The newborn's nasal flaring on both sides is clearly noticeable.The infant's chest retractions are clearly evident.Tachypnea, difficulty breathing, apnea, , nasal flaring, pallor,'newborn's nasal flaring"
What characterizes a newborn?A child under 28 days old is referred to as a newborn infant or neonate.The infant's chance of passing away is greatest during the first 28 days of life.In underdeveloped nations with limited access to medical treatment, neonatal fatalities predominate.
The infant stage is difficult, why?No matter how experienced you are as a mother, the newborn stage is challenging for most parents.These weeks and months are among the most challenging for any parent due to the rapid change in lifestyle, lack of sleep, and demands of a baby.
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twenty minutes after a transfusion of packed red blood cells is initiated, a client reports shivering, headache, and lower back pain. the vital signs show a normal temperature and increased pulse and respiratory rate. what should be the first nursing actions?
Stop the transfusion, continue with saline infusion, and notify the physician regarding a suspected hemolytic reaction.
One of the most serious blood reactions is a hemolytic reaction, so stopping the transfusion as soon as possible and maintaining I.V. access are crucial.
A red blood cell transfusion may be given to a patient who has anemia, a condition in which the body lacks adequate red blood cells, or iron deficiency.
This kind of transfusion improves the body's oxygenation while raising the patient's hemoglobin and iron levels.
The usual lifespan of red blood cells (RBCs) in a healthy adult is about 120 days, and their normal daily production is about 0.25 mL/kg. In contrast, the lifespan of transfused RBCs is roughly 50–60 days and can be drastically shortened in the presence of conditions lowering their viability.
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the parents of a newborn ask when they can expect the infant to sleep through the night. the nurse responds that the infant will most likely sleep through the night by:
Newborns typically sleep for 8 to 9 hours during the day and for Eight hours at night. Most infants do not actually sleep through to the nighttime (6 hours to 8 hours) continuously waking up until they are at least three months old or between 12 and 13 pounds in weight.
How much sleeping does a newborn require?
In a 24-hour period, newborns (0–3 months) need 14–17 hours of sleep overall. Infants (4–11 months) need 12–15 hours of sleep overall per day.
Can infants get too much sleep?
Yes, whether she is a newborns or an older infant, a baby can rest excessively. However, in generally, a newborns who sleep all day poses a greater risk than an older infant who is constantly awake.
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the nurse is admitting a client from the post-anethsia care unit who just received a permanent atrioventuricular pacemaker for a complete heart block. which action should the nurse implement first?
Start continuous cardiac monitoring. The nurse should also evaluate the client's vital signs to determine stability after the procedure and check for pacemaker capture by feeling the client's pulse rate and comparing it to the electrical rate seen on the cardiac monitor.
The nurse should attach the continuous cardiac monitoring when the patient enters the post-anesthesia care unit following pacemaker implantation in order to evaluate the pacemaker's performance. Pacer spikes should be discernible before the P waves and QRS complexes if the atrioventricular (dual-chambered) pacemaker is functioning appropriately (electrical capture). The continuous cardiac monitoring medical professional should be informed right away if the pacemaker is not functioning properly for example, failing to capture or detect.
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the nurse is teaching a community group about risks of cardiovascular disease. several clients ask the nurse to determine their risk. which client should the nurse identify as having the greatest risk for cardiovascular disease?
a male who has a 200 mg/dl low-density lipoprotein (LDL) level. The risk factors for cardiovascular disease include both modifiable and non-modifiable factors, such as gender and underlying illnesses.
Which are the four primary diseases?There are four main categories of disease: physiological diseases, infectious diseases, deficient diseases, and hereditary diseases, including both genetic and non-genetic hereditary disorders. Another approach to categorize diseases is according to whether they are contagious or not.
What prevalent rare diseases exist?More well-known ailments like cystic fibrosis, Lou Gehrig's disease, and Tourette's syndrome fall under the category of orphan and uncommon diseases. Less well-known conditions like Duncan's Syndrome, Madelung's disease, and acromegaly/gigantism also fall under this category.
