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Answer 1
Drop in urine output is most important to report to the health care provider regarding a patient who has had left-sided extracorporeal shock wave lithotripsy.
It's crucial to notice a decrease in urine production since lithotripsy fragments the stone into microscopic particles that might block the urinary tract. After lithotripsy, left flank discomfort, bruising, and hematuria are frequent side effects.
An alternative to surgery for treating kidney and ureteral stone disease is extracorporeal shock wave lithotripsy. Instead, the body is subjected to extremely powerful shock waves that are used to smash rocks into sand-sized fragments. These fragments might exit the body with the urine due to their tiny size.
When treating kidney stones, lithotripsy uses concentrated ultrasound or shock waves to strike the stone after it has been detected using fluoroscopy or ultrasound (high frequency sound waves). A huge stone is split into smaller stones by the shock waves, which will then flow through the urinary system.
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Related Questions
a client with severe acute respiratory syndrome privately informs the nurse of a desire not to be placed on a ventilator if the condition worsens. the client's partner and children have repeatedly expressed their desire that every measure be taken for the client. the most appropriate intervention by the nurse would be to:
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Encourage the individual to think about a power of attorney or living will.
A nurse is what kind of worker?
A nurses is a member of the medical profession who tends to patients. Giving mental health assistance, taking vital signs, and treating patients are all possible aspects of being a nurse. The type of doctor your choose to be will determine the type of care you offer, however many nurses collaborate with physicians or midwives.
Can a nurse become a physician?
Without a doubt, an RN can become a physician. By obtaining a Bachelor's degree then entering to medical school like any other student, they can obtain a MD or DO. Or, a registered nurse (RN) could earn a doctor or nurse (Aprns), which is an academic degree that confers no clinical authority.
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during morning assessment, a nurse assesses four clients. which client is the priority for follow up? an 84-year-old client with heart failure who's on telemetry and 2 l/minute of oxygen a 42-year-old client who has left lower lobe pneumonia and an i.v. line a 73-year-old client who has pneumonia with coarse crackles, is receiving 2 l/minute of oxygen, and has an i.v. line a 48-year-old client with chronic obstructive pulmonary disease with occasional atrial fibrillation
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Four clients be evaluated by a nurse with in morning. which client should be followed up with first, A 73-year-old client is getting 2 L/min of oxygen, has an IV line, and has bronchitis with loud crackles.
How many years is the nursing program?
The length of time it takes to want to be a registered nurse might range around 16 months to four years, depending on the nursing program you choose to enroll in. ChiChi ,Akanegbu, a member of the Order of 2020 who earned her Bachelor's degree In nursing from Regis College, says, "I selected to earn a BSN, which takes three years.
Can nurses perform surgery?
They seem to be in charge of numerous preoperative planning elements, including surgical postoperative care. Additionally, a lot of surgical nursing professionals decide to focus on a particular field, including obstetrics, pediatric operations, or cardiac surgery.
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a client with conduct disorder starts yelling at another client and calling the client insulting names. which is the most appropriate response by the nurse?
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"It's unacceptable to yell at other people. You must express your anger to the personnel."
How can I control anger ?
1. Pre-meditated speech.
It's simple to say something you'll later regret when you're under the influence of emotion. Before you speak, take a minute to gather your thoughts. Permit those who are involved in the issue to do the same as well.
2. When you're at ease, voice your worries.
When you're able to speak clearly, be forceful yet non-aggressive when you vent your dissatisfaction. Clearly and simply express your demands and concerns without inflicting harm or attempting to exert control over others.
3. Take a workout.
Exercise can aid in reducing stress, which can make you furious. If you see that your wrath is growing, take a quick stroll or run. Or spend some time engaging in some other fun physical activity.
4. Take a break
Not just are timeouts for children. During stressful times of the day, allow yourself brief breaks. You might feel more equipped to handle what lies ahead without becoming irritated or angry if you have a few quiet moments to yourself.
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a client with common variable immunodeficiency (cvid) comes to the ed reporting tingling and numbness in the hands and feet, muscle weakness, fatigue, and chronic diarrhea. an assessment reveals abdominal tenderness, weight loss, and loss of reflexes. a gastric biopsy shows lymphoid hyperplasia of the small intestine and spleen as well as gastric atrophy. based on these findings, what common secondary problem has this client developed?
