P.P. is a 32-year-old man who presents to the occupational health clinic for a physical before beginning employment at a local hospital. The patient is in good health, has no complaints of pain, and exercises on a daily basis. His body mass index is 23.4; the physical exam is unremarkable; and vital signs are T 97.5, P 68, R 16, and BP 120/60. The patient is to begin work after obtaining physical clearance. Labs and immunization reports are pending. The nurse is preparing to perform the physical examination.
1. How does the nurso prevent the spread of infection and implement infection control measures?
2. What physical examination techniques should the nurse use for inspection?
3. What physical examination techniques should the nurse use for palpation?
4. What physical examination techniques should the nurse use for percussion?
5. What physical examination techniques should the nurse use for auscultation?

Answers

Answer 1

Answer:

1.)

Most important thing to prevent from infection is hand-washing after physical contact with patients.

2.)

Inspection is critical observation of the patient in a systematic, deliberate manner that begins as a general survey the moment the practitioner meets the patient. It is the first technique used in the performance of a physical assessment. Good lighting, adequate exposure, and, at times, the use of special instruments aid in the completion of a good inspection.

3.)

Palpitation uses fingertips, grasping actions, and the dorsa of the fingers and hands as well as the base of the fingers.

Palpation applies the sense of touch to assess texture, temperature, moisture, organ location and size, as well as any swelling, vibration or pulsation, rigidity or opacity, crepitation, presences of lumps or masses, and presence of tenderness or pain.

4.)

Percussion is the technique of striking a part of the body with short, sharp taps of the fingers. The location, size, position, and density of the underlying organs can be assessed by the change in percussion sounds elicited. The sounds are assessed for amplitude, pitch, quality, and duration. To elicit the best tones and to avoid pain, short fingernails are a must.

5.)

Auscultation (listening to sounds produced by the body) is done with both the unassisted sense of hearing and with special instruments, usually a stethoscope. Sounds heard with the ear alone include speech, percussion tones, difficult breathing, coughing, and loud abdominal sounds. The stethoscope should always be put on bare skin, not over clothing.

Answer 2

A detailed study of a specific subject like a person, place, group, and others is termed as a case study. In the study generally the qualitative methods are used, however, at certain cases quantitative methods are also used.

The following are the solutions of the given questions based on the case study given:

1. In the given case, the spread of the infection can be prevented by the nurse by using protective barriers like gowns, gloves, protective eyewear, face shield, and by following certain hygiene measures like washing hands, environmental hygiene to reduce the threat of occupational transmission of diseases from the patient to the health care workers and from the health care center to the patient.

2. A close observation of the details of the appearance, movement, and behavior of the client is termed as inspection. The technique for inspection comprise accurate observation of the physical features and behaviors of the client.

3. The use of tactile pressure from the fingers to evaluate temperature, texture, shape, size, moisture, tenderness, pain, and edema is termed as palpation. The examination technique for palpitation comprises light palpation technique that determines surface traits and to accustom the patient of being touched. It is done by placing the middle finger of one hand on the surface of the body and striking with the other middle finger.

4. A medical technique, which is done to elicit sound or impart tenderness by tapping the part of the body with hands, fingers, or small instruments as part of a physical examination is termed as percussion. Percussion can be directly performed by the nurse by directly tapping the fingers on the skin of the client or patient.

5. The use of a stethoscope to hear sound within the organs of the body is termed as auscultation. It is used by the nurse to evaluate the lub-dub sounds of the heart.

Thus, case study is generally used in hospitals and health care centers, which helps in diagnosing and treating the condition of the patient.

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Related Questions

In a sterile procedure why does the nurse have to label the tape with date,time (in military time), and initials?

Answers

Answer:

To let others know that the procedure was completed. This keep things in order and provides safety to the patient!

Hope It helped!

what are the typical stages in the drowning process?

Answers

Answer:

The typical stages in the drowning process are the following:

1. Surprise.

2. Involuntary Breath Holding.

3. Unconsciousness.

4. Hypoxic Convulsions.

5. Clinical Death.

6. A Preventative Strategy.

Explanation:

Hope this is correct because I did in fact do some outside research and correct me if I am incorrect. Have a good one! ;)

Essentially you panic which makes you hyperventilate, you then start to take in water as you breath and eventually you go unconscious which further leads to death.