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the nurse needs to obtain an admission weight for a client diagnosed with end-stage lung cancer. to obtain the client’s weight, what should the nurse do first?
The nurse should assess the client's ability to stand or sit.
Lung cancer is a type of cancer that begins in the lungs. Your lungs are two spongy organs in your chest that take in oxygen when you inhale and release carbon dioxide when you exhale.
Lung cancer is the leading cause of cancer deaths worldwide.
People who smoke have the greatest risk of lung cancer, though lung cancer can also occur in people who have never smoked. The risk of lung cancer increases with the length of time and number of cigarettes you've smoked. If you quit smoking, even after smoking for many years, you can significantly reduce your chances of developing lung cancer
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before giving digoxin, the nurse discovers that the patient's pulse is 52 beats per minute. what will be the nurse's best action?
Checking the apical pulse for 1 minute will be the nurse's best action.
Accuracy is typically checked by measuring the apical pulse rate for a full minute; this is crucial in newborns and young children due to the potential of sinus arrhythmia. You can count on hearing the noises "lub dup," which denote one beat, when auscultating the apical pulse. one minute's worth of apical pulse counting.
Prior to giving, wait a full minute to observe the apical pulse. If the pulse rate is greater than 60 beats per minute in an adult, 70 beats per minute in a kid, or 90 beats per minute in a baby, the dose should be withheld and a healthcare provider should be informed. Any major changes in the rhythm, rate, or nature of the pulse must be immediately reported to a medical expert.
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a nurse is managing a client's continuous tube feeding via an ng tube. how often should the nurse check for residual?
When utilizing a PEG, it's crucial to evaluate tube feeding residuals before bolus feedings and every 4 hours while the patient is getting continuous feedings.
How frequently should a continuous feeding have residual checked?For patients who are not severely ill, it is recommended that GRV be evaluated every four hours for the first 48 hours of gastric feeding and then every six to eight hours after that.
Before administering a tube feeding, the nurse looks for any leftover stomach contents for what reason?In order to lower the risk of aspiration pneumonia, it is usual practice to assess gastric residual volumes (GRV) in tube-fed patients.
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the nurse is caring for a client with copd who was recently admitted to the hospital with an acute exacerbation of the illness. what indicates to the nurse that the client is in the comeback phase of the trajectory model of chronic illness?
Increased heart rate and respiration, Cheyne-Stokes respirations, chilly or mottled skin, and reduced urine production. Throughout the entire dying process, it's critical to offer support to the patient and family.
What sort of work are nurses supposed to perform?Registered nurses (RNs) supervise and perform medical operations while also providing patients and their families with emotional support and educating the public about various health issues. Most registered nurses collaborate with doctors and other medical professionals in a variety of settings.
Could a nurse perform the job?Numerous post-operative surgical therapeutic responsibilities fall under their purview. Whether it is cardiac, pediatric, or obstetric surgery, many surgical nursing professionals opt to specialize in that particular field.
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a 64-year-old client is experiencing joint pain on a regular basis and asks the nurse what the options are beyond heat and the yoga exercises the client has been doing. what does the nurse describe as the cornerstone treatment modality for pain?'
A 64-year-old client is experiencing joint pain on regular basis and asks the nurse the options that are beyond heat and the yoga exercises then, nurse describe as the cornerstone treatment modality for pain : drug therapy.
What do you understand by drug therapy?Treatment with any substance other than food, that can be used to prevent, diagnose, treat, or relieve symptoms of a disease.
Drug therapy includes chemotherapy or other anticancer agents, radiation therapy and stem cell transplantation.
The purpose of using drugs is to relieve any symptoms, treat infection, reduce the risks of future disease, and also destroy selected cells such as in the chemotherapeutic treatment of cancer.
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a client with peptic ulcer disease caused by h. pylori is prescribed clarithromycin. which information will the nurse include when teaching the client about this medication?
To treat H. pylori infections and duodenal peptic ulcers Adults: 20 mg of omeprazole or 1 capsule; 1000 mg or 2 capsules of amoxicillin.
