In this case, code 99239 would be the proper code to bill since the doctor performed post - discharge day management services for 70 minutes.
Evaluation and Management (E/M) codesOne of the following Evaluation and Management (E/M) codes would probably be used to claim for hospital release day management services:
99238: Discharge planning and communication with the receiving facility are among the discharge day management services provided to an inpatient who has been transferred to another facility (such as a post-acute care facility).99239: The same as 99238, except more than 30 minutes of doctor time is needed on the day of discharge.The doctor may use codes for the appropriate services in addition to the E/M code to charge for the pain management orders they sent to the assisted living facility The precise nature of the services offered and the accompanying paperwork would, however, determine the specific classifications.
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a client is being admitted to the hospital unit with abdominal pain and nausea. during the assessment, the nurse discovers that the client has been taking supplements in manner in which the vitamins could result in acting more as drugs. when do vitamins act as drugs in the body?
A client is being admitted to the hospital unit with abdominal pain and nausea. During the assessment, the nurse discovers that the client has been taking supplements in manner in which the vitamins could result in acting more as drugs when they are taken in megadoses.
Abdominal pain, often known as stomach discomfort, can indicate both minor and serious medical issues. Two prominent causes of stomach pain are gastroenteritis and irritable bowel syndrome. 15% of people have a leaky or ruptured abdominal aortic aneurysm, diverticulitis, appendicitis, an ectopic pregnancy, or other more severe disorders. The precise cause of one-third of instances is unknown. A thorough evaluation and differential diagnosis should still be conducted because many disorders can cause some sort of stomach discomfort.
The complete question is:
A client is being admitted to the hospital unit with abdominal pain and nausea. During the assessment, the nurse discovers that the client has been taking supplements in manner in which the vitamins could result in acting more as drugs. When do vitamins act as drugs in the body.
A: When prescribed by a physician
B: When they are taken in megadoses
C: When they are taken in combination with other vitamins
D: When Taken with certain foods
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a major concern among public health authorities is an increase in drug-resistant tuberculosis (tb) infections. what new evidence suggests a possible cause for this resistant tendency?
Many drug-resistant infections are new infections, especially in those who are immunosuppressed.
What is an example of drug resistance?One of the most common types of drug resistance is antibiotic resistance. In this process bacteria – not humans or animals – become resistant to antibiotics. These bacteria are sometimes called 'superbugs'. The result is that many drugs, such as antibiotics, are becoming less effective at treating illnesses.
How is drug resistance spread?When exposed to antibiotics, susceptible bacteria are killed; while excessive antibiotic use or their use for the wrong reasons can cause bacteria to become resistant and continue to grow and multiply. These resistant bacteria may spread and cause infections in other people.
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which statement related to dehydration made by a patient with hypovolemia is the best indicator to the nurse of the need for additional teaching?
The best indicator to the nurse of the need for additional teaching is the patient saying I only drink water when I feel thirsty as it shows a lack of understanding of the importance of regular fluid intake to prevent dehydration in hypovolemia.
Patients with hypovolemia, or decreased blood volume, need to drink fluids regularly in order to maintain their hydration status and prevent further dehydration. Thirst is a late indicator of dehydration, and by the time a patient feels thirsty, they may already be dehydrated.
In order to prevent hypovolemia and its complications, it is important for the patient to understand the importance of drinking fluids regularly and to not rely solely on thirst as a sign of fluid needs.
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the nurse is seeing a client who prefers to incorporates cheese in most daily meals what can the nurse suggest to this client to help him decrease his fat intake but still use the cheese?
The amount of fat in an ounce of skinless chicken breast ranges from 0 to 1. The amount of fat within eight ounces of prime rib is 5 g. 1 kilogram of salmon has 3 g of fat. In 1 ounce, peanut butter has 8 g of fat. He will be able to enjoy cheese and eat less fat thanks to this.
