Additional guidance is required, however I can take up to three tablets at 5-minute intervals for chest pain.
What recommendations ought to be made to patients who are prescribed sublingual nitroglycerin?Put the tablet under your tongue or wedge it between your cheek and gum, then wait for it to dissolve. When a tablet is melting down, avoid eating, drinking, smoking, and using chewing tobacco. Sublingual nitroglycerin tablets typically provide relief in 1 to 5 minutes.
What nitroglycerin sublingual pills are used for and what are the adverse effects?It's possible to experience headaches, lightheadedness, nausea, flushing, and burning or tingling under the tongue. Tell your doctor or pharmacist right away if any of these side effects persist or worsen. A headache is frequently a sign that this medicine is effective.
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the nurse is reviewing laboratory results of a client who has liver failure. which finding would place the client at increased risk for bleeding? increased levels of vitamin k increased prothrombin time increased platelet count decreased number of red blood cells
Increased prothrombin time will put client at increased risk for bleeding.
Explanantion:
Patients with liver failure have decreased vitamin K absorption, which affects the body's ability to synthesize clotting components. The client is more likely to bleed if their prothrombin time, a coagulation factor, is elevated. The liver produces prothrombin, fibrinogen, and factors V, VII, IX, and X; as their production decreases with liver illness, bleeding disorders result. Increased bleeding won't result from a drop in RBC. The blood will clot as a result of an elevated platelet count.
What is prothrombin?
The liver produces the protein called thrombin. Blood clotting is aided by prothrombin. The "prothrombin time" (PT), which is measured in seconds, is one approach to determine how long it takes blood to clot (such as 13.2 seconds). The availability of blood-clotting protein is indicated by a normal PT.
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a nurse is preparing to medicate an older adult client with an opioid analgesic. which information will the nurse obtain first to decide about administering the medication?'
Delirium, sleep disturbances, cognitive changes, and diminished functional abilities may result when pain is not managed adequately.
What is Delirium?
A major alteration in mental capacity is delirium. Thinking becomes muddled and one loses awareness of their environment as a result. Usually, the problem develops quickly - in a matter of hours or days.
Delirium frequently has one or more causes, but not always. A severe or protracted disease or an imbalance in the body, such as insufficient salt, may be contributing factors. Additionally, some medications, infections, surgeries, or alcohol or drug use or withdrawal may contribute to the illness
Three categories have been recognized by experts:
agitated delirium This type might be the simplest to identify. This personality type may pace the room restlessly. They might also experience anxiety, erratic mood swings, or delusions. This type of person frequently rejects care.
Dysactive hypoactivity These individuals may be inert or engage in decreased activities. They frequently appear lethargic or sleepy. They could appear to be confused. They don't talk to their relatives or other people.
Hybrid delirium Both kinds of delirium are present as symptoms. The individual may abruptly shift between being agitated and lethargic.
Hence, Delirium, sleep disturbances, cognitive changes, is the answer
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a physician suspects urinary tract referred pain in a patient with right shoulder complaints. what part of the urinary system would refer pain to the right shoulder?
Auscultation led to the patient being taken to the emergency room with a suspected AMI since shoulder pain (SP) can come from both visceral and musculoskeletal sources.
which body part refers discomfort to the right shoulder?Your phrenic nerve becomes irritated and swollen when your gallbladder is affected. From the abdomen, through the chest, and into the neck is the phrenic nerve. A fatty meal irritates the nerve and results in referred pain in your right shoulder blade each time you consume it.
What is the source of soreness near the right shoulder blade?Muscular strain: The most frequent cause of shoulder blade pain is muscle strain, which can result from strenuous exercise, heavy lifting, or simply sleeping incorrectly. If your discomfort is accompanied by popping and cracking sounds, you may have snapping scapula syndrome.
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the nurse observes a distorted thinking pattern in a teenage patient diagnosed with an eating disorder. which statement characterizes personalization by the patient?
The patient's comment that best illustrates personalization is "My mother and dad argue all the time because I'm obese."
