The nurse practitioner would ask about coronary artery disease when gathering information for the family history portion of their health history. Thus, the correct answer is C.
When gathering data for the family history portion of the health history, it is important to ask about any family history of cardiovascular disease, as it is one of the leading causes of death worldwide. Coronary artery disease, in particular, is a condition in which the blood vessels that supply blood to the heart become narrowed or blocked, which can lead to a heart attack. A family history of coronary artery disease may indicate an increased risk for the individual and should be taken into consideration when developing a care plan. It is also important to ask about other cardiovascular risk factors such as high blood pressure, high cholesterol, and diabetes, as well as lifestyle factors such as smoking and diet.
This question should be provided with answer choices, which are:
A. Low bone densityB. InjuriesC. Coronary artery diseaseD. Liver diseaseThe correct answer is C.
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which sleep promotion technique would the nurse advise during a routine clinic visit when an older adult complains about being unable to sleep well at night and then feeling sleepy throughout the next day?
exercise daily sleep promotion technique would the nurse advise during a routine clinic visit when an older adult complains about being unable to sleep well at night and then feeling sleepy throughout the next day.
What is sleep promotion?The setting up of circumstances to allow patients to get as much sleep as they can is known as sleep promotion. The enhancement of sleep is thought to be advantageous, at the very least by enhancing patient well-being and potentially also by accelerating the healing process.
Overweight, diabetic, heart problems, strokes, dementia, and cancer are among the health issues that people who don't get enough sleep are more likely to experience. They are more prone to experience difficulties at job or school. Additionally, sleepy driving contributes to 100,000 motor vehicle accidents annually in the US.
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The complete question is as follows:
during a routine clinic visit, an older adult complains about being unable to sleep well at night and then feeling sleepy throughout the next day. the nurse should advise the client to use what sleep promotion technique?
a. exercise daily
b. read in bed before sleeping
c. avoid naps during the daytime
d. have a hot cup of tea at bedtime
during the health history of the child, it is important to determine the age of successful toilet trainging
Typically, between the ages of 18 and 24 months, children begin to demonstrate bladder and bowel control and undergo toilet training.
Toilet training involves showing your child how to detect the signs that come from his or her body when it's time to urinate or have a bowel movement, as well as how to use a potty chair or toilet correctly and when it's time. Training infants to use the toilet facilitates their learning of how to totally empty their bladders when they urinate. Because lingering pee in the bladder can induce urinary tract infections, this could be significant.
When a youngster exhibits symptoms of readiness, toilet training should start. Toilet training your child before they are ready can be difficult for both of you. Proper growth and development result in the capacity to control the bowel and bladder muscles.
Children mature at varying rates. Young children under the age of 12 months have no control over their bladder or bowel motions. Between the ages of 12 and 18, there is hardly any control. Most kids don't develop bowel and bladder control until they are 24 to 30 months old. Toilet training typically begins around 27 months of age.
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The above question is incomplete. Check below the complete question -
During the health history of the child, why is it important to determine the age of successful toilet training? What is the prefect time to start the training?
a patient's blood pressure range over the past 24 hors was 132/64 126/72 mm hg. if the nurse chooses a bp cuff that is too narrow for the patient next bp measurement which bp result is most likely
The blood pressure Too slowly deflating the cuff will cause a falsely high diastolic blood pressure reading.
Who among the patients has the greatest risk of tachypnea?Tachypnea can also occur in people who have lung conditions such asthma, COPD, pleural effusion, pulmonary embolism, or an allergic reaction. [16] Tachypnea can also be caused by congestive heart failure, which can worsen if it is not treated.
The accuracy of the aneroid sphygmomanometer was to be ensured by the nurse.To ensure accuracy, the electronic sphygmomanometer must undergo frequent recalibration—at least several times per year. Because they are electronic, these gadgets do not need to be used with a stethoscope. The instrument could provide a misleading readout since it is extremely sensitive to arm movement.
