client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium Up to 72 hours after alcohol withdrawal
A significant decline in mental capacity is delirium. As a result, one's brain becomes clouded and they become unaware of their surroundings. Within a few days or hours, the chronic disease typically develops quickly.
Delirium can frequently be linked to one or more causes. A severe or protracted illness or an internal imbalance like insufficient salt are examples of factors. Infection, surgery, certain medications, chronic alcohol or drug use or withdrawal are other potential causes of the illness.
Delirium symptoms can also be mistaken for dementia signs. In order to identify the disorder, health care professionals may use feedback from a family member or caregiver.
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the nurse in the long-term care facility observes that a client has developed a sacral pressure wound, which is very red and surrounded by blisters. which stage of pressure injury does this client present?
A nurse in a long-term care facility notices a client with a sacral pressure wound that is very red and surrounded by blisters. This client presents at the second stage of pressure injury.
The skin breaks open, wears away, or forms an ulcer at stage 2, which is usually tender and painful. The sore spreads to deeper layers of skin. It may appear as a scrape (abrasion), blister, or shallow crater in the skin. This stage can sometimes resemble a blister filled clear fluid. Blisters are most commonly caused by skin damage caused by friction or heat. Blisters can also be caused by certain medical conditions.
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the socioecological model of health and wellness emphasizes the interrelationships between individuals and their environment. what are some of the environmental factors it takes into consideration? multiple select question.
the socioecological model of health and wellness emphasizes the interrelationships between individuals and their environment. A built environment of relationships with other people's community resources.
A relationship is a close bond between two or more entities, whether they are people or things. There are interconnections all around us. Many of these are obvious and supported by common sense, such as the link between the amount of time spent practicing a sport or musical instrument and their success.
The relationship between the ball's descent speed and the steepness of the ramp is even more straightforward. An interrelationship is when two or more things have an impact on each other or are interconnected, but an interdependence is when two or more things are dependent on each other. Even if two objects were dependent on each other, they can still be related without being mutually dependent.
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The new strain of covid is spreading at the rate of 12% a week. Currently, there are 100,000 people infected with the virus. How long will it take before the virus has infected 800,000 people?.
The strain will take 17.33 weeks to spread to 800,000 people.
Exponential FunctionTo solve this problem, we simply need to use the formula of exponential function which is given as
[tex]A = Pe^r^t[/tex]
A = final valueP = initial valuer = ratet = timeIn this question, we are solve for t and we can simply substitute the values and find t.
[tex]A = Pe^r^t\\800000=100000e^0^.^1^2^*^t\\t = 17.33 weeks[/tex]
It will take the new strain 17.33 weeks to infect 800,000 people.
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73 ml of water followed by 25 ml of juice what is the juice percentage
Answer: ≈ 25.5%
1- Find the total of water and juice: 73+25=98
2- Divide amount of juice by total: 25/98≈0.25510
3- Convert to percentages 0.25510----> 25.510%
4- You can round to 25.5% if you want
NOTE- THE ANSWER IS AN APPROXIMATION, IT IS NOT EXACT
the nurse is discussing the importance of exercise with the client diagnosed with coronary artery disease. which intervention should the nurse implement?
To maintain the extremity's security and safety at the injection site. Away from the metal components of the surgical table, keep the patient's body. in order to guarantee that the patient's bed's wheels are tightly secured for coronary artery disease
Atherosclerotic plaque buildup in the arterial lumen is a typical feature of coronary artery disease. As a result, the myocardial receives less oxygen and blood flow is hampered. It is a significant cause of illness and mortality in the US and around the world. This disorder needs to be quickly detected and treated safely at the injection site. in order to reduce the substantial morbidity and death linked to it. The evaluation, diagnosis, and management of coronary artery disease are illustrated in this activity, which also emphasizes the importance of the healthcare team in diagnosing and treating patients with this condition.