Among the following options for dietary fat, which five are the healthiest?"Good" unsaturated fats, such as monounsaturated and polyunsaturated fatty acids, lower the risk of disease. Nuts, olives, fish, and vegetable oils (such as walnut, sunflower, sun, and soy oils) are a few foods that are rich in beneficial fats.
What foods include saturated and unsaturated fats?Butter, the bulk of milk powder, or the striping in red meat all include saturated fats, which solidify when heated. Olive, soybeans, and sunflower oil are examples of natural fats that are liquid at room temperature.
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the nurse is administering an analgesic to a patient with major burns. what is the recommended route for administration for this patient?
The recommended route of administration of an analgesic for a patient with major burns would be parenteral, meaning intravenous (IV) or intramuscular (IM) injection. Burns is associated with severe pain, and oral medications may not provide rapid and effective pain relief.
Which is better - Intravenous or Intramuscular administration?Intravenous administration is the preferred route as it allows for rapid onset and titration of the analgesic. Intramuscular administration may also be used, but it has a slower onset of action and is associated with more fluctuation in blood levels.
What is the use of analgesics?Analgesics are the type of medicines that help to get relief from pain. Analgesics are used to treat a variety of conditions, including headaches, migraines, Toothaches, Muscle aches, and strains.
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a laboring patient with a positive gbs status was admitted to the hospital with ruptured fetal membranes. what maternal temperature reading would be reported to the primary health provider?
A patient in labour who was admitted to the hospital with ruptured foetal membranes and a positive gbs status will rise to a fever of 100.8F.
What subjects ought to be taught to Brenda Patton first?Brenda Patton should receive instruction on early GBS symptoms as a top priority. To reduce the risk of death and morbidity, the patient should be able to recognise and pin down the primary signs of late-onset Group B streptococcus infection.
The location of the foetal ultrasonography transducer by the nurse
During labour and delivery, continuous electronic foetal heart monitoring may be employed. The foetal heart beats are transmitted to a computer by an ultrasound transducer that is applied to the mother's abdomen.
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1. when assessing a postpartum woman, which finding would lead the nurse to suspect postpartum blues?
A finding of a persistent feeling of sadness, with symptoms that include crying spells, irritability, fatigue, difficulty concentrating, and difficulty sleeping, would lead the nurse to suspect postpartum blues.
What is postpartum blues?Postpartum blues, also known as the baby blues, is a type of mood disorder that affects many women shortly after giving birth. Symptoms of postpartum blues may include feelings of sadness, anxiety, exhaustion, and irritability. These feelings are generally mild and may begin within a few hours or days after delivery. Postpartum blues typically resolve on their own, often within a few days or weeks. However, for some women, the baby blues can persist for longer and may require treatment. If a woman experiences more severe symptoms, such as thoughts of harming herself or her baby, she should seek immediate medical attention.
This is because these are all common symptoms of postpartum blues, which is a mild form of depression that can occur during the first two weeks after childbirth.
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a patient with ruptured fetal membranes has been in labor for several hours. which sign(s) and symptom(s) of intrapartum infection would the nurse report to the primary medical provider? (select all that apply.)
Vaginal discharge that is cloudy and smells bad and 168 bpm fetal heart rate are the signs and symptoms of intrapartum infection would the nurse report to the primary medical provider.
The role that infections play in the development of maternal, fetal, and neonatal complications is becoming increasingly recognized. Although it is difficult to determine the exact prevalence of infections that cause complications during labor, available data suggest that it affects anywhere from one to four percent of all births and up to sixty percent of preterm births. Ascending genital tract infections and hematogenous transmitted infections from the mother generally fall into two main categories.
Fetal or maternal tachycardia, uterine tenderness, foul-smelling amniotic fluid, and purulent cervical discharge are some of the symptoms. Specific clinical criteria or amniotic fluid analysis can be used to diagnose subclinical infections. Antipyretics, delivery, and broad-spectrum antibiotics are all part of the treatment.
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(complete question)
A patient with ruptured fetal membranes has been in labor for several hours. which sign(s) and symptom(s) of intrapartum infection would the nurse report to the primary medical provider? (select all that apply.)