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a client is admitted with dehydration. which findings should the nurse expect the client to exhibit? select all that apply. one, some, or all responses may be correct.
A customer who is dehydrated gets admitted. The patient should have a quick, thready pulse and a high specific gravity, according to the nurse.
Fluid control is an important part of patient care, particularly in an inpatient situation. The fact that each patient requires careful consideration of their unique fluid needs makes fluid management both tough and exciting. It is unfortunately difficult to treat every patient with a single, ideal formula. To restore any fluid that is lost as correctly as feasible is a general rule that applies to all patient circumstances. These fluid losses can vary in amount and composition depending on the patients' underlying medical problems. For instance, a patient with serious burns who is admitted to the hospital will experience far more fluid losses than a patient who is reasonably healthy and is not allowed to eat or drink anything while they are waiting for a surgery.
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The complete question is:
A client is admitted with dehydration. Which findings should the nurse expect the client to exhibit? Select all that apply.
1 Supple skin turgor
2 Rapid, thready pulse
3 Decreased hematocrit
4 Elevated specific gravity
5 Adventitious breath sounds
a client seeks medical attention for the skin lesion shown. what should the nurse document as this type of lesion?
A patient seeks medical help for the skin lesion displayed. The nurse should label this type of lesion as a wheal. The correct answer is C.
A wheal is a raised, swollen area of skin that is often itchy and red. It can be caused by an allergic reaction, an insect bite, or other types of skin irritation. The lesion shown in the image appears to be a wheal, which could be caused by an allergic reaction or insect bite. As a nurse, it is important to document this type of lesion as a wheal so that the healthcare provider can properly diagnose and treat the underlying cause of the lesion. This documentation is also important for creating a comprehensive medical record for the patient. In addition, by documenting the lesion as a wheal, other healthcare providers will be able to easily recognize and identify the lesion in the future.
This question should be provided with answer choices, which are:
A. PapsuleB. BullaeC. WhealThe correct answer is C.
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ten days following surgery to clip an anterior communicating artery aneurysm, a transcranial doppler detects cerebral vasospasm in a client. the nurse anticipates which therapeutic intervention? group of answer choices
Ten days after surgery to clip aneurysm of anterior communicating artery, transcranial Doppler detects cerebral vasospasm in patient. Therapeutic interventions nurses expect : Nicardipine (Nimodipine). Nicardipine, a calcium channel blocker, has vasodilatory effects.
What is an aneurysm?An aortic aneurysm is a balloon-like bulge in the aorta, the large artery that carries blood from the heart to the chest and upper body. Aortic aneurysms can dissect or rupture in the following ways: The force of pumping blood can break the layers of the artery wall, allowing blood to leak between them.
What causes an aneurysm?Conditions that cause arterial walls to weaken can lead to aneurysms. Atherosclerosis (plaque buildup in your arteries), high blood pressure, and smoking increase your risk. Deep cuts, injuries, or infections can also cause bulging blood vessels.
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the client is an older adult with a long history of type 2 diabetes mellitus and hypertension. the client record notes a family history of polycystic kidney disease (pkd). the client was diagnosed with stage 4 chronic kidney disease (ckd) two years ago. the client calls the nephrology office to speak to the clinic nurse. the client reports loss of appetite, fatigue, nocturia, and occasional shortness of breath
The client informs Meet the client of a lack of appetite, weariness, nocturia, and sporadic shortness of breath.
What is the main cause of diabetes?Diabetes in its majority has no recognized definite cause. In every circumstance, glucose builds up in the bloodstream. This is a result of the pancreas' insufficient insulin production. Both types of diabetes may be brought on by a combination of genetic and environmental factors.
Does stress cause diabetes?Diabetes is not solely brought on by stress. However, there is evidence suggesting that stress as well as the risk of developing type 2 diabetes may be related. Excessive stress hormone levels may prevent insulin-producing cells within the pancreas from functioning properly and decrease the quantity of insulin they produce, according to our study.
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which nursing action would the nurse perform for an infant who develops mottling in the - leg used for cardiac catheterization?