4 characteristics of bone as q connective tissue​

Answers

Answer:

Bone as connective tissue=mineral storage, protecting vital organs, providing internal support, attachment sites for tendons and muscles.

Answer:

Bone is a mineralized connective tissue that exhibits four types of cells: osteoblasts, bone lining cells, osteocytes, and osteoclasts [1, 2]. Bone exerts important functions in the body, such as locomotion, support and protection of soft tissues, calcium and phosphate storage, and harboring of bone marrow

Grady has an inflamed knee from doing a lot of physical exercise the day before. He stops by the pharmacy to find a drug to relieve the inflammation and asks the pharmacist to recommend a drug. The pharmacist asks Grady if he has a history of peptic ulcers. Which best describes why the pharmacist needs to know this?

A peptic ulcer could result in a drug-disease interaction by taking beta blockers, a common anti-inflammatory medication.
A peptic ulcer could result in a drug-drug interaction by taking aspirin, a common anti-inflammatory medication.
A peptic ulcer could result in a drug-disease interaction by taking aspirin, a common anti-inflammatory medication.
A peptic ulcer could result in a drug-drug interaction by taking beta blockers, a common anti-inflammatory medication.

Answers

Answer: So the pharmacist can prescribe him something that won't upset the stomach acids in his stomach the causes the ulcers

Explanation:

Answer: A peptic ulcer could result in a drug-disease interaction by taking beta blockers, a common anti-inflammatory medication

Explanation: I have a peptic ulcer

What are the Intellectual Milestones of a One Year Old toddler? *
O A. Puts two words together, understands "No" but ignores it, names common objects
B. Uses two and three word sentences, identifies colors, knows 500 words
C. Uses longer sentences, follows two-part directions, sorts colors and shapes
D. All of the above

Answers

Answer:

All of the above

Explanation:

Blood vessels (capillaries) that selectively let certain substances enter brain tissue and keep others out.

-
Type of glial (neuroglial) cell that transports water and salts from capillaries.

-
Collection of spinal nerves below the end of the spinal cord.

A.
Neurotransmitter chemical released at the ends of nerve cells.

-
Microscopic fiber that carries the nervous impulse along a nerve cell.

-
Carries messages toward the brain and spinal cord from receptors.

-
Lower portion of the brain that connects the cerebrum with the spinal cord.

-
Part of a nerve cell that contains the nucleus.

-
Middle layer of the meninges.

-
Contains nerves that control involuntary body functions or muscles, glands, and internal organs.
A. Acetylcholine
B. afferent nerve
C. arachnoid membrane
D. astrocyte
E. autonomic nervous system
F. axon
G. blood-brain barrier
H. brainstem
I. cauda equina
J. cell body

Answers

A would be your answer hope this helped

The blood vessels control entry into the brain is blood-brain barrier (G), the glial cell is the astrocyte (D), the collection of spinal nerves is cauda equina (I), Neurotransmitter is Acetylcholine (A), Microscopic fiber is axon (F), carries messages on an afferent nerve (B), connects the cerebrum and brainstem (H), is part of a nerve cell body (J), middle layer is the arachnoid membrane (C), and controls the involuntary body is the autonomic nervous system (E).

What is the blood brain barrier?

This is a specialized system of blood vessels that helps to protect the brain by selectively allowing certain substances, such as oxygen and nutrients, to enter while keeping others, such as toxins and pathogens, out, and the blood-brain barrier is made up of tightly packed cells and specialized transport proteins that control what can pass from the bloodstream into the brain tissue.

Hence, blood vessels control entry into the brain is blood-brain barrier (G), the type of glial cell is the astrocyte (D), the collection of spinal nerves is the cauda equina (I), Neurotransmitter is Acetylcholine (A), Microscopic fiber is an axon (F), carries messages on an afferent nerve (B), connects the cerebrum and brainstem (H), is part of a nerve cell body (J), middle layer is the arachnoid membrane (C), and controls the involuntary body is the autonomic nervous system (E).

