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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what is 200000+20000 times 200000
Answer:
4.4×10(9)
Explanation:
200000+20000=220000
220000X200000=4.4000000000 or in shorter terms4.4×109
the nurse is caring for an infant with myelomeningocele prior to having repair surgery. what nursing intervention(s) is necessary to include in this infant's plan of care? select all that apply.
diagnostic procedures are MRI, CT, ultrasonography, and myelography.
define myelomeningocele ?
When the spine and spinal cord do not grow properly during early development, a disorder known as spina bifida results, which causes myelomeningocele. The most dangerous kind of spina bifida is myelomeningocele. It occurs when nerves and spinal cord segments protrude through the spine's opening. Damage to the spinal cord, spinal nerves, and other impairments result from this. A myelomeningocele causes symptoms such as a loss of feeling below the spine's opening. Reduced leg mobility and an inability to regulate one's urine and intestines are other symptoms. Many kids with this illness accumulate excessive amounts of fluid around the brain (hydrocephalus).
To check for hydrocephalus, head circumference measurements are taken every day.
Among the diagnostic procedures are MRI, CT, ultrasonography, and myelography.
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the nurse is teaching a client regarding preventive measures for genital tract infections. which statement made by the client indicates the need for further education? select all that apply. one, some, or all responses may be correct.
I should refrain from granting my child independence, putting them on the same level as their siblings, and showing them unwavering affection.
What about nurses' places and liabilities?A person who takes care of the ill or the disabled. A competent healthcare professional with the guts to promote and preserve health, whether they work alone or under the direction of a doctor, surgeon, or dentist. Compare a certified nanny with a dinkum practical nanny. Nurses collaborate with doctors, nurses, and other healthcare professionals to treat patients and keep them healthy and active. Additionally, nurses provide support and end-of-life care for grieving family members. They are the only healthcare provider some patients will ever meet and are in constant communication with cases first.Empathy with each case and a sincere attempt to put themselves in their cases' shoes are rates of a good nanny. A specific nursing system may be followed with little to no variation to give introductory nursing care, and the case's responses to that care are predictable. They also provide care, support, and treatment.Learn more about nurses here:
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"I should take bubble baths more frequently."
"I ought to pick underwear with a nylon crotch."
I ought to use scented and colored toilet paper.
Precautions
A quality, clean urine sample is essential to the diagnostic process (UA). In nonobese women, a clean-catch specimen is desirable. Epithelial cells In nonobese women, a clean-catch specimen is desirable. Epithelial cells in the UA indicate that the urine sample did not come from the urethra directly but rather was exposed to the vaginal surface, which is why in the UA indicate that the urine sample did not come from the urethra directly but rather was exposed to the vaginal surface, which is why most obese women are unable to provide a clean test. Acquire a clear sample that contains few epithelial cells. In 1% of women who are not infected, in-and-out catheterization of the bladder will result in UTI. To clean the urethra, men should start the urine stream, then collect a midstream sample. Urine should be delivered to the lab very away or kept cold since bacteria multiply quickly in samples left at room temperature, leading to an overestimation of the severity of the infection.
Never make a diagnosis based solely on a visual examination of the urine. Urine that is cloudy can be aseptic; the protein in the sample may be the cause of the cloudiness rather than an infection. Urine that is crystal clear can be seriously contaminated. All urine samples are tested with a dipstick, which is done at the patient's bedside. Leukocyte esterase, blood, pH, and nitrites are all useful measurements. It's important to keep in mind that in patients who have UTI symptoms, a negative dipstick result does not rule out UTI, but a positive result can aid in the diagnosis. Check the urine for the presence of white blood cells (WBC) and/or germs.
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during a nutritional counseling session, an adolescent says, 'i am not following my diet properly, but i know i should do it.' which stage of change model does the adolescent belong?
In the contemplation stage of the change model, an adolescent who is receiving nutritional counseling admits, "I am not following my diet properly, but I know I should do so."
With different life, stages come diverse nutritional needs. It's critical to consider the additional demands these changes will impose on your body if you want to stay fit and healthy.
You should take in: to satisfy your body's regular nutritional requirements.