For H. pylori, how should clarithromycin be taken?In order to cure H. pylori infections as well as duodenal ulcers: Adults should take 500 mg of clarithromycin or 1 tablet twice daily for 10 days, along with 20 mg of omeprazole or 1 capsule, 1000 mg of amoxicillin, and 1 tablet of clarithromycin.
Which drugs will the nurse explain to the patient, whose peptic ulcer condition is brought on by Helicobacter pylori?The typical course of treatment for peptic ulcers accompanied by infections lasts between 7 and 14 days and involves various combinations of the following drugs: H. pylori is killed by two distinct antibiotics.
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a client with an h. pylori infection asks why bismuth subsalicylate is prescribed. which response will the nurse make?
When H. pylori bacteria infect your stomach, H. pylori infection results. The most common way for H. By coming into close touch with saliva, vomit, or stool, pylori germs can be transferred from one person to another.
What is the severity of pylori infection?In addition to ulcers, the H pylori bacteria can also lead to chronic inflammation in the upper small intestine or the stomach (gastritis) (duodenitis). Additionally, H pylori can occasionally result in stomach lymphoma or a rare form of stomach cancer.
Where are H. pylori infections most frequent?The spiral-shaped bacterium Helicobacter pylori (H. pylori) resides in or on the stomach's lining. More than 90% of ulcers, which are lesions on the stomach or duodenal lining, are brought on by it.
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darius is a herpetologist who is studying the symptoms of gout in reptiles like tortoises. darius would like to produce a medication that causes one of the worst symptoms they face. he has come up with a formula that he is excited to begin testing. considering the symptoms that reptiles with gout often show, which type of drug is darius most likely working on?
According to the given data, Darius is producing a medication to deal with one of the worst symptoms reptiles face in Gout. Out of the many symptoms, white to cream-colored deposits known as urate tophi can sometimes be seen in the mouth of the reptiles along with painful joints, which is one of the worst symptoms.
Hence, Darius is most likely working on the medications to cure these symptoms.
What is gout?A buildup of uric acid in the blood is what causes gout. This can lead to deposits in the organs, known as visceral gout, or in the joints, known as articular gout. This may happen because the body produces too much uric acid or because the body cannot eliminate the uric acid.
What are the signs of gout?In cases of articular gout, raised cream-colored masses may be seen on the joints of the wrists, ankles, or toes. The reptiles typically have discomfort moving around due to aching joints and swollen joints. There could be raised, whitish, spherical swellings on the mucous membranes of the oral cavity (gout tophi).
How is gout treated?Treatment primarily focuses on managing or changing the diet while also addressing any environmental deficiencies. For proper hydration (fluid therapy) and supportive care, the animal may be admitted to a hospital. The joints are occasionally "cleaned out" surgically, but in severe cases, the damage is extensive and irreparable. Additionally recommended is pain medication, which will make your reptile more at ease and enable it to move around more. Additionally, a drug called Allopurinol that reduces uric acid.
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the nurse has completed an educational program on normal growth and development in children. which statement by a participant would indicate a need for further education?
The nurse gives parents of children entering the preschool age group proactive advice and instruction.
Why is it crucial to promote children's growth and learning?The success of children as learners rests on solid foundations laid from infancy on. Critical abilities, comprehension, and dispositions are fostered through play-based learning, which are crucial for your child's wellness and lifetime learning.
What role do learning, development, and growth play?Resilience, flexibility, and sustainability all depend on individuals, teams, and organizations learning, growing, and developing. There are several significant differences among the three. The process of gaining or modifying knowledge, understanding, behaviors, skills, and competencies is known as learning.
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the nurse is educating a group of women on the prevention of osteoporosis. the nurse recognizes the education as being effective when the group members make which statement?.
Osteoporosis is a risk for men who have medical disorders that lower their testosterone levels.
Which of the aforementioned are known risk factors for osteoporosis?You can alter these risk factors:
sex hormones. Osteoporosis can be brought on by menopause, an abnormal lack of menstrual cycles (amenorrhea), and low testosterone levels in males.
bulimia nervosa.
vitamin D and calcium consumption.
use of medication.