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r. giacco, g. della pepa, d. luongo, g. riccardi. whole grain intake in relation to body weight: from epidemiological evidence to clinical trials. nutrition, metabolism
This point of view aims to review the existing scientific literature on the relationship between eating whole grains and controlling body weight, assess potential mechanisms by which whole grain intake may help prevent overweight, and attempt to comprehend why epidemiological studies and clinical trials produce conflicting findings on this subject.
According to all prospective epidemiological research, eating more whole grains is linked to a lower BMI and slower weight gain. These findings do not, however, make it clear whether whole grain consumption is only a sign of a better lifestyle or a factor that favors lower body weight "per se."
Regular whole grain consumption appears to reduce body weight through a number of mechanisms. Therefore, further intervention studies using the appropriate techniques are required to provide answers to this query. Consuming whole grains can currently be advised as a diet component that may help maintain body weight in addition to being linked to a decreased risk of type 2 diabetes, cardiovascular disease, and cancer.
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which health problem results from a folate deficiency? a. the production of red blood cells falters. b. sensitivity to insulin increases. c. homocysteine levels decrease. d. the skin develops a rash or hives.
The health problem which results from a folate deficiency is: homocysteine levels decrease.
The correct answer is option D.
Understanding the folate deficiency.Folate is a salt or ester of folic acid, especially one present in the vitamin B complex.
When a an individual suffers a health condition such as folate deficiency, it signals that the level of red blood cells has reduced as this causes a decrease in the level of homocysteine.
However, this health condition can lead to serious health complications in patients including health problems in those who are pregnant. This folate means a vitamin which belongs to the categories of water soluble vitamins.
One distinct occurrence of folate deficiency when it affects an individual is that it causes megaloblastic anemia.
So therefore, when there is a low level red blood cells in the blood, it result to folate deficiency.
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a client with primary lung disease has developed right heart failure. the health care provider would document this as:
A primary lung disease has developed right heart failure the health care provider would document as Cor pulmonale.
Right heart failure brought on by cor pulmonale is a condition. The right ventricle of the heart and the arteries that supply the lungs with blood can develop cor pulmonale as a result of persistently high blood pressure.
Pulmonary hypertension refers to high blood pressure in the arteries of the lungs. Instances of cor pulmonale are frequently caused by it.
A rise in blood pressure on the right side of the heart can occur in persons with pulmonary hypertension as a result of alterations in the tiny blood capillaries inside the lungs. Because of this, the heart has a tougher time pumping blood to the lungs. A strain is placed on the right side of the heart if this high pressure persists. That tension is able to produce cor pulmonale.
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two nurses are discussing healthcare quality. they agree that this factor contributes to increased health care quality: group of answer choices non magnet status hospitals fewer adverse events collaboration of multiple healthcare agencies increased patient confidence
Healthcare Service Quality Determining Factors
Clinicians on staff at the hospital are competent.
Hospital physical environment.
Hospital amenities are offered.
knowledge of the doctors.
the staff's actions.
experience as a patient.
patient contentment.
How do nurses influence the standard of medical care?
Many factors affect how well care is provided by nurses. In places like hospitals, nursing homes, and community care settings, they deliver high-quality care using both hard and soft abilities. Through their frequent contact with patients, nurses have an impact on patient satisfaction throughout everyday operations.
The characteristics of the health care system's resources, such as individual doctors, groups of doctors, organizations and systems of care, as well as their location and accessibility to services, are often included in structural measures of quality.
Because it concentrates on enhancing health outcomes, quality care is crucial. We are happy the healthier you are. HQW not only acknowledges the development of the healthcare sector but also makes use of this occasion to explore new opportunities.
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describe a minimum of three most important points about the health history for the respiratory system and list a minimum of three of the most important elements included in the inspection of the respiratory system.
Points about the health history for the respiratory system are
-Cough
-Shortness of breath
-Chest pain with breathing
-History or respiratory infections
-Smoking history
-Environmental exposure
-Self-care behaviours
What is a respiratory system ?The set of organs and tissues that aids in breathing is known as your respiratory system. This system aids with your body's ability to take in oxygen from the air so that your organs can function. Additionally, it purifies your blood of waste gases like carbon dioxide. Allergies, illnesses, and infections are typical issues.