1. a large selection of wholesome foods
2. daily consumption of water
3. enough kilojoules, with carbs being the preferred source of energy.
4. necessary fatty acids from foods like avocados, almonds, and oily fish
5. sufficient protein for cellular upkeep and repair
6. vitamins that are both fat- and water-soluble
7. essential minerals like calcium, zinc, and iron
8. foods rich in phytochemicals, which can help prevent certain cancers, heart disease, diabetes, arthritis, and osteoporosis.
These fundamental needs can be satisfied by a varied diet that emphasizes fruits, vegetables, whole grains, legumes, dairy products, and lean meats.
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a client with heart failure is experiencing acute shortness of breath. what is the nurse's priority action?
a nurse is providing discharge instructions to a client who has just been diagnosed with human papillomavirus (hpv) on her cervix. what is the most important discharge instruction for this client?
The most important discharge instruction for this client has Pap tests done as recommended by her provider.
What is human papillomavirus?
HPV is the most common STI. There were about 43 million HPV infections in 2018, many among people in their late teens and early 20s. There are many different types of HPV. Some types can cause health problems, including genital warts and cancers.
The Papanicolaou test is a method of cervical screening used to detect potentially precancerous and cancerous processes in the cervix or colon. Abnormal findings are often followed up by more sensitive diagnostic procedures and, if warranted, interventions that aim to prevent progression to cervical cancer.
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so in the previos scenario, someone on a 2000 calorie diet would have to eat 4.65 grilled chicken sandwiches to satisfy the daily intake of calories. however, eating this many chicken sandwiches would mean they would have eaten 37.2 grams of saturated fat. why would this be a problem?
Someone on a 2000 calorie diet would have to eat 4.65 grilled chicken sandwiches to satisfy the daily intake of calories and however, eating 2.5 chicken sandwiches would mean they would have eaten 37.2 grams of saturated fat.
According to this nutrition label, eight grams of fat is four-hundredth of the daily counseled allotment of saturated fat. 2.5 grilled sandwiches would be (8 x 2.5 grams) = twenty grams of saturated fat. 37 grams of fat is nearly doubly the counseled daily allotment.
Saturated fat is a variety of dietary fat. it's one amongst the unhealthy fats, together with trans fat. These fats are most frequently solid at temperature. Foods like butter, palm and coconut oils, cheese, and beef have high amounts of saturated fat.
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the rda for nutrients is 2 standard deviations above the average requirement, while the rda for energy is the mean of the average requirement.
It is true that the RDA for nutrients is 2 standard deviations above the average requirement, while the RDA for energy is the mean of the average requirement.
Recommended Dietary Allowances (RDAs) are the amount of intake of essential nutrients that, on the premise of knowledge domain, are judged by the Food and Nutrition Board to be capable meet the known nutrient wants of much all healthy persons.
RDAs apply to vitamins and minerals from food and daily supplements. the aim of those pointers is to tell you the way abundant of a particular nutrients your body wants on a day to day. It's vital to satisfy your daily counseled dietary allowances in order that your body gets everything it must operate.
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the nurse reviews a client's electrolyte laboratory report and notes that the potassium level is 2.5 meq/l (2.5 mmol/l). which patterns should the nurse watch for on the electrocardiogram (ecg) as a result of the laboratory value?
U waves ; Inverted T waves; Depressed ST segment are the patterns the nurse should watch for on the electrocardiogram (ECG) as a result of the laboratory value.
What does an inverted U wave mean?The "U" wave is the wave on the electrocardiogram (ECG). This occurs after the T-wave of ventricular repolarization and is not always observed due to its small size. The 'U' wave is thought to represent repolarization of the Purkinje fibers. However, the exact source of U waves remains unknown.
The most popular theories of origin are:
Delayed repolarization of Purkinje fibers.Long-term repolarization of M cells in central muscle.post-potential due to mechanical forces on the ventricular wall.Repolarization of papillary muscles.U-waves are often recorded in all leads except V6 and are most commonly recorded in V2 and V3 when the heart rate exceeds 96 beats per minute. Its amplitude is often between 0.1 and 0.33 mV. Assigning the U-wave boundary to the T-wave and R-wave backgrounds can be partially or completely (in the case of the T-wave) fused, making it particularly difficult. Higher values of the U-wave of heart rate or hypocalcemia overlap with the T-wave and merge with the R-wave of the cardiac cycle following tachycardia.
