The client is legally responsible for signing.
What is Alzheimer's disease?The brain shrinks and the brain cells die as a result of Alzheimer's disease, a neurologic degenerative illness. Alzheimer's disease is the most common form of dementia, which is defined by a continuous decline in mental, behavioral, and social abilities and reduces a person's ability to operate independently.
Early signs of this illness includes forgetting previous interactions or events. As Alzheimer's disease progresses, a person will have severe memory loss and lose their ability to perform fundamental tasks.
With medicines, symptoms may temporarily improve or develop more slowly. These treatments can occasionally help people with Alzheimer's disease preserve their independence and perform at their best. The people who have Alzheimer's disease and those who care for them can access a wide range of services and programmes.
There is currently no medication for Alzheimer's disease that can stop the illness's progression in the brain. In extreme stages of illness, significant loss of brain function-related problems, such as dehydration, hunger, or infection, lead to death.
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medicare is available to those: group of answer choices 60 years and older. with permanent liver failure. with certain disabilities. none of these is correct. flag question: question 2 question 21 pts the part of medicare that is the hospital insurance portion is:
Medicare is available to those with certain disabilities.
Medicare is available to people 65 and older, people with disabilities under the age of 65, and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant).
Medicare is a health-care program. Medical bills are paid from trust funds that those who are covered have contributed to. It primarily serves people over the age of 65, regardless of income, as well as younger disabled people and dialysis patients. Patients pay a portion of hospital and other costs through deductibles.
Medicaid covers millions of Americans, including low-income adults, children, pregnant women, elderly people, and people with disabilities. Medicaid is administered by states in accordance with federal regulations. The program is jointly funded by the states and the federal government.
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after receiving streptomycin sulfate for 2 weeks as part of the medical regimen for tuberculosis, the client reports feeling dizzy and having some hearing loss. which part of the body is the medication affecting?
The nurse should check eighth cranial nerve's vestibular branch in case of client reports feeling dizzy and having some hearing loss after taking streptomycin sulfate for 2 weeks as part of the medical regimen for tuberculosis.
Because streptomycin sulphate is ototoxic, it may harm the eighth cranial nerve's auditory and vestibular systems. Streptomycin has no effect on cerebellar tissue, peripheral motor end-plates, or pyramidal tracts.
Test-Taking A helpful tip is to approach your test preparation with a positive outlook on yourself, your nursing knowledge, and your test-taking skills. Via self-confidence acquired through successful study, one can develop a good mindset. This include (a) responding to questions (assessment), (b) setting aside time for study (planning), (c) reading and conducting additional research (implementation), and (d) responding to questions (evaluation). **
Hence, eighth cranial nerve's vestibular branch in case of client reports feeling dizzy and having some hearing loss after taking streptomycin sulfate.
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an older client has been prescribed metformin for the treatment of type 2 diabetes for several years. which change in the clients laboratory values may demonstrate a need to discountine
The change in the clients laboratory values resulting in a decrease in glomerular filtration rate may demonstrate a need to discountine the drug metformin.
What is metformin?
Metformin is used to lower blood sugar levels along with a healthy diet, regular exercise, and maybe other drugs. It is applied to people with type 2 diabetes. Keeping blood sugar levels under control lowers the risk of kidney disease, blindness, nerve damage, amputation, and issues with sexual function.
Metformin must be stopped if renal impairment develops. The other lab value changes that are indicated above do not necessarily mean that metformin should be stopped.
Therefore the change in the clients laboratory values resulting in a decrease in glomerular filtration rate may demonstrate a need to discontinue the drug.
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the nurse working in a prenatal clinic reviews a client's chart and notes that the primary health care provider documents that the client has a gynecoid pelvis. the nurse plans care understanding that which findings are characteristic of this type of pelvis? select all that apply.
Prenatal care aims to not only give the pregnant woman as well as the developing fetus the best possible care but also to get the expectant mother ready for the delivering of a healthy baby.
1. Round shape
4. Diagonal conjugate measures 12.5 cm to 13 cm
5. Blunt, somewhat widely separated ischial spines
Classical criteria and measured parameters, both alone and also in combination, were used to determine the presence of gynecoid pelvis in the pelvic inlet, midpelvis, and pelvic outlet.