For a newborn, the nurse would take action by monitoring the pulse in the extremities.
Cardiac catheterization is a treatment that involves guiding a thin, flexible tube through a blood artery to the heart in order to detect or treat specific heart diseases such as blocked arteries and irregular heartbeats. Cardiac catheterization provides clinicians with vital information about just the heart muscle, heart valves, and blood arteries. Doctors can perform various heart tests, provide therapies, or remove a sample of heart tissue for evaluation during cardiac catheterization.
Cardiac catheterization is used in several heart disease therapies, such as coronary angioplasty or coronary stenting. During cardiac catheterization, you will usually be awake but will be given drugs to help you relax. A cardiac catheterization has a rapid recovery period and a minimal risk of complications.
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which nursing student statement regarding the effects of hormones on basel metabolic rate bmr indicates a need for further teaching
B. "If thyroid hormone is less then BMR also reduces."
The relationship between thyroid hormone status and body weight and energy usage is well known. Thyroxine, also known as tetraiodothyronine or T4, and triiodothyronine, also known as T3, are two hormones produced by the thyroid gland that control the basal metabolic rate.
Thyroid hormone increases ATP production for metabolic processes and maintains ion gradients (Na/K+ and Ca2+), which consume ATP, to stimulate basal metabolic rate. Thermogenesis is significantly influenced by thyroid hormone. Thyroid hormone typically activates the genes for elevating metabolic rate and thermogenesis when it binds to its intranuclear receptor. A higher metabolic rate results in more energy and oxygen being consumed.
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The above question is incomplete. Check below the complete question -
Which nursing student statement regarding the effects of hormones on basal metabolic rate (BMR) indicates a need for further teaching?
A. "Testosterone increases BMR."
B. "The absence of thyroid hormones reduces BMR by one-fourth."
C. "Thyroid hormones increase the rate of chemical reactions in almost all cells of the body."
D. "Secretion of large amounts of thyroid hormones can increase BMR to 100% above normal."
as part of the diagnostic workup for a client's longstanding vertigo, a clinician wants to gauge the eye movements that occur in the client. which diagnostic tests is the clinician most likely to utilize?
If dysconjugate eyes are possible, the test should be conducted while separately recording each eye. a single-channel saccadic assessment, commonly used to
What purpose does the eye fulfill?
One of the most complex senses that humans have is their eye, which is an important one. It improves our sense of light, color, and dimension as well as our capacity to visualize objects. Additionally, these sensory systems work somewhat like cameras and give humans the ability to sense things while outside light enters inside.
What function does the cornea serve in an eye?
It creates mucous and tears, which cushion and maintain the moisture and clarity of our eyes. the cornea's anterior or front translucent region
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the nurse is explaining the nursing process to a student nurse. which step of the nursing process would include interpretation of data collected about the client?
The nursing process is a five-step, evidence-based procedure that helps nurses think holistically about their patient's overall situation and treatment plan.
The nurse will review any subjective and objective information gathered from the patient's history during the evaluation phase.
You will use the evaluation results to create a few nurse diagnoses that will direct your care throughout the shift during the diagnostic phase.
The moment when the nurse begins creating a plan of action is known as the planning phase, sometimes known as the outcomes phase.
During the implementation phase, you will develop a few nurse interventions to assist the patient in reaching his or her goals.
Evaluation is the closing diploma of the nursing process. To determine whether the objectives have been achieved occurs after the interventions. How the goals and interventions are successful will be determined by the nurse during the evaluation phase.
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When using Internet sites to obtain drug information, it is imperative that a nursing student takes which action to ensure client safety?
In order to verify the material, nursing students should compare it to a printed source.
What is the name of a student nurse?Although we can refer to ourselves as nursing students in general, this should not be done in a formal setting. RNs must sign RN and display the designation when performing their duties, but they are also permitted to informally refer to themselves as nurses without specifying the type of nursing they provide.
