A nurse is caring for a client who complains of an aching pain in the abdomen. The nurse also noted that the client is guarding the area. What kind of pain is the client experiencing?
) Visceral pain
meyer e, hennink m, rochat r, et al. working towards safe motherhood: delays and barriers to prenatal care for women in rural and peri-urban areas of georgia. matern child health j. 2016;20(7):1358-1365. doi:10.1007/s10995-016-1997-x
Aims Georgia ranks 40th for infant mortality and has the highest rate of maternal mortality in the country. The lack of obstetric care providers outside the Atlanta region led to the formation of the Georgia Maternal and Infant Health Research Group, which was established to study and remedy the issue.
We employed qualitative approaches to determine the access hurdles faced by women who live in rural and peri-urban parts of the state, as access to prenatal care (PNC) can improve mother and newborn health outcomes.
Results We found delays in a woman's choice to seek prenatal care (PNC) (such as awareness of pregnancy and stigma), delays in accessing a suitable healthcare institution (such as selecting a doctor and acquiring insurance coverage), and delays in receiving adequate and appropriate care (such as continuity of care and communication).
Conclusion These findings offer a justification for creating contextually relevant solutions for maternal and their caregivers in order to assist Georgian pregnant women who encounter obstacles and delays in prenatal care (PNC).
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Working towards safe motherhood includes prenatal care, and improving the mother and infant's health.
Georgia ranks 40th for infant mortality and has the highest rate of maternal mortality in the United States. To study and address the lack of obstetric care providers outside the Atlanta area, the Georgia Maternal and Infant Health Research Group were established. We employed qualitative approaches to determine the access hurdles faced by women who live in rural and peri-urban parts of the state, as access to prenatal care (PNC) can improve mother and newborn health outcomes. Method: We interviewed 24 moms who gave birth between July and August 2013 and resided in either shortage or non-shortage areas for obstetric care services.
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a client diagnosed with asthma is scheduled for a pulmonary function test. during the test, the technician instructs the client to forcefully exhale air for 1 second to evaluate:
A pulmonary function test is planned for a client with asthma. The client is instructed to forcefully exhale air for 1 second to obtain a Forced Expiratory Volume during the test.
An organism's breath leaves it during an exhalation, also known as an expiration. It refers to the process of breathing in which air leaves the lungs and travels via the airways to the environment. The internal intercostal muscles, which lower the rib cage and reduce thoracic volume, as well as the elastic qualities of the lungs are to blame for this. During exhale, the thoracic diaphragm relaxes, pushing the tissue it has pushed upward and applying pressure to the lungs to exhale air. Expiratory muscles, such as the internal intercostal muscles and the abdominal muscles, provide abdominal and thoracic pressure during forced exhalation, such as when blowing out a candle. This forces air out of the lungs.
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a client comes to the emergency department reporting severe substernal chest pain radiating down the left arm. the client is admitted to the coronary care unit with a diagnosis of myocardial infarction (mi). which should the nurse do first when the client is admitted to the coronary care unit?
Analgesia and anti-emetics should be provided by the nurse . The pain of myocardial infarction is usually severe and requires potent opiate analgesia.
The most common cause of an myocardial infarction is a blood clot that forms inside a coronary artery, or one of its branches. A heart attack (myocardial infarction) happens when one or more areas of the heart muscle don't get enough oxygen. This happens when blood flow to the heart muscle is blocked.
Administering supplemental oxygen to the client is the first priority of care. The myocardium is deprived of oxygen during an infarction, so additional oxygen is administered to assist in oxygenation and prevent further damage.
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in virtually all patients, the rv is fully supplied by the rca, and in patients with left-dominant circulation, none of the inferior lv wall is supplied by the rca.
In patients with left-dominant circulation, the inferior left ventricle wall is supplied by the PDA (posterior descending artery) originating from the left circumflex artery.
What is left ventricle?One of the heart's four chambers is the left ventricle. The aorta is used to pump oxygenated blood from the left atrium into the systemic circulation.
The left ventricle has thicker walls than the right ventricle, is longer, and has a conical form with an anteriorly protruding apex. The interventricular septum, which has a concave structure, separates it from the right ventricle (i.e. bulges into the right ventricle). There are smooth inflow and outflow tubes internally, and the remaining left ventricle (mostly the apical portion) is bordered by fine trabeculae carneae. The ventricular wall thins to only 1-2 mm at the apex and is thickest at the base.
