Ask your doctor or other healthcare professional before using a milk-free formula.
People who cannot acquire enough nourishment by eating can get nutrients through a feeding tube as part of a therapy called tube feeding. To provide liquid nourishment straight into the stomach or small intestine, a flexible tube is introduced through the nose or abdominal region. A feeding tube is a medical tool used to give nourishment to patients who are unable to eat by mouth, cannot swallow securely, or require nutritional support. Gavage, enteral feeding, or tube feeding are all terms for the act of feeding oneself with a feeding tube.
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the nurse notes that an older adult client’s tactile sensation is intact and smell and taste function is within normal limits. what should the nurse consider as being the reason for these assessment findings?
Explanation:
write a 10-sentence narrative about what situations can one generation learn from another using proper capitalization and punctuation.
after correct placement of an endotracheal tube has been confirmed, you note that the 22-cm mark is at the patient's teeth. a short time later, you notice that the 21-cm mark is now at the patient's teeth. you should:
If after correctly placing an endotracheal tube and at a short time later, you notice that the 21-cm mark is now at the patient's teeth, you should: notify the paramedic immediately.
What is an endotracheal tube?An endotracheal tube can be defined as a flexible, plastic tube which is made of polyvinyl chloride (PVC) that is typically placed between the vocal cords through the mouth and trachea to the windpipe, so as to provide oxygen and inhaled gases to the lungs during a surgical operation and/or medical emergency.
Additionally, an endotracheal tube helps to protect the lungs of a patient any from of contamination such as blood or gastric contents.
In this context, we can reasonably infer and logically deduce that as a trained medical practitioner, you should immediately notify the paramedic on duty whenever there is an anomaly with a patient's endotracheal tube such as change in position.
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a client who has just been prescribed lithium for bipolar disorder is being given education from the nurse about this medication. which is important for the nurse to include in teaching?
The nurse should advise the patient to keep himself hydrated and consume a healthy diet.
What is Bipolar Disorder?A mental disorder called bipolar disorder, formerly called as manic depression, is characterized by cycles of melancholy and excessively elevated mood that can last anywhere from days to weeks at a time. Mania is the name for an elevated mood that is extreme or linked to psychosis; hypomania is the name for one that is less severe.
Mania is a condition in which a person exhibits abnormally euphoric, cheerful, or irritated behavior or feelings and frequently acts impulsively without carefully considering the implications. During manic episodes, the need for sleep is typically decreased. The person may cry, have a pessimistic attitude on life, and make poor eye contact with others while depressed.
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wei qw, zhang jx, scherpbier rw, zhao cx, luo ss, wang xl, guo sf. high prevalence of developmental delay among children under three years of age in poverty-stricken areas of china. public health. 2015 dec;129(12):1610-7. doi: 10.1016/j.puhe.2015.07.036. epub 2015 aug 28. pmid: 26318615.
The high prevalence of developmental delay in children under the age of three in impoverished areas of China, as well as the presence of risk factors for developmental delay such as insufficient learning resources and activities at home, caregiver depression, and low family income, highlight the importance of early detection and intervention.
39.7% (95% confidence interval, 37.9-41.5) of the children had developmental delay in at least one of the five domains. The prevalence was 11.5%, 18.5%, 21.4%, 18.4%, and 17.9% for communication, gross motor, fine motor, problem solving, and personal-social skills, respectively. Significant predictors of increased odds of developmental delay included a child who did not have any toys (odds ratio [OR] = 2.31), a caregiver who was depressed (OR = 2.24), a lack of learning (OR = 1.65), and having more children in the family (OR =1.16).
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a gerontological nurse is providing care to several older adult clients. on which client’s plan of care will the nurse include teaching of kegel exercises?
A 67-year-old female client living with stress incontinence since having her children will be included with teaching of kegel exercises.
What exactly do Kegel exercises accomplish?Kegel exercises can help with other pelvic floor issues and urine incontinence. Here is a step-by-step instruction manual for performing Kegel exercises. Kegel exercises help to build up the pelvic floor muscles, which support the uterus, bladder, small intestine, and rectum.What is your Kegel hold time?It could be challenging at first to keep the contraction in place for longer than one or two seconds. In order to prevent stressing the muscles, the ultimate goal is to hold the contraction for 10 seconds before letting it go for 10 seconds.Why are Kegels satisfying?Kegels increase blood flow to the vagina and pelvic floor, which may aid in arousal and lubrication. Many women desire surgery because they believe their vagina is not as tight as it once was after giving birth.