Is a student nurse a nurse?Any nursing student is a professional nurse at the beginning of their career who looks after patients' health in medical facilities. By using a stethoscope to hear the patients' pulse, lungs, and bowel sounds, you will conduct a physical examination of the patients.
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after recovering from gastrointestinal surgery, a client is prescribed a regular diet. to minimize stomach irritation, the nurse would encourage the client to consume which food?
Fish that has been baked has little residue, is low in fat, rich in protein, and doesn't cause gas. Fresh fruit contains fiber that aggravates the digestive system. Bran cereal contains fiber that irritates the gastrointestinal system.
For both men and women, a low fiber diet typically caps daily fiber consumption at roughly 10 grams. Additionally, it lessens other items that could increase gastrointestinal activity. The low-fiber diet's staple meals are not the healthiest choices over the long term. For instance, white bread is better for you on this diet even though whole grain bread has more nutrients and health advantages. This is because whole grain foods are high in fiber. The digestive tract is irritated by whole milk, which also increases mucus formation. The patient will only need to adhere to the low-fiber diet for a brief period of time while their bowels are healing, their diarrhea is under control, or their body is recovering following surgery.
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wo hours after admission, a client reports palpitations, chest discomfort, and light-headedness. the nurse connects the client to a cardiac monitor and notes a weak, thread pulse, and a bp of 90/50. which action should the nurse take? select all that apply.
Chest pain, which typically gets worse while inhaling deeply, is the most typical indication of acute pericarditis. This pleuritic chest discomfort spreads over the front of the chest, starts off unexpectedly, and is frequently intense. Also possible is a dull, crushing chest ache resembling a heart attack.
What is Pericarditis causes?The following are only a few of the numerous causes of pericarditis:
Idiopathic (so-called) pericardial illness with no known etiology: This condition frequently has no known cause. It is not always required to determine the reason, particularly if the illness gets better with empiric anti-inflammatory medication (ie, aspirin, ibuprofen).The pericardium can become infected by any infectious bacterium. A viral infection or an unidentified pathogen are typically to blame for the majority of cases.Radiation - Previous chest radiation is a significant factor in the development of pericardial illness. The majority of cases result from radiation treatment for cancer, particularly for breast, lung, or lymphoma cancer.Trauma - Wounds from a bullet or knife to the chest might be sharp or blunt, like those from a steering wheel damage. Pericarditis can be brought on by invasive cardiac procedures and, in rare cases, cardiopulmonary resuscitation (CPR). The heart muscle is damaged by a myocardial infarction (heart attack) due to a lack of oxygen, which can result in pericarditis.Drugs and toxins - Pericarditis can be brought on by a number of drugs.Kidney failure is the main factor in metabolic-related pericarditis, which can be caused by several metabolic illnesses.Cancerous tumors - Hodgkin lymphoma, the breast, the lung, and other cancers are the most common sources of metastases (spread of cancer) to the heart, which can cause pericardial illness.Systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis, and mixed connective tissue disease are the most prevalent rheumatic causes of pericarditis. Systemic vasculitides and autoinflammatory disorders are more potential reasons (ie, Familial Mediterranean Fever).Diseases of the digestive system - Patients with inflammatory bowel disorders, such as Crohn's disease or ulcerative colitis, may develop pericarditis.To Learn more About pericarditis Refer To:
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use the drop-down menu to select the answer that completes each sentence. hypotension is blood pressure that is . the word that means between cells is . an internal cell structure that dissolves waste is known as a . the greek root word glossia (tongue) is used to create the term , which means an enlarged tongue. the dental term malocclusion refers to a bite that comes together
Hypotension is blood pressure that is low. The word that means the space between cells is intercellular. An internal cell structure that dissolves waste is known as a lysosome. Macroglossia is the Greek root word glossia (tongue) and is used to create the term, which means an enlarged tongue. The dental term malocclusion refers to a bite that comes together with the alignment of teeth and the way that the upper and lower teeth fit together (bite).
