The nurse checks the patient's scalp for irritation before beginning to help with hair care to make sure that the care can be given without harming the scalp.
To prevent harm to the scalp during treatment, the nurse first looks for inflammation on the scalp. Prior to putting on the hat, massage the patient's head. Longer hair can hang outside the cap as it is just placed over the crown of the head. Under the patient's shoulders, neck, and head, place a waterproof pad. The way residents are groomed has an impact on how confident they are in the services NAs provide.
Daily brushing is necessary for healthy hair. To keep long hair from matting, it should be brushed at least once a day. To stop the scalp from being scratched, the teeth of the comb should be dull. Without injuring the patient, hair must be combed, brushed, and maintained free of knots.
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on may 10, michael meets with an agent and says he is enrolled in another carrier's c-snp due to his diabetes. when can michael enroll in a different c-snp that also covers diabetes (his only chronic condition), assuming he has not moved out of his current plan's service area?
He can enroll in another C-SNP during open or annual.
What is C-SNP?
Chronic Condition Special Needs Plan is referred to as C-SNP. A unique variety of Medicare Advantage (Part C) plans are C-SNPs. Eligible members frequently share medical issues or traits since the plan provides focused care. You may benefit from having an insurance plan tailored specifically to your needs if you have a chronic, long-term health condition like diabetes, dementia, or heart disease.
He can enroll in another C-SNP during open or annual.
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a new icu nurse is observed by her preceptor entering a patient’s room to suction the tracheostomy after performing the task 15 minutes before. what should the preceptor educate the new nurse to do to ensure that the patient needs to be suctioned?
In order to ensure that the patient needs to be suctioned, the preceptor should educate the new nurse to: D. Auscultate the lung for adventitious sounds.
Who is a nurse?A nurse can be defined as a professional who has been trained in a medical institution and licensed to perform the following tasks and activities in a hospital:
Providing care for sick people (clients).Providing an assessment and intervention to client issues.Report findings on the adverse effect of a medication or sickness.What is tracheostomy?Tracheostomy is sometimes referred to as tracheotomy and it can be defined as a surgical procedure which involves making an incision or a hole (stoma) on the anterior aspect of the neck into the trachea (windpipe), in order to provide an alternative airway for breathing.
Generally, it's very important for nurses to suction a patient's secretions when a tracheostomy is in place due to the lessened effectiveness of the cough mechanism. Also, tracheal suctioning is performed by auscultating the lung when adventitious breath sounds are detected.
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Complete Question:
A new ICU nurse is observed by her preceptor entering a patient’s room to suction the tracheostomy after performing the task 15 minutes before. What should the preceptor educate the new nurse to do to ensure that the patient needs to be suctioned?
A Have the patient inform the nurse of the need to be suctioned.
B Assess the CO2 level to determine if the patient requires suctioning.
C Have the patient cough.
D Auscultate the lung for adventitious sounds.
the nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own healthcare decisions. which child would potentially be considered an emancipated minor?
The child which would potentially be considered an emancipated minor is someone with financial independence who is living with his parents.
Who is a Minor?This is referred to as a person who is below the legal age of majority or adulthood. In most climes, it means that the individual has to be below 18 years of age and are mostly dependent on their parents in the home.
In a situation whereby the individual is referred to an emancipated minor then the individual doesn't depend on his parents or guardian and they don't have control over him/her.
An emancipated minor is one who is financially independent and able to take care of him or herself. The individual must also have the required legal backing for it to stand which is why it was chosen as the most appropriate choice.
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a patient in the icu has been orally intubated and on mechanical ventilation for 2 weeks after having a severe stroke. what action does the nurse anticipate the physician will take now that the patient has been intubated for this length of time?
A patient in the ICU has been orally intubated and on mechanical ventilation for 2 weeks after having a severe stroke. The patient will have an insertion of a tracheostomy tube.
What is Tracheostomy?Tracheostomy is a surgical procedure which consists of making an incision on the anterior aspect of the neck and creating hole (stoma) in your windpipe (trachea) that provides an alternative airway for breathing. A tracheostomy tube is a curved tube which is inserted into tracheostomy stoma (the hole made in the neck and windpipe (Trachea)). The tube can be connected to an oxygen supplier and a breathing machine called a ventilator.
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a client has suffered an electrical innjury to the hand. which condition will the nurse expect to find
The nurse is expected to find the Tissue damage at the site of the injury.
