The primary purposes of administering pain medication via the intravenous route, rather than the intramuscular route helps in decreasing the damage done to burned tissues and the irritation caused to them.
Intravenous and intramuscular drug routes are essential in the treatment of clinical seizure where oral drugs cannot be used. Using intramuscular rather than intravenous can damage already damaged tissues.
intravenous have more advantage over intramuscular like, Bioavailability is 100%, drug reaches the stream of blood immediately, drugs can be delivered at a uniform rate, very large volumes can be infused and etc.
This also help reduce severe pains.
This intravenous route can go into blood streams works in minutes.
Intramuscular can cause inadequate amounts of medications absorbed.
hence, decreasing the risk of tissues irritation, decreases the infection rate and hence intravenous is much preferred.
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the nursing instructor is discussing dietary needs as they relate to age. according to the instructor, adequate intake of what vitamin is especially important in sexually active women of childbearing age to prevent severe birth defects?
Folic acid. Folate is the natural form of vitamin B9, water-soluble and naturally found in many foods.
What is folic acid used for?One of the B vitamins is folate, also referred to as vitamin B9 and folacin. Because it is more stable during processing and storage, manufactured folic acid, which the body converts into folate, is used as a dietary supplement and in food fortification.
In the form of folic acid, it is also added to foods and offered as a supplement; this form is actually more readily absorbed than that obtained from food sources.
Urine contains expelled excess folic acid. Up until its neurological effects become irreversible, a vitamin B-12 shortage can be concealed by a high intake of folate. Usually, this can be fixed by taking a supplement that contains 100% of the recommended daily amounts of both folic acid and vitamin B-12.
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Which of the following is NOT one of the six classes of nutrients? a) Fiber b) Protein c) Minerals d) Vitamins.
The right response is A. Carbohydrates, proteins, lipids, vitamins, minerals, and water are among the six categories of nutrients. Fibre is not present in this instance.
The six fundamental nutrients are water, carbs, proteins, fats, vitamins, and minerals. These are all categorised as being essential. Essential nutrients are needed by your body to function effectively. Your body cannot produce these nutrients, so you must get them from the foods you eat. Micronutrients and macronutrients are the two main types of nutrients. On a daily basis, you require a lot of macronutrients. They deliver energy in the form of calories to your body. The three macronutrients are proteins, fats, and carbohydrates. The word "micro" refers to the tiny amounts that are necessary for micronutrients like vitamins and minerals. Your needs for water fall into a separate category, and they substantially depend on your weight, amount of exercise, and medical situation.
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The purpose of a vaginal examination for a client in labor is to specifically assess the status of which findings? Select all that apply.
1.Station
2.Dilation
3.Effacement
4.Bloody show
5.Contraction effort
The purpose of a vaginal examination for a client in labor is to assess the status of these findings: station, dilation, and effacement. Hence, the correct answers are 1, 2, and 3.
How to do a vaginal examination?A vaginal examination is a critical process to assess the client's status in labor. To do this, the doctor will insert two lubricated, gloved fingers into the vagina while the other hand presses gently on the outside of the patient’s lower abdomen. This examination aims to check the size and shape of the uterus and ovaries and find any unusual growth.
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a patient shows blackening of two right and one left finger. he also has diarrhea, fever, and chills and is complaining of itchiness around his ankles and forearms. further evaluation reveals red spots that look like flea bites. the patient may be suffering from .
The patient is suffering from Septicemic plague It is infectious disease caused by the bacterium Yersinia pestis
it is transmitted through transmitted through infected rodent, flea bites, and also, through an open skin wound.
This is curable condition.
The treatment usually involves the administration of antibiotics.
The disease spreads rapidly in tropical and sub-tropical places, wherever rat population is high.
Symptoms of Septicemic plague is,
1. Fever with chills
2. Extreme weakness
3. bleeding under the skin
4. Low blood pressure
5. Diarrhea
6. Breathing difficulties
7. Abdominal pain
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the nurse has been closely observing a client who has been displaying aggressive behaviors. the nurse observes that the behavior displayed by the client is escalating. which nursing intervention is most helpful to this client at this time? select all that apply.
The nurse observes that the aggressive behavior displayed by the client is escalating, therefore the nursing intervention which is most helpful to this client at this time include the following below:
Try to calm them and listen to what they are saying.Reassure them and acknowledge their grievance.Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to reduce the risk of complications.
In a scenario where the client who has been displaying aggressive behaviors, the best action by the nurse will be to calm the individual and reassure them that their grievances have been noted which helps to prevent it from getting worse and is the most appropriate option.
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a client reports to the health care clinic for testing for human immunodeficiency virus (hiv) immediately after being exposed to hiv. the test results are negative, and the client expresses relief about not contracting hiv. what should the nurse emphasize when explaining the test results to the client?
A negative HIV test result is not considered accurate immediately after exposure.
