An effective way to get the client interested in learning about transfusion treatment is to inquire about their personal experiences with it.
By "they themselves," what do they mean?The Latin term "patiens," which meant to suffer with or endure, is where the English word "patient" comes from. This expression is used to describe a patient who is extremely cooperative, puts up with the required discomfort, and tolerates the interventions of the outside expert.
A patient individual is what?We have the opportunity to acquire patience since it requires acquiring the ability to wait patiently in the face of discomfort or hardship, which is present practically everywhere. But perhaps the secret to a good life is patience.
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refer to the article by phillips et al., 2018 posted under the case resources (the effectiveness of the braden scale as a tool for identifying nutrition risk). what is a braden score? which six criteria are considered in the braden scale? per the nursing assessment data (see the case study for the section on ‘nursing assessment’), what is mr. campbell’s braden score and what does it mean? how does nutrition relate to pressure ulcers and wound healing? (
In general, a Braden score is a numerical score that is used to assess an individual's risk of developing pressure ulcers.
The Braden Scale is a tool that is commonly used to assess this risk, and it considers six criteria: sensory perception, moisture, activity, mobility, friction and shear, and nutrition.
The individual's score on each of these criteria is added up to give a total Braden score, which can range from 6 to 23. A higher score indicates a lower risk of pressure ulcers, while a lower score indicates a higher risk.
Nutrition is an important factor in pressure ulcer prevention and wound healing. Adequate nutrition is essential for maintaining the health and integrity of the skin and supporting the body's natural healing processes.
Malnutrition or poor nutrition can increase the risk of pressure ulcers and impair wound healing, making it more difficult for the body to repair damaged tissue. It is important for individuals at risk of pressure ulcers, such as Mr. Campbell, to receive proper nutrition in order to support their overall health and prevent the development of pressure ulcers.
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which serious effect of inhalant use would the school nurse include in a teaching session to a high school health class about inhalant abuse?
High dosages of exposure can result in delirium and confusion. Abusers of inhalants may also experience stupor, generalized muscle weakness, depressed reflexes, lethargy, dizziness, and drowsiness.
Which of the following is used as an anesthetic inhalant?Among the medical anesthetics are nitrous oxide, ether, chloroform, and halothane (commonly called "laughing gas"). Inhalants have effects that are comparable to anesthesia.
How do inhalants influence neurotransmitters?By directly stimulating Ventral Tegmental Area Neurons, the abused inhalant toluene increases dopamine release in the nucleus accumbens | Neuropsychopharmacology. Sedation, refractory bronchospasm, and treatment of status epilepticus unresponsive to anticonvulsant drugs are the main uses of inhaled anesthetic agents in the ICU.
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when teaching about prevention of infection to a client with a long-term venous catheter, the nurse determines that the client has understood discharge instructions when the client makes which statement?
when teaching about prevention of infection to a client with a long-term venous catheter, the nurse determines that the client has understood discharge instructions when the client makes "My husband will change the dressing three times per week, using sterile technique.
A central venous catheter, also referred to as a central line, is a tube that medical professionals insert into a sizable vein in the arm, neck, chest, or groin to quickly administer fluids, blood, or medications or perform diagnostic tests. A tube known as a central venous catheter enters a vein in your arm or chest and exits at the right side of your heart (right atrium). There are occasions when a catheter that is in your chest is connected to a port that is located beneath your skin. Aseptic and sterile are frequently used as synonyms for one another. In spite of the fact that they both refer to the same thing—eliminating or reducing potentially harmful microorganisms—sterile goes one step further and means devoid of any bacteria or other microorganisms.
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the nurse is caring for a client with shock. the nurse is concerned about hypoxemia and metabolic acidosis with the client. what finding should the nurse analyze for evidence of hypoxemia and metabolic acidosis in a client with shock?
Arterial blood gas (ABG) findings. Arterial blood gas monitoring is the gold standard for assessing oxygenation, ventilation, hypoxemia, and acid-base status.
Although non-invasive monitoring has mostly taken the role of ABG monitoring, the latter is still helpful for validating and adjusting non-invasive monitoring methods. Hypoxemia, which can cause a variety of symptoms including shortness of breath, is an indication of a respiratory or circulation issue.
Hypoxemia can be detected by measuring the quantity of oxygen in a blood sample taken from an artery. A pulse oximeter, a little gadget that clamps to your finger, can also be used to gauge it by monitoring the blood's oxygen saturation. Although hypoxemia can have many different causes, the most frequent one is an underlying disease that interferes with breathing or blood flow, such as heart or lung problems. Certain drugs have the potential to inhibit breathing and cause hypoxia.
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a client is admitted to the hospital for cranial surgery. which action would the nurse include in the preoperative plan of care?
getting the client's permission before shaving their head.
Anatomical procedures: What are they?To expose the brain, a craniotomy involves surgically removing a portion of the skull's bone.The portion of bone known as the bone flap is removed using specialized equipment.
How lengthy is a cranial procedure?If you need a standard craniotomy, it can take three to five hours.The operation can take 5-7 hours if you do have an awake craniotomy.Pre-, peri-, and postoperative periods are included in this.Neurologic function is the most important post-op worry for people having brain surgery.
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The fda has approved a new gene therapy drug described as the most expensive ever. How much per treatment?.
the nurse is planning to instruct a mental health client and the family about the importance of medication compliance. the nurse should plan for which interventions that are associated with increased compliance? select all that apply.
When planning to instruct a mental health client and the family about the importance of medication compliance the nurse should plan for large number of intervention that are associated with increased compliance
The following interventions should be planned for by the nurse:
Participating the family in the preparation of the medicationCollaborating with the psychiatrist to determine the proper medicine and dosageGiving the patient the medication's injectable, long-acting form, if one is available.Collaborating with the psychiatrist to identify the drug that has the fewest negative side effects for the client.The responsibility of a nurse is to provide comprehensive care, which may include attending to a patient's mental health. Although not all registered nurses have psychiatric nursing training, it is their duty to care for patients who are mentally ill and assist them in getting treatment for psychological discomfort.
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a client is at high risk for the development of rheumatic heart disease. the most important information for the nurse to provide would be:
Streptococcal infections should be diagnosed and treated quickly.
Why does the heart become rheumatic?One or more episodes of rheumatic fever, an autoimmune inflammatory response to group A streptococcal throat infection, damage the heart valves and lead to the disease (streptococcal pharyngitis or strep throat).It usually happens in children and might result in death or permanent disability.
What symptoms indicate rheumatic heart disease?Especially the knees and ankles, joints become swollen, sensitive, red, and exceedingly painful.Nodules (lumps under the skin) (lumps under the skin)Usually appears across the chest, back, and abdomen, this red, elevated, lattice-like rash.chest pain and breathing difficulties.
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the parents and their toddler present to the clinic for a well-child check-up. which differences would the nurse incorporate into the assessment since the client is a child? select all that apply.
A. Allow the toddler to make choices.
C. Administer needed immunizations last.
How assessment of child should take place?
Children and young people are assessed to determine what they know, comprehend, and are capable of doing.
Assessment is crucial for monitoring progress, determining future steps, reporting, and integrating parents, kids, and teenagers in the learning process.
Analysis includes:
The methods teachers use to encourage, evaluate, track, and plan for their students' next steps in learning.Providing written and spoken updates to parents and caregivers to help them understand their child's progress and what they can do to support their learning.formal acknowledgment of a child's or teenager's accomplishments through profiles and credentials.recognizing our kids' accomplishments through a variety of new senior school credentials that build on what they have done thus far in school.The following ways that Curriculum for Excellence has enhanced assessment:
a more seamless evaluation system that connects early learning, primary, secondary, and college education.More methods of progress evaluation to aid in learning, as well as more adaptability to accommodate different learning styles.by offering detailed profiles of each child's P7 and S3 accomplishments. These provide a crystal-clear acknowledgement of the accomplishments they have made and the abilities they have acquired during these critical phases of their lives.Hence, the answer is
A. Allow the toddler to make choices.
C. Administer needed immunizations last.
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the nurse is providing teaching for a patient who will begin using tobramycin ointment (nebcin) 0.5 inches 3 times daily. the patient currently uses pilocarpine hcl (isopto carpine) drops to treat glaucoma. which statement by the patient indicates a need for further teaching?
The statement by the patient that indicates a need for further teaching is "I should put the ointment on first and then instill the eyedrops."
What is glaucoma?
Glaucoma is a common eye condition caused by damage to the optic nerve, which connects the eye to the brain. It is usually caused by fluid accumulation in the front of the eye, which raises intraocular pressure. Glaucoma can cause vision loss if it is not detected and treated early.
Glaucoma is a chronic, progressive eye disease caused by optic nerve damage, which results in visual field loss. Eye pressure is one of the major risk factors. An abnormality in the eye's drainage system can cause fluid to accumulate, resulting in excessive pressure and optic nerve damage.
Glaucoma is a serious, lifelong eye disease that, if not treated, can result in vision loss.
There is no cure for glaucoma (yet), but if detected early, you can keep your vision and avoid vision loss. It is critical to take action to protect your vision health.
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which physical findings would the nurse observe in a newborn that would indicate that the newborn is full-term? select all that apply.
Option(a), (b), and (e)i.e., the physical findings that a nurse will detect in a newborn would suggest that the newborn is a full-term. There are fingernails, and they reach the tips of the fingers.
How many years is the nursing program?
The length of time it takes to become a registered nurse might range from 16 months to four years, depending on the nursing program you choose to enroll in. ChiChi Akanegbu, a member of the Class of 2020 who graduated from Regis College with a Bachelor of Science in Nursing, says, "I chose to earn my BSN, which takes four years.
What is a nurse's job description?
Nurses treat patients' wounds, give medications, perform regular physicals, keep meticulous records of their medical histories, and keep an eye on their heart rates.
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the nurse is assessing a client who has a unilateral obstruction of the urinary tract. which clinical finding by the nurse correlates to this diagnosis?
A client with a unilateral blockage of the urinary system is being evaluated by the nurse. The clinical finding made by the nurse that corresponds to this diagnosis is an increase in blood pressure.
Although injuries or other disorders may also contribute to unilateral blockage obstructive uropathy, kidney stones are the most common cause of the syndrome. When the urine flow is interrupted unilateral blockage, the kidneys get clogged. This causes kidney enlargement, commonly known as hydronephrosis. but sporadically may result in infection, discomfort, renal failure, or blood in the urine.
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a patient is receiving dopamine, a vasoactive drug used for shock, to increase stroke volume. what should the nurse be aware of when monitoring a vasoactive drug?
A patient is receiving dopamine, a vasoactive drug used for shock, to increase stroke volume. what should the nurse be aware of when monitoring a vasoactive drug is :
The drug dose should be weaned down prior to discontinuing.
What is a vasoactive drug ?An endogenous agent or medication that affects blood pressure and/or heart rate by changing vascular activity, also known as vasoactivity, is referred to as a vasoactive substance (effect on blood vessels). It aids the body's homeostatic processes (such the renin-angiotensin system) in maintaining hemodynamic stability by altering vascular compliance and resistance, often through vasodilation and vasoconstriction. Examples of significant endogenous vasoactive compounds include angiotensin, bradykinin, histamine, nitric oxide, and vasoactive intestinal peptide.
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a child with adhd is being placed on the restricted elimination diet. after teaching the mother about this diet, which food choice if selected by the mother would indicate that the teaching was successful?
Cognitive-behavioral therapy is one kind of conduct disorder treatment. A youngster gains improved communication, problem-solving, and stress-handling skills. Also taught is impulse and anger management.
What three treatments are available for children with ADHD?Medication, behaviour therapy, counselling, and educational programmes are among the common treatments for ADHD in kids. Although they don't treat ADHD, these therapies can alleviate many of its symptoms. The process of figuring out what works best for your child may take some time.
Medication, instruction, skill development, and psychological therapy are frequently used as part of standard treatments for ADHD in adults. The best treatment strategy frequently involves a combination of these. Although they don't treat ADHD, these medicines can assist with many of its symptoms.
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a patient complains of unrelenting back pain. resting does not help; neither do stretching and exercise. what is most likely?
A patient reports constant back pain. Stretching and exercise don't help; neither do naps. It's most likely not a musculoskeletal problem.
What are the most typical back issues that patients encounter?the following ailments are frequently related to back pain: strain on a muscle or ligament. Back muscles and spinal ligaments might get strained as a result of frequent heavy lifting or a sudden uncomfortable movement. Constant tension on the back might result in uncomfortable muscle spasms in persons who aren't in good physical shape.
Why do you get back pain?When mechanical or structural issues arise in the back's discs, muscles, ligaments, tendons, or spine, back pain may result. Sprain: An damage to the ligaments supporting the spine, frequently brought on by inappropriate twisting or lifting. Strain: a muscular or tendon injury.
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a kindergarten teacher is diagnosed with acute streptococcal pharyngitis. on exam, her throat is a bright-red color with no tonsillar exudate, and clear mucus is seen on the lower nasal turbinates. the urinalysis shows a large amount of white blood cells and is positive for nitrites. which of the following is the best treatment choice?
The most effective course of therapy would be 250 mg of levoquinolone (Levaquin) PO daily.
Levoquinolone (Levaquin), is a quinolone, that is used to treat both pharyngitis & urinary tract infections. Due to her sensitivities, Augmentin & Bactrim were unable to be utilized.
Acute pharyngitis, often known as strep throat, is brought on by Streptococcus pyogenes, also known as group A Streptococcus.
If left untreated, strep throat usually goes away in between three and five days. Antibiotic therapy is advised despite the brief period to reduce the probability of consequences. After taking antibiotics for one to three days, symptoms usually go away.
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a client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. laboratory studies help confirm a diagnosis of acute pancreatitis. the client's vital signs are stable, but the client's pain is worsening and radiating to his back. which intervention takes priority for this client?
Administering morphine I.V. is ordered
The nurse should address the client's pain issues first by administering morphine I.V. as ordered. Placing the client in a Semi-Fowler's position, maintaining NPO status, and providing mouth care don't take priority over addressing the client's pain issues.
What is morphine and for what is it used?
Injections of morphine are used to treat moderate to severe pain. It can also be administered alongside an anesthetic before or during surgery (medicine that puts you to sleep). Morphine is a member of the class of drugs known as narcotic analgesics (pain medicines). To treat pain, it works on the central nervous system (CNS). The non-synthetic narcotic morphine is produced from opium and has a significant potential for abuse. It is employed to manage pain. You could become groggy, sleepy, confused, or disoriented from this medication. Until you are certain of how this medication affects you, avoid driving or engaging in any activity that could be hazardous. Long-term opioid use might result in severe constipation.
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An online medicine shop claims that the mean delivery time for medicines is less than 120 minutes with a standard deviation of 30 minutes. Is there enough evidence to support this claim at a 0. 05 significance level if 49 orders were examined with a mean of 100 minutes?.
At online medicine shop which claims mean delivery time for medicines, the null hypothesis is rejected as there enough evidence to support this claim at a 0. 05 significance level if 49 orders were examined with a mean of 100 minutes.
An online medicine shop is an internet-based seller that sells medicines and includes each legitimate and illegitimate pharmacies. It could be of an online retail look that provides pharmaceutical medicine, among different products.
A null hypothesis could be a form of applied mathematics hypothesis that proposes that no applied statistical significance exists during a set of given observations. Hypothesis testing is employed to assess the believability of a hypothesis by victimization sample knowledge. generally mentioned merely because the "null," it's depicted as H0.
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the finding of a 2 reagent strip reaction for blood in the urine of a patient with severe lower back pain can aid in confirming a diagnosis of:
A patient with severe lower back pain who tests positive for blood in their urine may help to confirm the diagnosis of hypochlorite.
What chemical is responsible for the positive blood reagent strip reaction?When oxidizing pollutants, such as hypochlorite (bleach), remain in collecting bottles after cleaning, a false positive result for blood on the reagent strip may ensue. A false positive result may occur if the urine is contaminated with provodine-iodine, a potent oxidizing chemical used in surgical procedures.
What causes false positive results when hematuria and hemoglobinuria are detected using the reagent strip method?If the collection container or reagent strip is contaminated with oxidizing chemicals like hypochlorite (bleach), or if the urine sample is not properly collected, a false-positive result for blood on the urine reagent strip may ensue.
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the long-term care nurse is performing assessments on several of the residents. which are normal age-related physiological changes the nurse should expect to note? select all that apply.
Exam Questions for Geriatric Nursing Rationale: Anatomical alterations to the eye impair a person's ability to see, which could cause issues with daily tasks.
What is a physiological example?
Processes that take place inside the body, usually outside the range of conscious awareness, are referred to as physiological factors. For instance, physiological causes could include stimulation brought on by caffeine, hemorrhages, or even just stubbing one's toe.
What does the term physiology in humans mean?
The science of physiology examines how the human body functions. From how molecules react in cells to how systems of organs cooperate, it addresses the chemistry and physics underlying fundamental bodily activities.
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a client being treated for rheumatoid arthritis has been prescribed a glucocorticosteroid. how should the nurse best ensure this client's safety during treatment?
For chronic conditions including polymyalgia and rheumatoid arthritis, long-term oral corticosteroid therapy may be required.
What element lessens the spread of pain?The opioid family of medications, which includes morphine, and heroin are the most effective ones for providing brief analgesia and pain relief in clinical settings.
What is the purpose of glucocorticoids?The steroid hormones known as "glucocorticoids," which are created from cholesterol, are produced and secreted by the adrenal gland. They reduce inflammation in all tissues and regulate the metabolism of the liver, muscle, fat, and bones. Additionally influencing vascular tone, mood, behavior, and sleep–wakefulness cycles are glucocorticoids' effects on the brain.
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the client with osteoarthritis is seen in the clinic. which assessment finding indicates the client is having difficulty implementing self-care?
Due to their claimed incapacity to perform ADLs, the client may be unable to practice self-care. The most typical type of arthritis is osteoarthritis (OA). Degenerative joint disease or "wear and tear" arthritis are two names for it.
What causes osteoarthritis primarily?The cause of primary osteoarthritis is unknown. Secondary osteoarthritis develops as a result of another condition, an infection, an accident, or a deformity. The first symptom of osteoarthritis is the degeneration of joint cartilage. When the cartilage degenerates, the ends of the bones may enlarge and produce bony growths.
What is the ideal osteoarthritis treatment?The main therapies for osteoarthritis symptoms involve modifying one's way of life, such as exercising frequently and keeping one's weight within a healthy range. medication will help you feel better. supportive therapies: to help with making daily tasks easier.
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an oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. which statement by the client indicates that teaching was successful?
The client must say a statement like : "I clean my teeth gently several times per day." to reassure that teachings of oropharyngeal infections was successful.
What is oropharyngeal infection ?Inflammation of the oropharynx is a symptom of an illness. Additionally, internal factors such as infections and antigens found in the oral mucosa and gingiva may stimulate inflammation.
the area of the throat that is located behind the oral cavity at the back of the mouth. It consists of the tonsils, soft palate, side and back walls of the throat, and the back third of the tongue.
Chemotherapy may be suggested as the sole course of treatment for your oropharyngeal cancer, in conjunction with radiation therapy, either prior to surgery to reduce a tumor or following surgery to eradicate any cancer cells still present in the body.
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a client has an exacerbation of multiple sclerosis. the physician orders dantrolene (dantrium), 25 mg p.o. daily. which assessment finding indicates the medication is effective?
Prior to applying the restraints in sclerosis, if a drug is prescribed as needed. Chlorpromazine (Thorazine) oral dosage is 2 mg twice daily and 25 mg three times.
Sclerosis: What precisely is it?Pathological tissue stiffening, particularly as a result of excessive fibrous tissue growth or an increase in interstitial tissue.
Sclerosis: how serious is it?With a wide range of potential symptoms, including issues with vision, arm or leg mobility, sensation, or balance, multiple sclerosis (MS) is an illness that can affect the brain and spinal cord. It is a chronic disorder that can occasionally lead to severe disability, however it can also occasionally be moderate. Multiple Sclerosis has no known cure. Typically, MS treatment aims to reduce symptom severity, slow the disease's progression, and hasten recovery from attacks.
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at the beginning of the shift, the nurse assesses a client who is admitted from the post-anesthesia care unit (pacu). when should the nurse document the client's findings?
Evaluations should be documented as soon as possible following the assessments, so assessments should be placed into the client's medical file when they are admitted from the post-anesthesia care unit (pacu).
What are the three assessments should the PACU nurse prioritize?The PACU nurse first assesses the patient's airway, respiratory and circulatory conditions before concentrating on a more thorough evaluation.
How frequently is BP measured in PACU?The majority of national anesthesiology societies have advise sedated patients undergoing surgical operations to have their blood pressure checked at least once in every five minutes. Oscillometric cuffs are typically used to non-invasively monitor blood pressure.
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a home health nurse is orienting a newly licensed nurse who is drawing blood from a client for laboratory testing and gets stuck by a used needle. which of the folowing statements by the newly licensed nurse indicates a need for further teaching?
The following statements by the newly licensed nurse indicates a need for further teaching:
"the client will be tested for hepatitis A virus"
What is a home health nurse?
A home health nurse is a registered nurse (RN) who provides health care services to individuals in their own home or living environment. Home health nurses provide patient care, education, and support for patients and their families. Home health nurses also provide care for people with chronic illnesses or disabilities, and may assist with medications, wound care, physical therapy, and other medical tasks.
What is Hepatitis virus?
Hepatitis virus is a type of virus that can cause liver inflammation and damage. It can be caused by several different viruses, including hepatitis A, B, C, D, and E. Symptoms of hepatitis virus infection can include jaundice, fatigue, loss of appetite, abdominal pain, and dark urine. Treatment usually involves rest, fluids, and medications to help manage symptoms. Vaccines are available to protect against hepatitis A and B.
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the nurse is caring for a client who reports insomnia. the client has recently moved from an area near a fire station in the inner city to the country. which recommendation will the nurse make to facilitate sleep?
The recommendation that the nurse should make is to find a phone app that plays sounds of the city.
What is insomnia?Insomnia is defined as the sleep disorder that occurs when an individual finds it difficult to fall asleep and to remain asleep for at least eight hours or more.
The clinical manifestations found in individuals with insomnia include the following:
Difficulty falling asleep at nightWaking up during the nightWaking up too earlyNot feeling well-rested after a night's sleepDaytime tiredness or sleepinessIrritability, depression or anxietyDifficulty paying attention, focusing on tasks or rememberingIncreased errors or accidentsOngoing worries about sleep.The main causes of insomnia include the following:
Excessive stress,Inadequate work or travel schedule,poor sleep habits andmental disorders.The nurse intervention for patients with insomnia should include relaxing activities such as warm bath, calm music, reading a book, and relaxation exercises before bedtime.
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the nurse is assessing a client with a history of marijuana use. which long-term effects are associated with marijuana? select all that apply. one, some, or all responses may be correct.
Marijuana use over the long term has been linked to lung cancer.
What kind of job are nurses expected to do?Registered nurses (RNs) supervise and carry out medical treatments in addition to giving patients' relatives emotional support and educating the general public about various health concerns. In a variety of contexts, the majority of registered nurses work in conjunction with doctors and other medical professionals.
Would a nurse be capable of filling the position?They are in charge of several post-operative surgical therapeutic duties. Numerous surgical nursing professionals choose to specialize in cardiac, pediatric, or obstetric surgery.
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which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the hospital incident command system (hics)? select all that apply. one, some, or all responses may be correct.
Rapidly evaluating each person who comes to the hospital.
What is the purpose of Hospital Incident Command System?
HICS is an incident management system built on the Incident Command System (ICS) concepts that aids hospitals and healthcare organizations in enhancing their emergency planning, response, and recovery capabilities for both planned and unforeseen incidents. HICS adheres to the principles of both ICS and the National Incident Management System (NIMS).
Hospital doctors, nurses, and administrators, as well as anyone with a reaction role during a crisis, will continue to be the main beneficiaries of HICS. The information on this website will be helpful for understanding healthcare response issues as well as incident command practices and tools used during various events with health impacts. Community partners with whom hospitals work in partnership (such as public safety, local health departments, emergency management, etc.) as well as emergency management students will find the information on this website useful.
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the nurse in the clinic is completing an assessment on a client who has been prescribed digoxin for congestive heart failure. which data indicates the medication has been effective?
Digoxin is prescribed to treat heart failure and irregular heartbeats (arrhythmias). It improves cardiac performance and aids in heart rate regulation.
Which assessment results might point to the client's exposure to digitalis toxicity?Vision impairment, nausea, and dizziness are symptoms of poisoning (such as seeing green and yellow halos). Digoxin poisoning may be more likely in those with low potassium levels. If a patient with digoxin toxicity is not treated right away, severe bradycardia and even death may result.
Which findings support the theory that the patient has left-sided heart failure?Shortness of breath during sleep is one symptom of left-sided heart failure. breathing difficulties during exercising or when lying down. persistent wheeze or coughing
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