The best description of Ruth's job would be a respiratory therapist. Respiratory therapists are healthcare professionals who specialize in the assessment, treatment, and management of patients with respiratory disorders, such as emphysema. They work closely with patients to provide respiratory care, including diagnostic testing, monitoring of patients' respiratory status, administering treatments, and educating patients on proper medication usage and medical equipment.
In the case of emphysema, a respiratory therapist plays a critical role in helping patients manage their condition. They may perform pulmonary function tests to assess lung function, monitor patients' oxygen levels, administer respiratory treatments such as bronchodilators or oxygen therapy, and provide guidance on techniques to improve breathing and manage symptoms. They also educate patients on lifestyle modifications, such as smoking cessation and pulmonary rehabilitation programs, to optimize their respiratory health.
Respiratory therapists work in various healthcare settings, including hospitals, clinics, long-term care facilities, and home healthcare. They collaborate with physicians and other healthcare professionals to develop and implement appropriate treatment plans for patients with respiratory conditions.
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a patient comes to you under circumstances that lead you to believe she is a victim of domestic abuse. you should immediately:
If a patient comes to you under circumstances that lead you to believe that she is a victim of domestic abuse, you should immediately report it. You should do this to ensure the patient's safety and well-being as well as that of their family members.
Domestic violence is a form of violence committed by one partner against the other in an intimate relationship. Domestic violence is characterized by physical, emotional, psychological, and sexual abuse. It is also a pattern of behavior aimed at gaining and keeping power and control over the victim.
If you suspect that your patient is a victim of domestic abuse, it's essential to look for signs of domestic abuse.
Some of the signs include:
Injuries, such as bruises and cuts
Low self-esteem
Depression and anxiety
Isolation from friends and family
Substance abuse
Inadequate clothing for the weather
Visible signs of trauma
Your responsibility as a healthcare professional
As a healthcare professional, it's your responsibility to report any suspected cases of domestic abuse. It would be best if you did this to protect the victim from further harm.
You can do this by informing the appropriate authorities. Remember to protect your patient's privacy and confidentiality while reporting the abuse.
It would be best if you also offered your patient support and reassurance while they are going through this difficult period.
In conclusion, as a healthcare professional, it's essential to report any suspected cases of domestic abuse. This will help to ensure the safety and well-being of the victim and their family.
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the nurse is caring for a 9-year-old child on an inpatient pediatric unit who is admitted for an extended stay. the child continually refuses meals. what can the nurse do to help increase the child's intake? select all that apply.
To help increase the child's-intake, the nurse can offer a variety of food choices and involve the child in the meal planning process.
Providing a pleasant eating environment by ensuring a quiet and comfortable space, using colorful plates and utensils, and allowing the child to eat with peers can help stimulate appetite. Additionally, the nurse can encourage small, frequent meals rather than large portions, offer favorite foods and snacks, and provide positive reinforcement and praise when the child eats well. It is also important to respect the child's preferences and dislikes and not force or pressure them to eat. Collaborating with a dietitian to address any nutritional concerns and exploring alternative methods of providing nutrition, such as liquid supplements or fortified foods, may also be beneficial.
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Answer the questions
1. The list of references at the end of a journal article:
A: Lists the articles and other sources used and referred to in the article
B: Include everything written on the topic
C: Could serve as a shortcut to fill out your entire bibliography
The correct answer is A: Lists the articles and other sources used and referred to in the article.
The list of references at the end of a journal article provides a comprehensive list of the specific articles and other sources that were used and referenced in the article. It includes the citations for these sources, allowing readers to locate and access them for further reading. The purpose of the reference list is to acknowledge and give credit to the authors of the works that influenced and supported the research and ideas presented in the article. It serves as a valuable resource for readers who want to explore the topic in more depth and verify the information provided in the article. However, it does not include everything written on the topic, nor does it serve as a shortcut to fill out an entire bibliography, as it only includes the relevant sources used in the specific article.
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a nurse is presenting a class for patients newly diagnosed with hypertension. what factor would the nurse tell the class has the greatest effect on diastolic blood pressure?
When presenting a class for patients newly diagnosed with hypertension, the nurse would emphasize that several factors can influence diastolic blood pressure, but one of the key factors with the greatest effect is peripheral resistance.
Peripheral resistance refers to the resistance encountered by the blood flow as it passes through the small arteries and arterioles in the peripheral vascular system. These vessels can constrict or dilate, affecting the ease with which blood flows and the pressure it exerts on the arterial walls.
In the context of hypertension, increased peripheral resistance leads to elevated diastolic blood pressure. When the blood vessels become narrow or rigid, the heart has to work harder to pump blood against the resistance, resulting in elevated pressures during the relaxation phase of the cardiac cycle (diastole).
Various factors contribute to increased peripheral resistance, including excessive vasoconstriction, arterial stiffness, and the presence of certain hormones or substances in the blood. These factors can be influenced by lifestyle choices, such as a high-sodium diet, sedentary behavior, obesity, and stress.
The nurse would highlight the importance of managing these modifiable factors through lifestyle modifications, such as adopting a heart-healthy diet, engaging in regular physical activity, managing stress levels, and, if necessary, taking prescribed medications. By addressing peripheral resistance, individuals can effectively control diastolic blood pressure and reduce the overall burden of hypertension on their cardiovascular health.