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Pernicious anemia is a typical secondary issue that somehow this customer has developed.
What is an example of immunodeficiency disease?
HIV/AIDS, short for human immunodeficiency virus and acquired immune deficiency syndrome. Immune response cells that ordinarily combat infections are infected by HIV and destroyed. A person becomes increasingly more susceptible to illnesses as their immune system's cell count decreases.
How long do people with immunodeficiency live?
Prognosis. But good news is that in the past thirty years, the life expectancy for people with CVID has increased dramatically, going from barely 12 years after being diagnosed to over 50 years. 4 This is mostly because immunoglobulin replacement therapy was a CVID treatment that was innovative. Antimicrobial therapy to treat and prevent infections is one of the medications and therapies for immunological deficiencies. replacement immunoglobulin treatment.
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a nurse is interviewing a client who is a survivor of abuse. the client is telling the nurse about how the violence occurred. which statement would the nurse interpret as reflecting the honeymoon phase of the cycle of violence?
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The cycle of violence He tells me that he is sorry and that he will never hit me again.
It creates tension in the relationship. Victims report that their partners become increasingly irritable frustrated and unable to cope with everyday stress. The abuser may lash out at the victim at this point but usually stops and apologizes. The perpetrator deeply apologizes for his actions. You can express what appears to be true regret.
The perpetrator can be sorry or pretend nothing happened. However, they are still interested in reconciliation and may even promise never to reconcile again. The honeymoon stage is when the abuser apologizes and promises that it will never happen again. An apology may be accompanied by an apology for the offender's actions or gifts. A stressful period is a period of heightened tension and peak emotions.
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during which phase of the trajectory model of chronic illness is the focus of nursing care on reinforcing positive behaviors and offering ongoing monitoring?
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Focus of nursing care during the stable phase is providing constant monitoring and encouraging favorable behaviors.
What is trajectory model of chronic illness ?A great deal has been written on the idea of a "illness trajectory" in respect to both chronic disease and the death process. It describes the course of the illness as determined by the person's reaction to the sickness, relationships with others around them, and interventions.A patient's sickness through time as well as the steps taken by their families, caregivers, and medical professionals to control or influence the course of the illness.The term "trajectory" describes the progression of a chronic illness through its many stages and phases.Chronic diseases are significant conditions that may last the entirety of the life of the patient, negatively impacting their mental, emotional, and social health.
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your patient has just returned from the pacu following orthopedic surgery. the patient is complaining of pain, and you are preparing to administer the patient's first dose of meperidine. prior to administering the drug, what assessment would you prioritize?
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To meet the patient's needs from orthopedic surgery pain should be reassessed after each procedure to assess efficacy and determine
In orthopedic surgery Early clinical practice guidelines on acute pain management published by the Health Policy Research Institute address the assessment and management of acute pain.22 These guidelines provide comprehensive pain assessments that are most useful when administered before surgery. It outlines the assessment. n the pain history, the nurse identifies the patient's attitudes, beliefs, level of knowledge, and past pain experiences. Patient and family expectations for postoperative pain management reveal unrealistic expectations that can be addressed before surgery. This comprehensive pain history forms the basis of a postoperative pain management plan jointly developed by physicians (physicians and nurses), patients, and their families.
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A ix year old patient i being een at your facility with a hitory of eay bruiing, joint pain and epitai. You upect___________
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Rheumatoid arthritis is suspected foe a six year old patient being at your facility with a history of easy bruising, joint pain and epitai.
Rheumatoid arthritis, or RA, is Associate in Nursing reaction and disease, which suggests that your system attacks healthy cells in your body by mistake, inflicting inflammation (painful swelling) within the affected elements of the body. RA chiefly attacks the joints, typically several joints directly.
Easy bruising generally indicates a significant underlying condition, like a blood-clotting drawback or a blood dyscrasia. See your health care supplier if you: Have frequent, massive bruises, particularly if your bruises seem on your trunk, back or face or appear to develop for no celebrated reasons.
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two days following a colon resection, an elderly client shows new onset of confusion. when contacting the health care provider, the nurse should make which recommendation?
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Two days following a colon resection, an elderly client shows a new onset of confusion. when contacting the health care provider, the nurse should recommend, "Shall I collect and send a urine sample for culture and sensitivity?". This makes option 3 the right answer to the question.
