an older adult client is scheduled to receive an enteric-coated tablet; however, the client is concerned the tablet is too big to swallow. what is the nurse's best action?

Answers

Answer 1

The nurse's best action when an older adult client is scheduled to receive an enteric-coated tablet and is concerned the tablet is too big to swallow is to contact the healthcare provider for further instructions.

Enteric-coated tablets are a type of medication that has a protective covering that keeps them from dissolving until they reach the small intestine. The coating helps to protect the medication from the stomach's acidic environment. A nurse is a healthcare professional who is responsible for providing patients with medical care, education, and support. Their role includes caring for patients of all ages, administering medication, monitoring vital signs, and recording medical history and symptoms. The nurse should contact the healthcare provider for further instructions because the patient's safety is paramount, and any medication administration should be carried out correctly. Contacting the healthcare provider would allow for a reassessment of the medication's dose, form, or administration route to ensure the patient's safety.

conclusion, the nurse's best action when an older adult client is scheduled to receive an enteric-coated tablet and is concerned the tablet is too big to swallow is to contact the healthcare provider for further instructions.

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Related Questions

What is a example of medicine

Answers

Answer: homeopathy

Explanation: Homeopathy is a "treatment" so it is a type of drug or medicine .

Answer:

not sure what you meant so i put 2 things

Explanation:

liquids that are swallowed.drops that are put into ears or eyes.creams, gels, or ointments that are rubbed onto the skin.inhalers (like nasal sprays or asthma inhalers)patches that are stuck to skin (called transdermal patches)

MetforminLosartanAntibioticsAlbuterolAntihistaminesGabapentinOmeprazole

a nurse communicates with a diabetic patient during their regular check- up. the nurse finds that the patient is showing symptoms of alzheimers disease. which response by the patient supports the nurse's diagnosis?

Answers

The nurse may observe the patient showing signs of forgetfulness, confusion, and difficulty completing complex tasks, all of which are considered symptoms of Alzheimer's disease.

The patient may also have difficulty recalling recent conversations, have trouble finding the right words, or have trouble understanding directions. If the patient exhibits these symptoms, it could support the nurse's diagnosis of Alzheimer's disease.

The nurse could ask questions that address the patient's memory or problem-solving abilities. If the patient is unable to answer those questions, or if they give an incorrect response, it could support the nurse's diagnosis.

The patient may also display repetitive or odd behaviors, such as asking the same questions multiple times or having difficulty distinguishing between people or places. These behaviors could also support the nurse's diagnosis.

Ultimately, the nurse may need to consult with other medical professionals to make a definitive diagnosis. However, the symptoms the patient displays could provide the nurse with an indication that the patient may be suffering from Alzheimer's disease.

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35. when lactulose 30 ml qid is ordered for a patient with advanced cirrhosis, the patient complains that it causes diarrhea. the nurse explains to the patient that it is still important to take the drug because the lactulose will a. promote fluid loss. b. prevent constipation. c. prevent gastrointestinal (gi) bleeding. d. improve nervous system function.

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The nurse explains to the patient that it is still important to take the drug because the lactulose will prevent constipation. The correct answer is b.

What is lactulose?

Lactulose is a synthetic, non-digestible sugar that is used in medicine to treat constipation and hepatic encephalopathy (a condition caused by high levels of toxins in the blood that affect brain function) in people with liver disease.

It functions by drawing water into the intestines, softening the stool and making it easier to pass through the colon. Lactulose is broken down into lactic acid and acetic acid in the colon, which acidifies the gut and decreases ammonia levels in the blood of people with liver disease.

What is cirrhosis? Cirrhosis is a late-stage liver disease that occurs when healthy liver tissue is replaced by scar tissue over a long period of time. This scar tissue can obstruct the flow of blood through the liver and impede its normal function, resulting in a variety of medical issues.

The condition is irreversible, but treatment can aid in the reduction of liver damage and progression. Cirrhosis is a late-stage liver disease that occurs when healthy liver tissue is replaced by scar tissue over a long period of time.

This scar tissue can obstruct the flow of blood through the liver and impede its normal function, resulting in a variety of medical issues. The condition is irreversible, but treatment can aid in the reduction of liver damage and progression.

