The red guy syndrome. This syndrome has caused cardiovascular collapse, with the client's face and upper trunk turning bright red.
Which of the following happens when vancomycin is administered too quickly?Injecting vancomycin too quickly might have unwanted effects, one of which is an allergic reaction known as "red man syndrome." When younger individuals take intravenous vancomycin, this allergic reaction is the most typical.
Why is intravenous vancomycin administration necessary?To treat systemic infections, the medication must first be broken down in the stomach and intestines due to its poor oral bioavailability. Vancomycin is therefore administered intravenously (IV) for systemic infections to improve efficacy.
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a client is receiving the cell cycle–nonspecific alkylating agent thiotepa (thioplex), 60 mg weekly for 4 weeks by bladder instillation as part of chemotherapy regimen to treat bladder cancer. the client asks the nurse how the drug works. how does thiotepa exert its therapeutic effects?
The thiotepa interferes with DNA replication and RNA transcription.
What is DNA replication and RNA transcription?The creation of a fresh copy of DNA in a cell occurs during both DNA Replication and Transcription. DNA replication creates a second copy of the DNA, whereas DNA transcription converts the DNA into RNA. The creation of fresh nucleic acids, such as DNA or RNA, involves both processes.
First, transcription is the process by which two strands of DNA are combined to create a single identical DNA, as opposed to replication, which involves duplicating two strands of DNA. Second, different proteins are involved in transcription and replication.
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an infant is brought to the emergency department with poor skin turgor, weight loss, lethargy, and tachycardia. this is suggestive of: group of answer choices dehydration calcium excess overhydration sodium excess
These medical symptoms point to dehydration.
When a baby or toddler loses so much bodily fluid that they are unable to sustain normal function, dehydration sets in. Rapid breathing, dry skin, tongue, and lips, a decrease in wet diapers, and tearless weeping are some of the warning indications.
When you don't drink enough water or lose more than you take in, you get dehydrated. Sweat, tears, vomiting, urination, and diarrhea all cause fluid loss. Climate, degree of physical activity, food, and other variables can all affect how severe dehydration is.
Infants that are dehydrated may exhibit the following symptoms:
A dry or sticky mouth Little to no tears while weeping,eyes that appear sunken in Infants ,a sunken-looking soft region on top of the head (the fontanelle), less or fewer wet diapers than usual.crankiness.dizziness or fatigue.To learn more about dehydration click here,
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a nurse is preparing to conduct a neurological physical assessment of a neonate, including an evaluation of the major congenital reflexes. which reflexes would the nurse assess? select all that apply.
The infant will often react by seeming shocked. With their palms facing up and their thumbs extended, the baby's arms should travel sideways. The infant could scream for a minute.
The newborn brings its arms back to the body when the reflex expires.
What type of action would the nurse describe as the Moro reflex response?The Moro reflex, often referred to as the startle reflex, typically happens when an infant is shocked by a loud sound, quick movement, or bright light.
The infant immediately elevates its arms and legs, curls them back into its body in reaction to the trigger, and throws its head back.
A bigger vein is likely to be seen when the nurse examines the umbilical cord's veins.
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the nurse enters a postoperative client's room and finds that the client is bleeding profusely from the surgical incision. what would be the nurse's most appropriate initial response?
The nurse should apply pressure to the surgical site to decrease bleeding.
What are the things which a nurse should do after surfgical incision?The nurse must be equipped to handle client needs that pose a threat to their lives. Having much bleeding can be fatal. The life-threatening condition must be taken care of before determining the reason of the client's bleeding, evaluating the vital signs, and alerting the healthcare provider. (less)
A thorough report of the patient's condition must be given to the receiving nurse on the unit as well as the patient's family.
Nursing interventions include monitoring vital signs, airway patency, and neurologic status; managing pain; evaluating the surgical site; assessing and maintaining fluid and electrolyte balance; and assessing and managing the surgical site.
