Assure the patient that after the treatment of methotrexate therapy has worn off, the symptoms will get better. bone marrow depression as seen with chemotherapy and high-dose radiation.
What is the purpose of methotrexate medication?Your immune system is calmed with methotrexate, which helps prevent cell attacks on your body. This aids in reducing inflammation, which contributes to rheumatoid arthritis's swollen and stiff joints, psoriasis' thickened skin, and Crohn's disease's damage to the gut.
Methotrexate: a steroid or chemotherapy?One form of chemotherapy is methotrexate.
How uncomfortable is methotrexate therapy?Methotrexate subcutaneous injections cause a small amount of discomfort.
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which symptoms are commonly seen in a child with depression? select all that apply. dependent and clining
Depression frequent feelings of melancholy, hopelessness, or irritability. A lack of desire or enjoyment for fun activities. Showing alterations in eating habits, such as eating much more or less than normal.
What traits distinguish childhood depression?several signs of depression (changes in eating, sleeping, activities) social exclusion, which also includes exclusion from the family. discussion of despair, or helplessness. acting out of unpleasant habits more frequently.
How do depression symptoms in children and adults differ from one another?As opposed to adults who frequently appear more withdrawn, defeated, and worn out, younger children may be more likely to express their feelings through rage or impatience. Children can sometimes develop physical signs of depression, such as headaches or stomachaches.
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a nurse is teaching a new mother how to use the bulb syringe properly. during the procedure, the newborn vomits. to avoid complications related to using the bulb syringe, what should the nurse tell the mother?
Stop suctioning when the newborn's cry sounds clear.
The client should compress the bulb before inserting the syringe tip. Compressing the bulb after it is in the newborn's nares or mouth could push the secretions and mucus further inside.The client should suction the mouth before suctioning the nares. Otherwise, the newborn could gasp and inhale pharyngeal secretions when the syringe tip touches the nares.The client should insert the tip of the syringe into the side of the newborn's mouth. Inserting it into the center of the newborn's mouth can trigger the gag reflex.Aspiration with a balloon syringe immediately after birth should only be considered if the airway appears to be obstructed. The bulb syringe should be used to suck the mouth first and then the nose. Then gently inhale through your nose only when needed.
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you're treating a patient who experienced a fracture to her appendicular skeleton. which bone would need to be treated?
You're treating a patient who experienced a fracture to her appendicular skeleton, so hip bone would need to be treated.
What is bone?The skeleton of the body is made up of bone, which is living tissue. Bone tissue comes in three different varieties, including the following: dense tissue the denser, outer bone tissue. A protein called collagen forms the structure of bones, while calcium phosphate, a mineral, gives the framework strength and hardness. When other body parts require calcium, bones release some of the calcium they have stored into the blood. Bones are formed of a variety of cells, proteins, minerals, and vitamins and are living tissue with its own blood vessels. They may develop, change, and repair themselves as they go through life because to this framework.
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which statement is correct about the positive aspect of ibuprofen in relation to other nonsteroidal anti-inflammatory drugs (nsaids)?
The correct statement about the positive aspect of ibuprofen in relation to other non-steroidal anti-inflammatory drugs, or NSAIDs, is that ibuprofen tends to cause less GI bleeding or GI irritation.
What is GI bleeding?Gastrointestinal bleeding, often called "GI bleeding", is an indication of a digestive tract disorder. Blood is frequently seen in feces or vomit but is not always noticeable; however, it may cause the stool to appear tarry or dark. The intensity of the bleeding can vary from mild to severe, and it could be fatal. According to current research, NSAIDs raise the risk of lower GI bleeding and perforation in the same way they would in the upper gastro-intestinal tract. Ibuprofen is an NSAID and has its own advantages since it is proven to cause less GI bleeding or GI irritation.
The questions above are provided with several statements from which to select, including:
a. It tends to cause less GI irritation or bleeding.b. It may be taken between meals.c. It has a long half-life of 20 - 30 hours.d. It has no drug-drug interactions.The correct answer to this question is A.
