The goal that must be set by the nurse as a priority in neonates with 34 weeks of gestation is that oxygenation will remain adequate.
Neonates are newborns within the first 28 days of life. Normal neonates are characterized by a weight of 5-9 pounds, length of 48-53 cm, and head circumference of 33-35 cm.
Neonates have a heart rate of 120-160 x/minute, a breathing of 40-60 x/minute, blood pressure at 90/80 mmHg, lanugo is not visible and head hair is fully grown, nails are rather long and limp, APGAR score > 7, reflexes - Reflexes are well formed.
In the vital condition of low blood pressure neonates, oxygen must still be supplied so that vital signs are normal.
Your question is incomplete but most probably your full question was:
A neonate at 34 weeks' gestation is admitted to the neonatal intensive care unit. The nurse reviews the medical record and obtains the neonate's vital signs. What objective should the nurse designate as the priority?
Medical Record Vital Signs
Born at 34 week's gestation Temperature: 98° F
Weighs 6 pounds, 10 ounces Apical Heart Rate: 130
Apgar: 4 and 8 Respirations: 58
Blood Pressure: 60/20
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rubbing the nose usually indicates deception
Explanation:
touching the nose
as a dog this can form into an unconscious each or a rubbing of the nose when the speaker is uncomfortable the sort of sign of irritation can indicate they are not fully telling the truth once again if the speakers one who displays a nose touch jester it means he could be lying
a nurse is helping parents who have a child with attention-deficit/hyperactivity disorder. which strategy will the nurse share with the parents to reduce stress regarding homework assignments
A nurse is offering assistance to parents of kids with attention deficit/hyperactivity disorder. The nurse advises the parents to use time management techniques in order to lessen the stress brought around by their children's academics.
What does a nurse actually do?The main responsibility of a nurse is to take care of patients by attending to their physical requirements, treating medical issues, and avoiding sickness. To assist in making therapeutic decisions, nurses must monitor the patient and note any pertinent information.
What quality in a nurse makes her stand out?To interact alongside patients and their loved ones or support them through tough times, a nurse requires empathy.
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which outcome will the nurse expect when evaluating a patient after administration of a beta1 agonist
The nurse will look for increased myocardial contractility while assessing a patient after one beta1 agonist has been administered.
What is the meaning of actual outcome?The results a tester receives after running the test are known as the real outcome or actual result. During test execution step, the Final Outcome is always recorded with the test case. After the tests are completed, the actual result is compared to the anticipated result, and any discrepancies are documented.
What is an outcome example?This is simple to understand if you think of outputs as the actions that help achieve the targeted outcomes. In example, "increased client happiness" could be a business outcome.
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the nurse assesses the progress of a client diagnosed with acute glomerulonephritis. which finding most concerns the nurse?
Breathing pattern that is ineffective and connected to the inflammatory process, altered urination due to reduced bladder holding capacity are the major finding done by nurse for acute glomerulonephritis.
What is the most typical glomerulonephritis finding?The quick onset of painless, dark, cola- or tea-colored urine, proteinuria, and cellular casts on urine microscopy are hallmarks of acute glomerulonephritis. The nephritic syndrome is mainly composed of the clinical manifestations of edoema, HTN, and kidney damage.
How is glomerulonephritis treated?Dialysis is used to treat glomerulonephritis due to an infection in patients with acute renal failure. Through dialysis, your blood is processed by a machine that functions like an artificial, external kidney. End-stage renal disease is a chronic kidney disorder that can only be addressed by a kidney transplant or frequent kidney dialysis.
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a newly arrived immigrant attends the prenatal clinic at 30 weeks' gestation for the first time. which immunizations would the nurse recommend? select all that apply. one, some, or all responses may be correct.
Immunizations that will be recommended by the nurse for these immigrants are Diphtheria and Hepatitis B.
When it comes to testing pregnant women, timing is also important. The CDC recommends getting fit in the third trimester between weeks 27 and 36, to provide the baby with the most antibody protection before birth.
Diphtheria vaccine helps prevent diphtheria, pertussis, and tetanus in pregnant women and fetuses. Hepatitis B is given to an immigrant because it can prevent various dangerous diseases that lurk in a new environment.