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what is meant by the term etiology?likely future path of an illnessthe different symptoms of a given condition the cause of a disorder frequency with which a given illness occurs
The term etiology refers to the cause of a disorder and is therefore denoted as option C.
What is a Disease?This is a term which is referred to as an abnormal condition that affects the structure or function of all or part of an organism in a negative manner and is usually caused by pathogenic micro organisms such as bacteria, virus etc.
Etiology deals with the cause of a disease or disorder and it is important to note that one disease entity can have more than one etiology and also one etiology can lead to more than one disease.
The cause of the disorder are usually as a result of different and series of chemical or cellular steps or activities in the organism and involves the process of diagnosing a disorder and is therefore the reason why it was chosen as the correct choice.
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Which instructions should the nurse give to a female client who just recieved a prescription for oral metronidazole (flagyl) for treatment of trichomonas vaginalis (select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time
the nurse on the vascular unit is preparing to administer medications to clients on a medical unit. which medication should the nurse question administering?
The nurse should question administering, Vitamin K (AquaMephyton), a vitamin, to a client with an International Normal Ratio (INR) of 2.8
What is AquaMephyton?
AquaMEPHYTON injection is a yellow, sterile, aqueous colloidal solution of vitamin K1, with pH of 5.0 to 7.0, available for injection by intravenous, intramuscular, and subcutaneous routes.
What is International Normal Ratio?
The international normalised ratio (INR) is laboratory measurement of how long it takes blood to form a clot.
It is used to determine effects of oral anticoagulants on the clotting systemIn healthy people an INR of 1.1 or below is considered to be normal. An INR range of 2.0 to 3.0 is generally effective therapeutic range for people taking warfarin for certain disorders. These disorders include atrial fibrillation or blood clot in the leg or lung.learn more about International Normal Ratio at
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The nurse should question administering, Vitamin K (AquaMephyton), a vitamin, to a client with an International Normal Ratio (INR) of 2.8
What is AquaMephyton?
AquaMEPHYTON injection is a yellow, sterile, aqueous colloidal solution of vitamin K1, with pH of 5.0 to 7.0, available for injection by intravenous, intramuscular, and subcutaneous routes.
What is International Normal Ratio?
The international normalised ratio (INR) is laboratory measurement of how long it takes blood to form a clot.
It is used to determine effects of oral anticoagulants on the clotting system
In healthy people an INR of 1.1 or below is considered to be normal.
An INR range of 2.0 to 3.0 is generally effective therapeutic range for people taking warfarin for certain disorders.
These disorders include atrial fibrillation or blood clot in the leg or lung.
the nurse is caring for a client with visual impairment who has been prescribed two different types of eye drops. which nursing intervention will best assist the client in differentiating between the bottles of drops?
The nurse should write the names of medication on the bottle to prevent any mistake.
How do eye drops helps the visually impaired?Remember that the pupil shrinks and the lens changes shape in order for the eye to focus on close objects.
These eye drops work to make up for the lens's limited capacity to alter shape due to presbyopia by shrinking the pupil.
It's possible to have eye stinging or redness, dilated pupils, or vision blur. Inform your doctor or pharmacist as soon as possible if any of these side effects persist or get worse.
If your doctor has prescribed this medicine for you, keep in mind that he or she has determined that the benefit to you outweighs the risk of side effects.
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a client presents to the emergency department following a motor vehicle accident. during the primary survey, the nurse found asymmetric chest wall movement and absent breath sounds on the left side. what should be the priority action by the nurse?
The list includes symptoms including hunger, nauseousness, weariness, shivering, and pale, cold, or dry skin.
Is nursing a difficult field?You're on the right track to a successful career that will be challenging, interesting, and gratifying. Yet nursing school is renowned for being challenging. The majority of nursing programs need strong GPAs and exceptional marks in difficult courses like arithmetic, chemistry, biology, and psychology. Additionally, it is quite gratifying.
