Admit for induction is the next best step in the management of the patient at 42 weeks gestation which has cervix is 4 cm dilated and 100% effaced.
The best course of treatment for a patient with a healthy cervix at a gestational age more than or equal to 41 weeks is delivery. Her effacement and dilatation increase the likelihood that her induction will be effective.
Comparatively to a patient who experiences spontaneous labor, inducing labor in a patient with an unfavorable cervix considerably raises the likelihood of a cesarean section. If the gestational age is known, it is not appropriate to monitor a patient who is >42 weeks with antepartum fetal testing, such as twice weekly non-stress tests with amniotic fluid index.
The management strategy, which should include labor induction at this gestational age, should not be changed by doing an ultrasound to evaluate fetal growth and/or amniotic fluid volume.
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Question correction:
A 32-year-old G2P1 woman is at 42 weeks gestation. Her prenatal course was uncomplicated and she had a first trimester ultrasound confirming dates. Her cervix is 4 cm dilated and 100% effaced. She does not report contractions and states there is good fetal movement. What is the next best step in the management of this patient?
A. Ultrasound to assess amniotic fluid volume
B. Twice weekly non-stress test (NST) and amniotic fluid index (AFI)
C. Daily biophysical profiles
D. Admit for induction
E. Ultrasound to assess fetal growth
a nurse assesses an oncology client with stomatitis during a chemotherapy session. which nursing intervention would most likely decrease the pain associated with stomatitis?
To decrease the pain associated with stomatitis, provide a solution of viscous lidocaine for use as a mouth rinse as it would help to numb the skin of mouth.
What is stomatitis?Stomatitis is a generalized term which is used for a inflamed and sore mouth.Stomatitis can disturb an individual's capacity to eat, talk, and rest.It leads to painful swelling and injuries inside the mouth.Stomatitis can happen anyplace in the mouth, including within the cheeks, gums, tongue, lips, and sense of taste.There can be 2 types of Stomatitis: Canker Sores and Cold Sores.Canker sores can be agonizing, lasting for 5 to 10 days and will quite often return. These are by and large not related with fever.These might be caused because of drugs, injury to the mouth, stress, microbes or infections, absence of rest, citrus products, chocolate, coffee, etc.Cold sores are normally agonizing and generally go away in 7 to 10 days. These might be related to the chill or influenza-like side effects.Lidocaine is a sedative. It causes loss of feeling in the skin and encompassing tissues.It can treat irregular heartbeats (arrhythmias). It can likewise ease pain and numb the skin.Learn more about stomatitis here:
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Describe the major structures of the respiratory system and clearly define their functions.
The important organ of the respiration device is the lungs. Other respiration organs consist of the nose, the trachea and the respiratory muscle groups (the diaphragm and the intercostal muscle groups).
The features of the respiration device consist of fueloline exchange, acid-base balance, phonation, pulmonary protection and metabolism, and the dealing with of bioactive materials.There are three important components of the respiration device: the airway, the lungs, and the muscle groups of respiration.
The airway, which incorporates the nose, mouth, pharynx, larynx, trachea, bronchi, and bronchioles, consists of air among the lungs and the body's exterior.The number one feature of the respiration device is to deliver the blood with oxygen so as for the blood to supply oxygen to all components of the body. The respiration device does this via respiratory. When we breathe, we inhale oxygen and exhale carbon dioxide.
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relationship between physical activity levels during rehabilitation hospitalization and life-space mobility following discharge in stroke survivors: a multicenter prospective study. authors:
Relationships between the physical activity levels during rehabilitation hospitalization and the same while in life-space mobility the following discharge in stroke survivors were taken through a multicenter prospective study.
Background: Greater levels of physical activity during hospitalizations may improve stroke survivors’ living mobility, which is described as their ability to move within contexts that stretch from their homes to the greater community.
What was the aim of this Study?The aim of this study was to examine the relationship between physical activity levels during rehabilitative hospitalization and life-space mobility three months after stroke survivors’ discharge.