It's important to note that while peripheral resistance is a significant factor in diastolic blood pressure, hypertension is a complex condition with multiple contributing factors. The nurse should provide a comprehensive understanding of hypertension management, taking into account other factors like systolic blood pressure, lifestyle modifications, medication adherence, and regular monitoring of blood pressure levels.
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data was collected on​ h, the number of hot dogs​ sold, and​ p, the number of people attending a fair over a two week period. the least squares regression line has equation 0.6p10.0. the residual for the day when 520 people attended was 35. how many hot dogs were sold that​ day?
On the day when 520 people attended the fair, approximately 322 hot dogs were sold.
Based on the given information, the number of hot dogs sold on the day when 520 people attended the fair can be calculated using the least squares regression line equation, which is 0.6p + 10.0.
The least squares regression line equation, 0.6p + 10.0, represents the relationship between the number of hot dogs sold (h) and the number of people attending the fair (p). To find the number of hot dogs sold on the day when 520 people attended, we need to substitute p = 520 into the equation.
0.6(520) + 10.0 = 312 + 10.0 = 322
Therefore, on the day when 520 people attended the fair, approximately 322 hot dogs were sold. It's important to note that the least squares regression line provides an estimated relationship between the variables based on the given data points. The residual of 35 indicates the difference between the actual observed value and the predicted value based on the regression line equation.
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a nurse providing asthma management education with a group of asthmatic school aged children with monolingual spanish speaking parents. the nurse should make sure that:
As the nurse provides asthma management education with a group of asthmatic school-aged children with monolingual Spanish-speaking parents, the nurse should make sure to use bilingual educational materials, obtain professional medical interpreter services, and provide patient education and instructions in Spanish.
With the increasing population of individuals from culturally and linguistically diverse (CLD) backgrounds, providing asthma education and management for asthma patients and their families have become more challenging.
Asthma management education is a critical aspect of asthma control. It helps the patient manage their symptoms and prevent them from worsening. The provision of education and instructions should be accurate and easy to understand, and it should be tailored to the patients' cultural and linguistic background. It is crucial to overcome the language barrier between the patient and the nurse to provide the patient with clear and accurate information.
This can be accomplished by using bilingual educational materials and obtaining professional medical interpreter services. The nurse providing asthma management education with a group of asthmatic school-aged children with monolingual Spanish-speaking parents should ensure the following:
The nurse should use bilingual educational materials. The nurse should provide patient education and instructions in Spanish. The nurse should obtain professional medical interpreter services.
Conclusively, providing accurate and culturally and linguistically appropriate asthma management education is necessary to overcome the language and cultural barriers.
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Social Justice; Social & Economic Factors
Define healthcare disparities & social justice.
Discuss social and economic determinants of health and their relationship to healthcare disparities? In review of the various videos that students were to view, which populations were at risk for disparities and why?
Determinant of Health Who is affected and how
Access to healthcare
Socioeconomic status
Racial
Ethnic
Other
Summarize existing disparities in healthcare, including those related to access, socioeconomic status, racial, ethnic, and other differences. What are potential preventions/fixes for the disparity.
Type of Disparity Potential fix
Access to healthcare
Socioeconomic status
Racial
Ethnic
Other
Healthcare disparities refer to differences in access to healthcare services and health outcomes among different population groups.
These disparities are often influenced by social and economic factors and can result in unequal distribution of healthcare resources, quality of care, and health outcomes. Social justice, on the other hand, is the principle of fairness and equality in the distribution of societal resources, opportunities, and privileges. It aims to ensure that every individual has equal access to essential goods and services, including healthcare, regardless of their social or economic background. Social and economic determinants of health are the conditions in which people are born, grow, live, work, and age. These determinants have a significant impact on individuals' health outcomes and access to healthcare. Some key determinants include socioeconomic status, racial and ethnic factors.
In the videos students have reviewed, populations at risk for disparities may include low-income individuals, racial and ethnic minorities, immigrants, LGBTQ+ individuals, and individuals with disabilities. These populations often face systemic barriers, such as limited financial resources, discrimination, lack of health insurance, language barriers, and cultural differences, which can hinder their access to healthcare and result in disparities.
To address healthcare disparities, potential prevention and fixes include:
1. Improving access to healthcare
2. Addressing socioeconomic factors
3. Promoting cultural competence
4. Enhancing health literacy
5. Strengthening community engagement
6. Eliminating discriminatory practices
By addressing these factors and implementing comprehensive strategies, it is possible to reduce healthcare disparities and achieve greater health equity in society.
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which action would the nurse take in the first hour after administering an antipyretic medication to a child with a fever
The nurse will evaluate the temperature of the child to ensure that the antipyretic medication is effective. The nurse must evaluate the child's temperature within the first hour after administering an antipyretic medication to ensure that the medication is working.
After administering an antipyretic medication to a child with a fever, the nurse would take the following action in the first hour:
Monitor the child's temperature: The nurse should closely monitor the child's temperature within the first hour after administering the antipyretic medication. This will help determine the effectiveness of the medication in reducing the fever.
Assess the child's response: Observe the child for any changes in symptoms, such as decreased discomfort, improved behavior, or relief from fever-related symptoms. Assessing the child's response to the medication will provide important information about its effectiveness.