Lifestyle.
smoking cigarettes
consuming alcohol
Describe three facts concerning osteoporosis?The spine, wrist, and hip are the most often broken bones in the body, yet you can break a bone anywhere on your body. Often referred to as a "silent disease," osteoporosis. Your bones aren't visible to you or can't be felt thinning. A lot of people don't even realize they have weak bones until one of them breaks.
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tells the nurse he does not want to be resuscitated if his breath stops. what action should the nurse implement?
Ask the client if he has discussed this decision with his physician is the action the nurse should implement.
So the correct answer is option B
Advance directives are written statements of an individual's choices for medical care. Verbal directives may be given to a healthcare provider in the presence of two witnesses with specific instructions. To obtain this prescription, the patient should discuss his preferences with the physician (B). (A) is insufficient to carry out the client's request without violating the law. The client's wishes are legally protected by (C and D), yet the current request necessitates additional action. To obtain this prescription, the patient should discuss his preferences with the physician (B). (A) is insufficient to carry out the client's request without violating the law. The client's wishes are legally protected by (C and D), yet the current request necessitates additional action.
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The complete question is
A male client with acquired immunodeficiency syndrome (AIDS) develops cryptococcal meningitis and tells the nurse he does not want to be resuscitated if his breathing stops. What action should the nurse implement?
Document the client's request in the medical record.
Ask the client if this decision has been discussed with his healthcare provider.
Inform the client that a written, notarized advance directive, is required to withhold resuscitation efforts.
Advise the client to designate a person to make healthcare decisions when the client is unable to do so.
a nurse is performing client health education with a 68-year-old man who has recently been diagnosed with heart failure. which statement demonstrates an accurate understanding of his new diagnosis?
The statement that demonstrates an accurate understanding of his new diagnosis is "I'm trying to think of ways that I can cut down the amount of salt that I usually eat."
What is Heart failure?
Heart failure occurs when the heart is unable to properly pump blood throughout the body. It usually occurs as a result of the heart becoming too weak or stiff.
It is also known as congestive heart failure, though this term is no longer widely used.
Heart failure does not imply that your heart has stopped functioning. It means it requires assistance to function properly.
It can occur at any age, but it is most common in the elderly.
Heart failure is a chronic condition that worsens gradually over time.
It is not usually curable, but the symptoms can often be managed for many years.
Consult your doctor if you have persistent or gradually worsening heart failure symptoms.
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a nurse notices a client lying on the floor at the bottom of the stairs. the client is alert and oriented and denies pain other than in the arm, which is swollen and appears deformed. after calling for help, what should the nurse do?
In the case above, the client seems to have fallen down the stairs. The first thing the nurse should do after calling for help is to immobilize the client's arm.
In the case above, the client is in these conditions:
Lying on the floor at the bottom of the stairs.Alert and oriented.Feeling pain only in the arm.The pained arm appears swollen and deformed.Based on that, the nurse may conclude that the client just fell down the stairs and possibly broke his arm, the one that appears deformed.
In the case of a fractured bone, the fractured part may need to be immobilized to prevent further damage. Even a sprain is better to be immobilized until the body part is healed.
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contrast the three clusters of personality disorders, and describe the behaviors and brain activity associated with antisocial personality disorder.
Personality disorders are persistent, rigid patterns of conduct that hinder social interaction. Anxiety is a key element of the first cluster, while dramatic or impulsive behaviors make up the second and third clusters.
What causes impulsive behavior?being abused physically, sexually, emotionally, or both. mental illness that was present before. mental disease in the family history. history of substance misuse and addiction in oneself or one's family.
What leads to a lack of impulse control?Certain neurological conditions, such attention deficit hyperactivity disorder, may be linked to a lack of impulse control (ADHD). It might also be connected to a cluster of connected disorders known as impulse control disorders (ICDs).
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the nurse is caring for a patient who is receiving desmopressin acetate (ddavp). which assessments are important while caring for this patient?
the nurse is caring for a patient who is receiving desmopressin acetate (ddavp). the assessments are important while caring for this patient d. Urine output and serum sodium.
