the nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. the nurse has trimmed the flange of the new appliance to a diameter of 7 cm. what will be the most likely outcome of the nurse's action?

Answers

Answer 1

The most likely outcome of the nurse's action is a risk that the peristomal skin will become excoriated, which means option A is the right answer.

Ileostomy is the procedure in which the waste material is removed out of the body because of the inefficient functioning of colon, and rectum. It is important to remove waste from the body mainly because of the chances of getting rectum infection or even cancer. In the ileostomy procedure, the sphincter muscles are removed due to which the patient is no more able to control the pressure of waste exerted on the rectum. An ileostomy is a major surgery and requires some recovery time. If the diameter is increased then the chances of surgery marks being evident on the skin.

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Refer to complete question below:

The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. What will be the most likely outcome of the nurse's action?

A. A risk that the peristomal skin will become excoriated

B. The appliance will need to be changed daily.

C. The appliance will fit securely to the client's skin.

D. A heightened risk that the stoma will prolapse


Related Questions

which term best describes viewing medical treatment as an active intervention to produce a counteracting reaction in an attempt to neutralize the effects of disease?

Answers

The term used to describe this type of medical treatment is counteractive intervention therefore the correct option is A.

This type of intervention is used to  laboriously  offset the  goods of a  complaint or illness. It works by using  specifics or other treatments that have the  contrary effect of the  complaint or illness. For  illustration, if a case has an infection, the curative intervention may be to use an antibiotic to fight the infection.

Or, if a case has a heart condition, the curative intervention may be to use  specifics to regulate the heart rate and blood pressure. Curative interventions can also include  life changes,  similar as diet and exercise, to help  offset the  goods of a  complaint or illness. Eventually, curative interventions are used to reduce the  inflexibility of a  complaint or illness.

Question is incomplete the complete question is

which term best describes viewing medical treatment as an active intervention to produce a counteracting reaction in an attempt to neutralize the effects of disease?

a. counteractive intervention

b.imperial intervention

c. none

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which finding for a client who has just returned to the nursing unit after bronchoscopy and lung biopsy would be most important to report to the health care provider ?

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The findings of a client who has just done a bronchoscopy and lung biopsy that is important to report to the health care provider are the absence of cough and gag reflexes.

After bronchoscopy and lung biopsy, a person should still have their gag reflexes and still be able to cough. The absence of these abilities indicates that the client doesn't have any protective airway reflexes, which makes them at risk of aspiration.

Pulmonary aspiration is where vomit, saliva, liquids, and food are breathed into the airways. It may lead to pneumonia or even death by suffocation. It can be caused by a large intake of alcohol, being less aware because of medication, or surgery.

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a patient in the emergency room (er) has been prescribed prochlorperazine for nausea. by which mechanism of action does this medication work?

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Prochlorperazine works by blocking dopamine receptors in the chemoreceptor trigger zone.

Prochlorperazine is a drug that is primarily used to treat nausea, migraines, schizophrenia, psychosis, dan anxiety. It can be taken by mouth, by injection into a vein or a muscle, or even rectally. The usage of prochlorperazine may induce blurry vision, sleepiness, low blood pressure, and dizziness.

Prochlorperazine works to exert its antipsychotic effects by blocking the dopamine receptor in the central nervous system/chemoreceptor trigger zone. It is analogous to chlorpromazine since both of them antagonize dopaminergic D2 receptors. The D2 blockade leads to antipsychotic, antiemetic, and other effects.

Your question seems incomplete. The completed version is most likely as follows:

A patient in the emergency room (ER) has been prescribed prochlorperazine for nausea. By which mechanism of action does this medication work?

1. Blocking dopamine receptors in the chemoreceptor trigger zone (CTZ)

2. Blocking histamine1 receptors in the gastrointestinal (GI) tract

3. Blocking serotonin on vagal nerve terminals

4. Stimulating gastric emptying and peristalsis

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a client presents to the health care provider's office with a skin infection on the forearm. the infection is resistant to over-the-counter antibiotics. after receiving the culture and sensitivity results, the provider orders tigecycline. the nurse knows that this client has what illness?

