The nursing action would be appropriate Inform the client.
Things like lacking length, sore or soft breasts, feeling more worn-out and nausea are commonplace symptoms of early pregnancy. a few humans have signs of pregnancy earlier than they omit their length. Take an at-home pregnancy check if you assume you might be pregnant.
Stomach or tummy pain is commonplace during pregnancy. inside the first trimester, it's miles not unusual to experience mild pains in the lower tummy area. these are a result of hormonal changes in your developing womb.
Multiplied stages of the hormones progesterone can also make you produce more fluid. improved discharge is an everyday part of being pregnant, but it's critical to keep an eye on it and tell your physician or midwife if it changes in any way.
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Who requires hospitals to make all medications patient-dose specific?
The Joint Commission now requires hospitals to make all medications patient-dose specific.
What is the Joint Commission?More than 22,000 healthcare organizations and initiatives in the US are accredited and certified by The Joint Commission. It includes hospitals and organizations that offer services in the areas of ambulatory and office-based surgery, behavioral health, home health care, laboratory, and nursing care facilities.
The joint Commission's guidelines emphasize cutting-edge performance enhancement techniques that benefit healthcare businesses.
Therefore, hospitals are now required by the Joint Commission to make all drugs patient-dose specific.
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a client suffered trauma to the sclera and is being treated for a subsequent infection. during client education, the nurse indicates where the sclera is attached. which structure would not be included?
you are the nurse practitoner (np) in the local high school. you note that a 16 year old girl carries her left shoulder higher than her right shoulder. you should recognize the likely presence of what health problem?
If the patient's left shoulder is carried higher than her right. You should be aware of the potential for Scoliosis.
what is scoliosis ?
The most common age group for diagnosis of scoliosis, which is a sideways curvature of the spine, is adolescence. Although scoliosis can develop in persons with diseases like cerebral palsy and muscular dystrophy, the majority of infantile scoliosis has an enigmatic origin.
The majority of scoliosis instances are moderate, however some curvature get worse as kids get older. Significant scoliosis may be incapacitating. It may be more difficult for the lungs to work correctly if there is less room in the chest as a result of a particularly severe spine bend.
Mild scoliosis in children is regularly evaluated to see if the curvature is worsening, typically via X-rays. Many times no therapy is required. Some kids will require braces to prevent the curvature from deteriorating. Others could require surgery to align them.
If the patient's left shoulder is carried higher than her right. You should be aware of the potential for Scoliosis.
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a student nurse is questioning a nursing instructor about the responsibility to have malpractice insurance. the nursing instructor confirms the safeguard of malpractice insurance by emphasizing which points regarding student liability? select all that apply.
The activities of the student nurse are her/his responsibility, the same level of care required of nurses also applies to student nurses and if the assignment is beyond the student's level of proficiency, the nursing educator may be held accountable.
What about nurses?According to the Merriam- Webster wordbook, nurses are trained in promoting and maintaining health and should work autonomously or under the supervision of a croaker , surgeon, or dentist.From the time of birth to the top of life, nursers are present in every community, big and little.In addition to providing direct patient care and managing cases, nurses also establish nursing practice guidelines, develop internal control processes, and oversee complex medical care systems.The maturity of long- term care in the country is handled by nurses, who also structure the largest single group of the sanitarium labor force.The four- year Bachelor of Science in nursing( BSN) degree is the main route to professional nursing, as opposed to rehearsing at the specialized position.Providing independent and team-based care to people of all ages, families, groups, and communities—whether or not they are ill or not and regardless of circumstance—includes nursing.Health creation, complaint forestallment, and thus the care of the ill, impaired, and dying are all included in nursing.A RN is a good healthcare provider who offers direct case care in a variety of sanitarium and community settings.Learn more about nurses here:
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The student nurse is responsible for the student nurse's actions.
The student nurse is held to the same standard of care as a nurse.
The nursing instructor can be liable if the assignment is above the student's competency.
Student nurses are responsible for their actions and are held to the same standard of care as a nurse. The nursing instructor can be liable if the student assignment is above the student's competency. Students can practice as employees during an educational clinical experience. Students are responsible to be familiar with hospital policy and procedures.
