The nurse should prioritize Tachycardia assessment findings after administering hydralazine to this client.
What is Tachycardia?
Tachycardia is the medical term for a heart rate over 100 beats a minute. Many types of irregular heart rhythms (arrhythmias) can cause tachycardia. A fast heart rate isn't always a concern. For instance, the heart rate typically rises during exercise or as a response to stress.
Rapid heartbeat, or tachycardia, is estimated to occur in 10% of people taking hydralazine. That's because hydralazine causes the body to stimulate the heart through the blood pressure reflex; the body releases substances to make the heart beat faster because peripheral blood pressure is low.
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the pediatric nurse is providing care for an infant who has been diagnosed with respiratory syncytial virus (rsv). what action best prevents the spread of this infectious microorganism?
The action that best prevents the spread of this infectious microorganism is to Wear a face mask when in close contact with the client.
Droplet measures, such as the use of a facemask, are required for RSV infection. Normally, droplet precautions do not include goggles. Antiviral drugs like ribavirin are uncommon and do not immediately stop the illness from spreading.
The similarities and differences between the two different techniques of practicing hand hygiene are not a priority, but it is necessary to teach family members and guests about the necessity for good hand hygiene.
Infections of the respiratory tract are frequently brought on by the respiratory syncytial virus, commonly known as human respiratory syncytial virus and human orthopneumovirus. It is a single-stranded RNA virus with negative sense.
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An increase in sympathetic nerve activity stimulates constriction of afferent arterioles. Put the events in order regarding the sympathetic nerve effects on the glomerular filtration rate.Blood Pressure ->baroreceptor reflex ->increase in sympathetic nerve activity -> vasoconstriction of afferent arterioles in kidneys -> decrease in GFR ->decrease in urine production ->and increase in blood volume ->NEGATIVE FEEDBACK
Blood Pressure ->baroreceptor reflex ->increase in sympathetic nerve activity -> vasoconstriction of afferent arterioles in kidneys -> decrease in GFR ->decrease in urine production ->increase in blood volume -> NEGATIVE FEEDBACK
What is glomular filtration rate?
A glomerular filtration rate (GFR) is a blood test that checks how well your kidneys are working. Your kidneys have tiny filters called glomeruli. These filters help remove waste and excess fluid from the blood. A GFR test estimates how much blood passes through these filters each minute.
A GFR can be measured directly, but it is a complicated test, requiring specialized providers. So GFR is most often estimated using a test called an estimated GFR or eGFR. To get an estimate, your provider will use a method known as a GFR calculator. A GFR calculator is a type of mathematical formula that estimates the rate of filtration. It does this by comparing the results of a blood test that measures creatinine, a waste product filtered by the kidneys, with other information about you.
The results of a blood test that measures creatinine, a waste product filtered by the kidneys
AgeWeightHeightGenderRaceHence, the events in order regarding the sympathetic nerve effects on the glomerular filtration rate.
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a client at 32 weeks' gestation is admitted with acute abdominal pain. she is diagnosed with placental abruption (abruptio placentae). the nurse documents the above assessment. which intervention is the priority in the management of this client?
Placental abruption includes severe abdominal pain and excessive bleeding. Blood loss is one of the major problems in its treatment. The transfusion of blood can help to treat blood loss.
Blood transfusion is a very important part of medical procedures. In placental abruption, blood loss and blood clotting are the major clinical issues faced by nurses. A baby also faces growth-related issues after placental abruption. Therefore, in this case, blood transfusion should be the priority in the management of the client.
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a client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. to reverse hypertensive crisis caused by pheochromocytoma, the nurse expects to administer:
To reverse hypertensive crisis caused by pheochromocytoma, the nurse expects to administer is phentolamine (Regitine).
What is acute hypertensive ?
Acute hypertensive episodes (AHE) are severe blood pressure elevations that could injure internal organs. People who already have hypertension are more likely to develop AHE, despite the possibility of "de novo" events occurring independently.
What is pheochromocytoma ?
