main route to professional nursing, as opposed to rehearsing at the technical position.Nursing includes furnishing independent and team- rested care to people of all ages, families, groups, and communities, whether or not they are ill or not and anyhow of the position.Health creation, complaint prevention, and therefore the care of the ill, disabled, and dying are all included in nursing.A RN is a good healthcare provider who offers direct case care in a variety of sanitorium and community settings.

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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?

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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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the overall goal of dietary management for acute renal failure is provision of adequate energy, protein, and micronutrients to maintain homeostasis in patients who may be extremely catabolic. the preferred caloric intake would be:

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The preferred caloric intake would be offer enough nutrients to limit the catabolic response. To achieve adequate nutrient intakes, enteral or parenteral feeding may be required.

What is acute renal failure?

A condition where the kidneys stop functioning and are unable to maintain the balance of bodily chemicals, eliminate waste and surplus water from the blood, or remove waste from the body. Acute or severe renal failure can be treated and cured if it develops rapidly (for instance, following an injury).

What is catabolic ?

All chemical or enzymatic processes that break down organic or inorganic components including proteins, carbohydrates, fatty acids, etc. are referred to as catabolism.

In order to speed up renal recovery within the constraints imposed by the limited renal capacity, offer enough nutrients to limit the catabolic response. To achieve adequate nutrient intakes, enteral or parenteral feeding may be required.

Therefore, the preferred caloric intake would be offer enough nutrients to limit the catabolic response. To achieve adequate nutrient intakes, enteral or parenteral feeding may be required.

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the client with myasthenia gravis becomes increasingly weak. the primary health care provider (phcp) prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or increasing severity of the disease (myasthenic crisis). an injection of edrophonium is administered. which change in condition indicates that the client is in cholinergic crisis?

Answers

A temporary worsening of the condition

What is the effect of edrophonium injection?

A readily reversible acetylcholinesterase inhibitor is edrophonium. It works by competitively inhibiting the enzyme acetylcholinesterase, primarily at the neuromuscular junction, to stop the breakdown of the neurotransmitter acetylcholine. Tensilon and Enlon are the brand names used to market it.

An injection of edrophonium (Enlon) briefly worsens the client's cholinergic crisis. A negative test would be one like this. If someone has Myasthenia gravis, their weakness will improve.

Hence, the answer is, a temporary worsening of the condition.

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the nurse is planning a client care conference with the parents of a 3-year-old with newly diagnosed type 1 diabetes mellitus. what is the priority outcome for the caregivers?

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For a 3-year-old child with newly diagnosed type 1 diabetes mellitus, the priority outcome for the parents that the nurse should tell them is to know how to keep the blood sugar stable.

A client care conference is a conference that is held for clients that receive health care at home or in a care facility. The purpose is to share information with every person involved in the care team and work together to meet the client's needs.

Type 1 diabetes mellitus is a condition where the pancreas produces little to no insulin. If left untreated, it may evolve into a life-threatening condition. When caring for a person that's diagnosed by type 1 diabetes, the priority thing the caregivers must know is how to keep their blood sugar level stable.

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the nurse is assessing a child's skin turgor and grasps the skin on the abdomen between the thumb and index finger, pulls it taut, and quickly releases it. the tissue remains suspended and tented for a few seconds, then slowly falls back on the abdomen. how should the nurse document this finding?

Answers

The child's skin turgor is low.

Normal elasticity would cause the skin to rapidly return to its previous place. Skin turgor would be elastic if the child was sufficiently hydrated. This is the proper approach to evaluate turgor. Poor skin turgor is referred to as "tenting."

Pinch a fold of skin between your thumb and forefinger to test skin turgor. When you release the skin, it should feel resilient, move smoothly, and soon return to its original location, such as below the collarbone or on the abdomen, sternum, or forearm.

Skin turgor was measured by lightly grasping the skin over the antecubital fossa and dorsum of the hand with two fingers. Turgor was regarded normal if the time it took for the skin to return to the hand was less than 2 seconds and reduced if it took more than 2 seconds.

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a patient taking hydrochorathiazide, thiazide diuretic, has the following blood laboratory values. which value does the nurse report to the prescriber

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A patient taking hydrochlorothiazide, a thiazide diuretic has the following blood laboratory values for kidney function. The nurse should report to the prescriber potassium 2.6 mEq/L.

What do you mean by hydrochlorothiazide?

A diuretic drug called hydrochlorothiazide is frequently prescribed to treat high blood pressure and swelling brought on by fluid retention. Other applications include the treatment of renal tubular acidosis and diabetes insipidus, as well as lowering kidney stone risk in people with high urine calcium levels. Chlortalidone is more effective at preventing heart attacks and strokes than hydrochlorothiazide. The effectiveness of hydrochlorothiazide can be increased by taking it alongside other blood pressure drugs in a single dose. Poor renal function, electrolyte imbalances, such as low blood potassium and, less frequently, low blood sodium, gout, high blood sugar, and dizziness upon standing are possible adverse effects.