What are three instances of disordered eating habits?Dieting and restrictive eating patterns are a few of the most typical types of disordered eating. Self-inflicted vomiting, binge eating, and laxative abuse are a few more. (For a more comprehensive list, see Dangerous Eating Behaviours). Anorexia nervosa and bulimia nervosa are two examples of the various types of eating disorders.
Why do eating disorders often occur?Eating disorders have an elusive exact cause. There may be a variety of factors, including biology and genetics, like with other mental diseases. There is a chance that some people have genetic predispositions to eating problems.
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which intervention would the nurse implement for a client with delirium? select all that apply. one, some, or all responses may be correct.
The best nursing interventions which a well trained nurse should implement when treating patients with delirium simply are:
Orient clients Employ medications which triggers deliriumEncouraging them to always rest and sleep appropriately.The correct answer choices are options a, b and c.
What is meant by delirium?Delirium can simply be defined as medical condition in which an individual lost his or her mental consciousness, awareness and alertness to their surrounding. This gies to say that patients with this condition called delirium usually have a very weak mental state to discern the activities which occurs in their environment and as such are being affected mentally.
So therefore, it can be deduced from the explanation given above that delirium is a serious mental health condition and needs to be properly taken care of.
Complete question:
Which intervention would the nurse implement for a client with delirium? select all that apply. one, some, or all responses may be correct
a. Orient client
b. Employ medications which triggers delirium
c. Encouraging them to always rest and sleep appropriately
d. None of the above
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you are a member of an intensive care unit team in a regional hospital. this morning, a patient had an unexpected severe allergic reaction (anaphylaxis) after being given a penicillin derivative. there was a significant delay in getting the physician involved and beginning treatment for this life-threatening condition. fortunately, the patient is now stable and does not seem to be experiencing any lasting effects. at this point, what would an effective team leader do?
At this point, an effective team leader would conduct a debriefing.
Debriefing is a process that enables participants to relate the things they did and the lessons they learnt to the outside world.
When is debriefing conducted?
Debriefing may occur at the conclusion of any activity or event, whether the conclusion of a specific experience or a run of related activities. There is no one ideal time for debriefing or predetermined length requirements for each debrief. Advises utilising a variety of debriefing techniques as well as exercises that equip participants with the skills and authority to lead their own debriefing sessions.
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a patient was seen in the clinic for hypertension and received a prescription for a new antihypertensive medication. the patient arrived in the emergency department a few hours after taking the medication with severe angioedema. what medication prescribed may be responsible for the reaction?
Angiotensin-converting enzyme (ACE) inhibitor, the prescribed medication, may be to blame for the client's reaction, which was brought on by hypertension.
What is hypertension?Elevated blood pressure is known as hypertension, or high blood pressure. Your blood pressure varies throughout the day based on your activity. If blood pressure measurements are frequently greater than normal, high blood pressure could be diagnosed (or hypertension). an issue when the blood puts much more pressure on the walls of the arteries. Hypertension is commonly defined as blood pressure over 140/90; severe hypertension is defined as blood pressure over 180/120.
High blood pressure frequently goes unreported. It can potentially result in conditions like heart disease and stroke if not managed. By consuming less salt in your diet, moving more, and taking medications, you can lower your blood pressure.
What is the main symptoms of hypertension and what are the things that cause hypertension?Early-morning headaches, nosebleeds, abnormal heartbeats, changes in eyesight, and ear buzzing are just a few of the symptoms that can appear. Fatigue, nausea, vomiting, dizziness, anxiety, chest pain, and muscle tremors are all symptoms of severe hypertension.
Health issues might result from blood pressure that is too high or that persists for an extended period of time. Your risk of stroke, heart disease, heart attack, and kidney failure increases if your high blood pressure is uncontrolled.
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a client comes to the emergency department after experiencing a wound. inspection reveals an opening in the skin with distinct edges and whose depth is greater than the length of the wound. the nurse documents this as which type of wound?
