When the patient's blood pressure drops to 60/40 mm Hg and she loses consciousness, the nurse realizes that the patient is experiencing an amniotic fluid embolism.
An indication of amniotic fluid embolism is a rapid decrease in blood pressure in pregnant individuals.
Pregnancy complications like amniotic fluid embolization syndrome are rare, unexpected, and dangerous. Which individuals are at risk for AFE cannot be predicted with any degree of certainty. A range of clinical signs & symptoms must be used to make the diagnosis, along with the elimination of other potential causes.
An uncommon, frequently dangerous complication of labor & delivery is amniotic fluid embolism. The clinical symptoms of hypoxia, hypotension, & coagulopathy suddenly appearing is the typical presentation.
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on a routine visit to the physician, a client with chronic arterial occlusive disease reports that he's stopped smoking after 34 years. to relieve symptoms of intermittent claudication, a condition associated with chronic arterial occlusive disease, which additional measure should the nurse recommend?
To relieve symptoms of intermittent claudication, a condition associated with chronic arterial occlusive disease, the additional measure which the nurse should recommend is taking daily walks.
Who is a Nurse?This is referred to as a healthcare professional which specializes in the taking care of the sick and ensuring that adequate recovery is achieved thereby reducing the risks of complications.
Claudication refers to the leg cramp pain that occurs during exercise and is as a result of insufficient blood flow in the legs therefore starving the cells of oxygen.
The additional measure which the nurse should recommend is taking daily walks which relieves symptoms of intermittent claudication due to the increase in blood flow to that part of the body.
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when collecting a urine sample from the port of the client's catheter drainage tubing, the nurse inserts the syringe into the aspiration port, slowly aspirates enough urine for the specimen, and removes the syringe. what would be the nurse's next step?
When collecting a urine sample from the port of the client's catheter drainage tubing, the nurse inserts the syringe into the aspiration port, slowly aspirates enough urine for the specimen, and removes the syringe, the nurse's next step would be to unclamp drainage tubing.
Clamping the indwelling urinary catheter earlier than elimination turned into first endorsed with the aid of using Ross in 1936. The clamping technique is meant to bolster the bladder detrusor muscle, enhance muscle tone and sensation of the bladder, and stimulate ordinary filling and emptying of the bladder is recommended that indwelling urinary catheters have to be clamped intermittently to fill the bladder and repair bladder characteristic earlier than elimination.
However, indwelling urinary catheter clamping confirmed no impact on bladder reconditioning in step with a few scientific studies.
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a young man is rushed to the emergency room after fainting. his blood pressure is alarmingly low, and his companion reports the man collapsed shortly after being stung by a wasp. what has caused his hypotension? what treatment will be given immediately?
The patient had an allergic reaction to the wasp sting and needed epinephrine right away.
What is epinephrine?Epinephrine injection is used to treat severe allergic reactions (including anaphylaxis) to insect bites or stings, medicines, foods, or other substances in an emergency.
It is also used to treat anaphylaxis caused by unknown substances or exercise-induced anaphylaxis.
Adrenaline is another name for epinephrine, which is derived from the name of its gland. As a result, receptors for both epinephrine and norepinephrine are referred to as adrenergic receptors.
After fainting, a young man is rushed to the emergency room. His blood pressure is dangerously low, and according to his companion, the man collapsed shortly after being stung by a wasp.
Anaphylactic shock has occurred, and epinephrine injections should be administered immediately.
Thus, this can be the treatment that will be given immediately.
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the medical plan of treatment for chronic mitral regurgitation would include medications to reduce afterload, such as:
The medical plan of treatment for chronic mitral regurgitation would include medications to reduce afterload, such asangiotensin-converting enzyme inhibitors (ACEIs), hydralazine, or calcium channel blockers.