What should a nursing student in their first year know?Learn a range of abilities, such as how to tilt and move a bed, use a sliding sheets, roll a patient into bed, help a person out of bed, and use a hoist and stand assistance. Practice utilizing various pieces of equipment to take one another's temperature, pulse, respiration, and blood pressure.
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a client with systemic lupus erythematosus is prescribed belimumab. for which reason will the nurse question giving the client this medication?
The nurse is caring for a patient with systemic lupus erythematosus who is having a flare-up of the condition.
Increased temperature is a classic sign for exacerbation. A patient with systemic lupus erythematosus is prescribed a new drug, belimumab.Immunity is the concept the nurse use to emphasize important teaching points about this medicationEssential recommendations for nurse to include are:
A. Eat foods high in vitamin C
B. Take your temperature daily
C. Balance periods of rest and activity
What is systemic lupus erythematosus?
It is a chronic disease that causes inflammation in connective tissues, such as cartilage and the lining of blood vessels, which provide strength and flexibility to structures throughout the body
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a nurse is learning about religious dietary restrictions at a nursing conference. which religious meal selection should the nurse understand is appropriate?
Answer:
the correct answer is Hindus: vegetable plate
after observing the client, which instruction by the nurse is most important for client teaching? (select all that apply.)
Give yourself at least 5 min in between each medication. One should consider waiting five minutes before ingesting a second drug.
What does drug mean in the simplest terms?Any chemical (apart from sustenance) that is administered to treat, prevent, or relieve the symptoms of an illness or other abnormal state is referred to as a drug. Drugs may alter mood, consciousness, thought, feelings, or behavior in addition to having an impact upon the way the brain and the remainder of the body function.
Examples of medications are they?Chemical chemicals known as drugs can alter how your brain and body function. They consist of alcohol, cigarettes, illegal drugs, prescription drugs, over-the-counter pharmaceuticals, and over-the-counter medications.
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the nurse is teaching a client about carcinogens. what carcinogens does the nurse include in the teaching? select all that apply.
chemicals, the environment, foodstuffs, infections, genetic flaws, and treatments like hormone replacement therapy that are recommended by doctors.
Is training to be a doctor or a nurse preferable?Making a Decision About Medical School. Nursing may be the greatest career choice for you but if you values starting sooner, possessing a broad range of employment prospects, and building important patient connections. Doctors and nurses have quite different educational requirements and job duties.
Why do I want to become a nurse or doctor?The potential to assist individuals in need exists for operating room nurses. In this role, you can offer patients who might be anxious about their operations emotional assistance and comfort. You may also instruct them on the process and assist them in developing compassion.
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a nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent immigrants from africa. what problem should the nurse address first?
Nurse organizes a community action group to help resolve health problems in low income neighborhood with a large population of recent immigrants from Africa. Nurse should address first: Low immunization rate of children.
What problems should be addressed to resolve health issues?In the early phase of a community group, it is important to experience success in resolving a problem so that they feel encouraged and empowered to continue working. Low immunization rate of children is the first thing that should be addressed and is also easiest to tackle.
High rate of unemployment and provision of substandard health care are important but they are complex problems to address.
Access to bilingual care providers is important particularly with Hispanic immigrant populations.
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the nurse at the mental health center is working with an adolescent with depression. the client has begun to display social withdrawal and oppositional behavior. what would this change indicate to the nurse?
Parental attention to a child's maladaptive habits might lead to behavior problems.
What is the true meaning of depression?The prolonged sense like severe despondency and dejection are symptoms of depression, a mood illness. Clinical depression, also known as major depressive disorder, affects how you feel, think, and behave and can cause a number of emotional and physical issues.
What is the main reason of depression?Depression can have several different causes. It has numerous triggers and a wide range of potential causes. An traumatic or stressful life event, such as a loss in the family, a divorce, a sickness, a layoff, or worries about one's career or finances, may be the culprit for some people. Depression frequently results from a combination of many reasons.