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a client with a history of type 2 diabetes is admitted to the hospital with chest pain and scheduled for a cardiac catheterization. which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure?
Metformin is the best-suited medication for patients with type 2 diabetes. Cardiac catheterization is the procedure, in which a catheter is used to diagnose heart conditions. Metformin medication is needed to be withheld for 24 hours before the procedure and for 48 hours after the procedure.
Type 2 diabetes is a condition, in which high sugar level is present in the bloodstream. This condition arises due to the low amount of insulin in the body. Metformin is a drug that helps the body to lower the level of sugar in the blood. It also helps in maintaining a proper response of the body towards insulin.
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when caring for a multiparous client who is human immunodeficiency virus (hiv) positive and asking to breastfeed her neonate as soon as possible, the nurse should include which instructions about breast milk in the teaching plan?
when caring for a multiparous client who is human immunodeficiency virus (hiv) positive and asking to breastfeed her neonate as soon as possible, the nurse should include, placing as much of the areola as possible into the baby's mouth instructions about breast milk in the teaching plan.
What is human immunodeficiency virus?
A virus known as HIV (human immunodeficiency virus) targets the immune system of the body. AIDS can develop if HIV is not treated (acquired immunodeficiency syndrome). There isn't a reliable treatment available right now.
What is multiparous ?
A female who has given birth to multiple children at once is referred to as multiparous in obstetrics. It can also be used to describe a woman who had multiple pregnancies at various dates.
Therefore, when caring for a multiparous client who is human immunodeficiency virus (hiv) positive and asking to breastfeed her neonate as soon as possible, the nurse should include, placing as much of the areola as possible into the baby's mouth instructions about breast milk in the teaching plan.
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which health education topic is the priority when teaching parents ways to prevent urinary tract infections (utis) in their children?
The health education topic that should be priority when teaching parents ways to prevent urinary tract infections (UTIs) in their children is to teach parents to promote adequate fluid intake since excessive or faulty liquids may lead to complications.
What are urinary tract infections?Urinary tract infections or UTIs may be defined as different diseases and medical conditions associated with faulty functioning of the excretory system which main organs are the kidneys responsible to filter liquid to remove waste products through the urine, which is a liquid that contains urea as a product of metabolic activities made during the process of cellular respiration by the cells of the body and related physiological processes.
Therefore, with this data, we can see that urinary tract infection or UTIs is associated with faulty functions in the excretory system and its organs such as the kidneys that filter liquids.
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The ___ dopamine pathway plays an important role in the reinforcing and addictive properties of drugs like nicotine
Answer:
mesolimbic dopamine pathway
Explanation:
a nurse is speaking with the parent of a toddler who believes the child has a hearing deficit. which findings support this suspected diagnosis? select all that apply.
Behavior appears withdrawn- Monotone speech- Speaks with a load voice findings support this suspected diagnosis. a nurse is speaking with the parent of a toddler who believes the child has a hearing deficit.
A diagnosis made based on medical signs is known as a clinical diagnosis. A diagnosis made based on symptoms and medical signs rather than by performing diagnostic tests is known as a clinical diagnosis. diagnostic testing. a medical diagnosis that heavily relies on test or laboratory results rather than a patient's physical examination. the method of diagnosing a disease, condition, or injury using the signs and symptoms a patient is displaying as well as the patient's medical history and results of a physical examination. A clinical diagnosis may be followed by additional testing, such as blood work, imaging studies, and biopsies.
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List three things that could make a health science workplace unsafe.
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a client's new onset of dysphagia has required insertion of an ng tube for feeding. what intervention should the nurse include in the client's plan of care?
The nurse should include frequent assessment of the placement and function of the NG tube in the client's plan of care.
What is dysphagia?Dysphagia is a medical term that refers to difficulty swallowing. It can occur at any age and can affect anyone, but it is more common in older adults and in people with certain medical conditions. Dysphagia can be caused by a variety of factors, including structural abnormalities in the mouth or throat, neurological conditions, or muscle weakness.