Pheochromocytoma, often known as an adrenal gland tumour, is a rare and frequently benign (noncancerous) condition. One of your two adrenal glands is located in the top region of each kidney. The adrenal glands produce hormones as part of the body's endocrine system.
Therefore, to reverse hypertensive crisis caused by pheochromocytoma, the nurse expects to administer is phentolamine (Regitine).
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the nurse completes the preoperative assessment for a client scheduled for a total knee replacement today. which information should the nurse report to the health care provider (hcp) as soon as possible before the surgery?
The nurse needs to let the health care provider know about the recent development of burning when urinating as it could be a symptom of a urinary tract infection.
What is a urinary tract infection?
A urinary tract infection (UTI) is an infection of any part of the urinary system including the kidneys, ureters, bladder, and urethra. Urinary tract infections are most common in the lower urinary tract, which is the bladder and the urethra.
Total joint replacement surgery is contraindicated in cases of recent or active infection because wound infection is more likely to happen in patients who already have an infection. Before the surgery, any clinical symptom that would point to the existence of an infection should be reported to the health care provider. A burning sensation while urinating is one such symptom that points to an existing urinary tract infection.
Hence, the nurse needs to let the health care provider know about the recent development of burning when urinating as it could be a symptom of a urinary tract infection.
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The nurse must inform the doctor about the patient's new onset of burning while urinating because this could be a sign of a urinary tract infection.
What about urinary tract infection?Any portion of the urinary system, including the kidneys, ureters, bladder, and urethra, can become infected and constitutes a urinary tract infection (UTI). The lower urinary system, which includes the bladder and urethra, is where urinary tract infections occur most frequently.Because wound infection is more likely to occur in individuals who already have an infection, total joint replacement surgery is not advised in cases of recent or active infection. Any clinical symptom that might indicate the presence of an infection should be disclosed to the healthcare professional prior to the procedure. One such sign of an active urinary tract infection is a burning sensation when peeing.As a result, the nurse must inform the doctor about the patient's new onset of burning while urinating, as this could be a sign of a urinary tract infection.The urinary tract serves as the body's drainage system for removing urine, which is made up of wastes and extra fluid. For appropriate urination to occur, every body part in the urinary system needs to work together and move in the proper order. The urinary tract is made up of a bladder, two kidneys, two ureters, and a urethra.Learn more about urinary tract here:
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which nursing diagnosis is appropriate for the client with a new ileal conduit? select all that apply. risk for impaired skin integrity urinary retention chronic pain deficient knowledge: management of urinary diversion disturbed body image
Deficient knowledge: management of urinary diversion, disturbed body image, risk for impaired skin integrity nursing diagnosis is appropriate for the client with a new ileal conduit.
What function does an ileal conduit serve?
You'll require a different method of urination after your cystectomy. Making a hole in your abdomen to let urine out is known as a urostomy.
One kind of urostomy is an ileal conduit. It makes a new passageway for pee by using a piece of your small intestine.
A stoma is the term for the opening on the exterior of your abdomen. To collect urine, you'll wear a urostomy bag strapped to your skin over the stoma.
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the nurse is caring for a client with non-hodgkin's lymphoma who is receiving chemotherapy. laboratory results reveal a platelet count of 10,000/ml. what action should the nurse implement?
The action should the nurse implement is to check stools for occult blood.
What is non-hodgkin's lymphoma?
Cancer starts in the lymphatic system. The condition occurs when the body produces too many abnormal lymphocytes, a type of white blood cell. Symptoms include swollen lymph nodes, fever, stomach ache, night sweats, weight loss, chest pain, and loss of appetite. Treatments may include chemotherapy, radiation therapy, stem-cell transplant, or medication.
Platelet counts less than 100,000/mm3 are indicative of thrombocytopenia, a common side effect of chemotherapy. A client with thrombocytopenia should be assessed frequently for occult bleeding in the emesis, sputum, feces, urine, nasogastric secretions, or wounds. (A) does not minimize the risk of bleeding associated with thrombocytopenia. may cause increased bleeding in a client with thrombocytopenia. assesses for infection, not a risk for bleeding.