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you propose an experiment where root hairs are continuously treated with an antibiotic while nutrient levels in the plant tissue are monitored. based on your knowledge of root hairs, you hypothesize the plant will experience a deficiency in what nutrient?
The plant will experience a deficiency in nitrogen nutrients.
Depending on how severe the lack is, nitrogen-deficient plants grow more slowly. Younger leaves in particular see a reduction in leaf growth. The development of longitudinal shoots is prevented, as is the thickening process.
The reduced chlorophyll content of plant leaves, which results in a pale yellow tint, is one sign of a nitrogen deficit (chlorosis). Older leaves are entirely yellow as they age. Reduced flowering, fruiting, protein, and starch contents.
The lack of nutrients in the growth media or nutrient solution is the primary cause of the majority of nutrient deficits. Environmental aspects, however, can also be important because poor growing circumstances can impair your plants' capacity to absorb nutrients.
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a client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. what intervention should the nurse implement first?
The nurse implement first direct intervention so that she will able to learn about the problem.
What is intervention?Intervention is defined as a method, treatment, or other activity used in medicine to treat or prevent disease or otherwise enhance health. Interventions have the potential to be a very positive component of school life.
The head of the bed should be raised by 30 degrees, the neck should remain neutral, the body should maintain a normal temperature, and volume overload should be avoided. The victim must be stabilized before being transferred to radiology for a brain scan.
Thus, the nurse implement first direct intervention so that she will able to learn about the problem.
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jack is perfectly rested on three hours a night sleep, and lately he is able to be rested with only fifteen or twenty minutes a night. this is most likely associated with:
This is most likely associated with sleep deprivation, which is when a person does not get enough quality sleep.
What do you mean by the term sleep deprivation?
Sleep deprivation is the condition of not getting enough sleep. It is caused by either not getting enough hours of sleep, or not getting quality sleep. It can cause physical and mental health issues, such as fatigue, difficulty concentrating, and mood swings. It can also affect our ability to make decisions and react quickly to situations. In extreme cases, sleep deprivation can lead to hallucinations and even death.
Sleep deprivation can lead to a number of physical and mental health issues, so it is important to ensure that Jack is getting enough quality sleep.
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motorcyclist wearing a full helmet was thrown from his motorcycle after hitting a patch of oil. The bike had been traveling at a high rate of speed. Manual in line spinal stabilization is being held by an off duty EMT. The primary assessment reveals the patient to be responsive to painful stimuli and breathing rapidly. His radial pulse is weak and fast. As you quickly scan his body, you note deformity to the left femur and lower leg. Your immediate action should be to:
Removing his helmet should be your first course of action.
Does the sufferer need to take off their helmet?
Removing a hospital helmet is necessary for the following situations: There could be an injury to the cervical spine. perhaps a head injury. The neck cannot be moved to another healthcare facility while being safely immobilized.
It's crucial to make sure an injured person's airway is clear when they are wearing a helmet. The casualty's helmet can stay on if they are donning a half-face or full-face helmet with an extendable chin piece.
Therefore, The effectiveness of motorcycle helmets in preventing fatalities is 37% for riders and 41% for passengers. Wearing a helmet lowers the risk of head injury by 69%.
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which approach would the nurse use for a nursing home client with alzheimer disease who is confused, agitated, and at times unaware of the presence of others
The approach would the nurse use for a nursing home client with Alzheimer's disease who is confused, agitated, and at times unaware of the presence of others is exploring the reasons for the concerns.
Reassuring the client that one or two staff people are present. Giving the client a detailed calendar of anticipated encounters and explaining to them why they need to be admitted to the facility is nurse can do.
Alzheimer's disease is the most common form of dementia, a term for memory loss and other cognitive impairments severe enough to interfere with daily life. Alzheimer's disease is the root cause of between 60 and 80 percent of dementia cases.
Alzheimer's disease is an uncommon occurrence as people age. The majority of Alzheimer's patients are 65 years of age and older, which is the largest risk factor now recognized.