The gynecoid and anthropoid pelvises are generally acceptable; however, the android as well as platypelloid pelvises are known to be suboptimal. The gynecoid pelvis is characterized by its bone structure and, as a result, shape as being typical of a woman. Gynecoid means "womanly" or "female." The female pelvis is much more delicate, wider, and lower in height than the male pelvis. The female pubic arch has a wide and round angle.
Gender identification using a single pelvic bone (the pubic bone) has an accuracy of up to 95%.
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The code OXY in the bottom white quadrant of a label conforming to NFPA 704 indicates that: A. The material will explode on contact with air B. The material is radioactive C. The material can easily release oxygen to create or worsen a fire or explosion hazard D. The material reacts with water
The code OXY in the white bottom quadrant of a label conforming to NFPA 704 indicates that the material can quickly release oxygen to create or worsen a fire or explosion hazard.
What do you understand by term NFPA?Since its founding in 1896, the National Fire Protection Association (NFPA) has worked to eliminate the death, injury, destruction of property, and economic loss caused by fire, electrical, and related hazards. Through more than 300 consensus codes and standards, research, training, education, outreach, and advocacy, as well as by collaborating with other parties with similar interests in advancing our goal, NFPA disseminates information and expertise. Our goal is to use knowledge, information, and passion to save lives and lessen suffering.
Thus from above conclusion we can say that the code OXY in the white bottom quadrant of a label conforming to NFPA 704 indicates that the material can quickly release oxygen to create or worsen a fire or explosion hazard.
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a pregnant client is positive for the human immunodeficiency virus (hiv). the nurse educates the client and determines that there is a need for further teaching if the client makes which statement?
Breast-feeding my newborn will be the best option for baby.
What is human immunodeficiency virus (HIV)?Human immunodeficiency virus (HIV) is a chronic disease that attacks the immune system, increasing your risk of serious infections or cancer. If HIV is not treated, it can progress to acquired immunodeficiency syndrome (AIDS), a severe form of HIV infection. There is no cure for HIV, but there are HIV prevention and treatment options.
Who is HIV affecting?An estimated 1.1 million people in the United States have HIV. Two out of every three new diagnoses are given to African Americans and Hispanics/Latinos. Both men and women are susceptible to infection. Men who have s-ex with other men, transgender women who have s-ex with men, and people who inject drugs are more likely to get HIV. HIV prevalence is higher in some communities.
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true or false: a negative result to either a tst or igra test shows that a patient is indeed negative for tb.
a patietn who is prescrived a choleterol aborption inhibitor, ezetimibe (zetia), has developed swelling aroudn the eyes, nose and lips. what is the nurses priority action at this time
Zetia is a brand-name prescription drug. It’s FDA-approved to treat certain forms of high cholesterol in adults and in children ages 10 years and older.
Zetia can cause mild or serious side effects.Serious side effects from Zetia aren’t common, but they can occur.Don’t take an extra dose to make up for your missed dose. Doing this can raise your risk of side effects. Zetia inhibits the intestinal absorption of cholesterol and phytosterols, resulting in a decrease in the transport of intestinal cholesterol to the liver.A decrease in the transport of intestinal cholesterol to the liver reduces stores of hepatic cholesterol. This in turn increases clearance of cholesterol from the blood.Zetia’s mechanism of action is considered complementary to that of statins and fenofibrate.To know more about medicines visit:
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a nurse working in the ed at a level 1 trauma center is notified that casualties from a multivehicle car accident are currently in transit. the nurse's heart is pounding and mouth is dry. what gland is responsible for this nurse's physiologic response? thyroid gland adrenal cortex pineal gland adrenal medulla
The adrenal medulla.
The internal part of the adrenal gland. The adrenal medulla makes chemical compounds consisting of epinephrine and norepinephrine which are concerned with sending nerve indicators.
They produce many essential hormones, together with cortisol, aldosterone, and adrenaline. The adrenal hormones assist adjust numerous bodily features along with metabolism, blood stress, and your body's reaction to pressure.
Blood supply A extensive blood supply is essential to alter adrenal medulla hormones. Adrenal arteries department of blood vessels which includes the inferior phrenic artery, renal artery, and abdominal aorta. Nerve supply The greater splanchnic nerve enables your medulla to communicate with the relaxation of your body.
