The nurse will prioritize put the child inside a clean bowel bag in the care plan during the preoperative period.
In order to sustain perfusion to the eviscerated abdominal contents, nursing therapy of babies with omphalocele must prioritise preventing hypothermia, reducing fluid loss, and safeguarding the exposed abdominal contents. A sterile bowel bag that allows vision, provides a sterile environment for the exposed contents, and minimises heat and moisture loss can be used to achieve this. The newborn may be cared for in an isolette, but the essential component of treatment is a sterile bowel bag. The infant should not be covered in blankets or placed under a radiant warmer in order to care for an omphalocele.
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a nurse working in a health clinic assesses sleep patterns during each health assessment. based upon the nurse's knowledge regarding sleep needs, the nurse recognizes which age group as generally needing the least amount of sleep?
Order adults. The nurse may ask the patient to keep track of their sleeping habits for a week or more in a sleep log or diary. Then, the nurse will analyse and examine this information to look for any sleep problems.
What tasks should nurses be performing?Registered nurses (RNs) supervise and carry out medical treatments, as well as offer emotional support to patients' families and inform the general public about a variety of health issues. Most registered nurses work with doctors and other medical specialists in a variety of settings.
One qualified applicant for the position may be a nurse.One of their responsibilities is doing various post-operative surgical therapeutic tasks. Many surgical nurse practitioners specialize in cardiac, pediatric, or obstetric surgery as their primary areas of work.
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the registered nurse (rn) is teaching a nursing student how to communicate with a client | who is cognitively impaired. which statement(s) made by the nursing student is (are) incorrect? select all that apply. one, some, or all responses may be correct.
The nurse should use simple sentences and avoid long explanations while communicating with patients who are cognitively impaired. Giving sufficient time to the patient to answer a question is an appropriate strategy in communicating with patients who are cognitively impaired.
What is cognitively impaired ?Cognitive impairment is characterised by difficulties with memory, learning new things, focusing, or making decisions that have an impact on daily activities. There are various degrees of cognitive impairment.
Even if the patient's cognitive function is impaired, make an effort to speak directly to them. captivate their attention. Keep eye contact with them by seated in front of them at eye level. Clarify your speech and speak naturally.
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the type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be:
Your ileostomy-produced stool may be pasty, thin, or thick liquid. Like the stools that originate from your colon, it is not solid.
Your diet, medications, and other factors may alter how thick or thin your stool is. Gas in some form is typical.
What form of stool would you expect from a transverse colostomy?
The following is an illustration of the kind of stool that a patient with an ileostomy will evacuate into their ostomy bag:
While some transverse colostomies occasionally release solid, paste-like stools, the majority move often and release soft, loose stools that resemble oatmeal. It's crucial to understand that the stools contain digestive enzymes.
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question content area top part 1 vitamins are essential dietary substances needed for metabolism. question content area bottom part 1 a. lowering b. speeding up c. stopping d. building e. regulating
Vitamins are essential dietary substances needed for Building metabolism.
So the correct answer is option b
A special kind of involvement for vitamins and minerals in energy metabolism is their requirement as functional components of the enzymes involved in energy release and storage. In the process of breaking down food and synthesising macromolecules like protein, RNA, and DNA, the water-soluble B vitamins serve as coenzymes.
Vitamins do not increase metabolism, with the exception of situations where your diet is deficient in essential nutrients. In this situation, taking a multivitamin may provide your body with the nutrition it requires, enabling your metabolism to work more effectively.
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a client with history of alcohol abuse is brought to the emergency department after a weekend of heavy drinking, experiencing right upper quadrant pain, anorexia, nausea, jaundice and ascites. the nurse identifies these as manifestations of what disorder?
A client with history of alcohol abuse is experiencing right upper quadrant pain, anorexia, nausea, jaundice and ascites and the nurse identifies these as manifestations of alcoholic hepatitis.
Alcohol abuse, additionally referred to as alcohol misuse could be a major problem. it's a pattern of drinking an excessive amount of alcohol too usually. It interferes together with your existence. You'll be full of alcoholism abuse if you drink an excessive amount of alcohol at only once or too usually throughout the week.