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6
As you check Mrs. Bailey's breathing, you look to see whether
her chest rises and falls, listen for escaping air and feel for breathing
against the side of your cheek. Is this the correct course of action?
Select the correct answer to this question.
Yes
No
Answer:
Yes
Explanation:
4. After reconstitution, ceftriaxone for
IM injection contains 350 mg/mL. How many milligrams are in 2.5 milliliters?
After reconstitution, ceftriaxone for IM injection contains 350 mg/mL, and there are 875 mg in 2.5 milliliters. The injection is given to patients for the treatment of bacterial infections or bacterial diseases.
What are the different types of injection procedures?The injection can be given intramuscularly, intravenously, subcutaneously, etc., and different types of injections are designed and given for different diseases. the intramuscular (IM) injection, in which the medication is administered directly into the muscle, and the intravenous (IV) injection, in which the medication is administered directly into the patient's vein.
Hence, after reconstitution, ceftriaxone for IM injection contains 350 mg/mL, and there are 875 mg in 2.5 milliliters.
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a client is seen in the health care clinic for complaints of vaginal bleeding and mild abdominal cramping. on further data collection, the nurse notes that the client's last menstrual period was 10 weeks ago. the client reports that a home pregnancy test was performed and the results were positive. on physical examination, it is noted that the client has a dilated cervix. the nurse understands that the client is at risk for which type of abortion?
The nurse understands that the client is at risk for Inevitable type of abortion.
What's the sensation of a dilated cervix?
As a result of the cervical changes causing pain and cramping felt in the lower region of the uterus, early dilatation frequently feels like menstruation cramps. Similar to menstruation cramps in both location and sensation. Although cramping often seems like active labour, it can also be felt in a greater area (with more intensity of course).
What is dilated cervix?
The cervix opens when there is dilatation. The cervix may begin to shrink or stretch (efface) and open as labour approaches . As a result, the cervix is ready for the baby to enter the delivery canal. Each woman's cervix thins and opens at a different rate.
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a client who has just been told that she is pregnant asks a clinic nurse when the fetus's heart will be developed and beating. the nurse tells the client that the fetal heart is beating at what gestational week?
At six weeks into your pregnancy, at your first scan, you'll be able to hear the heartbeat of your fetus.
what is fetus ?
Between the embryonic stage of development and birth in humans, there is foetal development. After 11 weeks of pregnancy, when the embryo starts to display human traits, this stage starts and lasts until delivery. Normally, all of the major organs and tissues are visible, although they are not yet fully formed or positioned correctly inside the body.
At six weeks into your pregnancy, at your first scan, you'll be able to hear the heartbeat of your unborn child. A transvaginal scan can be used to find your baby's heart (TVS). In order to find the baby's heartbeat, your doctor could also recommend a Doppler scan.
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you are caring for a patient who is taking an antithyroid drug for the treatment of hyperthyroidism. which assessment should be performed before giving this drug?
In a case whereby you are caring for a patient who is taking an antithyroid drug for the treatment of hyperthyroidism the assessment you should be performed before giving this drug is c. Check the skin and sclera for yellowing.
Which assessment you should be performed before treatment of hyperthyroidism?It should be noted that these drugs are hepatotoxic which implies that you need to Check the patient's liver function tests and this should be done prior to giving these drugs however Both thyroid-suppressing drugs can be regarded as been hepatotoxic hence run a check on the patient daily for yellowing of the skin or sclera for jaundice.
However , Hyperthyroidism do take place when the thyroid gland makes too much thyroid hormone and this condition can be regharded as overactive thyroid. Hyperthyroidism speeds up the body's metabolism.
Therefore, option C is correct.
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missing options:
a. Check the pulse rate for irregular rate and rhythm.
b. Check the blood pressure for hypertension.
c. Check the skin and sclera for yellowing.
d. Check the lower extremities for edema.
cwhen preparing to discharge a patient who had an indwelling urinary catheter removed 24 hours ago, the nurse would offer patient education regarding which common complication?