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a patient arrives at the emergency department experiencing a headache and rates the pain as 7 on a 0 to 10 pain scale. which nonpharmacological intervention does the nurse implement for this patient while awaiting orders for pain medication from the health care provider? group of answer choices
The intervention implemented by the nurse for the patient experiencing headache rates the pain as 7 on a 0 to 10 pain scale while awaiting orders for pain medication from the health care provider will be: (c) Softly plays music that the patient finds relaxing.
A pain scale is a device used by the medical practitioners to find the intensity of pain in any part of the body. The scale ranges from 0 to 10 where 0 means no pain and 10 depicts a very intense pain.
Music is the combination of sounds that arrange to form a melody. Playing music acts as a therapy to soothe the pain as it diverts the attention of the pain-bearer resulting in relaxation of mind.
The given question is incomplete, the complete question is:
A patient arrives at the emergency department experiencing a headache and rates the pain as 7 on a 0 to 10 pain scale. What nonpharmacological intervention does the nurse implement for this patient while awaiting orders for pain medication from the health care provider?
(a) Frequently reassesses the patient's pain scores
(b) Reassures the patient that the provider will come to the emergency department soon
(c) Softly plays music that the patient finds relaxing
(d) Teaches the patient how to do yoga
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the parents of a 6-year-old child diagnosed with bilateral genu valgum (knock knees) ask the health care provider when treatment will begin to correct the problem. the best response would be:
the parents of a child of bilateral genu valgum who is six years old. A diagnosis is not required at this time because the child's measurements fall within the permitted evaluation range.
What do you actually mean by diagnosis?the method of diagnosing a condition, injury, or diagnosis using its symptoms and indicators. Testing such as blood tests, imaging studies, and biopsies may be performed in addition to the a medical assessment and health history to help with the diagnosis.
Getting a diagnosis is it useful?The diagnosis can be a useful tool for both you and your doctor. You doctor or therapist will utilize the diagnosis to discuss your treatment choices and any potential health concerns with you.
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an older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax. which strategies to increase sexual stamina will the nurse offer?
The strategies to increase sexual stamina is Avoid alcohol and tobacco, Eat well-balanced meals, and eliminate excess fats and sugars ,Plan sexual activity around a time when the couple feels rested.
What is elimination status?If a disease is eliminated, its transmission is no longer active in a certain area, such as a country. If asked, the WHO can make an official ruling on whether a nation is free of the disease. A country wishing to get this recognition must voluntarily request it through a formal submission process.
What is the concept of elimination?Elimination is the process of getting rid of something, whether it's waste, errors, or the competition. Elimination comes from the Latin word limen, which means threshold.
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a client asks the nurse what the atorvastatin (lipitor) prescribed for the client will do. what is an expected outcome for this client?
The expected outcome that the nurse describe will be Decrease in serum cholesterol and low density lipoprotein (LDL) levels.
Atorvastatin is a statin drug used to prevent cardiovascular disease and treat abnormal cholesterol levels in those who are at high risk. Statins are a first-line medication for the prevention of cardiovascular disease. It is administered orally.
Atorvastatin is used in conjunction with a healthy diet to reduce blood cholesterol and triglyceride (fat) levels. This medication may help avoid medical issues caused by fats obstructing blood arteries (for example, chest discomfort, heart attack, or stroke). Doctors may sometimes advise taking it in the evening. This is due to the fact that your body produces the highest cholesterol during night. In this pharmacological class, atorvastatin is the most prevalent cause of clinically severe liver damage.
The complete question is:
The patient asks the nurse what atorvastatin (Lipitor), newly prescribed, will do. What expected outcome will the nurse describe?
A) Decrease in serum cholesterol onlyB) Decrease in serum cholesterol and low density lipoprotein (LDL) levelsC) Decrease in sitosterol and serum cholesterolD) Decrease in campesterol and LDL levelsTo learn more about Atorvastatin, here
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which action would the nurse take first when a client with acute bronchitis and emphysema reports feeling anxious and short of breath?
According to the given statement The nurse take first Provide oxygen at 2 L per minute.
What is acute bronchitis caused by?The microorganisms that cause illness and the flu as well as abrupt onset are typically viruses (influenza). Antibiotics usually fail to cure bronchitis because viruses are not destroyed by them. The most common prevalence of acute bronchitis is cigarette smoking.
Is severe acute bronchitis a disease?Acute bronchitis is often not harmful and has no adverse effects. The symptoms frequently disappear on their own, when lungs returns to normal. Acute pneumonia is often not treated with antibiotics. This is so since the majority of diseases are brought on by viruses.
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a nurse on the unit fails to help a colleague ambulate a client even though there is time to do so. which are appropriate responses by the nurse who required assistance with the client? select all that apply.
The appropriate responses by the nurse who required assistance with the client are:
a. "We all have to work together as a team to provide quality care for our clients."c. "This client is in need of our assistance, and everyone who is free should come together for improved client outcomes."d. "Please come and help and work together with me as a team."The nurse who sought assistance with a client should address rather than disregard (as demonstrated in the remark, "Never mind, I'll find someone else to help") the other nurse's failure to collaborate as a team with the first nurse. The nurse cannot advise the other nurse to go home, nor would this be a suitable answer in any scenario. The other options are all suitable replies that address the nurse's worry about requiring assistance.
The complete question is:
A nurse on the unit fails to help a colleague ambulate a client even though there is time to do so. Which are appropriate responses by the nurse who required assistance with the client? Select all that apply.
a. "We all have to work together as a team to provide quality care for our clients."b. "Never mind, I will get someone else to help."c. "This client is in need of our assistance, and everyone who is free should come together for improved client outcomes."d. "Please come and help and work together with me as a team."e. "If you don't assist me with client care, you may as well go home."To learn more about nursing assistance, here
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what is the number of rails that need to be raised on the side of the bed that you are turning the patient towards?
On the side of the bed that you are turning the patient toward, there should be two rails lifted.
How should a patient be turned in bed?Put one hand on the patient's shoulder and the other on the patient's hip. As you gently draw the patient's shoulder toward you while standing with one foot in front of the other, shift your weight to your front foot (or knee, if you place your knee on the bed).
How do you get a patient out of bed and to the side?Pull the patient's head and shoulders toward you by sliding your hands and arms under them. Maintain a straight back and flexed hips and knees.
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a conscious complains of difficulty breathing. he is coughing while pointing to his throat. what should you do?
If a conscious person complains of difficulty breathing. he is coughing while pointing to his throat we first do check the airway, breathing and circulation.
In the case’s palpitation to make sure it's regular and take a look at the case's breathing rate, noting any labored breathing. I would use a stethoscope to hear to the case's lungs, looking for any abnormal sounds similar as gasping or crackles. I would also assess the case's skin color,
Noting any signs of cyanosis. However, I would also administer oxygen if available, If the case was having difficulty breathing. I would also take a careful history from the case to determine if he'd any disinclinations, asthma, COPD or other respiratory problems that could be causing the difficulty.
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a psychiatric-mental health nurse has developed a therapeutic relationship with a client. which action would alert the nurse to the possibilty that the relationship may be moving outside professional boundaries? select all that apply.
Some of the actions that increase the possibility that the nurse relationship might be moving outside the professional relation with the client are, client provides baked lunch to the nurse, nurse telling others that she is the only one to understand the client, and the nurse is spending more time with the client.
Actions that would make the nurse aware that the relationship might be straying outside of what is appropriate for a professional setting are:
-The patient provides the nurse with a baked good for lunch.
-Compared to the other members of the group, the nurse is spending more time with the client.
-The nurse claims to be the only person who truly comprehends this client, she says to a friend.
A therapeutic relationship is one that supports the patient by fostering mutual trust and respect, encouraging faith and hope, being sensitive to oneself and others, and utilising the knowledge and skills of the care provider to meet the patient's physical, emotional, and spiritual needs.
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The above question is incomplete. Check complete question below -
a psychiatric-mental health nurse has developed a therapeutic relationship with a client. which action would alert the nurse to the possibilty that the relationship may be moving outside professional boundaries? select all that apply.
A. The client brings the nurse a baked item for their lunch.
B. The nurse is spending more time with the client than the others in the group.
C. The nurse tells a friend that the nurse is the only one who truly understands this client.
D. The nurse has a judgmental attitude towards the patient
E. The nurse doesn't care about the client's needs.
what would be the approximate weight gain of a person who consumes an excess of 500 kcal daily for one month? a. 2 pounds b. 3 pounds c. 4 pounds d. 6 pounds
The approximate weight gain of a person who consumes an excess of 500 kcal daily for one month is option c. 4 pounds.
Diet, inactivity, environmental variables, and genetics are a few of these. Dates, prunes, apricots, figs, sultanas, currants, and raisins are just a few examples of dried fruits that have more calories than their fresh counterparts, making them excellent choices for a healthy weight gain.
Deficiencies in vitamins and minerals are the biggest risks of a 500 kcal daily diet. In actuality, if they consume less than 1200 calories per day, the majority of people cannot achieve their vitamin and mineral needs. For obese individuals or as a preventative precaution before surgery, a 500-calorie diet may be helpful in the very short term.
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While explaining to a group of nursing students what the function of the first mucosal
layer of the lower two thirds of the esophagus, the pathophysiology instructor mentions
which of the following functions? Select all that apply.
A) Secretion of mucus to lubricate and protect the inner surface of the alimentary
canal
B) Smooth muscle cells that facilitate movement of contents of the GI tract
C) Holding the organs in place and storage of fats
D) Barrier to prevent the entry of pathogenic organisms
E) A cushioning to protect against injury from sports or car accidents
holding your organs in position and fat storage while describing the purpose of the initial mucosal to a gathering of student nurses.
What role does the bottom three quarters of the esophagus' first mucosal layer play?The esophageal mucosa is crucial in defending the muscle layer underneath. The lower esophagus uses it as its initial line of defense against stomach acid. Luminal acids clearance and cell resistance are the main mucosal defenses of the esophageal squamous mucosa against acid.
The end of the esophagus sphincter is made up of what?The intrinsic sphincter, which is made up of the oblique sling muscle and the semicircular clasp muscles, makes up the lower esophageal sphincter, or LES, in its anatomical form.
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which instruction to the patient is most likely to result in their placing their foot in dorsiflexion?
Your ankle starts to dorsiflex as soon as you point your toes back towards your shins. The ankle joint flexes and the shinbones contract as you dorsiflex your foot.
What causes dorsiflexion of the foot?Your ankle starts to dorsiflex as soon as you point your toes back towards your shins. The ankle joint flexes and the shinbones contract as you dorsiflex your foot. Additionally, while standing, you can dorsiflex your foot by lifting the ball of your foot off the ground while maintaining your heel firmly planted.
What causes loss of dorsiflexion?For instance, compression of or damage to the peroneal nerve may cause loss of dorsiflexion. afflictions that affect the nerves or muscles in the foot.
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blood cholesterol higher than recommended levels increases the chances of cardiovascular diseases and risks of heart attacks and strokes. check all the factors that can contribute to high cholesterol levels.
Cholesterol is a waxy molecule that is found in your bloodstream. Although your body need cholesterol to produce healthy cells, excessive cholesterol levels can raise your risk of heart disease. .
High cholesterol might cause fatty deposits in your blood vessels. High blood cholesterol levels are a significant modifiable risk factor for heart disease, which is the leading cause of death in the United States. A 10% reduction in total blood cholesterol levels can reduce the risk of heart disease by up to 30%.
Evidence strongly suggests that elevated cholesterol might raise the risk of: artery constriction (atherosclerosis) A heart attack has occurred. stroke.
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the nurse is monitoring a client at 36 weeks' gestation who is bleeding. the nurse is preparing to insert a foley catheter. which explanation(s) should the nurse provide the client regarding the need for a urinary catheter? select all that apply.
The Correct option (1,2) "The amount of urine output is an indication of tissue perfusion."
"If urine output is less than 30 ml per hour, it is a sign of hemodynamic instability."
Gestation is the phase of growth that takes place within viviparous mammals during the bearing of an embryo and ultimately a fetus (the embryo develops within the parent). Although certain non-mammals also experience it, it is usual for mammals. Mammals during pregnancy are capable of having one or more gestations concurrently, such as in the case of multiple births.
The gestation period is the duration of a gestation. Gestational age in obstetrics refers to the period of time since the first menstrual period, which is typically the fertilization age + two weeks.
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Full Question : the nurse is monitoring a client at 36 weeks' gestation who is bleeding. the nurse is preparing to insert a foley catheter. which explanation(s) should the nurse provide the client regarding the need for a urinary catheter? select all that apply.
"The amount of urine output is an indication of tissue perfusion.""If urine output is less than 30 ml per hour, it is a sign of hemodynamic instability."assessing the amount and color of the bleedingfetal distress related to hypoxiawhich response is appropriate when the family of a patient states we found out that our loved one has end stage hepatitis and we don't know what that means
Sad response is appropriate when the family of a patient states we found out that our loved one has end stage hepatitis.
End stage hepatitis. End stage hepatitis is a serious condition where the liver has been significantly damaged by the hepatitis contagion, and it's no longer suitable to serve duly. This can beget a variety of symptoms, similar as hostility, fatigue, itching, nausea, and abdominal pain. It can also lead to liver failure and death if left undressed.
Treatment options include specifics to manage symptoms, life changes to reduce stress on the liver, and conceivably a liver transplant. I'm then to help answer any questions you may have and give support as you navigate this delicate situation.
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4. which of the following are involved in regulating neurotransmission via excitation-secretion coupling?a. voltage-sensitive sodium channelsb. voltage-sensitive calcium channelsc. both a and bd. neither a or b
voltage-sensitive sodium channels, voltage-sensitive calcium channels both are involved in regulating neurotransmission via excitation-secretion coupling.
What do calcium channels do in neurons?Calcium (Ca2+) channels mediate numerous important physiological processes, and are abundant in many types of cells [1,2]. In neurons, voltage-gated Ca2+ (CaV) channels are expressed in most plasma membrane compartments and they are involved in regulating cell excitability, gene transcription and synaptic transmission.
What is the role of calcium channel?Calcium channels are the structural components of cardiac cells that provide a mechanism to modulate the force of contraction. One of the ways that this occurs is through beta-adrenergic receptor (b-AR) stimulation to cause a positive inotropic response that is regulated by protein kinase A (PKA).
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Answer: C - both a and b
Explanation:
a client has recently been diagnosed with non-hodgkin lymphoma and is interested in knowing how other adults in her age group responded to regular chemotherapy versus chemotherapy combined with alternative therapy and whether they saw an improvement in their life span. which type of resource will best assist the nurse in answering this client's question?
The best assist for the nurse in answering this client's question regarding chemotherapy is option A) A systematic review or meta-analysis or randomized clinical trials (RCT).
To compare two (or more) treatments, a treatment to a control or comparison group, an RCT is carried out. This is not something that preliminary research should undertake because they will almost always be dreadfully underpowered and will likely provide false results.
A form of cancer known as non-lymphoma Hodgkin's develops in the lymphatic system, which is a component of the body's immune system that fights infection. White blood cells called lymphocytes can develop tumours (growths) throughout the body when non-lymphoma Hodgkin's is present. When the body overproduces aberrant lymphocytes, a type of white blood cell, Non-lymphoma Hodgkin's develops.
The question is incomplete, find the complete question here
A client has recently been diagnosed with non-Hodgkin lymphoma and is interested in knowing how other adults in her age bracket responded to regular chemotherapy versus chemotherapy combined with alternative therapy and whether they saw an improvement in their life span. Which of the following will best assist the nurse in answering this client's question?
A) A systematic review or meta-analysis or randomized clinical trials (RCT)
B) Qualitative studies
C) Expert opinion
D)Clinical opinion
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the pregnant woman complains of being awakened frequently by leg cramps. the nurse reinforces instructions to the client's partner and would tell the client to perform which measure?
Answer:
dorsiflex
Explanation:
the toxin produced by yeast should be considered poisonous to humans as it can cause serious illness and death when too much is ingested.
Yeast toxin can cause illness and death if ingested in excess, so the statement is true.
What is a toxin?It is a substance produced by living organisms.It is a substance that can cause damage to health and physical integrity.Yeasts are single-celled fungi that release toxins used in the manufacture of wines, cheeses, and other foods. Despite having a useful toxin for the market, it can cause serious health and life risks if ingested in excess, as it can cause poisoning.
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which gross motor skills would the nurse expect children 3 to 5 years of age to develop? select all that apply. one, some, or all responses may be correct.
The gross motor skills that the nurse would expect children 3 to 5 years of age to develop are:
2 Skipping
3 Jumping rope
4 Catching a ball
5 Hopping on one foot
What are the motor skills that a nurse expect of children 3 to 5 years of age to develop?The nurse would expect children 3 to 5 years of age to develop the following gross motor skills:
Running
Hopping
Jumping
Climbing stairs
Throwing and catching a ball
Kicking a ball
Balancing on one foot
Pedaling a tricycle
Galloping
It is worthy of note that every child develops at their own pace and some may develop these skills earlier or later than others. It's important for the nurse to assess each child individually and support their gross motor development.
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The complete question goes thus:
which gross motor skills would the nurse expect children 3 to 5 years of age to develop? select all that apply. one, some, or all responses may be correct.
1 Skating
2 Skipping
3 Jumping rope
4 Catching a ball
5 Hopping on one foot
the nurse is caring for a child who has suffered a head injury and has had an icp monitor placed. which prescription by the health care provider would the nurse question?
Initiate an IV of 0.9% NS to run at 250 ml/hr prescription by the health care provider the nurse would question.
What is health care provider?An organisation or individual certified to offer medical diagnosis and treatment services, such as medication, surgery, and medical gadgets, is known as a health care provider.
Fluids given intravenously quickly may raise ICP. A quick infusion would be 250 ml/hr of normal saline administered intravenously.
Dexamethasone and other corticosteroids can lessen cerebral edoema. Mannitol is an example of an osmotic diuretic that can lower pressure.
Indwelling urinary catheters are frequently placed due to the administration of the osmotic diuretic.
Thus, start a 0.9% NS IV that would drip at a rate of 250 ml/hour per the doctor's order, the nurse would inquire.
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the pregnant client is 5 ft 3 in (160 cm) tall and weighs 130 1b (57 kg) at the beginning of her pregnancy. which weight would be recommended for her to reach at the end of the pregnancy?
At the end of the pregnancy, it would be advised that she weigh 150 LB.
Which Fundal height would a nurse anticipate while evaluating a patient at 16 weeks of pregnancy?The fundus is positioned in the middle of the symphysis pubis and umbilicus at 16 weeks of gestation. The fundus is palpable right below the ensiform cartilage at 36 weeks gestation.
Which position should the nurse place the client in before preparing them for a non-stress test?You'll recline on a chair as you undergo the non-stress test. Throughout the examination, your blood pressure will be measured on a regular basis. A sensor that measures the fetal heart rate will be wrapped around your abdomen by a member of your medical team or by your doctor.
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which is a guideline for health care leaders when being responsible to their organization as per the ache code of ethics?
Guideline for health care leaders when being responsible to their organization as per the ache code of ethics is a - Ensure a safe work enviornment.
Which principle serves as a guide for those who are covered by the ache code of ethics?Additionally, according to the preamble of the ACHE code of ethics, a healthcare practitioner must behave themselves "in a manner that will reflect favorably upon the profession" (ACHE, n.d., p.
What is the healthcare industry's code of conduct?Every stakeholder, including employees, doctors, contractors, and vendors, is urged by a code of conduct to reflect on their actions and the effects of their conduct at work. It offers a comprehensive organizational framework with moral and legal standards that will direct the entity's actions and decision-making.
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a nursing mentor notes a colleague has limited an online search to articles only containing full text. what is the best response from the mentor?
The best response from the nurse mentor that would be to encourage the colleague is to broaden their search an the include articles without full text. It is important to search beyond full text articles in order.
The stylish response from the tutor would be to explain why limiting the online hunt to papers containing full textbook can be salutary. This would include agitating the advantages of having access to the full textbook of a document, which can include being suitable to review the entire composition without demanding .
Also, it can give the occasion to dissect the results of the hunt more nearly, as full textbook papers frequently give more detailed and comprehensive information. likewise, the tutor should explain that limiting the hunt to full textbook papers can help to insure that the results are more dependable and over- to- date, as these papers are generally more recent than those without full textbook.
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a client's cervix is fully dilated and effaced. the head of the fetus is at 2 station. which client action would the nurse encourage during contractions?
A client's cervix is fully dilated and effaced, the head of the fetus is at 2 station and the client action which the nurse would encourage during contractions is to push with her glottis open.
When the client pushes or bears down while the glottis is open, the second stage of labor's expulsive contractions will move along more quickly. The cervix's structure is crucial to preserving pregnancy because it keeps the growing child inside the womb and acts as a barrier to the ascent of bacteria from the vagina.
The client can't relax because the contractions are so strong; relaxation takes place in between contractions. Until the foetal head crowns (+4 station) and a controlled birth is wanted, the client shouldn't be advised to close her eyes, blow, or pant as this will inhibit pushing.
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