In order to give a medication, bring a breakfast plate, and start an enteral feeding, the nurse will need to use two identities.
Which client care task necessitates the nurse's wearing barrier gloves in accordance with the standard precautions protocol?
When interacting with contaminated objects, non-intact skin, mucous membranes, blood, or bodily fluids, gloves should be used. While performing procedures involving vascular access, such as phlebotomies, gloves must always be worn.
Which clients are good candidates for using only standard precautions?
Standard Regardless of the suspected or proven presence of an infectious agent, precautions are meant to be used when caring for all patients in all healthcare settings.
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A client in the emergency department with a cardiac dysrhythmia is to receive a prescribed dose of procainamide. For which of the following conditions in the client's history would the nurse withhold the medication until the order is clarified? Select all that apply.
Hypertension
• Second-degree heart block
• Myasthenia gravis
• Systemic lupus erythematosus (SLE)
• Pulmonary embolus
The nurse should withhold the medication until the order is clarified for all of the conditions listed above. Procainamide is known to cause hypertension and can worsen second degree heart block.
What is hypertension?
Hypertension is a medical condition that occurs when the blood pressure in the arteries is elevated. It is also known as high blood pressure and is usually caused by the narrowing of the arteries, or by a buildup of excess cholesterol in the blood vessels. Symptoms of hypertension include fatigue, headaches, dizziness, chest pain, and shortness of breath.
It can also be dangerous for clients with myasthenia gravis, systemic lupus erythematosus (SLE), and pulmonary embolus, as it can cause an increase in cardiac arrhythmias.
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if two servings are eaten, what percentage of the dv have you consumed for iron?
If two servings are eaten, 20% of the dv have you consumed for iron.
What is iron ?
Several processes in our bodies require iron. Hemoglobin, a protein formed in part of iron, is one that carries oxygen from the lungs to every cell in the body. It helps our muscles retain and use oxygen. Iron is also found in a wide variety of other proteins and enzymes. Your body needs the recommended dosage of iron.
What is hormones ?
Your body's chemical messengers are called hormones. They move to tissues or organs in your body via the bloodstream. They affect a variety of processes, such as growth and development, and they operate gradually over time.
Therefore, If two servings are eaten, 20% of the dv have you consumed for iron.
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The nurse should take which nursing actions when caring for a postpartum client who begins to hemorrhage? Select all that apply.
1. Assess for uterine atony:
2. Prepare to administer blood or blood products as prescribed.
3. Insert an indwelling urinary catheter to monitor kidney perfusion.
4. Administer 8 to 10 L/min of oxygen via non-rebreather face mask.
5. Administer uterotonic medications as prescribed to increase uterine tone.
When providing care for a postpartum hemorrhage client who starts bleeding, the nurse should check for uterine atony, followed by nursing care, all options are correct.
Nurses must check for uterine atony and get ready to give blood or blood products as directed when caring for a postpartum client who starts bleeding. To track kidney perfusion, use an indwelling urinary catheter. Use a non-rebreather face mask to deliver 8 to 10 L/min of oxygen, and take uterotonic drugs as directed to raise uterine tone.
The most significant risk factors for hypovolemic shock include uterine atony and postpartum hemorrhage. The client's fundus should be massaged to reduce blood loss, and the nurse should keep an eye on capillary refill to keep track of this client's baseline information.
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Which patient is a probable candidate for the Essure system of transcervical sterilization?
1
A patient who has a history of ectopic pregnancy
2
An obese patient with abdominal adhesion
3
A patient who had a vaginal delivery a week ago
4
A patient who wants more children
A patient who wants permanent sterilization but desires to avoid invasive surgery or general anesthesia would be a probable candidate for the Essure system of transcervical sterilization.
This procedure involves the placement of small, flexible inserts through the cervix and into the fallopian tubes, where they cause scar tissue to form and block the tubes. This method is generally not recommended for patients with a history of ectopic pregnancy or abdominal adhesions as these conditions may make it difficult or unsafe to insert the Essure devices.
Additionally, patients who have recently delivered a baby are not appropriate candidates as their reproductive organs may not have fully healed.