What is confusion?
A colon resection is an operation done to remove part or all of a client's colon due to an incurable disease or other health conditions which affect parts of the colon or put other parts at risk.
Some conditions like cancer of the colon would require a colon resection. In summary, sending a urine sample for culture and sensitivity, would allow the nurse to find the cause of the confusion.
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The missing part:
Two days following a colon resection, an elderly client shows a new onset of confusion. When contacting the healthcare provider, the nurse should make which recommendation?1. "Do you want a CT scan to rule out stroke?"2. "May we have a prescription for restraining this client?"3. "Shall I collect and send a urine sample for culture and sensitivity?"4. "Would you like a stat potassium level done?"
a nurse asks a client who is 10 weeks' pregnant about her alcohol use. the client admits she sometimes has several glasses of wine with dinner. how would the nurse respon
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The nurse would warn the client about Learning disability.
What is Learning disability ?The capacity to comprehend or use spoken or written language, perform mathematical computations, coordinate motions, or focus attention are all impacted by learning difficulties. Even though they can affect very young children, learning problems are typically not identified until the kid is of school age. According to research, 8 to 10 percent of American youngsters under the age of 18 suffer from a learning problem.Special education is the most typical form of treatment for learning difficulties. A diagnostic educational evaluation that determines the child's academic and intellectual potential and level of academic performance may be carried out by educators with specialized training. After the evaluation is finished, the fundamental teaching strategy is to build on the child's skills and strengths while addressing and making up for any weaknesses or disabilities.
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a nurse performs inspection and palpation of a client's knee and detects swelling. what is the appropriate test the nurse should perform next to determine the cause of the swelling?
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The appropriate test the nurse should perform next to determine the cause of the swelling is the bulge test.
If swelling is detected in the knee, the nurse should perform the bulge test to determine if the swelling is due to an accumulation of fluid or soft-tissue swelling. The bulge test will help to detect small amounts of fluid in the knee. Ballottement is a knee test used to assess for the presence of large amounts of fluid in the knee. McMurray's test is useful to confirm a meniscal tear. Pain or clicking during the test is indicative of a torn meniscus of the knee. Range of motion is not useful in determining the cause of the swelling.
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when discussing his problem, a client tells the nurse that he is always doing small, petty jobs for everyone and he is not happy about it. because of this, he is feeling stressed and has been getting into fights with his wife. what should the nurse suggest to help the client overcome this problem?
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Taking charge rather than being helpless is a behavioral strategy for reducing stress. Alternative conduct is another name for this.
What are the causes of stress?
A person's emotional or physical reaction to the requirements or stresses of daily life is referred to as stress. Stress is frequently brought on by things like work, finances, relationships, and illness. Stress and anxiety can also be exacerbated by significant occurrences like the Covid-19 epidemic and the Christchurch earthquakes.
What are the top 3 stressors?
Possessing little to no control over the results of something. having commitments that you deem to be excessive. You don't have enough employment, hobbies, or life changes. experience abuse, hatred, or discrimination. The SNS plays a role in what's known as the "fight or flight" response whenever the body is under stress.
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what is the suggested common pathway linking chronic periodontitis and conditions such as diabetes, coronary artery disease and adverse pregnancy outcomes?
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The proposed common pathway connecting chronic periodontitis and conditions like diabetes, coronary artery disease, and unfavorable pregnancy outcomes is inflammation.
Where does inflammation come from?
Germs known as pathogens, such as viruses, fungi, or bacteria. scrapes or damage from foreign objects, which are external injuries (for example a thorn in your finger) reactions to radiation or chemicals.
The process by which your body defends itself from noxious substances, such as infections, wounds, and toxins, in an effort to heal itself is referred to as inflammation. When something damages your cells, your body produces chemicals that cause your immune system to react.
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which intervention will a nurse expect to implement in a patient newly diagnosed with an oral candida infection in the mouth and throat
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Teach the patient how to take nystatin with an oral candida infection in the mouth and throat.
How do you get Candida infection?
In the body, including the mouth, esophagus, gut, and vagin*, Candida often exists without creating any issues. If vagin*l conditions change to favor Candida growth, an infection may result. Infections may be more likely to occur as a result of factors such as hormones, medications, or immune system abnormalities.