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When using negative pressure technique to reconstitute a powder, the diluent may be added by gently pressing on the plunger as long as you ___.
Use within 48 hours after reconstitution and store in the refrigerator. Use within 24 hours if maintained at room temperature.
What happens during reconstitution?
Reconstitution is the process of transforming a dried medication into a liquid before administration by combining it with a sterile diluent. The technologies used for reconstitution typically range from vial adaptors to vial-to-vial systems to sophisticated dual chamber reconstitution systems.
A syringe and transfer needle are often used to manually extract the diluent from one vial and transfer it to the vial containing the lyophilized product. The components are transferred, then blended until the mixture is thoroughly reconstituted. This procedure might occasionally take up to 30 minutes, and it demands the user's whole attention. Although patients and caregivers may also undertake the reconstitution procedure, a skilled healthcare expert usually does so.
There is a need for an easy and efficient method of reconstituting and administering lyophilized items by a user in a home environment given the general shift of therapy from the clinic to the home.
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which condition would the nurse include in the teaching plan for a patient with assessment findings of moon face, acne, increased fat pads, and swelling who is taking methylprednisolone?
The nurse explains to a patient being evaluated for possible rheumatoid arthritis that an elevated erythrocyte sedimentation rate indicates the presence of:
a. immunoglobulins
b. erythropoiesis
c. atypical serum protein
What is acne?Acne is a skin condition that occurs when the follicles of your hair become clogged with oil and dead skin cells. It is the cause of whiteheads, blackheads, and pimples. Acne is most common in teenagers, but it can affect people of any age.
Acne treatments are effective, but acne can be stubborn. The pimples and bumps heal slowly, and when one starts to fade, others appear.
Acne, depending on its severity, can cause emotional distress as well as skin scarring. The earlier you begin treatment, the lower your risk of such complications.
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the nurse is assisting in performing a prenatal examination on a client in the third trimester of pregnancy. the primary health care provider performs leopold's maneuvers on the client. which maneuver indicates the position of the fetus?
Second maneuver indicates the position of the fetus.
What is fetus?
A developing and growing human embryo that takes place inside the uterus (womb).
Your unborn child is no longer an embryo at the conclusion of the tenth week of pregnancy. The stage of development up until birth is now a foetus.
Up until the eighth week of development, it is typically referred to as an embryo. Up until the baby is born, it is known as a foetus after the eighth week.
Beginning as a fertilised egg, a newborn develops through numerous phases. The embryo, eventually the foetus, emerges from the egg as a blastocyst.
An embryo's heart begins to beat about week five of pregnancy. At this stage, vaginal ultrasound might be able to see the heartbeat.
Therefore, Second maneuver indicates the position of the fetus.
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which miscellaneous drugs are often prescribed to help with pain management? (select all that apply.)
Answer:
acetaminophen and ziconotide paracetamol NSAIDs – ibuprofen, aspirin, and diclofenac gel. compound painkillers – co-codamol, paracetamol and ibuprofen, and codeine.
during a chemistry lab exploring chemical reactions, students placed a 30g antacid tablet in a zip-lock bag. then they added 50 grams of water and quickly sealed the bag. the tablet began to fizz and soon disappeared. the bag was filled with gas. how much gas was produced if the mass of the liquid after the reaction is completed is still 50 grams?
80g of gas was produced if the mass of the liquid after the reaction is completed is still 50 grams.
What precautions should be taken while working in chemistry lab?
In the lab, always use the proper eye protection, such as chemical splash goggles. When handling hazardous items, put on the disposable gloves that the laboratory has given. Before leaving the lab, take the gloves off. Put on a full-length, long-sleeved lab coat or apron that can withstand chemicals. In no case should you refill a reagent bottle.
Hence, the answer is 80g of gas was produced if the mass of the liquid after the reaction is completed is still 50 grams.
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during a home visit to a breastfeeding primiparous client at 1 week postpartum, the client tells the nurse that her nipples have become sore and cracked from the feedings. which instructions should the nurse give the client?
The best reaction from the nurse would be "It's common for some women to experience depression following the delivery of a child. I'm going to get in touch with your doctor."
