In certain contexts, it is specifically indicated for the treatment of breast cancer. It should be mentioned that research indicates that tamoxifen may be more effective for people with malignancies that express the estrogen receptor.
What complications would the nurse check on in a bevacizumab-treated patient?Patients on bevacizumab may experience blood pressure problems (hypertension). Every time you visit the doctor or every two to three weeks, your blood pressure should be checked. You might receive treatment with medication to lower your blood pressure if it is elevated.
What is tamoxifen's main area of action?Tamoxifen, which is essential for estrogen action in breast cancer cells, competitively inhibits estrogen binding to its receptor. Tumor growth factor- and insulin-like growth factor are both decreased by tamoxifen.
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the nurse has just completed teaching a client, newly diagnosed with type 1 diabetes, about the treatment options. which response by the client leads the nurse to conclude that additional teaching is needed?
Blood pressure of 130/80 mm Hg or below. Combining diabetes and hypertension can increase the risk of cardiovascular disease, kidney disease, and other health issues.
If left untreated, diabetes and high blood pressure can result in serious complications like visual problems and kidney failure. As a result of shared risk factors such hypoperfusion, vascular inflammation, arterial remodeling, atherosclerosis, renal failure, dyslipidemia, and obesity, diabetes and hypertension are intimately linked. Over time, diabetes has an impact on the body's microscopic blood vessels, hardening the blood vessel walls. High blood pressure is the outcome of this increasing pressure. Your risk of having a heart attack or stroke might be considerably increased by having high blood pressure and type 2 diabetes. ARBs, like ACE inhibitors, reduce the negative effects of diabetes
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a 64-year-old man presents to the clinic with generalized pain in his neck, shoulders, and hips. he states the pain is worse in the mornings and is sometimes associated with one-sided headaches. his erythrocyte sedimentation rate and c-reactive protein are both elevated. you diagnose him with polymyalgia rheumatica. what other condition would you suspect in this patient?
Giant cell arteritis is the condition suspected in the patient.
What is Giant cell arteritis?
The lining of your arteries becomes inflamed when you have giant cell arteritis. The arteries in your head are most frequently affected, particularly those around your temples. Because of this, temporal arteritis is another name for giant cell arteritis.Giant cell arteritis commonly results in headaches, soreness in the scalp, jaw pain, and vision issues. Without treatment, it can cause blindness.Signs and symptoms of giant cell arteritis include:
Persistent, severe head pain, usually in your temple areaScalp tendernessJaw pain when you chew or open your mouth wideFeverFatigueUnintended weight lossVision loss or double vision, particularly in people who also have jaw painSudden, permanent loss of vision in one eyeTherefore, Giant cell arteritis is the condition suspected in the patient.
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I understand that the question is A 64-year-old man presents to the clinic with generalized pain in his neck, shoulders, and hips. He states the pain is worse in the mornings and is sometimes associated with one-sided headaches. His erythrocyte sedimentation rate and C-reactive protein are both elevated. You diagnose him with polymyalgia rheumatica. What other condition would you suspect in this patient?
A. Fibromyalgia
B. Giant cell arteritis
C. Systemic lupus erythematosus
D. Trigeminal neuralgia
a nurse admits a woman reporting severe right upper quadrant pain after eating dinner. what client risk factors lead the nurse to suspect gallbladder disease? select all that apply.
Gallbladder disease and cholesterol stones afflict two to three times as many women as males, and those who are affected are typically older than 40, multiparous, and obese.
Why do gallstone patients generally feel discomfort after eating a rich meal?Additionally, you can experience pain in your right shoulder or back, nausea, and vomiting. Biliary colic typically occurs when a fatty meal causes the gallbladder with stones to constrict.
What causes biliary colic most frequently?Biliary colic is most frequently brought on by gallstones. The regular flow of bile into the intestine is disturbed if a gallstone plugs one or both of these channels. Biliary colic is a painful condition where the muscle cells in the bile duct contract ferociously in an effort to move the stone.
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the nurse continues to closely monitor client's condition. which findings would require immediate intervention by the nurse? (select all that apply. one, some or all options may be correct.)