The nurse documents this as Stab type of wound
What is one should do in emergency department ?An adequate airway is always the top concern in any emergency. The nurse is responsible for cleaning the patient's mouth, placing an oral airway, helping with intubation, administering oxygen therapy, and continuously monitoring the patient's respiratory system.
An incision in the skin that has distinct edges and is typically deeper than long is called a stab wound. Typically, a sharp object is to blame. A laceration is a skin tear that has uneven edges and vein bridging. Avulsions appear as the tissue surrounding supporting structures is torn away. The pattern of a wound is determined by the object that caused it.
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dave was arrested for and convicted of a drug-related offense. because of his history of drug problems, he has been referred by the court for drug dependence treatment. drug dependence treatment has been shown to be:
more successful than incarceration in lowering recidivism such as repeat offenses
How does recidivism manifest itself?Recidivism is defined as committing an offense or breaking the law again after receiving punishment or after stopping a particular behavior. For instance, a first-day release from jail results in a minor offender committing another theft right away.
. What are the three causes of a high recidivism rate?Numerous factors can contribute to recidivism, including interactions with others while incarcerated, a lack of employment and other financial opportunities, depression, a failure to reintegrate into society, an unchanging lifestyle and social network after release, and the failure of the criminal justice system to address underlying issues before release.
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under which emergency severity index (esi) level would the nurse triage the client who incurred multiple trauma after a bus crash and whose vital function is threatened?
Clients with multiple traumas or ischemia-related chest discomfort should be placed under ESI-2, which denotes the stability of the client.
ESI 3: What does it mean?ESI 1 and 2 are regarded as "emergent," ESI 3 is regarded as "urgent," and ESI 4 and 5 are regarded as "non-urgent" when ESI is correlated to a three-level structure. Due to ESI's standardization and testing, it can be used to compare emergency departments' acuity and inpatient bed utilization.
In an emergency room, what is ESI?Indicator of Emergency Severity (ESI) The ESI Implementation Handbook, henceforth referred to as A Triage Tool for Emergency Department Care, offers an anticipated patient distribution in a typical ED with ongoing training and quality assurance programs in place.
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you are assessing an 80-year-old patient who explains that he was awakened by a sudden feeling of suffocation and respiratory distress. these symptoms are characteristic of:
Paroxysmal nocturnal dyspnea is characterized by these symptoms.
What does it mean to be a patient?Patient is a translation of the Latin word "patiens," which means to suffer or endure. In this terminology, the patient is genuinely passive, experiencing the required discomfort and bearing with the outside expert's actions.
A patient individual is what?Anywhere there is annoyance or difficulty, which is almost everywhere, we have the chance to develop patience since it involves being able to wait patiently in the face of these emotions. The secret to a happy existence, though, may lie in having patience.
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the client receives a prescription for niacin, and the nurse is providing education about the medication. what should the nurse teach the client about possible adverse effects of the medication?
"Some people get very flushed skin when they take this medication." is what the nurse should warn the client about.
What is the use of niacin medication?
High-density lipoprotein (HDL), the "good" cholesterol that aids in the removal of low-density lipoprotein (LDL), the "bad" cholesterol, from your system, is increased by prescription niacin. Niacin is available in oral tablet and extended-release (long-acting) tablet forms. The extended-release tablet is typically taken once daily, at bedtime, following a low-fat snack, while the standard pill is typically taken two to three times daily with meals.
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which questions should the nurse ask a patient who is concerned with infertitlity as part of the history of present illness
How long have u been trying to conceive baby for? Is the questions should the nurse ask a patient who is concerned with infertility as part of the history of present illness.
What medicines you are currently taking?The next question the nurse should ask to the patient who is concerned with infertility as part of the history of present illness is the above mentioned one and is not able to conceive for a longer time
What is infertility?When a person is not able to get pregnant(conceive) even after the one year or longer unprotected sex is termed as infertility.
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which statement about radiological dispersal devices (rdds) made by the nursing student indicates effective learning?
A group of nursing students are being taught by the nursing professor.