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List three reasons a TST would be contraindicated in a patient.

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A TST (Tuberculin Skin Test) is a diagnostic test used to detect the presence of tuberculosis (TB) infection. However, there are some situations where a TST would be contraindicated or not recommended. Here are three reasons why a TST may not be appropriate for a patient:

1. Prior positive TST: If a patient has already had a positive TST result in the past, then they are considered to have a latent TB infection and do not need another TST. Instead, a different test such as interferon-gamma release assay (IGRA) may be used to monitor the patient's TB infection status.

2. Recent vaccination: If a patient has received a bacille Calmette-Guérin (BCG) vaccine within the past 4-6 weeks, then the vaccine may cause a false-positive TST result. Therefore, it is recommended to wait at least 4-6 weeks after BCG vaccination before administering a TST.

3. Immunosuppression: If a patient is immunocompromised due to a medical condition or medication use, then the TST may not be reliable in detecting TB infection. In such cases, an IGRA test may be more appropriate, or other diagnostic tests may be necessary to evaluate the patient's TB infection status.

It is important to note that the decision to perform a TST or any diagnostic test is based on the patient's individual medical history and risk factors. Before administering any diagnostic test, healthcare providers should review the patient's medical history and assess any contraindications or potential risks associated with the test.

Which of the following is true of those with healthy self-esteem?

O They are less likely to have a growth mindset.
O Their grades are average in comparison to their peers.
O They often lack resiliency and good coping skills.
O They tend to have better relationships with others.

Answers

The second and last one. Hope this helps.

which analysis and action would the nurse take when the three day of a new medication regimen of how paradol a patient is drooling has stiff and extended extremities has moist hot skin and difficulty responding verbally

Answers

The analysis and action that the nurse would take a new medication regimen of  paradol is administering an antidote or consulting with a physician.

Paradol is a chemical substance that is used in the food industry for flavoring and fragrance purposes. The active ingredient in paradol, which is a natural component of ginger, is believed to have analgesic and anti-inflammatory effects, among other health benefits. Paradol, on the other hand, can cause adverse effects if taken in high quantities.

The nurse should take the following analysis and action when the patient is displaying these symptoms after three days of taking a new medication regimen of paradol:

1. Check the patient's vital signs including temperature, heart rate, and blood pressure to see if they are within the normal range.

2. Assess the patient for any potential signs of side effects from the new medication, such as dry mouth, dizziness, or drowsiness.

3. Determine if the patient's drooling is related to the new medication, or due to a medical condition.

4. Perform a physical exam to assess the patient's stiff and extended extremities, moist hot skin, and difficulty responding verbally.

However , contact the patient's physician and report any changes in the patient's condition or the occurrence of any adverse reactions to the new medication.

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how could the nurse respond to parents who are asking if a 7-year-old should attend the funeral of her grandfather?

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The nurse could respond by acknowledging the parents' concerns and explaining that it is ultimately their decision. The nurse could provide information on the benefits and potential risks of allowing the child to attend the funeral.

Research suggests that allowing children to attend funerals can help them understand and process the concept of death and provide closure. However, it is important to consider the child's emotional maturity and the specific circumstances surrounding the funeral.

If the child is not emotionally ready or if there may be traumatic elements, it may be best to consider alternative ways for the child to say goodbye, such as participating in a ritual or creating a memory box.

The nurse can encourage the parents to talk openly with their child about death, answer any questions they may have, and provide support during the grieving process. Ultimately, the decision to allow the child to attend the funeral should be made based on the child's individual needs and the family's cultural and religious beliefs.

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an older adult client is admitted for the treatment of pneumonia. the nurse notes the home medications include nasal calcitonin, vitamin d, and calcium chloride. which disease process is this client likely treating with these medications?

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An older adult client who is admitted for the treatment of pneumonia and has home medications including nasal calcitonin, vitamin D, and calcium chloride is likely treating osteoporosis.

Osteoporosis is a medical condition in which bones become brittle and fragile due to low bone mass and bone tissue loss. It makes bones weak and more prone to fractures. Vitamin D, calcium chloride, and nasal calcitonin are used to treat osteoporosis.