Nurse continues to monitor client's condition, findings that require immediate intervention by the nurse is : spO2 reading has been 90% for 2 hours, serum potassium level is 3.0 m Eq/L and serum glucose is 150.
What findings would require immediate intervention by the nurse?Nursing interventions are monitoring vital signs, airway patency, and neurologic status. Managing pain and assessing the surgical site are also some interventions by nurse.
Oxygen saturation of 88% is a critical result and requires and immediate action.
Findings that require immediate actions are: heart rate less than 40 beats per minute and greater than 130 beats per minute, change in the systolic blood pressure to less than 90 mmHg and systolic blood pressure greater than 180 mmHg.
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which health care professional would the nurse refer the client who survived a large-scale disaster event, reports a feeling of numbness for 1 month, and has notes a high score of all subscales of the impact of event scale-revised (ies-r) for further evaluation?
A mental health professional, such as a psychiatrist, psychologist, or social worker, would be the best health care professional to refer the client for further evaluation.
Who is a mental health professional?
A mental health professional is a person who provides services for the purpose of improving an individual's mental health or to treat mental illness. This may include psychiatrists, psychologists, social workers, counselors, therapists, marriage and family counselors, and other mental health professionals.
What do you mean by a Psychiatrist?
A psychiatrist is a medical specialist who specializes in the diagnosis and treatment of mental illnesses. They have a medical degree and specialized training in mental health, and are qualified to assess both the mental and physical aspects of a patient's condition. They can provide individual, family, and group therapy and prescribe medications to help treat mental health conditions.
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as the nurse is explaining the difference between true versus false labor to her childbirth class, she states that the major difference between them is
True labour contractions are generally regular, start in the back, and radiate to the belly. They frequently do not lessen with rest. False labour contractions frequently diminish with rest.
What happens during genuine labour?As labour advances, true labour contractions get stronger, more difficult to talk through, last longer, and are closer together. These will cause changes in the cervix, causing it to thin and open while facilitating the baby's descent into the pelvis.
A kind of false labour contraction is prodromal labour. It occurs during the third trimester of pregnancy and can feel quite similar to labour. Prodromal labour contractions, unlike true labour contractions, never become stronger or closer together and do not result in cervical dilatation.
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cardiac monitoring leads are placed on a client who is at risk for premature ventricular contractions (pvcs). which heart rhythm will the nurse anticipate in this client if pvcs are occurring?
The nurse will anticipate premature beats followed by a compensatory pause.
what are PVCs?
PVCs, Premature ventricular contractions, are extra heartbeats beginning in one of the hearts two lower pumping chambers (ventricles). They are abnormal ectopic beats. These extra abnormal beats disrupt the regular rhythm of the heart. They sometimes cause a sensation of fluttering or a skipped beat in the chest.
PVCs are a common type of arrhythmia, i.e., irregular heartbeats.
Premature ventricular contractions are also known as premature ventricular complexes or ventricular premature beats or ventricular extrasystoles.
Therefore, the nurse will anticipate premature beats followed by a compensatory pause.
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lovastatin (mevacor) is prescribed for a patient for the first time. how should the nurse instruct the patient on how to take the medication?
As prescribed by your doctor, take this mevacor by mouth once day with dinner. It may be necessary for certain people to take this medication twice.
What is the purpose of MEVACOR?In order to raise "good" cholesterol (HDL) and lower "bad" cholesterol and fats (such as LDL and triglycerides) in the blood, lovastatin is used in conjunction with a healthy diet. It is a member of the class of medications known as "statins." It functions by reducing the quantity of cholesterol the liver produces.
How soon does lovastatin start to work?Peak levels are noticed two hours after administration, but it may take one to two weeks of consistent dosing before improvements in your cholesterol level are noticed, and up to four weeks before the maximum cholesterol-lowering effects.
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s.t. said she was not taking kcl because the drug makes her sick. what information can you give her concerning the administration of potassium
The respective person should make her understand with the following reason: her body could experience hypokalemia, which is quite deadly. She must continue taking the potassium chloride orally on a daily basis to keep herself healthy.