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which vital statistic should a nurse recognize as demonstrating that a community lacks adequate services or programs to meet the needs of its members?
High rates of teen pregnancy.
What is pregnancy?
The period during which a fetus grows within a woman's womb or stomach is known as a pregnancy. When counting from the last menstrual cycle through delivery, a pregnancy typically lasts around 40 weeks, or slightly over 9 months. Pregnancy is divided into three trimesters, as described by healthcare professionals.
Therefore,
which vital statistic should a nurse recognize as demonstrating that a community lacks adequate services or programs to meet the needs of its members?
High rates of teen pregnancy.
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an infant with developmental dysplasia of the hip is placed in a pavlik harness. what instructions should the nurse include in a teaching plan for the parents?
helicobacter pylori gastritis is thought to be caused by a previous infection when the client was younger. chronic gastritis caused by h. pylori can lead to which possible condition?
Chronic gastritis caused by h. pylori can lead to ulcers. H pylori bacteria can also cause a chronic inflammation in the stomach or the upper part of the small intestine.
H. pylori is one of the most common chronic inflammatory disorders. Most patients with H. pylori infection show features of both acute and chronic gastritis. H pylori can sometimes lead to stomach cancer or a rare type of stomach lymphoma.
If the protective layer of the stomach mucus is damaged, gastric acids can irritate the stomach lining underneath the mucus. In the majority of cases, chronic gastritis is caused by the bacteria H. pylori. These bacteria cause an inflammation in the stomach lining and eventually stomach cells become damaged. Long-term infection with Helicobacter pylori could lead to asymptomatic chronic gastritis, chronic dyspepsia, duodenal ulcer disease or gastric ulcer disease.
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an expert panel of infectious disease physicians were asked to determine the most accurate clinical criteria to determine if a patient was experiencing septic shock.
The most accurate clinical criteria to determine if a patient was experiencing septic shock is hypotension followed by MAP and serum lactate.
Septic stun happens due to sepsis and leads to a major diminish in tissue perfusion to organs and tissues. So, in other words, stun (which is where cells are denied oxygen due to the need for perfusion) happens since of an attack by a microorganism (septic).
Persistent hypotension (<90 SBP) that doesn’t react to IV fluids Needs vasopressors (case Norepinephrine) to preserve perfusion (an Outline >65 mmHg) MAP (cruel blood vessel weight).
This number tells us how well crucial organs are being perfused. If it’s lower than 65 mmHg, the organs aren’t being perfused exceptionally well.
Serum Lactate >2 mmol/L Remember from our video on “stages of shock” we talked almost how when cells begin to battle (subsequently not getting sufficient oxygen due to a diminish in tissue perfusion) they will switch from high-impact to an anaerobic digestion system.
The result of an anaerobic digestion system is the buildup of lactic corrosive within the blood. In this manner, due to diminished tissue perfusion, the serum lactate will be lifted.
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A cube of metal is heated to become a gas. The gas takes up more volume than the cube. Does the gas have more matter than the solid? Explain why or why not.
Answer:
the gas don't have more matter than solid
Explanation:
the gas don't more matter than solid but volume of the gas expand when heated
Answer:
No, gas does not have more matter than solid.
Explanation:
Matter cannot be created or destroyed. The gas simply takes up more volume as the matter is not densely packed, and have more freedom of movement.
*See attached image.
In the attached image, it shows the difference between the three states. While it may look like gas is more than solid, it is simply more free and have more movement.
The freedom of movement from least to greatest is:
1) solid
2) liquid
3) gas
~
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a client is postoperative following a graft reconstruction of the neck. what intervention is the most important for the nurse to complete with the client?
An intervention which is the most important for the nurse to complete with a client who just underwent a graft reconstruction of the neck is: assess the graft for color and temperature.