When is mitral regurgitation serious?Additionally, the severity and suddenness of the disease affect it.Moreover, it is based on your general health.Atrial fibrillation and other heart rhythm issues, such as mitral valve regurgitation, are more likely to occur.You might not need therapy if you have mild or severe mitral valve regurgitation. Afterload medications like calcium channel blockers, hydralazine, or angiotensin-converting enzyme inhibitors (ACEIs) should be used at maintenance doses to patients with persistent mitral regurgitation.Digoxin and diuretics are also helpful. Beyond lowering blood pressure, ACEIs appear to be superior to CCBs for CHD prevention, whilst CCBs tend to be superior to ACEIs for stroke prevention.An ongoing decrease in blood pressure (BP) has been linked to a lower incidence of stroke and coronary heart disease (CHD), according to outcome trials.To learn more about mitral regurgitation refer
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which components of donated blood would a nurse at a community blood drive explain can be separated for individual use?
The components of donated blood that can be separated for individual use are :
Plasma.Albumin.Cryoprecipitate.55% of the total volume of your blood is made up of the liquid substance called plasma. Plasma must circulate throughout the circulatory system in order to help your body heal from wounds, deliver nutrients, eliminate waste, and prevent infection.
The protein albumin is produced by your liver. Albumin enters your bloodstream and aids in preventing fluid from seeping into other tissues from your blood vessels. Albumin also transports vitamins, enzymes, and hormones throughout the body.
Cryo, also known as cryoprecipitate antihemophilic factor, is a component of plasma, the liquid component of our blood. The protein clotting factors, which are abundant in cryo, can aid to slow or stop bleeding and so minimize blood loss.
The cryo contains the following blood clotting proteins:
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a group of nurses has introduced evidence-based practice rounds to their community health clinic. what purpose should be primarily accomplished by these rounds?
The objective is to swiftly incorporate the most cutting-edge research, clinical expertise, and patient preferences into clinical practise so that nurses can make well-informed decisions regarding patient care.
What are the evidence-based practice's three objectives?When making decisions about patients and clients, practices, and health policies, evidence-based practise incorporates the best available data, clinical knowledge, patient values, and environmental factors. Equal importance is given to all three components.
What is the primary goal of evidence-based medicine?Evidence-Based Medicine (EBM) aims for the ideal that healthcare professionals should make "conscientious, explicit, and judicious use of current best evidence" in their everyday practice.
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What is caustic exposure?
Caustic exposures in adults often occur via occupational exposure or during a wrong attempt; in children, exposures most frequently happen through unintentional ingestion. Caustics can cause systemic toxicity and cause localized harm when they come into touch with tissue surfaces.
Caustics are frequently found in industrial and domestic items, and they represent a serious risk to the public's health when consumed.
What do you mean by exposure?
Biology's term for when an organism comes into contact with a dangerous substance, like chemicals
Poor health or death due to exposure to harmful substances or extreme weather, such as hypothermia or sunburn, in medicine.
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endurance athletes achieve higher cardiac outputs through large increases in which variable of the cardiac output formula?
Through significant increases in the cardiac output formula's stroke volume component, endurance athletes obtain larger cardiac outputs.
Cardiovascular output (CO), also known as heart output, is the amount of blood pumped by the heart's two ventricles per unit of time (usually measured per minute). The sum of the stroke volume (SV), or the amount of blood pumped out of the left ventricle every beat, and the heart rate (HR), or beats per minute (bpm), is what is known as cardiac output. Typical notation for cardiac output values is L/min. With a heart rate of 70 beats per minute and a weight of 70 kg, a healthy person's average cardiac output at rest is about 5 L/min; the stroke volume would be about 70 mL.
Cardiac output is a crucial factor in determining how well the heart can meet the body's requirements for the maintenance of proper tissue perfusion because it is related to the volume of blood delivered to various sections of the body. The prolonged transport of oxygen to body tissues by systemic circulation of oxygenated blood at an acceptable pressure from the left ventricle of the heart via the aorta and arteries is necessary for the sustained supply of oxygen to the tissues.
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a client presents with otalgia and yellow-green discharge from the external ear canal. which question should the nurse ask to determine the cause of this problem?
A client presents with otalgia and yellow-green discharge from the external ear canal. which question should the nurse ask to determine the cause of this problem Place arms around the client without touching. (This is the balance test).
Otalgia is defined as ear pain. separate and wonderful kinds of otalgia exist. pain that originates within the ear is number one otalgia; pain that originates out of doors the ear is referred otalgia. [1, 2] normal resources of primary otalgia are external otitis, otitis media, mastoiditis, and auricular infections.