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a nurse is providing education to the care provider of a cognitively impaired client who is prescribed a cholinesterase inhibitor. which information about medication side effects should the nurse be sure to include?
The information about medication side effects should the nurse be sure to include that is Gastrointestinal symptoms.
An adverse reaction is considered serious if the results are life-threatening hospitalization disability or permanent injury or birth defects caused by exposure before conception or during pregnancy. Knowing the possible side effects helps patients make decisions about some treatments.
When a patient is receiving treatment and is aware of what side effects they may experience they are better able to pay attention to potential problems and deal appropriately with them when they arise. Because most drugs pass through the digestive system and are absorbed perhaps the most common side effects of prescription drugs are gastrointestinal problems such as nausea constipation and diarrhea. Other common side effects include drowsiness Pain skin reactions etc.
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several technologies exist today to help health care professionals determine osteoporosis risk. click to select all of the following methods that are used to assess bone health.
The methods that are used to assess bone health and to determine osteoporosis risk are: Quantitative ultrasound, Quantitative computed tomography, and Dual-energy x-ray absorptiometry.
Osteoporosis is defined as a bone condition in which the bone structural integrity is weakened becoming brittle as a result of lack of vitamin D and calcium, as well as other factor such as hormonal changes and aging. There are several tools being used in the detection of osteoporosis, one of the method is via quantitative ultrasound scans which is used to figure out the mineral status at or around the edge of the bone. Research shows that the quantitative ultrasound method is the most accurate method in the overall assessment of bone health and quality as well as in the detection of osteoporosis.
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the nurse is teaching a group of health care workers about latex allergies. what reaction will the nurse teach the workers to be most concerned about with laryngeal edema?
Nurse is teaching a group of health care workers about latex allergies, then the reaction that the nurse would teach the workers to be most concerned about with laryngeal edema is : irritant contact dermatitis.
What is the reaction to latex allergy?Common reaction to latex products is irritant contact dermatitis which the development of dry, itchy, irritated areas on the skin, mostly hands. This type of reaction is caused by irritation from wearing gloves and by exposure to the powders added to them.
This nonallergic skin reaction happens when an irritant damages the outer protective layer of your skin. Some people react to strong irritants after a single exposure and others may develop a rash after repeated exposures to mild irritants such as soap and water.
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a client who is being treated for complications related to acquired immunodeficiency disorder syndrome (aids) is receiving interferon parenterally as adjunctive therapy. why does the nurse understand this route is being used?
Digestive enzymes destroy interferon protein structure, so nurses are used this route.
What is acquired immunodeficiency disorder syndrome (AIDS)?Immunodeficiency syndrome refers to the immune system's inability to defend the body against foreign or aberrant cells that might harm it.
When stimulated by a virus or other foreign material, cells release interferon, although it has no direct effect on the virus' ability to replicate.
Therefore, Instead, interferon encourages surrounding and infected cells to create proteins that stop the virus from multiplying inside of them, digestive enzymes can destroy interferon protein structure.
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a client is placed on a low-sodium (1500 mg/day) diet. which client statement indicates that the nurse's nutrition teaching plan has been effective?
A client is placed on a low-sodium (1500 mg/day) diet, and the statement stating that "I chose broiled chicken with a baked potato for dinner" is correct because this has a minimal level of sodium.
What is the negative impact of a high-sodium diet?High sodium levels are harmful to the body because they can cause heart attacks, high blood pressure, and other health problems; therefore, low-sodium food is recommended to avoid such health problems. As it is an electrolyte, its amount should be stable in the body in order to prevent such a health condition.
Hence, the answer is the person eating baked potatoes and broiled chicken that are lower in sodium.
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The question is incomplete. The complete question is as follows:
A client is placed on a low-sodium (500 mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective?
I'm glad I can still have chicken bouillon."
"I chose a tossed salad with sardines and oil and vinegar dressing for lunch."
"I chose broiled chicken with a baked potato for dinner."
"I can still eat a ham-and-cheese sandwich with potato chips for lunch
how would the nurse executive begin to increase safety in patient care areas of the valley hospital?