Cloudy and smelly Vaginal discharge.
168 bpm fetal heart rate.
Bleeding
Uterine pain.
a 2-year-old child who was admitted to the hospital for surgical repair of a clubfoot is standing in the crib, crying, and refusing to be comforted while calling for their parent. as the nurse approaches the crib to provide morning care, the child screams louder. which is the most appropriate nursing intervention?
The most appropriate nursing intervention is Sitting by the crib and bathing the child later when the anxiety decreases.
The nurse should stay nearby to console the youngster until he or she feels more comfortable. Bathing can be delayed until the youngster has had a chance to test the environment and is less frightened. Because the nurse is a stranger, using reassuring measures while holding the infant may terrify the youngster even more.
Filling the basin with water and bathing the youngster does not alleviate, but rather increases, the infant's fear. Basic physiological demands must be satisfied, and putting off the bath for another day would be irresponsible. However, the nurse should first try to calm the youngster down.
The complete question is:
A 2-year-old child who was admitted to the hospital for further surgical repair of a clubfoot is standing in the crib, crying. The child refuses to be comforted and calls for the mother. As the nurse approaches the crib to provide morning care, the child screams louder. In light of the fact that this behavior is typical of the stage of protest, what is the most appropriate nursing intervention?
1. Using comforting measures while holding the child2. Filling the basin with water and proceeding to bathe the child3. Sitting by the crib and bathing the child later when the anxiety decreases4. Postponing the bath for a day because a child this upset should not be traumatized furtherTo learn more about nursing interventions, here
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you carry out a clinical trial to test whether a new drug relieves the symptoms of arthritis better than a placebo does. you have four groups of participants, all of whom have mildly painful arthritis (rated 6 on a scale of 1 to 10). each group receives a daily pill as follows: group 1 (control), placebo; group 2, 15 mg; group 3, 25 mg; group 4, 50 mg. at the end of 2 weeks, participants in each group are asked to rate their pain on a scale of 1 to 10. what is the independent variable in this experiment?
Answer:the drug
Explanation:
the nurse othe nurse observes the practices of the parents of several pediatric clients who have been admitted. which client's parents require an intervention for medication adherence? bserves the practices of the parents of several pediatric clients who have been admitted. which client's parents require an intervention for medication adherence?
The parent of the pediatric client who require nursing intervention is: 2. Client 2 - who makes use of a bottle cap or soup spoon to dose liquid drug formulations.
Pediatrics is the branch of medical science that deals with the care of infants, children, adolescents, and young adults. In some countries, pediatric patients range up to the age of 18. The term pediatrics was derived from the Greek words which mean “healer of children”.
Using bottle cap or soup spoon for liquid drug formulations is incorrect as it administers the inappropriate quantities of the medicine into the patient. Thus, appropriate dosing instruments like syringes or droppers must be used.
The given question is incomplete, the complete question is:
The nurse observes the practices of the parents of several pediatric clients who have been admitted. which client's parents require an intervention for medication adherence?
1. Client 1 - Mixes oral drugs with food or juices to improve palatability.
2. Client 2 - Uses a bottle cap or soup spoon to dose liquid drug formulations.
3. Client 3 - Continues the regimen even after the child's symptoms resolve.
4. Client 4 - Re-administers the drug when the child spits or spills the drug.
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What is the most important role of nutrition in wellness?
The most important role of is the overall wellness of the person It provides the body with essential nutrients and energy needed to carry out daily activities.
Proper nutrition helps maintain a healthy weight, strengthens the vulnerable system, and reduces the threat of developing habitual conditions. It also helps to ameliorate mood, internal clarity and overall good. By following a balanced diet with a variety of nutrient-rich foods, individualities can insure they're getting all the essential vitamins.
Minerals, and nutrients demanded for optimal health. Proper nutrition can also help reduce stress, increase energy situations, and ameliorate sleep quality. In short, nutrition is an essential part of a healthy life and is crucial to achieving overall heartiness.