Answers

After receiving the culture and sensitivity results, the nurse knows that his client has Methicillin-resistant Staphylococcus aureus (MRSA). The order for tigecycline suggests that the culture and sensitivity results showed that the infection may be resistant to other antibiotics, and tigecycline is being used as a treatment option

Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that is resistant to several antibiotics, including methicillin and other beta-lactam antibiotics. It is a common cause of skin and soft tissue infections, such as boils, impetigo, and cellulitis. MRSA can also cause serious infections in the bloodstream, lungs, bones, and joints. MRSA is spread through skin-to-skin contact or by touching contaminated surfaces, and it can be especially dangerous for people with weakened immune systems, such as the elderly, people with chronic illnesses, and hospitalized patients.

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the nurse knows the client on continuous ambulatory peritoneal dialysis (capd) understands his treatment when the client states:

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Sending fluid to the lab for culture is the best first nursing step; cloudy diasylate denotes infection (peritonitis). To identify the microorganisms present, a cultured of the fluid should be performed.

What is the purpose of continuous ambulatory peritoneal dialysis?

Normally, our kidneys filter the blood, removing waste materials and extra fluid. If your kidneys have failed, continuous ambulatory peritoneal dialysis (CAPD) can replace your kidney function utilising the membrane encasing your internal organs (the peritoneum).

What distinguishes continuous ambulatory peritoneal dialysis from that?

Automated peritoneal dialysis (APD), on the other hand, is a general term used to describe all variants of PD that use a mechanical device to help in the delivery and drainage of dialysate. Continuous ambulatory peritoneal dialysis (CAPD) includes conducting the PD exchanges manually.

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to prevent potential aspiration, which technique would the nurse use when cleaning a tracheostomy tube that has a nondisposable inner cannula ?

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The technique that the nurse would use when cleaning a tracheostomy tube with a nondisposable inner cannula to prevent potential aspiration is by applying precut dressing around the insertion site with the flaps pointing upward.

Aspiration, or more specifically pulmonary aspiration, is a medical condition where food, liquid, or small particles are breathed into the airway and eventually end up in the lungs by accident. It can lead to serious health issues like pneumonia and lung scarring. A precut dressing can be used to prevent raveling and the potential aspiration of small particles of gauze into the airway, reducing the risk factor for the client.

Your question seems incomplete. The completed version is most likely as follows:

To prevent potential aspiration, which technique would the nurse use when cleaning a tracheostomy tube that has a nondisposable inner cannula?

A. Apply precut dressing around the insertion site with the flaps pointing upward.

B. Replace the tube with a sterile obturator.

C. Use sterile cotton balls to cleanse the outer cannula.

D. Remove the cannula after the high-volume, low-pressure cuff has been deflated.

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a client with a superficial partial-thickness solar burn (sunburn) of the chest, back, face, and arms is seen in urgent care. the nurse's primary concern should be:

Answers

The nurse's primary concern for a client with sunburn is to cool and hydrate the skin.

What are sunburns?

Sunburn is a type of burn caused by excessive exposure to two types of UV radiation, namely UVA rays and UVB rays. Both types of UV rays come from exposure to sunlight or from UV-producing machines, such as tanning beds.

When it enters the skin, UV rays will damage skin cells. These damaged skin cells will then trigger an immune response that triggers the body to destroy these damaged cells naturally. This process causes redness and peeling of the skin. So if you experience a sunburn, all you have to do is cool and hydrate your skin.

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a client needs a high-risk surgical procedure. according to the leapfrog group, the client should choose which hospital for care during this procedure?

Answers

If a client needs a high-risk surgical procedure, the Leapfrog Group recommends that they choose a hospital with an "A" grade for safety.