Gills, integumentary exchange regions, and lungs are the three main types of respiratory organs found in vertebrates.Air enters your lungs during inhalation, and oxygen is then transferred from the air to your blood. Additionally, a waste gas called carbon dioxide travels from your blood to your lungs where it is exhaled (breathed out). Gas exchange is a vital life-sustaining activity.Learn more about Respiratory system here:
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a nurse is caring for a pregnant client in her second trimester. by how much should the nurse expect the client to increase her energy intake per day?
A nurse is caring for a pregnant client in her second trimester and by 340 kilocals per day should the nurse expect the client to increase her energy intake per day.
To maintain a healthy physiological state of pregnant client , roughly three hundred additional calories are required every day. These calories ought to come back from a diet of macromolecule, fruits, vegetables and whole grains. Sweets and fats ought to be unbroken to a minimum. About 2,200 calories per day throughout the second trimester.
The second trimester marks a turning purpose for the mother and vertebrate. you may typically begin to feel higher and begin showing the physiological state a lot of. Your vertebrate has currently developed all its organs and systems and can currently begin growing long and weight.
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a toddler has been started on digoxin (lanoxin) for cardiac failure. if the child develops digoxin (lanoxin) toxicity, the first sign the nurse might note would be
The first sign the nurse might note would be Nausea and Vomiting
What is digoxin ?Early symptoms of poisoning in a baby include excessively slowing of the heartbeat (bradycardia), sinoatrial arrest, and lengthening of the PR Interval. Any neonate who loses interest in receiving feeds while receiving treatment should also be suspected of having digoxin toxicity.
Before giving digoxin, a nurse should check the apical pulse for a full minute due to its positive inotropic action, negative chronotropic action, and negative dromotropic action.Before taking each dose of Digoxin, the patient should always check their pulse rate. If it is less than 60 bpm, they should wait to take the dose (this is for adults). The patient shouldn't limit potassium-rich foods because doing so could create hypokalemia, which can cause Digoxin toxicity.Learn more about digoxin here:
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the nurse is presenting a program about sexually transmitted infections, including hiv, to a group of young men. the nurse would include who as the having the highest incidence of hiv infection in the united states?
Most sexually transmitted diseases and infections (STIs) are communicated through sexual contact. The bacteria, viruses, or parasites that cause sexually transmitted diseases can be passed from one person to another by blood, semen, vaginal fluid, and other bodily fluids.
When do STD signs first appear?The onset of symptoms might take a few days or weeks, but they can also take months or even years. There are frequently little or no symptoms, making STIs difficult to detect. Visit a sexual health centre or your primary care physician for a free and private examination if you suspect you may have a STI.
STDs come in two main varieties: bacterial and viral. If therapy is started in time, bacterial STDs may often be treated swiftly with antibiotics. However, viral STDs are incurable and might persist a lifetime.
Chlamydia and gonorrhoea can result in major health issues like PID, infertility, and potentially fatal ectopic pregnancies if they are not treated.
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cases in which the reporting facility had a role in either initially diagnosing the cancer or providing all or part of the first course of treatment can be grouped together in a category called:
Cases in which the reporting facility has role in either diagnosing cancer or providing all/ part of the first course of treatment is grouped together in a category called: analytic cases
Cases are broadly divided into analytic or non-analytic cases. Nonanalytic cases are grouped according the reason a patient who never received care at the facility.
In analytical observation, researchers establish an association between exposure and outcome. Depending on the direction of enquiry, these studies can be directed forward or backwards.
Cancer registry database is the foundation of everything that is done in the cancer registry. As defined by the COC, systematic method for identifying all eligible cases that are included in the cancer registry database is called Case finding.
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a student nurse is auscultating for bowel sounds on a client who returned from surgery 48 hours ago. the student tells the charge nurse that she cannot hear bowel sounds in the lower quadrants. what is the appropriate response by the charge nurse to this information?
Before concluding that there are no bowel sounds when none are heard, one should wait for a full three minutes. The next step in abdominal examination is auscultation to listen for abdominal bruits.