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When severe toxic overdose reaction occurs the proper treatment would be A. immediate administration of valium IV. B. Answer administration of valium if seizures have not abated after 15 minutes of seizures. C. give epinephrine IV. D. inhalation of amyl nitrate.
C. give epinephrine treatment when severe toxic overdose reaction occurs.
What is the remedy for systemic toxicity?If systemic toxicity is predicted, discontinue local anaesthetic administration, call emergency services, secure the airway, administer 100% oxygen, and if necessary, perform tracheal intubation and artificial respiration right away. Convulsions can be handled with benzodiazepines.
What harmful effects do medications have?Drug toxicity can manifest behaviorally in a range of ways, involving diminished locomotor activity, loss of motor coordination, and cognitive impairment. Physiological impacts can include cell damage, neuronal death, and messed-up hormone cycles, as examples.
What function does amyl nitrite serve?By breathing amyl nitrite, which itself is related to nitrate medications, angina episodes can indeed be relieved of their unpleasantness. It functions by widening blood arteries, boosting the flow of blood and oxygen to the heart, and lightening the stress on the organ.
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which intervention would the nurse reccomend when a client reports moodiness and anxiety a few days before her period
In the luteal period, exercise three to four times a week. When a client complains of being depressed and anxious a few days after her period, the nurse will likely advise intervention.
Which nursing care practices stop neonates from losing heat?By preheating the delivery area and wrapping the baby in plastic up to the neck while stabilizing the delivery room to minimize heat loss, nurses can enhance the thermal environment for infants with extremely low birthweight. The early administration of an IV glucose infusion to sick hypoglycemic newborns, particularly those who have neurological symptoms, is supported by both observational data and clinical consensus. After 30 minutes, the response to IV glucose should be reevaluated. A baby's Apgar score is one of the initial evaluations. Infants are examined for muscular tone, reflexes, color, and heart and respiratory rates at one and five minutes following birth.
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Perform three to four times a week of exercise during the luteal phase. The nurse is likely to suggest intervention if a client reports feeling anxious and depressed a few days after her period.
Which nursing care techniques prevent newborns from overheating?
Nurses can improve the thermal environment for newborns with extremely low birthweights by preheating the delivery area, wrapping the baby in plastic up to the neck, and stabilizing the delivery room to minimize heat loss.
Both observational data and clinical consensus support the early administration of an IV glucose infusion to ill hypoglycemic newborns, especially those who exhibit neurological symptoms. The response to IV glucose needs to be reevaluated after 30 minutes. One of the initial assessments is the Apgar score of a baby.
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which response would the nurse have for a school-age child who is fearful about a planned sterile dressing change?
The nurse's reaction to a school-aged youngster who is anxious about an upcoming sterile dressing change would be, "Will you assist carry the packet of bandages for me?"
What is a sterile dressing, exactly?A sterile dressing change is when a wound dressing is changed out using sterile methods and materials. Utilizing clean procedure requires taking steps to lower the total amount of microorganisms.
What use does sterile dressing serve?To stop large wound bleeding or to soak up any discharge from a smaller wound, use a sterile dressing. The right dressing must be chosen for treatment on a particular wound because dressings vary widely in type and size.
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a nurse is caring for a client who has just been diagnosed with rheumatoid arthritis. what first-line treatment should the nurse anticipate?
The first line of treatment for a person suffering from rheumatoid arthritis should be Ibuprofen.
Rheumatoid arthritis is an autoimmune disease, which means the immune system attacks healthy bodily tissue. However, it is unknown what causes this. Your immune system generally produces antibodies that kill bacteria and viruses, assisting in the battle against illness.
Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) are used to treat the signs and symptoms of rheumatoid arthritis and osteoarthritis, as well as to relieve mild to moderate pain, treat primary dysmenorrhea, and reduce fever. Balsalazide is a medication used to treat ulcerative colitis. In the short term, ketorolac is used to alleviate acute discomfort. Auranofin is a gold salt that should not be used as a first-line therapy. So, it should be the first line of treatment offered by the nurse.