Thus from above conclusion we can say that a patient taking hydrochlorothiazide, a thiazide diuretic has the following blood laboratory values for kidney function. The nurse should report to the prescriber potassium 2.6 mEq/L.

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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?

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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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true or false: an amniocentesis is performed for all pregnancies, regardless of the age of the mother.

Answers

FALSE…. Amniocentesis are not performed on all pregnancies.

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

Answers

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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a primary health care provider prescribes atenolol 0.05 g orally daily. the label on the medication bottle states, atenolol 50-mg tablets. how many tablet(s) will the nurse administer to the client? fill in the blank.

Answers

The nurse should administer 1 tablet of atenolol to the client.

what is atenolol used for ?

To treat high blood pressure, atenolol may be used either on its own or in conjunction with other drugs. Additionally, it helps people survive a heart attack and prevents angina (chest discomfort). Atenolol belongs to a group of drugs known as beta blockers. It improves blood flow and lowers blood pressure by relaxing blood vessels and lowering heart rate.

High blood pressure is a common illness that, if left untreated, can harm the kidneys, brain, heart, blood vessels, and other organs. Heart disease, a heart attack, heart failure, a stroke, renal failure, eyesight loss, and other issues may result from damage to these organs. Making lifestyle modifications will help you regulate your blood pressure in addition to taking medication.

The nurse should administer 1 tablet of atenolol to the client as each dose of the tablet contains 50mg of drug and the prescribed dose was 0.05g that was equals to 1 tablet dose so the nurse should give one tablet to the client.

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a nurse is talking to a neighbor who asks about reoccurring symptoms of gnawing epigastric pain following meals and heartburn. recognizing these symptoms, what suggestion could the nurse make?

Answers

Avoiding alcohol and non-steroidal anti-inflammatory medications is the suggestion could the nurse make.

What is epigastric pain?

Epigastric pain is a name for pain or discomfort right below your ribs in the area of your upper abdomen. It often happens alongside other common symptoms of your digestive system. These symptoms can include heartburn, bloating, and gas. Epigastric pain isn't always caused for concern.

Peptic ulcer disease is characterized by dull, gnawing pain in the midepigastrium or the back that worsens with eating. Recommendations for improvement in symptoms include: Avoid all coffee and other sources of caffeine as well as alcohol and tobacco. Avoid milk and milk products as well, they increase acid secretion. Eat smaller amounts of food more frequently. Don't let your stomach go empty for long periods of time. Drink peppermint tea and chamomile teas frequently.

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a client with crohn's disease has concentrated urine, decreased urinary output, dry skin with decreased turgor, hypotension, and weak, thready pulses. what should the nurse should do first?

Answers

Many people with Crohn’s disease need medicines.


What is Crohn's disease?

A chronic inflammatory bowel disease that affects the lining of the digestive tract. Crohn's disease can sometimes cause life-threatening complications. Crohn's disease can cause abdominal pain, diarrheal, weight loss, anaemia, and fatigue. Some people may be symptom free most of their lives, while others can have severe chronic symptoms that never go away. Crohn's disease cannot be cured.

Although no medicine cures Crohn’s disease, many can reduce symptoms.

Aminosalicylates. These medicines contain 5-aminosalicylic acid (5-ASA), which helps control inflammation. Doctors use aminosalicylates to treat people newly diagnosed with Crohn’s disease who have mild symptoms. Aminosalicylates include:
1.balsalazide
2.mesalamine
3.olsalazine
4.sulfasalazine

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hyperkalemia is a serious side effect of acute renal failure. identify the electrocardiogram (ecg) tracing that is diagnostic for hyperkalemia. tall, peaked t waves shortened qrs complex prolonged st segment multiple spiked p waves

Answers

The electrocardiogram (ecg) tracing that is diagnostic for hyperkalemia is Characteristic ECG signs of hyperkalemia are tall, tented, or peaked T waves, absent P waves, and a widened QRS complex.

What is electrocardiogram  ?

A visual capture of the electrical activity the heart muscle produces. It is employed to assist in the diagnosis of particular cardiac abnormalities. such as issues with cardiac rhythm and conduction.

What is  hyperkalemia ?

In adults, hyperkalemia is characterized as serum potassium levels that are higher than around 5.0–5.5 mEq/L; in infants and children, the range varies with age.

Therefore, the electrocardiogram (ecg) tracing that is diagnostic for hyperkalemia is Characteristic ECG signs of hyperkalemia are tall, tented, or peaked T waves, absent P waves, and a widened QRS complex.