Several factors, including the type of current, the amount of voltage, how the current passed through the body, the individual's general health, and how soon the person is treated, can affect how dangerous an electrical shock is, are taken into consideration while treating the person with electrical injury.
Burns could result after an electrical shock, or there might be no outward signs of damage. In either situation, an electrical current running through the body could result in internal organ damage, cardiac arrest, or other harm. Even a modest amount of electricity can be lethal in some situations.
Hence, the nurse will firstly examine any sort of physical injury on the affected area and after it complete body examination can be done.
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an experienced nurse using contingency theory is orienting a new graduate to the unit. what needs will the nurse meet with the new graduate using this theory?
An experienced nurse is using contingency theory to orient a new graduate to the unit. The nurse meets the needs of
• Developing
• Counseling
• Coaching
with the new graduate using this theory.
What are the objectives and aims of Nursing education?One objective of nursing education is to prepare students to become beginning practitioners, which involves learning to make clinical judgments that protect patient safety.
Clinical judgments are routinely used to decide when patients are taught how to care for themselves, when they are allowed to leave the hospital, and how fast nurses identify life-threatening problems.
However, recent research shows that new grads do badly when making clinical judgments, despite having graduated from accredited nursing schools and passing the NCLEX exam.
The purpose of this descriptive, qualitative study was to explore how recently graduated nurses evaluated the process of gaining clinical judgment.
Baccalaureate nursing graduates were questioned on how they came to develop nurse-like thinking three times over the course of nine months.
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a patient with uterine cancer is being treated with internal radiation therapy. what would the nurse’s priority responsibility be for this patient?
The priority responsibility for this patient should be to explain to the patient that she will continue to emit radiation while the implant is in place. The correct option is a.
What is radiation therapy?Radiation therapy either kills or slows the growth of cancer cells by damaging their DNA.
Radiation therapy also referred to as radiotherapy is a type of cancer treatment in which high doses of radiation are used to kill cancer cells and shrink tumors.
When radiation enters the body, it does not cause pain, stinging, or burning. Throughout the treatment, you may hear clicking or buzzing, and the machine may emit a smell.
The first priority for this patient should be to inform her that she will continue to emit radiation while the implant is in place.
Thus, the correct option is a.
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Your question seems incomplete, the missing options are:
a) Explain to the patient that she will continue to emit radiation while the implant is in place.
b) Alert family members that they should restrict their visiting to 5 minutes at any one time.
c) Maintain as much distance as possible from the patient while in the room.
d) Wear a lead apron when providing direct patient care.
a client is admitted to the behavioral health facility involuntarily. the client is scheduled to undergo electroconvulsive therapy. which action does the nurse take before the procedure?
The action the nurse should take before the procedure is to administer oxygen to the client.
What is electroconvulsive therapy?Electroconvulsive therapy (ECT) involves a brief electrical stimulation of the brain while the patient is under anesthesia.
Action to be taken by the nurse electroconvulsive therapyDuring the preparation for electroconvulsive therapy, ECT, the anesthesiologist administers succinylcholine, which paralyzes respiratory muscles.
Clients require oxygen administration until their respiratory status is stable.
Thus, the action the nurse should take before the procedure is to administer oxygen to the client.
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the nurse completes an admission assessment. the client tells the nurse that she feels like she needs to vomit. the nurse helps the client to sit up at the side of the bed and provides her with an emesis basin. the client vomits into the emesis basin and then remains sitting on the side of the bed, stating that she may need to throw up again.
Observe the color of the emesis.
Since the client is vomiting, the nurse should first observe the color and appearance of the emesis for any obvious bleeding or other indications of risk to the client's homeostasis.
Homeostasis is any self-regulating process by which an organism tends to maintain stability while adjusting to conditions that are best for its survival. If homeostasis is successful, life continues; if it's unsuccessful, it results in a disaster or death of the organism.
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Elizabeth encountered a huge spider dangling from a tree on her way to check the mail. She nearly walked straight into it, and this near miss with the scary spider caused her body to go into fight or flight mode. Which area of the brain would start releasing adrenaline to direct other parts of the body to respond to this threat?.
Answer:
hypothalamus
Explanation:
The hypothalamus is the part of the brain that triggers the release of adrenaline.
a term named for a person or a place, such as alzheimer disease named for the physician who first described the symptoms as seen in a patient, is
A term named for a person or a place, such as alzheimer disease named for the physician who first described the symptoms as seen in a patient, is referred to as Eponym.
