spruit ma, thomeer mj, gosselink r, et al. skeletal muscle weakness in patients with sarcoidosis and its relationship with exercise intolerance and reduced health status. thorax 2005; 60:32.

Answers

Answer 1

Background: Skeletal muscle weakness is assumed to be present in patients with sarcoidosis but has never been reported in a consecutive group of patients. Moreover, its relationship with previously observed exercise intolerance and reduced health status has never been studied in these patients.

Methods: Pulmonary function, skeletal and respiratory muscle forces, peak and functional exercise capacity, health status, and the circulating levels of inflammatory and anabolic markers were determined in 25 patients with sarcoidosis who complained of fatigue (15 men) and in 21 healthy subjects (13 men).

Results: Patients with sarcoidosis had lower respiratory and skeletal muscle forces, reduced exercise capacity and health status, higher anxiety and depression scores, and higher circulating levels of tumor necrosis factor-alpha than healthy subjects (all p< or =0.01). Its soluble receptor p75 tended to be higher (p=0.04). Circulating levels of interleukin (IL)-6, IL-8, insulin-like growth factor I, and its binding protein 3 were not significantly different between the two groups. Skeletal muscle weakness was related to exercise intolerance, depression, and reduced health status in patients with sarcoidosis, irrespective of age, sex, body weight, and height (p< or =0.05). Quadriceps peak torque was inversely related to fatigue but not to the circulating levels of inflammatory or anabolic markers. The mean daily dose of corticosteroids received in the 6 months before testing was related to quadriceps peak torque only in patients who received oral corticosteroids.

Conclusion:  Skeletal muscle weakness occurs in patients with sarcoidosis who complain of fatigue and is associated with reduced health status and exercise intolerance.

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Related Questions

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?

Answers

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.Restlessness

Since 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

a client is a paraplegic, lives alone, and just had a total shoulder arthroplasty. in planning for discharge, the nurse arranges for

Answers

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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the nurse is assessing a client who has a chest tube in place for the treatment of a pneumothorax. the nurse observes that the water level in the water seal rises and falls in rhythm with the client's respirations. how should the nurse best respond to this assessment finding?

Answers

The best way for the nurse to respond to this assessment finding is: A) document that the chest drainage system is operating as it is intended.

Who is a nurse?

A nurse is simply a professional (expert) who's been trained in a medical facility (institution) and licensed to perform the following tasks and activities in a hospital:

Promote hygienic behaviors among visiting clients (patients).Provide care for all sick people (clients).Perform routine checks on clients (patients) and some medical instruments.Carry out an assessment and intervention on client issues.Report findings on the adverse effect of a drugs or medication.

During the treatment of a pneumothorax, a fluctuation of the water level in the water seal indicates that there's an effective (proper) connection between the drainage chamber and the pleural cavity around the lungs of a patient.

In conclusion, we can reasonably infer and logically deduce that the fluctuation of the water level shows that the drainage system is still patent and as such no further action is needed from the nurse.

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Complete Question:

The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. How should the nurse best respond to this assessment finding?

a) Document that the chest drainage system is operating as it is intended.

b) Gently reinsert the chest tube 1 to 2 cm and observe if the water level stabilizes.

c) Inform the physician promptly that there is in imminent leak in the drainage system.

d) Encourage the patient to do deep breathing and coughing exercises.

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?

Answers

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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when a client with type 1 diabetes develops heart failure, digoxin is prescribed. which nursing action is important to include when planning care

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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.

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?.

Answers

Answer:

hypothalamus

Explanation:

The hypothalamus is the part of the brain that triggers the release of adrenaline.

a client has suffered an electrical innjury to the hand. which condition will the nurse expect to find

Answers

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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a client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. why did the provider add spironolactone to the client’s medication regimen?

Answers

The provider add spironolactone to the client's medication regimen to help prevent potassium loss.

What is spironolactone?

A medication called spironolactone is used to treat heart failure and high blood pressure. Bringing down high blood pressure can reduces the risk of heart attacks, kidney issues, strokes and such types of problems. By eliminating extra fluid and easing symptoms like breathing difficulties, it is also used to treat swelling (edema) brought on by some illnesses (including heart failure and liver disease). The body produces an excessive amount of a natural chemical in some diseases, which are also treated with this medicine (aldosterone)."water pill" is also the name of spironolactone (potassium-sparing diuretic).

