A client who is an older adult and a resident of a long-term care home has a Stage II pressure ulcer that has to be evaluated.
Which method is most reliable for determining whether a patient has skin irritation if they have dark skin?Assessment guidelines for patients with dark skin Instead of fluorescent light, which may distort the skin's true color and create the impression of a bluish tinge, use natural light or a halogen lamp when examining a patient's skin.
Which of the following evaluation results most closely resembles a secondary skin lesion?Keloids, which can appear at the site of a healed wound, are examples of secondary lesions that can develop from an already present primary lesion.
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Question:-
When asked to assess an area of broken skin on an older adult client in a long-term care facility, the nurse notes a break in the skin erythema and a small amount of serosanguineous drainage over the sacrum. The area appears blister-like. The nurse would interpret this finding as indicating which stage of pressure ulcer?
a) Stage I
b) Stage II
c) Stage III
d) Stage IV
giffords suffered extensive damage to the left side of her brain. according to your textbook and the interview, the left hemisphere of the brain is largely responsible for
Answer: The left hemisphere is responsible for language and speech
Explanation:
The left hemisphere is responsible for language and speech.
Thus, diverse processes are controlled by and have diverse functions on the left and right sides of the brain. The brain is divided into two halves by six separate lobes.
Speech and abstract thought are mostly handled by the left half of the brain. The right side of the body is likewise under its control. Movement in the left side of the body, spatial reasoning, and picture processing are all functions of the right side of the brain.
Through nerve fibers, the left and right sides of the brain are linked. The two sides of a healthy brain communicate with one another.
However, there is no requirement that the two parties speak to one another. Even if the two hemispheres of the brain are damaged, a person can still operate largely normally.
Thus, The left hemisphere is responsible for language and speech.
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Module 05 Discussion - Critical Thinking and Clinical Judgment Scenario
You have been assigned 4 patients on an Intermediate Medical Care Unit. Two of the patients are post myocardial infarctions at various stages of their infarctions with multiple types of arrhythmias, the third patient is having drastic blood sugar fluctuations 218 down to 50 within minutes and its rebounds back up with changes in mentation and the fourth is reported to be having frequent TIA's. One of the MI patients is having some dizziness and your TIA patient is presenting signs of impending stroke.
How would you prioritize your assessments and activities? How would you describe your critical thinking process and how do you organize and prioritize implementation of care?
Here are some advice for nurses to help them master the art of prioritizing:
Sort tasks according to significance.Estimate the amount of time needed for each task.Give the most crucial tasks your most productive hours.Ask how urgent a task is if it is given to you.Reevaluate your priorities on a regular basis.The nurses continue to distinguish between statements based on facts, conclusions, judgments, and opinions when using critical thinking. The evaluation of the information's credibility is a crucial phase of critical thinking, during which the nurse must verify the veracity of the information by consulting additional sources of information and informants. Four patients in an Intermediate Medical Care Unit have been assigned to you.
Two of the patients have had myocardial infarctions and are in varying stages of recovery. Two of the patients have multiple types of arrhythmias. The third patient has had dramatic blood sugar swings, going from 218 to 50 in minutes before rebounding with changes in mentation. The fourth patient is said to have frequent TIAs.
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which statement by the parent of an infant with erb palsy would the nurse determine indicates accurate understanding of their infant's prognosis?
The statement by the parents of an infant with Erb palsy indicates to the nurse that they have an accurate understanding of their infant's prognosis is "Complete recovery takes a few months."
Erb's palsy is an arm paralysis caused by a lesion to the top group of the arm's major nerves, notably the upper trunk C5-C6 nerves. The ventral rami of spinal nerves C5-C8 and thoracic nerve T1 are part of the brachial plexus. These injuries are most frequently, but not always, caused by shoulder dystocia during a difficult delivery.
Depending on the type of the lesion, the paralysis may cure on its own over time, demand rehabilitative therapy, or necessitate surgery. Erb's palsy symptoms include loss of arm feeling as well as paralysis and atrophy of the deltoid, biceps, and brachialis muscles.
The complete question is:
Which statement by the parent of an infant with Erb palsy would the nurse determine indicates accurate understanding of their infant's prognosis?
"Complete recovery takes a few months.""It is ongoing and continuous.""This is not understandable.""The process is very expensive."To learn more about Erb's palsy, here
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a client in active labor at 8 cm dilation tells the nurse she has the urge to push. the nurse would encourage her instead to pant and blow to prevent which condition?
