The best response for the nurse is : The skin of a preterm newborn is more transparent because there is less subcutaneous fat present.
How does a newborn's skin look like ?A healthy newborn exhibits deep red or purple skin upon birth, as well as bluish hands and feet.
Before the newborn draws its first breath, their skin turns darker (when they make that first vigorous cry). Vernix, a thick, waxy material coating the skin
Within the first few weeks of life, a newborn's appearance, including their skin, can alter significantly.
The color of your baby's hair may change, and they may develop a lighter or darker complexion. The newborn's skin may start flaking or peeling before you leave the hospital or a few days after you get home.
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a 38-year-old man without a significant medical history presents for an evaluation due to 1 year of diarrhea associated with cramping. he reports large volume, nonbloody, and greasy stools and he’s unintentionally lost more than 20lb. he’s also had intermittent patchy rashes to his elbows, knees, and abdomen which he states is itchy. he’s tried eliminating dairy from his diet but without any improvement. he denies fever or other constitutional symptoms. he does not know his family history due to being adopted. on exam the only significant findings are some glossitis and a papulovesicular eruption to the elbows, knees, and abdomen with some excoriations. what is the best diagnostic test to confirm this patient’s suspected diagnosis?
The best diagnosis by nurse is suspecting : Celiac disease
What is Celiac disease ?A dangerous autoimmune condition known as celiac disease affects genetically susceptible individuals who consume gluten.
According to research, individuals with celiac disease can only have specific genes and consume gluten-containing foods. Other elements that might contribute to the disease's development are being researched by experts.
When you ingest gluten, you can develop coeliac disease, which causes your immune system to attack your own tissues. You can't absorb nutrients because this harms your small intestine and gut. Diarrhoea, bloating, and pain in the abdomen are just a few of the symptoms that can be brought on by coeliac disease.
When a person with a genetic predisposition consumes gluten, it can cause significant autoimmune disease called celiac disease, which damages the small intestine.
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although the united states ranks low on many health care system assessment measures, one area does stand out. what is this area?
How much time healthcare professionals and people waste on paperwork, redundant tests, and insurance conflicts
What does healthcare serve as a means for?The main aim of health therapy is to improve health in order to improve quality of life. To maintain their valuation and continue to operate, commercial enterprises concentrate on generating financial profit. For health care to live up to its commitment to society, it must prioritize generating social profit.
What is an example of health care?Prenatal care, dental care, drug addiction therapy, preventive services, occupational and physical health, nutritional assistance, pharmaceutical care, and laboratory and diagnostic services are some of the other categories of health services.
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which is the most important action for the nurse to perform when assessing bowel sounds? (select all that apply.)
The most important action for the nurse to perform when assessing bowel sounds is listen for up to 5 minutes when auscultating for bowel sounds.
nurse must listen for up to 5 minutes before determining what type of bowel sounds are present
It should begin auscultation in the right lower quadrant-
nurse should auscultate in right lower quadrant, and then proceed to the other quadrantsWhat is auscultation?
It is listening to the sounds of the body during a physical examination.
Auscultation is a method used to listen to sounds of the body during a physical examination by using a stethoscope.
A patient's lungs, heart, and intestines are most common organs heard during auscultation.
Abdominal sound
A health care provider can check abdominal sounds by listening to the abdomen with stethoscope (auscultation).
Most bowel sounds are the harmless. However, there are some cases in which abnormal sounds can indicate problem.
Ileus is condition in which there is a lack of intestinal activity
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a nurse notes that the volume of the client's urinary elimination is less than 300 ml/day. which nursing intervention will be appropriate to use with this client?
The client's urine elimination is estimated to be less than 300 ml per day by a nurse. With this client, a nursing intervention for kidney dysfunction will be indicated.
What is a dysfunction, exactly?Any limitation, disruption, or weakness in behavior from the standpoint of an individual, between individuals in a relationship, even amongst family and friends is referred to as dysfunction. 1 Poor communication, recurrent conflict, physical or emotional abuse, and many other behaviors can all be signs of dysfunction.