Is Candida a serious infection?
An infection known as invasive candidiasis is brought on by a yeast called Candida, which is a form of fungus. Invasive candidiasis is a dangerous illness that can affect the blood, heart, brains, eyes, bone, and other regions of the body, unlike vagin*l "yeast infections" or Candida diseases in the mouth and throat (commonly known as "thrush").
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the nurse is working with a patient who requires a tube feeding but who would like to return to work and resume other activities. what is the best way to feed this patient?
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The best way to feed a patient who requires a tube feeding but who would like to return to work and resume other activities is to use Bolus feeding.
What is feeding?
Feeding is defined as the ingestion of food and food products into the body with the aim of achieving nourishment from the food when digested.
There are different types of feeding which includes.the following:
Enteral feeding,Oral feedingTube feedingParenteral feeding.
Bolus feeding is defined as the type of tube feeding that requires the ingestion of food delivered with an enteral syringe or bolus set using a plunger, gravity or a feeding pump.
This method of feeding is best for patients who wants resume their normal daily activities because it is flexible and allows patients to feel more in control of their situation.
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a client is being discharged after having a cardiac catheterization through the femoral artery. which teaching will the nurse provide for the client to perform self-care at home? select all that apply.
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A client is being discharged after having a cardiac catheterization through the femoral artery."I will take this medication every day.
Cardiac catheterization (cath-uh-tur-is-ZAY-shun) is a system in which a thin, flexible tube (catheter) is guided thru a blood vessel to the heart to diagnose or treat positive coronary heart situations, which include clogged arteries or abnormal heartbeats.
Cardiac catheterization is a safe method whilst performed via an experienced clinical team. but, a few possible risks consist of bleeding, infection, and blood clots. A coronary heart assault or a stroke can manifest in very rare conditions. however, don't forget, it is performed in an intently supervised setting in a sanatorium.
Patients ought to be kept lying flat for numerous hours after the technique so that any extreme bleeding can be averted and the artery can heal. it is advised that diagnostic catheterization patients are kept on bed rest for four hours, and interventional catheterization patients stay on mattress relaxation for six hours.
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Explain the term liablity and what it means for the physician and other health care professionals.
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The term liablity and what it means for the physician and other health care professionals is explained below.
Liability is the burden to form restitution for loss or harm. In health care, a supplier is legally chargeable for actions that fail to fulfill the standards of care or are grossly negligent, thereby inflicting hurt to the patient.
Civil law holds the health care professionals or their workers chargeable for not providing care of medical service supported the facts and circ*mstances of the case. Civil liability typically includes the claim from damages suffered for medical misconduct in variety of compensation to the patient by the courts.
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a client seeks medical attention to learn why an infection has been resistant to antibiotic therapy. which laboratory test will the nurse anticipate being used first to determine if the client has a primary immunodeficiency disease (pidd)?
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The DHR laboratory test has been in use for more than 20 years and has a high diagnostic sensitivity
How is primary immunodeficiency tested?
Blood tests can assess the quantities of blood cells and immune system cells as well as ascertain whether you have normal levels of the infection-fighting proteins known as immunoglobulins. Blood cell counts that fall outside of the normal range can be a sign of an immune system problem.
A blood test for immunoglobulins determines the concentrations of IgM, IgG, and IgA in your body to assist in the diagnosis of a variety of illnesses that may have an impact on your immune system.
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a newborn, experiencing ineffective alveolar expansion, is receiving treatment. what intervention should the nurse implement to assure the administration of the prescribed medication has been effective?
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A newborn, experiencing ineffective alveolar expansion, is receiving treatment. intervention should the nurse implement to assure the administration of the prescribed medication has been effective Leukotriene receptor antagonists.
Alveoli are microscopic balloon-fashioned structures located on the giving up of the respiration tree. They make bigger at some stage in inhalation, taking in oxygen, and cut back for the duration of exhalation, expelling carbon dioxide.
Happily, alveolar cells have determined a way to counteract floor tension by producing surfactant, which is a phospholipoprotein that reduces the surface tension, preserving the alveoli open in order that we are able to breathe well.