The nurse would encourage the client to pant and blow instead of the pushing to prevent that condition of the fetal distress.
Fetal distress. mainly occurs when the fetus isn't getting enough oxygen during labor and delivery. It's generally indicated by a drop in the fetal heart rate. This can be if the customer is pushing too hard or too frequently and not allowing the uterus to rest after each compression. Panting and blowing can help conserve energy.
And decelerate the labor process down, allowing the uterus to rest and the fetus to get enough oxygen. It can also help the customer to have further control over the pushing phase. The nurse will also cover the fetal heart rate to insure that it remains within the normal range. However,
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a nurse is performing a musculoskeletal assessment of a client with arthritis. during passive range-of-motion exercises, the nurse hears an audible grating sound. the nurse should document the presence of what assessment finding?
If a nurse performing a musculoskeletal assessment hears an audible grating sound during passive range-of-motion exercises with a client who has arthritis, they should document the presence of crepitus.
Crepitus is a term used to describe a grinding, crackling, or popping sound that occurs during joint movement. It is often caused by the rubbing of bone against bone due to degeneration of the joint cartilage, which is a common problem in people with arthritis.
Documenting the presence of crepitus is an important part of a comprehensive musculoskeletal assessment, as it can provide valuable information about the condition of the affected joint. The nurse should also observe the client's pain level, joint mobility, and any signs of swelling or redness, and record these findings in the client's medical record. The information gathered during the assessment will help the healthcare provider determine the best course of treatment for the client's arthritis.
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which parental statement would the nurse determine indicates a need for further education about development in a 15-month-old?
"My 15-month-old can already read!" This statement indicates that the parent may need further education about development in a 15-month-old, as it is not developmentally appropriate for a baby of this age to be able to read.
What is education?Education is the process of acquiring knowledge, skills, values, beliefs, and habits. It involves the development of a person’s cognitive, emotional, physical, and social capabilities. Education is essential for the development of a person’s individual potential, as well as for the growth of society as a whole. It provides the opportunity for individuals to develop their abilities, pursue their interests, and contribute to the betterment of their community. Education enables people to interact with others, to become citizens of the world, and to access the resources necessary for a successful and fulfilling life. Education is essential for the development of a country’s economy, as well as for its social and political success.
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twenty-year-old ailey recently started taking a beta-carotene supplement. taking a beta-carotene supplement can lead to
Taking a beta-carotene supplement can lead to a variety of potential effects, both positive and negative.
On the positive side, beta-carotene is an antioxidant that can help protect the body from damage caused by free radicals. It may also help boost the immune system and promote healthy skin.
However, taking too much beta-carotene can also have negative effects. One potential side effect is a condition called carotenemia, which can cause the skin to turn yellow or orange. This condition is generally harmless, but it can be a sign that you are consuming too much beta-carotene.
Additionally, some studies have suggested that taking high doses of beta-carotene supplements may increase the risk of lung cancer in smokers. However, more research is needed to confirm this potential risk.
Overall, it is important to talk to your healthcare provider before taking any supplement, including beta-carotene, to ensure that it is safe and appropriate for you.
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a 38-year-old client is obese and has abscesses around the inner thigh muscles. the client is receiving iv antibiotics, but no improvement has been seen. the client questions the nurse about the most likely cause for the drug therapy failure. the nurse explains that the:
The nurse will analyze that the client is not getting the effect of the antibiotic drug thus the correct answer is the distribution of the drug to the area of the abscesses is impaired.
An abscess is a small, localised accumulation of pus and infectious substances within a body part. When germs or other substances enter the body, the body views them as "foreign bodies." White blood cells and other cells are released by the body in response, working to remove the foreign object. Pup builds up in and around the foreign body as a result, which leads to the development of abscesses. Pup is frequently made up of dead tissues, bacteria, and white blood cells.
Abscesses often develop over a period of two to five days, however, they can also arise unexpectedly. The impacted area may become hot, red, swollen, sensitive, and fluctuant (indicating pus formation).
The complete question is:
A 38-year-old client is obese and has abscesses around the inner thigh muscles. The client is receiving IV antibiotics, but no improvement has been seen. The client questions the nurse about the most likely cause for the drug therapy failure. The nurse explains that the:
(A). Surface area of the abscesses is not large enough for the drug to have the desired therapeutic effect.