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Match the term with the definitions below. A.A study plan on which all clinical trials are based B.Any of the treatment groups in a randomized trial C.The process of learning the key facts about a clinical trial before deciding whether or not to participate D.A modification of the effect of the drug when administered with another drug E.None of the above

Answers

Answer:

A. Protocols.

B. ARM.

C. Informed consent.

D. Drug interaction.

Explanation:

A. Protocols: A study plan on which all clinical trials are based. This study plan should be designed carefully in order to protect the participant's health while addressing specific research questions.

B. ARM: Any of the treatment groups in a randomized trial. Thus, it is typically the different segments of study.

C. Informed consent: The process of learning the key facts about a clinical trial before deciding whether or not to participate.

D. Drug interaction: A modification of the effect of the drug when administered with another drug.

Analyze and explain how Morphine can be both helpful and harmful depending on the circumstances.

Answers

Answer:

It can build up in the pancreas and liver, it can mess up the heart too

Explanation:

Morphine can be helpful when you are experiencing physical pain and need a way to numb. But because it numbs pains people may become addicted to it which then they become drug addicts. Cons of having Morphind include: stomach pain and cramps, drowsiness mood changes , and difficulty urinating

What is the root word and suffix
for retinopathy

Answers

Answer:

tino, pathy

Explanation:

Socially defined rules of behavior.

Answers

Answer:

This is just kind of a guess sorry if it wrong TwT. I most likely got the wrong info

Explanation:

Norms are socially defined rules of behavior that include: folkways, laws, and mores. SANCTIONS. They are social consequences for conforming to or violating norms. SYMBOLS. Are something that can represent something else.

A 31 y.o. African-American female collapses at mile 20 of a marathon. Although the temperature is in the 60’s she was advised by her coach to drink as much water as possible. She vomits a large volume of clear fluid and has a seizure. Her BP is 134/74. A serum sodium is found to be 122 mmol/L. What would your next step would be?

Answers

Answer:

1 liter of 3% saline

Explanation:

Which national professional organization is an advocate for physicians and their patients?

Answers

Answer:

the American Medical Association or AMA

Explanation:

The American Medical Association “AMA”

Justificacion de apendicitis en pacientes pediatricos abordando la importancia de dar un diagnostico adecuado para evitar alguna complicacion.

Answers

Answer:

La apendicitis es una inflamación bacteriana del apéndice del ciego, parte del intestino grueso. El diagnóstico de apendicitis por parte de los médicos es a veces sencillo, pero a menudo muy difícil de realizar, dado que la inflamación en dicha zona puede deberse a dicha causa como a otras muy diversas. En caso de duda, el apéndice se suele extirpar porque es mucho peor no operar un apéndice inflamado (con riesgo de perforación, seguido de una peritonitis potencialmente mortal y formación de abscesos) que un apéndice sano (en retrospectiva) innecesario extraer. Aproximadamente la mitad de los apéndices eliminados resultan no estar infectados.

A2 year old boy was brought to the emergency department by his mother for oozing blood from his mouth following a fall neatly 6 hours ago. His mother related that he tended to bleed for prolonged periods from his immunization sites, but there was no history of bruising or hematomas The patient was on antibiotics for a recent car infection. There was no known family history of a bleeding disorder

Answers

Answer:

He may have some form of internal bleeding following the fall and the fact that he sometimes has prolonged bleeding could indicate hemophilia or some other blood clotting disorder. Also, since the patient was recently on antibiotics this could be a factor of the bleeding as it's possible he could have developed thrombocytopenia which is causing the excessive bleeding.

According to the question, there might be a chance of haemophilia or some other blood clotting disorder.

What do you mean by Haemophilia?

Haemophilia is a rare disease that affects the blood's ability to clot.

It's usually inherited. Most people who have it are male. Generally, when you cut yourself, substances in your blood known as clotting factors mix with blood cells called platelets to make your blood sticky and form a clot.