Symptoms of dysphagia may include difficulty swallowing liquids or solids, choking or coughing during swallowing, food or liquid getting stuck in the throat or chest, and frequent heartburn or chest pain. Dysphagia can lead to malnutrition and dehydration if left untreated, as the person may not be able to eat or drink enough to meet their nutritional needs.
If you or someone you know is experiencing dysphagia, it is important to consult a healthcare provider for a proper diagnosis and treatment. Treatment options may include medications, speech therapy, dietary changes, or surgery, depending on the underlying cause of the dysphagia. Dysphagia can often be managed with the appropriate treatment and support.
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the single parent of a young teenager is being treated for complicated bronchitis at a small rural hospital. the parent does not live in the area and has a poor command of english. the facility is experiencing delays in accessing a translator. in considering whether to allow the teenager to translate medical information for his parent, the nurse should consider that:
The nurse needs to take into account that the youngster could be able to translate under these conditions.
What is bronchitis?Life requires breathing, which is typically effortless. Each breath helps remove carbon dioxide from your body, which is a result of breathing, and supplies fresh oxygen into your bloodstream. Through your windpipe or trachea and a branching system of smaller airways known as bronchi, or bronchial tubes, the air you breath travels to your lungs.
Breathing becomes more challenging when your bronchial tubes are irritated or inflamed, a condition known as bronchitis. Bronchitis causes muscles to constrict and produce more mucus, which can make breathing challenging and result in coughing, wheezing, and chest pain.
There are two basic types of bronchitis: acute (short-term) and chronic (ongoing).
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HIPAA protects a category of information known as protected health information (PHI). PHI covered under HIPAA includes: Identifiable health information that is created or held by covered entities and their business associates, provided the data subject is a US citizen.
HIPAA protects a category of information known as protected health information (PHI). PHI covered under HIPAA includes is Identifiable health information that is created or held by covered entities and their business associates.
The creation of national standards was required by a federal statute known as the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which forbade the disclosure of private patient health information without the agreement or knowledge of the patient.
to increase the security of health information and make sure patients are informed of breaches of their personal health data. Timproving the healthcare industry's efficiency.To make health insurance more portable.
PHI stands for Protected Health Information. In accordance with the HIPAA Privacy Rule, patients have a number of rights in relation to the personal health information that covered companies hold.
Complete question:
HIPAA protects a category of information known as protected health information (PHI). PHI covered under HIPAA includes:
Identifiable health information that is created or held by covered entities and their business associates, provided the data subject is a US citizen.
Any identifiable health information.
Identifiable health information that is created or held by covered entities and their business associates that operate across state lines.
Identifiable health information that is created or held by covered entities and their business associates.
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a clinic nurse about to meet a new client and plans to gather subjective data regarding the client's health history. which actions should the nurse take to help ensure the success of the interview? select all that apply.
The nurse should ensure that the room is private, and that distracting objects are removed from the room as well.
What are the reasons for this?
The physical environment in an interview room should have optimal conditions to make the client feel comfortable and to encourage a smooth interview.
The nurse should ensure that privacy is maintained, that there are absolutely no interruptions during the interview, the room temperature is comfortable, hat lighting is sufficient, ambient noise is reduced, and that distracting objects are removed from the room as well.
The nurse should also ensure that both the nurse and the client are seated comfortably, eye to eye, without a desk/ table between them. This is because a desk /table would act as a barrier between them.
To avoid invading the client's private space, the nurse should maintain a distance of 4 - 5 feet from the client. This is to prevent anxiety on the client’s part.
So, therefore, the nurse should ensure that the room is private, and that distracting objects are removed from the room as well.
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a 19-year-old nulligravid client visiting the clinic for a routine examination asks the nurse about cervical mucus changes that occur during the menstrual cycle. which information would the nurse expect to include in the client's teaching plan?
As ovulation approaches, cervical mucus is abundant and clear
What is ovulation ?