Who is a nurse?A nurse simply refers to an expert (professional) who has been trained in a medical facility and licensed to provide health care for sick people (clients) and perform routine checks on them, including some medical instruments in a health facility such as an hospital.
Additionally, a nurse is saddled with the responsibility of providing an assessment and intervention to all physical and emotional client issues, as well as planning and provide discharge teaching for clients.
What is graft reconstruction?Graft reconstruction can be defined as a surgical procedure which is typically used for the movement of tissue from one part of the body of a living organism to another (client) or from a site in an organism to another living organism (client), without an accompaniment of its own blood supply.
In conclusion, this nurse should assess the client's graft based on color and temperature.
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Which of the following statements regarding medication effects is not true?Which of the following statements regarding medication effects is not true?
Over the counter drugs must be prescribed by a physician is referred to the statement which isn't true regarding medication.
What is Medication?This is also referred to as a drug which is used by individuals in the diagnosis and treatment of diseases and other types of medical conditions. Examples include antimalarials, antibacterials etc which have their unique functions and mechanism of action.
Over the counter drugs must be prescribed by a physician is false because there are some drugs which are referred to as Over-the-counter (OTC) drugs and don't require the prescription from the healthcare professional before they are gotten.
The drugs which don't require prescription are some types of analgesics and first aid tools which are used urgently or during emergencies before they are taken to the hospital if need arises.
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cathy has asthma and had to use her inhaler before taking her physiology exam. later, in the physiology laboratory, she measured her pulse rate and blood pressure and found them to be higher than usual. the following week, after administering some drugs (epinephrine atropine, and some others) to a frog heart, she later developed a severe headache and dry mouth. when she looked in the mirror she noticed that her pupils were dilated.
Cathy has asthma and had to use her inhaler before taking her physiology exam and later, in the physiology laboratory, she measured her pulse rate and blood pressure and found them to be higher than usual and the following week, after administering some drugs (epinephrine atropine, and some others) to a frog heart, she later developed a severe headache and dry mouth and when she looked in the mirror she noticed that her pupils were dilated because of increased norepinephrine release from post-gangleonic sympathetic nerve fibers.
Asthma is a condition within which your airways slim and swell and should turn out further secretion. this could build respiratory troublesome and trigger coughing, a whistling sound (wheezing) after you breathe and shortness of breath. for a few folks, it could be just a minor nuisance.
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section on clinical pharmacology and therapeutics; committee on drugs, sullivan je, farrar hc. fever and antipyretic use in children. pediatrics. 2011 mar;127(3):580-7. doi: 10.1542/peds.2010-3852. epub 2011 feb 28. pmid: 21357332.
One of the most typical clinical symptoms treated by paediatricians and other healthcare professionals is a child's fever, which is frequently a source of worry for parents.
Many parents give antipyretics to their children even when they have little to no fever because they feel that the child has to keep a "normal" temperature.
However, fever is a physiological mechanism that helps the body fight infection and is not the main sickness. There is no proof that fevers themselves make illnesses worse or lead to long-term brain issues.
Therefore, rather than concentrating on bringing the child's body temperature back to normal, the primary goal of treating the febrile child should be to enhance the child's general comfort. counselling a feverish child's parents or guardians.
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1. borschel mw, ziegler ee, wedig rt, oliver js. growth of healthy term infants fed an extensively hydrolyzed casein-based or free amino acid-based infant formula: a randomized, double-blind, controlled trial. clin pediatr. 2013;52(10):910-917.
Infant should be fed an extensively amino acid based infant formula.
organic substances that possess both amino and carboxylic acid functional groups are known as amino acids. Although hundreds of amino acids exist in nature, the alpha-amino acids that constitute proteins are by far the most significant. The genetic coding contains only 22 alpha amino acids.
The IUPAC-IUBMB Joint Commission on Biochemical Nomenclature[6] formally names amino acids in terms of the hypothetical "neutral" structure illustrated in the picture. The systematic term for alanine, for example, is 2-aminopropanoic acid, based on the formula CH3-CH(NH2)-COOH. Amino acids are categorised as alpha- (-), beta- (-), gamma- (-), or delta- (-) amino acids based on the placement of the primary structural functional groups; other classifications relate to polarity, ionization, and side chain group type (aliphatic, acyclic, aromatic, containing hydroxyl or sulfur, etc.).