(B). route of administering the medication should not have been IV.
(C). distribution of the drug to the area of the abscesses is impaired.
(D). distribution of the drug to the thigh muscles is generally impaired, even in healthy individuals.
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a nurse has concerns that an order written on a client is not appropriate. she contacts the physician, who insists the order is correct. the nurse still has reservations about carrying out the order. what is the appropriate course of action?
A nurse is concerned that a client-specific directive is inappropriate. She speaks with the doctor, who maintains that the prescription is accurate. The appropriate course of action is to inform her supervisor about her concerns regarding the order, thus the correct option is A.
Nurses play a key role in enhancing the health system and providing crucial healthcare services. They assist enhance health outcomes and the overall cost-effectiveness of services by bringing people-centered care closer to the areas where it is most needed. In complicated humanitarian emergencies and disasters, nurses typically serve as first responders, community guardians and advocates, as well as team communicators and coordinators. Sound connections, collaboration, and cooperation are fundamental elements of professional practise, and communication is at the heart of all three. Patient outcomes are significantly influenced by the effectiveness of communication between nurses and patients.
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The complete question is:
A nurse has concerns that an order written on a client is not appropriate. She contacts the physician, who insists the order is correct. The nurse still has reservations about carrying out the order. What is the appropriate course of action?
A. Inform her supervisor about her concerns regarding the order.
B. Carry out the order, as it is part of the prescribed plan of care.
C. Refuse to carry out the order and document the reason for refusing it in the medical record.
D. Discuss it with the client and inform the client of his or her right to refuse treatment.
nurses are functioning in what role when they use systematic inquiry to develop evidence about issues of importance to nurses and their patients ?
Nurses are functioning in the role of researcher when they use systematic inquiry to develop evidence about issues of importance to nurses and their patients.
The nursing profession is built on the foundation of evidence-based practice, which means that nurses use the best available evidence to guide their decision making and improve patient outcomes. This requires ongoing research and the development of new evidence to address current and emerging issues in healthcare.
By conducting research and collecting data, nurses can identify areas for improvement, develop and test new interventions, and provide a solid evidence base to support their practice decisions. Through this process, nurses play an important role in advancing the nursing profession and improving patient care.
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because of a measles epidemic, a 6-month-old infant receives measles immunoglobulin. which education would the nurse provide the parents about the recommended age for vaccination to ensure continuous protection against measles?
The nurse would provide the following education to the parents about the recommended age for vaccination to ensure continuous protection against measles:
First dose of MMR vaccine: The first dose of the MMR (measles, mumps, and rubella) vaccine is typically given at 12 to 15 months of age. This dose provides early protection against measles and is usually given in combination with the vaccine for mumps and rubella.Second dose of MMR vaccine: The second dose of the MMR vaccine is typically given between 4 to 6 years of age, before starting school. This second dose provides additional protection against measles and is usually given in combination with the vaccine for mumps and rubella.Importance of timely vaccination: It is important for the infant to receive both doses of the MMR vaccine at the recommended ages to ensure continuous protection against measles. Receiving the vaccine on time helps to prevent the spread of the virus and protect the infant and others in the community.Measles outbreaks: Measles outbreaks can occur in areas where vaccine coverage is low, and unvaccinated individuals are at risk of contracting the disease. By ensuring that the infant receives the recommended doses of the MMR vaccine, the risk of contracting measles is significantly reduced.The nurse would also emphasize the importance of following the recommended vaccination schedule and discuss any concerns the parents may have about the vaccine.
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the nurse joins a work group focused on increasing the numbers of persons counseled about their health behaviors. which action(s) will help the group achieve this goal? select all that apply.
The correct answer is option A, B, and D.
A. Develop a marketing plan to reach potential clients
B. Create a network with community organizations
D. Develop an online platform to provide counseling services
The nurse should create a marketing plan to entice potential clients in order to increase the number of people who get counselling about their health behaviours. This could entail using social media, attending events, and marketing services.
In order to advertise their services and broaden access to counselling, the nurse should also develop a network with local groups.
Lastly but not least, the nurse has to create an online counselling platform. With an internet platform, more people may easily access services and can get counselling wherever they are.