The average number of steps patients took over the course of the 14 days before discharge served as the representative set of data. Patients’ levels of physical activity while they were in the hospital were measured using pedometers with three-axis accelerometers.The non-paretic side of the participant’s waist or wrist received a pedometer.The Life-Space Assessment (LSA), a validated self-reporting tool for assessing community mobility, was given to participants three months after their release from rehabilitation facilities via a mail-in survey method. We investigated the relationship between the patients’ level of physical activity during hospitalization and the LSA score following discharge using multivariate regression analysis.
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a patient has heavy skin and muscle (myogenic) that is drooping down and blocking his vision due to myogenic ptosis of the upper eyelid. the provider performed a bilateral upper blepharoplasty. what icd-10-cm code(s) is (are) reported?
In the given scenario, icd-10-cm code reported is H02.423.
What is icd-10-cm code?
The ICD-10-CM is a morbidity classification developed by the United States that is used to classify diagnoses and reasons for visits in all health care settings.
Upper eyelid drooping is caused by a muscle disorder (myogenic). Look for Ptosis/eyelid in the ICD-10-CM Alphabetical Index, which states to see Blepharoptosis.
Look for Blepharoptosis and you'll be directed to H02.423, where the sixth character indicates laterality.
The sixth character of three stands for bilateral. There is only one code for both eyelids, not two separate codes.
This, this should be the icd-10-cm code.
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the healthcare provider is caring for a patient with new respiratory issues. the healthcare provider understands that which factor is the major stimuli for breathing?
The healthcare provider is caring for a patient with new respiratory issues. the healthcare provider understands that Carbon dioxide levels are the major stimuli for breathing.
The act of breathing, also known as ventilation, involves moving air into and out of the lungs in order to facilitate gas exchange with the body's internal environment, primarily to expel carbon dioxide and draw in oxygen.
Our bodies' cells require fresh oxygen on a regular basis in order to make energy, thus breathing is necessary to get it to them. If these substances are not expelled, they can easily stagnate in our systems and impair essential processes. Carbon dioxide is expelled and oxygen is delivered to all of the body's cells through the mechanical and chemical processes of breathing. To gather energy to power all of its biological activities, our body needs oxygen. Carbon dioxide is leftover from that process.
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the health care providor prescribes metformin as monotherapy for the client with type 2 diabetes. the nurse will teach the client to monitor for which adverse effect
The client should be informed about (4) Gastrointestinal (GI) disturbances as a side effect.
Metformin's most frequent adverse reaction is GI distress, which includes reduced appetite, nausea, and diarrhea. These often get better with time. Due to the medicine's decreased appetite, customers actually lose an average of 7 to 8 pounds while taking it.
This prescription does not induce weight gain. Hypoglycemia might have negative effects. The third option has nothing to do with taking this drug. Up to 25% of persons, according to studies, have these adverse effects, but they are often moderate and acceptable. Only 5% of patients get GI issues severe enough to need stopping metformin treatment.
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Question correction:
The health care providor prescribes metformin as monotherapy for the client with type 2 diabetes. the nurse will teach the client to monitor for which adverse effect:
1. Weight gain
2. Hypoglycemia
3. Flushing and palpitations
4. Gastrointestinal (GI) disturbances
the new nurse recalls that which strategies promote evidence-based practice? (select all that apply.)
Answer:
used to complain that using guidelines results in care that is too prescribed and directed Hope this helps!
Explanation:
The evidence-based practice of nursing includes the interaction of nursing with other disciplines to bring out the evidence to the table. Thus, the correct option is E.
What is evidence-based practice?
The Evidence-based practice of nursing includes the integration of best available evidence, clinical expertise, and the patient values and all the circumstances related to patient and client management, practice management, and the health policy decision-making.
The Evidence Based Practice is a process which is used to review, analyze, and translate the latest scientific evidence related to study. The goal of this practice is to quickly incorporate the best available research, along with the clinical experience and patient preference, into clinical practice, so that nurses can make patient-care decisions.
Therefore, the correct option is E.
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The new nurse recalls that which strategies promote evidence-based practice? (Select all that apply.)
a.Collaborate with other nurses locally and globally.
b.Use sources that are only authored by nurses to stay true to nursing practice.
c.Continue to use older and outdated practices if requested by the patient and family.
d.Use and encourage use of multiple sources of evidence.
e.Interact with other disciplines to bring nursing evidence to the table.
on palpation of a client's prostate, a nurse detects hard, fixed, and irregular nodules on the prostate. which condition should the nurse most suspect in this client?
a client arrives at the physician’s office stating dyspnea; a productive cough for thick, green sputum; respirations of 28 breaths/minute, and a temperature of 102.8° f. the nurse auscultates the lung fields, which reveal poor air exchange in the right middle lobe. the nurse suspects a right middle lobe pneumonia. to be consistent with this anticipated diagnosis, which sound, heard over the chest wall when percussing, is anticipated?
