"What activities cause you to feel short of breath?" this is the question nurse should ask to a patient.
The type of activity and the amount of physical effort should elicit information about the client's DOE.
Few sensations are as frightening as not being able to get enough air. Shortness of breath — known medically as dyspnea — is often described as an intense tightening in the chest, air hunger, difficulty breathing, breathlessness or a feeling of suffocation.
Very strenuous exercise, extreme temperatures, obesity and higher altitude all can cause shortness of breath in a healthy person. Outside of these examples, shortness of breath is likely a sign of a medical problem.
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a multidisciplinary oncology team of health care providers, nurses, and the social worker notes that a client who has been undergoing chemotherapy is now experiencing pancytopenia. when reviewing the laboratory data, which values support this diagnosis? select all that apply.
Decreased RBC, decreased White Blood Cell, decreased platelets. values support this diagnosis
What is Chemotherapy?
It employs drugs. These medications inhibit the growth of cancer cells or kill them. However, some healthy cells that support the growth of hair or the lining of the lips are also destroyed. As a result, it has adverse effects, however they disappear once chemotherapy is finished. When chemotherapy completely eliminates cancer cells, they are unable to divide and therefore cannot grow.
Chemotherapy is used to reduce tumor size or stop the growth and spread of cancer. Tumors can be reduced in size and cancer can stop spreading with chemotherapy.
Chemotherapy may also be used to lessen the size of a tumor that is causing discomfort or pressure. Tumors are reduced in size by chemotherapy, which also lessens pressure and pain.
Chemotherapy does not serve as a substitute for drug-based treatments. Additionally, surgery is necessary to remove cancers, not this.
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a multigravida client at 41-weeks gestation presents in the labor and delivery unit after a non-stress test indicated that the fetus is experiencing some difficulties in utero. which diagnostic test should the nurse prepare the client for additional information about fetal status?
The diagnostic test that the nurse should set up for the client in order to obtain further details on the fetal status is the biophysical profile (BPP).
What is fetus?The unborn child that develops from an animal embryo is known as a fetus or foetus. Following embryonic development is the fetal stage of development. Fetal development in humans starts in the ninth week following fertilization and lasts until birth. An infant or extremely young child is referred to as a "baby." a fetus is an unborn kid. one who is the youngest in a family or group.
In the initial weeks of pregnancy, your developing fetus had a number of name changes. From the time of conception until the eighth week of development, it is typically referred to as an embryo. It is referred to as a fetus after the eighth week till it is born.
What are the stages of fetus and its measurements?Prenatal development takes place in three primary stages. The fetal stage, that last for from the ninth week till birth, follows the embryonic stage, which lasts from third to a eighth week after conception. The first two weeks after conception were recognized as the germinal stage.
Biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur diaphysis length are the fetal biometric measurements that are most frequently taken (FL). Several different formulas can be employed with these biometric measures to estimate fetal weight (EFW)1.
Briefing:BPP analyzes five different factors to provide information about fetal risk surveillance: fetal breathing patterns, fetal movements, amniotic fluid volume, and fetal tone and heart rate. Since the client's pregnancy has extended past the anticipated confinement date, the main concern is the fetal well-being associated with an aged placenta rather than fetal anomaly screening.
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a client is being placed on a low-sodium diet. the client tells the nurse that many favorite foods are high in sodium and the client believes he or she will not be able to give them up. which intervention(s) by the nurse will assist the client with dietary compliance? select all that apply.
Direct the client to lower sodium version of favorite foods.
Help the client balance some favorite foods with salt free foods.
Encourage the client to discuss likes and dislikes.
Explain how to keep a food journal.
Instruct the client on reading food labels.
What is dietary compliance ?The goal of the Dietary Guidelines for Americans is to offer suggestions on what to eat and drink to create a healthy diet that can support healthy growth and development, aid in the prevention of diet-related chronic disease, and meet nutrient requirements.
Compliance is a passive behaviour in which a patient complies with the doctor's instructions." Continued in the article, it states: "Adherence is a more proactive, positive behaviour that forces the patient to alter their way of life because they are required to adhere to a daily schedule, such as wearing a brace as directed.