Development of the Workforce and Training
A prepared workforce is essential to a successful disaster response, and an educated workforce is a fundamental part of a prepared workforce. The resources in this Topic Collection cover a variety of topics, including competencies for disaster medicine, experiences with various approaches and models for health professional training and workforce development, a few general training resources to support all-hazards preparedness, tools to support training and workforce development, and considerations for U.S. workforce development, including studies on the impact of training on willingness to work in a disaster.
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a client is hospitalized when presenting to the emergency department with right-sided weakness. within 6 hours of being admitted, the neurologic deficits had resolved and the client was back to his presymptomatic state. the nurse caring for the client knows that the probable cause of the neurologic deficit was what?
The probable cause of the neurologic deficit is the Transient ischemic attack pg.
What is the neurologic deficit?
A neurologic deficit is defined as an abnormal function of a body area. The brain, spinal cord, muscles, or nerves have been injured, which has resulted in this impaired function. Examples comprise irregular reflexes. being unable to speak. The particular causes of neurological issues can vary, but they may include starvation, brain injury, spinal cord injury, or nerve injury. They may also include genetic illnesses, congenital anomalies or disorders, infections, lifestyle, or environmental health issues. Changes in movement, such as paralysis, weakness, lack of muscle control, increased or decreased muscle tone, or uncontrollable motions Changes in sensation, such as paresthesia, numbness, or loss of sensation.
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two body systems that may be logithe nurse is completing an abbreviated head-to-toe assessment of a client. what would the nurse perform when assessing the client's eyes?
The entire body is evaluated from head to toe, and the results will give the medical expert information on the patient's general health.
Which bodily systems are examined during a physical examination?Focused inquiries about the state of several bodily systems, including the cardiovascular, respiratory, neurological, gastrointestinal, urinary, and musculoskeletal systems, are made during a body system evaluation.
What evaluation is crucial while dealing with head injuries?The GCS should be performed after assessing the patient's airway, cervical spine protection, respiration, circulation, and hemorrhage management. All individuals with head injuries should be evaluated using the GCS score by qualified healthcare professionals.
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which individualized plan does the nurse understand will be included in the initial plan of treatment for the client who seeks treatment for obesity? select all that apply. increased physical activity surgery reduced-calorie diet medications lifestyle modification with behavioral therapy
Despite the differences in unique treatment programs, each one should address a few issues, such as withdrawal, co-occurring disorders, mental and physical health, and post-treatment requirements. Depending on the patient, this could be arranged to increase the effectiveness of the treatment.
How to Implement a Customized Plan?
When creating a treatment plan, individual needs must be taken into consideration. Each person will have unique thoughts, perceptions, and ideas that should be taken into account when treating them. To advance, they primarily need to achieve their physical and mental objectives of detoxification and healing. In order to properly use an individualized strategy, a diagnosis is one aspect of the situation. Helping them connect with the therapists and support groups available while in therapy is crucial, as is matching them with services.
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a nurse is conducting a refresher program for a group of nurses returning to work in the newborn clinic. the nurse is reviewing the protocols for assessing vital signs in healthy newborns and infants. the nurse determines that additional education is needed when the group identifies which parameter as being included in the assessment?
In a refresher program, the nurse determines that additional education is needed when the group identifies blood pressure being included in the assessment of vital signs in healthy newborns and infants.
A refresher program is meant to bring learners back to the fundamentals, so they'll review a number of the basics they'll have forgotten, or brush up new information they'll not bear in mind of.
Blood pressure is a condition within which the force of the blood against the artery walls is simply too high. Usually high blood pressure is outlined as force per unit area on top of 140/90, and is taken into account severe if the pressure is on top of 180/120. consumption a healthier diet with less salt, sweat often and taking medication will facilitate lower blood pressure.
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when explaining acute pancreatitis to a newly diagnosed client, the nurse will emphasize that the pathogenesis begins with an inflammatory process whereby:
Autodigestion of pancreatic tissue results from activated pancreatic enzymes escaping into neighboring tissues.
What is a disease's pathogenesis?The process through which an infection develops into a disease is known as pathogenesis.The following are the pathogenic pathways of viral disease: (1) implantation of the virus just at point of entry, (2) local replication, (3) dissemination towards target organs (disease sites), & (4) spread towards sites of virus shedding into the environment.