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a woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. she also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. these symptoms are most likely related to:
Endometriosis and Primary dysmenorrhea.
The menstrual cycle is a sequence of herbal changes in hormone production and the structures of the uterus and ovaries of the woman's reproductive system that makes pregnancy viable. The ovarian cycle controls the production and launch of eggs and the cyclic launch of estrogen and progesterone.
The first day of a woman's period is day 1 of the menstrual cycle. periods remaining around 2 to 7 days, and women lose approximately 3 to five tablespoons of blood in a period, says Belfield. a few girls bleed extra heavily than this, but assistance is available if heavy durations are trouble. find out approximately treatments for heavy periods.
Length ache occurs whilst the muscular wall of the womb tightens moderate contractions constantly arise in your womb, however, they're normally so slight that maximum girls can't experience them.
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a patient, who recently received a transfusion of three units of red cells, is dat-positive with an igg specificity. what would be the best method to identify the patient's phenotype?
The best method to identify the patient's phenotype is by polymerase chain reaction-based assay.
What is transfusion?
A process whereby whole blood or isolated blood components are injected into a patient's vein and thereafter into their bloodstream. The blood might have been taken from the patient and kept in storage until it was needed, or it might have been donated by someone else likewise known as transfusion.
A tiny needle will be inserted into a vein during a blood transfusion, typically in the arm or hand. After that, a rubber tube transports the blood from a bag to the needle, which is inserted into the patient's vein. Vital indicators will be closely watched throughout the treatment.
Therefore, The best method to identify the patient's phenotype is by polymerase chain reaction-based assay.
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if a split-brain patient sees the word dog in his left visual field and the word house in his right visual field, which picture will he draw with the left hand (note that he is not allowed to speak while drawing)?
A split-brain patient who sees something in his left visual field can point to it with his/her left hand but will be unable of naming it.
The term "split-brain" refers to patients who have their corpus callosum cut to alleviate medically untreatable disease.
Due to the inability of passing information directly between the two brain hemispheres, split-brain patients exhibit abnormal behavior and particularly with respect to language and object recognition.
Split brain is also known as corpus callosum syndrome which is a type of separation syndrome when the corpus callosum that connects her two hemispheres of the brain is cut to some extent. This is a symptom associated by disruption or disruption of connections between hemispheres of the brain.
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What anterior pituitary hormone stimulates mammary gland colostrum production in late pregnancy?.
Answer:
Prolactin increases milk protein synthesis by boosting mammary gland ductal development and epithelial cell proliferation.
Explanation:
a school-age child has just spilled hot liquid on his arm, and a 4-in (10-cm) area on his forearm is severely burned. his mother calls the emergency department. what should the nurse advise the mother to do?
Apply cool water to the burned area would be most likely, hospital seems extreme, a cream would normally be put on after a day or two, and he child's warmth is pointless.
What is emergency department ?
According to the National Hospital Ambulatory Medical Care Survey, an emergency department is a hospital location that is staffed twenty-four hours a day, seven days a week, and provides unplanned outpatient treatments to patients whose health requires immediate attention (NHAMCS).
What is burned ?
Devour; oxidise, just like when someone breathes, they burn a certain amount of carbon; burn iron in oxygen; cause to join with oxygen or another active agent with the evolution of heat.
Therefore, Apply cool water to the burned area would be most likely, hospital seems extreme, a cream would normally be put on after a day or two, and he child's warmth is pointless.
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a client is admitted with a stage four pressure ulcer that has a black, hardened surface and a light-pink wound bed with a malodorous green drainage. which dressing is best for the nurse to use first
Wet to moist dressing is best for nurse to use first.
What is moist dressing?
With this type of dressing, a wet (or moist) gauze dressing is put on your wound and allowed to dry. Wound drainage and dead tissue can be removed when you take off the old dressing. A moist wound environment has several benefits that result in faster and better quality of healing. It facilitates autolytic debridement, reduces pain, reduces scarring, activates collagen synthesis, facilitates and promotes keratinocyte migration over the wound surface, and supports the presence and function of nutrients, growth factors, and other soluble mediators in the wound microenvironment.
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a client who had a prostatectomy has learned perineal exercises to gain control of the urinary sphincter. the nurse determines that the client needs further teaching if the client states that he will perform which action as part of these exercises?