The Leapfrog Group is a nonprofit organization that evaluates and reports on the safety and quality of healthcare facilities across the United States. They have developed a Hospital Safety Grade system that assigns grades to hospitals based on their performance in preventing medical errors, injuries, accidents, and infections.

Hospitals with an "A" grade have demonstrated a commitment to patient safety and quality improvement, and have lower rates of adverse events such as infections and medical errors.

Clients can use the Leapfrog Group's Hospital Safety Grade system to research hospitals in their area and make informed decisions about where to receive care. The Leapfrog Group's Hospital Safety Grades are updated twice per year and are based on a comprehensive review of publicly available data sources, including the Centers for Medicare and Medicaid Services, the Agency for Healthcare Research and Quality, and the Centers for Disease Control and Prevention.

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in the supine patient, in what anatomic location does free pelvic fluid tend to most readily collect? group of answer choices anterior cul-de-sac

Answers

The anatomic position where the pelvic fluid are found is cul-de-sac n the supine patient.

The uterus may be surrounded by two significant anatomic position. The posterior cul-de-sac, also known as the Douglas pouch or the rectouterine pouch, is situated between the uterus and the rectosigmoid colon. The posterior cul-de-sac is the most reliant intraperitoneal structure in the pelvis in the supine patient. Pelvic ultrasonography frequently shows free pelvic fluid (both normal and pathologic) accumulating in the posterior cul-de-sac. The vesicouterine pouch (or anterior cul-de-sac) is positioned anterior to the uterus.

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a middle-aged client is to receive tetracycline for treatment of h. pylori infection, as well as continue with digoxin for a history of heart disease. the nurse will be prepared to monitor the client for which potential condition?

Answers

Nurses will be prepared to monitor clients taking digoxin and tetracyclines for potential conditions of increased heart rhythm.

What is digoxin?

Digoxin is a drug to treat heart rhythm disturbances (arrhythmias). In addition, this drug can also be used to treat heart failure. Digoxin is available in tablet and injection forms.

Digoxin is a cardiac glycoside drug that works by affecting several types of minerals, namely sodium, and potassium in heart cells. This way of working will reduce the heart's workload, help return the heart rhythm to normal and stable, and strengthen the heartbeat. So a potential condition that needs attention is an increase in heart rate rhythm.

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the nurse is chaning a film dressing over a wound that is showing a large amount of drainage. how should the nurse proceed

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A wound with significant drainage is being changed by the nurse with a film dressing. For this wound, the nurse ought to use a different kind of dressing.

Which patient should the nurse take into account when applying a clear film for wound care?

They work well on wounds that have a lot of exudate. Oxygen can be exchanged between the environment and the wound thanks to transparent coatings. For small, partially-thickened wounds with little drainage, they work well.

Which of the following dressings can be applied to infected wounds and is used to absorb extensive drainage that requires additional dressing to cover?

Alginate dressings are appropriate for wounds with moderate to high drainage but are not advised for dry wounds, wounds with third-degree burns, or severe wounds with exposed bone.

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The given question is incomplete. The complete question is:

The nurse is changing a film dressing over a wound that is showing a large amount of drainage. How should the nurse proceed?

a. Apply a film dressing after culturing the wound.

b. Apply a film dressing after cleansing the area.

c. Choose another type of dressing for this wound.

d. Keep the wound open to air.

a nurse performing a skin assessment uses the back of the hand to feel the client's skin on both arms and notes that the skin is warm. what does the nurse determine?

Answers

The nurse has to determine the client that has warm skin. warm skin is the sign of the increased blood circulation.

It can indicate a variety of health conditions. It can be the result of infection, inflammation, or indeed fever. Since the  nurse  is performing a skin assessment, it's important to note any changes in temperature to determine if  farther  disquisition is necessary. Depending on the other findings from the assessment,

The  nurse    may recommend  farther testing to determine the cause of the warm skin. However, they may recommend  farther testing or treatments to address the underpinning cause, If the  nurse  finds a fever or inflammation. Warm skin is just one part of the complete assessment and should be considered in the  environment of the other findings.