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eeusen jw, donato lj, kopecky sl, vasile vc, jaffe as, laaksonen r. ceramides improve atherosclerotic cardiovascular disease risk assessment beyond standard risk factors. clin chim acta. 2020;511:138–142. doi: 10.1016/j.cca.2020.10.005
Ceramides are bioactive lipids that function as auxiliary signaling molecules for intra- and intercellular communication. Increased plasma ceramide concentrations are linked to a number of comorbidities and risk factors for atherosclerotic cardiovascular illnesses, such as obesity, insulin resistance, and diabetes mellitus.
Ceramides have also been found to be substantially abundant in atherosclerotic plaques. Ceramide content increases may hasten the development of atherosclerosis by encouraging LDL infiltration into the endothelium and aggregation within the intima of arterial walls.
Numerous clinical investigations have repeatedly demonstrated their independent predictive usefulness for future cardiovascular events over and beyond LDL cholesterol and other conventional risk markers. As a result, ceramide testing using a mass spectrometer provides a straightforward, repeatable, and affordable blood test for determining risk in atherosclerotic cardiovascular illnesses.
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a nurse cares for a client with a chronic illness who has a diagnostic workup for the illness and announces the diagnosis to friends and family. according to the trajectory model of chronic illness, what phase is the client displaying?
Answer:................................
Explanation:
a nurse is obtaining a history from a new client with glaucoma. the client indicates having read about the diagnosis and understanding that this type of glaucoma is due to the degeneration and obstruction of the trabecular meshwork, whose original function is to absorb the aqueous humor. the loss of absorption will lead to an increased resistance, and thus a chronic, painless buildup of pressure in the eye. which type of glaucoma has the client described?
Glaucoma is a chronic, progressive eye illness caused by damage to the optic nerve, which impairs vision.
What is the main cause of glaucoma?Glaucoma is a chronic, progressive eye illness caused by damage to the optic nerve, which impairs vision. One of the biggest risk factors is eye pressure. When the drainage system isn't working properly, fluid can build up inside the eye and create severe pressure that damages the optic nerve.
What is the average age at which glaucoma first appears?Everyone can develop glaucoma, however older people are more frequently affected. It is one of the primary causes of blindness in those over 60.
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1.Do you think we should have stronger enforcement around chemical manufacturing and distribution of stimulants? Why or why not?
We should have stronger enforcement around chemical manufacturing and distribution of stimulants because large doses of these stimulants if not checked can can cause over-stimulation, resulting in anxiety, panic, seizures and other risks associated with overdose.
What are stimulants?Stimulants can be referred as a term that covers many drugs including those that increase activity of the central nervous system and the body, drugs that are pleasurable and invigorating, or drugs that have sympathomimetic effects.
Stimulants include drugs such as caffeine, nicotine, amphetamines and cocaine.
Stronger enforcement around chemical manufacturing and distribution of stimulants because large doses of these stimulants if not checked can can cause over-stimulation, resulting in anxiety, panic, seizures and other risks associated with overdose.
Stimulants has their legal and illegal usage.
Illegal stimulants are usually snorted, swallowed, smoked or injected. Prescribed stimulants are usually taken orally, and how long the effects last differs depending on the type.
The effects of taking stimulants with other drugs − including over-the-counter or prescribed medications can be unpredictable and dangerous to health and life.
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the parents of a neonate with a cleft lip are shocked when they see their child for the first time. which nursing action should the nurse include in the neonate’s plan of care to help the parents accept their newborn’s anomaly?
Cleft lip and/or palate babies require specialised treatment from a group of medical specialists. Due to the challenging medical, surgical, dental, and social elements that influence treatment decisions, their care must be properly handled.
Nurses, social workers, nutritionists, audiologists, speech-language pathologists, geneticists, paediatricians, dentists, orthodontists, and pediatric surgeons typically make up the cleft/craniofacial team (otolaryngologists, oral and maxillofacial surgeons, and plastic surgeons). These service providers are aware of typical worries and are equipped to address parents' inquiries.