Education from nurses to patients regarding common complications that often occur after 24 hours of catheter removal is '' after removing the catheter, you may experience pain when urinating if you feel that complaint immediately come to the health service.''
What is a catheter?A catheter is a tool in the form of a small flexible tube and is commonly used by patients to help empty the bladder. The installation of this tool is done specifically for patients who are unable to urinate normally on their own.
Inserting a urinary catheter can result in a urinary tract infection (UTI), such as an infection in the urethra, bladder, or kidneys. Apart from UTI, patients with urinary catheters can also experience other side effects such as Bladder spasms and pain, possibly feeling like stomach cramps.
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a client at 28-weeks gestation arrives at the labor and delivery unit with a complaint of bright red, painless vaginal bleeding. for which diagnostic procedure should the nurse prepare the client?
Abdominal ultrasound is the diagnostic procedure should the nurse prepare the client.
What is vaginal bleeding?
Vaginal bleeding can have causes that aren't due to underlying disease. Examples include menstruation, objects in the body (such as an IUD), medication side effects, or childbirth.
Bright red, painless vaginal bleeding occurring after 20 weeks gestation can be an indicator of placenta previa, which is confirmed by abdominal ultrasound (C). (A, B, and D) are invasive procedures that increase the risk for premature onset of labor, and are not indicated at this client's gestation.
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while considered an organ of the gastrointestinal system, the ________ is not part of the gastrointestinal tract.
The liver is not part of the gastrointestinal tract while considered an organ of the gastrointestinal system.
What is the Liver?
The liver is a major organ found in the upper right part of the abdominal. It is the largest internal organ in the human body and performs a wide range of important functions, including filtering toxins from the blood, producing bile to aid in digestion, and regulating hormones. The liver also stores energy in the form of glycogen, which it can release as glucose when needed. Additionally, the liver is responsible for breaking down and metabolizing fats, proteins, and carbohydrates.
What is the Gastrointestinal tract?
The gastrointestinal (GI) tract, also referred to as the digestive tract, is a long, hollow tube that starts at the mouth, continues down the esophagus, through the stomach, small intestine, and large intestine, and ends at the anus. The GI tract is responsible for breaking down food, absorbing nutrients, and eliminating waste products.
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the charge nurse assigns a nursing procedure to a new staff nurse who has not previously performed the procedure. what action is most important for the new staff nurse to take
The most important action for a new staff nurse who has never performed the procedure is to refuse to perform the tasks that go beyond the nurse's experience.
It is the nurse's responsibility, according to state nursing practice acts, to perform within the scope of her or his competency. Hence, tasks that go beyond the nurse's experience must be refused.
What is the Nurse Practice Act?The Nursing Practice Act, or NPA, can be defined as the body of California legislation that requires the Board to clarify the scope of practice and responsibilities of registered nurses, or RNs. Every state and territory enacted a nurse practice act, which created a board of nursing (BON) with the authority to establish administration regulations or rules to clarify or narrow the law. Rules and regulations must adhere to the NPA and cannot deviate from it.
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a geriatric nurse practitioner is assessing older adults. the nurse practitioner knows that older adults sometimes have difficulty following directions during a neurologic examination or diagnostic procedure. what strategies can the nurse practitioner use to examine older clients?
Geriatric nurse practitioners use a variety of advanced nurse practitioner abilities as well as those unique to the field of geriatrics to deliver healthcare services to improve the health of senior patients.
The client is asked to stand with their feet together and their eyes closed as the nurse performs the Romberg test on them. Due to this position, the client sways to one side suddenly and is about to fall when the nurse steps in to save the client from harm. By monitoring, assessing, and treating diseases common to ageing patients, GNPs are used by caregiving organizations to enhance well-being among older clientele.To create and carry out efficient care plans, these specialists also consult with patients and their caregivers. The demand for skilled geriatric nurses will increase as the population ages.
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a client is prescribed a bisacodyl suppository. when administering the suppository, the nurse will include what actions?
The nursing action which a well trained nurse will include when administering the bisacodyl suppository simply is to educate the client to take the medication strictly as prescribed.