How to Prevent Sore Nipples When Breastfeeding?Nipple discomfort is typical at the start of breastfeeding after giving birth. When your infant latches on or when your breast milk starts to let down, you could experience some minor pain. This moderate soreness is typical, and when you breast your infant, it should go away.
Breastfeeding should get easier over the course of the weeks. This isn't always the case, of course. Your nipples may occasionally get extremely uncomfortably tender as the discomfort worsens. Unfortunately, one of the major issues with nursing is uncomfortable nipples. However, you can frequently relieve sore nipples when nursing by making minor alterations to your breastfeeding positions and latch.
A bad latch during breastfeeding, improper use of a breast pump, or an infection are a few causes of sore nipples.
Once you have them, uncomfortable nipples can result in a challenging let-down, a limited supply of breast milk, or an early weaning. Therefore, you should aim to prevent sore nipples before they begin or treat any discomfort as soon as it manifests.
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a client is suspected to have rheumatoid arthritis. what commonly early clinical manifestations does the nurse assess this client carefully for?
Stiffness in more than one joint. Tenderness and swelling in more than one joint. The same symptoms on both sides of the body (such as in both hands or both knees) Weight loss. a client is suspected to have rheumatoid arthritis.
a chronic inflammatory disorder that mostly impacts the hands and feet but also impacts various joints. The immune system of the body attacks its own tissues, including joints, in rheumatoid arthritis. In dire circumstances, it attacks internal organs. The painful swelling in the joint linings brought on by rheumatoid arthritis. Rheumatoid arthritis's prolonged inflammation can result in bone loss and joint abnormalities. Physiotherapy and medications can slow the progression of rheumatoid arthritis, though there is no known cure. For the majority of patients, anti-rheumatic medication treatment is an effective option (DMARDS)
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a 36-year-old client demonstrates a pattern of overexpressiveness with emotions. the client has a relationship history in which the client is attention seeking. the client has recently been experiencing difficulty maintaining appropriate boundaries with colleagues at a new job. the nurse would most likely suspect which disorder?
A client exhibits a tendency to express their feelings excessively. Most likely, the nurse would be suspicious of Histrionic personality disorder.
What do you refer to as someone who has a disorder?Use "someone living with such a mental health issue" or "person with a mental illness" instead. There are a lot more facets to individuals who suffer from mental illnesses than just their symptoms. Not only is it more respectful to embrace someone as an person first, but it also respects the many aspects of that individual that go beyond their diagnosis.
Which personality disorders are there?If you have a rigid or unhealthy habit of thinking, acting, and behaving, you may have a personality disorder. A personality disorder makes it difficult for the sufferer to perceive and relate to others.
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a client with obsessive-compulsive disorder washes the hands multiple times daily and is late for meals and milieu activities. what is most appropriate for the nurse to do initially?
Remind the client about meal and activity times so that the ritual can be completed on-time.
Obsessive-compulsive disorder (OCD) is characterized by a pattern of unwanted thoughts and fears (obsessions), which cause you to engage in repetitive behaviors (compulsions). These obsessions and compulsions disrupt daily life and cause significant distress.
Contamination/washing, doubt/checking, ordering/arranging, and unacceptable/taboo thoughts are the four main manifestations of OCD. The most common type of OCD is obsessions and compulsions related to contamination and germs, but OCD can encompass a wide range of topics.
The exact cause of OCD is unknown to experts. It is thought that genetics, brain abnormalities, and the environment all play a role. It usually begins in adolescence or early adulthood. However, it can also begin in childhood.
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the first trimester of pregnancy multiple choice is a time of particular importance to avoid nutritional deficiencies and environmental exposures that could harm the fetus. is the time when the mother's breast weight increases by approximately 30% in preparation for lactation. involves a rapid increase in cell size rather than cell number. is a time when nutritional deficiencies have little effect on the developing fetus.
It is especially important to avoid nutritional deficits and environmental factors that can endanger the fetus in its first trimester of pregnancy.