The work group can improve the number of people who receive counselling regarding their health behaviours by putting these methods into practise.
Complete Question:
The nurse joins a work group focused on increasing the numbers of persons counseled about their health behaviors. which action(s) will help the group achieve this goal?
select all that apply.
A. Develop a marketing plan to reach potential clients
B. Create a network with community organizations
C. Provide incentives for people to receive counseling
D. Develop an online platform to provide counseling services
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obesity is a pattern of body fat distribution that is associated with an increased incidence of cardiovascular disease, diabetes mellitus, and hypertension. a. morbid b. cardiometabolic c. android d. gynoid
Obesity that is a pattern of body fat distribution that is associated with an increased incidence of cardiovascular disease, diabetes mellitus, and hypertension is option b. cardiometabolic.
The 21st century has seen a significant epidemic of cardiometabolic obesity. Dyslipidemia, hypertension, and type 2 diabetes are three conditions that are known to be associated with an increased risk of developing cardiovascular disease and the metabolic syndrome. Insulin resistance, the metabolic syndrome, pre-diabetes, and more severe illnesses including cardiovascular disease and type 2 diabetes all fall under the umbrella term of cardiometabolic obesity.
Diabetes mellitus is a condition in which the body does not generate enough or utilise insulin as it should, leading to abnormally high blood sugar (glucose) levels. People may lose weight even when they aren't trying because their thirst and urination are both enhanced.
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which nursing/medical order would be most helpful in determining whether a patient with a brain injury may be developing diabetes insipidus?
The best way to determine whether a patient with a brain injury might be developing diabetes insipidus is to measure the specific gravity of their urine hourly.
How does diabetes insipidus result from brain injury?Direct disruption of the hypothalamus or pituitary can cause decreased production and secretion of ADH in a patient with a head injury. cutting off the blood supply to specific brain regions.
The best test for diabetic insipidus is what?The best test to identify central diabetes insipidus is the water deprivation test. In a water deprivation test, the subject is forbidden from drinking for a period of around 12 hours while routine measurements of urine production, blood electrolyte levels, and weight are taken.
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The given question is incomplete. The complete question is:
Which nursing/medical order would be most helpful in determining whether a patient with a brain injury may be developing diabetes insipidus?
a) Draw ABG's every 4 hours.
b) Measure urine specific gravity hourly
c) Obtain vital signs hourly
d) Serum osmolality every AM
which concept provides the original basis for maintaining confidentiality between patient and healthcare provider?
The Hippocratic Oath serves as the foundation for patient and health care provider confidentiality.
The Hippocratic Oath is what?Perhaps the most well-known Greek medical document is the Hippocratic Oath. A new doctor must swear before several healing deities that he would respect a variety of ethical guidelines.
What does the Hippocratic Oath for doctors involve?I promise to uphold this covenant to the greatest of my knowledge and judgement. I will appreciate the scientific advancements made by the doctors who came before me and joyfully impart my own expertise to those who will come after. One of oldest and best-known standards of ethics is the Hippocratic Oath. The Greek physician Hippocrates, who is generally credited with founding medicine as a logical discipline, is the author of the original text.
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many older adults find themselves marginalized in their communities. which statement describes an example of how nurses might advocate for their elderly patients?
The statement that describes an example of how the nurses might advocate for the elderly patients who find themselves marginalized in communities is: C. Attending a meeting of city council to share their experiences with the needs of the elderly.
Marginalization of elderly is the act of stereotyping, prejudice and discrimination against people on the basis of their age. This is also known as ageism. This happens due to their disease or inability to perform the daily chores easily.
Nurses are the licensed medical care practitioners who take care of the patients. Nurses can attend the council meeting in order to share their experiences with the marginalized elders as it can make them feel valued.
The given question is incomplete, the complete question is:
Many older adults find themselves marginalized in their communities. Which statement describes an example of how nurses might advocate for their elderly patients?
A. Teaching family how to provide diabetic foot care
B. Administering influenza vaccines as ordered by the physician
C. Attending a meeting of city council to share their experiences with the needs of the elderly
D. Providing patient education materials to their patients diagnosed with congestive heart failure
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which food category contributes the greatest percent of saturated fat to the u.s. diet? dairy products pizza burgers and sandwiches snacks and sweets
The correct option is D; Burgers and sandwiches , Coconut oil, in fact, has more saturated fat than butter, calf fat, or lard. It's nearly 90% saturated fat, with a staggering 12 grams in one tablespoon.