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quizlet the nurse should anticipate they will need to teach the newly diagnosed multiple sclerosis client how to give injections if they are prescribed which medication to assist with reducing exacerbations?
Interferon-beta helps in modifying the course of treatment of Multiple sclerosis.
Multiple sclerosis (MS) is an autoimmune-based chronic inflammatory disease of the central nervous system that primarily targets myelin components while also affecting axons and neurons. While acute demyelination manifests as clinical relapses that may completely or partially resolve, chronic demyelination and neuro axonal damage cause neurological symptoms that are permanent and irreversible and frequently worsen with time.
TREATMENT
Interferon beta -1a belongs to the class of immuno modulators used in multiple sclerosis. In those with relapsing-remitting MS, interferon beta reduces exacerbations. It is a cytokine that strengthens the immune system and Injections are used to administer it. It aids in reducing inflammation and avoiding the nerve damage that leads to MS symptoms.The other MS drugs include plasmapheresis, corticosteroids, and mitoxantrone. although not by injection.
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_________ are the most commonly used group of psychoactive drugs in the us and include ___________, which is considered the easiest substance to become addicted to and most difficult to quit.
Caffeine are the most commonly used group of psychoactive drugs in the us and include marijuana, which is considered the easiest substance to become addicted to and most difficult to quit.
Caffeine is a legal pschoactive drug and is consumed more than 90% young generation in United States. Marijuana is one of the most widely used addictive drug used after alcohol and tobacco. It is consumed through cigarettes or bongs. One of the harmful ingredient of marijuana include THC. THC enters the circulation swiftly from the lungs when marijuana is smoked.
THC affects particular brain cell receptors that often respond to substances that resemble THC in nature. These organic compounds contribute to healthy brain growth and operation. The areas of the brain with the highest concentration of these receptors are overactivated by marijuana. People get a "high" as a result of this on a short-term basis. marijuana can also impair the thinking capacity, learning power and memory of the smoker.
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the nurse in a pediatric cardiovascular clinic is talking with the father of a 5-year-old child who underwent cardiac surgery for a heart defect at the age of 3. the father reports that the child has been having increased shortness of breath, tires easily after playing, and has been gaining weight. the nurse is aware that the child is most likely demonstrating symptoms of which acquired cardiovascular disorder?
The nurse is aware that the child is most likely suffering from heart failure, an acquired cardiovascular disorder.
Heart failure occurs when the heart muscle fails to adequately pump blood. Blood frequently backs up, causing fluid to accumulate in the lungs and legs (congestion). Shortness of breath and swelling of the legs and feet can result from fluid buildup. The skin may appear blue due to a lack of blood flow (cyanotic). Heart failure is a chronic condition that cannot be cured for the vast majority of people. However, treatment can help keep the symptoms under control for many years. Healthy lifestyle changes are the primary treatments.
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a 42-year-old with chronic right trochanteric bursitis is scheduled to receive an injection at the pain clinic. a 22-gauge spinal needle is introduced into the trochanteric bursa, and a total volume of 8 cc of normal saline and 40 mg of kenalog(triamcinolone acetonide) is injected. what are the cpt® codes?
The CPT codes are 20610-RT, J3301 x 4.
Look for Injection/Bursa in the CPT® Index. 20600-20611 has been given to you. To select the proper service, review the codes. The injection was administered inside the trochanteric bursa (hip, a significant joint), without ultrasound guidance for medication administration, hence 20610 is the appropriate code. You can find Kenalog -10 & Kenalog-40 in the Table of Drugs & Biologicals of a HCPCS Level II codebook, both of which refer to Check out triamcinolone acetonide. Several codes, including J3300, J3301, and J3302, are produced by triamcinolone acetonide. Kenalog is mentioned in the notes with the number J3301 10 mg. For every 40 mg of Kenalog, report 4 units.
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a client with multiple sclerosis is being discharged. the nurse understands that living with chronic conditions imposes many challenges, including the need for which accomplishments? select all that apply.
Alleviate and manage symptoms and Validate individual self-worth and Validate family functioning.
What does the word "chronic" mean?A ailment that lasts for a year or longer, requires continuous medical care, restricts daily activities, or both is often referred to as a chronic disease. The main causes of death and disability everywhere are chronic diseases like diabetes, cancer, and heart disease.