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the total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. based on this finding, which intervention should the nurse implement?
On a baby who is 36 hours old, the nurse has gotten a total bilirubin laboratory report with a value of 14 mg/dl; the action that the nurse should do is to order phototherapy for the infant's pathological jaundice.
What does phototherapy serve as?
It may help treat skin conditions brought on by immune system reactions. Several skin conditions are treated using phototherapy, including the following: Psoriasis is a skin ailment that causes red, silvery, and scaly patches of skin. Itchy, red skin is a symptom of the allergic dermatitis known as eczema.
What organs are treated by phototherapy?
Despite the fact that injury to the gonads during phototherapy is unlikely due to the brief exposure time and the skin's protection of the subcutaneous tissue, in most cases.
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an (fill in the blank) infection that occurs when a microbe breaks loose from a localized infection and is carried by the circulation to another tissue is
A Focal infection develops when a microbe escapes from a localized infection and travels to another tissue via the circulation.
What exactly is tissue mechanics?Cells define and shape their surroundings, and in turn, they receive biochemical and physical cues from them. Tissue regeneration involves cell recruitment, growth, proliferation, and differentiation, with the latter being a critical stage for regeneration success, avoiding the creation of fibrous tissue typical of repair [9-12]. Tissue is a collection of cells with similar structures that work together as a unit. The intercellular matrix is a nonliving substance that fills the spaces between the cells. This may be plentiful in some tissues while being scarce in others. The body's tissue is made up of cells. The cells share the same origin and appearance. They carry out a specific function in the body.
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an 11-year-old boy who has stepped on a rusty nail is given tetanus immune globulin in the emergency department. the nurse knows that the immune globulin injection will confer which type of immunity?
The nurse knows that the immune globulin injection will confer Temporary passive acquired immunity.
What is Temporary passive acquired immunity ?When a person receives antibodies to a disease rather than creating them through his or her own immune system, passive immunity is supplied. Through the placenta, a newborn child gains passive immunity from its mother.
Antibodies used in passive immunity are borrowed rather than created by the immune system of the individual. As a result, it endures as long as the blood is circulating with antibodies.
No fresh antibodies are produced once it vanishes. As a result, passive immunity is never permanent.
Passive immunity comes in two flavors: synthetic and natural. Through the injection of serum or plasma containing high antibody concentrations, artificial passive immunity can be created.
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a 42-week gestational client is receiving an intravenous infusion of oxytocin (pitocin) to augment early labor. which pattern of contractions should alert the nurse to discontinue the oxytocin infusion?
When giving the medication, it is important to be aware of the potential for increased blood loss and afibrinogenemia. There have been cases of severe water intoxication accompanied by convulsions and coma that have been linked to a gradual oxytocin infusion over a 24-hour period.
What needs to be looked out for during an oxytocin infusion?Throughout the infusion, it is crucial to closely monitor the foetal heart rate and the frequency, intensity, and length of contractions. The infusion rate can frequently be decreased if an appropriate amount of uterine activity is reached, aiming for 3 to 4 contractions per 10 minutes.
When giving oxytocin, it's critical to keep an eye on the patient's fluid intake and output as well as the fetus's heart rate and the frequency of uterine contractions.
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which findings should the nurse expect to assess when completing the health history of a child admitted for possible type 2 diabetes? select all that apply.
The nurse should expect to polyuria, polydipsia, and polyphagia in the health history of the child.
How is Type 2 diabetes characterized ?Type 2 diabetes mellitus is distinguished by a slow start and is frequently linked to obesity rather than significant weight loss. Most frequently abrupt and accompanied by significant weight loss, type 1 diabetes.
In both kinds of diabetes mellitus, polyuria, polydipsia, and polyphagia are common evaluation results.
An unusually high blood sugar level is a defining feature of type 2 diabetes. This type of diabetes is characterized by the body's improper use and production of insulin. The pancreas secretes the hormone insulin, which aids in controlling blood sugar levels.
Diagnosis
Normal is 5.7% or less.