What good does dysfunction serve?When something, like a marriage or someone's behavior, is described as dysfunctional, it means that it deviates from what is regarded as normal. It was pretty obvious that he suffered from significant emotional problems.
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the nurse is monitoring a newborn born to a client who abuses alcohol. which finding should the nurse expect to note when assessing this newborn?
Fetal alcohol syndrome is characterised by craniofacial anomalies, intrauterine growth restriction, cardiac abnormalities, aberrant palmar creases, and respiratory difficulty in neonates.
What typical findings can be seen in a newborn assessment?Size, macrocephaly or microcephaly, changes in skin colour, deformities, indications of respiratory distress, degree of alertness, posture, tone, the existence of spontaneous movements, and symmetry of movements should all be checked during the normal newborn screening.
Due to the lack of a blood test or other medical test for FASD, diagnosis might be challenging. The doctor will diagnose the kid by examining their signs and symptoms and by finding out whether the mother consumed alcohol when she was pregnant. FASDs are chronic. FASDs cannot be cured, although therapies can be beneficial.
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a child with nephrotic syndrome has been receiving prednisone for 1 week. which information in the child’s record indicates to the nurse that the medication has been effective?
The nurse can tell the medication worked because of information in the child's file. Reduced rest times, increased urine production, and weight reduction.
What are the significant signs of nephrotic syndrome?Protein with in urine, low blood total proteins, high cholesterol, high triglyceride levels, an increased risk of blood clots, and edema are all indications of nephrotic syndrome.
What is considered nephrotic?Nephrotic syndrome is the name given to a specific set both clinical and laboratory signs of kidney disease. It is identified by the presence acute peripheral edema, hypovolemia (just under 3.5 g/dL), and severe nephropathy (protein output more than 3.5 g/24 hours).
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a nurse determines that the patient’s condition has improved and has met expected outcomes. which step of the nursing process is the nurse exhibiting? a. assessment b. planning c. implementation d. evaluation
As a result, option (d) evaluation, the proper nursing process step, would be the nurse exhibiting.
What is medical evaluation?The term "medical evaluation" refers to important procedures carried out by a doctor, such as a patient's medical history, physical examination, and decision-making based on symptoms and related body systems, with the goal of determining the cause of hearing loss and associated physical conditions, as well as the best course of treatment. A medical examination may be part of a person's usual healthcare or necessary in certain situations connected to their job, including when they are returning to work after an injury. A medical examination is another name for a medical evaluation.
What is the purpose of a medical evaluation?A medical evaluation is a thorough analysis of a patient's past and present health for the purpose of identifying health issues and formulating a treatment plan.
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a client’s blood work reveals a platelet level of 17,000/mm3. when inspecting the client’s integumentary system, what finding would be most consistent with this platelet level?
Petechiae would be most consistent with this platelet level.
Petechiae are small, spherical skin lesions that develop as a result of bleeding. The petechiae turn red, brown, or purple due to bleeding. Petechiae frequently occur in groups and can resemble a rash. Petechiae are typically flat to the touch and do not change color when pressed.
Petechiae can result from a variety of bacterial, viral, and fungal illnesses, including infection with the cytomegalovirus (CMV). Endocarditis. Meningococcemia.
People with ITP consequently experience decreased platelet counts. This may result in petechiae, which are little red or purple spots on the skin, as well as issues with internal bleeding, nosebleeds, blood blisters in the mouth, and easy bruising. Red blood cells, white blood cells, and platelets are all formed in the bone marrow.
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an infant with the diagnosis of exstrophy of the bladder undergoes surgery to close the defect. what must the nurse include in the discharge teaching for the parents?
the nurse include in the discharge teaching for the parents is sponge baths are given to prevent infection from bathwater.