Reassess vital signs: Check the child's vital signs, including heart rate, respiratory rate, and blood pressure, to ensure they remain within normal range. Fever reduction may lead to changes in these parameters, so it is essential to monitor them closely.
Provide comfort measures: Offer additional comfort measures to help alleviate the child's discomfort while the antipyretic medication takes effect. This may include providing cool fluids, using a cool compress, or ensuring a comfortable environment.
Educate the caregiver: Take the opportunity to educate the child's caregiver about fever management, including appropriate use of antipyretic medications, monitoring temperature, and when to seek further medical attention if necessary.
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a child with acquired immunodeficiency syndrome is hospitalized for the treatment of pneumocystis jiroveci pneumonia. the child will be receiving nebulizer treatments at home when discharged. the nurse instructs the parent regarding the maintenance of the nebulizer equipment. what would the nurse tell the parent to do?
Clean the nebulizer machine after each use to prevent infections. Detach and wash the mouthpiece, tubing, and mask daily. Rinse and dry thoroughly. Store in a clean, dry area.
A child with acquired immunodeficiency syndrome is hospitalized for the treatment of pneumocystis jiroveci pneumonia. The child will be receiving nebulizer treatments at home when discharged.
The nurse instructs the parent regarding the maintenance of the nebulizer equipment. The nurse would tell the parent to clean the nebulizer after each use. A nebulizer is a type of breathing machine that helps children inhale the medicine. It transforms liquid medicine into mist, which the patient inhales using a mouthpiece or mask.
Nebulizers are frequently used to treat respiratory problems like asthma, cystic fibrosis, and pneumonia because they deliver medicine directly to the lungs, where it is required. When using nebulizer machines, it is important to clean them regularly to avoid infections.
Following the child's discharge, the nurse would tell the parent to clean the nebulizer machine after each usage to keep it sterile and safe. The following are some of the cleaning and maintenance instructions that the nurse may provide: Detach the machine's mouthpiece, tubing, and mask, and wash them in warm, soapy water every day.
Rinse all parts with warm water, ensuring that all soap residue is removed. Dry the nebulizer machine and all its parts on a clean towel. Keep the machine and all parts in a clean, dry spot.
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a nurse is admitting a client with emphysema. what are presenting findings the nurse should assess? select all that apply.
Emphysema is a chronic obstructive pulmonary disease (COPD) that causes the air sacs (alveoli) in the lungs to become less elastic, making it difficult to breathe. To assess a patient with emphysema, a nurse should look for the following presenting findings:
Shortness of breath - Difficulty breathing is the most common symptom of emphysema. Patients with emphysema experience shortness of breath even when at rest, which worsens with physical activity.Chest tightness - Patients with emphysema often complain of chest tightness, which is caused by the limited expansion of the lungs.Wheezing - Emphysema causes air to become trapped in the lungs, making it difficult to breathe.
Wheezing is a high-pitched whistling sound heard during exhalation.Coughing - A chronic cough is a common symptom of emphysema, often accompanied by mucus production.Fatigue - Patients with emphysema often become fatigued due to difficulty breathing. The body requires more energy to breathe, resulting in exhaustion.Overall, a nurse should observe the patient's breathing, chest, and cough to determine the severity of emphysema. Shortness of breath, wheezing, coughing, chest tightness, and fatigue are some of the presenting findings that a nurse should assess when admitting a client with emphysema.
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the nurse is preparing to administer a continuous enteral feeding. which action is most important for the nurse to include in the plan of care?
When preparing to administer continuous enteral feeding, the most important action for the nurse to include in the plan of care is to maintain patency of the feeding tube. The nurse should ensure that the feeding tube is functioning correctly, that it is properly positioned, and that it is not blocked.
Patency can be assessed by flushing the feeding tube with water and monitoring the return for any signs of obstruction. Any concerns about the patency of the feeding tube should be reported to the healthcare provider immediately.Other important actions to include in the plan of care when administering continuous enteral feeding include monitoring the patient for signs of intolerance or complications, such as nausea, vomiting, diarrhea, abdominal distention, or aspiration.
The nurse should also ensure that the feeding solution is the correct formula, rate, and volume prescribed by the healthcare provider. Accurate documentation of the administration of the enteral feeding and any observations should be made in the patient’s medical record.
In summary, the most important action for the nurse to include in the plan of care when administering continuous enteral feeding is to maintain patency of the feeding tube. This ensures that the patient receives the nutrition they need and prevents complications that can arise from a blocked feeding tube.
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A narse is preparing to administer risperidone (Rispetdal) 3 mg PO. Avallible is risperidone 2 mg tablets, How many tablets should the nirse an aninitter? (Round to the nearest tenth.) _______________ tab(s)
Given:
Risperidone (Risperdal) 3 mg PO, Risperidone 2 mg tablets
To find: Number of tablets that a nurse should administer.
We have to administer 3mg of risperidone and 2mg tablets of risperidone are available.
So, number of tablets required can be calculated as follows:
The number of tablets = Dose required (mg) ÷ Dose per tablet (mg)Substitute the given values,
Number of tablets = 3 mg ÷ 2 mg
= 1.5 tablets
Thus, the nurse should administer 1.5 tablets of Risperidone.
As we need to round off to the nearest tenth, so it will be 1.5 tablets.