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the nurse is caring for a client who has heart failure and has a new prescription for sacubitril/valsartan. which client information is most important to discuss with the health care provider before administration of the medication?

Answers

Answer: Wouldn't it be patient history?

Explanation:

I say this because if they have another illness/factor and/or prescription that can combat sacubitril/valsartan then more health issues can arise, no? That's just my take on it

Jaquan, who suffers from epilepsy because of too much glutamate, might be prescribed a drug containing _____ because this type of neurotransmitter inhibits information transmission.

Answers

Since glutamate hinders information transmission, a medicine containing it may be recommended for Jaquan, who has epilepsy due to an excess of this neurotransmitter.

What type of neurotransmitter causes epilepsy?

Even though excitatory glutamatergic neurotransmission may not always be the main underlying pathogenic mechanism, it is generally responsible for the start and progression of seizure activity.

What causes depolarization in glutamate?

When the presynaptic, or signal-sending, neuron depolarizes, glutamate, a neurotransmitter, is released into the gap in a synaptic connection. A postsynaptic neuron's NMDA and Agouti - related receptors bind to glutamate, which can start a motor neuron (AP).

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Bismuth subSalicyalte
Trade
Dosage
Generic

Answers

Bismuth subsalicylate is a medicine which is used widely to treat diarrhea, relieve stomach ache, upset stomach, heart burn, etc.

What is Bismuth subsalicylate?

Bismuth subsalicylate is used widely to treat diarrhea in adults and teenagers. Bismuth subsalicylate is sold generically as pink bismuth and under the brand names such as Pepto-Bismol and BisBacter. It is an antacid medication which is used to treat temporary discomforts of the stomach and the gastrointestinal tract, such as nausea, heartburn, indigestion, upset stomach, and diarrhea.

Dosage to be taken as per the guidelines for adults are 2 tablets of 262 mg/tab or 30 ml of regular strength orally every ½-1 hour as needed and the maximum daily dose can be 8 regular-strength doses or 4 extra-strength doses

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the nurse is preparing to administer ear drops to a 2-year-old client. the nurse would pull the pinna in which direction?

Answers

Answer:

For children under 3: Hold ear lobe and gently pull down and back. For children 3 and over: Hold upper part of ear and gently pull up and back. 2. Place the correct number of drops into the ear canal so they will roll into the ear along the side of the ear canal.

a nurse is preparing to administer phenazopyridine to a client. to help promote maximum effectiveness, the nurse should prioritize which time to administer this drug?

Answers

The nurse should prioritize after the meal to administer this drug.

What is Phenazopyridine?

Phenazopyridine is defined as a drug that, when excreted by the kidneys in the urine, has a local analgesic effect on the urinary tract, which is used to relieve pain, burning, or pain caused by urinary tract infection, surgery, or injury.

Phenazopyridine is not an antibiotic and will not cure an infection It is available only with a prescription.

Thus, the nurse should prioritize after the meal to administer this drug.

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the nurse is caring for a patient who recently had unprotected sex with a partner who has hiv. which response by the nurse is best? group of answer choices

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The best response by nurse who is caring for a patient who recently had unprotected sex with a partner who has HIV is option c. "Highly active antiretroviral therapy has been shown effective in slowing the disease process."

HIV weakens the immune system and impairs the body's capacity to fend against illness and infection. Contact with contaminated blood, semen, or vaginal secretions can transfer HIV.

Highly active antiretroviral therapy prevents the virus from replicating inside the body. This may decrease the harm that HIV does to the immune system and delay the onset of AIDS. Additionally, it might help stop the spread of HIV to others, notably from mother to child during childbirth.

The question is incomplete, find the complete question here

The nurse caring for a patient who recently had unprotected sex with a partner who has HIV. Which response by the nurse is best? group of answer choices.

a. "You should have your blood drawn todays to see if you were infected"

b. "I you have the virus, you will have flu-like symptoms in 6 months"

c. "Highly active antiretroviral therapy has been shown effective in slowing the disease process"

d. "I will set you up with a support group to help you cope with dying within the next 10 years"

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a client is diagnosed with bacterial pneumonia. pending culture results, what would the nurse expect the health care provider to order?