What is bladder exstrophy ?An accidental discovery of bladder exstrophy occurs during a regular prenatal scan. With ultrasound or MRI, it can be more accurately diagnosed before delivery. The following are symptoms of bladder exstrophy detected by imaging tests:
bladder that doesn't properly fill or empty,a low-lying umbilical cord on the abdomen, divided pubic bones, which are a portion of the hipbones and the pelvis, larger than average genitals.
How Exstrophy Bladder Repair is performed ?There are two main surgical techniques that the doctor can employ to treat bladder exstrophy. They consist of;Complete primary repair of bladder exstrophy (CPRE), Modern staged repair of bladder exstrophy (MSRE).
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the nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. the primary health care provider has documented the presence of first trimester pregnancy signs. which signs should the nurse anticipate as being present during this time frame? select all that apply.
The nurse expects to see Hegar's sign, Goodell's sign, and Chadwick's sign at this period.
Can nurses perform surgery?They are in charge of many aspects of preoperative planning, including postoperative care in surgery. Additionally, a lot of surgical nursing professionals opt to focus on a particular field, including obstetrics, pediatric surgery, or cardiac surgery.
What nurses are unable to do?Surgery and other intrusive treatments cannot be performed by nurses. Legally, nurses cannot certify a death. Medical diagnoses cannot be made by nurses. Final decisions regarding the patient's treatment cannot be made by nurses. A nurse who is committed to giving patients evidence-based, compassion treatment is known as a nurse practitioner. In addition to treating acute and chronic diseases, this category of advanced practice nurses also places a strong emphasis on wellness and prevention.
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a perimenopausal woman reports insomnia. which intervention(s) will the nurse suggest to the client? select all that apply.
Avoid drinking alcohol and caffeine in the evening because both are linked to disruptions of the regular sleep cycle.
Which nursing intervention promotes sleep the most effectively for a patient in any circumstance?During these times, nurses and family members should be thoughtful and caring. Providing loose-fitting nightwear, promoting voiding before bed, encouraging hygiene routines, and ensuring bed linen is smooth, clean, and dry are a few interventions that can help people feel more at ease and relaxed.
Which exercise would the nurse recommend to a patient who suffers from insomnia?After 15 to 30 minutes in bed, the patient should get out of bed and engage in some peaceful activity until they feel tired. The patient should be told by the nurse to listen to soft music at bedtime.
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in the postoperative phase of abdominal surgery, the client reports severe abdominal pain. in the second postoperative day, the client's bowel sounds are absent. what does the nurse suspect?
The nurse suspect paralytic ileus.
What do you mean by paralytic ileus?A nonmechanical hypomotility that results in a functional blockage of the intestine is known as paralytic ileus (a dynamic ileus) (pseudo-obstruction). Toxemia, electrolyte imbalances (especially hypokalemia), paralysis of the bowel wall, peritonitis from any source, shock, severe pain, abnormal stimulation of the splanchnic nerves, vitamin B-complex deficiency, uremia, tetanus, diabetes mellitus, or heavy metal poisoning are some of the possible causes. Although the gut is not paralyzed, constant neural discharge causes it to become refractory, which prevents tonic stimulation of the bowel musculature. The only obvious abnormalities in the majority of paralytic ileus instances may be the intestine's atonic dilation. Almost all animal species experience it.
Thus from above conclusion we can say that the nurse suspect paralytic ileus.
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uppose we are using a randomized block design to test various medical treat- ments, and we are using patients, who receive the treatments, to create blocks. true or false: we should ensure that the patients within a block are as similar as possible. explain.
The sentence in the question is TRUE. A randomized block design is an experimental design in which different treatments are spread across blocks or plots in random order.
What are the principles of fully randomized block design? Fisher's Randomized Block Design (RBD) is the simplest design for comparative experiments using all three basic principles of experimental design: Randomization, replication, local control. Generally more accurate than a fully randomized design (CRD). There is no limit to the number of treatments. Some treatments can be repeated more often than others. Missing plots can be easily extrapolated.What is the purpose of the blocks in a randomized block design?Blocking is used to remove the effects of some major disruptive variables. Randomization is then used to reduce the contaminating effects of the remaining confounding variables.