Answer:
Dull
Explanation:
Dullness replaces resonance when fluid replaces air-containing lung tissues such as occurs with pneumonia.
assess the part the agency for healthcare research and quality (ahrq) plays in health care information systems acquisition.
Assess the part the agency for healthcare research and quality (ahrq) plays in health care information systems acquisition and its objective is to create evidence that makes health care safer.
What is healthcare?Healthcare sector is the most growing sector now a days. Health care is defined as the whole procedure which includes prevention of the disease, diagnosis of the disease, and treatment of the disease. Health care is practiced and run on its full pledge by the help of healthcare workers and doctors.
The sectors which came in category of healthcare is medicine, midwifery, optometry, audiology, oncology, occupational therapy, and psychology. Healthcare is the practice or effort to achieve the patient's health both physical, emotional as well as mental.
Therefore,Assess the part the agency for healthcare research and quality (ahrq) plays in health care information systems acquisition and its objective is to create evidence that makes health care safer.
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the nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan. which client statement would indicate a need for further teaching?
The client statement that would indicate a need for further teaching is D. The medication reduces my need for exercise
What is hypertension?When blood pressure is excessively high, it is called hypertension. Usually, high blood pressure comes on gradually. Unhealthy lifestyle decisions, such as not engaging in adequate regular physical activity, can contribute to it.
Obesity and certain medical problems like diabetes might raise one's risk of acquiring high blood pressure.
In this case, the nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan.
It should be noted that in this case,the medication doesn't reduce the need for exercise. Therefore, the correct option is D.
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The nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan. Which client statement would indicate a need for further teaching?
A) I will take the medication each morning
B) I should stop smoking and drinking caffeine
C) I will monitor my blood pressure frequently
D) The medication reduces my need for exercise
medicare part d pays for inpatient hospital critical care access, skilled nursing facility stays, hospice care, and some home health care?
The correct answer for this question is Medicare hospital insurance (Medicare part A).
Inpatient hospital treatment, skilled nursing facilities, hospice, lab tests, surgery, and home health care are all covered under Medicare Part A hospital insurance.
hospital inpatient treatment. care in a skilled nursing facility. Care provided at a nursing home, also known as skilled nursing, but not long-term or custodial care. palliative care
Unless medically required, a private room in a hospital or skilled care facility. Personalized nursing care. Personal things like razors or slipper socks, as well as a telephone or television in your room, unless the hospital or skilled care institution provides these for free to all residents.
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a patient's blood transfusion has been hanging for 2 hours. the patient is complaining of a raised itchy rash and shortness of breath; she is wheezing, anxious, and very
Findings are congruent with Allergic transfusion reaction for a client who is complaining of a raised, itchy rash and shortness of breath, and is wheezing, anxious, and very restless.
Fever, chills, urticaria (hives), and itching are among the most typical warning signs and symptoms of Allergic transfusion reaction. Certain symptoms go away with little to no therapy. However, signs of a more serious response include respiratory difficulty, a high temperature, hypotension (low blood pressure), and crimson urine (hemoglobinuria).
(A) The signs and symptoms of a hemolytic transfusion response include fever, chills, chest discomfort, hypotension, and tachypnea. (B) A febrile transfusion response is characterized by a fever, chills, and headache. (C) Pulmonary crackles, dyspnea, and cough are signs of circulatory overload. Wheezing, anxiety, urticaria, and pruritus are signs of an allergic transfusion response (D).
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Question correction:
A client's transfusion of packed red blood cells has been infusing for 2 hours. She is complaining of a raised, itchy rash and shortness of breath. She is wheezing, anxious, and very restless. The nurse knows these assessment findings are congruent with:
A. Hemolytic transfusion reaction
B. Febrile transfusion reaction
C. Circulatory overload
D. Allergic transfusion reaction
after receiving iv fluids in the emergency department, an elderly client is admitted to the acute care unit with a medical diagnosis of dehydration. the client is receiving 0.9% normal saline at 125 ml/hour via saline lock and has
From the client's arm, remove the saline lock.