What is Eponym?This is referred to as a place or a thing which is believed to be named after something and in this case, it is referred to as what we call Alzheimer which is common with older people.
Alois Alzheimer is referred to as a German neuropathologist who identified the first published case of presenile dementia in 1906 through the various symptoms he observed in the patient.
This was the reason why when this condition was fully confirmed by others later on it was named after him and is being referred to as Alzheimer disease today.
This is therefore the reason why Eponym was chosen as the most appropriate choice.
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a nurse is caring for a client with diabetes insipidus. which clinical manifestation should a nurse expect the client to exhibit?
A person with this disease has clear, unconcentrated urine, thanks to changes in ADH synthesis or action. The patient urinates a lot, feels very thirsty and drinks a lot of fluids. There is also an increase in urination during the night, and may even occur involuntarily.
What can cause diabetes insipidus?Central diabetes insipidus has many causes, including a brain tumor, brain injury, brain surgery, tuberculosis, and some forms of other diseases. The main symptoms are excessive thirst and excessive urine production.
What is the difference between diabetes mellitus and diabetes insipidus?Mellitus means honey in Latin, a comparison of the characteristic sweet odor and taste of the urine of these patients (urine with glucose). Already insipidus, it means “without flavor”, because the urine was not sweet. Diabetes insipidus is rare and characterized by pituitary dysfunction.
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a client is a paraplegic, lives alone, and just had a total shoulder arthroplasty. in planning for discharge, the nurse arranges for
A client is paraplegic and lives alone. The client just had a total shoulder arthroplasty. In planning for discharge, the nurse starts arranging for Admittance to a rehabilitation unit.
What is a Shoulder Arthroplasty?Humeral head replacement with glenoid resurfacing. The Standard of care is a cemented all-polyethylene glenoid resurfacing. THA and TKA differ from total shoulder arthroplasty in that
• Increased shoulder range of motion
• Success depends on the soft tissues’ proper operation.
The glenoid has fewer limitations. Anything becomes more susceptible to mechanical loosening due to increased shear strains.
Humeral head replacement and glenoid resurfacing
A cemented all-polyethylene glenoid resurfacing is considered the standard of care.
Factors necessary for TSA’s success
• Rotator cuff intact and functional
• If the rotator cuff is inadequate and proximal migration of the humerus is evident on x-rays (rotator cuff arthropathy) then glenoid resurfacing is prohibited
• If there is an irrecoverable rotator cuff defect then continue with hemiarthroplasty or an opposite ball prosthesis.
• A secluded supraspinatus bruise without recantation can move ahead with TSA
• Occurrence of full-thickness skin rotator cuff tears
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in today’s healthcare environment, the nurse is confronted with multiple stressors while attempting to meet the demands of the nurse educator role. which condition is the most common major stressor that diminishes teaching effort effectiveness?
A condition which is the most common major stressor that diminishes teaching effort effectiveness is: 2. Limited time to engage in teaching.
What is a stressor?A stressor can be defined as a thing, situation, condition, event, or person that is capable of causing stress to an individual, either male or female.
The effect of a stressor.Based on psychological research and experiments, stressors can affect an individual in the following ways:
Angry outburstsLack of motivation or focusLack of sleep.Chest painUncoordinated speech.Inability to think clearly.Lack of appetite.RestlessnessSince this nurse was confronted with multiple stressors while attempting to impact knowledge on student nurses as a nurse educator, we can reasonably infer and logically deduce that the most common major stressor which diminishes teaching effort effectiveness would be limited time to engage in teaching.
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Complete Question:
In today's healthcare environment, the nurse is confronted with multiple stressors while attempting to meet the demands of the nurse educator role. Which condition is the most common major stressor that diminishes teaching effort effectiveness?
1 Extent of informed consumerism
2 Limited time to engage in teaching
3 Variety of cultural beliefs that exist
4 Deficient motivation of adult learners
you are dispatched to an assisted-living center for a 67-year-old male with "mental status changes." you arrive at the scene and begin to assess the patient. he is responsive to painful stimuli only, has rapid and shallow breathing, and a slow radial pulse. you should:
Changes in mental status referred as "delirium".
These also can be described as depression, dementia, and coma.
What is Change in Mental status?