What is hypokalemia ?Blood potassium levels are too low in hypokalemia. The most common causes of low potassium levels are diuretic use, adrenal gland problems, vomiting, and diarrhea. A low potassium level can cause irregular heart rhythms to form and cause muscles to feel weak, cramp, or even become paralyzed.
Weakness and fatigue, muscle cramps, aches and stiffness, tingling and numbness, heart palpitations, breathing issues, digestive symptoms, and changes in blood pressure are typical signs and symptoms of potassium deficiency.
Causes are : Alcohol use (excessive), Chronic kidney disease., Diabetic ketoacidosis., Diarrhea etc.
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a nurse is educating a client diagnosed with osteomalacia. which statement by the nurse is appropriate?
Answer:
"You may need to be evaluated for an underlying cause, such as renal failure."
Explanation:
when assessing a client with an indwelling urinary catheter, which observation requires the most immediate intervention by the nurse?
The clamp on the urinary drainage bag is open requires the most immediate intervention by the nurse.
What is a urinary catheter?
A hollow tube that is partially flexible, collecting urine from the bladder, leading a drainage bag is known as urinary catheter. These catheters come in many types and sizes. They are often made of
RubberPlasticSiliconeCatheters are often necessary in cases where a person cannot empty their bladder. If the bladder is not emptied, urine can build up and this may lead to pressure on the kidneys. This pressure may just lead to kidney failure, which can even lead to permanent kidney damage.
Most catheters are usually necessary only for a short period of time, i.e., until the person regains the ability to urinate on their own. Those with a permanent injury or severe illness or older adults may need to make use of urinary catheters for a much longer period of time or even permanently.
So, therefore, the clamp on the urinary drainage bag is open requires the most immediate intervention by the nurse.
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5. which nursing action will the nurse include in the plan of care when admitting a patient with an exacerbation of inflammatory bowel disease (ibd)?
Nursing action that the nurse will include in the plan of care when admitting a patient with an exacerbation of inflammatory bowel disease is to : monitor stools for blood.
How do you deal with inflammatory bowel disease?Following are some ways deal with inflammatory bowel disease: lifestyle and home remedies, limiting of dairy products, having small meal, drinking plenty of liquids, having multivitamins and talking to a dietitian.
As anemia or hemorrhage may occur with IBD, it is necessary that stools is assessed for the presence of blood. Dietary fiber may cause an increase in gastrointestinal (GI) motility and exacerbate the diarrhea. Fatigue is common with IBD exacerbations, and also dehydration may occur.
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a parent brings her 12-year-old to the clinic and informs the nurse that the child may have anorexia nervosa (an). using the diagnostic criteria for an, what subjective data should the nurse obtain during the assessment? select all that apply.
The child have a fear of gaining weight is the subjective data the nurse should obtain during the assessment.
Anorexia is characterized by intense concern about gaining weight, inaccurate weight perceptions, and unusually low physical weight. Anorexics typically resort to extreme methods to keep their weight and looks in check, which seriously compromises their quality of life.
Anorexics typically drastically restrict their calorie intake in order to prevent gaining weight or maintain their weight reduction. They could lower their calorie intake by forcing themselves to vomit shortly after eating or by misusing laxatives, diet pills, diuretics, or enemas. To reduce weight, they could go overboard. The fear of gaining weight persists no matter how much weight is lost.
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the dietitian is teaching a client about cholesterol reduction strategies. which comment by the client indicates that he understands the teaching?
The comment indicating that the client understood the assignment is: "I should stay away from fats made from vegetable oils and utilized to increase fast food's shelf life."
What to do when you have cholesterol?A few dietary adjustments can lower cholesterol and enhance heart health:
Cut back on saturated fats. Your total cholesterol levels are raised by saturated fats, which are primarily found in red meat and full-fat dairy products.
Get rid of trans fats
Consume omega-3 fatty acid-rich meals.