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A post-cardiac arrest patient who experienced in-hospital cardiac arrest is unable to follow verbal commands. Which interventions would be appropriate for this patient? A. Obtain brain imaging
B. Initiate targeted temperature management (TTM)
C. Establish EEG monitoring
Initiate targeted temperature (ITM) management for the patient with post cardiac arrest if he is not able to follow commands, the correct option is B.
To fully recover from cardiac arrest, high-quality post-cardiac arrest treatment is unavoidably required. This care should include targeted temperature management, early assessment of a potential acute coronary event, and intense hemodynamic and respiratory care. In the consensus, management of these crucial concerns was addressed and recommended.
In order to lessen secondary brain damage, targeted temperature management (TTM), a therapeutic therapy approach, controls core body temperature for a predetermined amount of time. TTM dramatically improved neurologic outcomes in PCAS patients receiving bundle care and suspected cardiac etiology.
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a shard of metal enters the right lung and collapses it. which cavity has been entered?
The shard of metal has entered the pleural cavity, which is the space between the visceral and parietal pleura of the lung.
What is pleural cavity?The pleural cavity is the space between the two layers of pleura, a thin membrane that covers the lungs and lines the inside of the chest wall. The two layers of the pleura are the visceral pleura, which covers the surface of the lungs, and the parietal pleura, which lines the chest wall and diaphragm. The pleural cavity contains a small amount of fluid that acts as a lubricant, allowing the lungs to move smoothly within the thoracic cavity during breathing. The pleural cavity is essential for normal lung function, as it helps to maintain the position of the lungs and facilitates the exchange of oxygen and carbon dioxide during breathing.
Here,
The pleural cavity contains a small amount of fluid that acts as a lubricant, allowing the lungs to move smoothly within the thoracic cavity during breathing. When the shard of metal enters the pleural cavity and causes the lung to collapse, it is called a pneumothorax.
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a client receiving the chemotherapeutic agent, leuprolide for treatment of prostate cancer. what is one (1) important point to discuss with the client to prevent musculoskeletal complications.
One important point to discuss with the client receiving leuprolide for prostate cancer is the importance of regular exercise and weight-bearing activities to prevent musculoskeletal complications such as osteoporosis and fractures.
Leuprolide suppresses testosterone levels, which can lead to bone loss and decreased bone density. Encouraging the client to engage in weight-bearing exercises such as walking, jogging, or resistance training can help maintain bone density and reduce the risk of fractures. Additionally, it may be important to monitor the client's calcium and Vitamin D levels and consider supplementation if necessary to support bone health.
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life1. you are a community health nurse at a neighborhood non-profit that provides services for low-income neighbors. a client asks you to take his blood pressure and the reading is 174/96. the client is otherwise well appearing with no complaints of pain or discomfort. he reports having been hospitalized for two strokes but has not seen his primary care physician since before the pandemic and has no blood pressure medication. when you offer to make an appointment, he is reluctant because he felt that his primary care doctor was disrespectful toward him. your client is in what stage of behavior change?
The client's reluctance to make an appointment with his primary care physician suggests that he may be in the precontemplation stage of behavior change. In this stage, client may be unaware of the need to change his behavior or may not yet be ready to take action.
What is the stage of behavior change of client?It is important for the nurse to explore client's concerns and barriers to seeking medical care, like his negative experience with his previous primary care physician.
The nurse can provide education about the importance of blood pressure control and risks associated with uncontrolled hypertension, and also explore other options for accessing medical care that may be more acceptable to client. Nurse can also offer support and encouragement to help client move towards action and behavior change.
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TRUE/FALSE. a patient with hypoparathyroidism complains of numbness and tingling in his fingertips and around his mouth. the nurse would assess what electrolyte imbalance.
TRUE. this might happen due to decreased production of parathyroid hormone. Therefore, the nurse would assess for hypocalcemia in a patient with hypoparathyroidism.
Hypoparathyroidism is a medical condition in which the body produces insufficient amounts of parathyroid hormone (PTH), a hormone that regulates the levels of calcium and phosphorus in the body. This results in low levels of calcium in the blood (hypocalcemia) and high levels of phosphorus (hyperphosphatemia).