Change in Mental status results in life threatening situations.Generally, changes in consciousness can be divided into changes of arousal, the content of consciousness, or a combination.Hypoactivity can be described by tiredness and Arousal includes it.Depression results in personal withdrawal, slowed speech, or poor results of a cognitive test.Coma is a complete loosing of consciousness in which they don't respond.To learn more about Mental status
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If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of which type of intervention?.
If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of a Primary intervention—obligation.
In the field of medicine, we can simply describe primary intervention as the necessary precautions that are taken before any kind of disease or injury has actually occurred in an individual. This kind of intervention helps to prevent a disease or injury if there are chances for that disease to occur in the future.
An obligation in primary intervention is the necessary intervention that a physician provides to the people in order from eradicating the chances of a chronic illness.
In the scenario above, vaccination for meningococcal meningitis is given to the students as a precautionary measure even before they have infected the college students. Hence, this intervention is an example of a primary intervention - obligation.
Other options, such as secondary intervention- motivation is not correct because this type of intervention helps to overcome the impact of a disease when it is at its earliest stages.
Although a part of your question is missing, you might be referring to this question:
If vaccination for meningococcal meningitis is required of all entering students, this would be an example of which type of intervention?
Select one:
a. Primary Intervention - Education
b. Primary Intervention - Obligation
c. Secondary Intervention - Education
d. Secondary Intervention - Motivation
e. Tertiary Intervention - Education
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thromboembolic risk in patients with pneumonia and new-onset atrialfibrillation not receiving anticoagulation therapy
An irregular heart rhythm that starts in the upper (Atria) of heart is known as Atrial fibrillation.
The normal cycle of electrical impulses in heart is interrupted if person have atrial fibrillation
What are the types of atrial fibrillation?
There are three types of atrial fibrillation, and these are Persistent A fib, Paroxysmal A fib, Long standing persistent A fib.long Standing persistent A fib lasts more than a Year and sometimes hard to treat.Persistent A fib lasts more than one week, and it needs treatment.Paroxysmal A fib lasts less than one week and generally stops on its own treatment.To learn more about Atrial fibrillation
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Many medications are devised to have a slow release of the primary medication over an extended period of time. Which medication types are typically time-released?
A.ointments and capsules
B. foams and gases
C. capsules and transdermal patches
D. transdermal patches and foams
Answer:
C. capsules and transdermal patches
a client with a persistent delusional disorder has been prescribed ziprasidone. which assessment should the nurse prioritize when this medication regimen begins?
A client with a persistent delusional disorder has been prescribed ziprasidone. The assessments nurse should prioritize on the beginning of medication are cardiac and neurological assessments.
Delusional disorders are the psychotic disorders where a person believes the fake scenarios to be true. The person believes so hardly that it may be quite difficult to make them aware about the reality.
Ziprasidone is used to treat the mental disorders. The side effects associated with this drug are: dysrhythmias, extrapyramidal side effects, tardive dyskinesia, and neuroleptic malignant syndrome. This makes it necessary to perform cardiac and neurological assessments.
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a nurse is preparing to mix short-acting and intermediate-acting insulin in one syringe to administer to a client who has type 1 diabetes mellitus. identify the sequence the nurse should follow.
Here is the sequence for preparing to mix short-acting and intermediate-acting insulin in one syringe to administer to a client who has type 1 diabetes mellitus:
1: Draw up the volume of insulin from the intermediate-acting insulin vial.
2: Inject the volume of air equal to the amount of insulin to withdraw from the intermediate-acting insulin vial.
3: Inject the volume of air equal to the insulin dose form the short-acting insulin vial
4: Withdraw the prescribed amount of insulin from the short-acting insulin vial.
5: Withdraw the prescribed amount of insulin form the intermediate-acting insulin vial.
Your pancreas either doesn't create any insulin or makes very little if you have type 1 diabetes. Blood sugar may be used as fuel by your body's cells with the aid of insulin. In the absence of insulin, blood sugar cannot enter cells and accumulates in the circulation.
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a client with schizophrenia is experiencing delusions. the client states, "my face is melting and my nose is about to fall off. don't let it fall off!" the nurse interprets this statement as which type of delusion?
The nurse interprets this statement of patient with schizophrenia as nihilistic type of delusion. The correct option is B.
What is nihilistic type of delusion?Nihilism is the renowned that all values are not having any foundation and that nothing could be identified or communicated.
It is immensely linked with extreme pessimism as well as a radical skepticism of presence.