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a patient inhales a microorganis that causes an infection. which term does the nurse use to describe the inhalation of the microorganism
The nurse should use the phrase "portal of entry" to describe the inhalation of the bacterium.
The correct option is 3.
How does infection start?Direct transmission of bacteria, viruses, or other germs from a person to another is the most common way that infectious illnesses are conveyed. This can happen if a person who isn't affected touches, kisses, coughs, sneezes, or has the virus or bacteria on them.
Can an infection fatigue you?A typical sign of many infections is fatigue. It is a typical component of the body's reaction to an infection. Usually, once the body has treated with the illness, the weariness soon subsides.
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The complete question is -
A client inhales a microorganism that causes an infection. Which term should the nurse use to describe the inhalation of the microorganism?
1. Infectivity
2. Toxigenicity
3. Portal of entry
4. Mechanism of action
nurse alex should identify that which of the following is an indication that ben is experiencing major depressive disorder
If the indication of Feelings of hopelessness, Anhedonia and Flat facial expression are observed than nurse should conclude that the client is suffering from major depressive disorder.
It is natural to have feelings of despondency. As a clinical sign of severe depressive illness, the nurse should capture feelings of hopelessness. Speech under duress is inappropriate. This clinical presentation is linked to clients suffering from mania rather than severe depressive illness. Grandiosity is erroneous. This clinical presentation is linked to clients suffering from mania rather than severe depressive illness. The term "anhedonia" is accurate. As a clinical sign of severe depressive illness, the nurse should document the inability to enjoy pleasure. A flat facial expression is appropriate. A flat facial expression as a clinical sign of severe depressive illness should be documented by the nurse.
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in a client who has been burned, which medication should the nurse expect to use to prevent infection?
Antimicrobial ointments are a common treatment that nurses use to stop the spread of infection in burn victims.
What is called medication?Medicines are chemicals or substances that cure, halt, or prevent disease, lessen symptoms, or help with disease diagnosis. Doctors can now save and treat communicable disease thanks to modern medicine. Today, there are many places to get medications.
What are the 3 names to a medication?The chemical name, the Internacional Nonproprietary Name (INN), usually referred to as the approved or universal name, and indeed the proprietary or brand name are the three main names that are used for pharmaceutical compounds.
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a parent asks about the human papillomavirus (hpv) vaccine. which information will the nurse include in the teaching session? group of answer choices
The information that the nurse should include in the teaching session is: It is recommended for females ages 11 to 26.
A DNA virus from the Papillomaviridae family causes human papillomavirus infection (HPV infection). Many HPV infections are asymptomatic, and 90% resolve on their own within two years. An HPV infection can persist in certain people, resulting in warts or precancerous lesions.
Human papillomavirus (HPV) infection is caused by a DNA virus from the papillomavirus family. Early age of first sexual intercourse, frequent sexual partners, smoking, and low immune function are all risk factors for chronic infection by sexually transmitted diseases. The most prevalent kinds of infection may be avoided with HPV vaccinations.
The complete question is:
A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?
It is recommended for females ages 11 to 26.Ask the patient what concerns she may have about the vaccination.Takes antianxiety medicationIt is awareness of one's inner self.To learn more about Human papillomavirus infection, here
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which of the three was an issue for claire in the enzyme lab. explain why the other two were not an issue. (abnormal ph, enzyme production rate, active site mutation)
The problem for claire in the enzyme lab is the enzyme production rate.
The data from the experiment that is regarding active site mutations showed that the enzymes were working properly and were not at all mutated. When analyzing the data from the experiment regarding abnormal pH, I saw that Claire's pH levels were within the optimal range. Therefore it could not have been either of these issues. When comparing Claire's enzyme production with a healthy dog you can see that she produces enzymes at a very low rate. From this data, it is determined that the Claire's problem was very low enzyme production.
