Advise the new client to seek medical clearance, and once this is obtained, your client can begin incorporating bouts of vigorous intensity exercise.
The talk test is an easy and accurate method of gauging intensity. As a general guideline, you're exercising at a low intensity if you can converse and sing without puffing at all. You are engaging moderately intense activity if you can talk without strain but cannot sing.
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What is leptin released by and how would you predict the levels of leptin to be in nicole when compared to a healthy, female adult of similar age and weight?.
Leptin is released by adipocytes and I expect it would be the lower stage of leptin to be in Nicole, as compared to a healthy, lady person of similar age and weight.
Leptin is a hormone which are chemical messengers that assist extraordinary frame elements to talk with one another. Leptin sends an impulse in your mind that causes you to feel complete and much less hungry. Some people call it a satiety hormone. (Satiety is the feeling of fullness.) It also has an effect on how your body transforms fats into energy. The LEP gene encodes the protein leptin.
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the patient was experiencing apnea during sleep caused by repetitive pharyngeal collapse. the physician, in order to diagnose her condition as osa, ordered a(n)
The patient was experiencing apnea during sleep caused by the repetitive pharyngeal collapse. The physician, in order to diagnose her condition as obstructive sleep apnea (OSA), ordered a(n) polysomnography for short PSG.
What is polysomnography (PSG)?Polysomnography is a form of sleep study that is used as a diagnostic tool in sleep medicine. A polysomnogram, commonly abbreviated PSG, is the test result.
The most often used test in the diagnosis of obstructive sleep apnea syndrome is nocturnal, laboratory-based polysomnography (PSG), generally known as a sleep study (OSAS).
Sleep studies aid in the diagnosis of sleep disorders such as apnea, narcolepsy, parasomnias, and insomnia. Another reason to do a sleep study is to see if a certain treatment, such as positive airway pressure (PAP) therapy for patients who have breathing issues while sleeping, is effective.
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recent changes in the medicare system have affected the quality of health care that david's elderly mother receives. these changes do not affect david directly, but bronfenbrenner would say they affect david's development because they are part of david's
they are part of david's mesosystem
Medicare offers health insurance coverage to people 65 and older, people under 65 with specific disabilities, and people of all ages with end-stage renal disease (ESRD). Medicaid offers medical benefits to groups of low-income individuals, some of whom may not have health insurance or have insufficient health insurance. a federal health insurance program in the United States for seniors and those with certain impairments who are 65 years of age or older. Medicare covers some prescription drugs, hospital stays, and medical services, but recipients are still responsible for some of the expenditures associated with their healthcare.
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complete question:
a client comes into the emergency department reporting an enlarged tongue. the tongue appears smooth and beefy red in color. the nurse also observes a 5-cm incision on the upper left quadrant of the abdomen. when questioned, the client states, "i had a partial gastrostomy 2 years ago." based on this information, the nurse attributes these symptoms to which problem?
Because vitamin B12 is found only in foods of animal origin, strict vegetarians may ingest little vitamin B12. Vitamin B12 combines with intrinsic factor produced in the stomach. The vitamin B12-intrinsic factor complex is absorbed in the distal ileum. Clients who have had a partial or total gastrectomy may have limited amounts of intrinsic factor, and therefore the absorption of vitamin B12 may be diminished. The effects of either decreased absorption or decreased intake of vitamin B12 are not apparent for 2-4 years. This results in megaloblastic anemia. Some symptoms are a smooth, beefy red, enlarged tongue and cranial nerve deficiencies.
a nurse is performing health education with a client who has a history of frequent, serious dental caries. when planning educational interventions, the nurse should identify a risk for what nursing diagnosis?
A licensed nurse should point out on the dangers of smoking tobacco as a risk when giving special education on dental management.
How the use of tobacco is a risk for dental health.Our dental health or conditions speak volume on the well being of our health system. When an individual is addicted to use of tobacco smoking, he has a tendency to be affected of this health condition known as oral cancer.
The cancer of oral cavity is a very dangerous condition which needs the intervention of a nurse to give education on.
In conclusion, interventions on educating the youths on risk of dental cancer is a preventive measures which can help create its awareness.