As urine travels through the kidney's nephrons and renal tubules, urea joins with water and other waste products to make urine. 2 ureters. The kidneys to the bladder are connected by these tiny tubes. A sodium blood test is a common procedure that enables your doctor to determine the level of salt in your blood. The serum sodium test is another name for it. Your body needs sodium, which is a mineral. Na+ is another name for it.
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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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when educating a client with possible glucocorticoid dysfunction, the nurse will explain that the cry controls the release of acth. the best time to perform the blood test to measure peak acth levels would be:
The best time to perform the blood test to measure peak ACTH levels would be between 8 am-10 am because ACTH levels peak in the early morning hours.
What is ACTH?
ACTH (adrenocorticotropic hormone) is a hormone produced by the pituitary gland in the brain. It stimulates the adrenal glands to release hormones such as cortisol, which helps regulate stress responses, metabolism, blood sugar levels, and the immune system. The levels of ACTH in the blood can be measured to help diagnose conditions such as Addison's disease and Cushing's syndrome.
What is Glucocorticoid dysfunction?
Glucocorticoid dysfunction is a condition in which the body does not produce enough glucocorticoids, hormones that help regulate metabolism, stress response, and other essential bodily functions. Symptoms of glucocorticoid dysfunction can include fatigue, weight gain, mood swings, low blood sugar, and poor immune system function. In severe cases, the condition can lead to adrenal crisis, a life-threatening condition. Treatment for glucocorticoid dysfunction is typically with medications that replace the missing hormones.
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the nurse is preparing to infuse gamma-globulin intravenously (iv). when administering this drug, the nurse knows the speed of the infusion should not exceed what rate?
30 mg/kg/hr is a possible increase in the rate.
Gamma globulin is delivered in what way?This medication should be injected into a muscle, infused into a vein, or used topically. In a hospital or clinic setting, a healthcare professional typically administers it. Some of these drug brands may in rare circumstances be administered at home.
What does gamma globulin guard against?It is clear from the research reviewed that gamma globulin is effective at preventing hepatitis when given to people who are in close contact with a patient as well as when given as mass prophylaxis during an epidemic.
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which pathophysiologicl process would the nurse recognize as leading to the clinical mainfestations commonly seen in cystic fibrosis
A pathophysiological process where excessively thick mucus obstructs airways is a leading clinical manifestations commonly seen in cystic fibrosis.
What is this clinical symptom in cystic fibrosis?Exocrine gland dysfunction results in the secretion of mucus that is thicker and more sticky than usual. Due to the features of this mucus, expectoration is challenging since it pools in the lungs. In addition to airway blockage, respiratory infections are more common in children with cystic fibrosis. Hyperactive airway disease is linked to irritation of the airways. Pneumonia is connected with inflamed lung parenchyma; this is a subsequent consequence linked to the stasis of secretions. Cystic fibrosis does not directly impact the endocrine glands.
In this condition, a nurse can recognize the excessive secretion of thick mucus as a clinical manifestation of cystic fibrosis.
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a 54-year-old man is recovering from an outbreak of herpes zoster on his left chest. he tells the nurse that even his shirt touching him causes a horrible pain on the left side of the chest. what term would best describe the client's pain?
The client's suffering may best be described as greater sensitivity to pain due to hyperalgesia.
What sort of work are nurses supposed to perform?In addition to providing patients' families with emotional support and educating the general public about various health issues, registered nurses (RNs) supervise and carry out medical treatments. Most registered nurses collaborate with doctors and other healthcare professionals in a variety of settings.
Would a nurse be qualified to perform the role?They are responsible for a number of post-operative surgical therapeutic tasks. In cardiac, pediatric, or obstetric surgery, many surgical nursing practitioners opt to focus their practice.
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a client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. during assessment, the nurse notes that the client has developed cool skin, tachycardia, labored breathing, and appears to be confused. which complication has the client most likely developed?
According to the given statement Hemorrhage complication has the client most likely developed.
Is a tachycardia life-threatening?But if you have organ damage or other heart issues, atrial and ventricular tachycardia (SVT) is typically not life-threatening. However, in rare circumstances, an SVT episode could result in cardiac arrest or coma. Tachycardia is frequently brought on by: diseases that affect the heart, such excessive blood pressure (hypertension) Heart muscle not getting enough blood because of coronary artery (atherosclerosis).
What could cause a tachycardia?Alcohol withdrawal or binge drinking. high caffeine content. Blood pressure may be high or low. electrolyte imbalances in the blood, including those of potassium, sodium, calcium, or magnesium.
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a client is diagnosed with right-sided bell's palsy. what instructions should the nurse give this client for care at home? select all that apply.
Due to facial nerve irritation, which manifests as asymmetry in the grin or frown, facial droop, alterations in tear production, and inability to completely close the afflicted eye.
Bell's palsy on the right side is what?Bell's palsy is a condition that causes the muscles on one side of the face to suddenly deteriorate. Most often, the weakness is momentary and becomes much better over a few weeks. The weakening seems to make the lower half of the face droop. It's challenging for the affected eye to close during one-sided smiles.
Be explicit about the cause of Bell's palsy?Although the exact cause of Bell's palsy is uncertain, it is believed that immune system dysfunction brought on by inflammation is to blame. Other diseases like diabetes are connected to it.
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cpco who is responsible for providing analysis, research, and technical assistance and conducting laboratory quality improvement for clia? a. centers for medicare and medicaid services (cms) b. the centers for disease control and prevention (cdc) c. the american medical association (ama) d. world health organization (who)
The Centres for Disease Prevention and Control (CDC) is in charge of conducting scientific process improvements for CLIA and doing analysis, research, providing technical assistance.
What does a scientific lab do?Unlike the field or factory, a laboratory is just a site where scientific research, production, and analyses are carried out. The majority of laboratories have carefully regulated, standardized settings (constant temperature, humidity, cleanliness).
The laboratory method is what?Laboratory techniques cover all facets of the diagnostic environment, from determining the level of cholesterol in the blood to analyzing your DNA to cultivating microbes that could be the source of an infection. They are founded on well-established scientific methods encompassing biology, chemistry, and physics.
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the nurse is caring for a client who had a percutaneous endoscopic gastrostomy tube inserted earlier in the day. the sutures are still in place. which interventions should the nurse plan to perform? select all that apply.
Give prescription painkillers as needed, c) carefully wipe the area surrounding the insertion site with a cotton-tipped applicator soaked in sterile saline, and d) avoid putting strain on the feeding tube.
What kind of job are nurses expected to do?Registered nurses (RNs) coordinate and administer medical care, educate the public about various health concerns, and assist patients and their families emotionally. Most registered nurses work in partnerships with doctors and other medical professionals in a variety of settings.
Will a nurse be able to do the task?They are in charge of several surgical post-operative therapy tasks. Many surgical nursing specialists choose to focus on one particular area, such as obstetrics, pediatric surgery, or heart surgery.
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which clients would the nurse expect to have an increase in basal metabolic rate (bmr)? select all that apply.
Clients that the nurse would expect to have an increase in basal metabolic rate are the toddler who is having a growth spurt, adolescent who has a fever and one who is going through an emotional time.
What is BMR?Basal Metabolic Rate (BMR) is the number of calories you burn as the body performs basic life-sustaining function. It is also commonly termed as Resting Metabolic Rate (RMR), which is the calories burned if you stay in bed all day.
The nurse would expect a teenager who has been fasting to lose weight and an adult who has hypersomnia would have a lower BMR. An average man has BMR of around 7,100 kJ per day, whereas an average woman has BMR of around 5,900 kJ per day.
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because the principal active ingredient in tobacco is nicotine, you might expect smoking to enhance the effects of:
The central nervous system is both stimulated and depressed by nicotine.
What results does nicotine in tobacco products have?Nicotine is a toxic and very addicting substance. It may result in an increase in heart rate, blood flow to the heart, blood pressure, and the constriction of arteries, among other things (vessels that carry blood). Nicotine may also aid in the hardening of artery walls, which could result in a heart attack.
Nicotine's ability to promote addictionCompared to the "high" associated with other medicines, this spike lasts far less time. However, nicotine, like other addictive substances, elevates dopamine levels in these reward circuits,20,21,27 reinforcing drug-taking behavior.
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