However, the medications are not specifically used to treat pneumonia. Pneumonia is a lung infection that is treated with antibiotics, antiviral agents, and other medications as required.

Role of calcitonin, vitamin Dcalcium chloride

Calcitonin is a hormone that helps to regulate the levels of calcium and phosphorus in the blood. Calcitonin can help to increase bone density in those with osteoporosis. Calcitonin is a hormone that is produced in the thyroid gland. Nasal calcitonin can help to reduce bone pain and bone loss in people with osteoporosis.

Vitamin D and calcium chloride are two nutrients that are essential for bone health. Vitamin D helps the body absorb calcium, which is necessary for strong bones. Calcium chloride is a salt that contains calcium and chloride. It is used to supplement the calcium that is found in the diet. Calcium chloride is used to treat hypocalcemia and osteoporosis, which is a disease that causes bone loss.

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Your patient, Ms. Baker, had a cholecystectomy (gallbladder removal) two days ago. She is receiving IV fluid and is on a full liquid diet.

You are working the 0700-1500 shift

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Assessing Ms. Baker's vital indicators, such as her blood pressure, heart rate, breathing rate, and temperature, would be my top focus as her healthcare practitioner.

A educated and certified person who offers patients medical care and services in a number of situations is referred to as a healthcare provider. They could be employed by healthcare organisations including hospitals, clinics, private practises, or others. Doctors, nurses, nurse practitioners, PAs, therapists, and other allied health professionals are examples of healthcare providers. They are in charge of determining the cause of illnesses, managing chronic conditions, giving preventive care, and dispensing medication and other treatments. Healthcare professionals are essential in teaching patients about their health and assisting them in choosing their own care. They must uphold moral and legal obligations, keep their knowledge and abilities current, and collaborate with other healthcare professionals.

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What is medicine . Define it

Answers

Answer: Medicine is the science or practice of the diagnosis, treatment, and prevention of disease (in technical use often taken to exclude surgery).

Explanation: Simple definition .

which action is best for determining nursing care for the older adult client with functional incontinence related to altered cognition?

Answers

The best action for determining nursing care for the older adult client with functional incontinence related to altered cognition is assessment of the client's functional abilities and environmental considerations.

Functional incontinence occurs when the urinary tract is functioning normally, but a physical or cognitive impairment prevents a person from reaching the bathroom in time. This could be due to mobility limitations, such as arthritis or Parkinson's disease, or cognitive impairments such as dementia or delirium.

When a person has functional incontinence, it is critical to assess the client's functional abilities and environmental considerations to plan nursing care for the older adult client with functional incontinence related to altered cognition. It is crucial to assess cognitive and functional status, mobility, and the environmental factors contributing to incontinence, such as access to a bathroom, lighting, and a call bell system.

A comprehensive assessment of the patient's environment can help to eliminate barriers to accessing the bathroom, and if needed, providing additional toileting aids or other interventions to help reduce the client's incontinence. Some interventions that may help reduce incontinence include toileting schedules, pelvic floor exercises, and bladder retraining.

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which of the following is not a weight loss approved drug by the fda? a. belviq b. ephedrine c. contrave d. saxendra e. orlistat

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The FDA has approved most weight loss drugs that can be used to treat obesity. The correct option is b. ephedrine.

FDA stands for Food and Drug Administration. The FDA is a federal agency of the United States Department of Health and Human Services. It is responsible for ensuring that drugs, medical devices, and other products are safe and effective. The FDA is also responsible for making sure that food and cosmetics are safe to consume.

A weight-loss medication, also known as an anti-obesity drug or diet pill, is a medication that is used to treat obesity. This is an important drug that helps to reduce weight, thereby reducing obesity-related illnesses such as diabetes, high blood pressure, and high cholesterol. In general, weight loss drugs work in the following ways:

Reduce appetiteDecrease absorptionIncrease metabolism

Therefore, b. ephedrine is the FDA approved drug for weight loss.

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the lab results of a newly admitted patient indicate renal impairment. how might this affect the dosing regimen of drugs that are excreted by the kidney? the lab results of a newly admitted patient indicate renal impairment. how might this affect the dosing regimen of drugs that are excreted by the kidney? the dosage interval should be shortened. the dosage or the dosage interval may need to be reduced. the dosage should be increased. the drug should not be given.