The most common type of delusional disorder is persecutory delusional disorder, which occurs when a person believes others are out to harm them despite evidence to the contrary.
A best way to cope with nihilism is to compare it to the polar opposite probabilities.
A situation in which life has perfect meaning, perfect happiness, no sorrow or injustice, and where nature's progress ensures this in every way.
Thus, the correct option is b as it is the one that can interpret schizophrenia.
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Your question seems incomplete, the missing options are:
A.) grandiose
B.) nihilistic
C.) persecutory
D.) somatic
a student nurse is accompanying a community health nurse for the day. the rn asks the parents at the home visit if the student can be present for the breastfeeding assessment. the mother's partner declines this opportunity. what is the nurse’s most appropriate response?
When a registered nurse asks parents at the home visit if the student can be present for the breastfeeding assessment.
The nurse’s most appropriate response
when mother's partner declines the presence of a student nurse presence is:
Honor the partner's preference
As an healthcare provider or medical professional, it very important to always respect the opinion and decisions of families they are dealing with as every family has their respective ethics of doing things, so the nurse must accept the declination by the husband.
What is nursing care?Nursing care simply means the healthcare measures given to patients with health conditions
So therefore, when a registered nurse asks parents at the home visit if the student can be present for the breastfeeding assessment.
The nurse’s most appropriate response
when mother's partner declines the presence of a student nurse presence is:
Honor the partner's preference
Complete question:
A student nurse is accompanying a community health nurse for the day. The RN asks the parents at the home visit if the student can be present for the breastfeeding assessment. The mother's partner declines this opportunity. What is the nurse's most appropriate response?
a. Reassure the partner that the student nurse will be professional.
b. Ask the partner to leave the premises.
c. Ask the partner about any concerns.
d. Honor the partner's preference.
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ai m, habib n, senturk h, et al endoscopic ultrasound guided radiofrequency ablation, for pancreatic cystic neoplasms and neuroendocrine tumors world j gastrointest surg. 2015;7:52–9
In all instances, the innovative monopolar RF probe used in EUS-RFA of pancreatic neoplasms was well tolerated. Our preliminary findings imply that the method is simple and secure. The reaction was in the range of 100% resolution to 50% size decrease.
What is endoscopic ultrasound?A medical treatment known as endoscopic ultrasonography, sometimes known as echo-endoscopy, combines endoscopy and ultrasound to produce images of the colon, abdomen, and chest's internal organs. It can be used to see the organs' walls or to examine nearby structures.
What is the duration of an ultrasound endoscopy?Your endoscopist will provide sedatives before inserting an ultrasonography endoscope via your mouth, esophagus, and stomach into the duodenum. You may breathe normally while using the gadget. The examination itself often lasts less than 60 minutes.
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A disease that occurs at level of frequency that is constant in a population would be called.
Answer: Endemic refers to the constant presence and/or usual prevalence of a disease or infectious agent in a population within a geographic area. Hyperendemic refers to persistent, high levels of disease occurrence. Occasionally, the amount of disease in a community rises above the expected level.
Explanation:
the health care provider (hcp) prescribes an intramuscular injection of vitamin k for a term neonate. the nurse explains to the mother that this medication is used to prevent which problem?
The nurse explains to the mother that intramuscular injection of vitamin k for a term neonate medication is usually used used to prevent a health condition known as haemorrhage
When this intramuscular injection of vitamin k is given to the client, it will definitely prevent the loss of blood from the blood vessels of the patient
HaemorrhageIn medicine or in healthcare management, haemorrhage can simply be defined as escape or loss of blood from damaged or ruptured blood vessels.
In general, haemorrhage is very serious condition in which if not properly treated may lead to risk of continuously loosing blood from the blood vessels
The purpose of a good s good health care provider is to give a quality healthcare services
The arteries are blood vessels which supplies various of the body parts with oxygenated bloodThe veins are blood vessels which takes away deoxygenated blood from various parts of the body and return it back to the heart.So therefore, for quality healthcare delivery, the nurse explains to the mother that intramuscular injection of vitamin k for a term neonate medication is usually used used to prevent a health condition known as haemorrhage
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guideline for reversal of antithrombotics in intracranial hemorrhage: executive summary. a statement for healthcare professionals from the neurocritical care society and the society of critical care medicine
Background: The use of antithrombotic agents, including anticoagulants, antiplatelet agents, and thrombolytics has increased over the last decade and is expected to continue to rise. Although antithrombotic-associated intracranial hemorrhage can be devastating, rapid reversal of coagulopathy may help limit hematoma expansion and improve outcomes.