A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. The provider add spironolactone to the client’s medication regimen to help prevent potassium loss.

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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.

Answers

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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a client with an acute myocardial infarction is admitted to the coronary care unit. the health care provider has ordered heparin 25,000 units in 250 ml normal saline to infuse at a rate of 600 units/hour. the nurse should set the infusion pump to deliver how many milliliters in an hour?

Answers

Myocardial infarction is Heart attack.

Myocardial infraction causes death and disability worldwide.

What is Myocardial infraction?

Myocardial infraction can be life threatening.Myocardial infraction has a host of causes and is a leading cause of cardiovascular disease and death in humans.Myocardial infraction is categorized according to the region of the heart affected.The classification includes left ventricular anterior, left ventricular inferior and posterior.

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a client experiences orthostatic hypotension while receiving furosemide to treat hypertension. how will the nurse intervene?

Answers

The nurse steps in Request that the client take a few minutes to sit before getting up.

Why do you use the word "minute"?

Minutes are the immediate written record of a meeting or hearing. They are often referred to as protocols, minutes of meetings, or, more colloquially, notes.

What kinds of minutes are there?

Action, discussion, and verbatim are the three types of minutes that are considered standards. Every style has a distinct purpose. Action minutes document the decisions made and the subsequent actions, but they do not include the conversation that led to those conclusions. The most typical kind of minute is this one.

How are minutes prepared?

1. The meeting's time and date.

2. The contestants' names.

3 .The goal of the gathering.

4 .Discussion of agenda items and subjects.

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17 year old girl comes to the office due to knee pain. she first noticed a dull, achy pain in her left knee a week ago after soccer practice uworld

Answers

The most appropriate step to manage the patient's symptoms as mentioned in question is Quadriceps strengthening exercises.

What is quadriceps?

The Quadriceps femoris is one of the largest and most powerful muscle of the human body. The quadriceps femoris is both a hip flexor and a knee extensor. It is made up of  four individual muscles; the rectus femoris, and three vastus muscles.  They are one of the strongest muscles in the body and make up the majority of the thigh.

Anterior knee discomfort in young women is frequently caused by patellofemoral pain syndrome. Usually, chronic usage or misalignment is at blame for such discomfort. A patellofemoral compression test can simulate the discomfort. Exercises for stretching and strengthening of quadriceps are part of the initial therapy, along with activity modification and non-steroidal anti-inflammatory medications.

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treatment consists of diet control and focuses on slow but steady weight gain, avoidance of concentrated sugar sources, and frequent small, balanced meals.

Answers

Gestational diabetes treatment consists of diet control and focuses on slow but steady weight gain, avoidance of concentrated sugar sources, and frequent small, balanced meals.

What is Gestational diabetes?

Diabetes is a medical condition which is characterized by the pancreas not producing enough insulin thereby resulting in the sugar level in the blood being above normal.

On the other hand, gestational diabetes involves a pregnant woman having a high blood glucose as a result of the condition and affects a small percentage of women. It is caused by a hormone which is produced by the placenta which prevents the body from using insulin effectively.

Gestational diabetes treatment diet control and focuses on slow but steady weight gain, avoidance of concentrated sugar sources, and frequent small, balanced meals so as to reduce the sugar level.

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why was emergency 6-month courses authorized to train individuals in the practice of physical therapy?

Answers

The emergency 6-month courses were authorized to train individuals in the practice of physical therapy to meet the demands for the treatment of injured soldiers in world war II.

What is physical therapy?

One of the allied health professions is physical therapy (PT), commonly referred to as physiotherapy. It is given by physical therapists who use physical examination, diagnosis, management, prognosis, patient education, physical intervention, rehabilitation, disease prevention, and health promotion to promote, maintain, or restore health. In many nations, physical therapists are also known as physiotherapists.

During the time of world war II when the number of injured soldier if very large the shortage of the physical therapists was felt and then the emergency 6-month courses were authorized to meet the demand.

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which outcome best demonstrates the effectiveness of treatment for a patient with right ventricular failure?