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Put the following in the correct order of the process of inflammation:
Vasodilation → Adhesion → Emigration → Chemotaxis → Diapedesis → Phagocytosis.
Answer: Vasodilation, Adhesion, Emigration, Chemotaxis, Diapedesis. Phagocytosis.
a community health nurse is planning an educational event for the parent-teacher association of the local elementary schoolin discussing chickenpoxhow would the nurse describe the rash?
Answer: Fluid-filled lesions less than 1 cm in diameter
2a. while assessing a client two hours after a transurethral prostatectomy (turp), the nurse notes the catheter drainage is bright red in color and contains many clots. name the priority nursing intervention.
Priority nursing intervention post surgery can be checking for Urinary output and observing for signs of hemorrhage. Avoid over usage of bladder, which could lead to hemorrhage, anti-cholinergic medications to reduce bladder spasms and bed rest for the first 24 hours.
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate. The average age of patients currently undergoing TURP is approximately 69 years and average amount of tissue removed is 22 gm . It is normal to notice blood in urine after the surgery for 2-3 weeks .
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the nurse is providing education to a client about the role of endogenous opioids in the transmission of pain. which information about the release of endogenous opioids is most accurate?
They bind to opioid receptor sites throughout the CNS is the most accurate information about the release of endogenous opioids.
Endogenous opioids: what are they?A group of chemicals known as endogenous opioids are created in the brain and are broadly distributed across all organ systems. Pre-proenkephalin A or pro-opiomelanocortin are two of the two precursor genes from which endogenous opioids, which are neuropeptides, are generated (POMC).What is a typical adverse reaction to an opioid analgesic that needs to be watched out for?The most frequent adverse effects are typically nausea, vomiting, constipation, and tiredness. Dizziness, itchiness, mental affects (such as nightmares, disorientation, and hallucinations), slow or shallow breathing, or difficulty peeing are other symptoms that some people may have. Opioid painkiller side effects can often be avoided.To learn more about endogenous opioids visit:
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a client received iv nalbuphine in labor. the labor progressed rapidly and the nurse is preparing for the birth of the neonate less than 1 hour later. what medication will the nurse ensure is available immediately after birth of the neonate?
Neonate should be given 1 mg of vitamin K intramuscularly after birth.
Nalbuphine was studied extensively in labor analgesia and was proved to be acceptable analgesics during delivery and its effect on neonates vary between various studies .NUBAIN is indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate.
Vitamin K is needed to form blood clots and to stop bleeding. Babies are born with very small amounts of vitamin K stored in their bodies, The vitamin K given at birth provides protection against bleeding that could occur because of low levels of this essential vitamin.
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recent changes in the medicare system have affected the quality of health care that david's elderly mother receives. these changes do not affect david directly, but bronfenbrenner would say they affect david's development because they are part of david's
they are part of david's mesosystem
Medicare offers health insurance coverage to people 65 and older, people under 65 with specific disabilities, and people of all ages with end-stage renal disease (ESRD). Medicaid offers medical benefits to groups of low-income individuals, some of whom may not have health insurance or have insufficient health insurance. a federal health insurance program in the United States for seniors and those with certain impairments who are 65 years of age or older. Medicare covers some prescription drugs, hospital stays, and medical services, but recipients are still responsible for some of the expenditures associated with their healthcare.
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complete question:
the nurse is performing a routine assessment of the client after birth. inspection of a woman's perineal pad reveals a 3-in (7.5-cm) lochia stain. this amount should be documented as which type?
Scant lochia is defined as a 1- to 2-inch (2.5 to 5-cm) stain, light or tiny lochia as a 3- to 4-inch (7.5 to 10-cm) stain, and moderate lochia as a 4- to 6-inch stain. A pad that becomes saturated in an hour is referred to as heavy or big lochia.
When assessing a client's lochia on the fifth postpartum day what would a nurse expect to find?It smells musty and stale, just like period waste. For the first three days following delivery, Lochia is a dark crimson color. No more than a few plum-sized blood clots are typical. The hue of the lochia will be more watery and pinkish to brownish on the fourth through tenth day following delivery.