Ovulation is the process in which a mature egg is released from the ovary. After it's released, the egg moves down the fallopian tube and stays there for 12 to 24 hours, where it can be fertilized. Sperm can live inside the female reproductive tract as long as five days after sexual intercourse under the right conditions. Your chance of getting pregnant is highest when live sperm are present in the fallopian tubes during ovulation. In an average 28-day menstrual cycle, ovulation typically occurs about 14 days before the start of the next menstrual period. However, each person's cycle length may be different, and the time between ovulation and the start of the next menstrual period may vary. If, like many women, you don't have a 28-day menstrual cycle, you can determine the length of your cycle and when you're most likely to ovulate by keeping a menstrual calendar.
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a patient is having an unusual response to a prescribed beta-blocker. which resource can tell you if there is a known pharmacogenomic result that explains her response?
A patient is having an unusual response to a prescribed beta-blocker. Pharmgkb can tell you if there is a known pharmacogenomic result that explains its response.
The term "beta blockers" or "beta-adrenergic blocking agents" refers to medications that lower blood pressure. Beta blockers work by preventing the activities of the hormone epinephrine, generally known as adrenaline, in the body. Because they make the heart beat more gradually and gently, beta blocker lower blood pressure. Beta blockers also help to dilate veins and arteries, which improves blood flow. Beta blockers are not recommended as a first line of treatment for patients who only have hypertension. Beta blockers are frequently only used to treat high blood pressure after other medications, such diuretics, have failed to control the condition. A doctor might also suggest a beta blocker as one of several medications to lower blood pressure. When taken alone, beta blockers may not be as effective in managing high blood pressure in older adults and people of color.
To avoid, treat, or lessen symptoms in persons who have:
• An unsteady heartbeat (arrhythmia)
• Heart disease
Chest pain (angina)
Heart attacks
• Headache
• Particular tremor types
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the nurse is reviewing the plan of care for a client with a disorder of the thyroid gland. which diagnostic test would the nurse expect the physician to order to evaluate thyroid hormones?
Radioimmunoassay is a test that the nurse expects the physician to order to check thyroid hormones.
The thyroid gland is an important hormone gland that regulates metabolism, growth, and development in the human body. It aids in the regulation of various physiological functions by continuously releasing a consistent amount of thyroid hormones into the bloodstream.
The thyroid gland generates hormones that control the metabolic rate of the body, as well as heart, muscle, and digestive function, brain growth, and bone maintenance.
The most frequent thyroid issues include aberrant thyroid hormone production. Hyperthyroidism is a condition caused by an excess of thyroid hormone. Hypothyroidism is caused by insufficient hormone production.
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a 26-year-old primigravida experiencing severe abdominal pain is brought to the emergency department by ambulance with a suspected ruptured tubal pregnancy. which is the priority nursing action?
The nurse first action should be to insert an intravenous(iv) catheter.
what is intravenous catheter?
A small, flexible tube is used to implant a peripheral venous catheter into a vein. Typically, the back of the hand or the bottom portion of the arm are where it is put. Peripheral intravenous catheters are frequently placed as part of labour care.
Intravenous catheterization in women admitted to the delivery suite is common due to linked practical considerations, including the need for blood sampling, preparation for frequently required intravenous hydration, antibiotics, or oxytocin during labour, and precaution in the event of hemorrhage. Even for women seeking an unmedicated birth in a hospital setting, an IV is typically advised.
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a nurse is providing care for a client with a diagnosis of late-stage alzheimer disease. the client has just returned to the medical unit to begin supplemental feedings through an ng tube. which of the nurse's assessments addresses this client's most significant potential complication of feeding?
A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease. The client has just returned to the medical unit to begin supplemental feedings through an ng tube. The nurse should ensure that the patient's diet is healthy and nutritious.
Symptoms associated with Alzheimer's Disease are as follows,
Patient is socially withdrawn.Patient needs help in walking.Patient needs repetitive questioning.Patient faces sexually inappropriate behavior.Patient faces difficulty using the toilet independently.Patient becomes verbally aggressive or demanding behavior.A person with late-stage Alzheimer's usually faces:
Patient has difficulty in eating and swallowing.Patient needs full-time help with personal care.Patient needs assistance walking and eventually is unable to walk.Learn more about Diseases from the link given below.