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the nurse is caring for a client who is taking tetracycline for rocky mountain spotted fever. the nurse notices that the client has developed painful mouth ulcers. the nurse knows that the client has developed what adverse reaction to the medication?
The nurse is aware that the patient has experienced an adverse drug reaction of Stomatitis.
Describe stomatitis.Stomatitis is an inflammatory of the mucosal surface that manifests as ulcers that may be painful and make it difficult to consume liquids. Infection, irritation, trauma, or adverse reactions can result in ulcers, which can appear on the inside lips and cheeks, the gums, or the tongue.
What is the root cause of stomatitis?Numerous variables, some of which may coexist at the same time, might contribute to stomatitis. It frequently results from an injury, an infection, an allergy, or a skin condition. Post to Pinterest Stomatitis can develop if the inside of a cheek or lip is bit.
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a woman comes to the clinic because she has been unable to conceive. when reviewing the woman's history, the nurse would least likely identify which factor as a possible risk?
Answer:
Hormonal factor/ Ovulation factor
Explanation:
This is a major factor highly considered in women who have infertility issues.
an older resident of a long-term care facility is no longer able to perform self-care and is becoming progressively weaker. the resident previously requested that no resuscitative efforts be performed, and the family requests hospice care. what action should the nurse implement first?
The correct option is Notify the healthcare provider of the family's request.
What should be done when a patient's family requests hospice care?
The healthcare practitioner should be the first person the nurse speaks to. Patients with a reduced life expectancy who need hospice care must be identified by the healthcare practitioner. The nurse can work with the hospice team and healthcare practitioner to decide when the patient should be transferred to the hospice facility if the healthcare provider approves the transfer to hospice care.
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a client develops a mild skin irritation while receiving penicillin therapy. which products or actions would the nurse advise the client to avoid? select all that apply
The client is advised by the nurse to refrain from using harsh cleansers, perfumed lotions, rubbing irritated areas, and donning rough or abrasive clothing.
What are some common penicillin adverse effects? Check all that apply.The most frequent oral penicillin side effects include nausea, vomiting, epigastric discomfort, diarrhoea, and a tongue that is dark and hairy. Skin eruptions (ranging from macular to exfoliative dermatitis), urticaria and other symptoms resembling serum sickness, laryngeal edoema, and anaphylaxis are among the hypersensitivity reactions that have been documented.
What can be utilised as a secondary penicillin-sensitive organism?Cephalosporins are used by medical professionals to treat a range of bacterial illnesses, particularly in patients who are allergic to penicillin, another widely used antibiotic.
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a nurse is caring for a 28-week gestation infant. what assessment finding would the nurse determine as being consistent with this gestational age?
A 28-week old baby is being cared after by a nurse. She found that the lanugo appears between 20 and 28 weeks, at which point the face and trunk start to lose it. At birth, every new infant is thoroughly examined.
How old is the pregnancy?From the start day of the woman's most recent menstrual cycle to the present day, it is counted in weeks. A normal gestation period lasts between 38 and 42 weeks. Premature birth means the births that occur before 36-37 weeks.
What is the proper pregnancy sequence?A baby develops over multiple stages, starting as a fertilized egg. The fertilized egg develops into a blastocyst, an embryo, then a fetus.
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a nurse is teaching a client who is allergic to ragweed. what season does the nurse advise the client to expect an increase in symptoms?
Answer:
Ragweed season is at its worse during the Fall, so a patient may expect to experience an increase in symptoms during that time.
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland
Answer:is A because it was tried to stop and help the client to get less, not more or other.
Explanation:
If a client is being treated for hyperthyroidism with propylthiouracil (PTU). then the action of this drug is to A) - decrease the amount of the thyroid-stimulating hormone circulating in the blood and D) - inhibit synthesis of T3 and T4 by the thyroid gland.