What is meant by suppository?This refers to a special type of medication which is given to patients to ease them of pain from certain health condition including constipation, body fever, nausea and so on and so forth.
When a client is being administered bisacodyl, it is expedient that the client is given strict measures tk avoid side effects in his body system.
In conclusion, it can therefore be deduced from the explanation given above that bisacodyl is to be taken under the direction of a licensed healthcare provider.
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you are admitting a 30-year-old who has a hearing impairment. the client is accompanied by family members. what information would be important to ask the family members to help you care for your client?
a child diagnosed with wilms' tumor undergoes successful surgery for removal of the diseased kidney. when the child returns to the room, the nurse should place the child in which position?
Having the Child act out the surgical experience using dolls and clinical device
r
Having the Child act out the surgical enjoy the usage of dolls and the clinical system could ease tension and provide the nurse the possibility to make clear the kid's misconceptions. Preschoolers have a confined concept of time.
The kidneys filter out waste and excess fluid from the blood. As kidneys fail, waste builds up.
symptoms broaden slowly and aren't unique to the disease. a few humans haven't any signs at all and are recognized through a lab check.
Diabetes is the most commonplace purpose of kidney sickness. both type 1 and sort 2 diabetes. but also heart ailment and obesity can make a contribution to the damage that reasons kidneys to fail. Urinary tract issues and irritation in exceptional elements of the kidney can also result in a long-term useful decline.
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One problem with getting mrna vaccines to work was that the immune system responded and destroyed the rna too quickly. How did the immune system recognize the foreign rna?.
While getting mRNA vaccines to work was that the immune system responded and destroyed the RNA too quickly the immune system recognize the foreign RNA by pattern recognition receptors.
What is RNA?A polymeric molecule essential in various biological roles is known as RNA.
RNA stands for Ribonucleic acid .RNA composes around 50% of the structure of the ribosomes.biological roles in which it is involve are:Coding of genes.Decoding of genes.Regulation of genes.Expression of genes.Usage:Creation of proteins carries genetic info.mRNA:mRNA stands for Messenger Ribonucleic acid.It is used in the vaccines of RNA It is necessary for protein production.To Know more about RNA and immune visit
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the nurse cares for a client who underwent a kidney transplant. the nurse understands that rejection of a transplanted kidney within 24 hours after transplant is termed:
The nurse cares for a client who underwent a kidney transplant. the nurse understands that rejection of a transplanted kidney within 24 hours after transplant is termed: Hyperacute rejection
A healthy kidney from a living or deceased donor is surgically implanted into a patient whose kidneys are failing to function normally. The two bean-shaped kidneys are located on either side of the spine, just below the rib cage. They are all roughly the size of a fist in transplant. Urine production is their primary means of filtering and expelling waste, minerals, and fluid from the circulation. The buildup of hazardous levels of waste and fluid in the body leads to kidney failure and increases blood pressure. When the kidneys lose their capacity to filter, renal failure results. End-stage renal illness manifests when the kidneys are only around 90% capable of performing their regular functions. End-stage renal illness manifests when the kidneys are only around 90% capable of performing their regular functions.
End-stage renal illness may result from:
Diabetes
• Ongoing, unchecked hypertension
• Chronic glomerulonephritis, which enlarges and finally scars the small filters in the kidney.
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a patient receiving intravenous iv heparin and /45 saline in sperate iv lines is scheduledfor the next aptt blooddraw at 1500. what us the best lication to retrieve thew sample
The best location to retrieve sample for aptt is on the inside of your arm at your elbow or in the back of your hand.
What is meant by aptt?
One of various blood coagulation tests is the aPTT-Activated Partial Thromboplastin Clotting Time . It gauges how long it takes for your blood to clot. The efficiency of the clotting factors can be examined using the aPTT test. It is frequently combined with other tests that keep track of clotting factors.
Blood clots develop along a predetermined course, or pathway. In this test, the common final pathway and the intrinsic clotting pathway are mostly examined. Prekallikrein, high-molecular-weight kininogen, fibrinogen, factors XII, XI, XI, IX, VIII, II, V, and X.