The lungs are suspended inside the thoracic cavity which is normally at a slight terrible strain. while the diaphragm is lowered, that stress becomes greater bad and the lungs expand into the hollow space. Air from the atmosphere acts into the resulting partial vacuum and inflates the alveoli.
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the nurse is discussing hypertension with a group of patients. which interventions should be included in the discussion? (select all that apply)
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The interventions that the nurse should include when discussing hypertension with a group of patients are as follows:
"Explain the need to keep the cholesterol level under 200 mg/dL"."Instruct the client to walk for 30 minutes, three times a week"."Tell the client to decrease the amount of cigarettes smoked daily".What is hypertension?
Blood pressure is defined as the force of circulating blood against the walls of the body's arteries, which are the primary blood vessels. The amount of pressure that happens is determined by the resistance of the blood vessels and the heart's ability to work hard. High blood pressure, or hypertension, is caused by the heart pumping more blood and by the constriction of the blood vessels in the arteries. Routine blood pressure checks can detect hypertension. All adults should get it done once a year. A person is reported to have hypertension if their systolic blood pressure number from two consecutive readings is more than 140 mmHg and/or their diastolic blood pressure number is greater than 90 mmHg.
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a nurse is discussing the plan of care with a client who has anorexia nervosa. the client's weight is 15% below ideal. the nurse and client are now discussing the client's activity level. the client would like to run 5 miles per day as the client normally does. which response by the nurse is best?
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An anorexic nervosa client and a nurse are talking about the treatment strategy. Right now, physical activity isn't the best option. Exercise that is anaerobic will help you gain lean body mass.
What makes it anorexia nervosa?
The word "anorexia" has Greek roots and means "a loss of appetite." The adjective "nervosa" denotes the disorder's functional and non-organic nature. nervosa anorexia. a type of eating disorder that is marked by purging, extreme weight loss, and altered body image.
What four traits define anorexia nervosa?
Emaciation, a constant pursuit of thinness, a refusal to maintain a healthy or normal weight, a distorted perception of one's body, and a severe fear of weight gain are all signs of anorexia nervosa girls and women not menstruating, and severely disordered eating habits.
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a nurse is assessing the medical record of a client with arthritis who is to receive celecoxib. the nurse would question this order based on which finding in the client's history?
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A nurse is assessing the medical record of a client with arthritis to receive celecoxib. the nurse would this order based on finding in the client's history Hypotension.
Arthritis is as a result of inflammation of the joints. Osteoarthritis normally comes with age and most customarily impacts the arms, knees, and hips. occasionally osteoarthritis follows a joint injury. for example, you would possibly have badly injured your knee while young and increase arthritis to your knee joint years later.
It maximum normally starts offevolved amongst human beings among the a long time of 40 and 60. it is greater common in women than guys. There are drugs which could gradual down an over-active immune device and consequently lessen the pain and swelling in joints. those are referred to as disorder-modifying anti-rheumatic tablets (DMARDs) and consist of organic cures.
Blood tests aren't needed to diagnose all styles of arthritis, but they assist to confirm or exclude a few styles of inflammatory arthritis. Your health practitioner may draw joint fluid or do a skin or muscle biopsy to assist diagnose sure varieties of arthritis.
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the nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is:
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The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is the Human chorionic gonadotropin hormone.
Pregnancy hormones can bring changes to the body, organ function, and emotions of pregnant women. Although there are some that feel uncomfortable, these changes are important to maintain the health of the mother and fetus. Some of the new pregnancy hormones appear during pregnancy, and some are already present before pregnancy, although at different levels. Pregnancy hormones are divided into several types, namely the hormones hCG, hpl, estrogen, progesterone, oxytocin, and prolactin.
This pregnancy hormone has an important role in supporting the health of pregnant women and the fetus. However, sometimes hormonal changes can cause complaints during pregnancy such as fatigue, nausea, thrush, and constipation.
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a client with sick sinus syndrome has been increasingly symptomatic and the health care provider is planning intervention. what interventions for this condition should the nurse anticipate? select all that apply.
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Sick sinus syndrome has been increasingly symptomatic and the health care provider is planning intervention of catheter procedures and surgery to implant a device to maintain a regular heartbeat.
Sick sinus syndrome is a variety of cardiac rhythm disorder. It affects the heart's natural pacemaker (sinus node), that controls the heartbeat. Sick sinus syndrome causes slow heartbeats, pauses (long periods between heartbeats) or irregular heartbeats (arrhythmias). Sick sinus syndrome is comparatively uncommon.