Which of the following is the nurse's most crucial course of action when evaluating bowel sounds?When auscultating for bowel sounds, listen for up to five minutes.
Long before other symptoms show up, changes in the patient's bowel habits may suggest issues. For instance, before a patient vomits or complains of abdominal pain, the absence of bowel sounds following surgery can signify an ileus.
Other causes for the cessation of bowel noises include: Anesthesia: Due to the general anesthesia that is administered, bowel noises may temporarily decrease even when there is no surgery on the digestive tract. Bowel blockage: When something prevents waste from passing through the intestines, there is a blockage.
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Electronic communication can be a very effective way of communicating. What formats are you aware of in electronic communications and what may be some disadvantages to these methods of communication
Electronic communication can be a very effective way of communicating. The formats are we aware of in electronic communications are numerous ways to communicate electronically, including but not limited to: email, newsgroups on social media, video conferencing, instant messaging, phone, and fax.
Today, there is a huge variety of technological communication options available. It can be roughly classified into interactive and non-interactive categories. Electronic communications that are not interactive are those to which the recipient cannot respond. Technology's rapid advancement necessitates additional investment as well. Legal status: Data or information sent via fax may be corrupted and have no value in court. Data that was not delivered: Data that was lost due to a system malfunction or a technical issue. These are negatives.
Communications over the Internet are swift and practical. Even though electronic communication is quick, cheap, and handy, these benefits come with drawbacks. Technology that makes it possible for individuals to be in touch at all times may also invade privacy and take away from important downtime.
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the nurse educator is presenting a lecture on the respiratory and cardiovascular systems. which response given by the nursing staff would indicate to the educator that they have an understanding of cardiac output?
"If the client's stroke volume is 50 mL and heart rate is 50 beats per minute, then the cardiac output is 2.5 L/minute."
What is a Cardiac output ?Cardiac output, which is calculated as the sum of stroke volume and heart rate and expressed in litres per minute. The most typical definition of HR is how many times it beats in a minute. SV is the amount of blood that is evacuated from the heart during each heart beat or ventricular contraction.
Resting cardiac output for a young, healthy man is approximately 5 l/min (70 ml stroke volume72 beats per minute). This figure is 10–20% lower for women.Cardiac output, stroke volume, heart rate, and blood pressure-related factors. The volume of blood pushed out of each ventricle per beat is known as the stroke volume (SV).Learn more about Cardiac output here:
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for the mandibular arch, the dental light is positioned directly over the oral cavity. for the maxillary arch, the dental light position ranges from over the oral cavity to the patient’s neck
The dental light should be placed above the patient's chest and slanted such that the beam shines at an angle into the oral cavity when instrumenting in the maxillary arch.
The top teeth are held in place by the maxillary arch's alveolar process, which is also known as the maxillary arch. The zygomatic bones are joined laterally to each maxilla (cheek bones). Three cavities' borders are helped to form by each maxilla.
The teeth, gums, tongue, tonsils, soft and hard palates, and salivary glands are all parts of the oral cavity, sometimes known as the mouth. Due to these structures, it is possible to eat and make sounds with the voice. It is called oral cavity.
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a nurse has been assisting with the removal of a client's chest tube. the practitioner has just removed the chest tube and applied an occlusive dressing. which actions would the nurse take next? select all that apply.
The dependent area of the chest is traditionally left exposed to allow for blood and air to leave the incision, and an occlusive dressing is placed and glued to it on three sides.
Commercial devices function similarly but are put directly over the wound and are made to be adherent and allow for drainage.
When should an occlusive dressing be used?Until debridement is done, occlusive dressings are frequently utilised to regulate acute wound cleanliness and stop blood loss. They serve as a barrier between germs and the surrounding tissue and wounds.
In a trauma or first aid emergency, occlusive dressings are used to isolate specific types of wounds and the tissue around them from air, liquids, and dangerous pollutants like viruses and bacteria.
When a chest tube comes loose, it is an emergency. Apply pressure to the area where the chest tube will be inserted as soon as possible, then cover the area with sterile gauze .