What is an illustration of pathogenesis?Pathogenesis can take many different forms, such as microbial infection, inflammation, cancer, and tissue destruction.For instance, bacterial pathogenesis is the process by which bacteria cause infectious disease.The majority of diseases are brought on by numerous processes.
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a client diagnosed with colon cancer presents with the characteristic symptoms of a left-sided lesion. which symptoms are indicative of this disorder? select all that apply.
Lesions on the right side are accompanied by melena and dull abdominal ache. Left-sided lesions are associated with the additional symptoms.
What sign of colon cancer is the most prominent?Abdominal (tummy) pain, changes in bowel habits, such as more frequent, looser stools, and blood in the stools (feces), are the three main symptoms of bowel cancer. The majority of those who experience these symptoms, however, do not have bowel cancer.
What are the two most typical signs of bowel cancer?persistent blood in your feces—which can occur suddenly or be related to a change in bowel habits. a long-lasting alteration in your bowel habits, which typically involves having to poop more frequently and possibly having runnier poop.
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to assess the patient’s history related to dyspnea on exertion (doe) what question should the nurse ask the patient?
"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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which education would the nurse provide the parents of an infant with phenylketonuria about the etiologyo f the ocndition
The nurse should provide the parents of an infant with phenylketonuria about the etiology of the condition that this disorder was inherited from parents which is autosomal recessive.
What is phenylketonuria ?Phenylketonuria (PKU) is an inborn error of metabolism in body which generally results in decreased metabolism of the amino acid phenylalanine (C9H11NO2).
What is meant by autosomal recessive?It (autosomal recessive) is a way or method by which genetic traits are passed on from parents to child.
What happens if PKU is untreated?There are chances of occurring cognitive impairment if it is not treated at proper time. A low diet know as phenylalanine diet is also required.
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a patient is scheduled for a billroth i procedure for ulcer management. what does the nurse understand will occur when this procedure is performed? the vagus nerve is cut and gastric drainage is established.
A partial gastrectomy is performed along with anastomosis of the stomach segment to the duodenum.
What is a Billroth I procedure?
A Billroth I procedure or formally Billroth’s operation I is an operation wherein the lower portion of the antrum of the stomach is removed (which contains gastrin secreting cells) along with a small portion of the pylorus and duodenum.
This procedure is often performed after a gastrectomy, or the partial or complete removal of the stomach. Billroth I procedure preserves the duodenal passage and restores normal gastrointestinal physiology.
A Billroth I procedure is often recommended to patients with benign gastrointestinal system diseases.
Therefore, a partial gastrectomy is performed along with anastomosis of the stomach segment to the duodenum.
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ertical banded gastroplasty is a surgical procedure that reduces the volume of the stomach in order to produce weight loss. in a recent study, 82 patients with type 2 diabetes underwent this procedure, and 59 of them experienced a recovery from diabetes. does this study provide convincing evidence that the percentage of those with diabetes who undergo this surgery will recover from diabetes differs from 57%? use the
This study doesn't provide convincing evidence because test statistic is greater than critical value, so reject null hypothesis and conclude that more than 60% of those with diabetes who undergo vertical banded gastroplasty will recover from diabetes.
Restrictive viscus operations, like vertical banded gastroplasty (VGB), serve solely to limit and reduce food intake and don't interfere with the conventional organic process. During this procedure the higher abdomen close to the gorge is pinned vertically to form a tiny pouch on the inner curve of the abdomen.
A null hypothesis is a variety of applied mathematics hypothesis that proposes that no applied mathematics significance exists during a set of given observations. Hypothesis testing is employed to assess the credibleness of a hypothesis by victimisation sample knowledge. typically cited merely because the "null," it's delineated as H0.
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a pta is working with a patient in an outpatient cardiac rehabilitation unit. which component of the exercise program must the pta emphasize the most to the patient to prevent venous pooling?