Hypoparathyroidism can be caused by a variety of factors, such as damage to the parathyroid glands during surgery or radiation treatment, autoimmune disorders, or genetic factors.
Symptoms of hypoparathyroidism can vary, but common ones include numbness or tingling in the fingers, toes, or around the mouth, muscle cramps or spasms, seizures, and mood changes.
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The nurse is preparing to administer an intramuscular injection to a newborn. To administer the injection safely, the nurse would be cognizant of which cause of slow absorption in newborns?
a. Blood flow
b. Binding ability
c. Renal excretion
d. Hepatic metabolism
a. Blood flow. Neonatals may have lower peak blood concentrations and slow the rate of intramuscular medication absorption due to their reduced muscle contractility.
During birth, the blood-brain barrier also isn't fully formed. As a result, the CNS is highly accessible to pharmaceuticals and other substances, rendering the infant particularly vulnerable to medications that impact CNS function.Neonatals may have lower peak blood concentrations and slow the rate of intramuscular medication absorption due to their reduced muscle contractility. Drug buildup and toxicity may emerge as a result of slower drug excretion. Neonatals and young infants may have increased transdermal absorption than older children due to their thin stratum corneum and high surface-to-weight ratios.
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the organs directly involved in reproduction are known as:
the organs, glands, and tissues that are used in reproduction (children). It contains the prostate, testicles, and in men.
Why does tissue serve these purposes?Tissues: Tissue is a collective term for a set of cells that are similar in structure and function. The body is shaped by its tissues, which also aid in storing energy and preserving body heat. Tissues can be categorized into four different groups: epithelial, connective, muscle, and nervous.
What are tissues called for?The French word "tissu," which is the past tense of the verb "to weave," is where the term "tissue" comes from. Histology or, in relation to disease, histopathology refers to the study of tissues.
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which assessment finding would the nurse question for a client who is considering oral contraceptives? select all that apply. one, some, or all responses may be correct. blood clots heart disease breast cancer impaired liver function undiagnosed vaginal bleeding smoking more than 15 cigarettes per day
Assessments finding that the nurse would question for a client who is considering oral contraceptives : blood clots, heart disease, smoking over 15 cigarettes a day, breast cancer, impaired liver functions, confirmed/ possible pregnancy and also undiagnosed vaginal bleeding.
What is oral contraceptives?Combined oral contraceptive pill is commonly referred as the birth control pill. It is a type of birth control that is designed to be taken orally by women and it contains two important hormones: progestin and estrogen.
Monophasic pills are the most common type of birth control pill and they are single phase, meaning that they provide steady dose of hormones throughout the entire pack.
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What may acutely alcohol intoxicated patients require?
Metadoxine may acutely alcohol intoxicated patients require.
People who take the medication metadoxine (pyridoxal L-2-pyrrolidine-5-carboxylate) have been shown to recover from intoxication more quickly and cope with alcohol withdrawal more easily. 1–3 It is given intravenously in a single dosage and seldom, if ever, causes harm. Severe intoxication (blood alcohol level > 1 g/L) calls for the provision of complex B and C vitamins, intravenous fluid support, treatment of hypoglycemia, hypotension, hypothermia, and electrolyte imbalance, as well as rapid elimination of alcohol from the blood with metadoxine.
Acute alcohol intoxication, a clinically risky state, usually follows a significant alcohol intake. Behavioral, cardiac, gastrointestinal, pulmonary, neurological, or metabolic effects are possible clinical signs. They may also include a variety of organs and equipment.
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What is the major goal of nursing care for a client with heart failure and pulmonary edema?
1. Increase cardiac output.
2. Improve respiratory status.
3. Decrease peripheral edema.
4. Enhance comfort.
3. Decrease peripheral edema is the major goal of nursing care for a client with heart failure and pulmonary edema.
Peripheral edema is leg swelling due to fluid retention in leg tissues. A problem the with venous circulation system, its lymphatic system, or the kidneys can all cause it.
Small blood vessel leaks fluid into other nearby tissues, causing peripheral edema. The extra fluid buildup causes the tissue to swell. It could indicate issues with the circulatory, lymphoid tissue, kidneys, liver, or heart muscles. Edema can also be caused by certain medications, infections, and pregnancy.
Edema treatment consists of several components, including addressing the root cause (if possible), decreasing the amount of salt (sodium) in your diet, and, in several instances, using a diuretic medication to eliminate excess fluid. elevating and wearing compression stockings.
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a child under the age of 8 and less than 57 inches tall must be properly belted and?
A child under the age of eight and under 57 inches tall must be restrained as per (a) or (b) until they can no longer fit in a rear-facing or forward-facing seat, at which point they must use a belt-positioning booster seat. d.
A seat belt must be correctly fastened on any child who is 57 inches tall or older and above the age of eight. Unless the child is 4'9" or taller, all children under the age of eight must travel in a child passenger roll cage that complies with federal vehicle safety standards. The manufacturer's instructions must be followed when installing and using restraints. All passengers under the age of 15 must be restrained by a seatbelt, and the driver is in charge of making sure this happens.
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A child under the age of eight and under 57 inches tall must be restrained as per (a) or (b) until they can no longer fit in a rear-facing or forward-facing seat, at which point they must use a belt-positioning booster seat.
A seat belt must be correctly fastened on any child who is 57 inches tall or older and above the age of eight. Unless the child is 4'9" or taller, all children under the age of eight must travel in a child passenger roll cage that complies with federal vehicle safety standards. The manufacturer's instructions must be followed when installing and using restraints. All passengers under the age of 15 must be restrained by a seatbelt, and the driver is in charge of making sure this happens.
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the nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?
A. Fentanyl
B. Morphine
C. Meperidine
D. Hydromorphone
Fentanyl anesthetic is commonly used for short procedures on pediatric clients, the correct option is A.
Sedation and analgesia are necessary for a variety of disorders in the pediatric population. Ineffective pain management may cause physiological and behavioral reactions that may have a negative impact on the growing nociceptive system. Morphine is no longer the drug of choice for quick procedures due to the development of short-acting opioids.
Shorter acting opioids like fentanyl are preferred for procedural sedation. Fentanyl and midazolam are a well-liked and safe combination for procedural sedation and analgesia in children. To lessen the possibility of hemodynamic or respiratory compromise when administered together, both should be administered in smaller dosages.
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What is the ICD-10 for hypokalemia?
E87. 6 for ICD-10-CM for According to the WHO, the medical category of hypokalemia falls within that of endocrine, nutritional, and metabolic illnesses.
What is the main reason for hypokalemia?Hence, a fall in the serum potassium content might be caused by a decrease in intake, an increase in translocation into cells, or, most frequently, a rise in the amount of potassium lost by the urine, gastrointestinal system, or perspiration.
Who is most susceptible to hypokalemia?Overview. Women, the use of diuretics, heart failure, high blood pressure, low body mass index (BMI), eating disorders, alcoholism, diarrhea, and Cushing's syndrome are risk factors for low serum potassium levels (hypokalemia).
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What does cocaine block reuptake of ______ at the synapses producing stimulant effects?
The cocaine blocks the reuptake of serotonin and dopamine at the synapses, producing stimulant effects.
Cocaine is the drug obtained from cocoa plants. It is the stimulant of the CNS and therefore is highly misused in the forms of recreational activities. It leaves a euphoric effect upon the patient. The drug can cause long term effects on the body like breathing difficulties, long-term cough, etc.
Synapses are the junctions formed between the two neurons. They act in the transmission of signals from one neuron to another by chemical methods. The chemicals involved in this are called the neurotransmitters. Some synapses can be electrical as well.
The given question is incomplete, the complete question is:
Cocaine blocks reuptake of ______ at the synapses, producing stimulant effects.
a) serotonin and GABA
b) serotonin and dopamine
c) glutamate and GABA
d) dopamine and glutamate
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What does specific gravity in urine indicate?
In a laboratory test, a test called urine specific gravity can be used to determine the concentration among all chemical particles there in urine.
What sort of laboratory experiment would that be?Exams for screening (Examples: complete blood count, pap smear, urinalysis) viral disease tests (Examples: flu, strep throat, mononucleosis) testing for STDs (Examples: chlamydia, gonorrhea, HIV) markers for tumors and cancer (Examples: CA 125, PSA, AFP, CEA).