What is a saline?Salt and water are combined to make saline. Because of its salt content (0.9% saline), which is comparable to that of tears, blood, and other bodily fluids, a normal saline solution is known as normal. Isotonic solution is another name for it. The nasal passages can be rinsed with a DIY saline solution (nasal irrigation).
Why is saline given to a patient?To replace lost fluids, clean wounds, administer medications, and keep patients alive during surgery, dialysis, and chemotherapy, doctors utilize intravenous saline. Even outside of hospitals, saline IVs are becoming popular as a hangover cure. It has high salt and chloride concentrations that are greater than those seen in blood.
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despite repeated nursing interventions to improve reality orientation, a client insists that he is the commander of an alien spaceship. what is the client experiencing
The client is experiencing mental disorder as his mind is not in stable situation.
What is healthcare?Healthcare sector is the most growing sector now a days. Health care is defined as the whole procedure which includes prevention of the disease, diagnosis of the disease, and treatment of the disease. Health care is practiced and run on its full pledge by the help of healthcare workers and doctors.
The sectors which came in category of healthcare is medicine, midwifery, optometry, audiology, oncology, occupational therapy, and psychology. Healthcare is the practice or effort to achieve the patient's health both physical, emotional as well as mental.
Therefore, the client is experiencing mental disorder as his mind is not in stable situation.
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a toddler receives a gastrostomy tube feeding every 4 hours. what is the priority nursing intervention for this child?
Positioning the child on the right side after the feeding is the priority nursing intervention for this toddler who receives a gastrostomy tube feeding every 4 hours.
What is Gastrostomy?This is the process in which a gastrostomy tube is placed into the stomach for nutritional support. In this procedure, an artificial opening is created and a tube is inserted to enable connection between the stomach and the skin so that the feed can get there.
The stomach is present in the let hand side of the abdominal region and the baby has to be put on the right side so as to facilitate gastric emptying.
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an emergency department nurse is interviewing a client who is presenting with signs of an ischemic stroke that began 2 hours ago. the client reports a history of a cholecystectomy 6 weeks ago and is taking digoxin, warfarin, and labetalol. what factor poses a threat to the client for thrombolytic therapy?
An emergency room nurse is speaking with a patient who is exhibiting symptoms of an ischemic stroke that started two hours ago. The client mentions having had a cholecystectomy six weeks prior and using labetalol, digoxin, and warfarin. What element puts the patient's thrombolytic therapy at risk?
What is ischemic stroke?
An ischemic stroke is the loss of brain tissue (cerebral infarction) brought on by insufficient oxygen and blood flow to the brain as a result of an arterial blockage. An artery leading to the brain can get blocked, frequently by a blood clot or a fatty buildup brought on by atherosclerosis, leading to an ischemic stroke.
In patients with ischemic stroke, thrombolytic therapy must be started within three hours. If the patient underwent surgery within the last 14 days, she is not qualified for thrombolytic therapy. Labetalol and digoxin do not preclude thrombolytic treatment.
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the nurse is preparing to teach a community class to a group of first-time parents. which information should the nurse include concerning what the pregnant woman's partner may experience as a normal response?
Pregnancy-related health issues are those that develop while a woman is pregnant. They may concern the health of the mother, the infant, or both.
Be sure to discuss any current or previous health issues with your doctor. Your healthcare practitioner might wish to alter the way your health issue is managed if you are receiving therapy for it. For instance, taking certain medications to manage health issues while pregnant may be dangerous. However, quitting necessary medications could be more dangerous than the dangers associated with becoming pregnant. Don't forget to bring up any issues you had with past pregnancies as well. You are more likely to have a typical, healthy baby if your health issues are under control and you receive quality prenatal care.It is important to consult healthcare before and during pregnancy.
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a 22-year-old client comes to the walk-in clinic complaining of fatigue, breast heaviness and extreme tenderness, and a clear vaginal discharge. what question would the nurse ask this client?
The question that the nurse should ask the client is 'Have you been sexually active in the past 2 months?".
