Outlining the concrete procedures required to achieve certain goals is a key component of strategic planning in the healthcare industry.
What is a healthcare organization trying to accomplish?Generally speaking, hospital aims revolve around enhancing patient care, care quality, staff retention and skill, hospital expansion, and finances.
What three things make up the core of a healthcare organization?Managing daily operations in a healthcare facility that have an impact on patient care and organizational objectives is referred to as operations management. Administrative, financial, and legal aspects of these procedures are often separated out into several categories.
What are sensible objectives for health care?A SMART target is one that is time-bound, specified, measurable, achievable, and relevant.
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what teaching points would a nurse provide for families of school-aged children to help prevent substance abuse? select all that apply.
Give the kid hypothetical circumstances they might encounter.Establish clear guidelines for using alcohol and other drugs, and talk about the repercussions of breaking them.Encourage making decisions and talk about family values.
Which seven-year-old displays the development of decentration the best?The child is capable of comprehending other viewpoints.Explanation:At age 7, a child's brain processes change, and magical thinking gradually disappears.
What are the four main theories of child development?Peterson offers four perspectives: social learning, classical learning, cognitive/developmental learning, and psychoanalytic learning (2010).
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a client develops a mild skin irritation while receiving penicillin therapy. which products or actions would the nurse advise the client to avoid? select all that apply
When a patient getting penicillin medication experiences a slight skin rash, the nurse will advise the patient to avoid taking diphenhydramine.
How is therapy done?Individuals have sat with a therapist like this during treatment to talk and get advice on how to handle their problems. The therapist will first question you about your problems. They ask you more questions about your family, your schooling, and your overall health. They focus on your experiences to better understand you.
What is the therapy used for?Psychotherapy can help with majority of mental health difficulties, including anxiety disorders like severe disorder (OCD), phobia, anxiety attacks, and article stress disorder (PTSD) Types of mood disorders include depression and bipolar disorder.
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a client with type 2 diabetes experiences unexplained elevations of fasting blood glucose in the early morning hours. which conditions can account for this effect?
In the early hours, a patient having type 2 diabetes suffers unexpected increases in fasting blood glucose. Conditions related to the dawn phenomena might explain this outcome.
Obesity and insulin resistance, as well as other metabolic abnormalities, play important roles in the development & maintenance of type 2 diabetes (T2DM). Blood sugar levels that are higher than usual but not yet high enough to be classified as diabetes type 2 are considered to have prediabetes, a significant health condition. Blood sugar related to the dawn phenomena might explain this outcome.Age 45 or older, a familial history of diabetes, being overweight, or being obese all increase your risk of developing type 2 diabetes. African Americans, Hispanic/Latinos, American Indians patients , Asian Americans patients, and Pacific Islanders are more likely to have diabetes than other racial or ethnic groups.
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while performing an assessment on an adult patient, the nurse notes 2 peripheral edema, weight gain of 2.8 lb in last 24 hours, and jugular veins distention, which condition will the nurse
The nurse would suspect congestive heart failure: Heart attack.
Heart Attack signs
Due to the heart's diminished ability to pump blood, a patient with heart failure has a lower cardiac output. Dyspnea, dependent edema, hepatomegaly, crackles, and jugular vein distention are brought on by a fluid buildup. A pulmonary embolism patient has fever, hemoptysis, pleuritic chest discomfort, and acute shortness of breath. Hypotension, increased central venous pressure, and muffled heart sounds are all symptoms of cardiac tamponade in patients. Dyspnea, jugular vein distention, a deviated trachea, and the absence of breath sounds on the affected side are all symptoms of tension pneumothorax in a patient.
A indication of increased fluid volume and worsening heart failure is peripheral edema. Captopril side effects include a skin rash, dry cough, and postural hypotension, but they don't necessarily mean the treatment is ineffective.
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a 40-year-old man presents with a 3-day history of right-sided chest pain. it is gradually increasing in intensity, burning in character, and like a band across his mid-chest and mid-back on the right side. today, he noticed a light rash in this area; out of concern, he visited his doctor. he has no fever, but he is experiencing fatigue and malaise. his past medical history includes gerd, for which he is on lansoprazole daily; asthma, for which he uses albuterol inhaler daily; and knee arthritis, for which he uses over-the-counter low dose naproxen as needed. family history is noncontributory. on examination, he is afebrile with a bp of 128/80 mm hg and a pulse of 70 bpm. oral exam is unremarkable. lungs are clear, and the abdomen is benign. on the right side of his chest, there are small vesicles with surrounding erythema in the mid region. the skin is excruciatingly tender in a dermatomal fashion along the affected area. question: what is the most likely diagnosis?