The primary causes of otalgia are frequently benign and present as trustworthy cases to the experienced GP. contamination, trauma, foreign bodies and impacted cerumen are the common situations usually identified on otoscopy.
Issues of the external auditory canal which can motive ache consist of cerumen impaction, foreign our bodies, and, most usually, infection of the canal. Otitis externa (typically called swimmer's ear) is as a result of bacterial infections (ninety%) and fungal infections (10%).
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the nurse is monitoring a dialysis client whose urine output is 400 ml in 24 hours. the nurse realizes this client is on a fluid restriction. what would the fluid allowance be for this client?
The nurse is monitoring a dialysis client whose urine output is 400 ml in 24 hours and realizes this client is on a fluid restriction, so the fluid allowance will be 1400 ml for this client.
Dialysis is a procedure to get rid of waste product and excess fluid from the blood once the kidneys finish off properly. It typically involves amusive blood to a machine to be clean. Life on dialysis will vary reckoning on your alternative medical conditions and the way well you follow your treatment set up.
Urine output is well measured through insertion of an inward Foley tube and affiliation to a urometer. A daily output of four hundred to five hundred cc of piddle is needed to release obligatory gas wastes. In adults an inadequate piddle output (oliguria) is usually outlined as <0.5 ml/kg/hr.
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a nurse is administering a subcutaneous injection to a client. what is the common maximum volume of a subcutaneous injection?
A subcutaneous injection's typical maximum volume is 1 mL for adults and 0.5 mL for kids.
Describe the subcutaneous region.The figure that lies beneath the skin is referred to as the subcutaneous tissue, hypodermis, or superficial fascia. Since it is the thickest layer and sits immediately above the peritoneum, the terms subsurface and hypoderm, which both imply "beneath the skin," are derived from Latin and Greek, respectively.
How should I subcutaneously inject a?Directly the tissue you is pinching with the needle. The tip can be placed straight in (like a dart) at a 90-degree or at a 45-degree. Push the syringe's plunger slowly while maintaining the skin's pinch.
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a visually impaired diabetic patient states that he has lost the call light. what is the next step the nurse should take?
A visually impaired diabetic affected person states that he has misplaced the call light then the subsequent step the nurse need to take and describe the decision mild location, and take the affected person's hand and manual it to that location.
Always go away the decision mild inside clean attain of the affected person. Use of the affected person's senses of contact and listening to permits the affected person to find the decision mild easier. Simply telling the affected person that the decision mild is clipped to the mattress isn't always adequate, due to the fact the affected person will now no longer understand in which at the mattress to look.
Verbally calling for the nurse isn't always acceptable, due to the fact the nurse and different group of workers individuals is probably out of listening to range. Speak clearly, slowly, distinctly, however naturally, with out shouting or exaggerating mouth movements. Shouting distorts the sound of speech and might make speech analyzing extra difficult. Say the person's call earlier than starting a conversation.
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true or false? the majority of health care executives believes that health care reform will positively impact finances.
Healthcare service providers are compensated by third parties for services provided. Frequently, the patient is found. Among the confusion about insurance and payment concerns.
What executives believes that health care reform?The fragmented healthcare system, which multiplies administrative costs (tracking patient expenses and billing to multiple insurers), the influence that healthcare providers have over patients.
The three main causes of rising healthcare prices are the for-profit basis of the healthcare sector.
Therefore, reduced health care expense rise while maintaining high standards for treatment and putting patients first.
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A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
a)Capillary refill in the patient's nail beds is less than or equal to 3 seconds
b)The patient white blood cell level is within reference ranges
c)The patient's hemoglobin level is 11 g/dL
d)The patient maintains an oxygen saturation of 92% on room air
Using the theories of epoetin alfa, we got that the the assessment findings which most strongly indicate that treatment has been effective is c)The patient's hemoglobin level is 11 g/dL.
Epoetin alfa is used to treat the anemia caused by chemotherapy in adults and children at least 5 years old.
Epoetin alfa is also used to treat the anemia caused by chronic kidney disease in adults and children at least 1 month old.
Epoetin alfa is also used to treat the anemia in adults taking zidovudine to treat HIV (human immunodeficiency virus).