Thus, there is a  chance of haemophilia or some other blood clotting disorder.

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Shaken Baby Syndrome (SBS) is:

Select one:
a. A form of punishment or neglect
on
b. Child abuse involving the shaking of a baby
c. Always seen with visible bruises
d. Caused by birth, CPR, or genetic disorder

Answers

Answer:

b. child abuse

Explanation:

cause by some shaking the baby when caretaker or parent overwhelmed

TAKE 100 PONTS!!!!!PLEASE HELP ME JUST LOOK THE PICTURE​

Answers

The first person I correct. I agree so it shouldn’t be wrong lol

Answer:yes

Explanation:

2.3 Discussion: E-cigarettes
Graded Discussion
Discussion Topic
No Response(s)
The discussion is where you discuss a specific health topic with the rest of the class.
Read through the topic thoroughly, then post your thoughts on the appropriate discussion
board. Write at least one well-developed paragraph. As this is a discussion, don't forget to
respond to at least two other students. Please be courteous and use proper netiquette.
New
Discussion 2.3 E-cigarettes
Be the first to res
E-cigarettes are becoming a popular alternative to smoking. Do you feel that E-cigarettes
should be subject to the same laws and restrictions as regular cigarettes? Why or why
not?
Exit Graded Discussion

Answers

Answer:

To round a number to the nearest tenth , look at the next place value to the right (the hundredths). If it's 4 or less, just remove all the digits to the right. If it's 5 or greater, add 1 to the digit in the tenths place, and then remove all the digits to the right.

Veno-occlusive disease is a disease involving damage to the sinusoids in the liver and is caused by
(a) ricin
(b) digoxin
(c) monocrotalin
(d) formic acid

Answers

(d) formic acid, is the correct answer to this question.

Why does the nurse have to adjust the bed and bed tray to the waist level and lower the nearest side rail?

Answers

Positioning the patient based on their condition or injury, or in less extreme cases just where theyre more comfortable.

They need specific placements of the rails for their own accessibility

The nurse has to position the bed and the bed to the waist level and lower the nearest side rail according to the injury suffered by the patient.

What are various bed positions?

Proper positioning of the bed is very important for various reasons. A patient should be protected from bed sores, contractures and foot drops when they are being treated.

Another thing to take care of is the comfort of the patient who has lost or decreased mobility due to an accident or an injury suffered by them.

Other than bed positioning, positioning of pillows, blankets etc should also be taken care of for maximum comfort of the patient.

Bed positioning is very important for a patient and some of the common ones are Sims position, Sopine position, Lateral position etc.

Moving a patient while they are in bed is also extremely important. Depending on the level of ability of the patient to move by themselves, mechanical lifts may or may not be used.

Therefore, according to the injury or level of comfort of the patient, bed postions are adjusted.

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Following a motorcycle crash, a 29-year-old man has pain and deformity to both of his femurs. He is conscious but confused, and his
vital signs indicate shock. EMTs are en route to the scene. You should:

Answers

Answer:

You should secure his legs together with cravats

Explanation:

Being consistent with toddlers
A. Reduces stress and anxiety
B. Repeats a routine or expectation so the toddler knows what to expect
C. Minimizes problems such as going to bed
D. All of the above

Answers

This answer is definitely d because you have to do all of THEESE with toddlers

Discussion Topic
No Res!
The discussion is where you discuss a specific health topic with the rest of the class.
Read through the topic thoroughly, then post your thoughts on the appropriate discussion
board. Write at least one well-developed paragraph. As this is a discussion, don't forget to
respond to at least two other students. Please be courteous and use proper netiquette.
Discussion 2.2 Alcohol Laws
Do you believe that the current alcohol laws are strict enough, or are they too strict?
Why?
Exit Graded Discussion
ASAP

Answers

Answer:

I think they are not stricked enough because of the number rate of deaths caused by achohol.  There are 95,000 deaths in the United States each year, or 261 deaths per day. These deaths shorten the lives of those who die by an average of almost 29 years, for a total of 2.8 million years of potential life lost. If the achohol laws were more stircked this would not happen. There are many people being abused by alcoholics which when children grow up around alcoholics they most likly beome and alcoholic.