Answer: 1.5 tab(s).
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Option D, 1.5 is the correct answer.
The nurse is preparing to administer 3 mg of risperidone (Risperdal) and the available risperidone tablets are of 2 mg each.
We are supposed to determine how many tablets should the nurse administer.
Let x be the number of tablets the nurse should administer.
To determine the number of tablets to be given, we divide the desired dosage (3 mg) by the dosage strength available (2 mg),
x = 3 mg ÷ 2 mg ≈ 1.5 tab(s)
Therefore, the nurse should administer approximately 1.5 tablets.
Rounding off to the nearest tenth, the answer becomes 1.5 tab(s).
Hence, option D, 1.5 is the correct answer.
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The nurse asks a family about space arrangements for an expected baby. What is the nurse assessing about the family at this time? Select all that apply.
1. The ability to meet the baby's basic needs
2. The fear about the survival of the baby
3. The acceptance of the reality of having a baby
4. The support from extended family
5. The ability to afford the financial obligations of a baby
When the nurse asks a family about space arrangements for an expected baby, they are assessing the ability of the family to meet the baby's basic needs and the ability of the family to afford the financial obligations of a baby.
Therefore, the correct options are;
1. The ability to meet the baby's basic needs5. The ability to afford the financial obligations of a baby
The ability to meet the baby's basic needs
At this point, the nurse is inquiring about the baby's living arrangements.
This assessment is crucial since the nurse wants to make sure that the newborn's basic needs are met.
It also gives them a heads up in terms of planning and the necessary interventions that will be required.
The ability to afford the financial obligations of a baby
Having a baby is a financial responsibility.
Hence, the nurse must also assess the family's financial capabilities.
This will assist them in determining the family's needs in terms of supplies and other necessary baby items.
It also helps to ensure that the family has enough funds to meet the financial responsibilities that come with having a baby.
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What are examples of qualitative PICO(T) questions for...
Below type a rationale to explain why you selected that particular type of
qualitative design question. Support each rationale with at least one (1) scholarly source
that is 5 years old or less.
1. Descriptive, experiential (e.g., historical, case study, phenomenology)
2. Meaning (historical or phenomenological)
3. Descriptive, Cultural (ethnography)
4. Process (grounded theory)
Investigate the lived experiences of individuals with chronic pain following alternative therapies to gain insights into their subjective perspectives and impacts. Explore the significance of spirituality for cancer patients in palliative care to understand its role in coping strategies and overall well-being.
1. Descriptive, experiential (e.g., historical, case study, phenomenology):
- Qualitative PICO(T) question: What are the lived experiences of individuals with chronic pain following alternative therapies?- Rationale: A descriptive, experiential qualitative design such as phenomenology allows for an in-depth exploration of individuals' experiences, perceptions, and meanings related to a specific phenomenon. It provides a rich understanding of the subjective experiences of individuals with chronic pain and how alternative therapies impact their lives. (Source: Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002). Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods, 1(2), 13-22.)2. Meaning (historical or phenomenological):
- Qualitative PICO(T) question: What is the meaning of spirituality for cancer patients receiving palliative care?- Rationale: A qualitative design that focuses on exploring the meaning of a phenomenon, such as phenomenology, allows for an in-depth understanding of individuals' subjective experiences and perspectives. By examining the meaning of spirituality for cancer patients in palliative care, this research can provide insights into the role of spirituality in their coping strategies and overall well-being. (Source: Hall, D. E., & Lindholm, M. (2017). “I feel at peace when”: A phenomenological exploration of spirituality in hospice care. Journal of Hospice & Palliative Nursing, 19(3), 220-226.)3. Descriptive, Cultural (ethnography):
- Qualitative PICO(T) question: What are the cultural beliefs and practices related to childbirth in a specific ethnic community?- Rationale: Ethnography as a qualitative design is well-suited to explore cultural beliefs, practices, and norms within a specific community. By examining the cultural aspects of childbirth in a particular ethnic community, this research can provide valuable insights into the cultural context, traditions, and beliefs that influence the experiences of individuals during childbirth. (Source: Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Sage.)4. Process (grounded theory):
- Qualitative PICO(T) question: What is the process of decision-making among healthcare professionals in end-of-life care settings?- Rationale: Grounded theory is an appropriate qualitative design to explore and develop a theoretical understanding of a process. By examining the decision-making process of healthcare professionals in end-of-life care settings, this research can generate insights into the factors, interactions, and dynamics that influence their decision-making practices. It can contribute to the development of theories or frameworks that enhance decision-making in end-of-life care. (Source: Charmaz, K. (2014). Constructing grounded theory. Sage.)To know more about chronic pain ,
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A client weighing 150 pounds has heparin infusing V at 21 mL/hr. The concentration of the heparin bag is 25,000 units/250 mL D5W. How many units/kg/hr is the client receiving? Round to the tenth place and write i the nymber only
The client is receiving approximately 30.9 units/kg/hr of heparin.
To calculate the units of heparin per kilogram per hour that the client is receiving, we need to follow these steps:
Step 1: Convert the client's weight from pounds to kilograms.
1 pound is approximately equal to 0.4536 kilograms.
150 pounds * 0.4536 kg/pound = 68.04 kg (rounded to two decimal places).
Step 2: Calculate the rate of heparin infusion in units per hour.