Herpes Zoster infection: A common ailment observed in the clinic is herpes zoster infection, which is indicated by the dermatomal distribution of burning pain along with a vesicular rash.
What healthcare services are covered under Medi-Cal?Numerous medically required services are covered by Medi-Cal. Prescription medications, eye exams, family planning, mental health treatments, and drug and alcohol rehabilitation are all included in this. Also included are trips to the dentist and doctor.
Do you often receive Medi-Cal benefits?Many consumers who enroll in Medi-Cal are not required to pay a premium, a co-payment, or any out-of-pocket expenses. A modest monthly premium will be one of the prices that some households can pay. With a maximum of $13 for each child, the average monthly Medi-Cal premium for a household is $39 per month.
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the nurse is performing an assessment for a client related to pain. to determine the need for pain medication, on what primary source will the nurse base the decision?
To determine the need for pain medication verbal report is the primary source will the nurse base the decision.
Which factors would the nurse take into account when performing a pain assessment on a patient in a non-life-threatening circumstance?Important factors
Using a pain assessment tool that is cognitively and developmentally appropriate.
Reassess pain after receiving pain-relieving interventions, such as by measuring pain during rest and movement.
Look into higher pain scores based on anticipation.
tally up your pain levels.
Self-report is the most reliable and accurate method for measuring pain because it is a subjective experience. To accurately describe, evaluate, and record a patient's pain, use the PQRST method of pain assessment.
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what are some nutritional problems experienced by infants that are born before 37 weeks' gestation? multiple select question. insufficient iron and calcium stores decreased metabolic rate insufficient fat poor ability to suck and swallow
The nutritional problems experienced by infants that are born before 37 weeks gestation are insufficient iron and calcium stores, insufficient fat, and poor ability to suck and swallow.
Poor diets deficient in essential nutrients during pregnancy, such as iodine, iron, folate, calcium, and zinc, can result in anemia, pre-eclampsia, hemorrhage, and mortality in mothers. They can also result in a stillbirth, a low birthweight, wasting, and problems in a child's development.
Early physical growth and development should be supported nutritionally because they lay the groundwork for a long, healthy life.
Infants have the capacity to digest and assimilate nutrients from human milk or formula from birth. The digestive tract develops during infancy such that by the end of the first year, a range of meals can be consumed.
Individual nutrient and energy requirements correspond to the rapid growth requirements for food, fuel, and basic metabolism.
The feeding patterns of infants follow a specific developmental pattern.
The developing infant's oral anatomy and function are determined by eating skills and appropriate textures of food.
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which response would the nurse use when a client is observed hiding a bottle of whiskey in the back of a drawer?
Instead of using the real and honest reasons for using drugs or alcohol, people with substance use disorders rationalize their actions. It is employed to combat guilt feelings, safeguard oneself from criticism, and uphold one's self-respect.
What conduct characterizes patients with borderline personality disorder the most?People with BPD have a profound fear of abandonment and have trouble controlling their emotions, especially rage. Additionally, they regularly drive recklessly and threaten to injure themselves, among other unsafe and rash behaviors.
What situation would prompt a client to employ confabulation?Confabulation may be triggered by both internal (such as cognitive impairments) and external influences (e.g., repeated questioning or negative feedback in stressful situations).
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a client is receiving rifampin and isoniazid in combination for treatment of tuberculosis. what would the nurse need to monitor closely?
The body's fluids become orange when this medicine is taken. To prevent fear when it happens, the client has to be made aware of this. Any medication may result in an allergic response.
What types of jobs are there for nurses?Registered nurses (RNs) oversee and perform medical operations, assist patients' families emotionally, and educate the public about a range of health concerns. The majority of registered nurses work in a variety of settings with physicians and other healthcare professionals.
One category of candidates is nurses.Their duties also include several post-operative surgical therapy chores. Heart, pediatric, or obstetric surgery is a typical area of specialization for surgical nurses.