Perform the Valsalva maneuver
What is Valsalva maneuver?
The Valsalva maneuver is performed by a forceful attempt of exhalation against a closed airway, usually done by closing one's mouth and pinching one's nose shut while expelling air out as if blowing up a balloon. Variations of the maneuver can be used either in medical examination as a test of cardiac function and autonomic nervous control of the heart, or to clear the ears and sinuses (that is, to equalize pressure between them) when ambient pressure changes, as in scuba diving, hyperbaric oxygen therapy, or air travel.
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assuming your protocol allows the administration of nitroglycerin when certain conditions exist, what is the maximum number of tablets to be administered in the prehospital setting?
Assuming your protocol allows the administration of nitroglycerin when certain conditions exist, Three (3) is the maximum number of tablets to be administered in the prehospital setting.
Nitroglycerin sublingual tablets are used to treat bouts of angina (chest discomfort) in patients who have coronary artery disease (narrowing of the blood arteries that feed blood to the heart) (narrowing of the blood capillaries that give blood to the heart) (narrowing of the blood vessels that supply blood to the heart). It is also provided soon before activities that may cause episodes of angina in order to avoid the angina from forming. The medication nitroglycerin belongs to the vasodilators class of medicines. It works by relaxing the blood arteries so the heart does not need to work as hard and hence does not need as much oxygen. Nitroglycerin comes as a sublingual tablet to take beneath the tongue. The pill is generally given as needed, either 5 to 10 minutes before activities that may induce attacks of angina or at the first symptom of an attack. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about.
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a breakdown in selective attention is most likely to be experienced by those who suffer from
Answer:
schizophrenia
the nurse in the emergency department is listening to the breath sounds of a client with respiratory distress and hears this sound. (refer to audio.) the nurse determines that this finding is characteristic of which disorder?
The nurse concludes that this observation is characteristic of bronchitis.
What is bronchitis?Bronchitis is an inflammatory condition that affects the lining of the bronchial tubes, which transport air to and from your lungs. Bronchitis patients frequently cough up thicker, brownish mucus. Bronchitis can be acute or persistent. Acute bronchitis is a typical complication of a cold or another respiratory infection. Chronic bronchitis, a more dangerous illness, that is characterized by a persistent irritation or inflammation of the bronchial tube lining, which is frequently caused by smoking.
Acute bronchitis, often known as a chest cold, normally clears itself within a week to ten days with no long-term consequences, though the cough can remain for weeks.
If you have recurring bouts of bronchitis, you may develop chronic bronchitis, which necessitates medical attention. Chronic bronchitis is one of the disorders that fall under the umbrella of chronic obstructive lung disease (COPD).
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the nurse is caring for a child who is scheduled for an appendectomy. when the nurse reviews the primary health care provider's preoperative prescriptions, which would be questioned?
The nurse is caring for a child who is scheduled for an appendectomy. when the nurse reviews the primary health care provider's preoperative prescriptions, Administer a Fleet enema.
The big intestine and a small pouch are joined by the appendix. Your stomach's lower right corner is where it is. Immediately removing your appendix is required if you have appendicitis. You risk having a ruptured appendix if you don't take care of it. A medical emergency has occurred. The appendix can be removed surgically using one of two methods. Open appendectomy surgery is the standard procedure. Laparoscopic appendectomy is a more contemporary, less intrusive surgery. surgical appendectomy You create an incision in the bottom right corner of your belly or stomach that is 2 to 4 inches long. The incision is used to remove the appendix. An appendectomy done laparoscopically. Little disturbance is necessary with this approach. That implies that a small incision was unnecessary. In its place, one to three microscopic cuts are formed. One of the cuts is used to insert a laparoscope, a long, thin tube.
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what intervention should the nurse implement to help keep a 6-month-old infant calm during a physical assessment?
Encourage the parent to hold the infant. intervention should the nurse implement to help keep a 6-month-old infant calm during a physical assessment
Each stage of infant (0 to 12 month) and toddler (12 to 36 month) development is marked by a different milestone. Each milestone is typically attained by healthy newborns and toddlers within a certain timeframe, but the size of that window might vary widely. The newborn or kid should have symmetrical facial features. You should also look at the child's body posture and motions, nutritional condition, hygiene, mental alertness, and hair texture, thickness, and distribution. Finally, you should check the skin for lesions, bruises, scars, and birthmarks. noting psychological condition and actions.