Answers

The greatest outcome expectations the effectiveness of treatment for a patient with right ventricular failure is a CVP of 4mmHg.

How would you define treatments?

The deed or treatment of someone or something The dog's previous owners mistreated him harshly surgical or medical attention The accident victim needed medical attention right away a drug or technique used in acne treatment waste management.

What kinds of treatments are there?

Your therapy strategy can consist of:

Wait and observe.Pharmacological therapies such as chemotherapy.Radiation treatment.Immunotherapy.Vaccine treatment.Transplanting of stem cells.Transfusion of blood.Hospice care.

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an elderly client is being admitted to the hospital for surgery. the nurse is reconciling the client's medications. the client is prescribed digoxin 0.125 mg daily, furosemide 40 mg two times a day, lanoxin 0.125 mg daily, metoprolol xl 25 mg once a day, and pravastatin (pravachol) 40 mg at hours of sleep daily. the nurse recognizes a problem when the nurse notes:

Answers

Digoxin and Lanoxin are the same medications is the note that will help the nurse recognize the problem for the client.

A closely similar class of medications known as cardiac glycosides, including LANOXIN (digoxin), all have unique effects on the myocardium. Numerous plants contain these medicines. Digitalis lanata leaves are used to make digoxin.

The entire class of glycosides is referred to as "digitalis." The glycosides—hence the name "glycosides"—consist of two parts: a sugar and a cardenolide. White, odorless crystals of digoxin are present and dissolve when breakdown reaches 230°C.

The medication is essentially insoluble in water and ether, hardly soluble in chloroform and diluted (50%) alcohol, and readily soluble in pyridine. LANOXIN is available as oral tablets with 125 mcg (0.125 mg) or 250 mcg (0.25 mg).

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what are the proper rationales for all healthcare professionals to ask patients about conditions that may be associated with military service? (select all that apply.)

Answers

Most veterans do not receive their care at Veterans Administration (VA) facilities;instead, some veterans delay seeking care until secondary complications from a condition arise. The prognosis is better if a condition like post-traumatic stress disorder (PTSD) is detected and treated quickly.Post-traumatic stress disorder in the military veteran :

Flashbacks, anxiety, and aggressive or protective behavior are some of the strong reactions to stimuli that veterans with PTSD experience. Veterans may avoid situations that bring on symptoms because of the intensity of this hyperarousal, which can also make them emotionally numb, detached, or withdraw—all symptoms of PTSD.

What Are the Symptoms of PTSD?

Experience it again (also called re-experiencing symptoms). 

recalling the incident (also called re-experiencing symptoms). Anytime after the distressing experience, memories may resurface.avoiding anything that may bring up the incident.having more unfavorable feelings and thoughts than before the experience.having a nervous or tense feeling (also called hyperarousal).

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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

Answers

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 group of nursing students is reviewing the various theories related to the etiology of schizophrenia. the students demonstrate understanding of the information when they identify which neurotransmitter as being responsible for hallucinations and delusions?

Answers

A group of nursing students is reviewing the various theories related to the etiology of schizophrenia. The students demonstrate understanding of the information when they identify dopamine as being responsible for hallucinations and delusions.

Schizophrenia is the psychotic disorder where a person finds it difficult to distinguish between reality and imagination. The person experiences hallucinations and daydreams, which he/she considers to be true. The person can also have problem with speech and trouble in understanding.

Dopamine is a neurotransmitter as well as a hormone. High amounts of dopamine in brain can make the person aggressive and he/she does not any control upon the impulses. On the other hand, as a hormone dopamine can treat the shock-like symptoms and improve the flow of blood as well.

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the nurse is preparing to administer an intramuscular injection to an 8-month-old infant. which site would the nurse select?

Answers

The site should be on the Vastus lateralis.

The quadriceps femoris, a muscle in the thigh, has several parts, the biggest and most potent of which is the vastus lateralis, also known as the vastus externus. It helps move the lower leg forward by extending the knee joint in conjunction with other quadriceps muscles.

The vastus lateralis muscle is the most popular injection location in young children. The rectus femoris is another potential location. Children are not implanted in the dorsogluteal location until they have been walking for at least a year. After the age of 4 or 5, the deltoid muscle is employed as a site in youngsters.