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the nurse is teaching a patient about the effects of hypertension on the heart. which patient statement indicates that the teaching has been effective?
If the nurse is teaching a patient about the effects of hypertension on the heart, then the statement "Family history is something I cannot change." indicates that the teaching has been effective.
What is hypertension?Hypertension is a medical term used when the cell walls in the blood vessel of the heart undergo excessive force that may cause damage in these vessels. This condition (hypertension) is associated with environmental factors and inherited factors (i.e. the family of the individual).
Therefore, we can conclude that hypertension may be associated with inherited genetic factors that an individual cannot modify.
Complete question:
The nurse is teaching a patient with coronary artery disease about nonmodifiable risk factors.
Which statement by the patient shows that teaching has been effective?
"Elevated lipid levels are genetic and I cannot change the levels."
"Family history is something I cannot change."
"Depression is a disease that I cannot change."
"Obesity is a disease and cannot be changed."
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you are dispatched to a private residence where the patient is unresponsive, not breathing, and has a weak pulse. you secure her airway with an oral airway and ventilate her with a bag-mask device at a rate of one breath every 5 seconds. an als transport ambulance arrives. the paramedic and her aemt partner enter the house and approach you and the patient. now that the ambulance has arrived, who will be the team leader?
You are dispatched to a private residence where the patient is unresponsive, not breathing, and has a weak pulse and secure her airway with an oral airway and ventilate her with a bag-mask device at a rate of one breath every 5 seconds, an ALS transport ambulance arrives and the paramedic and her AEMT partner enter the house and approach you and the patient and now that the ambulance has arrived, so the team leader will be the paramedic, because she is the highest-level provider on scene.
AEMT partner perform interventions with the essential and advanced instrumentality generally found on an auto. The Advanced Emergency Medical Technician could be a link from the scene to the emergency health care system.
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an informatics nurse specialist is working on a team that is considering a new technological system for the facility. which aspect would be most important for the team to do as the first step?
The most important aspect for the team to do as the first step would be to "determine the need or problem to be solved".
Who is an informatics nurse specialist?
Nursing informatics is a nursing specialization where a trained nurse in this field combines their clinical skills with a must-have knowledge of technology and computers, and also skilled in using health data to analyze and figure out the best solutions for enhanced delivery of the patient.
So, an informatics nurse specialists working on a team would first need to know and find out the problem to be solved by the team.
In summary, an informatics nurse specialist would need to communicate and would need to collaborate with the team. The first step for the team doesn't start with assessing the information and the technology needs for patient care but rather to determine the problem they need to solve.
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the intensive care nurse is responsible for the care of a client with shock. what cardiac signs or symptoms would suggest to the nurse that the client may be experiencing acute organ dysfunction?
Signs of acute organ dysfunction in the cardiovascular system include systolic blood pressure <90 mm Hg or mean arterial pressure (MAP) <65 mm Hg, drop in systolic blood pressure >40 mm Hg from baselines or serum lactate >4 mmol/L. An exaggerated response to vasoactive medications and adequate response to fluid resuscitation would not be noted.
What is acute organ dysfunction?acute organ dysfunction is defined as abnormal organ function that prevents homeostasis from being maintained in a critically unwell patient without intervention.Within the first 24 hours, low-grade fever, tachycardia, and tachypnoea are signs of organ failure. Lung failure may develop during the next 24-72 hours. Bacteremia, and renal, intestinal, and liver failure may come after this. the causes of acute organ dysfunction are Infection, damage (from an accident or surgery), hypoperfusion, and hypermetabolism are the causes of the condition. The root reason starts an unchecked inflammatory process. Multiple organ dysfunction syndromes are most frequently brought on by sepsis, which can also lead to septic shock.To learn more about acute organ dysfunction, refer;
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the nurse is helping an adult male client who was recently admitted to the unit with nephrotic syndrome to plan a menu. the client is 6 ft 3 in tall, weighs 90 kg, and has a blood pressure of 140/90 mm hg. the client’s labs revealed proteinuria and hyperlipidemia. upon assessment 2 pitting edema is noted bilaterally. the nurse determines the client’s daily protein intake should be in what range? (round to the nearest whole numbers.)