The lochia should be evaluated for its color, size, and smell. Knowing how much lochia to check for is crucial since too much lochia can signify bleeding. Additionally, bad-smelling lochia could be a sign of an infection. After birth, Lochia is typically bright crimson and has tiny clots.
Scant lochia is defined as a 1- to 2-inch (2.5 to 5-cm) stain, light or tiny lochia as a 3- to 4-inch (7.5 to 10-cm) stain, and moderate lochia as a 4- to 6-inch stain. A pad that becomes saturated in an hour is referred to as heavy or big lochia.
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the three elements of nursing competency described in the quality and safety for nurses (qsen) initiative are knowledge, skill, and which other element?
Attitude is the ther element.
What is initiative?
Taking the initiative to make friends is taking the first step or acting first. Enterprise lacks initiative; is ready and able to take the initiative.
Therefore,
The three elements of nursing competency described in the quality and safety for nurses (qsen) initiative are knowledge, skill, and which other element?
Attitude is the ther element.
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the nurse is caring for a client with hypoxia. what does the nurse understand is true regarding the client’s oxygen level and the production of red blood cells?
Answer: ...........................................
Explanation: ..,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,
quizlet the american college of sports medicine suggests that these components of fitness be included in the design of every fitness training program. a. flexibility, power, strength, endurance, and agility b. agility, cardiovascular endurance, and muscular strength c. muscle strength/endurance, cardiovascular endurance, and flexibility d. cardiovascular endurance, muscular strength, and flexibility
The institution of healthy body fitness according to the American college of sports medicine includes:
muscle strength/endurance, Cardiovascular endurance, flexibility.The correct answer choice is option c
What is meant by muscular endurance, strength and cardiovascular fitness as a part of body fitness?Muscular endurance is the ability of an individual to use his or her skeletal muscles for a very long period of time without being or getting tired during activities which involves the use of the muscles.
Muscular strength, a component of fitness refers to ability of our skeletal muscles to engage force one-time.
Flexibility refers to the range of movement possible at various joint.
Cardiovascular fitness is the ability of the heart, blood vessels and respiratory system to supply oxygen to the muscles during exercise.
So therefore, for us to have a good body fitness, our muscular strength and muscular endurance plays a vital role
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a reasonable weight-loss strategy for overweight and obese adults is to increase activity and reduce food intake enough to create a deficit of how many kcalories per day?
Reasonable weight- loss strategy for fat and fat grown-ups is to increase exertion and reduce food input enough to produce a deficiency of 500 to 700kcalories per day.
fat and rotundity are defined as abnormal or inordinate fat accumulation that presents a threat to health. A body mass indicator( BMI) over 25 is considered fat, and over 30 is fat. rotundity is a habitual seditious complaint characterized by an increased total body fat mass of sufficient magnitude to produce adverse health consequences and is associated with increased morbidity and mortality. rotundity is a multifactorial complaint that develops from the commerce of behavioural, physiological, metabolic, cellular and molecular factors. There are further than 1 billion fat and fat grown-ups a…
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What is the value of reflecting on your nursing/student performance and how will this impact
safe nursing care?
2) How does continuing education/life-long learning impact safe nursing care?
Reflecting on your nursing/student performance will impact safe nursing care as it will motivate the nurse to continuously improve and learn. Continuing education/life-long learning impact safe nursing care by improving critical thinking and problem solving skills.
Reflecting on nursing performance will improve the quality of care and also provides multi disciplinary approach to problem solving. Hence it will motivate and to perform better continuously.
Safe nursing care aims to reduce the chances of risk, errors and harm that can occur to a patient during the provision of a health care.
Life long learning gives critical thinking skills and problem solving skills that are needed to resolve the issues that the nurse may encounter when taking care of the patients.
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In order to provide culturally sensitive health care, providers must understand and take into consideration the cultural differences of their clients. Which of the following would the most unlikely practical first step for a health care provider take?
The option that would be the most unlikely practical first step for a healthcare provider to take in the situation described above is "Learn a new language". (Option B)
What would be the best step for the Healthcare provider to take?The most logical step for the Healthcare provider is to take advantage of existing systems in form of:
Use the Internet to research various cultures.Make a list of cultures served by the facility.Make use of the services of people who know and or understand the culture being researched.Cultural competency enhances communication, making patients safer. Clear communication enables healthcare practitioners to get correct medical data.