The executive begins by making sure that the senior nursing officer shows up to board meetings in order to increase safety in the Valley Hospital's patient care area.
The senior nurse executive should be present at board meetings in order to serve as a critical spokesman on safety and quality issues, according to the IOM report from 2004. There is always space for improvement in the medical community as it expands and transforms. Occasionally, safety precautions that shield patients from harm can slip through the gaps as hospitals get more extensive and busier.
Healthcare professionals committed to attending to their patient's needs and ensuring their safety at all times are now paying attention to patient safety in hospitals. Patients are protected by patient safety initiatives, which are made by a number of healthcare facilities and medical organizations to update hospital protocols and teach employees how to collaborate with one another.
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which of the following assessments should be used at the individual level to classify someone as overweight? select all that apply a. waist to hip ratio b. body mass index c. body composition d. waist measurement
Body mass index is the assessments should be used at the individual level to classify someone as overweight.
The body mass index (BMI) is a measurement based on a person's mass (weight) and height. The BMI is calculated by dividing the body weight by the square of the height, and it is expressed in kilograms per square meter (kg/m2) since weight is measured in kilograms and height is measured in meters.
A table or chart that plots BMI as a function of mass and height using contour lines or colors for different BMI categories, and that may use other units of measurement (converted to metric units for the calculation), can be used to determine BMI.
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an expectant hiv positive client asks why zidovudine (zdv) must be continued throughout the pregnancy. what is the best explanation by the nurse?
The nurse explained that ZDV reduces the chances of a baby contracting HIV because new advances in HIV treatment have reduced the chance of mother-to-child transmission of the HIV virus from 25% without treatment to less than 2%. It's treatment.
What is zidovudine used for?Zidovudine, also known as azidothymidine, is an antiretroviral drug used to prevent and treat HIV/AIDS. Concomitant use with other antiretroviral drugs is generally recommended. Zidovudine is used to slow disease progression in HIV-infected patients with advanced symptoms, early symptoms, or no symptoms. It can be used to prevent mother-to-child transmission during childbirth or after needlestick injuries or other possible exposures.What are the side effects of zidovudine?Zidovudine may cause side effects such as: Abdominal pain or cramps, heartburn, diarrhea (especially in children), constipation, headache, Difficulty falling asleep or staying asleep.
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which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiologic dependence?
Classes of medications used for panic disorder that is considered the safest because of low incidence of side effects and lack of physiologic dependence is : selective serotonin reuptake inhibitors.
What is panic disorder?Anxiety disorder where there is sudden attacks of panic or fear regularly is called panic disorder. The main treatment options available for panic disorders are psychotherapy and medications
Factors that increase the risk of developing panic attacks or panic disorder are: family history of panic attacks or panic disorder, major life stress such as the death or serious illness of a loved one and traumatic event such as sexual assault or a serious accident.
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a nurse has just finished a presentation on hospice and palliative care. which statement by a participant would indicate a need for further education?
"I believe that hospice care is not the best option for all patients."
The above statement by a participant would indicate a need for further education.
What is palliative care?
Palliative care is specialised medical care for people suffering from life-threatening illnesses such as cancer or heart failure. Patients in palliative care may receive medical care for their symptoms as well as treatment to cure their serious illness. Palliative care is intended to supplement a person's current treatment by focusing on quality of life for the patient and their family.
What is hospice care?
Hospice care is a type of health care that focuses on the pain and symptoms of terminally ill patients as well as their emotional and spiritual needs at the end of life. By reducing pain and suffering, hospice care prioritizes comfort and quality of life.
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The community health nurse is conducting an assessment of a homeless family living in their car in an alley. What would be important to include in the family assessment? select all that apply
A nurse conducts an assessment of a homeless family living in their car. The important questions to include in the assessment are:
Family composition.Coping methods.Health beliefs, values, and behaviors.Abuse and violence history.What are the important aspects a nurse should ask in a family assessment?Assessment is one of the best ways to understand the client’s needs. By doing the evaluation, a nurse can evaluate the initial intake and decide what is best to do with the client. A homeless family generally struggles with poverty, unemployment, to violence experience. Several domains are relevant to the care of homeless families:
Family demographics and composition.Immediate safety needs.Self-sufficiency.Housing and homelessness.Health beliefs, values, and behaviors.Abuse and violence history.This question is incomplete. The complete question is as follows:
The community health nurse is conducting an assessment of a homeless family living in their car in an alley. What would be important to include in the family assessment? Select all that apply!