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doctors are interested in seeing what type of arch support helps the most to alleviate foot pain. twenty five volunteers are asked to wear one type of arch support one week and rank their level of pain on a scale from one to ten. the next week, they wear another type of arch support and once again rank their pain.the type of arch support that each participant used the first week was randomly selected from the two types. which arch support is better? what type of test would they conduct to test this claim?
The comparison means from dependent arch support should be used to check alleviate foot pain.
You can use independent or dependent samples to compare groups in your data. Your experimental design's choice of samples has an impact on the necessary sample sizes, statistical power, the right analysis, and even the costs of your investigation. You can improve the design of your experiment by comprehending the implications of each sort of sample.
For instance, we frequently consider expanding the sample size to improve the test's statistical power. An impact that is present in the population is more likely to be detected when the sample size is bigger. What a fantastic strategy! Strategically utilizing dependent samples, however, can also boost the statistical power of your test without adding to the cost of your sample size.
Hence, comparison is best way to analyze for binary samples
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nurses who provide care in a large, long-term care facility use charting by exception (cbe) as the preferred method of documentation. this documentation method may have which drawbacks?
The drawback of this documentation method is the Vulnerability to legal liability since nurses' safe, routine care is not recorded.
A nurse is someone who is educated to present care to individuals who are unwell or injured. Nurses work with doctors and other healthcare people to make patients nicely and to preserve their suits and healthy. Nurses also help with end-of-life needs and help another circle of relatives participants with grieving.
The number one role of a nurse is to be a caregiver for patients by way of handling bodily wishes, stopping infection, and treating health situations.
They ought to be able to listen to and understand the concerns of their patients—that is important for evaluating conditions and growing treatment plans.
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a client comes to the dermatology clinic with bright red patches covered with silvery scales on both arms. the health care provider orders calcipotriene. the diagnosis for this client is:
The client comes to the dermatology clinic with bright red patches covered with silvery scales on both arms. the health care provider orders calcipotriene. the diagnosis for this client is: Psoriasis
The health care provider orders calcipotriene. Because the client was diagnosed with plaque psoriasis, Betamethasone and calcipotriene mixture are used on the skin and scalp to deal with plaque psoriasis. it's miles the shape of diet D that works using changing how the skin cells are made within the areas suffering from psoriasis. This medicine is to be had handiest with your medical doctor's prescription.
This medicinal drug is used to deal with psoriasis. It enables the reduction of the redness, thickening, and scaling of the pores and skin that occurs with this condition. wholesome skin lowers your threat of infection and protects you in opposition to the surroundings. Betamethasone is a robust corticosteroid drug that works by using decreasing swelling, redness, and itching. Calcipotriene is a shape of diet D. it's also known as calcipotriol in different countries.
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the nurse is monitoring the vital signs of a client after delivery of a healthy newborn one day ago and notes that the mother's apical pulse is 56 beats/min. which nursing action is appropriate related to this finding?
The mother's apical pulse is 56 beats/min. So the nursing action that would be appropriate is introduction of deep breathing exercises to the patient.
What are breathing exercises?
Diaphragmatic breathing, abdominal breathing, abdominal breathing, or deep breathing is breathing that is done by contracting the diaphragm, a muscle located horizontally between the chest cavity and the abdominal cavity.Air enters the lungs when the diaphragm contracts strongly, but unlike traditional relaxed breathing (eupnoas), the intercostal muscles of the chest do minimal work in this process. The abdomen also expands during this type of breathing to make room for the diaphragm to retract.The use of diaphragmatic breathing is commonly practiced, especially in patients with chronic obstructive pulmonary disease, to improve a number of factors such as lung function, cardiorespiratory fitness, respiratory muscle length, and respiratory muscle strength.To know more about deep breathing exercises, click the link given below:
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the mission of the acute care facility is, 'we are dedicated to creating a healthy community, one person at a time.' what nursing leadership activities would correlate with that mission? (select all that apply.)