There is no medication to cure alcoholic hepatitis. Treatment involves easing the symptoms and keeping the unwellness from obtaining worse. make sure to raise your health care supplier regarding counseled vaccines. These embrace vaccines for viruses that may cause disease.
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during the first 48 to 72 hours of fluid resuscitation therapy after a major burn injury, the nurse should monitor hourly which information that will be used to determine the iv infusion rate?
The nurse should monitor Hourly urine output which will be used to determine the IV infusion rate.
What is the reason for this?
In the first 48-72 hours of fluid resuscitation therapy, hourly urine output is a generally reliable and the most accessible indicator of adequate fluid replacement.
Fluid volume is assessed as well by monitoring mental status, peripheral perfusion, vital signs, and body weight. Pulmonary artery end-diastolic pressure (PAEDP) and central venous pressure (CVP) even are preferred guides for fluid administration, but urine output is best when PAEDP or CVP both are not used.
Therefore, the nurse should monitor the Hourly urine output which will be used to determine the IV infusion rate.
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a child is born with dwarfism to normal-sized parents. the nurse is explaining how growth hormone (gh) plays a central role in the increase in stature that characterizes childhood and adolescence. what is the first step in the growth hormone chain of events?
The first step in the growth hormone chain of events is The hypothalamus secretes GHRH.
Dwarfism is a small stature caused by a medical or hereditary disorder. An adult height of 4 feet 10 inches (147 cm) or below is commonly regarded as dwarfism.
In adults with dwarfism, the typical height is 4 feet (122 cm).
Dwarfism is a result of several different medical disorders.
The majority of people with dwarfism suffer from diseases that result in abnormally small stature.
Typically, this denotes that a person has an average-sized trunk and short limbs, while it is possible for some individuals to have an extremely short torso and small (yet proportionally huge) limbs.
The skull is excessively big compared to the body in several illnesses.
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an older adult client has a diagnosis of a thrid infection in three months. the client asks, why am i getting so many infections? i didnt used to
The nurse must respond by saying: "you have more immature T cells, which slow the immune response"
What are the T- cells ?T cells are produced by stem cells in the bone marrow and are a component of the immune system. They may aid in the fight against cancer and protect the body from infection. also known as a thymocyte and a T lymphocyte.
The specificity of the immune response to antigens (foreign substances) in the body is determined by one of two main types of lymphocytes, T cells, with B cells being the other type.
T cells develop in the thymus after emerging from the bone marrow.
Since they are necessary for practically all adaptive immune responses, helper T cells are arguably the most significant cells in adaptive immunity.
They aid in the activation of cytotoxic cells in addition to B cells that secrete antibodies and macrophages that kill ingested bacteria.
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An older adult client has a diagnosis of a third infection in three months. The client asks, "Why am I getting so many infections? I didn't used to." Which response by the nurse is best?
A. "your blood plasma has become thicker making it slower to respond"
B. "your red blood cell production has slowed down giving you fewer cells"
C. "you have more immature T cells, which slow the immune response"
D. "you have a lower albumin level causing an increase in edema to your legs"
a 15-month-old child is recovering from surgery, and the nurse is performing a postoperative pain assessment. the nurse documents what findings as evidence of pain? select all that apply.
Symptoms and telltale signs of pain in a person include: frowning or grimacing of the face writhing or frequent turning in bed wailing, whimpering, or moaning
How does the Flacc pain scale work?For patients who lack the ability to self-report their level of pain and are nonverbal or preverbal, the FLACC is a behavioral pain assessment scale. The five categories of face, legs, activity, crying, and consolability are used to evaluate five different types of pain.
What is the most accurate way to measure pain?The gold standard for evaluating pain in patients who can communicate their pain intensity is a Numerical Rating Scale (NRS) with a scale of 0 to 10 (0, no pain; 10, maximum pain), which is based on a patient's self-report.
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which technique to diagnose problems reflects the principle that 20 percent of the defects or failures that occur cause 80 percent of the problems
The Pareto principal reflects that 20 percent of the defects or failures that occur cause 80 percent of the problems.