The concentration of the heparin bag is 25,000 units/250 mL.
The infusion rate is 21 mL/hr.
To find the units of heparin per hour, we can set up the following proportion:
25,000 units/250 mL = x units/21 mL
Cross-multiplying, we get:
250 * x = 25,000 * 21
x = (25,000 * 21) / 250
x ≈ 2,100 units/hour
Step 3: Calculate the units of heparin per kilogram per hour.
To find the units of heparin per kilogram per hour, we divide the units per hour by the weight in kilograms:
2,100 units/hour / 68.04 kg = 30.86 units/kg/hr (rounded to one decimal place).
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Question 16
The patient is scheduled for induction of labor due to preeclampsia. The health care provider writes the following order for IV Magnesium Sulfate:
Administer 4 grams of Magnesium Sulfate over 30 minutes. Then administer maintenance dose of 1 grams/hr. Notify physician if any of the following occur: deep tendon reflexes absent, urinary output< 30 ml/hr, respirations<12, or serum magnesium level is < 5 mg/dl or >8 mg/dl.
The pharmacy sent a premixed bag of Magnesium Sulfate 40 grams in 1000 mL Normal Saline. How many mL/hr should the nurse set the infusion pump at to infuse the correct maintenance dose?
Do not label.
The nurse should set the infusion pump at 25 mL/hr to infuse the correct maintenance dose of Magnesium Sulfate.
The order states that the maintenance dose of Magnesium Sulfate is 1 gram/hr. The pharmacy sent a premixed bag of Magnesium Sulfate 40 grams in 1000 mL Normal Saline. To determine the infusion rate in mL/hr, we need to calculate how many mL of the solution contains 1 gram of Magnesium Sulfate.
First, we calculate the concentration of the solution:
40 grams ÷ 1000 mL = 0.04 grams/mL
Next, we set up a proportion to find the mL/hr for the maintenance dose:
1 gram ÷ X mL = 0.04 grams/mL ÷ 1 hr
Cross-multiplying and solving for X, we get:
X = (1 gram × 1 hr) ÷ 0.04 grams/mL
X = 25 mL/hr
Therefore, the nurse should set the infusion pump at 25 mL/hr to deliver the correct maintenance dose of Magnesium Sulfate.
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the nurse is caring for a hospitalized infant with a diagnosis of bronchiolitis. in which position would the nurse place the infant?
Bronchiolitis is a respiratory infection that is caused by the inflammation of bronchioles. Children under the age of two years are most commonly affected by this condition. Bronchiolitis affects a child's breathing, leading to wheezing, coughing, and difficulty breathing.
The primary treatment for bronchiolitis is supportive care. Supportive care includes suctioning mucus from the child's nose, ensuring the child is hydrated and placing the child in an upright position. The nurse caring for a hospitalized infant with a diagnosis of bronchiolitis would place the infant in an upright position. Placing the infant in an upright position helps the infant breathe easier by opening the airways and making it easier to cough up mucus.
When the infant is in an upright position, gravity helps clear mucus from the airways. Placing the infant in an upright position can be accomplished by holding the infant in the nurse's arms, in a car seat, or by using a specially designed chair that holds the infant in a slightly upright position.
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why are nursing organization important to nursing
profession? write with 150 words
Nursing organizations are essential to the nursing profession as they advocate for nurses' rights, promote professional growth, provide resources and support, and influence policy decisions.
Nursing organizations play a crucial role in the nursing profession for several reasons. Firstly, they provide a platform for nurses to come together, unite, and advocate for their professional rights, interests, and concerns. These organizations serve as collective voices for nurses, representing their needs and influencing policy decisions at local, national, and international levels. By advocating for fair working conditions, adequate staffing, and professional development opportunities, nursing organizations contribute to improving the overall quality of nursing practice.
Secondly, nursing organizations promote professional growth and development. They offer various resources, educational opportunities, and networking platforms that enhance nurses' knowledge, skills, and competencies. These organizations provide access to research, best practices, and evidence-based guidelines, enabling nurses to stay updated with advancements in healthcare and deliver high-quality care to patients.
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What information would you fill on the day sheet after each home visit?
After each home visit, several important pieces of information should be recorded on the day sheet. The specific details may vary depending on the healthcare setting and documentation requirements.
Here are some common elements to include:
Date and Time: Record the date and time of the home visit to accurately document the timing of the visit and track the patient's care over time.Patient Information: Include the patient's name, identification number, or other unique identifiers to ensure proper identification and association of the visit with the correct patient.Visit Details: Document the purpose or reason for the home visit, such as a routine assessment, medication administration, wound care, or symptom management.Observations and Assessments: Record any relevant observations made during the visit. This may include vital signs, physical assessments, changes in symptoms, wound characteristics, or other relevant findings.Interventions and Procedures: Document the specific interventions performed during the home visit. This may include medication administration, wound dressings, catheter care, education provided, or any other procedures performed.Medication Management: Note any changes in medication regimen, administration of medications, or any medication-related concerns. Include the name of the medication, dosage, route of administration, and any specific instructions provided.Patient Response and Condition: Document the patient's response to interventions or treatments, changes in symptoms, and overall condition during the visit. Note any improvements, worsening of symptoms, or changes that may require further follow-up.Care Plan Updates: Update the care plan based on the assessment findings and interventions provided during the home visit. This may include modifications to the plan of care, goals, or any additional referrals or consultations needed.Communication and Collaboration: Document any communication or collaboration with other healthcare team members, such as physicians, therapists, or social workers. This ensures continuity of care and effective coordination among the healthcare team.To know more about patient's care
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the nurse understands that phenytoin should be used with caution in patients with which comorbid conditions?