The client’s daily protein intake should be range in dosage of 0.07 mg/ kg/day.
Nephrotic syndrome is a kidney ailment that causes your body to excrete an excessive amount of protein in your urine.
Damage to the clusters of tiny blood vessels in your kidneys that filter waste and excess water from your blood is frequently the cause of nephrotic syndrome. The disorder causes swelling, particularly in your feet and ankles, and raises your chance of developing other health issues.
Nephrotic syndrome treatment entails both treating the underlying illness and using drugs. Nephrotic syndrome increases your chances of getting infections and getting blood clots. To avoid issues, your doctor may advise you to take medicines or make dietary modifications.
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a reasonable weight-loss strategy for overweight and obese adults is to increase activity and reduce food intake enough to create a deficit of how many kcalories per day?
Reasonable weight- loss strategy for fat and fat grown-ups is to increase exertion and reduce food input enough to produce a deficiency of 500 to 700kcalories per day.
fat and rotundity are defined as abnormal or inordinate fat accumulation that presents a threat to health. A body mass indicator( BMI) over 25 is considered fat, and over 30 is fat. rotundity is a habitual seditious complaint characterized by an increased total body fat mass of sufficient magnitude to produce adverse health consequences and is associated with increased morbidity and mortality. rotundity is a multifactorial complaint that develops from the commerce of behavioural, physiological, metabolic, cellular and molecular factors. There are further than 1 billion fat and fat grown-ups a…
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a nurse is making a home visit for a client with several home safety concerns. on which safety concept(s) would the nurse advise the client? select all that apply.
A well trained nurse should encourage the client on the safety concerns below:
Remove extension cords from open spaces.Check the batteries in all smoke detectors.Ensure appropriate lighting in hallways and entrances to the home.Remove throw rugs from high traffic areas.Options c, d and e are correct
What is meant by safety concerns?When a nurse educate a client about safety concerns or measures, it simply refers to the process of teaching them ways to identify risk which may be harmful to them directly or indirectly.
It is very important for a healthcare provider who is on a home visit to help the patients recognize life threatening things in their environment and how to be safe from then.
In conclusion, we can deduce from the above that taking enough safety measures is very important to put well being.
Complete question:
A nurse is making a home visit for a client with several home safety concerns. On which safety concept(s) would the nurse advise the client? Select all that apply.
a. Ensure appropriate lighting in hallways and entrances to the home.
b. Store prescription medications on the counter.
c. Check the batteries in all smoke detectors.
d. Remove extension cords from open spaces.
e. Remove throw rugs from high traffic areas.
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a client comes to the emergency department reporting severe substernal chest pain radiating down the left arm. the client is admitted to the coronary care unit with a diagnosis of myocardial infarction (mi). which should the nurse do first when the client is admitted to the coronary care unit?
Analgesia and anti-emetics should be provided by the nurse . The pain of myocardial infarction is usually severe and requires potent opiate analgesia.
The most common cause of an myocardial infarction is a blood clot that forms inside a coronary artery, or one of its branches. A heart attack (myocardial infarction) happens when one or more areas of the heart muscle don't get enough oxygen. This happens when blood flow to the heart muscle is blocked.
Administering supplemental oxygen to the client is the first priority of care. The myocardium is deprived of oxygen during an infarction, so additional oxygen is administered to assist in oxygenation and prevent further damage.
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the nurse is caring for a client with hypoxia. what does the nurse understand is true regarding the client’s oxygen level and the production of red blood cells?
Answer: ...........................................
Explanation: ..,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,
the nurse is performing an initial assessment of a patient in labor. what is the appropriate terminology for the relationship of the fetal body parts to one another?
C. Attitude.
The relationship between the various fetal bodily parts is known as attitude. The relationship between the mother's and the fetus' long axes (or spines) is called a lie. The term "presentation" describes the area of a fetus that travels first into the birth canal and into the pelvic inlet during term labor. The position of the fetus refers to how it sits in relation to all four quadrants of a mother's pelvis.