Definition of hypotension, intercellular space, lysosomes, macroglossia and malocclusion?If your blood pressure is significantly lower than usual, you have low blood pressure. This implies that not enough blood is getting to the heart, brain, and other areas of the body. Most commonly, the range for normal blood pressure is 90/60 mmHg to 120/80 mmHg. Hypotension is the term used in medicine for low blood pressure.
The area between cells is referred to as the intercellular space (Spatium intercellular) in histologic terminology. The outer membranes of the cells surround it. It is known as an intercellular cleft in epithelia, is 25 to 35 nm in width, and is filled with a fluid that is largely composed of water and is not electron-dense.
Digestive enzymes are found in lysosomes, a membrane-bound cell organelle. Many different cellular activities involve lysosomes. They degrade extraneous or worn-out cell components. Invading viruses and bacteria may be eliminated using them.
Macroglossia, or an enlarged tongue, is a rare disorder that often affects children more frequently than adults. Given the size of their mouths, people with macroglossia have larger-than-average tongues.
An improper bite is referred to as malocclusion. Occlusion is the term used to describe how teeth fit together and how they are aligned (bite). The most frequent reason for a referral to an orthodontist is a malocclusion.
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Answer:
Answer Below:
Explanation: Hypotension is blood pressure that is
✔ too low
.
The word that means between cells is
✔ intercellular
.
An internal cell structure that dissolves waste is known as a
✔ lysosome
.
The Greek root word glossia (tongue) is used to create the term
✔ macroglossia
, which means an enlarged tongue.
The dental term malocclusion refers to a bite that comes together
✔ badly
.
when a client arrives in the emergency department after prolonged exposure to cold weather, which clinical manifestations will the nurse expect to find? select all that apply. one, some, or all responses may be correct.
Beck's triad, which consists of hypotension, venous return oedema, and muffled heart sounds, includes the typical symptoms of cardiac tamponade.
Which physiological reaction starts when a patient has a sudden drop in blood volume?Less than 20% of blood volume is lost during the first stage of hypovolemic shock. Due to the fact that breathing and blood pressure will still be normal, this stage might be challenging to detect. Skin that seems pallid is the most obvious indication at this point. The individual could also get anxious out of the blue.
Which of the subsequent issues does a third echo (S3) indicate?Results: The earliest indicator of left , failure may be the existence of S3. It serves as a predictor of responsiveness to digoxin in individuals with congestive cardiac failure and indicates a significant risk for postoperative morbidity in the context of noncardiac surgery.
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the nurse will be caring for a client with a new diagnosis of hypertension. the client will be arriving for laboratory testing. when should the nurse begin client teaching?
Should the nurse start client education with a fresh diagnosis of hypertension, atherosclerosis
What comes first in the treatment of a hypertensive patient?Making lifestyle changes is an essential first step in the management of high blood pressure. Some people find that controlling high blood pressure is as simple as reducing sodium (salt) and alcohol intake, keeping a healthy weight, doing regular cardiovascular activity, and quitting smoking.
How are you treating your newly discovered hypertension?Making lifestyle adjustments, such as exercising more, eating better, and, if necessary, decreasing weight and stopping smoking, is the first step in treating high blood pressure.
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A nursing is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. Which of the following findings should the nurse report to the provider as an adverse effect of prednisone?A. Sore throatB. Frequent stoolsC. Hearing lossD. Tremors
The nurse informed the physician that a side effect of prednisone includes sore throat. Option A is correct.
Glucocorticoids suppress the immune system, increasing the client's susceptibility to infection. A sore throat should be recognized as an indicator of infection by the nurse and reported to the physician. Nephrotic syndrome would be a kidney ailment that causes your kidneys to excrete excessive protein in your urine. Damage to the clusters of tiny blood vessels in the kidneys that filter waste & excess water from the blood is frequently the cause of nephrotic syndrome.