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HELP ASAP PLEASE. PHARMACEUTICAL CALCULATIONS Alligations
Prepare 480 mL of a 1:20 solution using a 1:10 solution and a 1:50 solution.
To prepare 480 mL of a 1:20 solution using a 1:10 solution and a 1:50 solution, it requires 3 parts of 1:10 solution and 5 parts of 1:50 solution.
Total volume = 480 ml
Concentrations:
• 1:20 = 1/20 = 0.05
• 1:10 = 1/10 = 0.1
• 1:50 = 1/50 = 0.02
On solving, 0.05 – 0.02 = 0.03
0.1 – 0.05 = 0.05
Total = 0.03 + 0.05 = 0.08
Therefore,
480 * (0.03 / 0.08) = 180 (3 parts)
480 * (0.05 / 0.08) = 300 (5 parts)
Total = 180 + 300 = 480 / 8 = 60 = 1 part
Thus, to prepare 480 mL of a 1:20 solution using a 1:10 solution and a 1:50 solution, it requires 3 parts of 1:10 solution and 5 parts of 1:50 solution.
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Anticholinergic medications are ordered for patients with peptic ulcer to.......
1 point
Inhibit smooth muscle contraction in the G.I. tract.
Inhibit and neutralize gastric acid secretion.
Provide a protective coating in the stomach lining
Anticholinergic drugs suppress and inhibit the secretion of gastric juice.
Why are anticholinergic drugs used in peptic ulcers?
They lessen gastrointestinal motility, inhibit gastric acid output, and ease stomach pains. Anticholinergic medications decrease gastric acid output and have been used to treat peptic ulcers. Still, they have side effects that limit their use, including dry mouth, impaired vision, constipation, the difficulty for men to urinate, and worsening of glaucoma.
Anticholinergics lessen gastrointestinal motility, control gastric acid output, and ease stomach cramps. Examples of frequently used medications are scopolamine methylbromide and propantheline bromide.
Hence, Anticholinergic medications are ordered for patients with a peptic ulcer to Inhibit and neutralize gastric acid secretion.
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a client with a diagnosis of acute appendicitis is awaiting surgical intervention. the nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and board-like. what complication does the nurse determine may be occurring at this time? quilzet
The complication which nurse determine may be occurring at this time is peritonitis.
What is acute appendicitis?Sudden discomfort that starts on the right side of the lower abdomen is one of the signs and symptoms of appendicitis. An unexpected discomfort that starts near your navel and frequently spreads to your lower right abdomen.
When you cough, walk, or make other jarring movements, the pain gets greater. vomiting and nauseous. Any number of gastrointestinal tract infections, including those brought on by viruses, bacteria, or parasites, can result in appendicitis.
A blockage or obstruction of the tube connecting your large intestine and appendix may also result in this condition. Tumors can occasionally lead to appendicitis. After that, the appendix hurts and swells.
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1. Differentiate a community from a society?
Answer:
The society is a group of people sharing the same culture, interests, opinions, e.t.c whereas the community is the collection of people with similar interest,essentially residing in one geographic place.
a client with a history of peptic ulcer disease is admitted to the hospital. initial assessment reveals that his pulse rate is 120 bpm, his blood pressure is 96/60 mmhg, and he has vomited coffee-ground-like material. based on this assessment, what is the nurse's priority action
The nurse's priority action based on the situation would be Preparing to insert a nasogastric tube (NGT).
A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories. Two types of NG tubes are in common are the single-lumen tubes and the double-lumen sump tubes.
NG tubes are used widely and are easily placed, and allow gastric residuals to be checked to assess GI tolerance and pH. Gastric pH monitoring is essential to stress ulcer analysis. Long-term use of a nasogastric tube may lead to irritation to your stomach, including bleeding or ulcers.
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davies m, duffield ea. safety of checkpoint inhibitors for cancer treatment: strategies for patient monitoring and management of immune-mediated adverse events. immunotargets ther. 2017;6:51-71.