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when a client has a myocardial infarction, one of the major manifestations is a decrease in the conductive energy provided to the heart. when assessing this client, the nurse is aware that the existing action potential is in direct relationship to what?

Answers

When a client has a myocardial infarction, one of the major manifestations is a decrease in the conductive energy provided to the heart. When assessing this client, the nurse is aware that the existing action potential is in direct relationship to strength of contraction.

Myocardial infarction is a life-threatening condition when the cardiac muscles become dead due to poor supply of blood to the heart. This poor supply is the result of blockage in arteries.  

Action potential is the presence of polarization across the cell membrane due to a difference of ion concentration on the inside as well as outside of the membrane. Myocardial infarction leads to passage of various ions due to contractions of heart, thereby increasing the action potential.

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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?

Answers

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 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?

Answers

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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a nurse is caring for a client with diabetes insipidus. which clinical manifestation should a nurse expect the client to exhibit?

Answers

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 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?

Answers

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.

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.

Answers

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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If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of which type of intervention?.

Answers

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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the term essential has a very specific meaning in nutrition. click to select all the characteristics of an essential nutrient.

Answers

The characteristics of essential nutrients include;

If illness has resulted from omitting the substance from the dietary pattern, replacing the omitted substance will restore health Omitting the substance from the dietary pattern leads to a decline in physiological functions.It has at least on specific biological function.The substance cannot be made by the human body(or cannot be made in sufficient quantities to support health)

What are essential nutrients?

Essential nutrients are nutrients which are required by the in relatively large amounts for healthy growth and development.

Essential nutrients include the macronutrients listed below:

carbohydratesfats and oilslipids

Considering the true options about essential nutrients:

If illness has resulted from omitting the substance from the dietary pattern, replacing the omitted substance will restore health because the replaced nutrient will be used by the body to again for its functions Omitting the substance from the dietary pattern leads to a decline in physiological functions because the body needs the nutrient for its physiological functions.It has at least on specific biological function such as carbohydrates that provide energy and proteins which are used for tissue repair. The substance cannot be made by the human body(or cannot be made in sufficient quantities to support health biological function in the human body) because the body lacks the materials to synthesize the essential nutrients.

In conclusion, essential nutrients are important for body growth and development.

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Note that the complete question is found in the attachment.

a patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tpa. the nurse knows to give this drug no later than what time?

Answers

Answer: 1:45

Explanation:

Tissue plasminogen activator (tPA) must be given within 3 hours after the onset of symptoms. Therefore, since the symptom onset was 1:00 pm, the window of opportunity ends at 4:00 pm. Thus, the correct option is A.

What is Tissue plasminogen activator (tPA)?

Tissue plasminogen activator (tPA) is a protein which is involved in the breakdown of blood clots. It is a serine protease which is found on the endothelial cells, cells which line the blood vessels. As an enzyme, tPA catalyzes the conversion of plasminogen to plasmin, the major enzyme which is responsible for clot breakdown.

Tissue plasminogen activator (tPA) is administered to a stroke patient who is admitted to the hospital for an ischemic stroke. The nurse should give tPA to the patient later than 4:00 pm.

Therefore, the correct option is A.

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Your question is incomplete, most probably the complete question is:

A patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. Within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tPA. The nurse knows to give this drug no later than what time?

a) 4:00 p.m.

b) 5:30 p.m.

c) 2:30 p.m.

d) 3:00 p.m.

to what extent do rns in a clinical practice setting (hospital, skilled nursing facility, community) use research findings in their practice?

Answers

Knowledge translation is the process of developing, distributing, and applying research findings into clinical practice.

Briefing:

Healthcare research often produces a wide range of findings and altered methods of treating and caring for people that, if put into practice, might reduce mortality and raise patients' quality of life.

In order to increase current understanding about health care, clinical research involves constantly developing and analyzing new ideas on illnesses, products, treatments, and methods. Communication, logic, economics, and psychology are all necessary to develop and enhance a research profile.

Describe healthcare:

Health care, often known as healthcare, is the improvement of one's health through the avoidance, detection, diagnosis, treatment, amelioration, or cure of disease, illness, injury, and other physical and mental impairments in humans. Healthcare is delivered by health professionals and various associated health fields.

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