What is the Pareto Principal ?The Pareto Principle, also known as the 80/20 Rule, The Law of the Vital Few, and The Principle of Factor Sparsity, states that only 20% of causes account for 80% of effects, meaning that only 20% of your actions and activities will have a significant impact on your results and outcomes.
The Pareto chart, which combines a bar and line chart, serves as a visual depiction of the 80-20 rule.
The relationship between input and output is rarely, if ever, balanced, according to the 80/20 rule. It translates into the workplace as roughly 20% of your efforts yielding 80% of the outcomes.
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a client has sought care because of a sudden increase in the size of his scrotum. the nurse's assessment reveals the presence of a large scrotal mass. how can the nurse best assess for a scrotal hernia?
Hernias do not heal on their own. A hernia can only be repaired surgically. Many people can put off surgery for months or even years. Furthermore, some people may never require surgery for a minor hernia. Thus correct answer (B) Auscultate the mass for bowel sounds.
The most frequent form of hernia is an inguinal (pronounced "ingwinal") hernia. It might manifest as a groin bulge or lump, or as an enlarged scrotum (the pouch containing the testicles). Swelling may be unpleasant. The lump frequently emerges when you lift anything and vanishes when you lie down.
Hernias in older adult males are prevalent and can form as a result of pressure, such as straining during bowel movements, heavy lifting, coughing, sneezing, or obesity.
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Full Question:A client has sought care because of a sudden increase in the size of his scrotum. The nurse's assessment reveals the presence of a large scrotal mass. How can the nurse best assess for a scrotal hernia?
A) Palpate the mass for pain.
B) Auscultate the mass for bowel sounds.
C) Percuss the mass for dullness.
D) See if the mass disappears when the client stands.
true or false? the nicotine patch is a drug product that was switched from prescription to otc status.
The nicotine patch is a drug product that was converted from a prescription to an over-the-counter status, and this is accurate.
You can stop smoking with the use of nicotine skin patches. The nicotine in the patch is absorbed through the skin and into the bloodstream. This substitutes the nicotine you would obtain from smoking and lessens the withdrawal symptoms associated with quitting. Over time, the nicotine content decreases until use is discontinued. It is possible to successfully quit smoking by wearing a nicotine patch for four weeks before to the quit date, but in order to reap this benefit, varenicline must not be put off after using a nicotine patch preload.
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which rationale would tehe nurse use whe explaining the purpose of pursed lip breathing to a client with emphysema
Pursed-lip breathing can make breathing easier by keeping your airways open for a longer period of time.
When a patient has just received a diagnosis of emphysema, the main goal of teaching them pursed lip breathing is to encourage CO2 removal.
How does the pursed lip breathing technique work?
The pursed lip breathing technique is a manner of breathing that keeps the airways open to make it easier to breathe in oxygen and expel carbon dioxide.
Consequently, based on this information, it is clear that pursed lip breathing is employed to encourage the evacuation of carbon dioxide during exhale breathing.
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the nurse would expect a client in the precontemplation stage of wellness behavior change to exhibit which characteristics? select all that apply. one, some, or all responses may be correct.
When given information about the advantages of changing habits, the client may become defensive because they have no intention of changing in the next six months.
Which factor is used to evaluate the standard of medical care a patient receives?The outcomes that demonstrate how a client's health status has changed are used by health care providers to assess the quality of the care given to the patient.
What elements must be taken into account when assigning patients?Making assignments becomes difficult at this point. You must take into account nurse development, patient requests and satisfaction, staff well-being, fairness, equal workload distribution, and new nurse orientation.
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you are a neurotrauma nurse working in a neuro icu. what would you know is an acute emergency and is seen in clients with a cervical or high thoracic spinal cord injury after the spinal shock subsides?
Clients with a cervical or upper thoracic spinal cord injury may experience autonomic dysreflexia, an acute emergency, generally after the spinal shock wears off.
A trigger, typically bowel or bladder distension, that originates below the level of the neurological damage causes a rapid, exaggerated reflexive rise in blood pressure in vulnerable spinal cord injury patients is what is widely referred to as the autonomic dysreflexia syndrome. This will enable blood to accumulate in the lower extremities due to gravity, hence lowering blood pressure to avoid autonomic dysreflexia . When there has been a high cervical spinal cord injury, tetraplegia results in the paralysis of all extremities.