The main sources of saturated fat in the American diet, according to statistics from the federal government's National Health and Nutrition Examination Survey (NHANES), are: cheese. Beef. Other oils and fats.
The majority of the saturated fat in the American diet comes from animals, such as butter, milk fat, pig, and cattle. Some vegetable fats, however, are saturated, including hydrogenated fats, coconut oil, and palm kernel oil.
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Full Question ;
Which food category contributes the greatest percent of saturated fat to the u.s. diet?
A) pizza. B) dairy products. C) snacks and sweets. D) burgers and sandwiches
while walking in a hallway , a client with a chest tube becomes confused and pulls the chest tube out . which action would the nurse take ?
If a client with a chest tube becomes confused and pulls the chest tube out, the nurse would immediately addresses the situation and prevent further complications. She should assess the client's condition, apply direct pressure to the site where the chest tube was removed, administer first aid, and document the incident.
Why is a chest tube used?A chest tube, also known as a pleural drainage tube, is a medical device used to remove air or fluid from the pleural cavity. The pleural cavity is the space between the lung and the chest wall.
How are chest tubes inserted?Chest tubes are inserted through the chest wall and into the pleural cavity and are attached to a suction device or a collection bag. They help to re-expand the lung and prevent the buildup of air or fluid in the pleural cavity, which can compromise breathing and compromise the patient's health.
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If a client with a chest tube becomes confused and pulls the chest tube out, the nurse would immediately addresses the situation and prevent further complications.
Why is a chest tube used?
A chest tube, also known as a pleural drainage tube, is a medical device used to remove air or fluid from the pleural cavity. The pleural cavity is the space between the lung and the chest wall.
She should assess the client's condition, apply direct pressure to the site where the chest tube was removed, administer first aid, and document the incident.
How are chest tubes inserted?
Chest tubes are inserted through the chest wall and into the pleural cavity and are attached to a suction device or a collection bag. They help to re-expand the lung and prevent the buildup of air or fluid in the pleural cavity, which can compromise breathing and compromise the patient's health.
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a pregnant client with preeclampsia is being treated with intravenous magnesium sulfate. the nurse assesses the client's deep tendon reflexes and grades them as 4 . the nurse notifies the health care provider about this finding, describing them using which term to ensure accurate communication?
The term used to ensure accurate communication between the nurse and the healthcare provider is Clonus. Clonus is a specific type of muscle reflex that involves rhythmic and repetitive contractions of a muscle in response to a stimulus.
It is a more specific term than "brisk" and is typically used to describe a particular type of hyperreflexia, such as a clonic muscle spasm. In the case of the pregnant client with preeclampsia being treated with intravenous magnesium sulphate, if the nurse were to observe clonic muscle spasms, they would likely describe this finding as clonus to the healthcare provider. However, if the client's deep tendon reflexes were simply brisk, the nurse would describe them as such, rather than using the term clonus.
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The given question is incomplete. The complete question is as follows:
A pregnant client with preeclampsia is being treated with intravenous magnesium sulfate.
The nurse assesses the client's deep tendon reflexes and grades them as 4+. The nurse notifies the health care provider about this finding, describing them using which term to ensure accurate communication?
A. Absent
B. Average
C. Brisk
D. Clonus
the nurse auscultates the breath sounds of a toddler during an assessment and notes crackles over all lung fields. what would the nurse teach the parents about this finding?
The nurse auscultates the breath sounds of a toddler during an assessment "We need to validate the information obtained in this assessment" therefore the correct option is A .
Inspection, palpation, percussion, and auscultation are all part of a complete respiratory assessment, which also includes a thorough health history. Comparing results between the left and right using a systematic approach will allow the patient to act as his own control.
The anterior-posterior diameter of a symmetrical thorax is typically smaller than the transverse diameter. (Equal diameters in an adult could be a sign of chronic obstructive pulmonary disease.) Keep track of any structural irregularities like a funnel chest (pectus excavatum) or a pigeon chest (pectus carinatum)
Question is incomplete the complete question is
The nurse auscultates the breath sounds of a toddler during an assessment and notes crackles over all lung fields. What would the nurse teach the parents about this finding?
A."We need to validate the information obtained in this assessment."