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a client is seen in the emergency room reporting sharp chest pain that started abruptly. he says it has radiated to his neck and abdomen. he also states that it is worse when he takes a deep breath or swallows. he tells the nurse that when he sits up and leans forward the pain is better. upon examination the nurse notes a pericardial friction rub and some ekg changes. which disease should the nurse suspect this client to have?
Upon examination the nurse notes a pericardial friction rub and some EKG changes so disease which the nurse should suspect this client to have is pericarditis.
Pericarditis is swelling and irritation of the skinny, pouchlike tissue close the guts (pericardium). carditis usually causes sharp pain. The pain happens once the irritated layers of the serous membrane rub against one another. It is typically gentle and goes away while not treatment.
A pericardial friction rub is a grating, to-and-fro sound made by friction of the guts against the pericardium. This sounds just like sandpaper rubbed on wood. Such a sound sometimes indicates carditis. The intensity of the rub varies with the section of the oscillation instead of the metabolism cycle.
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which postoperative complications can be reduced by appropriate client teaching about deep-breathing exercises? select all that apply.
In order to avoid postoperative problems like low oxygen levels, secretion buildup, and atelectasis, deep breathing exercises are recommended.
What is the typical oxygen level by age?Both adults and children are believed to have oxygen saturation levels (SpO2) between 95% and 100% to be normal; anything below is thought to be abnormal. Oxygen levels may be closer to 95% in those over the age of 70. For both adults and children, the range of the normal oxygen saturation (SpO2) is 95 to 100%.
How low an oxygen level is dangerous?As hypoxia, a condition in which insufficient oxygen reaches the body's tissues, may be present, people should seek medical attention if their oxygen saturation measurements fall below 92%. Speak with a doctor right away if your blood oxygen saturation levels drop to 88% or below.
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after observing the client, which instruction by the nurse is most important for client teaching? (select all that apply.)
Between each pill, allow at least five minutes. prior to taking a second drug, one should wait at least five minutes.
What objectives does client teaching serve?
Patient education programs' main objective is to bring about long-lasting behavioral changes by arming patients with the information they need to make their own decisions, better their own outcomes, and take as much control of their own care as possible.
What are the four patient education steps?
The recommendations are based on APIE (assessment, planning, implementation, and evaluation), which is the acronym for the patient education process (Bastable, 2017). Effective patient education requires each component to function properly. No part can be omitted or given less consideration.
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the nurse is caring for a client with an amputated limb. the client reports a severe burning sensation in the amputated limb and is asking for medication to help. which medication, if prescribed, should the nurse administer?
Phantom pain A type of neuropathic pain that frequently persists for days, weeks, or even months after its original cause has been treated, the nurse should label the pain as phantom pain in the patient's medical
How painful does phantom pain?Mild to severe phantom limb discomfort might continue for a few seconds, a few hours, a few days, or longer. It might happen following a surgical removal (removing part of a limb with surgery). It may also occur if you lose a finger, toe, or other body part due to an accidently amputated limb. It is possible to control phantom pain.
What causes phantom pain?It is still unclear what is responsible for most phantom pain. However, some professionals tend to think that phantom pain was psychological. It is also believed to result from conflicting messages coming from your head or spinal cord. This happens when the nerves in the affected area of your spinal cord and brain stop sending impulses as a result of the detachment.
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a client with an infected ulcer on the foot has been prescribed daptomycin. what action should the nurse ensure has been taken to determine that the drug will be effective in treating the infection?
The drug will be effective in treating the infection Obtain a culture of the client's infection.
What is drug in a simple definition?Anything (apart from food) which is used to cure or relieve the symptoms of an illness or other abnormal state. Drugs may alter mood, consciousness, emotions, feelings, or behavior in addition to having an impact on how the mind and the rest of body function.
What impact do drugs have on the brain?Drugs have an impact on how neurons send, receive, and process signals using neurotransmitter. Some drugs, including heroin and cannabis, have the ability to activate cells because their chemical structures are comparable to those of the body's natural neurotransmitters. This makes it possible for the drugs to attach to and activate the neurons.