Immune checkpoint inhibitors (ICPIs), which take the form of monoclonal antibodies against CTLA-4, PD-1, and PD-L1, have transformed the treatment of several advanced cancers. These novel agents are associated with a distinct spectrum of immune-mediated adverse events (imAEs) due to their mechanism of action, with a safety profile that suggests they are better tolerated than traditional chemotherapeutic agents.
This article aims to educate readers on current knowledge about imAEs associated with ICPI treatment, as well as strategies and tools for early detection, evaluation, and management of these events. The authors review the identification and management of imAEs based on published literature, labeling guidelines, and personal experience with patients. The imAE safety profiles of ICPI differ depending on the antibody and the dose.
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a client presents to the clinic with symptoms of elevated blood pressure, dizziness, red face, pain in fingers and toes, headache, and difficulty concentrating. a blood smear reveals an increased number of erythrocytes. based on these findings, the nurse anticipates which diagnosis?
A patient shows up at the clinic with symptoms including high blood pressure, dizziness, a red face, discomfort in the fingers and toes, headache, and trouble focusing. An increase in erythrocytes might be seen on a blood smear. The nurse predicts a Polycythemia vera diagnosis based on these data.
diagnosis is the process of figuring out the characteristics of a disease or disorder and separating it from other potential conditions. The word's root word is gnosis, which is Greek for knowledge.
Choosing one illness over another during the diagnostic procedure allows medical practitioners to determine which condition is most likely to be the source of a patient's symptoms. Making an accurate diagnosis is most challenging when symptoms first begin because they are frequently less distinct and definite than symptoms that appear as the disease advances. A precise diagnosis is dependent on the timing and order of the symptoms, past medical history, risk factors for particular diseases, and recent exposure to the disease.
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the nurse is preparing to administer nasal medication via a dropper to a client with severe congestion. into which position will the nurse place the client? oblique prone supine lithotomy
The position will the nurse place the client is the supine position.
What is the supine position?The supine position means lying horizontally with the face and torso facing up, as opposed to the prone position, which is face down.
The nurse is preparing to administer nasal medication via a dropper to a client with severe congestion, the position will the nurse place the client is the supine position.
In order to best facilitate instillation of nasal medication via a dropper, and to ensure that the drug is administered into the place where its effects are desired, the nurse will place the client in supine position. The other positions are not appropriate as they will not facilitate the administration of the nasal medication.
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According to the research, the correct option is supine. The nurse should place the client in supine position to administer nasal medication via a dropper.
What is supine position?It is the position of the human body, when it is lying down and the back is in contact with the support surface.
In this sense, given that it is a decubitus position with the body supported on the horizontal plane by its back, it helps the patient to administer a treatment through the airways as liquid medication with a dropper, as well as to perform exercises during the most advanced stages acute injury.
Therefore, we can conclude that in supine position, the body is horizontal so that the nurse will have better access to the client to administer nasal medication via a dropper.
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While assessing the thoracic area of an adult client, the nurse plans to auscultate for voice sounds. To assess bronchophony, the nurse should ask the client to.
Answer:
epeat the phrase "ninety-nine"
Explanation:
a nurse is providing care to a child with hiv who is prescribed therapy with a nucleoside reverse transcriptase inhibitor. what would the nurse expect to administer?
The greatest priority for newborns exposed to HIV is early diagnosis and prompt treatment.
Which intervention should a nurse prioritise while treating an anaphylactic child?Severe breathing problems, cardiovascular failure, or both may cause anaphylaxis-related death. Since there is no known alternative, early intramuscular (IM) epinephrine injection is the primary line of therapy for anaphylaxis.
All patients must have their allergies and prior antigen responses evaluated by the nurse. Evaluation of patient knowledge The nurse must evaluate the patient's comprehension of prior responses as well as the efforts taken by the patient and family to limit future antigen exposure.
Epinephrine should be given to patients who are suffering anaphylaxis as quickly as possible.
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a 50-year-old client has undergone a bunionectomy and has been admitted to the postsurgical unit. what aspect of the client's medical history would contraindicate the use of heparin for deep vein thrombosis (dvt) prophylaxis?