Boost soluble fiber intake
Mix in whey protein
When there is too much of the fatty molecule known as cholesterol in your blood, you have high cholesterol. It is primarily brought on by consuming fatty foods, failing to exercise regularly, being overweight, smoking, and using alcohol. Moreover, it can run in families. By consuming a healthy diet and increasing your physical activity, you can lower your cholesterol.
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the nurse is caring for a patient who has a congenital hypothyroidism. which medication would the nurse expect the primary health care provider to prescribe?
Congenital hypothyroidism is treated with the thyroid medication levothyroxine. Congenital hypothyroidism is not treated with the thyroid medication Liotrix.
What affects a person with hypothyroidism?Starting on, hypothyroidism may still not display any observable concerns. In long, undiagnosed levothyroxine may lead to a variety of problems, including obesity, joint pain, infertility, even heart disease.
Is hypothyroidism reversible?Not all patients with moderate hypothyroidism require medication. For rare occasions, the issue might resolve itself. To track the progression of hypothyroidism, it is essential to arrange follow-up appointments. Whenever hyperthyroidism will never fade up or so after several months, treatment is necessary.
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There are several types of disinfectant agents used in the medical office. What types of items can be disinfected with glutaraldehyde, alcohol, and chlorine?
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eating at fast-food restaurants is associated with decreased intake of calories, decreased intake of sodium, decreased intake of saturated fat, and decreased portion sizes.
"Eating at fast-food restaurants is associated with decreased intake of calories, decreased intake of sodium, decreased intake of saturated fat, and decreased portion sizes" is a statement that can be considered false.
Fast food is a type of mass-produced food for commercial resale purposes. They are usually less expensive and less nutritious compared to home-prepared meals. The food itself usually comes frozen, preheated, or precooked, so the seller can prioritize the speed of service for their customers.
Eating at fast food restaurants, or eating out in general, is associated with a significant increase in the intake of calories, sugar, sodium, and saturated fat. As for the portion size, fast food tends to come in larger portions as well. Therefore, the statement in the question above is considered false.
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which of the following actions can a staff nurse take to advance ebp at the point of care?a.establish the culture for ebp in institutional settingsb.identify clinical questions related to current nursing practicec.promote consistent practice changes among different shiftsd.reward nurses involved in ebp and help those who lack involvement
The actions which can a staff nurse take to advance EBP at the point of care is b.identify clinical questions related to current nursing practice.
EBP could be a method accustomed review, analyze, and translate the newest scientific proof. Key samples of evidence-based practice (EBP) in nursing include: Giving gas to patients with COPD: Drawing on evidence to know a way to properly provide gas to patients with chronic preventive respiratory organ sickness (COPD).
Nursing practice could also be work expertise that's direct and/or indirect patient care in clinical apply, nursing administration, education, research, or consultation within the specialty portrayed by the written document. The position should be one that will be crammed by a RN.
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a nurse administers medications to the wrong client in a hospital. the client has an anaphylactic reaction to one of the medications and expires. what legal actions against the nurse can the family pursue? select all that apply.
The family may file a lawsuit against the nurse for malpractice because of improper medication .The family may file a lawsuit accusing the hospital of malpractice. A reasonable settlement might be sought by the family outside of court.
The family has the right to file a malpractice lawsuit against the nurse and the hospital. Outside of court, the family may attempt to reach a settlement. An incident that serves as a malpractice sentinel has legal repercussions. Errors in medication safety are uncommon. Although the nurse can leave the facility, she may yet face more legal repercussions. The medication nurse had a duty of care toward the patient and was required to look after them.
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which assessment should the nurse complete immediately after hearing the client choked while eating? the caregiver's knowledge about feeding a person who is dysphagic. auscultate the client's lungs for adventitious breath sounds. assess the client's loc with the mini-mental status exam. determine the client's ability to swallow liquids.
Auscultate Bertha's lungs for adventitious breath sounds. Bertha's lungs should be assessed immediately for adventitious breath sounds since she is at risk for aspiration pneumonia secondary to the choking incident
What is adventitious breath sounds ?In contrast to the anticipated breath sounds mentioned above, adventitious sounds are those that are heard. Crackles, rhonchi, and wheezes are among the most frequent unforeseen sounds. Here, we'll also talk about strudor and rubs.