Why is it referred to as a trimester?The stages of a human pregnancy are frequently divided by patients and obstetricians into three intervals known as "trimesters." This concept most likely developed from dividing the "9 month of pregnancy" equally into 3-month intervals.
What does the trimester mean?First trimester, second month of pregnancy, and third trimester are the three stages that make up a pregnancy. A full-term gestation about 40 weeks starting the first day of an woman's last period, while a trimester can last about 12 and 14 weeks.
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a 40 year old warehouse worker presents to your clinic complaining of low back pain. he notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. patient also states that he has numbness and tingling in the left leg. he wants to know if he needs to be off work. that test should you perform to assess for a herniated disc?
A 40 Year antique warehouse worker offers in your health center complaining of low back ache. he notes a sudden onset of pain after lifting a fixed of boxes that had been heavier than traditional. the affected person also states that he has numbness and tingling in the left leg. He desires to know straight leg.
lower back ache will have reasons that aren't due to underlying ailment. Examples encompass overuse together with working out or lifting too much, extended sitting and mendacity down, slumbering in an uncomfortable role, or wearing a poorly fitting backpack.
An effective straight leg elevating takes a look at the consequences of gluteal or leg pain by means of passive instant leg flexion with the knee in extension. it could correlate with nerve root irritation and viable entrapment with decreased nerve tour
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the nurse is working as charge nurse on a medical-surgical unit. the nurse is providing orientation for a newly hired rn. which action by the new rn requires immediate attention?
A nurse is providing orientation for a newly hired RN on a medical-surgical unit. The action by the new RN that requires immediate attention is: 2. If they give doxycycline (Vibramycin) with a glass of milk to a client with cellulitis.
Why Vibramycin should not be given with a glass of milk?A newly hired RN tends to do mistakes. The senior nurse should intervene if they give Vibramycin with a glass of milk to clients with cellulitis. Milk is a dairy product that makes it harder for the client’s body to absorb Vibramycin. Calcium in the milk will bind with Vibramycin and it will not effective to fight bacteria that cause cellulitis.
This question seems incomplete. The complete query is as follows:
“As a charge nurse, you are providing orientation for a newly-hired RN. Which action by the new RN requires the most immediate action?
obtaining an anaerobic culture specimen from a superficial burn wound
giving doxycycline (Vibramycin) with a glass of milk to a client with cellulitis
discussing the use of herpes zoster vaccine with a 25 yo client
teaching a newly admitted burn client about the use of pressure garments.”
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a nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids (uterine myomas). the nurse determines that the teaching was successful based on which statement
A nurse is reviewing the various treatment options with a client diagnosed with uterine fibroids (uterine mylomas). If I continue hormone therapy after stopping the medication, my fibroids can come back.
Noncancerous uterine growths known as uterine fibroids are common during the childbearing years. Uterine fibroids, also known as leiomyomas or myomas, don't enhance the risk of uterine cancer and hardly ever turn into the disease. Fibroids can be small enough to be invisible to the normal eye or large enough to stretch and expand the uterus. Fibroids can be isolated or spread out. In extreme circumstances, many fibroids may cause the uterus to enlarge to the point where it touches the rib cage and gains weight. Uterine fibroids are a common condition in women. However, because uterine fibroids frequently don't manifest any symptoms, you might not be aware that you have them. Inadvertent fibroids may be found by your doctor when performing a pelvic exam or prenatal ultrasound. Many women with fibroids have no symptoms at all. The location, size, and quantity of fibroids in individuals who do can affect symptoms. The most typical uterine fibroids symptoms and signs in women who experience them are as follows: extreme menstrual bleeding, longer than a week's worth of menstrual cycles, Pelvic pressure or discomfort, often urinating, bladder emptying challenges, Constipation
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the nurse working in the holding area is performing an assessment on a client scheduled for surgery. which question will the nurse ask prior to the client receiving general anesthesia?
When was the last time you ate or drank anything, the question will the nurse asks prior to the client receiving general anesthesia.
What is general anesthesia?Usually, you need to start fasting six hours before surgery. You might be able to consume clear liquids up to the last few hours.