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you are treating a 6-month-old patient who was accidentally dropped down a flight of steps, when her mother stumbled at the top of the stairway. the infant will only open her eyes and moan to deep painful stimuli, and tries to withdraw from the pain. given these findings, you calculate her pediatric glasgow coma scale score to be:
her predicted Glasgow Coma Score is 8.
The most crucial element of care typically centres around what when treating a child who has been hurt or ill?The EMT must understand that maintaining the airway and respiratory system is typically the most crucial element of care. A sick baby who is two weeks old has phoned you. According to an evaluation, he has rhonchi in his lungs and a fever.
Where should paediatric patients have their breath sounds evaluated?Listen for the sound of the child's breath along the front and posterior chest walls. Check your chest areas for one complete cycle of inspiration and expiration.
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which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered nutritional status?
The greatest snack to give a client from myasthenia gravis who might have altered nutritional status is chocolate pudding.
What is the best nurse job?The top 4 nurse positions in terms of pay Registered nurse anesthetist with certification. Dean of nursing, average salary of $195,610 per year. Average salary for a general nurse practitioner is $188,778. Certified nurse midwives, family nurse practitioners, gerontological nurse practitioners, school nurses, and nurse educators make an average salary of $120,680 per year.
Can a nurse do surgery?They are still in charge of many aspects of preoperative planning, including postoperative care in surgery. Additionally, a lot of surgical nursing professionals decide to focus on a particular field, including obstetrics, pediatric surgery, and cardiac surgery.
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after assessing a patient, a nurse develops a standard formal nursing diagnosis. what is the rationale for the nurse’s ac
To distinguish the nurse's role from the physician role.
What is Nursing diagnosis?Nursing diagnoses are part of the nursing process and include individual, family and community experiences / reactions to actual or potential health problems / life processes. It is a clinical judgment about nursing diagnoses that encourages independent practice by nurses compared to physician-directed dependent interventions. Nursing diagnoses are developed based on data obtained during nursing assessments. Problem-based nursing diagnoses represent responses to problems that exist at the time of assessment. Risk diagnostics present vulnerabilities to potential problems, while health promotion diagnostics identify areas that can be improved to improve health. While medical diagnoses identify disorders, nursing diagnoses identify how people respond to health and life processes and crises. The nursing diagnosis process is particularly unique, and nursing diagnosis integrates patient involvement throughout the process as much as possible.To distinguish the nurse's role from the physician role.
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the nurse is hired to work in a facility where the nurse assumes full responsibility for number of clients’ needs. which nursing care delivery system is the nurse working in? | quizlet
A nurse is hired to work in a facility where the nurse assumes responsibility for a number of clients' needs. This nursing care delivery system is called: Primary care nursing.
What do you mean by primary care nursing?
When a single nurse is designated as the patient's main point of contact and caretaker for a specific hospitalization or other episode of treatment, this is referred to as primary care nursing. The primary care nursing team is made up of the lead nurse, who directly supervises the involvement of a licensed practical nurse and/or nursing assistant in that patient's care, as was intended by staff nurses at the University of Minnesota in 1969. The primary care nurse also serves as a patient's communication link with their doctor and other members of the healthcare team.
Thus from above conclusion we can say that a nurse is hired to work in a facility where the nurse assumes responsibility for a number of clients' needs. This nursing care delivery system is called: Primary care nursing.
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a 21-year-old woman presents with double vision that occurs only when she looks to her right side. the double vision began when she woke up in the morning. she had an episode of left leg numbness while at summer camp 6 years ago, but it resolved over 3 days and she never told anyone. also, 3 years ago she saw her private physician after a 7-day episode of right eye pain and visual blurring. he attributed her symptoms to an ocular migraine. there is no history of head trauma. she hasn't had any infections, fevers, or immunizations recently. she is awake, alert, and in no acute distress. positive findings include mild pallor and atrophy of the right optic disc. bedside visual fields and acuity are normal. testing external ocular motion in both eyes together reveals that there is no left eye movement beyond midline when attempting to look to her right, accompanied by right eye lateral nystagmus. when the left eye is tested with the right eye closed, eye movements are full. no other motor signs are found. no skin, sensory, or hearing findings are found. a magnetic resonance imaging scan (mri) of the head with gadolinium enhancement reveals a 2 x 3 cm lucency in the region of the right parietal white matter without swelling or enhancement. multiple sclerosis (ms) is suspected. question: given this history, how would this patient's condition best be subtyped?