We are committed to building a healthy community, one person at a time, according to the acute care facility's mission statement.
define healthy community ?
A healthy community is what? A healthy community is one where local organisations from all walks of life collaborate to fight illness and provide access to healthy lifestyle alternatives. The greatest health benefits are obtained when healthy living is promoted at the community level for the greatest number of people.
We are committed to building a healthy community, one person at a time, according to the acute care facility's mission statement. Which nurse leadership actions fit that mission best answer announcing a CEU course on healthy nutrition for low-income families to the nursing staff.
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in the examples given of poor outcomes caused by ineffective teamwork, what could have improved teamwork? check all that apply. having more time having each team members be clear about his role and responsibilities asking questions establishing clear communication not completing an assessment of the patient
There are given improved teamwork:
having more timehaving each team member be clear about his role and responsibilitiesasking questionsestablishing clear communicationClear and frequent communication ensures that all team members are on the same page, allowing more accurate work to be completed in less time. Strong communication also helps build trust between team members, which improves overall team performance.
An effective team is one in which team members including patients communicate with each other and combine observation expertise and decision-making responsibility to optimize patient care. Here we've covered some of the most common challenges managers often encounter.
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the registered nurse is teaching a group of nursing students about hyperbilirubinemia. which statements made by a student nurse indicates effective learning? select all that apply.
"Bile duct obstruction can cause hyperbilirubinemia."
"Hepatocellular injury can cause hyperbilirubinemia."
"Excessive RBC hemolysis can cause hyperbilirubinemia."
Hyperbilirubinemia occurs when there is an excess of bilirubin in your baby's blood. When red blood cells degrade, a substance known as bilirubin is formed. Bilirubin is difficult for babies to eliminate, and it can accumulate in the blood as well as other tissues and fluids in the baby's body.
The most common causes of conjugated hyperbilirubinemia are intrahepatic cholestasis and extrahepatic biliary tract obstruction, with the latter preventing bilirubin from entering the intestines. The most common causes of hepatitis are viruses, alcohol, and autoimmune disorders.
Hyperbilirubinemia occurs when there is an excess of bilirubin in your baby's blood. Jaundice affects approximately 60% of full-term newborns and 80% of premature babies. Yellowing of your baby's skin and the whites of his or her eyes is the most common symptom. When your child's jaundice first appears is important.
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a client is admitted to an acute care facility with a tentative diagnosis of hypoparathyroidism. the nurse should monitor the client closely for the related problem of: acute gastritis. excessive thirst. profound neuromuscular irritability. severe hypotension.
An acute care facility with a tentative diagnosis of hypoparathyroidism. The nurse should monitor the client closely for the related problem of profound neuromuscular irritability.
Hypoparathyroidism may slow bone resorption, reduce the serum calcium level, and cause profound neuromuscular irritability, as evidenced by tetany.
Medicines called thionamides are commonly used to treat an overactive thyroid. They stop your thyroid producing excess hormones. The main types used are carbimazole and propylthiouracil. You'll usually need to take the medicine for 1 to 2 months before you notice any benefit.
Analyze the client's appetite and weight. Encourage the client to increase fiber and take laxatives to counter constipation. If the client's skin is dry, suggest that they use moisturizer. Client education regarding thyroid hormone therapy compliance.
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A client is admitted to an acute care facility with a tentative diagnosis of hypoparathyroidism. The nurse must display the patron closely for the related problem of:
A. An excessive thirst.
B. profound neuromuscular irritability.
C. acute gastritis.
D. extreme hypotension.
Hypoparathyroidism may slow bone resorption, reduce the serum calcium degree, and reason profound neuromuscular irritability (as evidenced by the aid of tetany).
Humans with hypothyroidism revel in a slowing of metabolic processes, that may bring about fatigue, gradual speech, constipation, cold intolerance, weight advantage, bradycardia, and reduced deep tendon reflexes. One observation confirmed the maximum commonplace signs and symptoms are tiredness, dry skin, and shortness of breath.