Prediabetes has a diagnosis rate of 5.7% to 6.4%.
Diabetes is diagnosed when two tests show a 6.5% or higher level.
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a nurse is developing a care plan for a client with disseminated intravascular coagulation (dic). which nursing intervention should the nurse include?
With the exception of significant bleeding, treatment of underlying disorders is advised in the three kinds of DIC. Blood transfusions are advised for individuals with DIC who have bleeding or significant haemorrhage. Meanwhile, heparin therapy is advised for people with non-symptomatic DIC.
Do you treat DIC with anticoagulants?There is no solid evidence to support the usefulness of regular anticoagulant medication in sepsis-induced DIC, and it should not be utilised therapeutically until further information about the patient group who may benefit from it is available.
Plasma transfusions are used to stop bleeding. Blood clotting factors impaired by DIC are replaced by plasma transfusion. Red blood cell and/or platelet transfusions Anticoagulant medications (blood thinners) are used to keep the blood from clotting.
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a client is seeing the physician for a suspected tumor of the liver. what laboratory study results would indicate that the client may have a primary malignant liver tumor?
The client may have a primary malignant liver tumor, according to the results of a laboratory analysis that showed elevated alpha-fetoprotein levels.
The nurse would palpate the liver where, exactly?Start by palpating the area around the anterior iliac spine in the right lower quadrant. Use one or two hands, palms down, and move up 2-3 cm at a time toward the lower costal margin to palpate the liver. Encourage the sufferer to inhale deeply.
Which drug reduces portal pressure and stops esophageal varices from bleeding?An anti-hypertensive medication known as a beta blocker may help lower blood pressure in your portal vein, reducing the risk of bleeding. Propranolol (Inderal, Innopran XL) and nadolol are two of these drugs (Corgard).
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what are some strategies that caregivers may use to reduce the development of dental caries and other related dental problems during childhood?
Gum disease can be avoided with a diet high in vitamins, minerals, and fresh produce. Gum disease can cause foul breath and tooth loss.
What methods may parents employ to prevent dental caries and other related dental issues from developing in children?They use fluoride toothpaste to brush their teeth twice daily. Until they have good brushing techniques, assist your youngster while they wash their teeth. If your child is under six, observe them brushing. They should only use a pea-sized amount of toothpaste, and they should never swallow it.
What dietary changes can prevent dental caries?Good examples are combining dairy foods with sugary foods, uncooked foods with cooked meals, and foods high in protein with foods that are acidifying. * Eat cariostatic items like xylitol chewing gum after eating and drinking. * Drink water as often as possible to quench thirst and stay hydrated.
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the nurse understands that medications, although very beneficial to clients, can have harmful effects. when working with older adult clients the nurse should recognize that which outcome is a common result of potent, fast-acting diuretics?
The nurse understands that medications can have harmful effects so with older adult clients the nurse should recognize that urge incontinence is a common result of potent, fast-acting diuretics.
Harmful effects of medications are also called adverse reactions, are unwanted undesirable effects that are presumably associated with a drug. These effects will vary from minor issues sort of a liquid nose to grave events, like a heart failure or liver injury.
Diuretics, typically known as water pills, facilitate free your body of salt (sodium) and water. Most of those medicines facilitate your kidneys unharness a lot of sodium into your body waste. The sodium helps take away water from your blood, decreasing the number of fluid flowing through your veins and arteries.
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nurse is preparing to change a dressing on a client who is receiving negative pressure wound therapy. what sequence of actions should the nurse plan to take
Warming the irrigating solution to 37°C is the nurse's strategy (98.6F).
If a client with dark complexion gets cyanosis, which skin color change would the nurse anticipate seeing?Those with light skin tones will exhibit cyanosis as a bluish/purple color. Cyanosis may give individuals' skin a grayish-green tint if their complexion is naturally yellow-toned. Cyanosis might appear as grey or white in people with darker skin tones, making assessment more difficult.
Who of your clients is at risk for skin changes?A person is susceptible to altered skin integrity due to pressure, shear, and friction from immobility. Patients who are obese, paralyzed, have spinal cord injuries, are bedridden and confined to wheelchairs, have edema, and are paralyzed are also at higher risk.