The disorder causes swelling, particularly in ones feet and ankles, and raises your chance of developing other health issues. Treatment for nephrotic syndrome requires both addressing the underlying ailment and employing medications. Nephrotic syndrome raises the likelihood of infection and blood clots. To avoid problems, your doctor may urge you to take medications or make dietary changes.
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when providing comfort to a client during the last hours of life, which would be the nurse's primary concern? select all that apply. one, some, or all responses may be correct.
The nurse should listen without making judgements when caring for patients who are dying and should avoid giving advice or criticism to the patient during the grieving phase. It's important to support the family members while they adjust to the patient's passing.
Providing care for patients who are nearing or have reached the end of their lives frequently permits nurses to observe the challenging and complex decisions that patients and families must make about a variety of delicate topics. Despite the fact that nurses have their own morals, values, and views, there can occasionally be a conflict when such beliefs, values, or wishes diverge from those of the patients. Some of the medical procedures and choices we'll talk about are straightforward, while others are more difficult. No matter the intervention or course of therapy, the nurse should put more of an emphasis on assisting the patient in weighing the advantages and disadvantages of the intervention than on the intervention itself.
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a client diagnosed with diabetes mellitus has a foot infection and is prescribed antibiotic therapy with an aminoglycoside. the nurse collects data from the client and notes that the client has a hearing loss. the nurse would take which action next
The nurse should notify the registered nurse about client's hearing loss after gathering data from the client.
What does "antibiotic therapy" mean?Certain types of bacterial infections are treated or prevented with the help of antibiotics. They either eradicate bacteria or stop them from proliferating and spreading. Viral infections cannot be treated with antibiotics. This covers the typical cold, the flu, the majority of coughs, and sore throats.
What are the primary negative effects of taking antibiotics?Unpleasant side effects from antibiotics include vomiting and diarrhea. These side effects are frequently modest and ought to disappear once your treatment course is through. If you experience any additional side effects, seek counsel from your primary care provider or the doctor managing your therapy.
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a patient who is breastfeeding has been diagnosed with gonorrhea. which treatment plan should be instituted
A patient with gonorrhea who is breastfeeding is treated with amoxicillin 500 mg three times a day for seven days and ceftriaxone 250 mg IM injection.
Amoxicillin and ceftriaxone dual therapy can be used to treat gonorrhoea and as an empirical treatment for chlamydia. Amoxicillin & ceftriaxone can both be used to treat gonorrhoea, but the client should also be medicated empirically for chlamydia. Benzathine penicillin is approved for the treatment of syphilis in breastfeeding women.
Ceftriaxone injection is used to treat bacterial infections such as gonorrhea (a sexually transmitted disease), pelvic inflammatory disease (an infection of the female reproductive organs that can lead to infertility), meningitis (an infection of the membranes which surround the brain and spinal cord), as well as infections of a lungs, ears, skin, urinary tract, blood, bones, joints, as well as abdomen.
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the nurse is conducting an assessment of an adult client who describes herself as being in good health. inspection of the client's nail beds reveals the presence of a bluish tone. the nurse should recognize that this finding is most likely attributable to what phenomenon?
Inspection of the client's nail beds reveals the presence of a bluish tone. The nurse should recognize that this finding is most likely attributable to a phenomenon called Vasoconstriction
What happens when vasoconstriction occurs?Vasoconstriction is the narrowing of blood vessels by small muscles in the walls of blood vessels. When blood vessels become narrowed, blood flow slows or becomes clogged. Vasoconstriction may be mild or severe. This can be caused by illness, medication, or mental illness.
What triggers vasoconstriction?They are primarily controlled by the sympathetic nervous system. The sympathetic nervous system is the same system that responds when we are stressed or emotionally upset. This explains why both cold and emotional stress cause vasoconstriction of these blood vessels, resulting in cold hands and toes.
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The nurse is conducting an assessment of an adult client who describes herself as being in good health. Inspection of the client's nail beds reveals the presence of a bluish tone. The nurse should recognize that this finding is most likely attributable to what phenomenon?