Epoetin alfa is also used to reduce need for red blood cell transfusions in adults having certain types of surgery.
Hence, if A patient has completed 4 weeks of treatment with epoetin alfa, the assessment findings which would most strongly indicate that treatment has been effective is option c)The patient's hemoglobin level is 11 g/dL.
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a pregnant client seen in the prenatal clinic tells the nurse that the iron supplement started 1 week ago is causing nausea, constipation, and heartburn and that she would like to stop taking the medication. the nurse responds by making which statement to the client?
A pregnant client seen in the prenatal clinic tells the nurse that the iron supplement started 1 week ago is causing nausea, constipation, and heartburn and that she would like to stop taking the medication. the nurse responds that: A. For a few days, stop taking iron supplements, increase your physical activity, increase your fluid intake, and eat high-fiber, low-iron foods until the constipation is gone. Then, start taking iron supplements again.
B. Increase fluid intake, eat more high-fiber meals, and move more. Take an iron supplement every other day.
C. Take extra iron supplements, drink more water, eat more high-fiber meals, and exercise more.
D. Keep taking iron supplements, but drink more water, eat more high-fiber meals, and work out more.
Constipation is a typical adverse reaction to iron supplements. Because she has anaemia, she needs to take more iron supplements and drink more fluids and fibre to avoid constipation from the iron preparations. Even for a few days, the nurse shouldn't suggest that the client cease taking her iron supplements. The client shouldn't be advised by the nurse to take her iron supplements more frequently or every other day. Depending on the client's hematologic condition, the primary care physician will recommend these supplements.
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a nursing student is assigned to administer an intramuscular iron injection to a client. the coassigned nurse asks the student about the technique for administration of this medication. the student indicates understanding of the administration procedure by identifying what as the correct injection site and method?
The Student answered to nurse to Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle.
What is Intramuscular Injection ?
Intramuscular injections are a regular procedure in Today's era. They are used to transport medications and vaccinations. This is how many medications and practically all injectable vaccinations are given.When alternative routes of administration are not suitable, intramuscular injections are employed. Among them are: orally (swallowed the stomach) (swallowed into the stomach)intravascular (injected into vein) (injected into the veinssubcutaneous (injected into the fatty tissue right beneath the layer of skin) (injected into the fatty tissue just under the layer of skin)Because some medications are irritating to veins or because a suitable vein cannot be discovered, intramuscular injection may be used instead of intravenous administration.Therefore, Insert needle at an 45o angle to the skin while giving intramuscular iron injection
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3. Enter the following transactions on the stock card below: In January 2015, Ijebu Ode health centre received from the Central Medical store, 60 tins of a new item in the store called Atesunate100 mg tablets. During January, two tins of 500 tablets were issued to the dispensing area. In February, five tins were issued, and in the next two successive months, six and seven tins were issued respectively. Finally during the last four months, six, eight, nine and ten tins were issued, respectively. (a) What is the average monthly consumption of Atesunate?
An antimalarial drug called artesunate for injection is recommended for the first management of severe malaria in both adult and pediatric patients. An adequate oral antimalarial regimen should always be taken after administering artesunate for injection to treat severe malaria.
Injection of artesunate, a semi-synthetic artemisinin derivative, is present in 110 mg and is meant to be administered intravenously. Antimalarial medication artesunate is used. The formula for the structure is Structural Formula for ARTESUNATE - Illustration
A white or almost white powder, artesunate has a molecular weight of 384.43. The chemical name is Mono butyl butane dioic acid (3R,5aS,6R,8aS,9R,10S,12R,12aR) -decahydro-3,6,9-trimethyl-3,12-epoxy-12Hpyrano[4,3-j] ester of [1,2-benzodioxepin-10-yl].
C19H28O8 is the empirical formula.
For injection, artesunate is provided as a white or nearly white sterile powder. Each 20 mL glass single-dose vial includes 11 mL of the provided sterile diluent together with 110 mg of artesunate for constitution. The formed solution must be clear and colorless.
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Harley has been diagnosed with borderline personality disorder and is seeing a therapist who is focused on reducing her radical behaviors, discussing her past traumatic experiences, and helping her to develop a sense of independence and self-respect. Harley’s therapist is most likely using.