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what aspects of the topic readings do you find the most interesting? what is your view of the analysis of disease and healing in the readings? explain.
The sickness could be considered to as a physical disorder, per the readings.
Even while a disease's typical response is a biological one, there are also social and psychological aspects to it.In order to comprehend moral discourse in comparison to other types of speech and writing, the metaethicist is concerned.My personal interpretation of illness and recovery from the readings is that it is the duty of a professional nurse to provide patients with the specialized spiritual care they require throughout the healing process.Scientism The reading's discussion on scientism's worldview was the one I found most fascinating. I was unfamiliar with and had never heard of this subject. Scientism adherents concur that the only trustworthy means for obtaining any correct knowledge are scientific procedures.To know more about physical disorder
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according to the physical activity pyramid, you should participate in activities to increase you muscular fitness more often than activities to increase your aerobic fitness. true false
This statement is false.
The physical activity Pyramid describes a Frequency, intensity and Time (suit) system for each different form of hobby. Tips are included for the usage of the bodily interest Pyramid efficiently and properly.
Reduce the threat of many unfavourable fitness results and chronic illnesses, including type 2 diabetes, weight problems, coronary heart sickness, high blood pressure, many forms of most cancers, despair, tension, and dementia. assist you attain and hold a healthful weight via burning energy.
Resistance education and weightlifting are styles of workout which can improve muscular power and people that enhance muscular staying power encompass biking, swimming, long-distance running and circuit education. Normal electricity or resistance education is vital for usual health and might advantage people of any age.
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Answer:
B.) False
Explanation:
which one of the following is not a potential health consequence associated with the over-use of antibiotics? group of answer choices irritable bowel syndrome can develop. beneficial bacteria may not recover in our bodies. increased risk of excessive weight loss. allergies and asthma may be more likely to develop. increased risk of infection by pathogenic bacteria.
Increased risk of excessive weight loss is not a potential health consequence associated with the over-use of antibiotics.
What Is Overuse of Antibiotics?When antibiotics are used unnecessarily, it is known as antibiotic overuse. The invention of antibiotics is among the biggest medical achievements. However, overusing them has led to the development of resistant microorganisms (bacteria that are harder to treat).
The effectiveness of antibiotics against some germs has been declining over time. This may lead to more serious diseases such pneumococcal infections, skin infections, and tuberculosis (which can cause pneumonia, ear infections, sinus infections, and meningitis).
What Takes Place When Antibiotics Are Used Too Much?Colds and other viral illnesses cannot be treated with antibiotics, and they may even breed bacteria that are more difficult to get rid of.
When taken too frequently or for the wrong reasons, antibiotics can alter bacteria to the point where they no longer work to destroy them. This is known as bacterial resistance or antibiotic resistance. Some microorganisms are now resistant to even the strongest medications currently available.
Antibiotic resistance is a growing problem. The Centers for Disease Control and Prevention refer to it as "one of the most important public health challenges in the globe".
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when discussing the use of a fluticasone and salmeterol inhaler with the parent of a child diagnosed with asthma, the nurse should teach the parent that the medication will be most effective if it is administered at which time?
Fluticasone and salmeterol are usually used two times a day, in the morning and the evening, 12 hours apart.
Why are fluticasone and salmeterol used?
The combination of these two medicines, fluticasone and salmeterol is used to treat difficulty breathing, coughing, shortness of breath, wheezing, and chest tightness that is caused by asthma. This combination is also used to prevent and treat shortness of breath, coughing, wheezing, and chest tightness caused by chronic obstructive pulmonary disease.
Fluticasone is classified under steroids. Salmeterol is classified under long acting beta agonists (LABAs).
Salmeterol relaxs and opens the air passages of the lungs, thereby making it easier to breathe, whereas fluticasone reduces swelling in the airways.
So hence, fluticasone and salmeterol are usually used two times a day, in the morning and the evening, 12 hours apart.
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the nurse is caring for a client who informs the nurse that it is difficult to void when experiencing stress, and asks why this happens. which response by the nurse is appropriate?
The nurse is caring for a client who informs the nurse that it is difficult to void when experiencing stress. Stress causes the muscles to become tense response by the nurse is appropriate.