Answers

The dosing regimen of drugs that are excreted by the kidney might be affected if the lab results of a newly admitted patient indicate renal impairment. The dosage or the dosage interval may need to be reduced.

Hence, option B is correct.

The kidney is a vital organ that helps filter and eliminate waste products and medications from the body. Drugs that are excreted by the kidney, also known as renally excreted drugs, may accumulate in the body of a patient with renal impairment because the kidney's ability to eliminate them is impaired.

A change in the dosing regimen of renally excreted drugs may be necessary in such cases. Dosing adjustments may include a reduction in the dosage or the dosage interval, depending on the severity of renal impairment. Dosage increases may be required in some situations to achieve a therapeutic effect, but this should only be done after careful consideration of the patient's renal function.

Renal impairment affects the clearance of drugs that are excreted by the kidney. As a result, the concentration of these drugs in the patient's body may rise to toxic levels, necessitating dosage adjustments to avoid adverse effects.

Correct writing of questions:

The lab results of a newly admitted patient indicate renal impairment. how might this affect the dosing regimen of drugs that are excreted by the kidney?

the dosage interval should be shortened.the dosage or the dosage interval may need to be reduced.the dosage should be increased.the drug should not be given.

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a nurse is providing care for a diverse group of clients on a medical floor. which tasks may the nurse delegate to unlicensed assistive personnel (uap)? select all that apply.

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A nurse is providing care for a diverse group of clients on a medical floor. Tasks that a nurse obtaining patient vital signs and reporting them to the nurse. Providing comfort to patients and providing emotional support to them.

Assisting with activities of daily living (ADLs) such as bathing, feeding, and dressing patients.

Arranging medical equipment, preparing beds and setting up rooms

Providing an explanation to patients about the activities they perform and informing the nurse of any new developments. During the delegation of tasks to unlicensed assistive personnel (UAP), a nurse should monitor the work of the UAP closely. The nurse should assess the skill level of the UAP, ensure that the tasks are in the UAP's scope of practice, and provide the UAP with clear instructions about the task.

Therefore, the following tasks may a nurse delegate to unlicensed assistive personnel (UAP): Assisting with activities of daily living (ADLs) such as bathing, feeding, and dressing patients, arranging medical equipment, preparing beds and setting up rooms, obtaining patient vital signs and reporting them to the nurse.

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a school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. the nurse reinforces instructions regarding how to prevent hypoglycemia during practice. which would the nurse tell the child?

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The nurse would instruct the child with type 1 diabetes mellitus to bring a snack with them to soccer practice to prevent hypoglycemia. This snack should contain carbohydrates and should be eaten around 30 minutes before practice begins.

Additionally, the nurse could instruct the child to check their blood sugar before, during, and after practice and to inform their coach if their blood sugar is below 70 mg/dL so that they can take a break to treat their hypoglycemia.

If the child suffers from frequent episodes of hypoglycemia, they should also take extra snacks and sugar sources like juice or candy with them to practice in case of an episode. The nurse should also instruct the child to inform their coach if they feel any symptoms of hypoglycemia such as dizziness, confusion, or headaches. By following these instructions, the child will be able to prevent hypoglycemia and stay safe during soccer practice.

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the nurse is reviewing a client's laboratory work before administering a large-volume enema. which laboratory result indicates that a nurse should confer with the health care provider before administering the enema?

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As a nurse, it is necessary to review a client's laboratory work before administering a large-volume enema. An abnormal laboratory result may indicate that the nurse should consult with the healthcare provider before administering an enema.

An enema is a fluid injection into the lower colon via the rectum. This procedure is also known as an enema. It's usually a combination of water, laxatives, and other compounds. Enemas are often used to treat constipation and to clear the bowels before surgery.