What is breast heaviness?Breast heaviness is the enlargement of the lobular gland of the breast which is as a result of increase in some hormones such as estrogen and progesterone.
An individual that is sexually active who complains of fatigue, breast heaviness, extreme tenderness, and a clear vaginal discharge would probably be a sign of increased hormone levels due to early pregnancy.
Therefore, the nurse should obtain information concerning the sexual life of the client.
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The nurse is assisting a client with limited mobility to turn in bed. After successfully turning the client to the side, where would the nurse place an additional pillow?.
Bethany is vomiting, but she needs to take a drug with a systemic effect to reduce her illness. Which route of administration would be most successful for Bethany?
A. oral administration
B. vaginal suppository
C. topical administration
D. rectal suppository
Since a patient cannot take medicine orally due to vomiting, rectal suppository is the preferred route for medication. Thus, option D is correct.
What is vomiting?Vomiting is expulsion of food content from the stomach through mouth. It is usually a forceful process. It depletes the hydration levels in the body.
Vomiting results when some irritant is present in the stomach or gut. Usually vomiting indicates certain sort of indigestion, however, if the vomit contains blood or any other discharge then it indicates a serious complication and hence needs medical attention.
Thus, vomiting should be managed by adequate fluid intake and medications.
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a client with severe diarrhea is prescribed intravenous fluids, sodium bicarbonate, and antidiarrheal medication.
The patient's doctor recommends intravenous fluids, sodium bicarbonate, and an antidiarrhea drug since the patient has severe diarrhea. The nurse anticipates that the doctor will recommend loperamide.
Loperamide affects the neurons in the intestine's muscular wall, which reduces peristalsis and lengthens transit time. Since it enhances gastrointestinal motility, bisacodyl is a laxative rather than an antidiarrheal. Psyllium is a bulk laxative that encourages simple stoma transit; it is not an anti-diarrheal. Docusate sodium helps with constipation, not diarrhea; it raises the amount of water and fat in the intestines, which makes stools easier to pass.
Loperamide should only be administered to children 11 years of age or under with a doctor's prescription. Some persons should not take loperamide. If you experience severe diarrhea after taking antibiotics, avoid using loperamide. This medication may lead to issues with cardiac rhythm (eg, torsades de pointes, ventricular arrhythmias). If you or your kid has chest pain or discomfort, a rapid, slow, or irregular heartbeat, dizziness, or problems breathing, call your doctor straight once. Your risk for gastrointestinal or bowel issues may rise if you use loperamide.
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after surgery for repair of a myelomeningocele, the nurse places the infant in a side-lying position with the head slightly elevated. what is the main reason the nurse places the infant in this position after this particular surgery?
The correct answer for this question is to reduce intracranial pressure
The side-lying position with the head slightly elevated promotes venous return by gravity, which helps reduce intracranial pressure, a problem after myelomeningocele repair. Although preventing aspiration, promoting respiration, and maintaining cleanliness of the suture line are all important, the reason for this position that is unique with this type of surgery is that it minimizes intracranial pressure.
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whole body massage for newborns: a report on non-invasive methodology for neonatal opioid withdrawal syndrome.
Infants who were exposed to opioids in utero are at danger. Although they are frequently advised, NOWS (Neonatal Opioid Withdrawal Syndrome) and non-pharmacological techniques of care, such as swaddling and a calm atmosphere, have not been well researched. Our hypothesis was that hospitalized newborns who have been exposed to opioids can withstand full-body massage.
Infants of mothers with a history of opioid use (OUD) were enrolled in this prospective observational study, which ran from August 2017 to January 2019. From birth until they were sent home, babies received 30 minutes of full-body massage. Prior to and during the massage session, the infants' heart rate (HR), respiration rate (RR), systolic (sBP), and diastolic blood pressure (dBP) were measured.Infants exposed to opioids in utero tolerate whole-body massage quite well. After massage, infants with NOWS experienced a significant drop in their baseline HR and BP.To know more about Neonatal Opioid Withdrawal Syndrome visit:
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the nurse is reviewing the results of serum laboratory studies drawn on a client diagnosed with acquired immunodeficiency syndrome (aids) who is receiving didanosine. the nurse determines that the client may have the medication discontinued by the primary health care provider (phcp) if which significantly elevated result is noted?