What the Meaning of a laboratory test?a process by which a sample of the person's blood, feces, or other bodily fluid is examined by a doctor. The results of laboratory tests can be used to make diagnoses, design treatments, evaluate the efficacy of those treatments, or track the progression of a disease.
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A patient has been ordered a transdermal patch of methylphenidate (Ritalin). The nurse teaches the family to leave the patch on for how long?
a. 2 hours
b. 9 hours
c. 2 hours
d. 24 hours
B. 9 Hours Justification Transdermal patches containing the stimulant methylphenidate (Ritalin) are worn for nine hours.
How quickly does methylphenidate begin to work?The first peak concentrations are attained within an hour of dosing, while the second peak appears about three hours later. It may take up to two weeks for the full effects of methylphenidate to manifest, but some alleviation from ADHD symptoms may be felt as soon as one to two hours after dose.
Where should a transdermal patch for methylphenidate be applied?Clean, dry skin on your hip should receive the patch. Choose a spot that is devoid of wounds, scars, and discomfort and has little to no hair. Place the patch away from any area where tight clothing might rub it off .
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This software development methodology is more appropriate when user specifications are unclear or are constantly changing. a. Agile b. Waterfall. Agile.
a. Agile. By encouraging developers to accept changes in customer needs, even if they come in the final phases of the development cycle, this practise promotes trust.
Testing should prioritise features if needs are constantly changing; it should also make sure that all common flows are tested to the greatest extent possible.The method prioritises prompt delivery, flexibility, and collaboration over top-down management and adherence to a predetermined plan. Agile approaches involve continuous feedback, giving team members the chance to adapt to problems as they appear and stakeholders the chance to communicate consistently.
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which test or tests assess accuracy of movement? A. Finger to finger B. Reflexes C. Balance and gait
The test that assesses the accuracy of movement is A) Finger to finger.
What is neurology?The finger to finger test is a simple neurological examination in which the patient is asked to touch their nose and then the examiner's finger as it is held out in front of them. The patient is then asked to alternate touching their nose and the examiner's finger several times, with the examiner moving their finger to different locations. This test assesses the accuracy of movement and coordination in the upper limbs and is often used to evaluate for neurological conditions such as ataxia or tremors. The test involves a specific and precise movement that requires the patient to have good fine motor skills and coordination. Reflexes and balance/gait are also important assessments in evaluating neurological function, but they do not specifically test for accuracy of movement. Reflex testing evaluates the integrity of the reflex arc, while balance and gait testing assess the patient's ability to maintain their balance and coordination during movement.
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the emt has an accurate understanding of the solid organs contained within the abdomen when she states:
Yes, the Emergency Medical Technician (EMT) has an accurate understanding of the solid organs contained within the abdomen.
What is organ?Organ refers to a group of tissues that perform a specific function in the body. Each organ is made up of different types of cells and tissues that work together to perform a specific task. Examples of organs include the heart, lungs, stomach, liver, and kidneys.
The abdomen is home to many complex organs, including the liver, spleen, stomach, pancreas, small and large intestines, kidneys, and gallbladder. These organs are responsible for the body's digestion, metabolism, and excretion of waste. The EMT must have a comprehensive understanding of the anatomy of the abdomen in order to properly assess and treat patients with abdominal pain or trauma.
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A nurse-manager is discussing a proposed change in practice the interdisciplinary team. What question by the manager best reflects a utilitarian perspective? a. ""Have we asked clients and families what they think?"" b. ""Does our code of ethics address this?"" c. ""Are the benefits greater than the risks?"" d. ""How many people will this benefit?""
The correct option is d. "How many people will this benefit?", is the manager's query, which most accurately expresses a utilitarian viewpoint.
Explain about the utilitarian perspective?An ethical theory known as utilitarianism establishes correct from incorrect by emphasizing results.
It embodies consequentialism in some way. According to utilitarianism, the decision that should produce the most good for the largest number of people is the most morally right one. According to utilitarianism, it is a morality to make one's things better by enhancing the positive aspects of society while reducing the negative ones. In other words, avoidance of suffering or sadness while pursuing pleasure and happiness.An multidisciplinary team is debating a suggested change in practice with a nurse manager.