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after discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which comment?
option A " Dominant values are those held by the male head of the household in most American families."
The beliefs and sanctions of the dominant or majority culture are called dominant values. The proportion of the population identified as White is projected to continue to fall below other ethnicities between 2010 and 2050.
Nurses will still have the same culture as they did before they were socialized in the nursing educational process, but they may be able to see things differently. America is not the ideal melting pot once described, but rather an amalgamation of people who have different values, ideals, and behaviors.
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Full question: After discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which comment?
a) "Dominant values are those held by the male head of the household in most American families."
b) "The percentages of minorities are rising, and this group is projected to comprise 50% of the population by 2044."
c) "Nurses maintain their original culture as they are socialized throughout the educational process."
d) "America has become an amalgamation of people who have different values, ideals, and behaviors, rather than the melting pot that was once envisioned."
which fetal position would the nurse suspect when the fetal heartbeat is heard most distinctly in the upper left quadrant of the abdomen of the client in early labor?
Apply a small amount if gel (just Doppler gel) on the monitor's probe.After that, place the probe close to your pubic bone on your lower abdomen.
Which abdominal quadrant should you check for fetal heart rate?Depending on the direction the fetus is facing, the transducer is positioned on the top quadrants of a patient's belly if the baby are breech.The transducer is positioned on the bottom quadrant for best gauge the baby's heart rate if the baby was cephalic and vertex (head down).
Where should nurse place her ears to pick up the loudest fetal heartbeats?Using the heartbeat to determine the location of the infant.Graph 11.11 Depending on the direction the baby is facing, the infant's upper chest or back muscles is where the heartbeat is loudest.
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the mother of a 15-year-old boy confides in the nurse that she is concerned because her son is about to turn 16 and is pressuring her and her husband to buy him a motorcycle. her husband is okay with the idea, but she is concerned about his safety. what information should the nurse mention to the mother regarding motorcycle safety? select all that apply.
Information that nurses must convey to mothers about motorcycle safety for their children is:
Require your child to wear a helmet.Requires children to wear trousers.Require boys to wear full body covering.Require boys to learn all relevant safety rules.Motorcycle safety is the study of the risks and hazards of motorcycles and approaches to reducing them, with an emphasis on motorcycle design, road design, traffic law, rider training, and the cultural attitudes of motorcyclists and other road users.
Wearing a helmet, wearing long pants, wearing full body covering, and learning all the road safety rules are the most important things in motorcycle safety.
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a client has been given a new prescription for hydrochlorothiazide. which statement indicates the need for additional teaching?
The statements that indicate the need for additional teaching are:
"I will limit my intake of oats.""I will not eat melons or grapes.""I will take iron supplements every day."Hydrochlorothiazide should not be used late in the day to avoid nocturia. Taking the medication solely in the morning implies that the teaching was effective. Diuretics should be taken in the morning since they produce nocturia (night urination) and consequent sleep loss when taken late in the afternoon or night. A diuretic does not need limiting oats. It is not suitable to instruct a diuretic patient not to consume melons or grapes. Because hydrochlorothiazide does not induce anaemia, an iron supplement is not required.
Hydrochlorothiazide is a diuretic drug that is commonly used to treat high blood pressure and edoema caused by fluid retention. Other uses include the treatment of diabetic insipidus and renal tubular acidosis, as well as the prevention of kidney stones in those with excessive calcium levels in their urine.
The complete question is:
A client has been given a new prescription for hydrochlorothiazide. Which statement indicates the need for additional teaching?
A. "I will limit my intake of oats."
B. "I will not eat melons or grapes."
C. "I will take iron supplements every day."
D. "I will take the dose only in the morning."
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What are dense connective tissue cords?
Dense connective tissue holds bones, muscles, and other tissues and organs in place by supporting, protecting, and protecting them. Dense connective tissue includes ligaments, tendons, the inner layer of the skin, and the sclera (the white outer layer of the eye).