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fleas are becoming resistant to the topical medications used for flea prevention in dogs. which of the following best explains this observation?
Two of the more well-known brands of topical flea preventatives that are allegedly losing their efficacy are Frontline products (Frontline Plus, Frontline Gold), and the K9 Advantix line.
How do you prevent flea in your dog?Reduce how much time your pet spends outside.
Limit your interactions with stray and wild animals.
Regularly bathe and brush your pet.
Check frequently for fleas.
Fleas favor the warmer, more humid months, although they can live all year long if there is an animal to feed on.
After treatment, if your dog's flea infection keeps returning, there probably is an environmental infestation in or around your home. Only 5% of all fleas are adults, which are the ones we commonly find on pets. The remaining 95% are environmental stages at an immature stage.
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utilizing the world health organization (who) framework of clinical categories for persons with acquired immunodeficiency syndrome (aids) over 15 years of age, a visitor to the u.s. goes to a city clinic with reports of diarrhea, weight loss of 20 pounds, and fever. these manifestations have been occurring for the past 5 weeks. the nurse would identify this client to be in which clinical stage?
A patient with acquired immunodeficiency syndrome (aids) reports of diarrhea, weight loss of 20 pounds, and fever, so this would be the 3rd stage.
The World Health Organization could be a specialised agency of the world organisation liable for international public health. The World Health Organization Constitution states its main objective as "the attainment by all peoples of the very best attainable level of health".
Without treatment with HIV medicines, HIV infection advances little by little, obtaining worse over time. The 3 stages of HIV infection are (1) acute HIV infection, (2) chronic HIV infection, and (3) acquired immunodeficiency syndrome (AIDS).
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the nurse is caring for a client who is positive for the human immunodeficiency virus (hiv). which precaution will the nurse take to reduce occupational exposure to the virus?
These include in human immunodeficiency virus. of using gloves, a gown, a mask, eye protection, or a face shield depending on the anticipated exposure, and practicing safe injection techniques.
What HIV safety measures are there for nurses?For all patients, gloves should be used while handling items or surfaces that have been soiled with blood or bodily fluids, contacting mucous membranes, or non-intact skin. Gloves should also be worn when performing venipuncture and other vascular access operations. After touching each patient, gloves should be changed.
What are the tenets of common precautions?Standard All patient care is conducted with precautions. In order to protect healthcare providers against infection and stop the spread of infection from patient to patient, they are founded on risk assessments and employ common sense techniques and personal protective equipment.
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a nurse is caring for a client who is being treated for anorexia nervosa. which personality traits are associated with this eating disorder?
Obsessive compulsive personality disorder was the most prevalent personality disorder in people with restricted type anorexia nervosa.
What is obsessive compulsive personality disorder?A pervasive obsession with orderliness, perfectionism, and control (with no tolerance for flexibility) that eventually slows down or obstructs job completion is a hallmark of obsessive-compulsive personality disorder. Clinical criteria are used for diagnosis.
Obsessive-compulsive disorder and eating disorders frequently coexist. In fact, as many as 69 percent of people with eating disorders may also exhibit symptoms of OCD, according to the International OCD Foundation. There may be as many as 17% of OCD sufferers who also have eating disorders.
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a nurse provides care for an adolescent patient diagnosed with an eating disorder. which behavior by this nurse indicates that additional clinical supervision is needed?
Establish a kind and positive relationship with the pupil. Remarks about appearance or body image should be avoided since they could be misconstrued.
What are the intended results for a patient with anorexia nervosa who also has a disordered body image nursing diagnosis?The client will express verbally that they understand their dietary demands. The customer will set up a food routine with enough calories to gain or maintain a healthy weight.
Who are adolescents, exactly?Teenagers are defined by the World Health Organization (WHO) as individuals between the adolescents ages of 10 and 19 years old. The Convention on the Rights of the Child's age-based definition of "child" as a person under the age of 18 so includes the vast majority of teenagers.
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the nurse is teaching a patient the use of patient controlled analgesia. whoch interventions should the nurse perform?
Request a description of the PCA device's function from the patient. emphasize that the patient controls the distribution of medication, Describe how the pump reduces the possibility of an overdose.