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FILL IN THE BLANK. instructional training (1) the teacher gives a ____ description. (2) the learner emits the ____ behavior. (3) the teacher ____ it
1) The teacher gives a verbal description
2) The learner emits the instructed behavior
3) The teacher reinforces it
What is instructional training?
Job instruction training, or JIT, is a type of straightforward on-the-job training in which a new hire is guided step-by-step through the process by a manager or a designated coworker. This type of education is typically available for industries demanding manual labour, such manufacturing workers. Information processing, behavioural, social interaction, and personal are the four categories. There are various tactics that can be applied inside each model. Strategies define how a teacher will approach achieving learning goals.
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a nurse is conducting grief resolution for a client who lost his wife in a motor vehicle accident in which he was the driver. which interventions best accomplish this goal? select all that apply.
Interventions that are best suitable for the given statement are:
1. Listen to expressions of grief.
2. Include significant others in discussions and decisions as appropriate.
3. Communicate acceptance of discussing the loss.
Loss & Grief:
All people will suffer grief and loss at some point in their lives. The absence of something that was valued constitutes a loss, whether genuine or perceived. Others can recognize and confirm an actual loss, but they cannot confirm a perceived loss. To the person who has lost a loved one, both are genuine. Grief is the internal component of a loss; it is a set of emotional reactions to a loss. Nurses may have personal experience with this or act as a support system for patients and their families who are grieving and losing a loved one. Although there are common stages of mourning that people go through, each person's experience is unique.
Although the emotion of loss is frequently linked to the loss of a loved one, there are other occasions when it may occur. When a substantial change occurs, such as the loss of a job, a function, a limb, a pet, the perception of losing control, or the death of a loved one, people may feel grief and a sense of loss. The nurse's responsibility is to give the patient and their loved one’s compassionate care, which will vary from person to person. To be able to offer the best care to those going through grief, the nurse must also maintain emotional resilience.
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a nurse is directed by the charge nurse to talk to a client about signing a surgical consent form. what is the responsibility of the nurse in this situation?
The responsibility of the nurse in this situation is to explain the patient about the procedure and take his consent.
A surgical consent form is used to document a patient's approval to the scheduled operation or special procedure and to confirm that they have received the essential information. The paperwork must outline any hazards connected to the procedure and any follow-up therapy.
Before obtaining the patient's consent, the surgeon is required to inform them about the planned surgery's nature, anticipated benefits, significant risks and side effects, alternative treatments, and the implications of forgoing the procedure. There are three standard ways to get your patient's informed consent before executing a medical procedure.
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a 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous iv infusion. which assessment data would indicate to the nurse that the client is experiencing magnesium sulfate toxicity?
The nurse that the client is experiencing magnesium sulfate toxicity Urine output 90mL / 4 hours.
What sort of work are nurses supposed to perform?Registered nurses (RNs) manage and perform medical treatment, inform the public about various health issues, and provide patients and their families with emotional support. The majority of registered nurses collaborate with doctors and other health care providers in a variety of situations.
Can a nurse perform the task?Several surgical post-operative therapeutic responsibilities are under their purview. In the case of obstetrics, pediatric surgery, or cardiac surgery, many surgical nursing professionals opt to concentrate in that specific field.
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a client with pancreatitis is admitted to the medical intensive care unit. which nursing intervention is most appropriate?
Answer:
Reserving an antecubital site for a peripherally inserted central catheter (PICC)
Explanation:
The nursing intervention that is most appropriate is reserving an antecubital site for a peripherally inserted central catheter (PICC). The correct option is a).
What is pancreatitis?The redness and swelling (inflammation) of the pancreas are symptoms of pancreatitis. It could be persistent or sudden (acute) (chronic). Alcohol consumption and lumps of solid matter (gallstones) in the gallbladder are the two most frequent causes.
Treatment for pancreatitis often involves keeping the GI tract relaxed by refraining from oral intake. The client can get long-term complete parenteral nourishment if the nurse reserves the antecubital site for a PICC.
Large amounts of intravenous fluids are also necessary for patients with pancreatitis in its acute phases to make up for the fluid loss.
Therefore, the correct option is a) Reserving an antecubital site for a peripherally inserted central catheter (PICC).