It also promotes active discussions in which patients and clinicians may ask questions, clarify misconceptions, and establish trust.
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Full Question:
In order to provide culturally sensitive health care, providers must understand and take into consideration the cultural differences of their clients. Which of the following would be the least practical first step for a healthcare provider to take?
a. Use the Internet to research various cultures.
b. Learn a new language.
c. Make a list of cultures served by the facility.
d. Enjoy a restaurant meal of the cultural cuisine.
mrs. kouassi is a 44-year-old african from the ivory coast. although she was diagnosed with hypertension about eleven years ago, it was left untreated. a year ago, she was seen in the emergency department for fatigue, poor appetite, nausea, and vomiting. she complained of shortness of breath, muscle weakness, and swelling of her lower legs. her blood pressure reached 220/210. she was hospitalized, diagnosed with end-stage renal disease (esrd), and started on hemodialysis. she currently goes to a dialysis center four times a week. she has not been working since she was diagnosed and is receiving disability. currently, her parathyroid hormone is elevated.
This complex case observation illustrates the records of the customer with end-stage Renal Failure changed into presented in the Emergency Department with missed Dialysis of Hyperkalemia(fluid overload) She obtained a powerful dialysis treatment over two weeks. She had her ignored dialysis protocol for the first 3 days then persevered with three periods according to week.
She has gone through hemodialysis (HD) for the beyond 2 years due to give up- degree renal sickness (ESRD), which could imply that she had degree 5 CKD or kidney failure. classified via a GFR (glomerular filtration Rate) that it is insufficient to preserve persistent Kidney sickness. continual Renal failure or ESRD (give-up level Renal ailment) is modern. Irreversible deterioration in renal characteristics in which the frame's capability to keep metabolic and fluid and electrolyte balance fails, resulting in uremia or azotemia. The patient is a 41 yr-antique male who has a longstanding record of high blood pressure and diabetes and provides criticism of pruritus. lethargy. lower extremity Edema. nausea and emesis. For the ones persevering with overt nephropathy to give up-stage renal sickness (ESRD). the greater chance of death from coronary artery ailment (CAD) may intrude
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a nurse is performing health education with a client who has a history of frequent, serious dental caries. when planning educational interventions, the nurse should identify a risk for what nursing diagnosis?
A licensed nurse should point out on the dangers of smoking tobacco as a risk when giving special education on dental management.
How the use of tobacco is a risk for dental health.Our dental health or conditions speak volume on the well being of our health system. When an individual is addicted to use of tobacco smoking, he has a tendency to be affected of this health condition known as oral cancer.
The cancer of oral cavity is a very dangerous condition which needs the intervention of a nurse to give education on.
In conclusion, interventions on educating the youths on risk of dental cancer is a preventive measures which can help create its awareness.
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the nurse is caring for a client with concerns of urinary incontinence. a review of the client’s data collection reveals the client has a history of spinal surgery and states, "i urinate all the time and cannot predict when i will urinate." this data collection would suggest to the nurse that this client is experiencing which type of urinary incontinence?
This data collection would suggest to the nurse that this client is experiencing total incontinence type of urinary incontinence.
A person with urinary incontinence accidentally releases pee. Urinary incontinence, commonly known as overactive bladder, can affect anybody, but it is more prevalent in older individuals, particularly women. When your bladder is completely unable to hold any urine, you have total incontinence.
Bladder control problems can be humiliating and make people refrain from participating in daily activities. Total incontinence may result from a congenital defect in your bladder. Total incontinence may result from a spinal injury, a congenital defect affecting the bladder, or a tiny hole that can occur between the bladder and an adjacent location (fistula).
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a nurse is applying ice packs to the perineal area of a client who has had a vaginal birth. which intervention should the nurse perform to ensure that the client gets the optimum benefits of the procedure?
The proctologic position (prone jackknife or knee-chest) is suitable for completely inspecting the rectum and perineum. The anorectum is easier to access in this position, allowing the patient to quickly go through further exams such an anoscopy and sigmoidoscopy.