The nurse should confirm with the healthcare provider before administering an enema if the client's laboratory results indicate an abnormality. The nurse should look for the following lab outcomes before administering an enema:

High electrolyte levelsLow electrolyte levelsBlood glucose levels elevatedLow blood glucose levelsLow platelet countHigh INR valuesLow INR values

There may be other laboratory results that the nurse should look for, depending on the client's medical history and the healthcare provider's orders. So, the answer to your question is not given since we do not know what laboratory reports the patient had.

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the nurse fails to report a respiratory rate slower than 24 breaths per minute in a 1-week old infant; several hours later, the infant experiences severe respiratory distress and requires emergency care. which would be considered if legal action is taken?

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When the nurse fails to report a respiratory rate slower than 24 breaths per minute in a 1-week old infant, and several hours later, the infant experiences severe respiratory distress and requires emergency care, it can lead to legal action.

The nurse's failure to report a slow respiratory rate could lead to medical malpractice. The healthcare professional's negligence is known as medical malpractice, which can occur in a variety of forms. Inadequate treatment, misdiagnosis, or poor follow-up care are all examples of medical malpractice.The nurse should always report an infant's slow respiratory rate and take appropriate action to avoid a situation like this. The nurse should have taken necessary action as soon as the slow respiratory rate was noted in the infant's chart. The nurse must report it to the doctor and take steps to ensure that the infant receives prompt and appropriate care. The healthcare professional who commits medical malpractice, like the nurse in this situation, is legally accountable for the damages caused to the patient. The infant, in this case, experienced respiratory distress that necessitated emergency care, resulting in further medical expenses and mental and physical suffering. If legal action is taken, the nurse may be held liable for damages in a medical malpractice lawsuit. Respiratory rate is defined as the number of breaths per minute. A slow respiratory rate in a 1-week old infant indicates an underlying health problem, and the nurse must report it. Failure to do so may result in severe complications, as in this situation, resulting in legal action.

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medications for heartburn, gastroesophageal reflux, and diabetes can decrease the absorption of: group of answer choices vitamin b12. vitamin d. protein. vitamin c.

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The medications for heartburn, gastroesophageal reflux, and diabetes can decrease the absorption of Vitamin B12.

Vitamin B12 is a nutrient found in a variety of foods that helps keep the body’s nerve and blood cells healthy and helps make DNA, so it's important to get enough of it. Without enough Vitamin B12, you can have anemia, fatigue, and nerve damage. Heartburn is a painful burning sensation in the chest or throat that occurs when stomach acid leaks into the esophagus. Gastroesophageal reflux (GERD) is a digestive disorder in which stomach acid or bile irritates the food pipe lining. Diabetes is a disease that affects your blood sugar levels. This condition occurs when your body is unable to produce enough insulin or uses it inefficiently, causing blood sugar levels to rise.

Decreased absorption of vitamin B12 means that the body is not receiving enough vitamin B12 from the diet. When there is a vitamin B12 deficiency, the human body may experience several symptoms, including muscle weakness, tingling in the arms and legs, fatigue, anemia, and depression. . Medications for heartburn, gastroesophageal reflux, and diabetes contain proton pump inhibitors (PPIs), which suppress the production of stomach acid. PPIs can lead to a decrease in vitamin B12 absorption because it requires stomach acid to absorb vitamin B12.

Hence , PPIs prevent the stomach from producing enough stomach acid, which causes vitamin B12 absorption to decline. Individuals who take PPIs for an extended period of time are more likely to experience a vitamin B12 deficiency.

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The nurse is assessing a client in an acute exacerbation of asthma. The client is wheezing, tachypnea, shortness of breath, spo2 89%. What treatments does the nurse anticipate?

Answers

Answer:

The nurse should administer an albuterol treatment via nebulizer.

Explanation:

a client who had oral cancer has had extensive surgery to excise the malignancy. although surgery was deemed successful, it was quite disfiguring and incapacitating. what is essential to this client and family?

Answers

The client who had oral cancer and their family need to focus on healing both physically and emotionally. This includes allowing the client to adjust to their new appearance, finding ways to cope with any changes in their lifestyle and finding support networks.  It is also important to address any financial concerns that may have arisen as a result of their surgery.

The following are some of the key points that are essential:

Addressing the psychological and emotional effects of disfiguring surgery: The psychological effects of disfiguring surgery for oral cancer can be significant and long-lasting. As a result, the client and family will require emotional support during this time to help them cope with the changes in their appearance.