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based on the nurse's assessment which cues support the decision to provide intervention for the client's pain as the first priority? (select all that apply. one, some, or all options may be correct.)
Based on the nurse's assessment the cues which support the decision to provide intervention for the client's pain as the first priority include the following below:
Blood pressure.Client's reported pain level of 7/10.History of rheumatoid arthritis.Recent hip surgery within the last 3 months.Examination of the client's right lower extremity.Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complication.
For the client's pain to be taken as the first priority then parameters such as the blood pressure , history of medical conditions such as rheumatoid arthritis should be considered so as to prevent it from getting to dangerous levels which could lead to various forms of complication.
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The options are:
Blood pressure.Client's reported pain level of 7/10.History of rheumatoid arthritis.Recent hip surgery within the last 3 months.Examination of the client's right lower extremity.the clinical justice model targets college students whose excessive use of substances has continued despite higher education's best efforts at education, prevention, or treatment and has ultimately created serious consequences for themselves or others.
The clinical justice model is a court-mandated, therapeutic program for college students who have been charged with alcohol or drug-related offenses. The goal of the program is to reduce recidivism and promote recovery through a combination of individualized treatment, support, and accountability.
What is clinic?
A health facility that focuses primarily on the care of outpatients is called a clinic (also known as an outpatient clinic or an ambulatory care clinic). Clinics may be privately run or managed and funded by the government. In contrast to larger hospitals, which provide more specialised treatments as well as admit inpatients for overnight stays, smaller hospitals typically serve the primary care needs of populations in local communities. The term "clinic" in English can refer to either a general practise run by one or more general practitioners that offers minor therapeutic treatments or a specialist clinic. Some clinics continue to operate under the name "clinic" despite expanding to become organisations the size of major hospitals or joining forces with a hospital or medical school.
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a client in the operating room has developed malignant hyperthermia. the client's potassium is 6.5 meq/l. what action by the nurse takes priority?
When a patient in the operating room experiences malignant hyperthermia, the nurse's first course of treatment is to administer 10 units of normal insulin. potassium level of the client is 6.5 meq/l.
What does insulin actually do?Without insulin, the body's cells cannot utilise blood sugar as fuel. The liver is instructed by insulin to store blood sugar voor later use. As blood sugar reaches cells, insulin levels increase.
What distinguishes diabetes and insulin from one another?Your pancreas stops producing insulin, a hormone that aids in controlling blood sugar, when you have prediabetes. Type 2 diabetes is at risk due to insulin resistance. At that time, the pancreas either stops producing enough sugar or stops using it effectively. Glucose serves as the body's main energy source for every cell.
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a postpartum patient has an order for methylergonovine (methergine). which assessment finding should alert the nurse to withhold the medication?
Methylergonovine is prescribed for a postpartum patient, so the nurse should be alerted to withhold the medication if the patient's blood pressure is 168/96 mmHg.
What makes a client vulnerable to postpartum bleeding?A protracted third stage of labor, numerous deliveries, episiotomies, fetal macrosomia, and a previous postpartum hemorrhage are risk factors for postpartum hemorrhage.However, despite the lack of risk factors, postpartum hemorrhage can occur.
What problem is most likely to be the cause of a late postpartum hemorrhage?The following are the most frequent causes of PPH: maternity atony Uterine atony refers to a weak and fragile uterus after delivery (or uterine tone). When the uterine muscles are not tightly enough constricted to close the placental blood arteries, this happens. This results in a continuous loss of blood after birth.
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the nurse working in the clinic receives telephone calls from several patients who want appointments as soon as possible. which patient should be seen first?