B. "Crackles indicate that your child may have an allergy."
C. "We will share this assessment finding with the physical therapist."
D. "This is a normal finding and nothing of concern."
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a client is admitted to a medical surgical floor in the hospital with pericarditis. what is the common treatment plan for pericarditis?
The common treatment plan for pericarditis is treating with over-the-counter pain relievers, such as ibuprofen or aspirin. However, prescription-strength pain relievers may also be used.
Pericarditis is a swelling and irritation that occurs on the pericardium. Pericardium itself is a thin-saclike membrane that surrounds the heart.
In general, pericarditis is caused by a heart attack or viral infection that occurs after a respiratory or digestive system infection. Its most common symptom is sharp chest pain that may travel to the neck and left shoulder. It usually doesn't last long and can improve on its own. However, in severe cases, treatment may include medication and surgery.
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the physician has written a do not resuscitate (dnr) order for a patient. it is against the nurse's religious beliefs to carry out a dnr order. what should the nurse do
In that case with do not resuscitate order from a patient the nurse should explain their religious beliefs.
The nurse should also explain why they're asking for an impunity from carrying out the order. However, the nurse should admire the case's wishes, and follow the croaker's order, If an impunity isn't granted. The nurse should also be regardful of the case's wishes and work to insure that their care is of the loftiest quality, despite the DNR order.
The nurse should also be apprehensive that if the case doesn't have a healthcare deputy, the nurse's responsibility is to insure the case's wishes are carried out. The nurse should also be conscious of their own well- being, and if they feel they can not carry out the order, they should bandy this with their administrator or take a break. Eventually, the nurse should be apprehensive of their own rights and liabilities, as well as the case's healthcare wishes.
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a high school student who was injured in a football game presents with knee pain with internal rotation of the foot. which interventions are appropriate nursing actions? select all that apply.
Interventions for proper nursing care Wrap the injured knee in a brace or bandage. Ice the injured knee using a pack. Lift up the injured leg.
Which of these activities for the client with a cast would be prohibited as a part of self-care?Which of these activities for the client with a cast would be prohibited as a part of self-care? In order to prevent condensation from dampening the cast and skin, the cast should be kept dry. However, it should not be covered with plastic or rubber.
What kind of fracture does the nurse recognize as needing urgent treatment when a bone is poking through the skin?A complex fracture occurs when a shattered bone pierces the skin. After having surgery to realign your bones, you'll need to keep them immobile with a cast.
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Question:-
A high school student who was injured in a football game presents with knee pain with internal rotation of the foot. Which interventions are appropriate nursing actions? Select all that apply.
Administer morphine sulfate.
Apply a knee brace or wrap the affected knee.
Assist the client to "walk off" the pain.
Apply ice packs to the affected knee.
Elevate the affected leg.
the nurse is conducting a medication assessment for a preoperative patient. which action by the nurse is appropriate for the patient who is prescribed metoprolol? 1) obtaining a baseline ecg 2) monitoring blood pressure
Actions taken by nurses for patients who are prescribed metoprolol is to monitoring blood pressure.
What is metoprolol?Metoprolol is useful for reducing heart rate, blood pressure, and heart workload. This medication is usually used to treat high blood pressure, chest pain (angina), and heart failure.
Metoprolol relieves the heart's workload by blocking certain body chemicals, such as epinephrine, that make the heart work harder and raise blood pressure. While using metoprolol should frequently monitor blood pressure.
Metoprolol is available in the form of tablets, film-coated tablets, and injections. This medication is sometimes used as part of the treatment of arrhythmias, heart attacks, and hyperthyroidism, and to prevent migraines.
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the hospital nursing group has reviewed current nursing and federal literature to establish standards of care for a newly organized patient care unit. the final report generated by this hospital nursing group should assure hospital administration that the standards meet which level of care?
The final report generated by the hospital nursing group should assure hospital administration that the standards of care for the newly organized patient care unit meet the national level of care.
The national level of care refers to the standards and guidelines established by professional organizations and government agencies for healthcare providers in a particular country. These standards ensure that healthcare providers are providing safe, effective, and high-quality care to their patients. By reviewing current nursing and federal literature and establishing standards of care for the newly organized patient care unit, the hospital nursing group is ensuring that the care provided is consistent with the national level of care.