Propylthiouracil, also known as 6-n-Propylthiouracil (PROP), is a thioamide drug which is indicated in hyperthyroidism (including Grave's disease). It reduces the amount of thyroid hormone produced by the thyroid gland. Propylthiouracil is used for treating overactive thyroid (hyperthyroidism).
PTU acts by inhibiting the thyroid gland from synthesizing excess thyroid hormone. It is preferred in patients who can not tolerate methimazole and in whom radioactive iodine therapy or surgery are not suitable for the management of hyperthyroidism.
Mechanism of action:
1 ) Central: Propylthiouracil inhibits thyroperoxidase enzyme, which oxidizes the anion iodide to iodine during thyroid hormone synthesis, assisting the addition of iodine to tyrosine residues present on the hormone precursor thyroglobulin. This is one of the major steps in thyroxine (T4) production.
The sodium dependent iodide transporter located on follicular cell's basolateral membranes is not inhibited by propylthiouracil. Competitive inhibitors (like perchlorate and thiocyanate) are required to inhibit this step.
2) Peripheral: Propylthiouracil also inhibits 5'-deiodinase enzyme, which converts T4 into the active T3.
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the preoperative nurse is reviewing the chart of a client whose surgery is scheduled to begin in the next 15 minutes and notices that the consent form is not signed. the nurse contacts the surgeon who states, "we have already reviewed this procedure extensively, so ask the client to sign the consent form and i will verify it in the operating room." which action by the nurse is appropriate?
Keep the patient in the preoperative area and let the surgeon know that it is up to the doctor to secure permission for the procedure.
What about nurses?According to the Merriam- Webster wordbook, nurses are trained in promoting and maintaining health and should work autonomously or under the supervision of a croaker, surgeon, or dentist.From the time of birth to the top of life, nursers are present in every community, big and little.Nurses do a spread of duties, from furnishing direct case care and managing cases to setting nursing practice morals, creating internal control procedures, and managing intricate medical care systems.The maturity of long- term care in the country is handled by nurses, who also structure the largest single group of the sanitarium labor force.The four- time Bachelorette of Science in nursing( BSN) degree is the main route to professional nursing, as opposed to rehearsing at the specialized position.Nursing includes furnishing independent and platoon- rested care to people of all periods, families, groups, and communities, whether or not they're ill or not and anyhow of the position.Health creation, complaint forestallment, and thus the care of the ill, impaired, and dying are all included in nursing.A RN is a good healthcare provider who offers direct case care in a variety of sanitarium and community settings.Learn more about nurses here:
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a nurse observes a new nurse graduate exit a client’s room who has a confirmed diagnosis of clostridium difficile. the newly nurse graduate uses alcohol-bases cleanser to perform hand hygiene and enters another clients room. what action is required as a responsibility of the observing nurse?
Alcohol-based hand sanitizers do not eradicate Clostridium difficile spores, the nurse should wash her hands with soap and water before handling patients.
What is Sanitizer?
Ethanol or isopropyl alcohol/isopropanol (rubbing alcohol), which is at least 60% (v/v) alcohol in water, can be used as an alcohol-based hand sanitizer. is advised by the Centers for Disease Control and Prevention in the United States, Some hand sanitizers are less effective than others because the alcohol content is too low, and people may wrongly wipe off hand sanitizer before it has dried.
What is Clostridium difficile?
A kind of bacterium that is common in the intestines of many people. The normal equilibrium of microorganisms in your body includes Clostridium difficile Additionally, it dwells in the environment, including in water, soil, and animal waste.
Hence, it can be concluded that alcohol-based hand sanitizers do not eradicate Clostridium difficile spores, the nurse should wash her hands with soap and water before handling patients.
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you are assessing a 6-year-old girl with possible pneumonia. she has labored breathing and a fever of 102f. when you are assessing and classifying her respiratory status, which finding would provide the strongest evidence that she is in respiratory failure?