A) Vasoconstriction
B) Hyperglycemia
C) Hypoxemia
D) Cardiopulmonary insufficiency
after an angry outburst, a client quickly appears more calm and rational. the nurse approaches the client. which is the most helpful response to the client at this time?
The correct answer is option (B) You need to learn to suppress your angry feelings.
Accept the client's feelings and state that the circumstances made the outburst comprehensible.
Encourage the client to express their ideas and emotions in a nonjudgmental and secure setting.
Give the client some space and time to cool off and deal with their feelings.
Following an outburst, it's critical to acknowledge and validate the client's feelings. In turn, this might lessen the client's irritation and fury by making them feel heard and understood. It is important to understand the specific circumstances that led to the client's outburst. This can include factors such as stress, past traumatic experiences, or unmet needs.
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The above question is incomplete .The complete question is given below-
A nurse is working with a client who has frequent angry outbursts. Which of the following statements is most helpful when working with this client?
A) Anger is a normal feeling, and you can use it to solve problems.
B) You need to learn to suppress your angry feelings.
C) You can reduce your anger by hitting a punching bag.
D) You need to learn how to be less assertive in your communications.
the nurse is caring for an older adult client who is recovering from hip surgery. which assistive device will the nurse use to facilitate client ambulation?
The nurse is taking care of an elderly patient who is recovering from hip surgery and needs assistance.
What kind of contraption would the nurse employ to prevent foot drop in a bedridden patient?An orthosis for the ankle and foot helps the foot clear the ground by stabilizing the ankle and foot. Early on in rehabilitation, it is frequently prescribed.
Which kind of mobility aid is best for a client who struggles with balance?Which kind of mobility aid is best for a client who struggles with balance? For customers with poor balance, canes with three (tripod) or four (quad) prongs or legs to give a wide base of support are advised.
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which intervention and rationale would the nurse plan for a client admitted to the hospital with a right-sided cerebrovascular accident (cva)?
When the blood supply to a portion of the brain is cut off, it causes a cerebrovascular accident (CVA), also known as an ischemic stroke or "brain attack," which causes a sudden loss of brain function.
A neurologic flow sheet is kept during the acute phase to record information on the following crucial indicators of the patient's clinical status:
alteration in responsiveness or consciousness.voluntary or involuntary movements of the extremities are present or absent.Neck stiffness or flaccidity.opening of the eye, the size of the pupils in comparison, and pupillary response to light.Skin temperature and moisture; colour of the face and extremities.being able to speak.bleeding is present.keeping the blood pressure constant.According to the assessment results, a patient with a stroke may have one or more of the following major nursing diagnoses:
hemiparesis-related reduced physical mobility, loss of coordination and balance, spasticity, and brain injury.acute pain brought on by hemiplegia and inactivity.inadequate self-care caused by stroke aftereffects.altered sensory reception, transmission, and/or integration that affects sensory perception.impaired urination brought on by a weak bladder, a wobbly detrusor, mental confusion, or communication problems.mental disturbances caused by brain damage.brain damage-related verbal communication impairment.Risk of compromised skin integrity as a result of immobility and hemiparesis or hemiplegia.Family processes are disturbed as a result of the stress of caregiving and severe illness.neurological deficiencies or a fear of failure may be the cause of sexual dysfunction.To learn more about stroke click here:
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A nurse is caring for a client who requires a chest tube. The provider asks for the suction pressure of the closed-chest drainage system to be set at â40 cm of water. Which of the following closed-chest drainage systems should the nurse prepare for this client?
The nurse should prepare 'dry suction-control system' for this client.
What do you mean by chest drainage system?
A chest drainage system is a system of tubes and containers that are used to remove air and fluid from the pleural cavity or mediastinum (the space between the lungs). It is commonly used after a thoracic surgical procedure, chest trauma, or lung infection. The system may also be used to deliver medications or to measure the amount of pressure inside the chest.