If the serum amylase levels are elevated, the primary healthcare provider may have the medicine discontinued.
What is didanosine?
Didanosine is a drug that is used to treat human immunodeficiency virus (HIV) infection in combination with other drugs. Didanosine belongs to the category of drugs known as nucleoside reverse transcriptase inhibitors (NRTIs). It functions by lowering the level of HIV in the blood. Didanosine does not treat HIV, but it may lessen your risk of getting AIDS and other HIV-related diseases such as severe infections or cancer.
Didanosine may result in severe or perhaps fatal pancreatitis (swelling of the pancreas). If you consume or have ever consumed excessive amounts of alcohol, as well as if you currently have or have ever had pancreatitis, pancreatic, or kidney problems, let your doctor know right away. If you have any of the following symptoms, such as stomach discomfort or swelling, nausea, vomiting, or fever.
Therefore, if the serum amylase levels are elevated, the medicine will be discontinued.
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a primary nurse managing client case records finds that the discharge teaching plan for a client is inadequate. the nurse consults other team nurses and formulates a better teaching plan. which element of the decision making process is the nurse exercising?
Authority is the element of the decision making process that the nurse is exercising.
The term "authority" describes a formal, legal right to make final choices that are unique to a certain position. The phrases authority and power are incorrect synonyms when used in the practice of governance.
The term "authority" refers to the political legitimacy that confers and defends the ruler's right to exercise governmental power; the term "power" refers to the capacity to carry out an approved task, either through compliance or obedience; as a result, "authority" refers to the capacity to make decisions and the legal authority to do so and to order their execution.
The nurse is using his/her power to speak with other team nurses and create a more effective teaching plan. The ability to decide on a patient's personal treatment plans is known as autonomy.
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which cause woudl the nurse conclude is the underlying reason a client with conversion disorder is unable to walk
The nurse would conclude is the underlying reason a client with conversion disorder is unable to walk is if client complains that the client's left side is paralyzed.
What is conversion disorder?Conversion disorder is a mental condition in which a person has blindness, paralysis, or any other symptoms that affect the nervous system that cannot be explained by medical examination.
Some signs and symptoms of conversion disorder include:
Weakness or paralysis.Loss of balanceTremors or seizures.Vision problems.Hearing problemsDifficulty speaking, etc.In conclusion, conversion disorders are unexplainable medical diagnosis.
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a nurse is providing teacing to a client who has a new presciriton ofr psyllium. which of the foloiwng interomaiton should the nures include in teh teaching
Drink 240 mL (8 oz) of water after administration is the information the nurse should include in the teaching of someone with a new prescription for psyllium.
What is Psyllium?This is a type of fiber which is derived from the husks of the Plantago ovata plant's seeds and has a lot of medicinal properties such as reduction of blood sugar and cholesterol in the body system.
It is also used as a good source of treatment for people who have diarrhea and constipation due to its high fiber content. It is therefore advisable to drink 240 mL (8 oz) of water after administration so as to aid bowel movement.
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accomplishments that prepare a graduate student for an advanced nursing role (minimum of three items):
The major accomplishment to prepare the graduate student is obtaining a certification in the specified choice, and obtaining the Master’s Degree in Nursing Profession. Moreover, another accomplishment is working with teams and collaborating with different professionals. Leadership and problem-solving abilities should also be key competencies that are to be accomplished in the masters training program. These abilities help to ensure the performance and practice are of vital perfect.
A critical leadership skill in nursing is the ability to evolve and adapt to the constant changes in the health care industry. Nurse leaders must face the uncertainty of both their day-to-day and the rapidly changing landscape of medicine. Plus, leaders must effectively communicate these changes to their subordinates.
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the nurse is caring for a client who has been prescribed citalopram and checks the client for which signs/symptoms of serotonin syndrome? select all that apply.
The symptoms of serotonin syndrome are given below:
DiarrheaAbdominal painIncreased blood pressureSerotonin syndrome can occur when you increase the dose of certain medications or start taking a new drug. It's most often caused by combining medications that contain serotonin, such as a migraine medication and an antidepressant. Some illicit drugs and dietary supplements are associated with serotonin syndrome.
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