What is an example of a chronic illness?A disease or ailment that typically lasts three months or longer and has the tendency to deteriorate over time. The incidence of chronic diseases, which are typically treatable but irreversible, is higher in the elderly. The most prevalent chronic conditions are arthritis, cancer, heart disease, and diabetic.
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therapeutic communication involves listening and analyzing what the client is conveying. based on the information provided by the client, which nursing interventions best promotes effective communication? (select all that apply. one, some, or all options may be correct.)
The nursing interventions best promotes effective communication is the use open-ended questions.
What are open-ended questions?Open-ended questions are those questions that allows the respondent to further explain themselves instead of giving a reply of yes or no.
In order words, an open-ended questions is the opposite of a closed-ended question which involves the respondent to answer either yes or no.
Therapeutic communication is a type of an effective communication that is being used a nurse to obtain vital information that can use to analyse the physical, emotional and psychological health status of their patients or client.
These open-ended questions are used by the nurse during a therapeutic communication section to obtain the necessary information they need.
The importance of therapeutic communication include the following:
To help clinicians build trust with patients, To help clinicians and patients collaborate efficiently and effectively toward the patient's physical and emotional wellness.Learn more about therapeutic communication here:
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a nurse is assessing a client receiving tube feedings and suspects dumping syndrome. what would lead the nurse to suspect this? select all that apply.
Tachycardia, Diarrhea, Diaphoresis can lead the nurse to suspect this syndrome
Tactile signs such as tachycardia, feeling hot, sweating, nausea, diarrhea, and other hyperglycemic symptoms may be present in the diagnosis of dumping syndrome. A condition known as "dumping syndrome" occurs when food, particularly sugar, moves too quickly from the stomach to the duodenum. Another name for it is fast gastric emptying. It might be one of the side effects of a stomach or esophageal operation. It might be a later dumping that takes place 2 to 3 hours after a meal or an early dumping that occurs 10 to 30 minutes after a meal.
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complete question:
a nurse is assessing a client receiving tube feedings and suspects dumping syndrome. what would lead the nurse to suspect this? select all that apply.
Tachycardia
Diarrhea
Diaphoresis
a client reports using pain medication and sitting in a dark room on the onset of a migraine headache. in which part of the subjective section of the physical examination should the nurse document this information?
When a migraine headache starts, a customer says they take painkillers and sit in a dark room. The nurse record this information in relieving factors.
A migraine headache is characterized by intense throbbing pain or a pulsating sensation, typically on one side of the brain. Extreme sensitivity to light and sound as well as nausea and vomiting are frequent side effects. Attacks from migraines can linger for hours or even days, and the agony they cause may be so intense that it makes it difficult to carry out your everyday tasks. The pain may radiate throughout your brain, move from one side of your brain to the other, or originate at the front of your skull. While severe migraines can last up to three days, the average migraine headache lasts roughly four hours. Everybody experiences headaches differently, but two to four per month is a common frequency.
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a nurse is preparing to administer a prescribed dose of digoxin to an 6-month-old infant. after assessing the infant's apical pulse, the nurse decides to withhold the dose and notify the health care provider. the nurse bases this decision on which apical pulse rate?
The nurse decides to withhold the dose and notify the health care provider after assessing the infant's apical pulse. The nurse bases her decision on an apical pulse rate of 80 beats per minute.
The apical pulse is a chest pulse point that provides the most accurate reading of your heart rate. The apex beat is also known as the point of maximal impulse (PMI). An adult's normal apical pulse rate ranges from 60 to 90 beats per minute. 2. The apical pulse is a measurement of the heartbeat at the apex or top point of the heart, just under the left breast (at the fourth to fifth intercostal space). This suggests that the apical pulse method is a faster and more accurate way of locating the pulse in an infant , should be used during cardiopulmonary resuscitation.
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a woman who is 10 weeks' pregnant calls the physician’s office reporting "morning sickness" but, when asked about it, tells the nurse that she is nauseated and vomiting all the time and has lost 5 pounds. what interventions would the nurse anticipate for this client?
Answer:
Intervenous fluid
Explanation:
So that she can some bit of whight