Answers

A client is diagnosed with bacterial pneumonia and the nurse would expect the health care provider to order antibiotics.

The majority of pneumonia patients react favourably to therapy, although the condition can be extremely dangerous and even fatal. If you're an older person, a small child, have a compromised immune system, or suffer from a chronic illness like diabetes or cirrhosis, you are more likely to experience difficulties.

Bacterial pneumonia is treated with antibiotics. Finding the right antibiotic to treat your pneumonia may take some time depending on the sort of bacteria causing it. A different antibiotic can be suggested by your doctor if your illnesses don't get better.

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the nurse is planning on doing a nursing/health history on a new client by performing an interview. which elements are considered phases of the nursing interview? select all that apply.

Answers

The elements which are are considered as phases of the nursing interview are assessment, introduction, planning, and evaluation.

The nurse will review any subjective and objective information gathered from the patient's history during the assessment phase. Objective data examples include trends in oxygen saturation from the chart or proof that the patient's oxygen litre flow was increased multiple times overnight.

The process evaluation is the last step in the nursing process. It occurs after the interventions to determine whether the objectives were achieved. The nurse will decide how to assess the efficacy of the objectives and treatments during the evaluation. Trending the patient's oxygen saturation levels over the course of the shift would be one evaluation method for a patient with respiratory problems.

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the nurse is planning on doing a nursing/health history on a new client by performing an interview. which elements are considered phases of the nursing interview? select all that apply.

Assessment

Planning

Introduction

Termination

Evaluation.

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Scientists are continuously advancing our understanding of the importance of the human gut microbiome in health and disease. Which of the following is not a challenge associated with studying the human microbiome?A. The gut environment is predominantly anaerobic, and most of its microorganisms cannot be cultured in the lab.B. It is difficult to investigate microbial biofilms in vitro, or outside of the host.C. The microbiomes of healthy individuals are incredibly diverse.D. Genomic sequencing of the gut microbiome cannot be completed if the microorganisms cannot be cultured in the lab.

Answers

It is not difficult to examine the human microbiome because healthy people have very diverse microbiomes.

What is accurate regarding the interaction between the human gut microbiome and humans?

In their guts at birth, humans have the fewest distinct microbe species; by the time they reach adulthood, they have the highest diversity of distinct species. When a person is born, a same type and quantity of microbe species are present in your gut as when they die.

Why is the human gut microbiota vital for health?

In a healthy state, your gut microbiota perform a wide range of beneficial tasks, including energy recovery through the metabolism of nondigestible dietary components, host defense against pathogenic invasion, and immune system modulation.

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the nurse is providing care to a patient who is diagnosed with terminal lung cancer. the patient is lying in the supine position with noisy wet respirations noted and is not breathing well. the patient has a living will which designates the implementation of comfort measures. which action by the nurse is appropriate? 1) withhold all care until the patient dies. 2) provide the patient with pain medication as ordered. 3) ask the family what they want to be done for the patient. 4) reposition the patient to a lateral position, with the head elevated as tolerated.

Answers

The correct action for the nurse to assist the patient's breathing with a diagnosis of terminal lung cancer is 4) reposition the patient to a lateral position, with the head elevated as tolerated.

What is lung cancer?

Lung cancer is cancer that forms in the lungs. Although it often occurs in smokers, lung cancer can also occur in non-smokers. In non-smokers, lung cancer occurs due to frequent exposure to cigarette smoke from other people (passive smokers) or exposure to chemicals in the work environment.

Lung cancer often causes no symptoms in its early stages. New symptoms appear when the cancer is large enough or has spread to surrounding tissues and organs. Some of the symptoms that lung cancer sufferers can feel are chronic coughing, shortness of breath, coughing up blood, and chest pain.