The partial obstruction of the larynx or trachea is typically the cause of this sound. In diseases like croup and obstruction from a foreign body, strife may be audible. Since the upper airway is partially blocked, the noise is usually loudest over the anterior neck.
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which measures would the nurse take to prevent skin breakdown for a confused client? hesi eaq
At least every two hours, check the client's buttocks; clean the client right away if incontinence is found.
Which course of action will the nurse follow for a client who is on bed rest to stop skin breakdown?Every two hours, a patient should switch positions in bed to keep the blood moving. This keeps the skin healthy and shields against bedsores.
Which nursing intervention would be most effective in protecting the client from harm?To help the client feel less confused, ask a loved one or other important person who looks out for them to stay with them. It is the most crucial intervention to keep the client from getting hurt.
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a client receiving chemotherapy has pruritus. in educating the client about the care plan, the nurse should caution the client against which measure?
Chemotherapeutic has been administered to a patient who has been diagnosed with lung cancer. The patient complains about nausea and a loss of appetite, which causes them to eat less.
What stage of cancer is chemotherapy?With stage four malignancies, systemic pharmacological therapies including chemotherapy or targeted therapy are frequently utilized. A clinical trial that offers novel therapies to aid in the treatment of stage 4 cancer is frequently a possibility. The 5 more prevalent malignancies' current treatment options are listed below.
What chemotherapy does to the body?The genes located inside a cell's nucleus are harmed by chemotherapy. Some medications cause harm to cells right before they divide. Some cause harm to the cells as it duplicate all of their DNA before dividing. At-risk cells are far less likely to be harmed by chemotherapy .
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a nurse has instituted a turn schedule for a patient to prevent skin breakdown. upon evaluation, the nurse finds that the patient has a stage ii pressure ulcer on the buttocks. which action will the nurse take next?
The action that the nurse should take after finding out that the patient has a stage II pressure ulcer on their buttocks is to reassess the patient and situation before deciding on any change.
Pressure ulcer is a type of injury that breaks down the skin and the underlying tissue. It's caused by prolonged pressure on the skin.
There are four stages of pressure ulcer:
Stage 1: Area looks red and feels warm if touched.Stage 2: Area may have an open sore, blister, or scrape.Stage 3: Area has a crater-like appearance.Stage 4: Area is really damaged and contains a large wound.To treat a stage 2 pressure ulcer, one must clean the area by rinsing to remove any loose dead tissue. One can use saline (salt water) or any specific cleaner that doesn't damage the skin.
The question above seems incomplete. The completed version is as follows:
A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next?
a. Reassess the patient and situation.
b. Revise the turning schedule to increase the frequency.
c. Delegate turning to the nursing assistive personnel.
d. Apply medication to the area of skin that is broken down.
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the nurse is gathering a health history for a client with osteoarthritis. what clinical manifestation will the nurse expect to find?
The nurse should anticipate that this health issue will affect how flexion is approached. Flexion is the process of bending the joint (or limb) so that the angle between the limb and the joint itself is reduced.
What causes osteoarthritis primarily?
Osteoarthritis causes
Osteoarthritis develops when the cartilage and other tissues in the joint degenerate or undergo structural change. Simple joint wear and tear is not the reason for this. Instead, the disintegration, which typically occurs gradually over time, might be brought on by changes in the tissue.
Is walking a treatment for osteoarthritis?
People with arthritis are advised to walk since it is low impact, keeps the joints flexible, promotes bone health, and eases the pain.
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an older client with chronic kidney disease has an arteriovenous fistula in the left forearm for hemodialysis. after palpating the av fistula, which finding is an indication that the av fistula is functioning properly
An arteriovenous fistula (AV) in the left forearm is used to administer hemodialysis to an elderly patient with chronic kidney disease (CKD). When the AV fistula is being palpated, enlarged veins are a sign that it is working well.