During the period that you are fasting, your doctor might advise you to take some of your normal prescriptions with a little sip of water.
Therefore, the question will the nurse ask is when was the last time you ate or drank anything before, receiving general anesthesia.
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the nurse is discussing the stages of labor with a group of women in the last month of pregnancy and provides examples of different positional techniques used during the second stage of labor. which position should the nurse address that provides the best advantage of gravity during delivery?
While discussing the stages of labor, squatting is the position that the nurse should address that provides the best advantage of gravity during delivery.
Squatting helps open your pelvis, giving your baby a lot of area to rotate as he or she moves through the passage. Squatting conjointly would possibly permit you in-tuned down a lot of effectively once it is time to push. Use a durable chair or squatting bar on the birthing bed for support.
3 stages of labor : the primary stage is once your womb starts to contract so relax. The second stage includes pushing and ends with the birth of your baby. The third stage is that the delivery of your placenta.
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when the nurse is teaching patients about postmenopausal estrogen replacement therapy, which statement is correct? when the nurse is teaching patients about postmenopausal estrogen replacement therapy, which statement is correct? oral forms should be taking on an empty stomach for best absorption. the smallest dose that is effective will be prescribed. if estrogen is taken, supplemental calcium will not be needed. estrogen therapy should be long-term to prevent menopausal symptoms.
When the nurse is teaching patients about postmenopausal oestrogen replacement therapy, the smallest dose that is effective will be prescribed statement is correct.
Is hormone replacement therapy the same as oestrogen therapy?
Hormone replacement therapy in the form of oestrogen is frequently used to manage and treat menopausal symptoms, particularly vasomotor symptoms and urogenital atrophy, which are frequently linked to a significantly reduced quality of life.
What risks do taking oestrogen present?
Heart attack, blood clots, and stroke. Stroke, blood clots, and heart attack risk were all raised in women who used either oestrogen or combination hormone therapy. However, after stopping the drug, this risk went back to normal levels for women in both groups.
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what initial response would hte nurse make to a 67 year old man with type 2 diabetes who sadly confides in th enruse that he has been unable to hav ean ererection for several years
"You sound upset about not being able to have an erection."
Diabetes type 2 is also known as type 2 diabetes mellitus and adult-onset diabetes. This is because it used to occur almost exclusively in middle and late adulthood. However, this condition is becoming more common in children and teenagers.
The primary distinction between type 1 and type 2 diabetes is that type 1 is a genetic condition that often manifests early in life, whereas type 2 is primarily lifestyle-related and develops over time. When you have type 1 diabetes, your immune system attacks and destroys insulin-producing cells in your pancreas.
Type 2 diabetes is caused primarily by two interconnected problems: cells in muscle, fat, and the liver become insulin resistant. These cells do not take in enough sugar because they do not interact normally with insulin. The pancreas is unable to produce enough insulin to keep blood sugar levels under control.
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ealthcare organizations must develop an all hazards approach for emergency planning. describe how the national incident management system (nims) can assist the healthcare organization in this planning process.
The most important Component of NIMS is ensuring that the TEAM knows what the Mission is and how the Goals and Objectives support it in field of healthcare. Key elements and features of NIMS include: Incident Command System (ICS).
What is purpose of healthcare?
The basic purpose of health care is to improve quality of life by improving health. For-profit companies focus on making financial gains to support their valuations and maintain profitability. Healthcare must focus on generating social benefits to deliver on its promise to society.
Therefore, The most important Component of NIMS is ensuring that the TEAM knows what the Mission is and how the Goals and Objectives support it. Key elements and features of NIMS include: Incident Command System (ICS).
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a client reporting she recently had a positive pregnancy test has reported to the emergency department stating one-sided lower abdominal pain. the health care provider has prescribed a series of tests. which test will provide the most definitive confirmation of an ectopic pregnancy?
Abdominal ultrasound test will provide the most definitive confirmation of an ectopic pregnancy.
What is ectopic pregnancy?It is a pregnancy in which the fetus develops externally to the uterus.
The fertilized egg cannot survive outside of the uterus. If left unchecked, it could damage nearby organs and cause a blood loss that could be fatal.