A clean venipuncture must be used to quickly draw the aPTT. Get a special tube from the lab if the patient's hematocrit is greater than 55%. Within an hour of the draw, samples must be in the lab. Prothrombin Time, Fibrinogen, and Activated Partial Thromboplastin Time (aPTT) measurements can all be made on the same collection tube. Samples must be in the lab within an hour of being drawn if the patient is receiving heparin therapy.
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when caring for the client with diabetic ketoacidosis, the nurse recognizes that fatty acids and ketones may be used for energy by most organs. which organ does the nurse recognize is reliant on glucose as the major energy source?
Brain is the organ does the nurse recognize is reliant on glucose as the major energy source.
What is diabetic ketoacidosis ?
DKA happens when your body doesn't produce enough insulin to let blood sugar enter your cells for use as fuel. Instead, your liver converts fat into fatty acids called ketones through the process of breaking down fat for energy. Ketones can accumulate in your body to harmful amounts if they are created in excess or too quickly.
What is ketones ?
Ketones are molecules that show up in the blood and urine when fats are broken down for energy. This can happen if you haven't eaten enough to provide your body adequate glucose for energy, or it can happen if you have diabetes because your body can't utilise glucose normally.
Therefore, Brain is the organ does the nurse recognize is reliant on glucose as the major energy source.
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a regular review of legal health record policies and procedures to ensure a healthcare entity remains in compliance with legal requirements is generally called a legal health record:
A regular review of legal health record policies and procedures to ensure a healthcare entity remains in compliance with legal requirements is - Any healthcare organization's official business records, which include data, documents, reports.
A federal law called the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule gives you the right to examine and receive a copy of your medical records. Most medical practices, hospitals, clinics, pharmacies, testing centers, and nursing homes as well as health plans. For a long time, healthcare organizations have struggled to identify their legal health records and link them with the designated record set required to meet the HIPAA privacy requirement. Questions about how the two sets differ from one another regularly come up because both sets define information that must be provided upon request. The expanding variety of health records makes it more challenging to define and put together these record sets. Information from a facility, the results of outpatient diagnostic tests and therapies, a pharmacy, a doctor, other healthcare providers, and the patient's own personal health record may all be included in a patient's record. Administrative and financial documents and data may be combined with clinical data.
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Anti-psychotic medications may be used to treat schizophrenia major depressive disorder generalized anxiety disorder adhd
a client in a nursing home is diagnosed with alzheimer's disease and is exhibiting the following symptoms: difficulty with recent and remote memory, apraxia, irritability, depression, restlessness, difficulty swallowing, and occasional incontinence. what stage of alzheimer's disease should the nurse describe the client?
Alzheimer's disease is found in a care home patient. The nurse should describe the client as having middle-stage Alzheimer's disease.
What changes a person with Alzheimer's makes?While Alzheimer's progresses, cognitive impairment or other psychiatric impairments become more severe. Wandering & getting lost issues, difficulties handling money and bills, needing to ask questions more than once, requiring additional time to complete everyday duties, and changes in attitude and conduct.
What causes Alzheimer's disease primarily?According to current theories, the aberrant protein build within and surrounding brain cells is what causes Alzheimer's disease. Amyloid is a component of the proteins involved, and deposits of it create plaques surround brain cells. Some other protein is tau, which builds up inside brain cells to form tangles.
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the nurse is performing a neurological assessment on an adult client suspected of having a traumatic brain injury (tbi). which signs/symptoms would indicate to the nurse that the client's icp is increasing.
Projectile vomiting and Delay in verbal response would indicate to the nurse that the client's ICP is increasing.
Because the vomiting center in the brain is being stimulated, projectile vomiting can occur. When you have a headache and the client vomits, you must assume that the ICP is rising! With increasing ICP, the client's speech may become slower or slurred. The verbal suggestion is delayed. To put it another way, they may be slow to respond to commands.
As ICP rises, the client develops systolic hypertension and a wider pulse pressure. With cardiac tamponade, the pulse pressure narrows.
A traumatic brain injury is typically caused by a violent blow or jolt to the head or body. Traumatic brain injury can also be caused by an object that passes through brain tissue, such as a bullet or shattered piece of skull. Mild traumatic brain injury can temporarily affect your brain cells.
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