Thus, the manager's query, which most accurately expresses a utilitarian viewpoint, is -
"How many people will this benefit?"
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what is medial condyle of the femur
One of two projections just on medial condyle of the femur's lower extremity. Due to higher weight bearing from the gravity center lying medial to the knee, the median condyle appears larger than lateral condyle.
What knee condition is most typical?The most prevalent kind of arthritis that impacts the knee is osteoarthritis. Osteoarthritis is a chronic condition in which the joint's cartilage gradually deteriorates. Middle-aged and elderly adults are frequently impacted. Excessive stress on the joint, such as from recurrent injuries or being overweight, can lead to osteoarthritis.
What components make up the knee?The four basic components of your knee are bones, cartilage, ligaments, & tendons. The kneecap and shinbone. The patella, which rests ahead of the joint, offers some defense.
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An ounce of most protein foods delivers about _____ of protein.
a. 10 grams
b. 15 grams
c. 1 gram
d. 7 grams
e. 3 grams
An ounce of most protein foods delivers about 7 grams of protein. So, the correct option is D.
What are Proteins?Protein is defined as a molecule made of amino acids that are essential for the body to function properly. These are the basis of body structures, such as skin and hair, and other substances such as enzymes, cytokines, and antibodies.
Protein Foods include all foods which are made from seafood; meat, poultry, and eggs; beans, peas, lentils; and nuts, seeds, and soy products. An ounce of most protein foods delivers about 7 grams of protein.
Therefore, the correct option is D.
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what is the main reason for using the realm-sf instrument to evaluate health literacy?
A 7-item word recognition test called the REALM-SF is used to evaluate an adult patient's proficiency in reading common medical terms as well as lay names for bodily parts and illnesses. It gives doctors a reliable quick assessment of the patient's health literacy.
What is the health literacy realm?
A screening tool called the Rapid Evaluation of Adult Literacy in Medicine (REALM) evaluates a patient's ability to understand common medical jargon as well as plain terms for body parts and disorders.
What purpose does realm serve?
Any topic of discussion, interest, or activity can be referred to using the word realm. The majority of students' interests are restricted to the academic world. A nation with a monarch or queen is known as a realm. The realm's defence is essential.
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which sign/symptom would give you a high index of suspicion that a patient may have compartment syndrome?
A nurse is providing palliative care to a client whose partner asks why music therapy might help her. Which of the following responses should the nurse make? (Select all that apply.)
A. "music therapy will increase her basal metabolic rate."
B. "music therapy can help her verbally express emotions."
C. "music therapy will improve her appetite and decrease the nausea."
D. "music therapy works as a distraction and can help alleviate her pain."
E. "music therapy can help facilitate movement in some clients who have mobility limitations."
Palliative care is a type of specialised medical treatment needed for serious conditions including cancer and heart failure. additionally to medical care intended to treat their critical illness.
Correct option is, D.
What function does the nurse perform in palliative care?The utilization of palliative care can be promoted and advocated for by nurses in a variety of healthcare settings. Nurses are skilled advocates who work with other members of the interprofessional team to communicate patients' interests and viewpoints. These abilities are especially important when a patient is dealing with a critical disease.
What goals does palliative care seek to achieve?Patients with dreadful illnesses can access palliative care, a sort of specialised medical care. The main goal of this sort of care would be to relieve stress or the symptoms of the condition. The objective is to enhance the patient's and their family's quality of life.
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______ is diagnosed with DS. When she performs little exertion, she often complaints of feeling dizzy, her lips and tips of her fingers turn blue with noted shortness of breath.
There are several causes of shortness of breath besides underlying illness. Exercise, altitude, wearing tight clothing, spending a lot of time in bed, and leading a sedentary lifestyle are a few examples.
What illness results in vertigo?Dizziness may be brought on by diseases such cardiomyopathy, heart attacks, heart arrhythmias, and transient ischemia attacks. Also, a drop in blood volume could result in insufficient blood supply to your brain or inner ear.
What causes a dizzy feeling after a workout?You're exerting yourself too much. Overextending yourself during a workout can lower your blood pressure or lead to dehydration. You might feel faint, woozy, or lightheaded as a result.
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