Dialectical behaviour therapy heavily emphasises the idea of mindfulness, or focusing on the present moment's emotions (DBT). The development of an independent and self-respecting spirit is necessary.
What drug is most frequently prescribed for BPD?Anticonvulsants, antidepressants, and antipsychotics are often used in the treatment and management of borderline personality disorder symptoms.
What does someone with a borderline personality disorder look like?Extreme mood swings and self-confidence issues may be present in people with borderline personality disorder. Their feelings for people might swiftly shift from intense closeness to intense hostility. Relationship instability and emotional suffering may result from these fluctuating feelings.
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4. a patient was taken into surgery at a local hospital for treatment of colon cancer. a large section of the colon was removed during surgery, and the patient was taken to the medical floor after surgery. within the first 24-hour post-op, the patient developed fever, chills, and abdominal pain. an abdominal ct scan revealed the presence of a foreign body. this situation describes a
The following situation describes a sentinel event.
Any unexpected incident in a healthcare environment that causes a patient's death or substantial bodily or psychological harm and is unrelated to the patient's disease' normal progression is referred to as a sentinel event.
The most frequent sentinel events are falls, foreign body retention, and wrong-site surgeries. Therapy delays and pharmaceutical mistakes come next. The risk of patient's death is greatest right away after being admitted to the hospital, while they are there, or right away after release.
Unintentional retention of a foreign body, incidents involving falls, and conducting treatments on the incorrect patient are the three most frequent causes of sentinel events in the healthcare industry.
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psilocybe mexicana and psilocybe cubensis are examples of 1. anticholinergics. 2. psychoactive mushrooms. 3. plants containing mescaline. 4. poisonous fungi.
Psilocybe mexicana and psilocybe cubensis are examples of psychoactive mushrooms.
Psilocybe mexicana may be a psychedelic mushroom. Its 1st acknowledged usage was by the natives of North and Central America over a pair of,000 years past. acknowledged to the Aztecs as teotlnanácatl, from the Nahuatl teotl + nanácatl. This species was classified by French phytologist Roger Heim.
Psilocybe cubensis may be a species of psychedelic mushroom whose principal active compounds ar hallucinogenic drug and hallucinogenic drug. normally referred to as shrooms, magic mushrooms, golden halos, cubes, or gold caps, it belongs to the family Hymenogastraceae and was antecedently referred to as Stropharia cubensis.
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46) ali is an athlete who has been training for several years only in florida. he had an annual physical and the doctor read his hematocrit as 59%. what could this reading potentially tell the doctor?
By this reading Dr could tell RBC is up due to training and this increases oxygen carrying in blood.
What is RBC?Red blood cells, also called erythrocytes or erythroid cells are the most common type of blood cell and the main vehicle in vertebrates to deliver oxygen to the tissues of the body - through the bloodstream through the circulatory system. .
Red blood cells contain a protein called haemoglobin, which carries oxygen from the lungs to all parts of the body. Checking your red blood cell count is usually part of a complete blood count .
The normal range for adults is .35 to 5.65 million red blood cells per microliter (mcl) for men and 3.92 to 5.13 million red blood cells per microliter of blood for women.
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What drug is most commonly used to incapacitate people into having non-consensual activity?.
which instrction might the nurse give to the nap to ensure that a wound culture specimen will be transported properly
Wear sterile gloves when holding the specimen is the instruction might the nurse give to the nap to ensure that a wound culture specimen will be transported properly.
Sterilized gloves have no live microorganisms on them. Sterile procedure/exam gloves can be used for non-surgical procedures that require entering sterile spaces (e.g., urinary catheterization, acute wounds). Sterilized gloves provide both wearers and patients with infection prevention.
In order to prevent the transmission of infection or disease, the user and/or the patient are needed to wear medical gloves and other personal protective equipment throughout treatments and examinations. The usage of medical gloves is one component of an infection control strategy. Surgical gloves are worn to prevent the spread of pathogens and reduce the likelihood of surgical site infections. An undamaged surgical glove is the most important line of protection against germs being transferred from the hands of the surgical team to the patient.
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in order to be happy, kuhn suggested that people with alzheimer's disease have three central needs that go beyond physical requirements. those three needs are:
Security, hydration, and wellness make up these three criteria.