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what should the nurse teach a client who is diagnosed with chronic hepatitis b infection about treatment?
Answer:
"The treatment is effective if your liver enzymes return to normal."
Explanation:
the nurse is caring for a client with an autoimmune disease. what is a characteristic of autoimmune disorders?
In addition, autoimmune diseases have a lot in common with one another in terms of how they start and develop. Additionally, genetic features that overlap make people more susceptible.
What information about treating allergic rhinitis will the nurse provide to the patient?By blowing the nose first and then providing the medication, you can instruct the patient and their parents on how to use nasal sprays. Encourage comprehensive housecleaning. Encourage routine cleaning of the furniture, appliances, and surfaces in the house that could collect dust and other pollens.
Which of the following characteristics best describes the signs and symptoms of myasthenia gravis?Myasthenia gravis has no known cure, but treatment can ease its indications and symptoms, such as weakening in the arm or leg muscles, double vision, drooping eyelids, and problems with balance.
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the nurse is caring for an older adult who is hearing impaired and cannot wear his glasses because they are broken. what interventions would be appropriate? select all that apply.
Verify your comprehension of spoken communication. Slowly and properly enunciate your words. Find out if he has a "good ear." Before doing something, explain it.
What precautions ought the nurse to take when looking after the client's glasses?Place the patient's glasses in an accessible location. The nurse should make sure the patient's spectacles are clean and in good working order and place them in an accessible location. While the patient needs to be adequately lit, bright light should be avoided as it may cause glare.
When is eye protection appropriate for a nurse?Powell: Eye protection should be worn at all times, not just when exposure to bodily fluids or contagious viruses and bacteria is likely to happen. If you put on gloves, the general norm is.
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(fill in the blank) is a progressive degenerative disease found in individuals with a history of multiple concussions and other closed-head injuries
Chronic traumatic encephalopathy is a chronic degenerative condition that affects people who have had many concussions or other closed-head injuries.
Which are the three most frequent degenerative diseases?Degenerative disease is the consequence of a continual process based on degenerative cell changes that harm tissues or organs and worsen with time. Neurodegenerative illnesses cause central nervous system cells to stop functioning or to die. Alzheimer's disease is an example of a degenerative neurological illness. Amyotrophic lateral sclerosis (ALS). Ataxia Friedreich. Almost all slowly advancing diseases are chronic conditions. Because of the cellular changes, many of these are also referred to as degenerative diseases. A chronic, non-progressive disease may be referred to as a static condition if it is not progressive. Degenerative nerve diseases can be devastating or even fatal. It is dependent on the type. The majority of them are incurable. Treatments may aid in the improvement of symptoms, pain relief, and mobility.
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a nurse encourages residents of a long-term care facility to continue a similar pattern of behavior and activity that existed in their middle adulthood years to ensure healthy aging. this intervention is based on which aging theory?
Identity-continuity aging theory is the process of guaranteeing that mental attributes like self-awareness, sentience, sapience, and the capacity to understand how one's environment and self interact.
What does philosopher's continuity theory of personal identity entail?According to Locke, psychological continuity determines one's personal identity. He believed that the foundation of one's personal identity, or "self," was consciousness, namely recollection, rather than the substance of either the soul or the body.
What does it mean to have a constant psychological state?Experts in psychology claim that continuity in psychology refers to the capacity to proceed in the similar continually and endlessly. Gestalt Theory discusses perception and the development of continuous patterns as prerequisites for continuity in general.
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The identity-continuity ageing theory is the process of guaranteeing that mental attributes like self-awareness, sentience, sapience, and the capacity to understand how one's environment and self interact.
What does the philosopher's continuity theory of personal identity entail?
According to Locke, psychological continuity determines one's personal identity. He believed that the foundation of one's personal identity, or "self," was consciousness, namely recollection, rather than the substance of either the soul or the body.
What does it mean to have a constant psychological state?
Experts in psychology claim that continuity in psychology refers to the capacity to proceed in a similar continually and endlessly. Gestalt Theory discusses perception and the development of continuous patterns as prerequisites for continuity in general.