What are the symptoms of ectopic pregnancy?An ectopic pregnancy may not always present any symptoms and may not be discovered until a routine prenatal exam.
Symptoms, if any, often begin between the fourth and the twelfth week of pregnancy.
Symptoms may combine any of the following:
a missing period and other pregnancy-related indicators,
discomfort when urinating or pooing low down on one side of your stomach vaginal bleeding or a brown watery discharge ache in the back of your shoulder.
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the nurse prepares to administer an iv infusion of potassium chloride through a peripheral vein to a client with hypokalemia. the health care provider's prescription states: iv potassium chloride 10 meq (10 mmol)/100 ml 5% dextrose in water now, infuse over 30 minutes. what is the nurse's priority action?
The nurse's first course of action is to call the doctor to confirm the prescription.
Which prescription do you refer to?A prescription is a piece of paper over which your doctor orders medication and which you provide to a pharmacist or chemist in order to obtain the medication. You must visit a store with your prescription. 2. A noun that counts. A prescriptions is a drug that a doctor has recommended you take.
What does a pharmacy prescription mean?An electronic or printed instruction from a licensed doctor instructing a pharmacist to create or distribute pharmacological agents or drugs for the diagnosis, treatment, or prevention of a disease is known as a prescription. not taking your medication as directed by a doctor or other healthcare.
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a client is receiving the first of two prescribed units of packed red blood cells (prbc). shortly after the initiation of the transfusion, the client reports chills and experiences a sharp increase in temperature. what is the nurse's priority action?
If the client reports the symptoms such as chills, low back pain, and nausea it may be a sign of a hemolytic transfusion reaction. The action that should be taken by the nurse is to immediately stop the transfusion of the blood.
Definition of hemolytic transfusion
The hemolytic transfusion reaction is a problem which occurs after a blood transfusion. What is generated in hemolytic transfusion is that there is a destruction of the red blood cells that are received in the transfusion, this process is called 'hemolysis'.
This situation happens when the blood type of the transfusion is different from that of the person receiving it, then the antibodies in the recipient's plasma will destroy the red blood cells which enter because they are different.
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the nurse treats a client with end-stage kidney disease (eskd). the nurse is concerned that the client is developing renal osteodystrophy. upon review of the client's laboratory values, it is noted the client has had a calcium level of 11 mg/dl for the past 3 days and the phosphate level is 5.5 mg/dl. the nurse anticipates the administration of which medication?
Hypocalcemia with bone changes
Uremic bone disease, also known as renal osteodystrophy, is caused by complex changes in calcium, phosphate, and parathormone balance. Phosphorus retention, low serum calcium levels, abnormal vitamin D metabolism, and elevated aluminum levels all contribute to bone disease and metastatic and vascular calcifications.
A deficiency of vitamin D can cause hypocalcaemia. It may also indicate a problem with the four tiny glands in the neck (parathyroid glands), the kidneys, or the pancreas.
The majority of patients have no symptoms. Symptoms of severe cases include muscle cramping, disorientation, and tingling in the lips and fingers. Calcium and vitamin D supplements are used as part of the treatment.
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a novice nurse asks to be assigned to the least complex antepartum client. which condition would necessitate the least complex care requirements?
The condition gestational hypertension would necessitate the least complex care requirements.
What is Gestational hypertension?
Gestational hypertension is a type of high blood pressure that occurs during pregnancy. It can also be referred to as pregnancy-induced hypertension (PIH) or preeclampsia. It is a serious condition that can lead to serious health risks for both mother and baby. Symptoms include high blood pressure, protein in the urine, and swelling in the hands and feet. Treatment usually involves lifestyle changes and in some cases, medication.
What is antepartum?
Antepartum refers to the period before childbirth, usually from the start of the third trimester (28 weeks gestation) up to the time of delivery. It is during this time that the mother and her baby are monitored for signs of any complications that may arise. During this time, the mother may undergo a variety of tests to assess the baby's health, and the doctor may recommend lifestyle changes to reduce the risk of any potential issues.
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