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a nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. what action should the nurse implement to cope with these feelings of frustration

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A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. The action the nurse should take to cope with these feelings of frustration is to examine one's own culturally based values, beliefs, attitudes, and practices.

What is frustration?

Frustration is an emotional response to stress. It's a common feeling that everyone will witness in their life. Some people witness frustration in the short term — like a long delay at the grocery store but for others, the frustration can be long- term.The stressor can vary by individual, but some common stressors that lead to frustration are Stress at work, chasing a thing you can not reach, trying to break a problem and not changing a result.The description of frustration is feeling bothered or angry because of not being suitable to achieve a commodity.

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a student nurse inserts a nasogastric tube and begins a tube feeding without a radiological confirmation. the client develops pneumonia and is transferred to the intensive care unit. which parties are liable for negligence? select all that apply.

Answers

The designated nanny , the nursing schoolteacher, and the pupil nanny are the proper answers. The same position of care is anticipated of staff nurses, nursing preceptors, and pupil nursers.

What about nurses' places and liabilities?A person who looks after the sick or the bloodied.A good health- care worker with moxie in promoting and maintaining health who works independently or under the supervision of a croaker, surgeon, or dentist.Compare pukka practical nurse, registered nurse.A nanny is a person who has entered special training in minding for the ill and injured.In order to treat cases and keep them healthy and active, nurses unite with croakers and other healthcare professionals.Also, nursers give end- of- life care and support for bereft family members.They constantly communicate with cases first and, in some cases, are the only healthcare provider they will ever encounter.They help the relatives and communities of the sick, the injured, and the dying while also furnishing care, support, and treatment.Empathy with each case and a genuine attempt to put them in their cases' position are rates of a good nurse.Nurses who demonstrate empathy are more likely to treat their cases as" people" and concentrate on a person- centered care strategy rather than simply adhering to standard procedures.A specified nursing system may be followed with little to no variation to give introductory nursing care, and the case's responses to that care are predictable.

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as a member of a disaster response team that is responding to a large industrial fire that may involve chemical exposure, a nurse is gathering information from several bystanders. which statement would lead the nurse to suspect that cyanide is involved?

Answers

The involvement of cyanide can be suspected as the air had a strange smell of bitter almonds.

How to identify the presence of cyanide?

It's common knowledge that cyanide smells like bitter almonds. Thus, the claim that the air had a strange odor would imply cyanide involvement. Skin stinging and burning would be brought on by vesicant exposure. Vomiting and gastrointestinal distress would raise the possibility of nerve gas exposure. Exposure to pulmonary agents would be associated with coughing and shortness of breath.

Hence, the answer is that the air had a strange smell of bitter almonds.

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the community health nurse is preparing a presentation which will illustrate the various forms of spina bifida for a health fair. which explanation should the nurse use to explain spina bifida with meningocele?

Answers

Spina bifida is a form that includes meningocele. Spina bifida is a condition in which the baby's spine (backbone) does not develop normally during pregnancy. The spine of the newborn has a gap in the bones.

define spina bifida ?

When the spine and spinal cord don't develop properly, a birth abnormality known as spina bifida results. It's a particular kind of neural tube defect. In a growing embryo, the neural tube is the structure that will eventually give rise to the baby's brain, spinal cord, and the tissues that surround them.

The neural tube typically develops early in pregnancy and closes 28 days after conception. Spina bifida is a condition where a portion of the neural tube does not close or develop properly, leading to issues with the spinal cord and the spine's bones.

Depending on the type of defect, size, location, and complications, the severity of spina bifida can range from mild to severe. Early surgery is used to treat spina bifida when necessary.

Spina bifida is a form that includes meningocele. Spina bifida is a condition in which the baby's spine (backbone) does not develop normally during pregnancy. The spine of the newborn has a gap in the bones.

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the goal for a postpartum client with deep thrombophlebitis is to prevent the complication of pulmonary embolism. in planning care to assist in meeting this goal, the nurse would perform which action?

Answers

The nurse would perform an assessment for signs and symptoms of pulmonary embolism such as chest pain, shortness of breath, and rapid heart rate.

What is Thrombophlebitis?

Thrombophlebitis is an inflammation of a vein that is caused by a blood clot. It often occurs in the legs, but can happen in other parts of the body. Symptoms of thrombophlebitis may include swelling, pain, and redness in the affected area. Treatment usually involves taking medications to reduce inflammation and help dissolve the clot. Surgery may be necessary in more severe cases.

Further, the nurse would also monitor the client's vital signs and leg swelling regularly, provide instructions on leg exercises and ambulation, and encourage the client to wear compression stockings or use an intermittent pneumatic compression device as prescribed.

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