Birth Canal- The route through which bodily fluid leaves when a woman is menstruating. Another name for it is "the birth canal." The upper portion of the uterus is connected by a small, tubular structure called the fallopian tube. The birth canal is made up of the cervix and vagina.
The given question is incomplete, find below the complete question,
Q. The nurse is performing an initial assessment of a client in labor. What is the appropriate terminology for the relationship of the fetal body parts to one another?
A. Lie
B. Presentation
C. Attitude
D. Position
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what does microbiology deals with
Microbiologists study the microscopic organisms that cause infections, including viruses, bacteria, fungi and algae. basically
microbiology deals with microscopic organisms.
during routine medical visits, healthcare providers should counsel patients and their parents that: a. wearing a helmet during sports activities eliminates the risk of mtbi. b. seat belts and child passenger safety seats help prevent mtbi. c. falls are the most common cause of mtbi among children.
During routine medical visits, healthcare providers should counsel patients wearing a helmet during sports activities eliminates the risk of mtbi.
Protective headgear and helmets decrease the potential for severe TBI following a collision by reducing the acceleration of the head upon impact, thereby decreasing both the brain-skull collision. Wearing a helmet is a must to help reduce the risk of a serious brain injury or skull fracture.
Mild traumatic brain injury (mTBI), or concussion, is the most common type of traumatic brain injury. With mTBI comes symptoms that include headaches, fatigue, depression, anxiety and irritability, as well as impaired cognitive function. In sports helmets help to prevent the risk of soft tissue injuries .
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when assessing liliana's condition relative to her tibia fracture after the open reduction, the nurse will be especially alert for signs of which of these problems?
When assessing liliana's condition relative to her tibia fracture after the open reduction, the nurse will be especially alert for signs of option A: Infection.
What occurs if an infection spreads to a fracture?An infection following a fracture typically results in greater than usual amounts of pain, warmth, redness, and edema in the vicinity of the affected area.
Additionally, if a pus pocket develops and breaks, pus will leak from the wound. You might also experience chills, a fever, and nocturnal sweats. After open reduction and internal fixation, the most frequent side effect of tibial fracture was surgical site infection (SSI) (ORIF).
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See full question below
When assessing Liliana's condition relative to her tibia fracture after the open reduction, the nurse will be especially alert for signs of which of these problems?
Infection.
Inadequate calcium for healing.
Bleeding.
Failure of the red bone marrow to create enough erythrocytes.
mcnutt l, wu c, xue x, hafner jp. estimating the relative risk in cohort studies and clinical trials of common outcomes. am j epidemiol. 2003; 167:940‐3.
When illness incidence is low (10%), logistic regression produces an adjusted odds ratio that, after correcting for potential confounders, roughly represents the adjusted relative risk.
What is the Conclusion of the article?When illness incidence is low (10%), logistic regression produces an adjusted odds ratio that, after correcting for potential confounders, roughly represents the adjusted relative risk. The odds ratio consistently and sometimes noticeably overestimates the relative risk for more frequent occurrences.
This work aims to analyze the inappropriate use of a proposed approach to estimate an adjustable relative risk from an updated odds ratio, which has rapidly acquired popularity in public health and medical research, and to offer alternative statistics methods for estimating an adjustable relative risk when the outcome is common. To demonstrate statistical techniques using easily accessible computer tools, fictitious data are used.
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a nurse is interviewing several clients who survived a school shooting ten years ago when they were in high school. which clients should the nurse identify as having achieved adaptation following this event? select all that apply.
A nurse manager at the neighborhood hospital. Married, a stay-at-home mother of three children. Father of two who doubles as a mechanic and works in a tire store.
Briefing :A person's capacity for survival and success following a traumatic experience is known as adaptation. The mechanic, stay-at-home mother, and nurse manager don't exhibit any signs of maladaptation. An inability to handle the stressful event can lead to negative emotions like anger. Lack of effective coping can result in unwise decisions like abusing drugs and alcohol. Some unhealthy coping mechanisms, such as abusing alcohol, drugs, or tobacco, raise the risk of mortality and morbidity.