The patient is best subtyped as Relapsing Remitting MS.
What is Relapsing Remitting MS?
Relapsing-remitting MS is characterised by relapses of the disease and periods of stability in between relapses in its sufferers. Relapses are occurrences of new or worsened symptoms lasting longer than 48 hours that are not brought on by a fever or infection.
Relapsing Remitting MS (RRMS): The patient experienced three distinct clinical exacerbations (right parietal white matter/left leg numbness, right optic nerve/visual fuzziness, eye pain with residual disc pallor, and median longitudinal fasciculus/resolved diplopia), each of which was followed by full clinical recovery. Recall that this is a clinical descriptive and disability rating. As a result, the subtype is not defined by persistent anomalies on the exam or by supplementary lab tests.
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the nurse applies a transdermal patch of fentanyl for a client with pain due to cancer of the pancreas. the client puts the call light on 1 hour later and tells the nurse that it has not helped. what is the best response by the nurse?
I'll give you something to relieve the discomfort now because it will take the meditation between twelve and 18 hours to start working.
What is referred to as medication?Medicines are substances or chemicals that treat, halt, or prevent illness, lessen symptoms, or aid inside the diagnosis of illness. Doctors can now save and treat numerous diseases thanks to modern medicine. Today, there are many places to get medications.
A full medication list is what?The listing should include the medication's name, dosage, and recommended number of daily doses. Include instructions on how to take this medication as a tablet, a shot, or with or without food. Include any allergies you may have.
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the nurse is teaching a client newly diagnosed with cancer about chemotherapy. the nurse tells the client he'll receive an antitumor antibiotic. the nurse knows that this type of medications is:
Cell-cycle nonspecific because hormonal agents and nitrosourea are examples of non-specific medications. Topoisomerase I inhibitors and antimetabolites are examples of medications that are cell-cycle-specific in the S phase.
What occurs throughout chemotherapy?Chemotherapy medications prevent cancer cells from proliferating and dividing normally. The actions of various drugs differ. At various stages of the cell cycle, several medications target cancer cells. Treatment can target all of the body's rapidly dividing cells or only a few particular chemicals or cancer cell components.
Which problem puts the cancer patient undergoing chemotherapy at risk?Myelodysplastic syndrome (MDS) and acute myelogenous leukemia are the tumors that are most frequently associated with chemotherapy (AML). Sometimes MDS first develops before developing into AML. Leukemia has been linked to chemotherapy more frequently than radiation therapy.
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a client recently was diagnosed with bell’s palsy and is back to the clinic for a follow-up visit. what would the nurse observe during the assessment of cranial nerve vii if the client’s symptoms are resolving?
As the customer grins, frowns, and arches their brows, the movement and look would appear symmetrical.
Is a customer a client?A client is a specific kind of customer that purchases professional advice from a business, whereas an user is someone who uses a company's products or services. Clients purchase advise and solutions, whereas consumers often purchase things.
What kind of client would you use as an example?A customer is someone who makes purchases or makes payments for services. Clients might include businesses and other organizations. Clients often have a connection or agreement with the vendor, as opposed to customers. If you purchase a cup of coffee from a café kiosk at a train station, for instance, you are a customer.
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a nurse who is right-handed is inserting a woman's indwelling urinary catheter. the nurse will use cotton balls and antiseptic solution to cleanse the woman's meatus and perineum. which of the nurse's actions is most appropriate?
The best course of action for a right-handed nurse installing a woman's indwelling urinary catheter is to widen the woman's labia with her left hand and maintain that position until the catheter is implanted.