What are food health and safety?The Nutrition and Food Safety (NFS) Department strives to lessen the burden of disease brought on by poor diets, malnutrition in children and pregnant women, as well as overweight and obesity. These diseases are also brought on by microbiological, chemical, and physical dangers in food.
What significance do food safety and nutrition have?To support life and advance good health, access to enough safe and sufficient food is essential. More than 200 different diseases, from diarrhoea to cancer, can be brought on by food that has been contaminated with hazardous bacteria, viruses, parasites, or chemicals.
How may a diet affect safety?There are physiological links between diet and foodborne sickness as well.
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a patient comes in with trigeminal neuralgia. surgeon performs a microvascular decompression that reduces the hyperactivity of the nerve. what could be a possible post-surgery complication that a patient may experience?
A patient comes in with trigeminal neuralgia and surgeon performs a microvascular decompression that reduces the hyperactivity of the nerve and a possible post-surgery complication is spinal fluid leakage.
Trigeminal neuralgia is a condition that causes painful sensations the same as an electrical shock on one facet of the face. This chronic pain condition affects the trigeminal, that carries sensation from your face to your brain. neuralgy typically happens impromptu, however is usually related to facial trauma or dental procedures.
Spinal fluid leakage is one of the most common complications after microvascular decompression. Once the pressure of this fluid is simply too low generally once there's alittle leak somewhere within the membrane.
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The ovum is the _______ cell in the female body.
Answer:
The ovum is the largest cell in the female body.
Explanation:
Thanks
which type of healing occurs when granulation tissue is not visible and scar formation is minimal?
Fetal wound healing is the type of healing which occurs when granulation tissue is not visible and scar formation is minimal.
Fetal wound healing is the ability of craniate tissue to heal while not scarring is currently well documented, however the doubtless comprehensive implications of this method for the apply of surgery and also the management of healing area unit simply getting down to be understood.
Granulation tissue is a style of new connective tissue, and microscopic blood vessels have 3 main functions. Immune: Protects the wound surface from microbic invasion and more injury. Proliferative: Fills the wound from its base with new tissue and vasculature. granulation formation is a component of a traditional healing method.
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the nurse is assessing the casted extremity of a client for cues of infection. which finding is indication of infection?
Pain is the core indication of infection. Nurse would assist the client as there are many symptoms of infection or blood test can be done.
Symptoms of infection are fever, change in coughs, shortness of breathe, nasal congestion, Stiff neck, burning sensation in urination, abdominal pain. There are 4 types of infection. these are fungal infection, viral infection, bacterial infection and parasitic infection. Pain is core symptoms of infection. Blood test, urine test, throat swabs, tool sample are taken for indicating infection. Infectious disease normally spread from person to person through food , water ,insect bites. some other symptoms are headache, feeling dizzy, pain when swallowing, pain, redness, discharge, being sick every time, diarrheas, feeling tired, muscle pain, body feels hot to touch.
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How should you handle Valerie's comment about Dr. Buckwalter being "gruff" and "unsympathetic"?
Valerie's comment about Dr. Buckwalter being "gruff" and "unsympathetic" should be handled by telling her to tell him about the type of feelings she has towards him and try to understand his perspective.
What is Feelings?This is referred to as an emotional state or reaction towards an individual and there are various types such as happy, sad etc.
In this scenario, we were told that Valerie thinks Dr. Buckwalter is "gruff" and "unsympathetic" and should be handled by telling her to him about how she feels towards him and know his perspective so as to ensure resolution of the issue.
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a patient has been taking doxazosin (cardura) 2 mg po daily for 3 weeks for treatment of bph. he returns to the clinic and is complaining of feeling dizzy when he stands up. which action would the family nurse practitioner take?
The action that the family physician would perform is to take his blood pressure when he is laying down, standing up, and sitting down.
Orthostatic hypotension may be present in the client; doxazosin is also utilized as an antihypertensive medication. If the client has diabetes mellitus, it would be reasonable to test the urine for ketones.
The nurse should test the patient's blood pressure initially since orthostatic hypotension is a side effect of doxazosin. Later, she can evaluate additional drugs. The doctor should be informed of the client's symptoms along with the blood pressure measurements.
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