Methods: The Neurocritical Care Society, in conjunction with the Society of Critical Care Medicine, organized an international, multi-institutional committee with expertise in neurocritical care, neurology, neurosurgery, stroke, hematology, hemato-pathology, emergency medicine, pharmacy, nursing, and guideline development to evaluate the literature and develop an evidence-based practice guideline. Formalized literature searches were conducted, and studies meeting the criteria established by the committee were evaluated.
Results: Utilizing the GRADE methodology, the committee developed recommendations for the reversal of vitamin K antagonists, direct factor Xa antagonists, direct thrombin inhibitors, unfractionated heparin, low-molecular-weight heparin, heparinoids, pentasaccharides, thrombolytics, and antiplatelet agents in the setting of intracranial hemorrhage.
Conclusions: This guideline provides timely, evidence-based reversal strategies to assist practitioners in the care of patients with antithrombotic-associated intracranial hemorrhage.
Neurocritical care (or neurointensive care) is a medical field that treats life-threatening diseases of the nervous system and identifies, prevents, and treats secondary brain injury. Neurocritical care. An intensive care unit in a hospital. System. Nervous system.
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The compounds that help break down foods during digestion by speeding up chemical
reactions are called
Answer:
The compounds that help break down foods during digestion by speeding up chemical reactions are called ENZYMES.
a nurse is planning the care of a client who has been diagnosed with schizophrenia and who will begin treatment with a typical antipsychotic. the nurse should identify what nursing diagnosis?
Risk for injury related to central nervous system depression is the diagnosis that the nurse should identify for the care of a client who has been diagnosed with schizophrenia and who will begin treatment with a typical antipsychotic.
Schizophrenia is a severe mental illness in which reality is seen by sufferers strangely. Schizophrenia may include hallucinations, delusions, and severely irrational thinking and behavior, which can make it difficult to go about daily activities and be incapacitating.
Schizophrenia patients require ongoing care. A kind of depression known as central nervous system (CNS) depression is brought on by the improper use of CNS depressants such as antipsychotic. CNS depressants are drugs that can make your central nervous system less active.
Examples that are frequently used include sedatives, hypnotics, and opioids. These medications are used to treat stress, sleep issues, anxiety, and pain.
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the community health nurse is providing education to a client who gave birth 74 hours earlier. what would the nurse teach the client is a sign or symptom of hemorrhage?
With a late postpartum greater than 72 hours, women report heavy bleeding and soaking a peripad in less than 1 hour sign or symptom of hemorrhage.
what is hemorrhage ?Hemorrhage is bleeding form which can arise from a damaged blood vessel, different types of hemorrhage range from minor to major like a bruise to bleeding in the brain.
The possible causes of hemorrhage are Alcohol, drug or tobacco use, Blood clotting disturbances, Cancer, complication during surgery or childbirth, Damage in internal organ, genetic disorder like hemophilia, bone fracture or traumatic brain injury.
The hemorrhage can be observed in different location of the body such as Bruise or hematoma means bleeding under the skin, Hemothorax between the chest wall and lungs, Intracranial hemorrhage in the brain, Postpartum hemorrhage, more bleeding after childbirth.
Some other are Subarachnoid hemorrhage caused by head trauma, Subconjunctival hemorrhage, broken blood vessels in the eye, Subdural hematoma, blood leaking into the dura mater etc.
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when a client with type 1 diabetes develops heart failure, digoxin is prescribed. which nursing action is important to include when planning care
When a client with type 1 diabetes develops heart failure, digoxin is prescribed therefore the nursing action which is important to include when planning care is taking the apical pulse before drug administration and teaching the client how to count the pulse and is denoted as option 2.
What is Apical pulse?This refers to a pulse point on your chest at ape-x of your heart and is louder than the arterial pulse.
Digoxin is used to treat heart failure which is why it is important for the apical pulse to be taken before a medication is administered so as to monitor any changes caused by it and also to act fast when an abnormality occurs in the patient.
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The options are:
1 Monitoring vital signs and encouraging a vigorous aerobic exercise program.
2 Taking the apical pulse before drug administration and teaching the client how to count the pulse.
3 Contacting Social Services for a home health nursing consultation.
4 Providing written material on the adverse effects of the medication.