The nurse clinic should have the following qualities when evaluating a patient's consenting pupil response: Several patients call the facility to request patient appointments.
Which vision change affects older adults most frequently?Among the typical alterations for elderly persons are: losing the capacity for near vision having problems recognizing black from blue, for example.
Which age-related visual condition is it?Presbyopia is the loss of the capacity to perceive fine text or up-close items. Presbyopia is a common condition that gradually develops over a lifetime. You might not see any change until you are 35 or 40 years old. Presbyopic individuals frequently hold.
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the nurse would expect the healthh care provider to prescribe an immediiate dose of whicch type of medication for a patient experiencing a panicc attack?
SSRI antidepressants are frequently advised as the first choice of medications to treat panic attacks because they are generally safe and have a low risk of major adverse effects.
What method of treatment for panic attacks is the most efficient?Successful treatment for panic attacks and its symptoms with antidepressant drugs. Tricyclic antidepressants and selective serotonin reuptake inhibitors are equally effective in treating panic disorder.
What are three methods for treating panic disorder?Psychotherapy (often referred to as "talk therapy"), medicine, or a combination of the two are typically used to treat panic disorder. Consult a medical professional to determine the best course of action for you.
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melissa has hypertension and has begun exercising at the advice of her physician. which exercise intensity will be the most effective in lowering melissa's blood pressure?
Melissa has hypertension and has begun exercising at the advice of her physician, then exercise intensity that will be effective in lowering Melissa's blood pressure is : moderate intensity.
What type of exercise is best for people with hypertension?Cardiovascular or aerobic, exercise can help in lowering the blood pressure and make heart stronger. Some examples are: walking, jogging, jumping rope, bicycling, skating, rowing, swimming, and water aerobics.
Number of studies have consistently shown beneficial effects of exercise on hypertension with reductions in both systolic and diastolic blood pressure. And 5–7 mmHg reductions in those patients with hypertension.
All professional organizations recommend exercising for at least 30 min a day for people with hypertension.
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what assessment finding should the nurse report to the healthcare provider that is consistent with concealed hemorrhage in an abruptio placenta?
The assessment finding which the nurse should report to the healthcare provider that is consistent with concealed hemorrhage in an abruptio placenta is vaginal bleeding.
Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complication.
Concealed hemorrhage on the other hand, in an abruptio placenta is characterized by the presence of blood being behind the placenta and is caused by different types of factors.
The presence of vaginal bleeding which should be very light as a result of it being a concealed hemorrhage is the assessment which should be reported so as to ensure that tests and appropriate treatment are done.
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when a health information professional (record custodian) brings the medical record to court in response to a subpoena duces tecum, it is his or her responsibility to
When a health information professional brings the medical record to court in response to a subpoena duces tecum, it is his/her responsibility to : identify the record in his/her official capacity as custodian.
What should be done when patient information is requested via a subpoena?If you receive a court order or a subpoena that is signed by a judge, magistrate or is a grand jury subpoena then it is necessary that you disclose the requested information.
When a legal professional creates a subpoena for medical records, then the records cannot be released legally unless one of the following is true: person issuing the subpoena has notified the patient and explained their right to object.
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a nurse administers morphine sulfate to a client in the recovery room. within 15 minutes after receiving the dose of morphine, the client is very lethargic; respiratory rate is 7 breaths per minute and shallow. what is the appropriate action of the nurse?
Depending on the patient's level of pain, the nurse may change the infusion rate within the prescribed dose range. Overdoses using opioids are happening more frequently. The rate of shallow, 4–6 breaths per minute breathing is possible.
Are there 7 breaths per minute? Normal?The amount of breaths you take each minute is referred to as your respiratory rate. When at rest, adults normally breathe 12 to 20 times per minute. A respiration rate of less than 12 or more than 25 breaths per minute while resting is considered abnormal.
What transpires when a patient is breathing shallowly and quickly?A lack of oxygen or too much carbon dioxide can cause quick, shallow breathing, which is referred to in medicine as tachypnea.
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