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The question is incomplete. Your most probably complete question is given below:
a) Reserving an antecubital site for a peripherally inserted central catheter (PICC)
b) Providing generous servings at mealtime
c) Providing the client with plenty of P.O. fluids
d) Limiting I.V. fluid intake according to the physician's order
a client is being placed on a purine-restricted diet. what foods will the nurse include in the client's diet plan?
dairy ingredients Primary hyperuricemia can be brought on by extreme dieting or starvation, consuming an excessive amount of foods high in purines, or hereditary factors.
Which one of the following would a nurse advise a gout patient to avoid?Foods high in PURINES should be avoided by gout patients. Most red meats, organ meats (liver, kidneys, and sweetbreads), and alcohol are among these (especially beer).
Which of the following approaches to treating rheumatoid arthritis (RA) is typically first?The first medication prescribed for rheumatoid arthritis is typically methotrexate, frequently in combination with another DMARD and a brief course of steroids (corticosteroids) to treat any pain. These could be used in conjunction with biological therapies.
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the nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. the nurse notes the presence of the umbilical cord protruding from the vagina. what is the first nursing action with this finding?
The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. the nurse notes the presence of the umbilical cord protruding from the vagina Wrapping the cord loosely in a sterile cloth that has been dampened with warm, sterile normal saline is the proper nursing activity.
Foetal heart rate monitoring affects the lives of millions umbilical cord of expectant mothers and newborns annually in the United States alone. All members of the obstetric team, including nurses, students, midwives, and doctors, employ the primary method to measure foetal oxygenation in both the antepartum and intrapartum environment. To improve outcomes and advance patient safety, accurate foetal heart rate monitoring use and interpretation are crucial to daily obstetric practice.
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The branch of medical science that deals with the structure, function, and diseases of the eye.
A specialist in the study of the anatomy, physiological processes, and disorders of the eye is known as an ophthalmologist.
What is covered under Medi-Cal?Many medically required services are covered by Medi-Cal. Included in this are visits to the dentist and doctor, prescription medications, eye exams, family planning, mental health services, and alcohol and drug rehabilitation. The cost of getting to these treatments is covered by Medi-Cal as well.
The monthly cost of Medi-Cal.The cost of enrolling in some Medi-Cal programs is waived on a monthly basis. Depending on the program and the beneficiary's income, other Medi-Cal plans offer a low monthly fee. As an illustration, monthly premiums for coverage might range from $13 for children to $39 for families.
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which assessment findings suggest to the nurse that this patient has characteristics seen in an individual who has reached self-actualization? select all that apply.
Spiritual health, openness and adaptability, fulfilling relationships, and altruism toward others are traits of self actualization. Pay doesn't always correspond to self-actualization.
What is a psychosocial component that has the potential to affect mental health, quizlet?Life experiences—particularly crises and losses—are regarded as having a psychosocial impact on mental health.
Which of the following best describes secondary prevention in community mental health?For instance, by screening individuals for depression , a more serious outcome may be prevented by early intervention. hotlines and crisis centers are examples of secondary prevention, when the disorder already present but can be mitigated before it worsens.
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the nurse is teaching a client about a sodium-restricted diet. which foods should the nurse encourage the client to consume? select all that apply. one, some, or all responses may be correct.
The nurse compiles a list of suggested items for just a client having hypertension who is starting a diet with only 2 grams of sodium. Certain foods ought to be included.
What impacts the body does salt have?A little quantity of sodium is needed by the human body to convey nerve impulses, contract or relax muscles, and keep the right ratio of water and minerals. We are thought to require 500 mg of salt everyday for these essential processes.
Which foods contain a lot of sodium?Sodium-Rich Foods
Meat, fish, or poultry that has been smoked, cured, salted, or canned, such as bacon, cold meats, ham, frankfurters, sausages, sardines, caviar, and anchovies.frozen meals like pizza and burritos that have been breaded.meals made from cans, such as ravioli, spam, and chili.seasoned nutsBeansTo know more about Sodium visit:
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a client with left-sided weakness is learning how to use a cane. the nurse would demonstrate proper use of the cane by holding it where?
You should move past the cane with the stronger leg. A client who is learning to use a quad cane and has left-sided weakness is receiving reinforcement from a nurse.
On the left side of your weakness, how would you utilize a cane?Grip the cane on the side that is opposite the weak or sore limb while using one to support it. If your right hip hurts, for example, hold the cane with your left hand. If you want a little help with stability and balance, hold the cane in the hand you use the least.