If someone has been diagnosed with lung cancer and has difficulty breathing, it can be done by changing the patient's position to the lateral position, with the head elevated according to tolerance.

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4.Which statement indicates a client understands teaching about the purified protein derivative(PPD) test for tuberculosis?A."I will come back in 1 week to have the test read."B."If the test area turns red that means I have tuberculosis."C."I will avoid contact with my family until I am done with the test."D."Because I had a previous positive reaction to the test, this time I need to get a chest X-ray".

Answers

The statement that shows that the client has understood the teaching about the purified protein derivative test is Because I had a previous positive reaction to the test, this time I need to get a chest X-ray.

Purified protein derivative (PPD) is an extract of a specific pathogen called tuberculin, a viral substance derived from Mycobacterium tuberculosis, commonly identified as tuberculosis. It is a contagious airborne disease that can be transmitted from one patient to another by airborne droplets.

A statement from the client that, since he had previously tested positive, this time he needs a chest X-ray to show that he understands the purified protein derivative test.

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to prevent paresthesia when administering an ia block the clinician should group of answer choices consider the risks verses the benefits of using a 0.5% solution. consider the risks verses the benefits of using a 2% solution. consider the risks verses the benefits of using a 3% solution. consider the risks verses the benefits of using a 4% solution.

Answers

To prevent paresthesia when administering an IA blick the clinician should consider the risks versus the benefits of using a 4% solution.

Paresthesia is a sensation of burning or tingling that frequently affects the hands, arms, legs, or feet but can also occur in other parts of the body. Itching, skin crawling, or tingling is terms used to describe the abrupt onset, which is usually harmless. Most people have experienced brief paresthesia, sometimes known as "needles," at some point in their lives after sitting with their legs crossed or sleeping with an arm under their head. When a nerve is subjected to sustained pressure, it happens. When the pressure is relaxed, the sensation quickly goes away. Chronic paresthesia is typically an indication of serious nerve damage or neurological disorder.

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You would expect to summon more advanced personnel if you assess which of the following? Select all that apply.
A prolonged chest pain
B difficulty breathing
C vomiting
D intermittent abdominal pressure
E seizure

Answers

expect to summon more advanced personnel you assess of the following prolonged chest pain ,difficulty breathing, seizure .

What causes a seizure to happen?

Anything that interrupts the normal connections between nerve cells in the brain can cause a seizure. This includes a high fever, high or low blood sugar, alcohol or drug withdrawal, or a brain concussion. But when a person has 2 or more seizures with no known cause, this is diagnosed as epilepsy.

What happens during a seizure?

A seizure is a medical condition where you have a temporary, unstoppable surge of electrical activity in your brain. When that happens, the affected brain cells uncontrollably fire signals to others around them. This kind of electrical activity overloads the affected areas of your brain.

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In the event of prolonged chest pain, difficulty breathing, or a seizure, we would anticipate contacting more experienced personnel.

In this case, choice E is appropriate.

What results in a seizure?

A seizure can be brought on by anything that breaks the regular connections between the brain's nerve cells. Included in this are a high fever, low blood sugar, alcohol or drug withdrawal, a concussion, and high or low blood pressure. However, epilepsy is identified when a person has two or more seizures without a known cause.

What transpires throughout a seizure?

When you have a seizure, your brain experiences a brief, uncontrollable surge of electrical activity. When that occurs, the brain cells that are affected send out signals to those nearby in an uncontrollable manner. in this manner .

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four newborns were admitted into the neonatal nursery 1 hours ago. they are all sleeping under radiant warmers. which of the babies should the nurse ask the neonatologist to evaluate?

Answers

The babies should the nurse ask the neonatologist to evaluate The neonate with nasal flaring. if newborns admitted into the neonatal nursery 1 hours ago.

Who is a neonatologist?

Diagnose and treat neonatal diseases such as respiratory diseases, infections, and birth defects. Coordinate care and medical care for newborns born prematurely, seriously ill, or requiring surgery.