Why do we tense up when worried?
The body becomes tense as a result of anxiety. According to Conover, the brain can respond to fears by telling the muscles to tense up in preparation for an impending event. Similar to if you were defending your body from being punched or about to be in an accident.
What fuels the stress?
Having little or no control over how something will turn out. Have obligations that you consider to be too much. You don't have enough employment, hobbies, or life changes. experience abuse, hatred, or discrimination.
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a nurse has provided postpartum discharge instructions to a client who had a cesarean section. what statement by the client would indicate to the nurse that further teaching is necessary?
The discharge instructions given by the nurse was that being careful.
define cesarean section ?
A procedure when the mother's abdominal wall is sliced through in order to deliver the baby.
Shower as necessary. Dry off your wound by patting it.
Keep an eye out for indications of infection, such as increased redness or drainage, in your incision.
When you laugh, cough, or stand from a sleeping or sitting posture, hold a cushion against the incision.
Keep in mind that healing from an incision might take up to 6 weeks.
Your recovery will occur more quickly the more often you get out of bed. As soon as you're ready, you can gradually resume your regular activities. Start with light exercise like walking. Exercise has several advantages, such as better muscular tone, faster recovery, and a happier outlook. Both you and your kid will feel refreshed by the sunshine and fresh air.
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a school-age child is admitted to the hospital with acute rheumatic fever with chorea-like movements. which eating utensil should the nurse remove from the meal tray?
The eating utensils that the nurse should remove is the fork. That is option A.
What is rheumatic fever?Rheumatic fever is the type of fever that arises as a complication of an untreated streptococcus infection which has the ability to affect the heart and lungs.
The clinical manifestations of rheumatic fever include the following:
fast heart rate, murmur, or palpitationsAerythema marginatum, polyarthritis, or sore throatcholera-like movementWhen cholera-like movement in is observed, the nurse should remove the fork to prevent further injury to the child.
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Complete question:
A school-age child is admitted to the hospital with acute rheumatic fever with chorea-like movements. Which eating utensil should the nurse remove from the meal tray?
fork
spoon
plastic cup
drinking straw
the nurse is administering an intravenous solution 250 ml to be infused over 2 hours. how many ml/hour should the nurse program the infusion pump
125 ml/hour should the nurse program the infusion pump when she is administering an intravenous solution 250 ml to be infused over 2 hours.
An external infusion pump is a medical tool used to carefully administer fluids to patients. Infusion pumps come in a wide range of varieties and are used in a number of settings and for a variety of purposes. Infusion pumps can supply fluids in big or little amounts, and they can be used to deliver nutrition or pharmaceuticals, such as antibiotics, painkillers, insulin or other hormones, or hormones, antibiotics, or chemotherapeutic drugs. Some infusion pumps are primarily intended for stationary use next to a patient's bed. Others, referred to as ambulatory infusion pumps, are made to be worn or portable. A medical gadget called an infusion pump helps patients receive fluids like nutrition and drugs in precisely measured volumes.
250 ml : 2 hours = X ml : 1 hour
250 = 2X
X = 250 / 2
= 125 ml/hr
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which infants should the nurse recognize as being at higher likelihood for requiring phototherapy? select all that apply.
The infants that the nurse should recognize as being at a higher likelihood of requiring phototherapy are:
babies born before 38 weeks of gestationjaundice in breastfeeding infantsThe correct options are A and C.
What is phototherapy?Phototherapy is the therapeutic process of using light to treat jaundice in babies.
Jaundice is the condition in which the skin, the mucous membranes, and the white part of the eye turn yellow due to an accumulation of the yellow-orange bile pigment known as bilirubin.
Jaundice occurs as a result of the inability of the body to break down bilirubin.
In infants who are born preterm or before 38 weeks as well as some infants that are breastfed during the first few weeks, there is a high risk of jaundice. In preterm infants, the babies do not have a well-developed liver.
During phototherapy, light exposure helps the body to break down bilirubin.
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Complete question:
Which infants should the nurse recognize as being at a higher likelihood of requiring phototherapy? select all that apply.
a. babies born before 38 weeks of gestation
b. babies born after 38 weeks of gestation
c. jaundice in breastfeeding infants
d. babies with congenital heart defect