How should the patient be instructed on using the PCA patient controlled analgesia pump?The PCA pump is safe to use because you can take medication by pressing a button when you experience pain, but it won't do so if it's not yet time for another dose. Keep in mind that you should be the only person to activate the PCA pump. An alarm notifies the nursing staff when the pump is empty.
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a client has been on sulfonamide therapy for the last six weeks. what client report may cause the health care provider to discontinue the sulfonamide?
If the client has 10 lb weight loss then he/she must discontinue the sulfonamide.
What are the effects of sulfonamide?Itching, skin rash, increased sensitivity to sunlight, diarrhoea, headache, loss of appetite, nausea, or vomiting, and weariness are typical adverse effects of sulfonamides.
Dihydropteroate synthase is a particular enzyme that sulfa medicines bind to and block (DHPS). The creation of the important vitamin folate depends on this enzyme. Folate is a nutrient that mammals obtain from their diet, but bacteria must make it.
It is well known that sulfonamides can harm the liver in peculiar ways. Since virtually all sulfonamides used today have been connected to a small number of convincing cases of drug-induced liver injury, hepatotoxicity appears to be a class effect.
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which of the following provisions are typically in an operating agreement for a limited liability company (llc)? choose 2 answers.
The provisions that are typically in an operating agreement for a limited liability company, or LLC, are as follows:
Whether the dissociation of a member, such as by death or departure, will trigger dissolution of the LLC. (A)How membership interests may be transferred. (B)What is a limited liability company?The LLC, or limited liability company, can be defined as a type of business structure that allows for limited liability and pass-through taxes. This type of business, like corporations, legally exists as a distinct entity from its owners. As a result, owners are rarely held personally liable for the company's debts and obligations.
What are the provisions for a limited liability company?If there are several participants, this agreement has become a legally enforceable contract between them. The declaration of intent, its commercial goal, the time period throughout which the business will operate, how it'll be taxed, new LLC participant admissions, and membership capital contributions are all common provisions of a limited liability company agreement.
This question should be provided with answer choices, which are:
A. Whether the dissociation of a member, such as by death or departure, will trigger the dissolution of the LLC.B. how membership interests may be transferred.C. the advertising plan for the company.D. a record of the company's assets and debts.The correct answers to this question are A and B.
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when assessing a client with acute cholecystitis, the nurse anticipates the client's report of pain will be consistent with which description?
The nurse expects the client's description of pain to match the description of flatulence associated with a client with acute cholecystitis.
What is an acute cholecystitis trigger?The gallbladder is inflamed in acute cholecystitis. The cystic duct is typically blocked by a gallstone when it occurs. Gallstones are tiny stones that develop in the gallbladder and are typically formed of cholesterol.
How long does acute cholecystitis last?Acute cholecystitis episodes often resolve within a week. If it persists, it can be a symptom of a more serious issue. Gallstones are a common cause of cholecystitis, although other disorders can also be to blame.
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a client who has just been diagnosed with atrial stenosis asks his nurse what can cause a problem with heart valves. which causes of dysfunction of the heart valves should the nurse relay to this client? select all that apply.
The nurse done these things - Congenital defects.
Rheumatic heart disease.Trauma.Ischemic heart disease.Inflammation.Degenerative changes.Aortic stenosis is a frequent and significant valve disease condition. Aortic stenosis is a narrowing of the aperture of the aortic valve. Aortic stenosis reduces blood flow from the left ventricle to the aorta and may also impact left atrial pressure.
Although some people develop aortic stenosis as a result of a congenital heart defect known as a bicuspid aortic valve, the condition more commonly develops as a result of calcium or scarring damaging the valve and restricting the amount of blood flowing through it.
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Full Question : a client who has just been diagnosed with atrial stenosis asks his nurse what can cause a problem with heart valves. which causes of dysfunction of the heart valves should the nurse relay to this client? select all that apply.
Congenital defects.
Rheumatic heart disease.
Trauma.
Ischemic heart disease
Inflammation.
Degenerative changes.
heart disease
a client with cirrhosis of the liver asks the registered nurse (rn) to explain how varicose veins can occur in the esophagus. which statement should the rn provide to teach the client about the physiological etiology?