Addressing the physical effects of surgery: The client may require additional medical or rehabilitative services to help them manage their physical recovery after surgery. For example, if the client has difficulty speaking or swallowing, they may require speech therapy or nutritional counseling. Additionally, if the client has lost a significant amount of weight, they may need assistance with meal planning and preparation.

Addressing the financial implications of surgery: Disfiguring surgery can be expensive, and clients may require financial assistance or counseling to help them navigate the financial implications of their surgery. This may include accessing disability benefits or other forms of financial assistance. Informing the client and family about support groups and other resources.

These resources can help the client and family cope with the psychological, emotional, and physical effects of surgery, as well as provide them with practical assistance and information about their condition.

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the nurse develops a teaching plan for a client newly diagnosed with parkinson's disease. which of the following topics that the nurse plans to discuss is the most important? a. maintaining a balanced nutritional diet b. enhancing the immune system c. maintaining a safe environment d. engaging in diversional activity

Answers

The correct answer is C. Maintaining a safe environment. If the nurse develops a teaching plan for a client newly diagnosed with Parkinson's disease, she should discuss the most important point of maintaining a safe environment

Parkinson's disease is a progressive neurological disorder that affects the ability to move and coordinate voluntary muscles. As a result of the disease, tremors, muscle rigidity, and changes in speech and gait can occur, and individuals with Parkinson's disease may fall frequently.

Maintaining a safe environment is important in order to minimize the risk of falls, which can lead to fractures and other injuries. Therefore, among the topics mentioned in the options, maintaining a safe environment is the most important topic that the nurse plans to discuss.

The nurse should advise the patient to remove throw rugs, clutter, and anything that could obstruct walkways in their home. A bed rail or commode may be needed to ensure the patient's safety.

The nurse can also suggest to the patient's family to install grab bars in the bathroom and shower and ensure that the patient has appropriate footwear with good support.

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the nurse in the nursery is told that a neonate at 32 weeks' gestation has been born. what adjustment in nursing care will the nurse make? select all that apply.

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The nurse in the nursery is told that a neonate at 32 weeks' gestation has been born. What adjustment in nursing care will the nurse make?

The nurse in the nursery is told that a neonate at 32 weeks' gestation has been born. The adjustments in nursing care that the nurse will make include the following:

Prevent hypothermia: The first step in the management of neonates is to prevent hypothermia. The nurse should ensure that the neonate is wrapped in a blanket to avoid loss of heat from the body. The temperature of the nursery should be maintained at 20 to 25°C.Maintain nutrition: The nurse will need to provide adequate nutrition to the neonate because it has been born prematurely. The nurse will make sure that the neonate is fed every two to three hours. The feeding may be via a nasogastric tube until the neonate is ready to take oral feedings.Watch for respiratory distress: The nurse will need to monitor the neonate for respiratory distress because it is a common problem in premature neonates. If the neonate shows signs of respiratory distress, the nurse will need to provide oxygen therapy and mechanical ventilation as needed.Observe the newborn: The nurse will need to observe the newborn for signs of distress or complications, including hypoglycemia and hyperbilirubinemia, which are common in premature neonates.Provide emotional support: Finally, the nurse will need to provide emotional support to the parents, as having a premature baby can be emotionally challenging. By providing the parents with emotional support, the nurse can help to make the experience less stressful and more positive.

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the home health nurse is planning an educational session with a newly diagnosed client who has diabetes mellitus. what is the first action the nurse needs to take to develop a comprehensive education plan for the client?

Answers

The first action that the home health nurse needs to take to develop a comprehensive education plan for the client with diabetes mellitus is to assess the client's current knowledge about diabetes and the treatments available.

A comprehensive education plan should be developed for clients who have been newly diagnosed with diabetes mellitus. The plan should include details about the disease, symptoms, diagnostic tests, complications, treatments, diet, physical activity, and self-care. Patients with diabetes need to learn how to check their blood sugar levels, how to administer insulin or other medications, and how to maintain a healthy lifestyle. The nurse should assess the patient's current knowledge of the disease and its treatments, including the client's understanding of the disease, its management, and its potential complications.