Catheter procedures could be a procedure during which a skinny, versatile tube (catheter) is radio-controlled through a vas to the center to diagnose or treat bound heart conditions, like clogged arteries or irregular heartbeats.
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1. should the short-term and long-term health consequences of intense training and competition in young athletes be investigated? why or why not? include at least 1 example.
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Yes, the short-term and long-term health consequences of intense training and competition in young athletes should be investigated.
What are Athletes?
Athletes are people who participate in organized sports and physical activities. They may compete in individual or team sports, and use physical strength, speed, and agility to compete. Athletes often require medical care to maintain their physical health and performance, including physical therapy and medical evaluations to check for injuries and health issues.
Young athletes are especially vulnerable to the physical and psychological effects of intense training and competition, and it is important to ensure that they are participating in activities that are safe and beneficial to their health. For example, research has shown that intense physical training during puberty can cause excessive stress on the skeletal system and increase the risk of long-term musculoskeletal injuries. Therefore, it is important to investigate the potential risks and benefits of intense training and competition in young athletes in order to ensure their overall health and well-being.
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You’re going to be performing a task at work that requires a clean air supply. What type of respirator should you use?.
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Answer:
dust respiratory N-95 respirator
stridor occurs in an upper respiratory disorder termed: a.asthma b.diphtheria c.epistaxis d.pneumonia e.croup
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Stridor is a symptom of the upper respiratory illness known as croup. Croup is an infection of a upper respiratory tract that prevents breathing and results in the recognizable barking cough.
What is croup?
An upper airway illness known as croup makes breathing difficult and results in a distinctive barking cough. The swelling surrounding the larynx, trachea, and bronchial tubes causes the cough and other symptoms of croup, as well as other signs and symptoms (bronchi).
How does croup start?
Viruses, most frequently the parainfluenza virus, are typically to blame for croup. Infected respiratory droplets that are coughed up sneezed into the air could expose your youngster to a virus. On toys and other surfaces, virus particles in such droplets might also persist.
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the nurse is caring for a 72 year old client taking gabapentin (neurontin) for bipolar disorder. because of this client's age, the nurse would establish which nursing diagnosis related to the drug's common adverse effects?
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The nurse is concerned about a 72-year antique purchaser taking gabapentin (Neurontin) for bipolar disease because of this consumer's age, the nurse could set up a risk for Falls
Commonplace adverse outcomes of gabapentin (Neurontin) consist of CNS depression which includes dizziness and drowsiness. because of this consumer's age, those consequences might also growth the chance of falls. alternatives 1, 2, and 3 are incorrect. The drug isn't recognized to purpose dehydration (fluid extent deficit) or constipation or impair the capacity to communicate.
An extensively normal definition is “an unplanned descent to the floor with or without injury to the patient.” The nursing diagnosis for the risk of falls is “multiplied susceptibility to falling which can motivate bodily harm.
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a nurse is named as a defendant in a malpractice lawsuit. which action would be recommended for this nurse?
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Answer:
Do not volunteer any information on the witness stand.
Explanation:
The nurse on the witness stand should be polite, but not volunteer any information. The nurse should only answer the questions asked. The other answers are not examples of what a nurse should do in a malpractice lawsuit.
which electrolyte imbalance would the nurse anticipate for a patient who is admitted with fluid volume overload
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When kidneys lose their capacity to filter blood, body fluid levels can increase to hazardous levels. Electrolytes and waste products will also build up in your body as a result of the disease, which can be fatal.
Which observation is related to fluid overload?
Fluid overload is linked to a number of issues, including congestive heart failure, pulmonary edema, delayed wound healing, tissue disintegration, and reduced bowel function. Increased mortality has also been linked to fluid overload.
Headache, disorientation, peripheral edema, bounding pulse, elevated blood pressure, polyuria, dyspnea and crackles, weight gain, muscular spasm, seizure, and coma are some of the evaluation findings for fluid volume overload.
The kidneys can be the origin of a variety of conditions, including an excess or deficiency of important minerals like calcium and phosphorous, electrolyte imbalances like sodium and potassium, dehydration, and fluid retention.
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