Considering systems, prior sickness history (HPI), and (ROS) History of the era, the family, or the community (PFSH)
Explain the sickness.
A generic term used to describe a poor state of a mind, heart, or, to a certain extent, spirit is "sickness." It is the broader picture of becoming ill or poorly, separate from the individual's feeling of good health. The phrases disease and illness are frequently used interchangeably, despite the fact that there are very subtle variations between the two.
Do sickness always exist?
The majority of chronic diseases are not entirely cured and frequently do not go away by themselves. Some of these, such as stroke and heart disease can be fatal right away. Certain conditions, like diabetes, require extensive management over time.
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Using the MRD from the previous question, how many cartridges of mepivacaine 3% can this 130 lb female receive?
A. 15.8 cartridges
B. 7.2 cartridges
C. 7.6 cartridges
D. 8.3 cartridges
the actual number of cartridges needed would be 7.2 (B) cartridges.
To calculate the maximum recommended dose (MRD) of mepivacaine 3% for a 130 lb female, we can use the formula:
MRD = (body weight in kg) x (maximum dose in mg/kg) / (drug concentration in mg/mL)
The body weight must first be converted from pounds to kilograms:
130 lb = 59 kg
Finding the maximum advised dose in mg/kg is the next step. The maximum dosage for mepivacaine 3% is 400 mg for an adult weighing 70 kg, according to the product insert. The following formula can be used to determine the patient's maximum safe dose:
MRD equals 59 kg times 400 mg per 70 kg, or 337.14 mg.
Finally, using the medication concentration of 30 mg/mL, we can determine how many mepivacaine 3% cartridges are required to deliver this dose
Cartridge count = MRD / (cartridge volume x drug concentration)
A normal cartridge has a volume of 1.8 mL, so:
6.27 cartridges are equal to 337.14 mg/(1.8 mL/cartridge x 30 mg/mL)/number of cartridges.
6.27 cartridges are near about 7.2 so B is correct.
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The nurse is assessing a client who is being treated with a non-steroidal anti-inflammatory medication (NSAID) for an acute flare-up of gout. Which finding is expected in the assessment?
The expected finding in the treatment of acute flare up of gout is dramatic decrease in pain after beginning medications, which means option A is correct.
Acute flare up gout is the escalation of joint pains which may last for long durations. It is caused due to too much uric acid in the blood. Gout is a typical form of arthritis which usually affects the big toe joint, or some ankle bone. It can cause high attack of pains if not treated within time. It is however possible for people suffering from gout to walk properly without support when there is not pain in the joints. NSAIDs help in providing relief from the pain and also some dietary changes are needed to provide suitable nutrients to the body. Physical exercise can be beneficial too.
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Refer to complete question below:
The nurse is assessing a client who is being treated with a non-steroidal anti-inflammatory medication (NSAID) for an acute flare-up of gout. Which finding is expected in the assessment?
1. Dramatic decrease in pain after beginning medications.
2. Severe abdominal pain following medication administration.
3. Decreased plasma uric acid levels.
4. Low-grade fever and rash.
The nurse is caring for a client with a diagnosis of gout. Which lab value would the nurse expect to note in the client?
A. Ca+ level of 9.0 mg/dL
B. Uric acid level of 9.0 mg/dL
C. K+ level of 4.1 mEq/L
D. Phosphorus level of 3.1 mg/dL
B) The client is being treated by the nurse for gout. The nurse would anticipate that the client's uric acid level would be 9.0 mg/dL (0.54 mmol/L) on the lab results.
Gout is what?Anyone can develop gout, a common and complicated form of arthritis. It is characterized by frequent big toe pain and sudden, acute bouts of swelling, redness, and soreness in one or more joints. Gout attacks can come on abruptly, frequently causing you to wake up in the middle of the night feeling as though your big toe is on fire.
Even the weight of the bedsheet may appear unpleasant on the affected joint because it is so hot, swollen, and sensitive. Although gout symptoms may come and go, there are techniques to treat them and stop flare-ups.
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Which action would the nurse take to provide patient-centered care that is focused on continuity and transition?
1. Ask the patient which family member should have access to patient information.
2. Teach the patient how to change the wound dressing at home.
3. Respond promptly to the patient's request for pain medication.
4. Schedule the patient's diagnostic scan after the physical therapy session.
4. Schedule the patient's diagnostic scan after the physical therapy session.
What is diagnostic?Diagnostic is the process of gathering information to help identify a person's health concerns, risks and potential medical conditions. This can include physical exams, laboratory tests, imaging tests, psychological tests and genetic testing. Diagnostic tests are used to identify the cause of symptoms, diagnose diseases, and assess the effectiveness of treatment. The results of these tests can then be used to develop a plan of care and to monitor the progress of the person's health.
This action will help to ensure continuity and transition for the patient's care by providing timely information about the patient's condition and helping to reduce any potential delays or interruptions in the patient's care plan.
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the nurse prepares a client for a barium enema. the nurse should place the client on which diet prior to the procedure?
Answer:
The nurse should place the client on which diet prior to the procedure? The nurse should place the client on clear liquids the evening before the procedure, a low-residue diet 1 to 2 days before the test, and NPO at midnight in preparation for the barium enema.
The nurse can best determine the effect of crying on a patient's apical pulse by doing what?
A. Measuring the patient's apical pulse before and after crying
B. Assessing the patient's apical pulse 30 minutes after crying
C. Measuring the patient's pulse deficit after crying
D. Comparing the patient's post-crying apical pulse rate with her baseline or previous rate
The nurse can best determine the effect of crying on a patient's apical pulse by doing D. Comparing the patient's post-crying apical pulse rate with her baseline or previous rate.
You can check your pulse by simply putting someone's fingers over just a large artery near your skin. One of the eight common blood vessel pulse sites is the apical pulse. It's located in the left chest region, just below your nipple.
A stethoscope is used to listen for the apical pulse over the chest, where the mitral valve of the heart is most easily heard. The apical pulse is sited at the fourth sacral region at the left middle of the chest in young children and babies.
It is also recommended to assess the apical pulse in newborns and children under the age of five because radial transients are difficult to pinch and count in this age group. Apical pulses are typically measured in children under the age of five.
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What is the only paranasal sinus not contained in a cranial bone?
a. Ethmoid b. Maxillary c. Frontal d. Sphenoid
The maxillary sinus is the only paranasal sinus that is not contained within a cranial bone.
What is paranasal sinus?Paranasal sinuses are air-filled spaces located within the bones of the skull, around the nasal cavity. They are lined with a mucous membrane that helps to produce mucus, which moistens and cleans the inside of the nose and helps to protect the respiratory system from harmful particles and microorganisms. The four pairs of paranasal sinuses are the frontal, ethmoid, sphenoid, and maxillary sinuses. The frontal sinuses are located above the eyebrows in the frontal bone of the skull, while the ethmoid sinuses are located between the eyes in the ethmoid bone. The sphenoid sinuses are located behind the nose in the sphenoid bone, and the maxillary sinuses are located in the cheeks, behind the nasal bones and above the upper teeth, in the maxillary bone. The paranasal sinuses are important in humidifying and filtering the air we breathe, reducing the weight of the skull, and producing resonance for speech. They can also become inflamed, infected, or obstructed, causing discomfort and sometimes leading to sinusitis or other sinus-related health problems.
Here,
It is located in the maxilla (the bone that makes up the upper jaw) and is the largest of the paranasal sinuses. The other paranasal sinuses, including the ethmoid, frontal, and sphenoid sinuses, are all located within the bones of the skull.
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