Varicose veins symptoms while having Cirrhosis of the liver are
a. yellow coloration of your skin and eyes (jaundice)
b. Easy bleeding or bruising
c. Fluid buildup in your abdomen (ascites)
Varicose veins are twisted, enlarged veins. Any vein that is close to the skin's surface (superficial) can become varicosed. Varicose veins most commonly affect the veins in the legs. That's because standing and walking increase the pressure in the veins of the lower body.
For many people, varicose veins and spider veins — a common, mild variation of varicose veins — are simply a cosmetic concern. For other people, varicose veins can cause aching pain and discomfort. Sometimes varicose veins lead to more-serious problems.
Treatment might involve self-care measures or procedures done by a health care provider to close or remove veins.
Varicose veins might not cause pain. Signs of varicose veins include:
Veins that are dark purple or blue
Veins that appear twisted and bulging, often appearing like cords on the legs.
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the provider orders 500 ml vancomycin to infuse over 6 hours. how many ml will the client receive per hour? round the answer to the nearest whole number.
The client receive the client receives 83.33 mL per hour
How do we calculate rate of infusion?In order to calculate the rate of infusion, we take the total volume in mL, divided by the total time in hours that the medication is ordered to be infused over, to equal the rate in mL per hour.
From the scenario above, we make use this formula:
Total number of milliliters ordered/Number of hours to run = mL/hour.
Hence, 500 mL/6 hours = 83.33 mL/hour.
Rounding off to the nearest whole number = 83 mL/hour. The physician ordered a unit of 250 mL packed red blood cells to infuse over 4 hours with a drop factor of 10 gtt/mL.
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Which of the following assessment findings should concern the EMT the MOST when assessing a child who experienced a seizure?
Neck stiffness
The most common cause of a stiff neck is a neck muscle strain or soft tissue sprain .Thus, correct answer (C) Neck stiffness.
A neck muscle strain or soft tissue damage is the most prevalent cause of a stiff neck. Most individuals are familiar with the discomfort and anguish of a stiff neck, whether it manifested itself upon waking up one morning or later in the day after some rigorous action, such as moving furniture.
What is a stiff neck a symptom of?
Poor posture stresses neck muscles, whether from leaning over a computer or hunching over a workbench. Neck discomfort is also frequently caused by osteoarthritis. Neck pain is occasionally a symptom of a more serious problem.
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Full Question :Which of the following assessment findings should concern the EMT the MOST when assessing a child who experienced a seizure?
A. Tachycardia
B. High fever
C. Neck stiffness
D. Short postictal phase
the nurse is caring for a client who has a prescription for antiembolism stockings. the client is confused and begins kicking at the nurse during the measurement of the client's legs. what is the next action by the nurse?
Ask an unlicensed assistant to help with the antiembolism stockings' application.
What is the purpose of Antiembolism stockings?Anti-embolism stockings are thought to work by decreasing the limb's total cross-sectional area, boosting venous flow velocity, reducing venous wall distension, and enhancing valve function (10) to reduce venous hypertension.
How do you do anti embolic stockings?Put your hand all the way to the heel of the stocking. Turning the sock inside out while holding the heel. Make sure that your heel slips into to the heel pocket by easing the stockings over you foot and heel (purple shaded area).Typically, stockings are thigh- or knee-high. While exercising, knee-high socks help to improve circulation in the calf muscle.
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the nurse enters a child's room and discovers that the child is having a seizure. which actions should the nurse take? select all that apply.
If a nurse notices that a kid is experiencing a seizure, she should stay with the child until the seizure is complete and the child has fully recovered. Give the child nothing to eat or drink until they are awake and alert.
The nurse should stay by him during a seizure to keep him safe from harm and monitor seizure activity. Ease him to the floor if he's in a chair or out of bed. Remove the pillows, elevate the side rails, and flatten the bed if he is already in it. Adjust any limiting garments. Maintain a flat, laying posture; roll your head to the side during seizure activity; remove any clothing that is tight around your neck, chest, or abdomen; suction as necessary; and watch for post-ictal oxygen or bag ventilation as needed.
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