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a client is diagnosed with a type of diabetes that is associated with insulin resistance. which type of diabetes is the client experiencing?
The amount of insulin produced by the pancreas is no longer sufficient to overcome cell resistance. Higher blood glucose levels are the end effect, which can lead to type 2 diabetes or prediabetes.
Why is insulin resistance the name given to type 2 diabetes?Our cells are instructed to absorb glucose from the blood by the hormone insulin. By inducing the proteins in charge of transporting glucose to relocate to the surface of the cells, it does this. This process is impaired in type 2 diabetes (also known as insulin resistance), which raises blood glucose levels.
Are people with type 2 diabetes insulin-resistant?Your fat, liver, and muscle cells do not react to insulin properly if you have type 2 diabetes. Insulin resistance is what causes this.
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a postoperative client has exhibited decreased urine output, hypotension, and tachycardia. which nursing assessment is the priority?
A postoperative client has exhibited decreased urine output, hypotension, and tachycardia has to be checked for his dressing on the prior basis as Shock in a postoperative client results from bleeding.
What is tachycardia?When the heart beat of a person goes over 100 beats per minute then the medical term used for his condition is termed as tachycardia.
Hypotension:It is termed as the sudden drop in the BP i.e. blood pressure .It generally happens when stand or lie down in a bed.
Hence , Such postoperative client having shock needs to be checked for his dressing . this would be proper nursing assessment.
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a client just learnt a highly neagtive prognosis , which is entirely unexpected what body responses should the nurse anticipate
Accelerated blood pressure (BP), an increased heart rate, and dilated pupils are physical responses that the nurse should prepare for.
When the prognosis is poor, recovery chances are slim. A prognosis of good or exceptional indicates that the patient will likely recover.
What are criteria of prognosis?
A prognostic factor is a variable that can be used to predict whether a patient will recover from a condition or experience a relapse. Tumor-related, host-related, and environmental-related prognostic variables are separated.
Prognostic indicators that indicate a better prognosis are referred to as "good" or "favourable" factors. Poor prognostic variables are those that indicate worse outcomes.
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which information should the nurse include when teaching a patient about inhaled glucocorticoids?
while the nurse is caring for a primiparous client with cephalopelvic disproportion 4 hours after a cesarean birth, the client requests assistance in breastfeeding. to promote maximum maternal comfort, which position would be most appropriate for the nurse to suggest?
To promote maximum maternal comfort, the following two positions would be most appropriate for the nurse to suggest:
1. Side-lying: This position allows the mother to rest and relax while breastfeeding.
2. Football hold: This position is helpful in supporting the baby and keeping it in a more upright position.
What is Cephalopelvic disproportion?
Cephalopelvic disproportion (CPD) is a condition that occurs when the size and shape of the baby's head and the mother's pelvis are mismatched, making vaginal delivery impossible without risking trauma to the baby. CPD can be caused by the baby's head being too large or the mother's pelvis being too small. It can also be caused by the baby's position during labor. This condition may require a cesarean section (C-section) to safely deliver the baby.
What is Cesarean section?
Cesarean section, also known as a C-section or cesarean delivery, is a surgical procedure in which a baby is delivered through an incision in the mother’s abdomen and uterus. This procedure is typically recommended when it is determined that a vaginal delivery would pose a risk to the mother or baby.
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the icp measurement is 20. which of the physician orders should be classified according to the laboratory results?
Avoid straining while having a bowel movement because it raises ICP. To aid in this, laxatives may be administered and fluid intake encouraged.
Although it is urged to breathe deeply, the patient must refrain from coughing in the first few days following surgery since it puts pressure on the incision and raises the risk of a cerebrospinal fluid (CSF) leak. Postnasal drip may be an indication of CSF leakage, so the client should contact the nurse if they have it rather than blowing their nose.
According to reports, healthy adult subjects' normal ICPs in the horizontal position fall between 7 and 15 mm Hg. It is negative in the vertical position, averaging around 10 mm Hg and not surpassing 15 mm Hg.