A urinary catheter is a little, flexible tube that is used to drain urine by being placed via the urethra and into the bladder. The tube that takes urine from the bladder outside of the body is called the urethra. A Foley catheter is continually inserted and left in place.
Similar to an intermittent catheter, an indwelling urinary catheter is implanted, but it is left in place. A water-filled balloon keeps the catheter in the bladder and prevents it from escaping. These catheters are frequently referred to as Foley catheters.
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a client is receiving total parenteral nutrition (tpn). the nurse will assess for complications related to:
Total parenteral nourishment (TPN) is being given to a patient. The nurse will check for problems with fluid and electrolyte balance.
What is the most frequent TPN complication?More than 90% of individuals experience either liver impairment or glucose abnormalities hypoglycemia. Monitoring plasma glucose levels often, modifying the insulin dose in the TPN solution, and administering subcutaneous insulin as required can all help prevent hyperglycemia.
If the patient is on TPN, what should you keep an eye on?Regular weight, electrolyte, and blood urea nitrogen monitoring are advised (eg, daily for inpatients). Up until the patient's and the glucose levels are stable, plasma glucose should be checked every six hours. It is important to regularly check fluid intake and excretion. Blood tests might be performed less frequently as patients become stable.
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he wife of a military veteran with ptsd states that her husband developed type 2 diabetes 10 years after returning from combat. there is no history of this disease in either side of the family, and the patient is not overweight and does not have any other risk factors for the disease. consequently, the wife believes the diabetes results from her husband's experience in the military. how would you best respond to her assertion?
The best response to her assertion would be , It is not uncommon for combat veterans to unexplainably develop such conditions like this
What is type 2 diabetes?
Type 2 diabetes is an impairment in way the body regulates and uses sugar (glucose) as a fuel.
This long-term (chronic) condition results in too much sugar circulating in bloodstream. Eventually, high blood sugar levels can lead to disorders of circulatory, nervous and immune systems.The main difference between type 1 and type 2 diabetes is that type 1 diabetes is genetic condition that often shows up early in life, and type 2 is mainly lifestyle-related and develops over time
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you’re a new resident (house officer). at 2:00 am, you receive a phone call about a patient you are covering who has diabetes. the patient has an elevated blood sugar of 375. you order 12 units of novolog (rapid-acting) insulin and ask the nurse to check the sugar again in one hour and call you back. one hour later, the sugar is 280, so you order another 10 units. by 4:00 am, the patient’s sugar is dangerously low at 45. you realize that novolog insulin takes two to three hours to reach peak effect. by rechecking the patient’s glucose after only one hour and giving more insulin so quickly, you set the patient up for an episode of hypoglycemia. why is it important to communicate with the patient about this event?
Open sharing of this type of information is necessary if patients are to trust their caregivers and Open communication is essential according to numerous professional codes of conduct.
When blood sugar levels are low, the "fight-or-flight" hormone epinephrine (adrenaline) is produced. Epinephrine can cause the hypoglycemia symptoms, such as sweating, tingling, disorientation, anxiety, tremors, and diaphoresis.
The following are the hypoglycemia levels:
When blood sugar levels are 54 mg/dL or above but less than 70 mg/dL, hypoglycemia at level 1 (mild) is present.When blood sugar levels fall below 54 mg/dL, hypoglycemia of level 2 (moderate) is present.Level 3 (severe) hypoglycemia causes mental or physical changes that make it impossible for a person to function.To learn more about hypoglycemia click here,
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you are concerned that a sick 5-year-old patient with lower abdominal pain and a temperature of 100.3f has appendicitis. he describes the pain as generalized and crampy. although he complains of nausea, he is not vomiting. his pulse, respirations, blood pressure, and spo2 are normal, and there are no immediate life-threatening conditions. based on these assessment findings, his father informs you that he does not wish his son to be transported, and will call the pediatrician in the morning. how would you respond? question content area bottom part 1
The response would be "I have to tell you, if he has appendicitis, it will only get worse and become a major situation."