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an emergency department nurse has utilized the confusion assessment method (cam) in the assessment of a 79-year-old client with a new onset of urinary incontinence. this assessment tool will allow the nurse to confirm the presence of what health problem?
The confusion assessment tool is used to confirm psychiatry and neurology related health problems.
What is Urinary Incontinence?Any uncontrolled pee leak is referred to as urinary incontinence, often known as involuntary urinating. It is a frequent and upsetting issue that could significantly affect quality of life. It has been noted as a significant problem in geriatric medical treatment.
Enuresis, or nocturnal enuresis, is one kind of urine incontinence that is frequently associated with children. UI is a case of a medical illness that is stigmatized, which raises obstacles to effective therapy and exacerbates the issue. People could try to self-manage the ailment in private from others because they feel too ashamed to seek medical attention.
Major risk factors include pelvic surgery, pregnancy, delivery, and menopause. Although it is underreported to medical professionals, urinary incontinence frequently results from an underlying medical issue.
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a nurse is caring for a client with orthostatic hypotension. which nursing interventions are appropriate to decrease the risk of falls? select all that apply.
The appropriate measures used to decrease the risk of fall includes use of a walking aid.
What is Hypotension?Blood pressure is low with hypotension. Blood pressure is a measure of pressure that the heart-pumping blood exerts against the artery walls. The top and bottom numbers on a blood pressure reading are the systolic blood pressure, which is the maximum blood pressure, and the diastolic, which is the lowest blood pressure.
Hypotension is typically defined as having a systolic or diastolic blood pressure of less than 90 mmHg or 60 mmHg, respectively. Children are subject to different numbers. In actuality, though, symptoms are only deemed to be present if the blood pressure is very low.
Typically, lightheadedness and dizziness are the primary symptoms. Other signs and symptoms include weakness, breathlessness, headaches, trembling, arrythmia, polydipsia chest pain, and confusion.
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Q. Which neurotransmitter is released in response to stress and trauma? answer choices Acetylcholine Serotonin Endorphins GABA
Answer:
Explanation:
Epinephrine. Epinephrine (also known as adrenaline) plays a role in the body's “fight-or-flight” response. It is both a hormone and a neurotransmitter. When a person experiences stress or fear, their body releases epinephrine .
2a. while assessing a client two hours after a transurethral prostatectomy (turp), the nurse notes the catheter drainage is bright red in color and contains many clots. name the priority nursing intervention.
Priority nursing intervention post surgery can be checking for Urinary output and observing for signs of hemorrhage. Avoid over usage of bladder, which could lead to hemorrhage, anti-cholinergic medications to reduce bladder spasms and bed rest for the first 24 hours.
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate. The average age of patients currently undergoing TURP is approximately 69 years and average amount of tissue removed is 22 gm . It is normal to notice blood in urine after the surgery for 2-3 weeks .
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the nurse is performing a routine assessment of the client after birth. inspection of a woman's perineal pad reveals a 3-in (7.5-cm) lochia stain. this amount should be documented as which type?
Scant lochia is defined as a 1- to 2-inch (2.5 to 5-cm) stain, light or tiny lochia as a 3- to 4-inch (7.5 to 10-cm) stain, and moderate lochia as a 4- to 6-inch stain. A pad that becomes saturated in an hour is referred to as heavy or big lochia.
When assessing a client's lochia on the fifth postpartum day what would a nurse expect to find?It smells musty and stale, just like period waste. For the first three days following delivery, Lochia is a dark crimson color. No more than a few plum-sized blood clots are typical. The hue of the lochia will be more watery and pinkish to brownish on the fourth through tenth day following delivery.
The lochia should be evaluated for its color, size, and smell. Knowing how much lochia to check for is crucial since too much lochia can signify bleeding. Additionally, bad-smelling lochia could be a sign of an infection. After birth, Lochia is typically bright crimson and has tiny clots.
Scant lochia is defined as a 1- to 2-inch (2.5 to 5-cm) stain, light or tiny lochia as a 3- to 4-inch (7.5 to 10-cm) stain, and moderate lochia as a 4- to 6-inch stain. A pad that becomes saturated in an hour is referred to as heavy or big lochia.