Is a neonatologist a pediatrician?

A neonatologist is a pediatrician of newborns with injuries or medical conditions that require special care. Neonatologists start out as pediatricians but then receive specialized training in neonatology. Neonatologists focus only on newborns whose lives are at risk due to illness or birth defects. 

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a nurse would expect to see which result upon taking the blood pressure (bp) of a patient with a known diagnosis of chronic kidney disease (ckd)?

Answers

180/100 is a very high BP and would be seen in a patient with Chronic kidney disease  CKD due to sodium and water retention, so the nurse can expect this reading.

CKD is a disorder in which the kidneys get damaged and are unable to filter blood as effectively as they should. As a result, extra fluid and waste from the circulation linger in the body, potentially leading to various health issues such as heart disease and stroke.

The nurse would give the CKD patient a blood pressure measurement of 180/100.

This is a high blood pressure, and it is a typical sign of someone who has been diagnosed with chronic kidney disease.

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you are teaching a patient how to administer clonidine (catapres) using the transdermal patch system. how often do you teach the patient to change the patch?

Answers

When you teaching a patient how to administer the clonidine using the transdermal patch system. It is important to explain to the case that the patch should be changed every seven days.

The seven- day interval provides the case with a  harmonious release of the  drug from the patch,  thus  furnishing the case with a steady cure of the  drug. Prior to changing the patch, the case should remove the old patch and dispose of it  duly.

When applying the new patch, the case should  insure that the patch is placed on an area of the skin that's clean, dry, and free of canvases , maquillages, and poultices. The case should also make sure to press the patch  forcefully into place with their fritters.

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a postoperative patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days. the patient now has a serum sodium level of 127 meq/l (127 mmol/l). which prescribed therapy should the nurse question?

Answers

The right response is option A, which calls for infusing 5% dextrose in water at a rate of 125 mL/hr. This is necessary since the patient's stomach suction has been robbing them of electrolyte, thus the IV solution should also contain electrolyte replenishment.

Typically, this patient would require the use of solutions such as lactated Ringer's solution. For a postoperative patient with stomach suction, the other instructions are suitable. Ringer's lactate solution, also known as lactated Ringer's solution, is a balanced or buffered isotonic crystalloid fluid that is used to restore lost fluid. However, Ringer's lactate is a superb fluid for vigorous fluid replacement in many clinical circumstances, including sepsis and severe pancreatitis. Ringer's lactate is mostly utilized in high volume resuscitation after blood loss or burn injuries. A single-dose bottle of dextrose and sodium chloride injection is a sterile, nonpyrogenic solution for fluid, electrolyte, and caloric replacement during intravenous delivery.

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The complete question is:

A postoperative patient who had surgery for a perforated gastric ulcer has been receiving nasogastric suction for 3 days. The patient now has a serum sodium level of 127 mEq/L (127 mmol/L). Which prescribed therapy should the nurse question?

A. Infuse 5% dextrose in water at 125 mL/hr.

B. Administer IV morphine sulfate 4 mg every 2 hours PRN.

C. Give IV metoclopramide (Reglan) 10 mg every 6 hours PRN for nausea.

D. Administer 3% saline if serum sodium decreases to less than 128 mEq/L.

when describing the action of fluoroquinolones to treat infection to a group of nursing students, which would the instructor include?

Answers

Because fluoroquinolone therapy might cause photosensitivity in some patients, it is important to advise everyone receiving this treatment to minimise exposure to both direct and indirect sunlight.

What is fluoroquinolones?

Wide-spectrum antibiotics with good oral absorption include fluoroquinolones. They are used to treat gonococcal infections, gastroenteritis, pneumonia, and urinary tract infections.

Fluoroquinolone use is expanding globally, and this has been linked to an increase in resistance.

It is crucial to counsel everyone taking fluoroquinolone therapy to limit exposure to both direct and indirect sunlight because this treatment may produce photosensitivity in certain patients.

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