What is appendicitis?
A blockage in the lining of appendix that results in infection is the likely cause of appendicitis.
The bacteria multiply rapidly, causing appendix to become inflamed, swollen and filled with pus. If not treated promptly, appendix can ruptureclassic symptoms of appendicitis include:
Pain in your lower right belly or pain near navel that moves lower. This is usually the first sign.Loss of the appetiteNausea and vomiting soon after the belly pain begins.Swollen belly.Fever of 99-102 F.Can't pass the gas.A ruptured appendix causes the widespread infection that can be deadly
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the nurse in the newborn nursery is determining admission vital signs for a newborn infant. the nurse documents that the vital signs are within normal range if which set of vital signs is noted on assessment?
Weight, circumference, head size, and vital signs are all parameters that should be part of a thorough newborn nursing examination.
How do you evaluate brand-new infants?One of the early assessments is the baby's Apgar score. At one to five minutes after birth, infants are checked for musculoskeletal quality, movements, pigmentation, and heart and breathing rates. This assists in identifying newborns who need further care due to respiratory difficulties or other complications.
How long does a newborn infant remain a newborn?A baby is considered to be a newborn if they are under two months old. Children are considered newborn babies when they are lesser after one day old. Any child, starting at birth, can be referred to as a baby.
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in terms of public health, patients that present with clinical findings pertaining to a particular infectious disease should alert the paramedic to what possibility?
The patient with clinical findings should alert the paramedic about it, that it may not be an isolated incident.
What is Paramedic?
The term "paramedic" refers to a member of emergency medical services who is skilled in providing medical care and responding to medical emergencies. The person offers advanced life support medical assistance.
What is the clinical finding?
A clinical Finding is a conclusion from a clinical investigation. The patient's diagnosis and symptoms are represented in a clinical finding. Basically, this is a report where all the symptoms of the patient are noted carefully with utmost detail.
Hence, patients with clinical findings should alert the paramedic about it, that it may not be an isolated incident.
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a 64-year-old man presents to the clinic with generalized pain in his neck, shoulders, and hips. he states the pain is worse in the mornings and is sometimes associated with one-sided headaches. his erythrocyte sedimentation rate and c-reactive protein are both elevated. you diagnose him with polymyalgia rheumatica. what other condition would you suspect in this patient?
If you suspect that the patient had giant cell arteritis, you would diagnosis him with nerve pain histological.
What could be the cause of daily headaches?Semi chronic daily headaches can result from a number of conditions, including: strokes or other blood vessel issues, such as inflammation, that affect blood vessels inside and surrounding the brain. illnesses like meningitis. either an excessively high or an obscenely low intracranial pressure.
How long is too long for a headache?The typical duration of a migraine attack without adequate therapy is four to twenty-four hours. Just four hours is too long when you have a migraine, which is why it's crucial to start therapy as soon as possible.
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the 96-year-old patient is receiving digoxin and furosemide. in the morning, the patient complains of a headache and nausea. what will the nurse do first?
The nurse will check laboratory values and vital signs for patients who are receiving digoxin and furosemide.
What is furosemide?
A loop diuretic drug called furosemide is used to treat fluid retention brought on by kidney illness, liver damage, or heart failure. Additionally, it can be used to lower blood pressure.
What does a nurse perform?
The patient's electrolytes and digoxin levels will be checked by the nurse. Examining vital signs is crucial because the patient may be receiving furosemide, a diuretic that causes potassium loss, which increases the risk of cardiac arrhythmias. The adverse effects of cardiac glycosides that are most commonly reported include headache, weakness, sleepiness, and changes in eyesight (a yellow halo around objects is often reported). Anorexia and gastrointestinal (GI) discomfort are other frequent occurrences. Maalox and acetaminophen would not be recommended. Although they shouldn't be the initial steps, making her lie down and limiting her intake to clear liquids would be reasonable.
Hence, the nurse will check laboratory results and vital signs
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