Phenytoin should be used with caution in patients with liver disease, kidney disease, or cardiovascular disorders.
Phenytoin is an antiepileptic medication commonly used to treat seizures. However, it should be used with caution in patients with certain comorbid conditions due to the potential impact on drug metabolism and clearance.
Patients with liver disease may have impaired liver function, which can affect the metabolism and elimination of phenytoin.
The drug is primarily metabolized in the liver, and reduced liver function can lead to an accumulation of phenytoin, potentially resulting in toxicity. Close monitoring of drug levels and dosage adjustment may be necessary in these patients.Similarly, patients with kidney disease may experience decreased renal function, which can affect the clearance of phenytoin.
Impaired kidney function may result in the accumulation of the drug and an increased risk of adverse effects. Dose adjustment based on renal function and monitoring of drug levels are essential in these individuals.Patients with cardiovascular disorders, such as heart disease or arrhythmias, should also be cautious when using phenytoin.
The medication can have effects on cardiac conduction, potentially exacerbating existing cardiovascular conditions. Close monitoring of cardiac function and potential drug interactions is important in these patients.It is crucial for healthcare providers to assess and consider these comorbid conditions when prescribing phenytoin, and to closely monitor patients for any signs of adverse effects or drug interactions.
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a nurse is teaching a class on genetic disorders for pregnant couples who have recently been told their unborn child has a genetic disorder. which statement would be important for the nurse to include?
One important statement for the nurse to include when teaching a class on genetic disorders for pregnant couples who have been told their unborn child has a genetic disorder is:
"Genetic disorders are not necessarily the result of something the parents did or did not do. They can occur due to various factors, including inherited gene mutations, chromosomal abnormalities, or spontaneous genetic changes." This statement is important to address any potential feelings of guilt or blame that the parents may be experiencing. It helps to emphasize that genetic disorders are not solely caused by the actions or choices of the parents. Many genetic disorders are caused by genetic variations or changes that occur randomly or are inherited from family members. By providing this information, the nurse can help alleviate any undue guilt or self-blame the parents may be experiencing and foster a supportive environment for them to better understand the nature of genetic disorders. The nurse can further discuss the role of genetic counseling, available resources, and support networks to assist the parents in making informed decisions and coping with the challenges associated with their child's genetic disorder.
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1) Mark all that are correct about non-communicable diseases in New Mexico. (select all that apply)
a) None of the above
b) Asthma is one of the most common chronic diseases in New Mexico, with an estimated 150,000 adults and 47,000 children currently having the disease.
c) Obesity is associated with an increased risk for a number of chronic diseases, including heart disease, stroke, diabetes, and some cancers (endometrial, colon, kidney, esophageal, and post-menopausal breast cancer.)
d) Heart disease is the leading cause of death in New Mexico and accounts for over 20% of all deaths.
e) The five leading causes of alcohol-related chronic disease death in New Mexico are: alcohol-related chronic liver disease, alcohol dependence, hypertension, alcohol abuse, and hemorrhagic stroke. Alcohol-related chronic liver disease is the leading cause of alcohol-related death in New Mexico, with a rate almost twice the second leading cause (fall injuries).
The correct answers regarding non-communicable diseases in New Mexico are: b) Asthma is one of the most common chronic diseases in New Mexico, with an estimated 150,000 adults and 47,000 children currently having the disease.
Obesity is associated with an increased risk for a number of chronic diseases, including heart disease, stroke, diabetes, and some cancers (endometrial, colon, kidney, esophageal, and post-menopausal breast cancer.)d) Heart disease is the leading cause of death in New Mexico and accounts for over 20% of all deaths. e) The five leading causes of alcohol-related chronic disease death in New Mexico are: alcohol-related chronic liver disease, alcohol dependence, hypertension, alcohol abuse, and hemorrhagic stroke. Alcohol-related chronic liver disease is the leading cause of alcohol-related death in New Mexico, with a rate almost twice the second leading cause (fall injuries). Non-communicable diseases are diseases that are not infectious and are not caused by a pathogen.
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A client with breast cancer is being treated with chemotherapy. The client is experiencing nausea, vomiting, and extreme fatigue. When reviewing the client's labs, the nurse finds the client has hypernatremia, elevated BUN. elevated creatinine and elevated Hematocrit. All other labs are within normal limits. Vital signs: 100/70, 86, 20, 98.9. 98%. What should the nurse be most concerned about? O AJ The cancer is not responding to treatment. B) The client is dehydrated. OC) The client is in hypovolemic shock. D) The client has tumor lysis syndrome.
The nurse should be most concerned about the client being dehydrated based on the given information. The presence of hypernatremia (elevated sodium levels), elevated BUN (blood urea nitrogen), elevated creatinine, and elevated hematocrit suggests a state of dehydration.
Chemotherapy can cause side effects such as nausea, vomiting, and extreme fatigue, which can contribute to fluid and electrolyte imbalances. The elevated BUN and creatinine levels indicate compromised kidney function, which can result from dehydration.
The vital signs provided (blood pressure, heart rate, respiratory rate, temperature, and oxygen saturation) do not suggest hypovolemic shock, as the blood pressure is within a normal range and there are no indications of inadequate perfusion.
Tumor lysis syndrome, characterized by the rapid breakdown of cancer cells, can cause electrolyte imbalances and kidney dysfunction. However, the given lab values are not specifically indicative of tumor lysis syndrome, and other symptoms associated with this condition are not mentioned in the scenario.
Therefore, based on the information provided, the nurse's primary concern should be addressing the client's dehydration to restore fluid balance and support kidney function.
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According to the Federal Communications Commission (2017) map examining the links between health and broadband availability, Kentucky has one of the highest rates for preventable hospitalizations at 75.6 per 1,000 and average sick days of 4.5 days per month. 40.7% live rural yet over 80% have broadband access. What are some possible reasons for the high rates? Select all that apply. Lack of broadband access Lack of devices Lack of rural access to care Lack of digital literacy
Possible reasons for the high rates in Kentucky include lack of rural access to care and potential challenges related to digital literacy despite having broadband access. the high rates of preventable hospitalizations and sick days in Kentucky may be attributed to a combination of factors, including limited rural access to care and potential challenges related to digital literacy.
The possible reasons for the high rates of preventable hospitalizations and sick days in Kentucky, considering the given information, include:
1. Lack of rural access to care: Despite having broadband access, the fact that 40.7% of the population lives in rural areas suggests that there may be challenges in accessing healthcare facilities and services. Limited availability of healthcare providers, long distances to travel for medical appointments, and inadequate transportation options can contribute to delayed or insufficient healthcare access, leading to higher rates of preventable hospitalizations.
2. Lack of digital literacy: While over 80% of the population has broadband access, the level of digital literacy might vary among individuals. Limited knowledge and skills to effectively navigate and utilize digital platforms for accessing healthcare information, telehealth services, or online appointment scheduling can result in underutilization of available resources and delayed healthcare seeking, potentially leading to preventable hospitalizations.
It's important to note that the given information does not mention the lack of devices as a possible reason. However, it is worth considering that if individuals in rural areas lack access to devices such as smartphones or computers, it could further hinder their ability to utilize broadband access for healthcare purposes.
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Give three (3) Medical Management for a patient who has asthma.
Medical management for a patient with asthma typically includes a combination of medication and treatment strategies to control symptoms, reduce inflammation, and prevent exacerbations. Here are three common medical management approaches for asthma: Inhaler Medications, Oral Medications and Allergy Management.
1. Inhaler Medications: Inhalers are commonly used to deliver medications directly to the airways, providing quick relief of symptoms and long-term control. There are two main types of inhalers used in asthma management:
Short-acting bronchodilators (e.g., albuterol): These are used as rescue medications to quickly relieve acute symptoms during an asthma attack by relaxing the airway muscles and opening up the airways.
Long-acting controllers (e.g., inhaled corticosteroids, long-acting beta-agonists): These medications are used regularly to reduce airway inflammation, prevent symptoms, and improve overall asthma control.
2. Oral Medications: In some cases, oral medications may be prescribed to manage asthma symptoms, particularly when symptoms are not well-controlled with inhaler medications. These medications may include:
Leukotriene modifiers (e.g., montelukast): These medications block the action of leukotrienes, which are chemicals that can cause inflammation and constriction of the airways.
Systemic corticosteroids: These medications are reserved for more severe cases or acute exacerbations and are used for short periods due to the risk of side effects. They help reduce airway inflammation and improve symptoms.
3. Allergy Management: Allergens can trigger asthma symptoms in many individuals. Identifying and avoiding triggers is an important aspect of asthma management. In cases where allergens cannot be completely avoided, allergy management strategies may include:
Allergy testing: Identifying specific allergens that trigger asthma symptoms through skin tests or blood tests can help guide avoidance measures.
Immunotherapy: For patients with allergic asthma, allergen immunotherapy (allergy shots) may be recommended. It involves regular injections of small amounts of allergens to desensitize the immune system over time, reducing the severity of allergic reactions and asthma symptoms.
It's important to note that asthma management should be individualized, and patients should work closely with their healthcare providers to develop a personalized treatment plan based on the severity of their asthma and their specific needs.
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1. What reimbursement methods are presently used? (e.g., bundled services, fee-for-service)
2. What are retrospective and prospective reimbursements? What are some positives and negatives of each?
3. Present and future national health expenditures. Provide a brief overview. How do they influence health care insurance at the present and how will they in the future?
1. The reimbursement methods currently used in healthcare include bundled services and fee-for-service.
Bundled services: This reimbursement method involves grouping together related healthcare services into a single payment. It aims to incentivize efficiency and coordination among healthcare providers by providing a fixed payment for a specific episode of care or treatment. Bundled services can encourage collaboration and reduce fragmented care.
Fee-for-service: This traditional reimbursement method involves healthcare providers being paid for each service or procedure they perform. It provides a financial incentive for providers to offer more services, but it may lead to overutilization and increased healthcare costs. Fee-for-service can also result in fragmented care and lack of coordination.