What sort of posture is necessary for the patient's perineal examination?The proctologic position (prone jackknife or knee-chest) is suitable for completely inspecting the rectum and perineum. The anorectum is easier to access in this position, allowing the patient to quickly go through further exams such an anoscopy and sigmoidoscopy.
Which natural remedies can assist lessen postpartum discomfort?During labor and childbirth, comfort techniques that offer natural pain relief can be quite successful. Endogenous endorphin production can be boosted by birthing methods including hydrotherapy, hypnobirthing, rhythmic breathing, relaxation, and visualization, which attach to pain-relieving receptors in the brain.
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a nurse administers a prescribed dose of lithium at 8 p.m. the nurse would schedule a specimen to be obtained for a blood concentration at which time?
In all situations, nurses are largely responsible for administering drugs. In a similar capacity as pharmacists, nurses can also be involved in the preparation and distribution of pharmaceuticals. For example, they can crush tablets and draw up a precise amount for injections.
Medication administration is performed by medical professionals, qualified medication technologists, patients, and family members. The necessity for research that clearly distinguishes drug administrators is one of the challenges in determining the role of nursing in medication administration.
Mistakes in medicine administration by non-nurses have been shown in a number of studies. 37, 38 The fact that nurses may devote up to 40% of their time to administering medications is one of several causes for the prevalence of nurse involvement in medication errors.
The U.S. National Council of State Boards of Nursing conducted a thorough investigation to see if there were any distinguishable traits shared by nurses who made mistakes with prescription administration.
The most important finding was that "RNs disciplined for medication administration errors are representative of the overall RN population in terms of age, educational preparation, and employment setting."
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a client's friend is visibly distressed by the client's condition and lack of improvement. the friend says they feel powerless and unable to help the friend. how should the nurse respond?
The nurse should Inquire about their interest in providing comfort measures from the client's friend.
A friend of the customer asked for assistance. The nurse should urge the buddy to assist the client in any way they feel comfortable, including lubricant application, wiping the forehead with a damp cloth, and moisturizer application. It doesn't make the friend's sense of helplessness any less whether the nurse agrees with the friend or says that she understands how the friend feels. If the client's friend decides to assist, there are numerous ways they can do so.
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the nurse is providing discharge instructions for a slightly overweight client seen in the emergency department with gastroesophageal reflux disease (gerd). the nurse notes in the client's record that the client is taking carbidopa/levodopa. which order for the client by the health care provider should the nurse question?
Since the nurse notes in the client's record that the client is taking carbidopa/levodopa, the order for the client by the health care provider should the nurse question is the use of metoclopramide.
What is the purpose of metoclopramide?A sickness-prevention drug is called a methoclopramide (known as an antiemetic). It is utilized to assist in preventing nausea and vomiting following radiotherapy or chemotherapy that is in the treatment for cancer)
Therefore, since the client seen in the emergency department for gastroesophageal reflux disease, Metoclopramide is a drug that must have been used to treat it and as such, the nurse need to ask if the client has used it or not.
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prepare a model on services provided by corona warriors ( doctors,police etc)
The model Organization declared it to be a pandemic due to its widespread continued to spread in numerous nations around the globe.
The Way of World's lifeThe world’s way of life is being drastically altered by the 2019–2020 coronavirus pandemic. The severe acute respiratory syndrome coronavirus 2, is the culprit behind the highly contagious coronavirus illness 2019.
When its outbreak was initially discovered in December 2019, it was first observed in Wuhan, Hubei, China. On March 11, 2020, approximately 3 months after it first appeared, the World Health.
Healthcare ProfessionalDoctors, nurses, and other healthcare professionals are obviously particularly susceptible to the highly contagious illness.
Under-resourced doctors are dealing with unprecedented difficulties as a result of the worldwide pandemic.
Doctors, nurses, medical cleaners, pathologists, paramedics, ambulance drivers, and healthcare administrators are among the heroes who worked without sleep. The courageous medical army is fighting the coronavirus with stethoscopes, ventilators, and thermometers as its weapons.
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the nurse is teaching the parents of a child diagnosed with nephritis about measures to promote nutritional balance in the child. which strategy should the nurse include in the teaching?
The nurse is teaching the parents of a child diagnosed with nephritis about measures to promote nutritional balance in the child. The strategy that the nurse includes in the teaching is offering frequent mouth care for the patient.