Based on the client's needs and abilities, the nurse can develop an education plan that includes the following elements:

Risk factors and symptoms of diabetes mellitus ,Self-care activities and disease management techniques

Medication management

Dietary restrictions

Physical activity and exercise , Stress management and relaxation techniques

Support resources and organizations that can provide additional assistance .

Hence, To develop a comprehensive education plan for the client with diabetes mellitus, the nurse should assess the patient's current knowledge about the disease and its treatments. The nurse can then develop an education plan that includes various elements to meet the client's needs and abilities.

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the nurse is caring for a client with a nasogastric (ng) tube after an episode of gi bleeding. which interventions are included in the nursing care plan? a. monitor and record intake and output every 8 hours. b. monitor hemoglobin and hematocrit laboratory values. c. ensure that suction is set on high continuous for levin tubes. d. measure the client's girth and/or assess for distention. e. check vital signs and orthostatic blood pressure every 4 hours and prn.

Answers

The nursing care plan in client with nasogastric tube after episode of GI bleeding includes monitoring hemoglobin and hematocrit laboratory values, measuring the client's girth and/or assessing for distention, and checking vital signs and orthostatic blood pressure every 4 hours and PRN, the correct options are (b), (d) and (e).

Monitoring hemoglobin and hematocrit laboratory values is an important nursing intervention for a client with GI bleeding as it helps assess for ongoing blood loss and anemia. A decrease in these values may indicate continued bleeding, and prompt intervention can be initiated in a nasogastric tube. Measuring the client's girth and/or assessing for distention, is important in evaluating the effectiveness of the NG tube in removing gastric contents and assessing for complications such as bowel obstruction or ileus. Checking vital signs and orthostatic blood pressure every 4 hours and PRN is necessary to monitor for any changes in the client's condition and evaluate the effectiveness of interventions such as fluid resuscitation. It also helps identify potential complications such as hypotension or orthostatic hypotension.

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The complete question is:

The nurse is caring for a client with a nasogastric (ng) tube after an episode of gi bleeding. which interventions are included in the nursing care plan?

a. monitor and record intake and output every 8 hours.

b. monitor hemoglobin and hematocrit laboratory values.

c. ensure that suction is set on high continuous for Levin tubes.

d. measure the client's girth and/or assess for distention.

e. check vital signs and orthostatic blood pressure every 4 hours and PRN.

Ways to educate community about liver cirrhosis

Answers

Answer:

I would say to hold multiple events such as dinners and lectures to give people education about it. You could give examples of real-life events, as well as post things (such as these stories) on social media to get the news spread as much as it can.

a nurse is caring for a preterm newborn who has developed rapid, irregular respirations with periods of apnea. which additional assessment finding should the nurse identify as an indication of respiratory distress syndrome (rds)?

Answers

The nurse caring for a preterm newborn who has developed rapid, irregular respirations with periods of apnea should identify additional assessment findings such as retractions, tachypnea, nasal flaring, grunting, and cyanosis as indications of Respiratory Distress Syndrome (RDS).

Retractions occur when the baby is trying to inhale, and the intercostal muscles pull in between the ribs. Tachypnea is when the baby is breathing faster than usual.

Nasal flaring is when the nostrils widen when the baby is trying to inhale. Grunting is when the baby makes a noise when exhaling. Cyanosis is when the skin has a blue or gray tinge, especially around the mouth and nail beds.

The nurse should also evaluate oxygen saturation levels as well as listen to the baby's chest with a stethoscope for crackles, which are abnormal noises heard when airways are partially blocked with fluid. In addition, the nurse should assess the baby's chest X-ray to identify any collapsed alveoli. A diagnosis of RDS is typically confirmed with a chest X-ray.

The nurse should also assess the baby's temperature and take the necessary precautions if the temperature is low due to decreased levels of insulation, such as adjusting the temperature in the nursery and providing a warmer environment. In addition, the nurse should assess the baby's weight, height, and head circumference to determine if the baby is growing adequately.