2. Retrospective reimbursement refers to payment made after services have been provided and expenses have been incurred. It is typically based on a fee schedule or negotiated rates. Pros of retrospective reimbursement include flexibility for providers, as they can bill for services already rendered. However, it may lead to delayed payments and challenges in predicting revenue.
Prospective reimbursement involves payment arrangements made in advance based on a predetermined set of criteria. It aims to provide a fixed payment for specific services or conditions. Pros of prospective reimbursement include predictability of payments, incentivizing cost containment, and promoting quality care. However, it may require accurate forecasting and risk adjustment mechanisms to ensure fairness.
3. National health expenditures refer to the total amount of money spent on healthcare services and products in a country. Presently, healthcare expenditures are rising due to factors such as population growth, aging populations, and advances in medical technology. These expenditures have a significant impact on health insurance costs, with insurers adjusting premiums to cover the rising expenses.
In the future, national health expenditures are projected to continue increasing. Factors such as rising healthcare demand, chronic diseases, and evolving healthcare technologies contribute to this trend. The increasing expenditures will likely influence health insurance by putting pressure on premium rates and potentially leading to changes in coverage, benefits, and cost-sharing arrangements.
Overall, understanding the reimbursement methods, retrospective and prospective reimbursements, and national health expenditures provides insights into the financial aspects of healthcare delivery and its impact on insurance systems.
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a 9-year-old child is admitted to the pediatric unit for treatment of cystic fibrosis. a nurse assessing the child's respiratory status should expect to identify:
Cystic Fibrosis is a genetic disease that causes persistent lung infections and limits the ability to breathe. It can damage the respiratory system, digestive system, and other organs.
Cystic Fibrosis is caused by a defective gene that produces thick, sticky mucus in the lungs and digestive tract, making breathing and digestion challenging.The respiratory system is among the most commonly affected areas of the body. When caring for a 9-year-old child with cystic fibrosis, a nurse assessing the child's respiratory status should expect to identify that the child is prone to frequent respiratory infections.
Children with CF may have respiratory symptoms such as a cough, wheezing, and shortness of breath. Respiratory infections are common in children with cystic fibrosis, and the nurse should watch for symptoms such as fever, cough, sputum production, increased respiratory rate, and difficulty breathing to detect any indications of infection.The nurse should also check the child's oxygen saturation and vital signs regularly to determine how well they are breathing and whether they need any additional oxygen.
The nurse should also assist the child with respiratory treatments and exercise routines to help them maintain their respiratory health. In summary, when assessing the respiratory status of a 9-year-old child with cystic fibrosis, the nurse should expect to identify respiratory symptoms, frequent respiratory infections, oxygen saturation, and vital signs.
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Identify the medication that is used to increase bone density. a. Calcimar b. Cytoxan c. Actonel d. Parafon Forte
The medication that is used to increase bone density is Actonel. Option c.
What is Actonel?Actonel is a prescription medicine used to prevent and treat osteoporosis in postmenopausal women. Actonel belongs to a group of medicines called bisphosphonates that function by preventing the breakdown of bone. It helps increase bone density and prevent fractures in bones. It is also used to treat Paget's disease of bone, which is a condition that causes deformities and weak bones. Therefore, option c is correct.
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Women and Substance Abuse, what do you believe is the most
important preventive step(s) we can take as a society to combat the
unique addiction issues in women. 100 word min
Prioritising gender-specific therapies and support networks is one of the most crucial preventive measures we can take as a society to tackle the particular addiction difficulties that women face.
This includes spreading knowledge and understanding of the particular risks and difficulties that women confront in connection to substance usage. It is vital to offer complete, easily available healthcare services that cater to the physical, mental, and emotional requirements of women. It is crucial to provide secure and encouraging environments that enable women to ask for assistance without fear of stigma or disapproval. Women's drug misuse can also be prevented and addressed to a considerable extent by adopting gender-responsive policies and programmes that address social determinants of health, such as poverty and trauma.
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which processes, if they occur during the formation of the placenta, would lead to a successful pregnancy? select all that apply.
The following are the processes that lead to successful pregnancy:Implantation of the blastocyst: Implantation of the blastocyst is the first step in the formation of the placenta. Implantation occurs about 7-10 days after fertilization.
After implantation, the blastocyst transforms into an embryo, and the cells surrounding it form the chorion.Chorionic villi formation: The chorionic villi are finger-like projections that extend from the chorion into the endometrium of the uterus. These villi are responsible for exchanging oxygen and nutrients between the mother's blood and the embryo.Placental circulation: The placenta provides oxygen and nutrients to the growing embryo and removes waste products. Placental circulation ensures that the embryo has a stable and reliable supply of oxygen and nutrients throughout pregnancy.
Trophoblast invasion: The trophoblasts are specialized cells that play a vital role in the formation of the placenta. They invade the endometrium of the uterus and create an intimate relationship between the maternal and fetal blood supplies.Adequate hormonal support: Hormones such as progesterone are essential for a successful pregnancy. Progesterone helps to maintain the endometrium and prevent contractions of the uterus that could expel the embryo.
In conclusion, successful pregnancy is achieved by a series of processes that occur during the formation of the placenta. These processes include implantation of the blastocyst, chorionic villi formation, placental circulation, trophoblast invasion, and adequate hormonal support.
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