In an AV fistula, the mixing of arterial and venous blood promotes the veins to expand (A), making cancellation for hemodialysis easier. Patients are connected to a dialysis machine via an AV fistula. Your dialysis procedure begins with the insertion of two needles by a nurse into the AV fistula. Blood is drawn using a single needle and sent to a machine where it is filtered. The blood can be safely injected back into the body using the second needle.
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the nurse is caring for a client newly diagnosed with sepsis. the client has a serum lactate concentration of 6 mmol/l and fluid resuscitation has been initiated. which value indicates that the client has received adequate fluid resuscitation?
A mean arterial pressure (MAP) of 70 mm Hg value indicates that the client has received adequate fluid resuscitation.
The global perfusion pressure needed for oxygen delivery and organ perfusion is represented by the mean arterial pressure. The MAP needs to be at least 60 mm Hg and ideally between 70 and 100 mm Hg for optimum brain perfusion.
For the most majority of people, a MAP of at least 60 mm Hg or higher is necessary to provide sufficient blood flow to crucial organs including the heart, brain, and kidneys. When the blood pressure is between 70 and 100 mm Hg, doctors consider it to be normal.
Vital organs must be perfused at a minimum MAP of 60 mmHg. If MAP drops below this level for an extended period of time, end-organ symptoms like ischemia and infarction may manifest.
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using your best interpersonal skills, how would you respond to a patient who says she does not want her blood drawn because all phlebotomists hurt her?
When a patient does not want her blood to be drawn because all phlebotomists hurt her then : ask the reason why and try to resolve the issue and document it.
What should be done if patient does not agree to blood draw?If someone does not let you collect a blood specimen then explain to them that their blood test results are important to their care.
Establishing trust is very essential to prevent a patient's discomfort, so try not to rush through blood draws. Give the person time to inform you of any fears that they might have and assure them that you won't insert the needle until they've given consent.
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a nurse is caring for a client following foot surgery. which nursing intervention is most important for the nurse to include in the nursing care plan?
Avoid activities that force you to stoop or lean forward at the waist. Try to stand up and lean slightly backward while coughing or sneezing to enhance the curvature in your spine. Sleep with your knees bent on your side. A cushion can also be placed between your knees.
What is the nurse's top priority when a patient is diagnosed with osteoporosis?Nurses should assess the patient's understanding of osteoporosis and give instruction on nutritional consumption (such as increasing calcium and vitamin D intake, recognising calcium-rich foods, and reducing sodas or colas, which are often high in phosphorus) and exercise.
Eating a good diet, getting regular exercise, and not smoking are some of the most significant factors of preventing osteoporosis.
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the nurse is preparing instructions for a client who is diagnosed with osteomalacia who is at risk for skeletal injury. which information would the nurse include in the teaching?
In some cases, patients with osteomalacia may benefit from taking vitamin D, calcium, or phosphate supplements.
What should the nurse advise patients to do in order to support bone health?Nurses should evaluate the patient's understanding of osteoporosis and educate the patient about dietary intake, exercise, and other factors like increasing calcium and vitamin D intake, identifying foods high in calcium, and limiting sodas or colas, which are typically high in phosphorus.
How does the skeletal system respond to osteomalacia?The term "osteomalacia" refers to a condition in which bones become brittle and brittle. They are therefore more brittle than usual and can bend and break more easily. Lack of vitamin D is the most frequent cause. Children that have this illness are said to have rickets.
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a nurse knows to advise a patient who is taking atarax, an over-the-counter (otc) antihistamine, to be aware of the serious potential side effect of:
Only Atarax is an over-the-counter antihistamine that could cause seizures and other serious side effects.
What brings about a seizure?A seizure can result from anything that disrupts the regular connections made by brain nerve cells.This covers conditions including a high fever, low blood sugar, alcohol or drug withdrawal, or a concussion.However, epilepsy is labeled when a person experiences two or more seizures without any apparent explanation.
what it's like to experience a seizure?an overall sense of strangenessa physical component, such as an arm or hand, becoming stiff or twitching.Tingling in your arms and legs and a sense of déjà vu are common symptoms.
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