To stop venous pooling, the pta must emphasize the importance of the exercise program's stair training to the patient.
What ratio of exercises to rest should be used for a cardiac inpatient exercise program?One suggestion is to start the patient out with 5–10 minutes or more of aerobic activity at an RPE of 11–14 (mild to slightly strenuous) with a goal heart rate of RHR +20–30 [25]. The patient's heart rate, exercise workload (such as treadmill speed and grade), and any symptoms should always be recorded.
What are a cardiopulmonary rehabilitation program's two main objectives?Cardiovascular rehabilitation programs seek to alleviate the psychological and physical strains brought on by cardiovascular illness, as well as the risk of associated mortality and cardiovascular function problems.
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during dinner time on an inpatient unit, an adolescent client throws a tray across the table. what would be an effective use of limit setting with this client?
Cognitive-behavioral therapy is one form of treatment for conduct disorder. A adolescent gains superior problem-solving, communication, and stress-management skills.
Who among your clients is most likely to have a background of intermittent explosive disorder?Intermittent explosive disorder is more likely to occur in people with antisocial personality disorder, borderline personality disorder, or other conditions that entail disruptive behaviours, such as attention-deficit/hyperactivity disorder (ADHD).
Is a trip to a neutral location necessary for clients to restore control?Describe time-out. To help clients regain self-control, it involves retreating to a neutral location. It's not a penalty. Time-outs can stop violence or outbursts when a client's behaviour starts to worsen, for as when the client starts yelling or threatening others.
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a patient is being treated in the intensive care unit for sepsis related to ventilator-associated pneumonia. the patient is on large doses of three different antibiotics. what severe outcome should the nurse monitor for in the lab studies?
Reduction of bone marrow, Large dosages of antibiotics have the potential to inhibit bone marrow.
How do patients define themselves?The English term "patient" is a translation of the Latin verb "patiens," which meaning to endure or suffer. By using this language, the patient is referred to as being really passive, experiencing the necessary suffering, and tolerating the activities of the outside expert.
What is a patient person?We have the opportunity to learn patience since it requires learning to wait patiently in the face of displeasure or hardship, which is nearly everywhere. Having patience, though, can be the key to a happy life.
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a nurse is caring for a client in the compensatory stage of shock. what clinical finding would the client exhibit?
Answer:
compensatory respiratory alkalosis
Explanation:
a client is diagnosed with systemic lupus erythematosus (sle). what is the most appropriate action for the nurse to take in order to evaluate the client's stage of disease?
An autoimmune disease called SLE causes the immune system to attack its own tissues, which causes severe tissue destruction and inflammation in the affected organs.
Which of the following rheumatoid arthritis (RA) treatment modalities is frequently used first?Methotrexate is usually administered as the first drug for rheumatoid arthritis, often in combination with another DMARD and a brief course of steroids (corticosteroids) to alleviate any pain. These might be combined with biological treatments.
Which drugs are recommended as first-line therapy for a patient with recently discovered rheumatoid arthritis?To control the condition, various pharmaceutical combinations are frequently employed. Usually, the first-line treatment for rheumatoid arthritis is methotrexate. Tumor necrosis factor inhibitors are typically regarded as second-line drugs or can be coupled to other medications for combination therapy.
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a woman is admitted to the antepartal unit with a diagnosis of a partial abruptio placentae. part of the plan of care for this woman should be to assess the fetus for signs of
Bleeding, uterine contractions, and fetal discomfort are common symptoms of abruptio placentae, also known as placental abruption.
If Abruptio Placentae is present, what discoveries might the nurse anticipate observing?Acute stomach pain is a symptom of abruptio placentae. Placental abruptions are accompanied by uterine discomfort and pain, especially when there is a central abruption and blood is trapped beneath the placenta. As the blood permeates the myometrium and promotes uterine irritation, the abdomen will feel rigid and board-like when palpated.
Which of the following phases of the first stage has the fastest rate of cervical dilation?Which of the following phases of the first stage has the fastest rate of cervical dilation? The active phase is the phase during which cervical dilatation happens the fastest.
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