Explanation: Phew! I get pationate talking about this type stuff. If this does not get you an A then I dont know what will. Plz mark brainliest

Charlie, a pharmacy technician, is in charge of the inventory, including ordering the drugs required by the pharmacy, stocking the shelves, and logging all the new drugs. He needs to order several drugs he had never heard of and does not know which conditions to place them in. He also found that a couple of drugs were classified as radioactive.

Answers

Answer:i think the answer is a) he would use drug info references to help him place the drug order, general references to determine how to store the drugs, and specific references to figure out how to work with radioactive drugs

Explanation:

what is red blood cell osmometry​

Answers

Answer:  This in vitro study arose from observations made in

the intensive therapy unit. It had been noted that

a raised mean corpuscular volume (MCV), as

measured by the Coulter Counter Model S,* could

coexist with hypernatraemia in certain states of

hyperosmolality.

The postulated underlying mechanism was that

the rate of movement of osmotically active particles,

particularly d-glucose, into the intracellular compartment exceeded their removal by normal intracellular metabolism. The result of this state would

be water shift to produce an expanded intracellular

space, a depleted extracellular space, and a rise in

plasma sodium, reflecting the overall rise in

osmolality. The observed rise in MCV would

therefore reflect this pattern, and the MCV would

function as an indicator of intracellular osmolality.

The Coulter S Counter is a widely used instrument

in haematology laboratories. The MCV is measured

by determination of the mean pulse height generated

during the period of electronic cell counting calibrated by reference to known blood specimens. The

'Coulter Principle' of one-by-one counting and

sizing of particles is now well estab

Explanation:

How does the thoracic cage assist in breathing?
O Muscles in between the ribs can change the
shape of the chest during breathing.
0 The thoracic cage contains tissues that warm,
moisten, and filter the air we breathe.
o The thoracic cage contains cartilage that
assists in moving the chest when we breathe.
O Muscles in the thoracic cage are directly
attached to the lungs, which open during
breathing.

Answers

Answer:

They breathing clean and pure

Answer: A.) Muscles in between the ribs can change the shape of the chest during breathing.

Explanation:

Muscles in the thoracic cage cause the chest to expand and contract when people breathe. These muscles are located in between the ribs.

Katherine, a 30-year-old woman, has had difficulty recalling certain time frames from her childhood, and she becomes anxious when returning to her grandparents’ home to visit. Katherine is most likely suffering from __________.
A.
dissociative amnesia
B.
demoralization
C.
dissociative identity disorder
D.
dissociative fugue

Answers

Answer: A. dissociative amnesia

According to the symptoms of Katherine, she is most likely suffering from dissociative amnesia.

Dissociative amnesia is a functional amnesia, usually partial and selective, characterized by the inability to recall information related to traumatic or stressful events.

It usually appears as a consequence of the experience of a highly traumatic or stressful event.

The main symptom of dissociative amnesia is a significant impairment in the ability to remember important personal information.

Therefore, we can conclude that dissociative amnesia originate as a reaction to an extremely stressful situation and arise as a defense mechanism.

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When a body needs to be examined, the Medical Examiner's job begins,
O at the crime scene
in the transport vehicle on the way to the morgue
as soon as the body arrives at the morgue
after the police have prepped the body at the morgue

Answers

Answer:

Explanation:im sorry i dont know try looking it up on the internet

Medical Examiner's job begins to examine the body at the crime scene in situations where it i necessary.

What is a Morgue?

This is a room which is used to store human corpses which are awaiting identification, autopsy etc.

Medical Examiner known as forensic pathologist study the body at the crime scene to get details such as the time of death.

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A nurse is caring for a client who has a prescription for etanercept. The nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?​

Answers

Answer: A. inactivation of tumor necrosis factor

Explanation:

The options include:

a. inactivation of tumor necrosis factor

b. inhibition of osteoclast activity

c. decreasing the reuptake of serotonin

d. interference with the production of lymphocytes

Etanercept is simply referred to as a form of drug that's called the biological therapy. It is refered to as an anti-TNF drugs as it helps in the blocking of TNF and also in the reduction of inflammation.

From the question, the nurse should identify that etanercept treats rheumatoid arthritis by the inactivation of the tumor necrosis factor.

Other Questions
Carlin and Marley, an accounting firm, provides consulting and tax planning services. For many years, the firm's total administrative cost (currently $270,000) has been allocated to services on this basis of billable hours to clients. A recent analysis found that 55% of the firm's billable hours to clients resulted from tax planning services, while 45% resulted from consulting services. The firm, contemplating a change to activity-based costing, has identified three components of administrative cost, as follows: Staff Support$200,000 In-house computing charges 50,000 Miscellaneous office costs 20,000 Total$270,000 A recent analysis of staff support found a strong correlation with the number of clients served. In contrast, in-house computing and miscellaneous office cost varied directly with the number of computer hours logged and number of client transactions, respectively. Consulting clients served totaled 35% of the total client base, consumed 30% of the firm's computer hours, and accounted for 20% of the total client transactions. If Carlin and Marley switched from its current accounting method to an activity-based costing system, the amount of administrative cost chargeable to consulting services would: WILL MARK BRAINLIST!!! Sarah spends 1/6 hour vacuuming her mom's car. She spends 4 times as long washing the car. Then she spends twice as long waxing the car as she does washing the car. What is the total amount of time Sarah spends vacuuming, washing, and waxing her mom's car?A. 1 1/6 hrB. 1 1/3 hr C. 2 1/6 hrD. 2 5/6 hr Can you please help me? In a certain town there were 348 robberies last year. This year the number of robberies has gone down 40%. How many robberies were there this year, to the nearest whole number? How were tenant farmers different from sharecroppers?A. Tenant farmers owned all their equiptmentB. Tenant farmers usually didn't pay rent for their homesC. Tenant farmers brought their seed from the ownerD. Tenant farmers usually made a small profit Which group of microorganisms has the ability to mutate? Complete the text with the Future Continuous, Future Perfect Simple, or Future Perfect Continuous forms of theverbs in brackets.2050 - Cities of the FutureBy 2050, human beings will have been building (build) and living in cities for around 10,000 years. It is estimated that,by this date, more than 70 percent of the world's population will be living (live) in urban environments. Inpreparation for this, developers in the US alone(construct) nearly ninety million new homes by 2050. Thecities of the future are likely to be much cleaner places than those we inhabit today. By then architects(design) buildings that use smart materials to help reduce air pollution and we (use) less fossil fuel and morealternative energy for decades, making cities considerably less polluted than they are today. Solar panels(become) the norm on most buildings by 2050, and we (recycle) a much larger proportion of our waste thanwe do today. Where will you be living in 2050? Wherever it is, it is very likely to be in a city(10) HELP!! Find the distance between each pair of points. Round your answer to the nearest 10th if necessary. 1.If you were a citizen in 1796, which political party would you have identifiedwith and why? -Federalists or Democratic- Republicans? 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Notes should correctly capture the key ideas of a text in the note-takers own words. D. Notes should be written as lists, short phrases, or other abbreviated styles of text. The inflation of airbags is due to the breakdown of a single chemical substance into two separate substances.Two molecules of sodium azide (NaN3) break down into sodium (Na) and nitrogen gas (N2) during the reaction.How many sodium (Na) atoms are produced in the reaction?1 Na atom2 Na atoms3 Na atoms What is the value of x in the equation?3(2x+3)=27 What is the equation of the line that passes through the point (-5, 3) and has aslope of -6/5 CAN SOMEONE PLEASE HELP ME I NEED THIS ASAP The volume of a cylinder is 471 cm? If theheight is 6 cm, calculate the radius.Someone plz help How does expanding our west and slavery connect?Group of answer choicesIt granted freedom to enslaved people in the Southern states.Abolitioist began to protest the spread of slavery in the new territories while Southerner's felt there rights should not be restricted by geography.The debate over slavery's expansion to the North is important.The Civil War would have to bring an end to slavery.