A dry suction-control system is a closed-chest drainage system that uses a vacuum pump to adjust the suction pressure. This type of system is ideal for this client because the vacuum pump can be set to a specific pressure, in this case, 40 cm of water, to ensure the desired level of suction. This system also provides a safer and more efficient method of chest tube drainage than manual or gravity systems.
Hence, option D is correct.
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Complete question:
A nurse is caring for a client who requires a chest tube. The provider asks for the suction pressure of the closed-chest drainage system to be set at -40 cm of water. Which of the following closed-chest drainage systems should the nurse prepare for this client?
1. Pneumostat.
2. Water-seal system.
3. Heimlich valve.
4. Dry suction-control system.
a client has sustained a closed fracture and has just had a cast applied to the affected arm. the client is complaining of intense pain. the nurse has elevated the limb, applied an ice bag, and administered an analgesic, which was ineffective in relieving the pain. the nurse interprets that this pain may be caused by which condition?
After elevating the limb, using an ice bag, and giving a patient an analgesic that did not work, the nurse concluded that the pain might be brought on by inadequate tissue perfusion.
Why is tissue named that?
The French word "tissu," the past tense of the verb "to weave," is where the English term "tissue" originates. Histology, or histopathology when applied to disease, is the study of tissues.
What is cell and what does it do?
Tissue is a collection of cells with a common structure and function that work as a single unit. The body's tissues give it form and aid in energy storage and heat retention. Tissue, parenchyma cells, muscle tissue, and nervous tissue are the four different types of tissues.
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which response would the nurse give to a client with quadriplegia who attends tilt table therapy daily and asks why the angle of the table gradually increases each day?
What advice would a nurse give a quadriplegic patient who uses a tilt table every day for therapy? "I am unable to cope with the circumstance," she would say.
Which justifies turning a paraplegic patient every one to two hours in the nursing care plan?A patient can maintain blood flow by switching positions in bed every two hours. In addition to preventing bedsores, this keeps the skin healthy.
With quadriplegia, how do you cope?While quadriplegia has no known treatment, it can have negative repercussions that can be managed. Mobility assistance is provided through wheelchairs. Home health aides can lessen the strain on the primary caregiver in the family. Pain management and muscle function can both benefit from physical therapy.
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Which of the following injury mechanisms involves axial loading?
A) skater slips and falls, landing on her outstretched arm
B) a construction worker falls off a roof and lands feet first
C) a woman's knees impact the dash during a frontal collision
D) a man's neck is forced laterally during a side impact collision
B) a construction worker falls off a roof and lands feet first injury mechanisms involves axial loading.
Axial loading describes the injury impact force that is applied along a bone's long axis. It is characterised by compression down the length of the bone and is brought on by vertically directed forces, such as those that occur when someone falls and lands on their feet.
The impact of the fall would be transmitted through the bones of the legs in the scenario of a construction worker falling off a roof and landing feet first, leading to axial loading of the bones. Fractures, dislocations, and other joint and bone injuries can be caused by this kind of injury mechanism.
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the nurse is reinforcing instructions to the parents of a child with a hernia regarding measures that will promote reducing the hernia. the nurse determines that the parents understand these measures if they make which statement?
Seek immediate medical help If your child has a seizure, a rash that won't go away when you press it, looks mottled, bluish, or pale; is excessively lethargic; feels chilly to the touch; is has any of these symptoms.
The nurse would be most surprised to discover which of the above assessment results in the child who has identified as having pyloric stenosis ?When a newborn has pyloric stenosis, they typically vomit or regurgitate nonbiliously, which in up to 70% of cases can become projectile while the child is still hungry. Jaundice. Infants occasionally get jaundice, which goes away if the condition is treated. malnutrition and dehydration.
Which diet would the nurse recommend for a baby who is 4 weeks old following surgery to treat hypertrophic pyloric stenosis?Starting four to six hours following surgery, infants should start receiving formula or breast milk every three to four hours. Following surgery, you will talk with your surgeon about your feeding schedule. Be aware that your infant may still vomit sometimes, but it generally stops after a few night feeds.
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