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the compliance officer of apple internal medicine group explains to the board that the stark law is similar to which regulation listed below, but applies only to physician relationships with entities that bill medicare or medicaid? a. false claims act b. self-referral law c. anti-kickback statute d. exclusion law
The Stark law, also known as the Physician Self-Referral Law, prohibits doctors from referring patients to get "specified health services" provided by Medicare or Medicaid.
What exactly does a physician do?
A doctor of medical known as a physician typically focuses on non-surgical treatment of patients' illnesses. That's not to argue that becoming a doctor isn't useful; most specialties have a distinctive variety of procedures related to them.
Why is a doctor called a physician?
Because the term "physic" traditionally covered both the practice of medicine and natural science, medical professionals are referred to as physicians. Physics as it related to healing was phased out in favor of medicine as scientific sciences advanced.
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the nurse is caring for an 82-year-old client diagnosed with cranial arteritis. what is the priority nursing intervention?
The most important nursing intervention is to give corticosteroids as directed.
Which evaluation result is connected to an early increase in intracranial pressure?The patient's state of consciousness changing is the first sign of elevated intracranial pressure (ICP). Pupil alterations are frequently a late indicator of neurologic problems; they are rarely an instant assessment finding after a concussion.
Which medication from the list below can be taken to prevent seizures after one has occurred?The most effective medications for treating acute seizures and status epilepticus include the benzodiazepines. The benzodiazepines diazepam (Valium), lorazepam (Ativan), and midazolam are most frequently used to treat status epilepticus (Versed).
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a client with degenerative joint disease asks the nurse for suggestions to avoid unusual stress on the joints. which suggestion would be most appropriate?
the form of arthritis that is most common.Some people refer to it as degenerative joint disease.Typically, your hands, hips, and knees are affected.In OA, a chain's tissue begins to deteriorate and the bone beneath it begins to change.
What kind of medication relieves joint pain the best?ibuprofen, acetaminophen, and other over-the-counter nonsteroidal anti-inflammatory medicines (NSAIDs).Exercise or programs that promote physical activity in the community.Physical therapy exercises are part of exercise therapy.workshops for self-management education.
What prevents joint harm?Exercise and Motion Moving about and getting regular exercise are crucial in preventing long-term joint injury.Most players have heard the phrase "you'll damage your knees" at some point throughout their athletic careers, which may seem paradoxical.But joints also need to be robust, just like the rest of the body.
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a client with graves disease has had radioiodine treatment with worsening of ophthalmopathy. what medication does the nurse prepare to administer that the client will use for several weeks to decrease these symptoms?
A client with graves disease has had radioiodine treatment with worsening of ophthalmopathy. The nurse prepares to administer Radioiodine I-131 that the client will use for several weeks to decrease these symptoms.
What is grave disease?
Graves' disease, an immune system ailment, results in the overproduction of thyroid hormones. Hyperthyroidism can be caused by a variety of illnesses, although Graves' disease is commonly to fault.
The signs and symptoms of Graves' illness can vary significantly because thyroid hormones have an impact on so many different physiological systems. Graves' illness can affect anyone, but it tends to strike women and those under the age of 40 more frequently.
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a client is taking ibuprofen for the treatment of osteoarthritis. what education will the nurse give the client about the medication?
To prevent upset stomach, take the medication with food.
Which drug is thought to be the patient's first treatment option for osteoarthritis (OA)?Non-steroidal anti-inflammatory medications
When taken at the recommended doses, over-the-counter NSAIDs like ibuprofen (Advil, Motrin IB, and others) and naproxen sodium (Aleve) typically reduce osteoarthritis pain. By prescription, stronger NSAIDs can be found.
A nonsteroidal anti-inflammatory drug is ibuprofen. To prevent stomach upset, the nurse should advise the patient to take NSAIDs with food. Despite being sold without a prescription, ibuprofen still has side effects. Not NSAIDs, but aspirin is known to cause ringing in the ears.
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which care environment would the nurse suggest to a client with no family nearby who is diagnosed with end-stage lung disease?
Answer:
residential care
Explanation: