The nurse must inform the client to exhale while lifting up heavy objects.
Why should the client exhale and not inhale while doing heavy chores ?Compared to inhaling, exhaling uses less energy. Therefore, elevating while exhaling lowers reported dyspnea and conserves energy. Lips pursed together delay exhalation and provide the client greater control over breathing. Lifting while holding your breath is akin to lifting after you exhale but before you inhale.
The Valsalva maneuver, which can cause cardiac arrhythmias, is comparable to this, hence it shouldn't be advised.
The golden rule for the majority of strength training activities is to exhale when exerted.
During the exertion, keep breathing and exhale carbon dioxide to keep your lungs ready to take in oxygen as your muscles relax. This enhances endurance so you can exercise for a longer period of time and keeps your blood pressure constant.
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many patients self-medicate with antacids. which patients should be counseled to not take calcium carbonate antacids without discussing it with their provider or a pharmacist first
Patients with kidney stones should be counseled to not take calcium carbonate antacids without discussing it with their provider or a pharmacist first
What are antacids?
Over-the-counter (OTC) drugs called antacids aid in reducing stomach acid.
Compared to other acid reducers like H2 receptor blockers and proton pump inhibitors, they operate differently (PPIs). These medications reduce or stop the secretion of stomach acid.
The following symptoms of too much stomach acid can be treated with antacids:
Heartburn, which is a burning sensation in your chest or throat brought on by acid reflux, and indigestion, which is pain in your upper gut that may feel like gas or bloating. Acid reflux can also cause regurgitation, a bitter taste, a persistent dry cough, pain when lying down, and difficulty swallowing.
Antacids usually come in the following drug forms:
liquidchewable gummy or tablettablet that you dissolve in water to drinkHence, kidney stones is the right answer
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which safety instructions should the nurse provide to the client using hot or cold for pain relief? select all that apply.
Heat boosts the flow of blood and nutrients to an area of the body Cold slows blood flow, reducing swelling and pain.
What should be evaluated before giving out painkillers?
In order to evaluate whether or not a pain medication was effective in terms of a decrease in the patient's degree of pain, the level of pain should be assessed both before and after the medicine has been delivered.
What are the three categories for analgesics, and which ones apply to you?
Analgesic drugs fall into one of three basic categories: Nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, dipyrone, and other non-opioid analgesics are examples of non-opioid analgesics. Adjuvant analgesics are a diverse class of medications with primary indications.
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a 68-year-old black man presents to your office with urinary frequency, hesitancy, and nocturia. digital rectal exam reveals asymmetric areas of induration and nodules. which lab finding is most consistent with the diagnosis?
Elevated serum prostate specific antigen is the most consistent lab finding.
What is the reason for elevated serum prostate-specific antigen?
Prostate cancer is the second most common cancer among men to be diagnosed in the US, right behind skin cancer. Male African-Americans are more likely to acquire prostate cancer than white males, and the risk rises with age. It is unusual in guys under the age of fifty. Family history of prostate cancer, smoking, and an animal-fat-rich diet are all risk factors. A digital rectal exam (DRE) or an elevated serum level of prostate-specific antigen are the two most common ways that people with prostate cancer are identified (PSA). Men with risk factors or troubling physical exam results on the DRE should start a workup that includes a serum PSA assessment. Biopsy is used to make diagnoses.
Hence, the answer is Elevated serum prostate specific antigen.
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the client's neurologic baseline is alert and oriented with clear, appropriate speech. which nursing action is most appropriate?
Answer:
Obtain a prescription for a blood specimen.
Explanation:
which is a common site for metastasis that the nurse should include in the plan of care for a patient who is diagnosed with thyroid cancer?
A thyroid cancer patient should have a treatment strategy that considers the lung as a typical site for metastasis.
How amenable is thyroid cancer to treatment?The treatment choices that are accessible to you will depend on your thyroid cancer's type, age, general health, or personal preferences. Since the majority of thyroid tumors are treatable, the majority of people who are diagnosed have thyroid cancer have a favorable prognosis.
Do thyroid cancer fatalities usually occur?After five years, there is a nearly 100% chance that a patient with localized papillary, follicular, or medullary thyroid cancer would survive. The 5-year survival rate for thyroid cancer with a localized adenoma is 34%. The term "regional thyroid cancer" refers to thyroid metastatic cancer to nearby lymph nodes, tissues, or organs.
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a client with rheumatoid arthritis tells the nurse about experiencing mild tinnitus, gastric intolerance, and rectal bleeding. what medication does the nurse suspect is causing these side effects?
The intake of aspirin may cause problems like mild tinnitus, gastric intolerance etc.
What is rheumatoid arthritis ?A chronic inflammatory condition, rheumatoid arthritis can harm more than just your joints. Skin, eyes, lungs, heart, and blood vessels are just a few of the physiological systems that the illness might harm in some people.
Rheumatoid arthritis is an autoimmune illness that develops when your immune system unintentionally targets the tissues in your own body.
Rheumatoid arthritis affects the lining of your joints, resulting in a painful swelling that may eventually lead to bone erosion and joint deformity, unlike osteoarthritis, which causes damage from wear and tear.
Smaller joints, especially those that connect your fingers to your hands and your toes to your feet, are typically the first to be affected by early rheumatoid arthritis.
As the illness worsens, the wrists, knees, ankles, elbows, hips, and shoulders frequently begin to exhibit symptoms.
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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 the appearance of : a honeycomb lung.
What is a honeycomb lung?In pathology, the term "honeycomb lung" describes the distinctive appearance of cysts of various sizes on a background of heavily scarred lung tissue.
Microscopically, there are expanded airspaces with fibrosis around them and hyperplastic or bronchiolar type epithelium.
Pathologically, honeycombing is caused by the breakdown of alveolar walls, which results in the emergence of sporadic, fibrous-lined airspaces. A fibrotic lung in its last stages is represented by honeycombing.
There is no remedy. Drugs may slow the formation of scar tissue and maintain lung function. Staying active and receiving oxygen therapy may help with symptoms.
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a client has received an unsealed radioactive isotope for treatment of thyroid cancer. which instruction is essential for the nurse to provide the client
RAI radioactive isotope therapy preparation Thyroid-stimulating hormone (TSH) or thyrotropin levels must be high for RAI therapy to be most effective.
What negative consequences might radiation have on thyroid cancer?Severe weariness is one of the most frequent side effects of external radiation for thyroid cancer (fatigue)
swallowing issues
oral aridity
Cough.
Hoarseness.
appetite loss.
reduced blood counts.
Nausea.
After my initial radiation treatment, what should I anticipate?Fatigue (feeling tired) and skin changes are the most frequent early adverse effects. Other early side effects typically have something to do with the area being treated, such as hair loss and mouth issues when radiation treatment is given to this area. The onset of late negative effects can be months or even years away.
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the nurse checks the serum myoglobin level for a client with a crush injury to the right lower leg because the client is at risk for developing which type of acute kidney injury?
the nurse checks the serum myoglobin level for a client with a crush injury to the right lower leg because the client is at risk for developing Intrarenal type of acute kidney injury.
The striated muscles of vertebrates primarily contain the protein known as myoglobin. Myoglobin is produced in humans by the MB gene. One polypeptide chain with one oxygen binding site is encoded by it. A heme prosthetic group in myoglobin can reversibly bind to oxygen. Your kidney remove extra fluid and waste from your body. A healthy balance of water, salts, and minerals in your blood, including sodium, calcium, phosphorus, and potassium, is maintained by your kidney, which also eliminate acid that is produced by your body's cells.
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hich system is recommended as a method to address patient safety and reduce errors that occur during the actual administration of medicines?
Patient safety issues are addressed and drug delivery errors are decreased using the bar code medication administration (BCMA) technique.
What patient care technology or information management systems have been employed to address medical errors?Probably one of the most useful health information technologies for enhancing patient safety is computerized physician order entry and CDS. Additionally, it appears that PDMS and ADC systems enhance patient safety in critical care settings.
Which of the following recommended practices will reduce drug errors?The most crucial tactic that every pharmacist must use to reduce dispensing errors is patient counseling, which is the final point of contact between the patient, pharmacist, and drug in the dispensing process.
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the nurse is asked to explain to the client the age-related processes that contribute to bone loss and osteoporosis. what is the nurse's best response?
It's crucial to exercise frequently. Adults between the ages of 19 and 64 should engage in at least 2 hours and 30 minutes of moderate-intensity aerobic activity each week, such as quick walking or cycling. For increasing bone density and preventing osteoporosis, weight-bearing and resistance exercises are very crucial.
What treatments are available for osteoporosis?Supplementing with calcium and vitamin D, engaging in weight-bearing exercise, building stronger muscles, and preventing falls are examples of nonpharmacologic therapies. The anabolic agent teriparatide, raloxifene, salmon calcitonin, oestrogen treatment, and bisphosphonates are some of the pharmaceutical possibilities.
Nurses should evaluate the patient's understanding of osteoporosis and educate the patient on dietary intake, exercise, and other factors including boosting calcium and vitamin D intake, identifying foods high in calcium, and reducing sodas or colas, which are often high in phosphorus.
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the nurse in an allergy clinic is assessing a new patient. the nurse is aware that histamine plays an important role in the immune response and that the effects of histamine can manifest in assessment findings. what response can occur as a result of histamine release?
Answer:I don’t think anyone here knows that
Explanation: half of us are middle school students who are home school
which substance can cause life-threatening dysrhythmias when inhaled? select all that apply. one, some, or all responses may be correct.
Inhaling a substance like prosciutto, salami, spanish chorizo, or pepperoni might result in dysrhythmias that are life-threatening.
The following meats are cured meats:The majority of cured and processed meats come in ready-to-eat forms. Cooked ham, sausages, bacon, and bologna are a few examples of these goods. Bacteria cannot grow when curing salts with nitrate, nitrate, sodium chloride, phosphates, extracts, and flavorings are added.
What do raw and cured meats consist of?The term "cured meat" is frequently used to describe meat-based food preparations, whether they are cooked or raw, where the flavor is increased with salt and other seasonings.
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Dr. Andersen attempts to bring about personal growth by using psychological techniques; dr. Bradley attempts to improve psychological functioning through the use of psychotropic medication. Dr. Andersen practices _____; dr. Bradley, _____.
Dr. Andersen practices psychotherapy by using psychological techniques whereas Dr. Andersen practices biomedical therapy through the use of psychotropic medication.
What is the difference between psychotherapy and psychotropic medication?Psychotherapy have shown to provide longer-lasting effects than psychotropic drugs. The explanation behind this is that these therapies educate you how to cope. They assist you in recognizing false or harmful beliefs, and then they provide you with the means to refute and replace them. In psychotherapy, patients discover the exact anxieties, locations, or circumstances that set off their reactions.
In addition, this not only helps the person feel better, but also gives them a safety net in case their stressors reappear in the future.
The phrase "biomedical therapy" refers to the administration of drugs to treat mental diseases. By administering medications such antipsychotics and antidepressants and carrying out medical treatments like deep brain stimulation surgery to treat the symptoms of severe depression, biomedical therapy works to improve the quality of life for his patients.
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a client is considered to be in septic shock when what changes are assessed in the client's labwork?
a client is becoming increasingly angry while talking with the nurse. which statement reflects the nurses's appropriate use of de-escalation with the client?
"You seem like you're unhappy, and I want to know why," the nurses' effective de-escalation strategy with the patient .
De-escalation is a human behavior used to stop confrontations from getting worse. It could also be used to describe methods for resolving conflict. Specific steps must be made to prevent this escalation since people might develop a commitment to actions that tend to exacerbate conflict.
The nursing de-escalation approaches are as follows:
Don't use any acronyms or medical jargon. When approaching the patient, adopt a kind demeanor. Respectfully approach the patient and provide support for their difficulties. Utilize risk assessment techniques to spot problems early and take action.
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the nurse is monitoring a client with continuous pulse oximetry. what action(s) by the nurse are important to obtain accurate results? select all that apply.
Following abdominal surgery, the nurse is using a pulse oximeter to check the client's oxygen saturation to make sure they are receiving enough oxygen.
What would the nurse take to guarantee that the pulse oximeter reading was accurate?Justification: The accuracy of the pulse oximeter value is ensured by comparing the data to the patient's heart rate. The heart rate shown by the pulse oximeter should match the patient's ECG reading or palpated heart rate.
Why is precision crucial in nursing?A rater's assessment of the correspondence between a diagnostic statement and patient data is used to define the accuracy of nurses' diagnoses. Low accuracy can result in time and effort loss, patient injury, the absence of favorable results, and dissatisfaction on the part of the patient and their families.
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a nurse is preparing to administer synthroid to a client. which format will the nurse expect the dosage to be written as? select all that apply.
The treatment of obesity or aid in weight loss should not be accomplished with Synthroid. Synthroid won't aid in weight loss if your thyroid function is healthy.
When taking Synthroid, what foods should be avoided?Soy and cottonseed meal-containing foods may reduce the effectiveness of Synthroid. Dietary fiber, grapefruit juice, and walnuts can all reduce the effectiveness of Synthroid. Consult your doctor if you regularly consume any of these foods. Your Synthroid dosage may need to be changed by him or her.
Can Synthroid provide me with energy?Most of the time, thyroid hormone therapy quickly alleviates symptoms. Those who take thyroid hormone therapy for hypothyroidism typically experience: increased level of energy.
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a nurse is talking with a co-worker who is moving to a new state and needs to find new employment there. what advice by the nurse is best
Answer:
Find a hospital that is accredited by The Joint Commission.
Explanation:
the nurse is performing a health history with a new client in the clinic. what is the most common reason for a client to seek medical attention for arthritis?
Without apparent explanation, persistent discomfort and stiffness that also results in edema, redness, and warmth.
What does medical care for arthritis entail?Rheumatologists are experts in conditions affecting the bones, muscles, and joints, including arthritis,They are skilled at treating all forms of arthritis, particularly those requiring intricate care, and performing challenging diagnostics.,If you have a specific kind of degenerative arthritis, an orthopedist might be recommended to you.
Is arthritis a serious medical issue?In general, arthritis is regarded as a chronic ailment that must be managed because it is something that a person must remember for the rest if their lives,However, there are urgent circumstances that can arise that are even connected to arthritis.
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the nurse is assessing a client with an ulcer for signs and symptoms of hemorrhage. the nurse interprets which condition as a sign/symptom of possible hemorrhage? hematemesis hypertension polyuria
Hematemesis is seen by the nurse as a sign or symptom of a potential ulcer bleeding. Tactile bleeding symptoms can also include tachycardia, hypotension, and oliguria or anuria.
Hematemesis can have a variety of reasons & symptom, including:
bleeders on the skintear-producing, protracted, and forceful retching of the esophageal mucosa (known as Mallory-Weiss Syndrome)intestine or stomach varices in Hematemesis.Internal bleeding can be caused by radiation exposure, gastroenteritis, gastritis, or peptic ulcers. Vascular problems with the digestive systembleeding feverOther potential non-life-threatening reasons& symptom of Hematemesis include: oral surgery, which might result in some blood being swallowed; certain nosebleeds, which can result in blood entering the digestive tract; and persistent, violent coughing.
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how many weeks a woman is pregnancy is usually the main factor in determining which abortion methods are practiced. the two main methods for abortion as outlined in the textbook are medical and
Answer:
surgical
Explanation:
you suspect that your friend may have internal bleeding. he is unconscious. you phone 9-1-1. what should be your next step?
A sort of sudden unconsciousness called fainting may only last a few seconds. Other kinds have a substantially longer lifespan.
If they still don't answer, take the following actions in that order:
Make that their airway is clear and not showing any symptoms of obstruction, such as laborious or high-pitched breathing.
Check for breathing indications.
Do a pulse or heartbeat check.
Next, make a call to emergency medical services or have someone else do it.
Whether the subject is breathing
Ask the person basic inquiries, such as their name and birthday or the date, if they appear to be awake but appear confused.
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a client recently experienced a stroke with accompanying left-sided paralysis. his family voices concerns about how to best interact with him. they report the client doesn't seem aware of their presence when they approach him on his left side. what advice should the nurse give the family? wuizlet
The nurse should advise the family that-
the patient is unaware of his left side, so they should approach him on the right side.
What causes paralysis in one side of body?An injury to the spinal cord or brain that results in hemiplegia causes paralysis on one side of the body. It results in muscle stiffness, weakness, and issues with control. The location and severity of the injury affect how severe the hemiplegia symptoms are.
Is hemiplegia permanent?There is currently no treatment for hemiplegia, which is a permanent condition. The disease is referred to as non-progressive because the symptoms don't worsen with time.
If a person with hemiplegia receives effective treatment, their hemiplegia symptoms may eventually get better. Mobility aids can help people with hemiplegia lead independent, productive lives.
What are the communication difficulties faced by left-brain stroked patients?Those who have survived a left-brain stroke may have difficulty speaking and may lose use of their right side due to paralysis. Communication issues may impair the survivor's capacity for understanding or for expressing themselves (getting the words out). Aphasia is the term for this. They might also have "dysarthria," which is slurred speech caused by weakness in the right side of the face and/or mouth.
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the nurse is reviewing a client's laboratory results and notes the serum potassium level is 2.8 meq/l. which nursing action should be initialized immediately?
In order to treat this patient's severe hypokalemia, potassium chloride must be administered intravenously.
What are hypokalemia's warning signs and symptoms?The following indications and symptoms of low potassium may be experienced:Muscles twitch,cramping in the muscles.,extreme weakening of the muscles,resulting in paralysis.
What occurs when untreated hypokalemia occurs?Severe cardiac arrhythmias, cardiac arrest, and paralysis can result both from severe hypokalemia and extreme hyperkalemia if they are not addressed,If hyperkalemia is not treated, there is typically an increased risk of illness and fatality,Congestion, ileus, and respiratory failure are further symptoms of severe hypokalemia.
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phaedra is giving a speech about chronic illnesses among children. at one point she mentions that more than half of american children are living with a diagnosed chronic illness. because this is a startling statistic, what should phaedra have done during her speech?
Phaedra should have provided evidence to back up her statistic.
What is Chronic illness?
Chronic illness is defined as a medical condition that lasts for a long period of time, often requiring ongoing medical care and/or lifestyle adjustments. Chronic illnesses can include conditions such as arthritis, asthma, cancer, diabetes, heart disease, HIV/AIDS, and mental health disorders.
Phaedra could have provided sources, such as studies from reputable organizations, to demonstrate the prevalence of chronic illnesses among children. Additionally, she could have provided personal anecdotes from families and children who have experienced chronic illnesses. This would help to add depth to her speech and make her point more impactful.
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a telehealth nurse is talking with a client who has a history of right-sided heart failure. the nurse should question the client about which assessment finding that would indicate the client's condition is worsening?
Weight gain will worsen the condition. Right-sided heart failure occurs when the right ventricle of your heart is unable to adequately pump blood to the lungs.
Blood accumulates in your veins, the blood arteries that return blood to the heart from the body. Your veins' pressure rises as a result of this accumulation. One kind of heart failure is right-sided heart failure. Right ventricular (RV) heart failure or right heart failure are other names for right-sided heart failure.
The right side of your heart pumps the "used" blood from your body back to your lungs, where it is replaced with oxygen. Right-sided heart failure occurs when the right ventricle of your heart is unable to adequately pump blood to the lungs. Your veins, which transport blood from the body back to the heart, get clogged with blood over time.
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what action should the practical nurse implement to faciliate speech for a client who has fenestrated tra
Tell the client that he is not alone while holding his hand.
What does the anatomy term "fenestrated" mean?The capillaries known as fenestrated capillaries have little pores or apertures. Windows are referred to as "fenestrae" in Latin. Larger molecules and proteins can enter organs and glands through "windows" in fenestrated capillaries.
What does biological fenestration mean?Any small aperture or pore is referred to as a fenestra (fenestration; plural: fenestrations or fenestrae), a term that is frequently used in biological sciences. It is a term that is used in several professions to denote a pore in an anatomical structure. It is the Latin word for "window."
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the nurse is administering an intermittent infusion of an antibiotic to a client whose intravenous (iv) access is an antecubital saline lock. after the nurse opens the roller clamp on the iv tubing, the alarm on the infusion pump indicates an obstruction. what action should the nurse take first?
After the nurse opens the roller clamp on the IV tubing, the alarm on the infusion pump indicates an obstruction, so the nurse should reposition the client's arm.
If the client's elbow is bent, the IV is also unable to infuse, leading to an obstruction alarm, that the nurse ought to 1st arrange to reposition the client's arm to alleviate any obstruction.
A roller clamp is designed to keep up at a prescribed rate the rate of flow of a fluid that flows through a tube. The roller clamp includes a tube winding shaft half around that a fluid flow tube is passed and that prevents the setting of the rate of flow being disturbed if the tube is subject to a balance force.
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a client is experiencing intertrigo caused by friction between the inner thighs. which action should the nurse take to help this client?
A hernia is described as the body's organ or fatty tissue expanding or pushing through. The weak spot in the muscle or connective tissue pulls outwards.
Why is connective tissue necessary?
tissue that supports, protects, and gives structure to other human tissues and organs. Connective tissue serves to store fat and repair damaged tissue in addition to assisting in the movement of nutrients and other substances between tissues and organs. Connective tissue is made up of cells, fibers, and a gel-like material.
What causes problems with connective tissue?
Connective tissue disorders frequently have unknown causes. Some disorders can be brought on by trauma, while others have a genetic component. Others appear to appear mysteriously. In some circumstances, an
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