Even in the absence of ARDS, pneumonia in particular has the potential to result in respiratory failure. The Mayo Clinic states that pneumonia can sometimes attack all five lobes of the lungs. It may result in high temperature, coughing, nausea, and/or chest pain.
Is pneumonia kind of respiratory failure?Pulmonary oedema, pneumonia, COPD, asthma, acute respiratory distress syndrome, chronic pulmonary fibrosis, pneumothorax, pulmonary embolism, and pulmonary hypertension are among the conditions that can lead to type 1 respiratory failure.
What causes a child to have a very high fever?The majority of fevers are brought on by diseases or infections. The bacteria and viruses that cause infections have a harder time surviving because of the high body temperature. Fever is frequently brought on by upper respiratory tract diseases (RTIs).
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which intervention is most important for the nurse to include in the client's plan of care to decrease risk of having a myocardial infarction? arrange a follow-up appointment with a healthcare provider. obtain a consult for social worker to provide community resources. call the local pharmacy to identify the antihypertensive that the client was prescribed. identify the client's risk factors for having an acute myocardial infarction.
The correct option is D) Identify the client's risk factors for having an acute myocardial infarction.
What are the risk factors of acute myocardial infarction to be checked?
Checking the airway, breathing, circulation, level of awareness, and cardiac arrhythmia should be the nurse's top priorities while evaluating a patient with a suspected myocardial infarction.
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tom was injured on the job. according to hipaa, which individual or group would have the right to access his protected health information regarding that job injury?
Tom was injured on the job, so an individual or group that would have the right to access his health information regarding that job injury would be the health administrative and occupational officials.
What is the role of the occupational officials?The occupational officials' and the health administrative work is to deal with the injuries related to the occupation or in the job place, and if any employee is injured in the work place, then they take care of the employee along with the expenses.
As a result, the health administrative and occupational officials should have right to access about the job injury.
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A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
A client with hyperlipidemia receives a prescription for niacin which client teaches is most important for the nurse to provide a. expected duration of flushing
A drug called niacin is generally employed to treat hyperlipidemia. But one of most typical niacin side effects is flushing, which is a warm, tingling sensation on the skin that some people find uncomfortable. This flushing, which is brought on by blood vessel dilatation, usually subsides twenty minutes or so after taking medicine.
While flushing is typically a benign side effect, some people may find it uncomfortable. In order for the client to be ready and know what to anticipate, it is crucial that the nurse let them know how long the flushing will last. To lessen the severity and length of flushing, the nurse may also suggest to the patient taking the drug with meal or before bed.
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an older adult resident of a long-term care facility has a 5-year history of hypertension. the client has a headache and rate the pain 5 on a pain scale 0 to 10. the client's blood pressure is currently 142/89. which interventions should the nurse implement? (select all that apply)
The nurse should implement following interventions :
Lisinopril should be taken every day as directed.Give a headache patient a PRN dosage of acetaminophen.The client's regularly scheduled medicine, lisinopril, is an antihypertensive drug that should be taken as directed to keep the client's blood pressure stable. For the client's headache, a PRN dosage of acetaminophen should be administered.
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client teaching is conducted throughout a client’s hospitalization and is reinforced before discharge. which self-care items are to be reinforced before discharge? select all that apply.
Following self-care items are to be reinforced before Hospital Discharges:
• Activity
• Resumption of sexual intercourse
• Infection symptoms
The right responses provide guidance on how to handle adjustments in her new motherly position. It cannot be assumed that her pre-pregnancy diet is still suitable, thus the choice of formula needs to be reviewed with her physician.
Checklist for Hospital Discharges
Is your house a secure environment for your recovery?How will you go from the hospital to your home?Do you have enough food and other essentials diet at home?Do you have all the prescription drugs you'll require?Visits to the physician- How will you handle the follow-up care?To learn more about Hospital Discharges click here,
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