If the nurse notices any of these additional assessment findings like retractions, tachypnea, nasal flaring, grunting, and cyanosis, they should inform the doctor about the possible indication of Respiratory Distress Syndrome and take the necessary precautions. The nurse should also monitor the baby's respiration and oxygen saturation levels regularly to ensure proper treatment.

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the nurse is assessing a patient with binge eating disorder. what diagnosis should the nurse consider when the patient shows feelings of inadequacy?

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When assessing a patient with binge eating disorder, the nurse should consider the diagnosis of depression if the patient exhibits feelings of inadequacy.

Binge eating disorder (BED) is an eating disorder characterized by frequent and persistent episodes of binge eating, accompanied by feelings of lack of control and guilt. Binge-eating episodes may be followed by strict dieting, fasting, or excessive exercise. BED affects both men and women of all ages, races, and backgrounds.

Depression is a mood disorder characterized by persistent sadness, lack of interest or pleasure in activities, irritability, decreased energy, decreased self-esteem, feelings of guilt, and hopelessness. It may also manifest as physical symptoms such as changes in appetite, sleep disturbances, and decreased concentration. Depression is a common comorbidity in patients with eating disorders and should be screened for in all patients with BED.

These episodes must also be associated with at least three of the following: eating faster than normal, eating until uncomfortably full, eating large amounts of food when not feeling physically hungry, and/or eating alone due to embarrassment about the amount of food being consumed. Additionally, the patient must experience distress related to the binge eating.

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how many public health emergency of international concern declarations have been made by who in the last 5 years?

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In the last 5 years, the World Health Organization (WHO) has made four Public Health Emergency of International Concern (PHEIC) declarations.

A PHEIC is defined by the WHO as an extraordinary event that constitutes a public health risk to other states through the international spread of disease and that potentially requires a coordinated international response.

The four PHEICs declared by the WHO in the last five years are as follows:

Zika virus epidemic in 2016

Ebola outbreak in the Democratic Republic of Congo in 2019-2020

COVID-19 pandemic in 2020

Polio outbreak in Afghanistan, Pakistan, and Nigeria in 2021

So, the WHO made four Public Health Emergency of International Concern (PHEIC) declarations in the last five years.

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the nurse cares for preterm infants and assesses them for potential complications to provide adequate countermeasures to prevent father complications. which complication should the nurse prioritize and initiate proper measures to protect the newborn?

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The nurse should prioritize respiratory distress syndrome and initiate proper measures to protect the newborn. Preterm infants are those infants who are born before 37 weeks of gestation.

Respiratory distress syndrome:

It is a medical condition that occurs in newborns, particularly those born prematurely. The surfactant, which is a liquid that coats the inner lining of the lungs, is not produced in sufficient quantities in premature infants, which can lead to respiratory distress. Respiratory distress syndrome is a medical emergency that necessitates prompt medical attention. The infant must be placed in a neonatal intensive care unit (NICU) to receive proper medical care. The nurse should prioritize respiratory distress syndrome and initiate proper measures to protect the newborn. The infant will be intubated to assist with breathing, and oxygen will be administered. The infant will be closely monitored to ensure that the oxygen concentration is appropriate.

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46. an older client is admitted to the hospital with acute gastritis. the health care provider orders magnesium hydroxide one hour and 3 hours after meals and at bedtime. which action by the nurse is most appropriate? a. check the client renal function studies before giving the drug b. call the healthcare provider and ask for a different anti acid for the client c. assess the clients pain and treat pain if present d. assisted client in ordering bland food from the menu

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When an older client is admitted to the hospital with acute gastritis, and the healthcare provider orders magnesium hydroxide one hour and three hours after meals and at bedtime. The most appropriate action by the nurse is to assess the client's pain and treat pain if present.

So,  the correct option is C.

The client with acute gastritis may experience pain and discomfort as a result of the inflammation of the stomach lining. In such cases, pain relief is an essential aspect of care. Acute gastritis is the sudden onset of stomach inflammation. When an older client is admitted to the hospital with acute gastritis, it is essential to assess the client's pain and ensure that they are comfortable. Pain management is critical in such cases. Pain relief may be achieved using analgesics such as ibuprofen or paracetamol, and ensuring that the client gets enough rest. Hence, the correct option is C.

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