The nurse should perform further assessment which include observation for an asymmetrical Moro (startle) reflex. Thus, the correct option is B.
What is Crepitus?
Crepitus is a common sign of bone fracture which can be heard when the fractured surfaces of two or more broken bones rub together. It can also be observed when there is a severe jaw fracture in the client, a person might also experience very limited ability to move the jaw or will be unable to move it at all.
Crepitus is a curable condition. The first line of treatment includes rest, ice, compression, and elevation. Anti-inflammatory medication and physical exercises that can also relieve it. Splinting, surgery, or both may be necessary if none of these works.
Therefore, the correct option is B.
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The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform?
A. Elicit a positive scarf sign on the affected side.
B. Observe for an asymmetrical Moro (startle) reflex.
C. Watch for swelling of fingers on the affected side.
D. Note paralysis of affected extremity and muscles
which of the following persons is in a state of positive energy balance? multiple choice an 89-year-old man who spends most of his day in a wheelchair or bed. a 29-year old woman who has maintained her weight for six months. a 22-year old man who consumes 1900 kcal/day and is losing weight. a 25-year-old woman who is in her 6th month of pregnancy.
The persons who is in a state of positive energy balance is a 29-year old woman who has maintained her weight for six months.
Energy balance is outlined because the state achieved once the energy intake equals energy expenditure. this idea could also be wont to demonstrate however bodyweight can modification over time in response to changes in energy intake and expenditure. once the body is in energy balance, bodyweight is stable.
When a person is in energy balance , energy intake equals energy expenditure, and weight ought to stay stable. Positive energy balance happens once energy intake is larger than energy expenditure, sometimes leading to weight gain.
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when administering ferrous sulfate to a patient, the nurse plans to give this medication with what fluid to increase absorption of the iron?
The absorption of iron can be enhanced when it is given with ascorbic acid (vitamin C), which is present in orange juice.
What is the purpose of ferrous sulfate?As treat or prevent iron deficiency anemia, a drug called ferrous sulfate—sometimes written sulphate—is taken is administered.The body uses iron to strengthen its red blood cells, that carry oxygen throughout the body.Your iron supply may become too low as a result of blood loss, pregnancy, and consuming insufficient amounts of iron.
What negative impacts does ferrous sulfate have?The stomach discomfort that some people feel, which can vary from heartburn to nausea and vomiting, can be avoided or at least lessened by taking ferrous sulfate with food.Also common are black or green stools or constipation.
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a client with chronic kidney disease (ckd) selects a scrambled egg for his breakfast. which action should the nurse take?
Answer: A. Commend the client for selecting a high protein biologic value protein
Explanation: Hope this was helpful
a client asks the nurse if a cervical cap is better than a diaphragm for contraception. what should the nurse explain is the advantage of a cervical cap?
The cervical cap can be left in place longer since it is smaller than the diaphragm. The diaphragm can be utilised for 30 hours and the cervical cap for up to 72 hours.
What distinguishes a diaphragm from a cervical cap?Because both a diaphragm and a cervical cap function to protect your cervix and prevent pregnancy, it can be challenging to distinguish between them.
Cervical caps, however, differ from diaphragms in size and form. Cervical caps resemble a sailor's hat, whereas diaphragms have a bowl-like form.
A little plastic dome known as the cervical cap fits snugly over the cervix and is held in place by suction.
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the nursing education coordinator is creating employee orientation materials for staff nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood. what information should the educator include regarding the clinic's client population? (select all that apply.)
Information the educator include regarding the clinic's client population are
(a) Basic physiologic needs of this population are often unmet
(b) Clients who are homebound will qualify for Medicaid
(c) Nonadherence to healthcare recommendations is likely
What is nurse responsibility ?In order to maximise patients' comfort and families' comprehension and adaptation, nurses are responsible for identifying patients' symptoms, taking actions to administer medications within the bounds of their scope of practice, offering other measures for symptom relief.
Nurses tend to patients' injuries, administer medications, perform diagnostic tests, operate medical equipment, draw blood, perform frequent physical examinations, record thorough medical histories, monitor blood pressure and heart rate, and admit and discharge patients in accordance with doctor's orders.
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a full term infant is transferred to the nursery from labor and delivery. which information is most important for the nurse to receive when planning immediate care for the newborn?
The baby's current condition (i.e., the Apgar scores at 1 and 5 minutes) and any therapy or resuscitation that was recommended will most likely determine whether or not they need immediate care.
What kind of job are nurses expected to do?Registered nurses (RNs) oversee and carry out medical procedures, educate the public about different health conditions, and offer patients and their families emotional support. In a number of contexts, the majority of registered nurses work in conjunction with physicians and other healthcare professionals.
Can a nurse carry out the job?They are responsible for a number of post-operative surgical therapeutic duties. Many surgical nursing professionals choose to focus on that particular area whether it comes to obstetrics, pediatric surgery, or cardiac surgery.
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the nurse is preparing to give an enema to a laboring client. which client would require the most caution when carrying out this procedure?
The client that requires the most caution is ; A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged.
What is the reason behind it ?The reason is : The presenting portion floats out of the pelvis when it is ballotable. In such a case, the chord may descend prior to the fetus, leading to a prolapsed cord, an emergency circumstance.
What is enema ?Enemas are fluid injections used to clear your bowels or to encourage it to empty. Constipation and other comparable conditions have been treated with this treatment for many years. Stool movement is slowed down by constipation, a serious ailment. Additionally, it makes stools hard and challenging to pass.
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1. which procedure would require a patient to wear a provisional prosthesis for a longer period of time than is typical?
The procedure would require a patient to wear a provisional prosthesis for a longer period of time than is typical implant or periodontal therapy.
What is periodontal therapy?For the treatment of gum related disease the periodontal therapy is a conservative(non-surgical) type treatment.
It generally takes 2-4 weeks to cure after periodontal therapy.Removal of tartar and scaling is done during the periodontal therapy.Prosthesis:To replace the missing body part a device is invented i.e. known as prosthesis.
Implant:By the means of surgery fitting or fixing some tissue or artificial body part in the human body is termed as Implant.
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a 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back, and abdomen. what action should the nurse implement?
A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back, and abdomen therefore the action which the nurse should implement is to document the finding in the infant's record.
Who is a Nurse?This is referred as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieve in other to prevent different forms of complications.
A nurse also helps in the documentation process in the healthcare system and it is usually based on different types of observations and symptoms so as to ensure that the other professionasl such as the Doctor are able to trest them.
This is therefore the reason why documenting the finding in the infant's record is the most approrpiate thing to do in this type of scenario.
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which recommendation will the nurse include when teaching an older patient about self-management during bathing
Use deodorant soap, and then completely rinse the soap off the skin. every other day, take a full bath. Before taking a bath, add oil to the water.
Wet the skin of the patient before applying a tiny amount of soap gently. Make sure the patient is comfortable with the warmth and that you are not rubbing too vigorously. Make care to thoroughly rinse off the soap before patting the area dry, being sure to get into the skin folds and crevices.
What do you consider to be the guiding principles of wound care?
This include managing and preventing infection, cleaning the wound, removing dead tissue, preserving moisture balance, reducing odour, safeguarding the wound and surrounding area, and reducing or eliminating discomfort.
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a health care provider prescribed fluticasone for a client with a severe case of allergic rhinitis. the client took a first dose on february 2. what is the latest date by which the drug will be fully effective?
Fluticasone was prescribed by a doctor for a patient who had a severe case of allergic rhinitis. The patient took their first dose on February 2, and the medication won't start working its full effect until at least February 15.
What is allergic rhinitis and what is the cure of it?An allergen, including such pollen, dust, mold, and skin flakes from specific animals, causes allergic rhinitis, an inflammation of the interior of the nose. It is a relatively prevalent illness, affecting an estimated one in five persons in the UK.
Other sorts of drugs may also be suggested by your doctor for therapy. A surgical cure for allergic rhinitis does not exist. However, there may be surgical alternatives to assist in enhancing nasal airflow.
How do I stop allergic rhinitis and what are the triggers of rhinitis?Antihistamines & nasal sprays can help with the symptoms of allergic rhinitis despite the lack of known cure. One method of treatment with the potential to provide long-term relief is immunotherapy. By taking certain precautions, allergens can be avoided.
Rhinitis is a reaction that affects the eyes, nose, & throat that results from the body's release of histamine in response to airborne allergens. Some of the most frequent causes of rhinitis include pollen, dust mites, mold, cockroaches feces, animal dander, odors and odours, hormonal changes, and smoke.
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A common radiologic diagnostic manifestation of fibrotic restrictive disease is the appearance of.
A common radiologic diagnostic manifestation of fibrotic restrictive disease is appearance of a : honeycomb lung.
How does fibrotic restrictive illness manifest itself?Restrictive lung conditions prevent the lungs from fully expanding, which reduces the amount of air that can be inhaled. This phrase refers to a number of chronic illnesses, including lung fibrosis and numerous neuromuscular problems.
Asbestosis, sarcoidosis, and pulmonary fibrosis are a few types of restrictive lung disorders. Lung cancer risk is increased if you have chronic pulmonary fibrosis. When a lung disorder is the source of restrictive lung disease, it is difficult to cure and finally lethal. The most important factor affecting life expectancy is the severity of the condition.
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a client is admitted with the diagnosis of total placenta previa. which finding is most important for the nurse to report to the healthcare provider immediately?
After 20 weeks, painless vaginal bleeding is the most significant sign of placenta previa.
During the pitocin infusion, which side effect should the nurse keep an eye out for?The medicine should be administered with consideration for the potential for increased blood loss and afibrinogenemia. A 24-hour period of gradual oxytocin infusion has been linked to severe water intoxication, convulsions, and coma.
During the fourth stage of labor, which nursing intervention is most important?Identification and prevention of hemorrhage during the fourth stage of childbirth are top nursing priorities. 24. The nurse tending to a patient who is unsure of whether she is actually in labor will try to promote cervical effacement and intensify contractions in the patient by: a.
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when plotting a 20-week-old infant's weight on a standardized growth chart, the nurse determines that the child's weight is between the 2nd and 3rd percentile. based on this finding, which action should the nurse take?
Compare this weight to earlier weights listed in the child's file.
What sort of work does a nurse do?Registered nurses (RNs) deliver and organize patient care, inform the public about various health issues, and offer counsel and emotional support to patients and their families. In a variety of situations, the majority of registered nurses collaborate in teams alongside doctors and other healthcare professionals.
Can a nurse perform surgery?They are in charge of several aspects of surgical post-operative treatment. Many surgical nursing professionals decide to specialize in a particular field, such as obstetrics, pediatric surgery, or heart surgery.
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an adolescent describes a dysfunctional home life to the nurse and reports smoking marijuana to help cope with the situation. how will the nurse identify this form of coping?
The nurse will identify the form of coping as maladaptive.
Maladaptive is a form of coping strategy. It's the behaviors that stop someone from adapting to new or difficult circumstances. If it goes on, it can become a self-destructive pattern.
Some examples of maladaptive behaviors include:
Avoidance, where the person is avoiding unpleasantness.Withdrawing from social interaction.Passive-aggressive attitude.Self-harm.Uncontrolled anger problems.Substance use.In the case above, the adolescent seems to do the avoidance behavior, where they avoid the unpleasant and stressful situation of a dysfunctional home life using marijuana.
Maladaptive behavior can be treated with several ways, such as meditation, therapies, counseling, and relaxation techniques.
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an older adult admitted to a long-term care facility is diagnosed with type 2 diabetes and coronary artery disease. the client takes glipizide and isosorbide mononitrate. the medical history states that the client drank 8 ounces (240 ml) of whiskey per day for many years. which action should be a priority for the admitting nurse?
Assess for hypoglycemia and hypotension.
What is hypoglycemia?
Hypoglycemia is a condition in which your blood sugar (glucose) level is lower than normal. Malnutrition and famine can cause hypoglycemia because when you don't eat enough, your body uses up the glycogen stores it requires to produce glucose. One condition that can result in hypoglycemia and long-term malnutrition is an eating disorder termed anorexia nervosa. Lip tingling is one of the signs of hypoglycemia. feeling unsteady or shaking palpitations, an accelerated or hammering heartbeat, and an increase in irritability, emotion, anxiety, or moodiness. Although hypoglycemia may be prevented, it is a very serious condition. In the event of severe hypoglycemia, prompt action is required. If not, it might result in death.
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propylthiouracil is prescribed for a client with hyperthyroidism. the nurse provides instructions to the client regarding the medication and informs the client to notify the primary health care provider (pcp) is which sign or symptom occurs?
The most common side effects of propylthiouracil include fatigue, muscle aches, joint pain, headache, rash, nausea, vomiting, diarrhea, dizziness, and loss of appetite.
What is Propylthiouracil?
Propylthiouracil (PTU) is a medication used to treat hyperthyroidism, an overactive thyroid gland. It works by preventing the thyroid gland from making thyroid hormones. It is also sometimes used to treat Graves' disease, an autoimmune disorder that can cause an overactive thyroid.
What is Hyperthyroidism?
Hyperthyroidism is a condition in which the thyroid gland produces too much of the hormone thyroxine. Symptoms of hyperthyroidism include weight loss, increased appetite, increased sweating, and nervousness. In more severe cases, hyperthyroidism can cause palpitations, tremors, and heat intolerance. Treatment for hyperthyroidism usually involves a combination of medication and lifestyle changes.
If any of these symptoms occur, the client should contact their primary health care provider.
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most studies of health care systems have determined that health care spending is not correlated with which factor?
a pediatric nurse is assessing a newborn diagnosed with persistent patency of the ductus arteriosus. which assessment findings are associated with this heart defect? select all that apply.
A murmur is heard at the second intercostals space, during systole and diastole both.
What is persistent patency?
Persistent patent ductus arteriosus or PDA is an opening that is persistent between two major blood vessels leading from the heart. The ductus arteriosus is a normal part of the circulatory system of a baby in the womb that closes shortly after birth usually. It's called a patent ductus arteriosus if it remains open.
A small PDA doesn’t often cause problems and might even not need treatment. A large PDA left untreated, however, may let poorly oxygenated blood to flow in the wrong direction, which in turn weakens the heart muscles, thereby causing heart failure and other complications.
Treatments for PDA are medications, monitoring, and closure by cardiac catheterization or even surgery.
Therefore, a murmur is heard at the second intercostals space, during systole and diastole both.
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a middle-aged man has presented for care to a nurse practitioner because his seasonal allergies are detracting from his quality of life. what should the nurse teach this patient about allergic rhinitis?
Regarding allergic rhinitis the nurse must tell him that Immunotherapy may have the potential to provide long-term relief from symptoms.
What is allergic rhinitis ?An allergic reaction to an allergen, such as pollen, dust, or specific animals, is what causes allergic rhinitis.
Rhinitis frequently subsides on its own. For many people, it goes away on its own within a few days. In some people, particularly those who have allergies, rhinitis can be a persistent issue. When something is chronic, it nearly always exists or recurs frequently.
The percutaneous skin test and the allergy-specific immunoglobulin E (IgE) antibody test are the two most often used diagnostic procedures for allergic rhinitis.
Although there is no known treatment for allergic rhinitis, the symptoms can be alleviated with the help of antihistamines and nasal sprays. Immunotherapy is a treatment approach that has the potential to bring about long-term alleviation.
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the type of stress that results from stressful situations that persist over time and produce negative health outcomes is called
Phase of exhaustion. Long-term or persistent stress is what led to this stage. Long-term stress management can exhaust your body's ability to combat stress by depleting its physical, emotional, and mental resources.
Stress is harmful when it interferes with our ability to function, wears down bodily systems, and results in behavioural or medical issues. Distress is the name for this negative tension. Stress causes reactivity, fuzziness, lack of focus, and performance anxiety, which typically leads to subpar performance.
Chronic stress is described as stress that lasts for several hours each day for weeks or months. Short-term stress is defined as tension that lasts for a period of minutes to hours.
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a nurse is applying a vaginal cream to a client with a fungal infection. which guideline is recommended for this application?
This may cause the medicine to not work as well. Do not use latex (rubber) contraceptive products such as condoms, diaphragms, or cervical caps for 72 hours after stopping treatment with vaginal clindamycin cream. The cream contains oils that weaken or harm the latex products, causing them to not work properly to prevent pregnancy.
A vaginal yeast infection is a fungal infection that causes irritation, discharge and intense itchiness of the vagina and the vulva — the tissues at the vaginal opening.
Also called vaginal candidiasis, vaginal yeast infection affects up to 3 out of 4 women at some point in their lifetimes. Many women experience at least two episodes.
A vaginal yeast infection isn't considered a sexually transmitted infection. But there's an increased risk of vaginal yeast infection at the time of first regular sexual activity. There's also some evidence that infections may be linked to mouth to genital contact (oral-genital sex).
Medications can effectively treat vaginal yeast infections. If you have recurrent yeast infections — four or more within a year — you may need a longer treatment course and a maintenance plan.
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the nurse is caring for a newborn who is large-for-gestational-age (lga). which characteristics are documented as a contributing factor? select all that apply.
In order to reduce the risk of LGA babies, the nurse should recognise maternal prenatal fat. Fetal oestrogen exposure is one of the additional risk factors for the development of LGA infants.
Which maternal characteristics ought the nurse to take into account as a contributing element in a newborn's large for gestational age?A big baby may be a sign that the mother has diabetes (gestational or pre-gestational), or that she may develop it in the future. Not correctly diagnosing it as being at a later gestational age is crucial.
What is the most typical cause of a baby being small for gestational age (SGA)?Most SGA babies are small due to foetal growth issues that arise during pregnancy, although some babies are small due to genetics (their parents are small). A disease known as intrauterine growth restriction affects many infants with SGA (IUGR).
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quizlet cpco which one of the following federal regulations is not pertinent to billing companies? a. safe harbor rules b. patient protection and affordable care act c. health insurance portability and accountability act d. false claims act
The "safe harbor" regulations describe various payment and business practices that, while potentially infringing on the Federal anti-kickback statute, are not considered offenses under the statute.
The Code of Federal Rules (CFR) is the codification of general and permanent regulations made by the executive departments and agencies of the United States federal government. The CFR is organized into 50 titles that reflect large sectors regulated by the federal government.
The Office of the Federal Register (part of the National Archives and Records Administration) and the Government Publishing Office publish the CFR annual edition as a special issue of the Federal Register.
The CFR is also published online on the Electronic CFR (eCFR) website, which is updated daily, in addition to the annual edition.
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the nurse reviews the record of a child who is suspected of having glomerulonephritis and expects to note which finding that is associated with this diagnosis?
the nurse reviews the record of a child who is suspected of having glomerulonephritis and expects to note Brown-colored urine that is associated with this diagnosis.
Glomerulonephritis is a term used to describe a category of kidney diseases that are characterized by inflammatory injury to the glomerulus. A typical sign of glomerulonephritis is gross hematuria, which produces urine that is black, smoky, cola-colored, or brown-colored urine . Additionally typical is hypertension. Possible elevation of blood urea nitrogen levels. Glomerulonephritis is characterized by a mildly to severely increased urine specific gravity. Urine can turn dark brown as a result of various liver, kidney, and uti infections. Excessive exercise. Extreme exercise-induced muscle damage can lead to kidney impairment, pink or cola-colored urine or brown-colored urine, and muscle injury.
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a client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for acute coronary syndrome (acs). which cardiac biomarker should the registered nurse (rn) anticipate to be elevated if the client experienced myocardial damage?
serum troponin is the most sensitive and specific test for myocardial damage.
In muscle tissue, troponin is located in the groove between actin filaments and is connected to the protein tropomyosin. Tropomyosin obstructs the myosin cross bridge's attachment site in a relaxed muscle, limiting contraction. An action potential causes calcium channels in the sarcoplasmic membrane to open, releasing calcium into the sarcoplasm and causing the muscle cell to contract. A portion of this calcium binds to troponin, changing its shape and revealing myosin binding sites (active sites) on the actin filaments. When myosin binds to actin, a crossbridge forms, signaling the start of muscle contraction.
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a nurse is caring for a client prescribed omeprazole. what information should the nurse provide to the client regarding administration of this medication?
Information that nurse should provide to the client regarding administration of omeprazole: take medication in the morning before breakfast and take omeprazole once a day prior to eating in the morning.
What is omeprazole?Omeprazole is a medicine taken to treat heartburn and indigestion. Taking omeprazole for more than a year may increase chances of side effects such as bone fractures and gut infections.
Omeprazole is taken once a day and also first thing in the morning. It does not affect stomach, so you can take it with or without food. If you are taking omeprazole twice a day, then take 1 dose in the morning and 1 in the evening. Swallow the tablets and capsules with a drink of water.
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why might it be a bad idea to say that the risk of death associated with an effective treatment for disorder x quadruples if a patient also has disorder y?
The patient features, acute complications, comorbidities, or medications were among the risk factors for death that were investigated.
What causes the death rate to rise?Between 1990 and 2017, and over 1.3 million deaths among people of working age (25 to 64 years) were caused by drugs and alcohol combined, or around 8% of all deaths.These drug-related fatalities were a significant factor in the rise in having to work mortality, and they're now occurring today.
What does epidemiology mean by a risk factor?anything that raises the risk of contracting an illness.Aged, a family history of specific cancers, cigarette use, radiation exposure, chemical exposure, infection with specific viruses and bacteria, and genetic alterations are a few kinds for risk factors for cancer.
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during a shift, a new nurse spent five hours of her time observing procedures, three hours working in oncology department, and four hours doing paperwork. during the next shift, she spent four hours observing procedures, six hours in the oncology department, and two hours doing paperwork. what was the percent change for each task between the two shifts?
The assertion claims that during an shift, a nurse practitioner spent 50% of her time on paperwork, 100% of her time on oncology.
What does a nurse do?From birth till the end of life, caregivers are present in every community, big and small. Nurses do a variety of duties, from providing direct patient care and managing cases to setting nursing practice standards, creating quality control procedures, and managing intricate nursing care systems.
Briefing:Observation period: 5 to 4 hours
= 1 hrs.
=1/5 x 100 = 20%
Oncology hours: 3 hrs - 6 hrs
=3 hrs.
= 3/3 x 100 = 100%
Paperwork hours: 4 hrs - 2 hrs
= 2 hrs.
= 2/4 x 100 = 50%
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. a patient who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. her mother describes her as shy and having few friends. which would be an appropriate nursing diagnosis for this patient?
Impaired social interaction related to unfamiliar environment as evidenced by isolation and not talking with peers
People with schizoid personality disorder, avoid social situations and avoid interacting with others. Additionally, their capacity for expressing emotion is constrained.
Symptoms include preferring solitude and preferring to engage in activities alone; avoiding close relationships; feeling little to no desire for sexual relationships; feeling as though pleasure is beyond your reach; having trouble expressing emotions and appropriately responding to situations; and appearing humorless, indifferent, or emotionally cold to others. May come out as unmotivated and without ambitions. Doesn't respond to compliments or criticism from others
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