The nephritis patient is most likely on a fluid restriction regimen. The patient should receive regular mouth care to quench their thirst. Fluids should not be consumed in excess. Families are welcome to bring in their loved one's favorite foods, but they must be aware of the fluid restriction.
A disorder when the kidney's tissues swell up and have trouble removing waste from circulation. Nephritis can result from infections, inflammatory diseases (like lupus), specific hereditary problems, as well as other illnesses or ailments. Nephritis (inflammation of the kidneys) can be brought on by infections as well as autoimmune illnesses that affect important organs.
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a client comes into the emergency department reporting an enlarged tongue. the tongue appears smooth and beefy red in color. the nurse also observes a 5-cm incision on the upper left quadrant of the abdomen. when questioned, the client states, "i had a partial gastrostomy 2 years ago." based on this information, the nurse attributes these symptoms to which problem?
Because vitamin B12 is found only in foods of animal origin, strict vegetarians may ingest little vitamin B12. Vitamin B12 combines with intrinsic factor produced in the stomach. The vitamin B12-intrinsic factor complex is absorbed in the distal ileum. Clients who have had a partial or total gastrectomy may have limited amounts of intrinsic factor, and therefore the absorption of vitamin B12 may be diminished. The effects of either decreased absorption or decreased intake of vitamin B12 are not apparent for 2-4 years. This results in megaloblastic anemia. Some symptoms are a smooth, beefy red, enlarged tongue and cranial nerve deficiencies.
the nurse is providing discharge education to the client who is experiencing xerostomia following chemotherapy treatment. what food item should the nurse recommend the client consume to help manage that complication?
The food items that must be consumed while experiencing xerostomia following chemotherapy treatment are soft foods like boiled vegetables, tender meat, soups, juices, etc.
Xerostomia is the condition of drying mouth. It can happen due to salivary glands not functioning properly. The reasons for the same can be multiple like due to some disease or as the side effect of some medications or treatments.
Chemotherapy is the treatment of the cancer by the use of medications. These medications are also called anti-cancer drugs. There can be multiple side effects of chemotherapy like muscle pain, mouth sores, burning sensations, etc.
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a client is admitted to the emergency department with possible internal bleeding after being involved in an automobile accident. what type of isotonic intravenous (iv) solution does the nurse prepare to infuse?
0.9% NaCl is the isotonic intravenous solution which nurse prepare to infuse. Normal saline is 0.nine% saline. This manner that there's 0.nine G of salt (NaCl) in step with a hundred ml of answer, or nine G in step with liter.
This answer has 154 mEq of Na in step with liter.Crystalloid is the primary fluid of preference for resuscitation. Immediately administer 2 L of isotonic sodium chloride answer or lactated Ringer's answer in reaction to surprise from blood loss. For sufferers in hypovolemic surprise because of fluid losses, the precise fluid deficit can not be determined.
Therefore, it's miles prudent initially 2 liters of isotonic crystalloid answer infused unexpectedly as an try to quick repair tissue perfusion. Normal saline (0.nine% sodium chloride) incorporates 308 mOsm/L and is taken into consideration isotonic. In contrast, 0.45% sodium chloride (154 mOsm/L) and 0.225% sodium chloride (seventy seven mOsm/L) are hypotonic.
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you are dispatched to a private residence where the patient is unresponsive, not breathing, and has a weak pulse. you secure her airway with an oral airway and ventilate her with a bag-mask device at a rate of one breath every 5 seconds. an als transport ambulance arrives. the paramedic and her aemt partner enter the house and approach you and the patient. now that the ambulance has arrived, who will be the team leader?
You are dispatched to a private residence where the patient is unresponsive, not breathing, and has a weak pulse and secure her airway with an oral airway and ventilate her with a bag-mask device at a rate of one breath every 5 seconds, an ALS transport ambulance arrives and the paramedic and her AEMT partner enter the house and approach you and the patient and now that the ambulance has arrived, so the team leader will be the paramedic, because she is the highest-level provider on scene.
AEMT partner perform interventions with the essential and advanced instrumentality generally found on an auto. The Advanced Emergency Medical Technician could be a link from the scene to the emergency health care system.
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