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True or False: Aging is known to change a person's sociological need to seek connection with others, the devastation of isolation, the stability of personality, and the negative impact of poor emotional health on overall health.
Answer: False
Explanation: Ageing is known to change how an elderly person may relate or their roles in a connection (such as in the family), but community and having companionship/relationship with others is a fundamental need which persists throughout a person's life. With Age a person may loss ability to socialize or connect with others as once was possible, but the need is still existent and problems (such as depression) may result from withdrawal.
It is false that aging is known to change a person's sociological need to seek connection with others, the devastation of isolation, the stability of personality, and the negative impact of poor emotional health on overall health.
What is ageing?It is possible to define ageing as the age-related decline of the physiological processes required for reproduction and survival.
Although it is well recognised that as people age, their relationships and positions in groups (such as families) may alter, the need for community and companionship remains constant throughout a person's lifetime.
Age may cause a person to lose some of their capacity to connect with others or socialise, but the need for connection still exists, and withdrawal can lead to issues (like melancholy).
Thus, the given statement is false.
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the nurse is planning the care of a patient with a major thermal burn. what outcome will the nurse understand will be optimal during fluid replacement?
The outcome will the nurse understand will be optimal during fluid replacement urinary output of 30 mL/hr. The correct option is b.
What is thermal burn?External heat sources raise the temperature of the skin and tissues, causing tissue cell death or charring.
When hot metals, scalding liquids, steam, or flames come into contact with the skin, they can cause thermal burns.
In thermal and chemical injuries, a urine output of 30 to 50 mL per hour is used to indicate appropriate resuscitation, whereas in electrical injuries, a urine output of 75 to 100 mL per hour is the goal (ABA, 2011a).
Thus, the correct option is b.
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Your question seems incomplete, the missing options are:
a. A urinary output of 10 mL/hr
b. A urinary output of 30 mL/hr
c. A urinary output of 80 mL/hr
d. A urinary output of 100 mL/hr
a child undergoing treatment for selective mutism can receive medication and non-medication interventions. is a specific aspect of therapeutic treatment.
A specific aspect of therapeutic treatment for selective mutism is: behavior therapy.
Selective mutism is an anxiety disorder. In this, the patient is unable to speak sometimes, especially in social gatherings. The several other symptoms accompanied with it are: nervousness, disinterest, shyness, lack of co-ordination, etc.
Behavior therapy is the treatment for psychological disorders. The treatment differs according to the symptoms of patients. There are several types of behavior therapy like: applied behavior analysis, cognitive behavioral analysis, exposure therapy, Cognitive behavioral play therapy, Dialectical behavioral therapy (DBT), Rational emotive behavior therapy (REBT) and Social learning theory.
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a client has received treatment for oral cancer. the combination of medications and radiotherapy has resulted in leukopenia. what is the nurse's best response to this change in health status?
If a client has received treatment for oral cancer and the combination of medications and radiotherapy has resulted in leukopenia, then the best nurse response to this change in health status should be to ensure that none of the client's visitors have an infection.
What is an immunodepressive patient?An immunodepressive individual is at risk of infection because his or her immune system cannot face infections and therefore the person should be maintained isolated. In this case, we know that the patient is immunodepressive due the radiotherapy might have affected his/her immune response.
Therefore, with this data, we can see that immunodepressive patients strictly should avoid infections.
Complete question:
A client has received treatment for oral cancer. The combination of medications and radiotherapy has resulted in leukopenia. What is the nurse's best response to this change in health status?
Ensure that none of the client's visitors have an infection.
Arrange for a diet that is high in protein and low in fat.
Administer colony stimulating factors (CSFs) as prescribed.
Prepare to administer chemotherapeutics as prescribed.
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the three elements of nursing competency described in the quality and safety for nurses (qsen) initiative are knowledge, skill, and which other element?
Attitude is the ther element.
What is initiative?
Taking the initiative to make friends is taking the first step or acting first. Enterprise lacks initiative; is ready and able to take the initiative.
Therefore,
The three elements of nursing competency described in the quality and safety for nurses (qsen) initiative are knowledge, skill, and which other element?
Attitude is the ther element.
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