Dense connective tissue, also known as dense fibrous tissue, is a kind of connective tissue made up primarily of fibres. The fibres are mostly composed of type I collagen. Rows of fibroblasts, or fiber-forming cells, are jammed between the collagen strands. Tendons and ligaments are thick connective tissue structures that produce strong, rope-like structures.
Tendons connect skeletal muscles to bones, whereas ligaments bring bones together at joints. Ligaments are more stretchy and have more elastic fibres than tendons. Dense connective tissue may also be found in the lowest layers of the skin (dermis), where it is organised in sheets. Connective tissue that is tough, fibrous, and cord-like that connects muscle to bone or another structure, such as an eyeball. Tendons help to move the bone or structure.
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a nurse is caring for a client who has just been prescribed a loading dose of a drug. the nurse should explain what rationale to the client for administering a loading dose?
We aim to ensure that you experience the drug's advantages as soon as feasible.
What makes it a drug, exactly?Etymology. The word "drug" is supposed to have come from the Old French "drogue," which may have come from the Middle Dutch "droge (vate)," which meant "dry (barrels)," in reference to medicinal herbs that were preserved as dry materials in barrels.
What are the 4 medications?
Stimulants, opium-related analgesics, hallucinogens, and depressants are the four broad categories into which all currently available medicines generally fall. Adverse reactions, commonly referred to as side effects, are unwelcome outcomes that may be brought on by a medication. Minor issues like a runny nose to potentially fatal situations like a heart attack or liver damage can all be side effects.
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the nurse is caring for a client who had an arteriovenous (av) graft surgically placed. the client is preparing for discharge. which actions should the nurse teach the client to avoid? select all that apply.
An arteriovenous (AV) unit is an intentional association between a supply route and vein that is made by intervening joining material between them.
A choice to pick an AV unit over one more sort of hemodialysis access is individualized in light of life structures and future, among different variables.
AV fistula and AV unite are careful vascular access choices that you really want before you start customary hemodialysis medicines. AV fistula, utilized for long-haul dialysis, interfaces a chosen supply route and a vein straightforwardly. An AV unit interfaces the supply route and vein in a roundabout way, through a cylinder and join.
The unit is connected by end-to-side anastomoses to the brachial supply route and antecubital vein. On the off chance that no reasonable antecubital vein is accessible, a straight extension unit between the brachial supply route and either the axillary or the basilic vein is frequently utilized.
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the nurse is caring for a client who has a tracheostomy tube and is receiving mechanical ventilation. the plan of care for the tube would include which nursing intervention ?
The nurse should utilize sterile techniques to clean the inner cannula when delivering tracheostomy care. Its inner cannula is sterilized before being cleaned in order to stop germs from entering the lungs.
Can a person with a tracheostomy still speak?When you have a tracheostomy, talking could be challenging. Air moving throughout the vocal chords there at end of the throat produces speech. However, following having a tracheostomy, the majority of the air you exhale will travel through ones tracheostomy tube instead of your vocal chords.
Can someone with a tracheostomy speak and eat?It could be necessary to employ a unique valve in order to speak and eat. Suction out either food or fluids that may have gotten into your tracheostomy tube as quickly as you can. While you're eating, get up.
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the nurse is seeing a client who is on anticoagulant therapy. the nurse should advise the client to take which supplement cautiously?
Use cautious while taking high amounts of vitamin E because it can intensify the effects of anticoagulants.
What is anticoagulant therapy?Anticoagulants are drugs that work to stop blood clots from forming. They are administered to those who have a higher risk of blood clots in order to lower their risk of suffering from major illnesses including heart attacks and strokes. To halt bleeding from wounds, the blood forms a seal known as a blood clot.
What is the process of anticoagulant therapy?Heparin should be dosed using weight-based nomograms and given as a continuous intravenous (IV) infusion. Usually, an infusion at a rate of 18 units/kg/h follows an 80 unit/kg bolus, and following doses are modified in accordance with the results of the APTT.
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