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The given question is incomplete. The complete question is as follows:
The hospital nursing group has reviewed current nursing and federal literature to establish standards of care for a newly organized patient care unit. The final report generated by this group should assure hospital administration that the standards meet which level of care?
a) mutually acceptable
b) worldwide
c) national
d) locality
a nurse is performing the immediate postoperative assessment of a patient who has just undergone repair of a aortic dissection. what is the most important assessment to be reported immediately? question 9 options: a) an asymmetric smile b) falling back to sleep after assessment c) a complaint of 7/10 pain d) complaint of sore throat
The assessment to be reported about a patient who has undergone repair of a aortic dissection is: (c) a complaint of 7/10 pain.
Aortic dissection is the the condition of the main artery (aorta) where a tear occurs in its inner layer. Thus the blood rushes through it resulting in the dissection of inner and middle layers of the aorta. And if the blood moves out of the aorta, it can turn deadly.
Pain is a discomforting feeling in some part of the body that may be due to some disease or injury. The pain after the repair of aortic dissection is alarming because it indicates some form of inflammation or improper repair that may cause the bleeding inside.
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he ingredients for butter are: cream, salt, annatto (a natural color). the ingredients for margarine are: non-hydrogenated vegetable oil blend (canola, soybean, fractionated palm oil, olive oil), water, sea salt, soy protein, soy lecithin, natural flavor, citric acid, beta carotene, vitamin a palmitate, vitamin d3, vitamin e. which of the ingredients in these two products have mostly polyunsaturated fatty acids?
The ingredients for both butter and margarine products, which mostly contain polyunsaturated fatty acids, are soybean oil.
Polyunsaturated Fatty Acids (PUFAs) are a group of essential fatty acids that are very important for health, namely for the growth and development of the body, maintaining cell membranes, regulating cholesterol metabolism, lowering blood pressure, and maintaining heart health.
Polyunsaturated fats are fats in which the constituent hydrocarbons have two or more carbon-carbon double bonds. Polyunsaturated fats are mostly found in nuts, seeds, fish, soybean oil, oilseeds, and oysters.
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the nurse is caring for a 62-year-old client with dementia who is confused. which nursing intervention(s) will the nurse include in the care plan to facilitate communication? select all that apply.
Make frequent in-person contacts. The client may need to be reoriented to her surroundings. Speak reassuringly, plainly, and directly. For orienting, use clocks and calendars in dementia .
Which nursing action will the nurse utilise to stop sensory deprivation in patients in a long-term facility?The client should be dressed for the day's activities. With a group of senior citizens in the clinic, the nurse is providing health education.
Which nursing intervention is most important for a delirious client?The most effective technique is to stop delirium before it starts. The key to preventing delirium is to recognise those who are at risk for it and take extra care to prevent it. Ageing and a history of an underlying neurological condition like dementia are non-modifiable risk factors.
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when a small wound bleeds, you can stop the bleeding sooner by massaging the site. what is the mechanism?\
By stroking the area, you can stop a little wound from bleeding sooner, a technique for preventing the spread of infection.
How does the body stop bleeding?Plasma and blood cells flow into the tissue surrounding a damaged blood artery. Platelets stick to the borders of the cut as soon as it is formed and release substances that attract other platelets. A platelet block eventually forms, which causes the outward bleeding to stop.
Will pressing on a wound cause it to stop bleeding?By applying pressure directly to the wound, the majority of bleeding from injuries can be stopped. By doing this, the blood flow to the injured limb is not cut off. Pressure may not be maintained when a major artery has been severed and there is substantial haemorrhage.
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Which of the following would occur if you were to surgically remove the pigmented epithelium of the retina?Entering light would be scattered across the retina and it would be difficult to obtain a sharp image.
It would be challenging to get a clear image because incoming light would be dispersed over the retina.
Which of following describes a pigmented layer of a retina function?Light that goes through the nodules of the retina is absorbed by the pigmented layer, prevents light from reflecting back and creating visual "echoes." Additionally, there are significant biochemical interactions between the pigment cells and the photoreceptors in the somatic embryogenesis of the retina.
What does the pigmented layers of the eye's function consist of?In addition to acting as phagocytes to remove cell debris, pigment cells also store the vitamin A required for the regeneration of photoreceptors. the three primary types of neurons found in the denser inner layer of the brain: bipolar cells, rods and cones for photoreceptors .
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