The nurse should: Assist the client in lying down, and lay a soft object under the head and neck. Keep the person away from anything hard or pointy, like a table corner, especially their head. Tight garments should be relaxed. Put off belts, skirt or pant buttons, top shirt buttons, etc.
What should we do when someone has seizure ?Seizures come in a variety of forms. The majority of seizures are short-lived.
The following are general actions to take to assist someone having any kind of seizure:
As soon as the seizure stops and the person regains consciousness, stay by their side. When it's over, assist the person in finding a secure seat. Tell them what happened in simple words once they are awake and able to speak.
Sooth the person and maintain composure.
Verify if the wearer is sporting a medical ID bracelet or any other type of emergency identification.
Keep everyone calm, including yourself.
To make sure the person gets home securely, offer to call a taxi or a friend.
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a woman comes to the clinic because she has been unable to conceive. when reviewing the woman's history, the nurse would least likely identify which factor as a possible risk?
Answer:
Hormonal factor/ Ovulation factor
Explanation:
This is a major factor highly considered in women who have infertility issues.
what is the main idea of the subsection titled ""why informatics is needed in healthcare: an example""?
Many hospitals lack an interoperable healthcare system that offers clear, clear patient data and information between institutions; its inclusion would substantially improve things like patient transfers.
What is the Hospital?
It is a facility designed, staffed, and equipped for the diagnosis of disease, the medical and surgical care of the ill and injured, and their housing while undergoing these procedures.
What is the Healthcare system?
Healthcare systems are intricate, and you need to be knowledgeable about a wide range of topics, including different hospital systems, patient care, insurance, healthcare providers, and legal concerns. It is a group of individuals, organizations, and resources that provides health services to suit the needs of the target populations in terms of health.
Hence, many hospitals lack an interoperable healthcare system that offers clear, clear patient data and information between institutions.
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which physical findings would the nurse observe in a newborn that would indicate that the newborn is full-term? select all that apply.
The physical characteristics of a newborn that a nurse would notice suggest that the infant is a full-term infant.Fingernails exist, and they extend all the way to the palm of the hand.
How many years is the nursing program?The length of time it takes to become a registered nurse might range from 16 months to four years, depending on the nursing program you choose to enroll in.distinct or special Akanegbu, a student of the School of 2020 who graduated from Regis College with a bachelor of science degree in nursing, describes her decision as follows :"I chose to pursue my Msn, which takes 4 years.
What is a nurse's job description?Nurses administer medication, perform routine physical exams, meticulously record patients' medical histories, and monitor patients' heart rates in addition to treating their wounds.
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chronic gastritis chronic gastritis is classified according to the: patient’s age. signs and symptoms. severity. location of lesions.
There are three recognised forms of chronic gastritis: autoimmune metaplastic atrophic gastritis, environmental metaplastic atrophic gastritis (EMAG), and diffuse antral gastritis, which is typically brought on by HP infection.
What is severe chronic gastritis?The mucus-lined layer of the stomach, also referred to as the gastric mucosa, is constantly inflamed or irritated in chronic gastritis. The onset of symptoms usually happens gradually over time.
Pernicious anemia, antibodies to parietal cells, and autoimmune diseases of other organs are all linked to type A gastritis, which affects the fundus. Type B gastritis, which is much more prevalent, has been deemed idiopathic because there are no apparent autoimmune symptoms and it appears to primarily affect the antrum.
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the physician comments that a patient has abdominal borborygmi. the nurse knows that this term refers to:
The typical growling or rumbling noises made by the stomach and intestines when food, liquids, and gas travel through them.
In what ways do patients define themselves?"Patient" is an English translation of the Latin word "patiens," which meaning to endure or suffer. By using this language, the patient is characterized as being extraordinarily passive, suffering the necessary discomfort, and tolerating the interventions of the outside expert.
Patient is a noun or a verb.We have the chance to cultivate patience since it necessitates learning to wait calmly in the face of irritation or discomfort, which is nearly everywhere. Having patience, though, can be the key to a happy life.
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an older adult resident of a long-term care facility has a 5-year history of hypertension. the client has a headache and rate the pain 5 on a pain scale 0 to 10. the client's blood pressure is currently 142/89. which interventions should the nurse implement? (select all that apply)
The nurse should implement following interventions :
Lisinopril should be taken every day as directed.Give a headache patient a PRN dosage of acetaminophen.The client's regularly scheduled medicine, lisinopril, is an antihypertensive drug that should be taken as directed to keep the client's blood pressure stable. For the client's headache, a PRN dosage of acetaminophen should be administered.
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patients with diabetes mellitus who neglect insulin therapy rapidly metabolize lipids, and there may be an accumulation of the acidic by-products of lipid metabolism in the blood. what effect would this have on respiration? a. increase in respiratory rate b. decrease in respiratory rate c. decrease in respiratory rate if oxygen is reduced d. no infl uence on respiratory rate
(a) Increase in respiratory rate, is the effect observed in the patient with Diabetes mellitus, who neglects insulin therapy.
What is Diabetes mellitus?
Diabetes mellitus is a condition in which the body does not generate enough or utilize insulin as it should, leading to abnormally high blood sugar (glucose) levels.
What is Insulin?
The pancreas naturally produces insulin, a hormone that aids in the body's usage of sugar as fuel. Diabetes can develop if your pancreas does not produce or release the insulin required to control your blood sugar levels.
Hence, (a) an increase in respiratory rate, will be observed.
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a nurse is learning about religious dietary restrictions at a nursing conference. which religious meal selection should the nurse understand is appropriate?
Answer:
the correct answer is Hindus: vegetable plate
a nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent immigrants from africa. what problem should the nurse address first?
Nurse organizes a community action group to help resolve health problems in low income neighborhood with a large population of recent immigrants from Africa. Nurse should address first: Low immunization rate of children.
What problems should be addressed to resolve health issues?In the early phase of a community group, it is important to experience success in resolving a problem so that they feel encouraged and empowered to continue working. Low immunization rate of children is the first thing that should be addressed and is also easiest to tackle.
High rate of unemployment and provision of substandard health care are important but they are complex problems to address.
Access to bilingual care providers is important particularly with Hispanic immigrant populations.
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the nurse is preparing a care plan for a client with hepatic cirrhosis. which nursing diagnoses are appropriate? select all that apply.
Damage risk resulting from altered clotting mechanisms, disturbed body image brought, dysfunction in the bedroom, and role play, muscular loss, and discomfort associated with activity intolerance.
Comment does the clotting process function?When a platelet plug forms, external bleeding is stopped. Then, tiny molecules known as clotting factors induce fibers of blood-borne substances known as fibrin to adhere to one another and to bind the outside of the wound. The blood clot disappears after a few days and the severed blood vessel eventually recovers.
What sort of process causes blood to clot?Platelet activation, adhesion, & aggregation as well as fibrin deposition and maturation are all components of the coagulation mechanism. Blood clotting disorders can cause obstructive clotting or bleeding (blood clot or bruising) (thrombosis).
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which intervention is most important for the nurse to include in the client's plan of care to decrease risk of having a myocardial infarction? arrange a follow-up appointment with a healthcare provider. obtain a consult for social worker to provide community resources. call the local pharmacy to identify the antihypertensive that the client was prescribed. identify the client's risk factors for having an acute myocardial infarction.
The correct option is D) Identify the client's risk factors for having an acute myocardial infarction.
What are the risk factors of acute myocardial infarction to be checked?
Checking the airway, breathing, circulation, level of awareness, and cardiac arrhythmia should be the nurse's top priorities while evaluating a patient with a suspected myocardial infarction.
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the nurse is giving discharge instructions to a woman who will be taking amoxicillin for treatment of acute otitis media. the nurse teaches the client that which symptom indicates the development of a superinfection and should be reported to the physician?
Vaginal itching and discharge symptom indicates the development of a superinfection and should be reported to the physician.
What are the indications of use of antibiotics?Antibiotics are used to treat or prevent some types of bacterial infection. They kill bacteria or prevent them from reproducing and spreading. Antibiotics aren't effective against viral infections. This includes the common cold, flu, most coughs and sore throats.
What are three indications for amoxicillin?It is used to treat bacterial infections such tooth abscesses and chest infections (including pneumonia). To treat stomach ulcers, it can also be used in conjunction with other antibiotics and medications. For the treatment of chest infections and ear infections in children, it is frequently given.
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a client newly diagnosed with hypertension asks the nurse what happens when uncontrolled hypertension is prolonged. the nurse explains that a client with prolonged, uncontrolled hypertension is at risk for developing which health problem?
Uncontrolled high blood pressure can lead to disability, a poor quality of life, or even a deadly heart attack or stroke.
What are people with uncontrolled hypertension at risk of developing?A major risk factor for chronic diseases like stroke, coronary heart disease, heart failure, and chronic kidney disease is high blood pressure, sometimes referred to as hypertension.
What are symptoms of uncontrolled hypertension?Early morning headaches, nosebleeds, abnormal heart rhythms, eyesight abnormalities, and ear buzzing are just a few of the symptoms that can appear. Fatigue, nauseousness, vomiting, bewilderment, anxiety, chest pain, and trembling of the muscles are all symptoms of severe hypertension.
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a client who is being evaluated for a recent head injury requests hydrocodone with acetaminophen for a headache. what response by the nurse is most appropriate?
Opioids can lower awareness or make people drowsy, which would make it harder to monitor changes in neurological function or look for indicators of rising intracranial pressure.
How can I determine the severity of my headache?When your headache initially starts, it is severe or explosive. Even if you usually suffer from headaches, it's "the worst ever." You could also feel speech slurring, impaired vision, difficulty moving your arms and legs, a lack of posture, vertigo, or memory loss in addition to your headache. Your headache gets worse during the course of the day.
How can headaches get started?This is true for fevers, colds, and other ailments. Among the ailments that usually result in headaches include sinusitis, a throat infection, or an ear infection.
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a nurse is caring for several clients with disorders of inflammatory responses. which client pathophysiologic disease states may arise from this inflammatory response? select all that apply.
First responders sent by the immune system are inflammatory cells and cytokines (substances that stimulate more inflammatory cells). These cells produce an inflammatory reaction to engulf bacteria and other harmful substances or to begin mending damaged tissue. Pain, bruising, swelling, or redness may be the result.
What do you mean by inflammatory responses ?When tissues are harmed by infection, trauma, toxins, heat, or any other cause, the inflammatory response (also known as inflammation) takes place. Chemicals like histamine, bradykinin, and prostaglandins are released by injured cells. These substances promote swelling by causing blood vessels to leak fluid into the tissues.
Redness, swelling, heat, discomfort, and loss of tissue function are signs of inflammation at the tissue level and are brought on by local immunological, vascular, and inflammatory cell reactions to infection or damage.
What is pathophysiologic disease ?The effects of an illness, sickness, or other condition that alters how a person feels or interacts with the outside environment are known as pathophysiology.
An illustration from the study of a bacterium's toxin and its effects on the body to create harm, one potential outcome being sepsis, would be in the discipline of infectious disease. Studying the chemical alterations brought on by inflammation in bodily tissue is another illustration.The concept employed in this textbook, pathophysiology, is comprised of four interconnected topics: etiology, pathogenesis, clinical manifestations, and treatment implications. In order to illustrate the settings under which specific pathophysiologic processes may take place, examples of specific diseases will be given.To know more about Inflammatory please click here ; https://brainly.com/question/14673970
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the critical condition that requires the most protein intake is? group of answer choices burns septic shock acute respiratory failure heart attac
Acute Respiratory Failure, Septic Shock, Burns, or Heart Attack are the critical conditions that demand the most protein intake.
What is Septic shock?An illness that is widely distributed and results in organ failure and extremely low blood pressure. A severe localised or systemic infection can result in septic shock, a life-threatening disease that needs prompt medical care.
Septic shock is a potentially fatal illness that develops after an infection when your blood pressure drops to an unsafely low level. The infection might be brought on by any kind of bacterium. Viruses and fungi, including candida, may be to blame, despite its rarity. Sepsis, a condition, may be the first symptom of the infection.
What are the symptoms of septic shock?Even though sepsis is a serious medical emergency, its initial signs and symptoms typically match those of other illnesses, such a cold or fever.
If you recently experienced an infection that doesn't seem to be getting better or if someone you know has started displaying these symptoms,
According to a reliable source, the following symptoms suggest sepsis: high temperature, chills, severe body pain, rapid breathing, fast heartbeat, and rash.
It's always a good idea to speak with a doctor or go to the hospital if you feel like you or the person you're caring for is getting worse, even though these symptoms might point to a different health issue.
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you arrive at the residence of a physician who informs you that his pregnant wife requires immediate transport to the hospital because she is bleeding and has a history of abruptio placentae. as a knowledgeable emt, you should recognize that the greatest threat to the baby is:
the greatest threat to the baby is: hypoxia
what is hypoxia ?Low oxygen levels in your body tissues are known as hypoxia. It results in symptoms including bluish skin, disorientation, restlessness, difficulty breathing, and a rapid heartbeat. You may be at risk for hypoxia if you have one of many chronic heart and lung diseases. Hypoxia poses a serious risk to life.
What are the 5 causes of hypoxia?Five types of hypoxemia-causing conditions can be brought on by problems with the heart and lungs: hypoventilation, hypoventilation-perfusion mismatch (V/Q), diffusion impairment, low ambient oxygen, and right-to-left shunting.
Can hypoxia cause brain damage?Brain cells are extremely susceptible to oxygen deprivation. Within less than five minutes of their oxygen supply ceasing, some brain cells begin to die. As a result, brain hypoxia can quickly result in death or severe brain damage.
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the nurse is assessing the learning readiness of a client newly diagnosed with diabetes mellitus. which behavior indicates to the nurse that the client is not ready to learn?
Every time the nurse schedules a teaching session, the client complains of being worn out.
Diabetes mellitus is a group of disorders that modify how the body uses blood sugar (glucose). Glucose is a major energy source for the cells that make up the muscles and tissues. It acts as the brain's main source of fuel. The main cause of every kind of diabetes is unique.
Diabetes fatigue may be related to physiological events such hypo- or hyperglycemia, or significant oscillations between the two. The demanding nature of diabetic self-care routines or psychological problems like sadness or emotional anguish brought on by the diagnosis may also contribute to fatigue.
Uncontrolled blood sugar levels frequently lead to hyperglycemia, or increased blood sugar, in persons with type 2 diabetes, which, among other symptoms, can make people feel weary.
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the nurse caring for a patient with a bile salt deficiency would place priority on monitoring which vitamin levels?
Nurses caring for patients with bile salt deficiency make monitoring vitamin ADEK levels a priority.
What Do Bile Salts Do?Bile salts are produced in the liver, excreted into the bile ducts and gallbladder, and sent through the common bile duct to the small intestine. In the intestine, bile salts facilitate the absorption and digestion of ingested fats and fat-soluble vitamins.
What are the symptoms of bile deficiency?People with bile acid deficiency may have a variety of signs and symptoms including:
Vitamin deficiencies, especially deficiencies of fat-soluble vitamins such as A, D, E, and K.Jaundice, typical yellowing of the skin and whites of the eyes.Stunting or abnormal growth.diarrhea.Loss of liver function. Liver failure.How to solve gallbladder problem?In some cases, surgery is needed to avoid the blockage. If the blockage is caused by gallstones, the gallbladder is usually surgically removed. If an infection is suspected, your doctor may prescribe antibiotics. If the blockage occurs due to cancer, the bile duct may need to be widened.
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15-year-old client with anorexia nervosa has been admitted to a mental health unit. the client refuses to eat. which statement is appropriate for the nurse to make?
If you don't eat, it may be necessary to feed you by tube or I.V." For those with anorexia nervosa or bulimia nervosa, common nursing diagnoses include the following: Unbalanced nutrition, Consuming less than what the body needs, Electrolyte Imbalance Risk, Unbalanced Fluid Volume Risk.
What about nurses?According to the Merriam- Webster wordbook, nurses are trained in promoting and maintaining health and should work autonomously or under the supervision of a croaker, surgeon, or dentist.From the time of birth to the top of life, nurses are present in every community, big and little.Nurses do a spread of duties, from furnishing direct case care and managing cases to setting nursing practice morals, creating internal control procedures, and managing intricate medical care systems.The maturity of long- term care in the country is handled by nurses, who also structure the largest single group of the sanitarium labor force.The four- time Bachelor of Science in nursing( BSN) degree is the main route to professional nursing, as opposed to rehearsing at the specialized position.Nursing includes furnishing independent and platoon- rested care to people of all periods, families, groups, and communities, whether or not they're ill or not and anyhow of the position.Health creation, complaint forestallment, and thus the care of the ill, impaired, and dying are all included in nursing.A RN is a good healthcare provider who offers direct case care in a variety of sanitarium and community settings.Learn more about nurses here:
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a hospitalized client is scheduled to have a sigmoidoscopy. which action would the nurse perform before the procedure? quizlet
Before the surgery, the lower colon should be evacuated so order to enable the rectum or sigmoidoscopy simpler to see.
How painful is a sigmoidoscopy?Because sigmoidoscopies often don't include anesthesia, your doctor may occasionally urge you to move to make it simpler for him or her to maneuver the scope. Your doctor might remove any polyps and growths they find.
How long is recovery after sigmoidoscopy?Within a day, most people feel like themselves again. You can have some pain from trapped air following your flexible sigmoidoscopy. Within a few hours, this situation should calm down. If at all feasible, we advise that patients walk around and drink warm liquids to let the wind pass.
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a homeless mother brings her 1-year-old child to an emergency clinic. the nurse caring for this child understands that children affected by homelessness are most at risk for which problems? select all that apply.
The nurse caring for this child understands that children affected by homelessness are most at risk for asthma, anemia, and lead poisoning.
Who are homeless people?Homeless people are individuals in society who for one reason or another are not able to obtain affordable housing for themselves and their dependents, and as such, these individuals and their families spend their lives outside on the streets.
Individuals who are homeless face the following risks:
victims of physical and emotional trauma. they are at risk for prolonged environmental exposures such as lead poisoningthey have an increased risk for mental health-related issues.they are at increased risk of diseases such as asthma, anemiaHomeless people are not also able to afford the best of medical treatment.
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Complete question:
A homeless mother brings her 1-year-old child to an emergency clinic. The nurse caring for this child understands that children affected by homelessness are most at risk for which problems? Select all that apply.
1.Asthma
2.Anemia
3.Obesity
4.Ear infections
5.Lead poisoning
6.Diabetes mellitus
the nurse is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (dub). which finding would be of concern?
Condoms, diaphragms, cervical caps, and contraceptive sponges are examples of barrier techniques. Barrier techniques perform better when combined with spermicide. This chemical renders sperm inert.
What distinguishes barrier methods of birth control from non-barrier methods?While chemical contraception prevents ovulation to avoid pregnancy, barrier techniques keep eggs and sperm physically apart. There is probably a hormonal contraceptive method that works for you because it comes in a variety of forms.
After delivery, condoms and spermicide can be used whenever you choose. When the uterus and cervix have grown back to normal size, six weeks after giving birth, the cervical cap, diaphragm, and sponge can be employed.
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the nurse at the mental health center is working with an adolescent with depression. the client has begun to display social withdrawal and oppositional behavior. what would this change indicate to the nurse?
Parental attention to a child's maladaptive habits might lead to behavior problems.
What is the true meaning of depression?The prolonged sense like severe despondency and dejection are symptoms of depression, a mood illness. Clinical depression, also known as major depressive disorder, affects how you feel, think, and behave and can cause a number of emotional and physical issues.
What is the main reason of depression?Depression can have several different causes. It has numerous triggers and a wide range of potential causes. An traumatic or stressful life event, such as a loss in the family, a divorce, a sickness, a layoff, or worries about one's career or finances, may be the culprit for some people. Depression frequently results from a combination of many reasons.
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because the principal active ingredient in tobacco is nicotine, you might expect smoking to enhance the effects of:
you might expect smoking to enhance the effects of: Acetylcholine on any postganglionic neurons.
Which of the following is stimulated by the parasympathetic nervous system?When a person is at rest, their bodies are under the supervision of the parasympathetic nervous system. Its effects on the body's metabolism, relaxation, and promoting digestion are just a few.
What happens when parasympathetic nervous system is overactive?Some people experience the system becoming stuck in the "on" position, leaving them overstimulated and unable to settle down. When you remain in this state of readiness for reaction, you may experience anxiety, wrath, restlessness, panic, and hyperactivity. Every system in the body experiences stress when it is in this physical state of hyperarousal.
Can Autonomic Dysfunction cause anxiety?
The system is present throughout the body, but it is particularly important in the brainstem because it carries information to the deepest regions of the brain and joins the top brain to the spinal cord. Anxiety, depression, and sleep difficulties can all result from dysfunction there.
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for a client with a major burn, which evaluation criterion identified by the nurse best indicates that fluid resuscitation has been effective during the first 24 hours of care?
Hourly urine output is the best single sign of sufficient fluid resuscitation in serious burn patients. A Foley catheter should be inserted to track urine output when an IV access is established and fluids are started.
What is Urine?
Humans and many other creatures produce urine as a liquid waste product of their metabolism. The ureters transport urine from the kidneys to the bladder. Urination causes the body to excrete urine through the urethra. It also contains nitrogen compounds like urea and other waste materials that the kidneys remove from the blood in addition to flushing out excess water and salt.
What is a Foley catheter?
A flexible tube called a Foley catheter is inserted by a medical professional into the urethra and into the bladder to drain urine. The most typical kind of indwelling urinary catheter is this one. The tube contains two distinct lumens that run the length of it.
Hence, hourly urine output is the best single sign of sufficient fluid resuscitation in serious burn patients. A Foley catheter should be inserted to track urine output when an IV access is established and fluids are started.
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a child undergoing prolonged steroid therapy takes on a cushingoid appearance. the nurse would expect to find which manifestation during further assessment?
A nurse would discover truncal obesity with thin extremities after a thorough examination of a kid who has developed a cushingoid appearance due to extended steroid medication.
The cushingoid facies, which include a moon face, buffalo hump, acne, an obese midsection, and thin, easily bruised skin, were once used to identify kidney transplant recipients.
Obesity that is mostly seen in the body's trunk as opposed to its extremities is referred to as truncal obesity.
The hormones ordinarily generated by the adrenal glands, two tiny glands located above the kidneys, are converted into steroids by humans. Steroids lessen redness and swelling when taken in levels greater than those your body naturally generates (inflammation).
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an older client who is a resident in a long term care facility has been bedridden for a week. which finding should the nurse identify as a client risk factor for pressure ulcers?
Rashes in the crotch, axilla, and skin folds are risk factors for clients.
What are the symptoms of an ulcer observed in patients?The danger of rashes, skin breakdown, and the emergence of pressure ulcers is increased by immobility, persistent contact with bedclothes, and excessive heat and dampness in places where air flow is constrained.
What is an ulcer?
An ulcer on the lining of your stomach, small intestine, or esophagus is referred to as a peptic ulcer. A gastric ulcer is a peptic ulcer in the stomach.A peptic ulcer that develops in the first section of the small intestine is called a duodenal ulcer (duodenum). H. pylori bacteria and anti-inflammatory painkillers like aspirin are two common causes.One typicalsign is soreness in the upper abdomen.Medication is frequently used as part of treatment to reduce stomach acid production.Antibiotics could be required if a bacterial infection is to blame.
Hence, Rashes in the crotch, and skin folds are risk factors for clients.
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a nurse is caring for a client for whom estrogen replacement therapy has been recommended for pelvic organ prolapse. which nursing intervention is the most appropriate for the nurse to implement before the start of the therapy?
to determine the client's risk for problems by evaluating her.
What treatment is used for vaginal prolapse?Sacrocolpopexy—Used to treat enterocele and vaginal vault prolapse. Laparoscopy or an abdominal incision can be used to do the procedure. The sacrum is then joined to the front and rear walls of the vagina using surgical mesh (tail bone). The vagina is then raised back into position.
How may a prolapsed bladder be avoided?A high-fiber diet and daily consumption of plenty of fluids can lower a person's risk of experiencing constipation, which can help avoid a prolapsed bladder. If at all possible, try to avoid straining while going to the bathroom.
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a client with active tuberculosis demonstrates less-than-expected interest in learning about the prescribed medication therapy. the nurse assesses that this client may ultimately need which intervention as a last resort?
Patients who are originally thought to have active TB should be quarantined in a room with airborne precautions. A private area and a negative pressure air handling system that exhausts to the outside are necessary for airborne precautions. The door must be kept shut.
What safety measure is usually required while caring for someone who has tuberculosis?Until active TB illness is ruled out or the patient is shown to be noninfectious, patients with proven infectious TB or those who are being assessed for active TB disease should be kept in airborne isolation measures.
Contact Precautions are designed to stop the spread of infectious agents like MDROs that are contracted by direct or indirect contact with a resident or the environment in which the resident lives. Gloves and a gown are required while using Contact Precautions.
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