How should a patient with left-sided weakness be moved around?Place yourself slightly behind and on the client's weaker side. Keep a hand at the client's waist for quick access. Hold the upper arm of the client who is closest to you with your other arm. If the client starts to slouch, you are in an excellent position to help the client get to the floor by supporting them.
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a nurse on a neurological unit is participating in the care of a female patient who is receiving treatment for a spinal cord injury (sci) that she experienced 2 weeks ago. the patient's care plan specifies measures to prevent skin breakdown, and the nurse has planned several changes of position during the shift. how should the nurse best reposition this patient?
For a female patient who is receiving treatment for a spinal cord injury (SCI) that she experienced 2 weeks ago her care plan specifies measures to prevent skin breakdown, and "Log roll" is the best reposition this patient.
A spinal cord injury (SCI) is injury to the tight bundle of cells and nerves that sends and receives signals from the brain to and from the remainder of the body. SCI will be caused by direct injury to the spinal cord itself or from injury to the tissue and bones (vertebrae) that surround the spinal cord injury.
Log roll is a common patient care procedure performed by several health care employees. The aim of logrolling is to keep up alignment of the spine whereas turning and moving the patient who has had spinal surgery or suspected or documented spinal injury.
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a client is diagnosed with genital herpes (herpes simplex virus type 2, or hsv-2). what information should the nurse give to the client about managing this health problem?
Although they cannot treat the disease, antiviral treatments can help manage the symptoms and reduce the frequency of outbreaks. Condoms should be used to prevent among clients with HSV-2.
Why is HSV-2 regarded as a disease?Contact with saliva allows HSV-1 to spread (spit). Transmitted illness is herpes simplex 2 (HSV-2, often called genital herpes) (STD). Skin that comes into contact with an infected person's genitals becomes painful from the infection.
How did I acquire HSV-2?HSV-2 is primarily spread during by contact with the genital or surfaces, skin, lesions, or fluids of an infected person. HSV-2 can spread even if the skin seems normal and frequently does so without causing any symptoms.
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a client is asking about dietary modifications to counteract the long-term effects of prednisone. what is the most appropriate information for the nurse to give the client?
Increased risk of infections, especially those caused by typical bacterial, viral, and fungal species.
What medications should not be taken with prednisone?Patients who have a history of documented medication or formulation hypersensitivity should not take prednisone. Systemic fungi infections are a contraindication to the administration of prednisone.
When taking prednisolone, what should I avoid?While using steroid tablets, you can often consume alcohol. However, avoid drinking excessive amounts as this may aggravate your stomach. The majority of foods are safe to eat while taking steroid tablets. However, avoid consuming liquorice while taking prednisolone as this may cause your blood levels to rise.
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a client with aids is prescribed octreotide acetate. the nurse understands that this medication will assist in alleviating which problem?
The longer the client survives and takes to get diagnosed with AIDS, the lower their viral load is.
What medical conditions can octreotide treat?When specific intestinal tumors, such as VIPomas (vasoactive intestinal peptide tumors), or metastatic carcinoid tumors (tumors that have already spread throughout the body), cause severe diarrhea and other symptoms, octreotide injection is used to treat them.
What conditions call for octreotide?People with acromegaly create more growth hormone than is necessary, so octreotide immediate-release injection is used to reduce this production (condition in which the body produces too much growth hormone, causing enlargement of the hands, feet, and facial features; joint pain; and other symptoms)
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a nursing instructor has finished teaching about sulfonamides. the instructor determines the students have grasped the basics by articulating which factors concerning this drug class? select all that apply.
The students have grasped the basics by articulating Sore throat and cough concerning this drug class
What precautions to be taken while taking Sulfonamide ?A full glass (8 ounces) of water is recommended when taking sulfonamides. Unless your doctor instructs you otherwise, you should drink several additional glasses of water each day. Some of the negative effects of sulfonamides can be avoided by drinking more water.
High levels of some other medications in this class, such as sulfapyridine, can sporadically result in agranulocytosis and leukopenia in some patients. This may be another reason to monitor your therapy. HPLC is the technique that is most frequently used to measure sulfonamides, either by itself or in conjunction with trimethoprim.
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