the nurse should monitor the client who is taking amphetamine sulfate for tachycardia, as it is one of the potential adverse effects of this drug.
A nurse is caring for a client who has a new prescription for amphetamine sulfate.
The nurse should monitor the client for tachycardia, which is one of the side effects of amphetamine sulfate. Tachycardia is defined as an unusually high heart rate, in which the heart beats more than 100 beats per minute. It is a potential adverse effect of amphetamine sulfate.
Amphetamine sulfate is a CNS (central nervous system) stimulant medication that increases attention and reduces tiredness and appetite. It can be used in the treatment of narcolepsy and attention deficit hyperactivity disorder (ADHD).
The common side effects of Amphetamine sulfate include tachycardia, dry mouth, insomnia, anorexia, weight loss, nervousness, headache, palpitations, hypertension, and more.
Less commonly, it can cause seizures, stroke, visual changes, hypotension, tinnitus, and bronchospasm. In high doses, the drug can cause hallucinations, seizures, and serotonin syndrome.
In summary, the nurse should monitor the client who is taking amphetamine sulfate for tachycardia, as it is one of the potential adverse effects of this drug.
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a client is brought to the emergency room immediately after head trauma that has resulted in a fracture of the temporal bone. which clinical manifestation is considered a neurologic emergency in this client?
The clinical manifestation considered a neurologic emergency in this client is a cerebrospinal fluid (CSF) leak.
A CSF leak is a serious complication that can occur following a fracture of the temporal bone. The temporal bone houses the middle and inner ear structures, including the delicate membranes that separate the brain and spinal cord from the middle ear. When the temporal bone is fractured, it can disrupt these membranes, leading to leakage of CSF.
CSF is a clear fluid that surrounds and protects the brain and spinal cord. It plays a crucial role in cushioning the brain against injury and providing nutrients to the nervous system. When a CSF leak occurs, it can result in several alarming clinical manifestations. One of the most significant signs is the drainage of clear fluid from the nose or ears, which may be continuous or intermittent. This fluid can sometimes be mistaken for blood or other bodily fluids, so it is essential to evaluate its characteristics and confirm the diagnosis.
A CSF leak is considered a neurologic emergency because it poses significant risks to the patient's health. It can increase the risk of infection, including meningitis, as the protective barrier of CSF is compromised. In addition, the loss of CSF can lead to intracranial hypotension, which can cause severe headaches, dizziness, and other neurological symptoms. Prompt recognition and treatment of a CSF leak are crucial to prevent complications and ensure the best possible outcome for the patient.
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People at risk are the target populations for cancer screening programs. Which of these asymptomatic patients need extra encouragement to participate in screening? Select all that apply
1- A 21 year old white American who is sexually active for a Pap test
2- A 30 year old asian american for an annual mammogram
3- A 45 year old African American for a prostate specific antigen test
4- A 50 year old white American man for fecal occult blood test
5- A 50 year old white women for a colonscopy
6- A 70 year old Asian American woman with normal results on three pap test
Among the given options 1, 4, 5, and 6 are the patients who need extra encouragement to participate in screening. The rest of the patients can still participate in screening but need not have extra encouragement.
People at risk are the target populations for cancer screening programs. The asymptomatic patients who need extra encouragement to participate in screening are as follows:
1. A 21-year-old white American who is sexually active for a Pap test.
2. A 50-year-old white American man for fecal occult blood test.3. A 50-year-old white women for a colonoscopy.
4. A 70-year-old Asian American woman with normal results on three pap tests. Individuals who are at a higher risk of developing cancer should be encouraged to participate in screening programs to detect the disease early and to improve their treatment outcomes. Screening is the process of examining asymptomatic people to detect cancer early, when it is more likely to be cured or treated successfully.
Screening is recommended for asymptomatic people who are at increased risk for developing cancer. Screening is especially important for people who have a family history of cancer or have previously had cancer. Also, individuals who are at high risk due to other factors, such as age or lifestyle choices, should be encouraged to participate in screening programs to detect cancer early.
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A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease (GERD). The nurse will include which statement in the teaching plan about this medication?
a."Take this medication once a day after breakfast."
b."You will be on this medication for only 2 weeks for treatment of the reflux disease."
c."The medication may be dissolved in a liquid for better absorption."
d."The entire capsule must be taken whole, not crushed, chewed, or opened."
Answer:
Option C, "the medication may be dissolved in a liquid for better absorption."
Explanation:
Omeprazole is an antiulcer medication indicated also indicated for GERD. Doses are to be administered before meals, preferably in the morning, so the nurse should not include option A in the teaching.
These doses are prescribed for 2 weeks when indicated for duodenal ulcers associated w/ H. pylori. For GERD, these dose are often not on a course because reflux disease is a chronic GI disease, so the nurse should not include option B in the teaching.
If the capsule of the medication is opened, it should be sprinkled onto and dissolved into cool applesauce or, if a powder for oral suspension, stirred in water for better absorption of omeprazole despite the acidic gastric environment. Option C should be included in the patient teaching.
Lastly, it is advised that the patient swallow the capsule whole, instead of chewing or crushing it. However, as mentioned above, the capsule can be opened, eliminating option D.
What is the correct ICD-10-CM code for a 30 year-old obese patient with a BMI of 32.5?
a. E66.9, Z68.32
b. E66.01, Z68.35
c. E66.9, Z68.30
d. E66.3, Z68.32
The correct ICD-10-CM code for a 30-year-old obese patient with a BMI of 32.5 is b. E66.01, Z68.35.
The International Classification of Diseases (ICD) is a global standard medical classification list that was created by the World Health Organization (WHO). It is used to monitor and diagnose a wide range of illnesses and medical procedures. ICD is a key classification tool used for health data and records collection as well as administrative purposes.ICD-10-CM Code for Obese patient with a BMI of 32.5
The E66 code is for obesity, while the Z68 code is for body mass index (BMI).
The appropriate ICD-10-CM code for a 30-year-old obese patient with a BMI of 32.5 is b. E66.01, Z68.35.
The correct ICD-10-CM code for a 30-year-old obese patient with a BMI of 32.5 is E66.01 and Z68.35. ICD-10-CM code E66 refers to obesity, which is a medical condition characterized by excess body fat.
The ICD-10-CM code E66.01 specifies that the patient has obesity due to excess calories.
A BMI of 32.5 is classified as class 1 obesity, which is defined as a BMI of 30.0 to 34.9. The ICD-10-CM code Z68 refers to the Body Mass Index (BMI) category, which is a measure of body fat based on height and weight.
The ICD-10-CM code Z68.35 indicates that the patient is in the BMI category of 32.0-32.9, which is considered class 1 obesity.
The codes E66.01 and Z68.35 are used together to indicate that the patient is obese due to excess calories and has a BMI of 32.5, which is classified as class 1 obesity.
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