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the nurse is participating in a presentation regarding adolescent violence to middle and high school faculty and staff. what risk factors for violence should the nurse include?
When a nurse gives a presentation regarding adolescent violence to school staff, the major risk factors for violence that should be included are: students’ individual, family, peer, and social risk factors.
What do the risk factors that could lead to adolescent violence?There are three major risk factors that could result in violent behavior in teenagers. The risk factors are as follows:
Individual. A student who has experienced violent victimization has a history of aggressive behavior, or is involved with alcohol and drugs has concerning risk factors for violence.Family. Low parental education, low emotional attachment to parents, and poor monitoring or supervision from their parents are most likely to be the risk factors for adolescent violence.Peer and social. Poor academic performance, failure in class, and peer social rejection could also be risk factors.Since the 3 factors above are crucial to adolescent violence in school, the nurse should include them in the presentation.
This question is incomplete and is answered based on general knowledge.
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Lucy must close the accounting books in the old system to have a complete set of financial statements to bring into the new system. How would you guide Lucy through the process of closing the accounting books in the old system? Explain.
Lucy has decided to close her existing books of accounts in the old accounting system and is initializing a new system.
What about new system for recording of the accounting transactions?In certain situations the business may decide to implement new systems for the recording of the accounting transactions that took place during a particular accounting period. This may happen when a new accounting system. Another case scenario when the closing of books is required is when the existing accounting system has been decided to be abandoned and adoption of a new accounting process is initiated. In either cases, it is required to close the books of accounts for the particular year appropriately and the books must show new records as on the starting date of the next accounting year.
Lucy has decided to close her existing books of accounts in the old accounting system and is initializing a new system which would hold completed financial statements from the old system . In order to carry out this process, Lucy will have to follow the steps as given :
1. Transfer from journals to the general ledger :
In order to close each and every journal, the closing balances should be posted to the appropriate general ledger. The postings to the general ledger would depend on the frequency of recording transactions as followed by the companies - monthly, quarterly or annual.
2. Adding up the general ledger balances :
Each and every entry made into the general ledger should be recorded appropriately and every account should be duly balanced. The asset and expenses would show a debit balance unless under exceptions. The liabilities and revenue accounts will show credit balances, again, unless there are certain exceptions.
3. Preparation of the Preliminary Trial Balance :
From the balances derived from the general ledger balances, the preliminary Trial balance is prepared with assets and expenses having debit balances and the liabilities and revenues having credit balances.
4. Posting adjusting entries :
It may so happen that certain transactions come into light only after the preparation of the preliminary trial balance. Such transactions are recorded using adjusting journal entries. They are posted to the general journal.
5. Preparation of the Adjusting Trial Balance :
After the adjusting entries are made, the new trial balance that incorporates the changes as posted using the adjusting entries is prepared.
6. Drafting of the Financial Statements :
When the balanced Trial balance has been prepared, the two important financial statements of the company can be prepared - The Income Statement and the Balance Sheet. These statements shed light on the financial performance of the company for the particular accounting year.
7. Closing entries :
The balances in temporary accounts are transferred to permanent accounts. This is done by posting closing entries to close every revenue and expense accounts.
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you are on the scene of a 68-year-old patient with a history of copd who is breathing 44 times per minute and has a diminished level of consciousness. his wife states he has an albuterol inhaler and nitroglycerin tablets for angina. what is the most important drug you can administer to the patient?
You should provide the patient oxygen via a bag-valve-mask at all times. A vital emergency skill is bag-valve-mask (BVM) ventilation.
When endotracheal intubation or another definitive method of controlling the airway is not an option, this basic airway management approach enables patients to be ventilated and oxygenated while waiting for a more permanent airway to be created.
The most significant drawback of a BVM is that it takes training and practice to use one properly. Even after extensive practice, many still struggle to maintain a good mask seal and ventilate enough volume when only one rescuer is available.
Thus, the most crucial treatment you can provide the patient is oxygen via a bag-valve mask. Ventilation with a bag-valve-mask (BVM) is an essential emergency skill.
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