If results are negative, a second HIV test should be conducted. When antibodies seroconvert, they start to show up in the blood. With a range of 2 to 10 months, the average time for seroconversion is 2 months. Because of this, a negative HIV test result is rarely regarded as reliable right away after exposure.
Usually, a Western blot test is utilized to confirm an HIV diagnosis. A little blood sample is drawn during the test, and it is used to look for HIV antibodies rather than the HIV virus itself.
A negative Western blot test result for HIV does not necessarily mean that a person is HIV-free. One test's outcomes won't always be purely positive or negative. Due to this, a second test is needed to confirm the results.
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after surgery to repair a retinal detachment, an older adult client is transferred to the postanesthesia care unit with the affected eye patched. during the first four hours after surgery, the nurse should plan to notify the primary healthcare provider if the client reports which information?
Reports of sharp pain in the eye indicate that hemorrhage may be occurring in the eye.
Post-Anesthetic Care Phases
Phase I, Phase II, and Extended Care are the three degrees of post-anesthesia care that can be distinguished. 5 Each stage of recovery may take place in one PACU or several, including the patient's room.
The patient's vital signs are constantly monitored, pain management is started, and fluids are administered in the PACU, a critical care unit. The nursing staff is adept at identifying and treating issues that arise in patients following anesthesia. The Department of Anesthesiology is in charge of the PACU.
It is urgent to treat retinal detachment. A layer of blood vessels that supply the eye's back tissue with the essential oxygen and nutrition pushes away.
Symptoms include the emergence of numerous pieces of debris , sudden bursts of light, or a shadow in the field of vision.
In many cases, prompt medical care can preserve an eye's vision.
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Clients should be encouraged to schedule regular pedicure appointments every?
Clients should be encouraged to schedule regular pedicure appointments every month.
Pedicure includes cleaning the dead skin cells that continue to gather on your skin and cause it to seem filthy and undesirable. Foot odor is also a result of this. Exfoliation is part of a pedicure, and it helps get rid of dirt and dead skin cells. Additionally, dead skin cells result in extremely painful corns.
Dirt can be removed from the corners of your nails that are hard to reach by getting a pedicure on a regular basis. nails will stay in good shape as a result, and there will be fewer chances of getting an infection. Blood circulation is improved when you soak your feet in lukewarm water and then get a stimulating massage. The client should get a pedicure at least once a month to prevent it. Foot odor is also prevented by this.
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during which stage of pregnancy is the developing baby most susceptible to damage from harmful agents like drugs or alcohol?
During first trimester of pregnancy the developing baby most susceptible to damage from harmful agents like drugs or alcohol.
Pregnancy is the term used to explain the duration wherein a fetus develops internally a female's womb or uterus. being pregnant typically lasts about 40 weeks, or simply over 9 months, as measured from the last menstrual duration to shipping. health care vendors refer to three segments of being pregnant, referred to as trimesters.
Fallopian tube obstruction. Blocked or scarred fallopian tubes that prevent sperm from reaching the egg are a frequent reason of infertility. A history of pelvic infections, sexually transmitted diseases or endometriosis increases your chance for fallopian tube obstruction.
Professionals say the quality manner to get pregnant rapidly is to have sex once a day, every other day, throughout the fertile window right earlier than and after ovulation. when you have sex too regularly, your associate's sperm count can be reduced, and if you don't have enough intercourse, the sperm can be antique and unable to swim as fast.
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Harley has been diagnosed with borderline personality disorder and is seeing a therapist who is focused on reducing her radical behaviors, discussing her past traumatic experiences, and helping her to develop a sense of independence and self-respect. Harley’s therapist is most likely using.
Harley’s therapist is most likely using dialectical behavior therapy.
What is dialectical behavior therapy?
Dialectical behavior therapy is a therapy that focuses on managing emotions and interpersonal relationships. Behavior therapy is a form of therapeutic approach that was originally applied to treat someone with a borderline personality disorder.
Currently, this therapy has been widely used to treat other mental disorders such as depression, substance abuse, eating disorders, and self-harm.
Dialectical therapy focuses on helping people accept the realities of their lives and behaviors and helping them learn to change their lives, including their unhelpful behavior.
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once she is able to tolerate regular foods, what type of foods should ms. wilson be encouraged to eat before consuming other foods in a meal?
Once she is able to tolerate regular foods, Ms. wilson should be encouraged to eat high protein food before consuming other foods in a meal.
People looking to lose weight often decide to adopt a high-protein diet. Eating protein helps a person feel full, which can lead to them eating fewer calories overall. High-protein diets typically include large quantities of protein and only a small amount of carbohydrate.Most people can follow a high-protein diet by eating meat, fish, dairy products, beans and legumes, eggs, and vegetables that are relatively rich in protein, such as asparagus and spinach.
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a nurse is conducting a presentation for a group of pregnant women about labor and the importance of being well prepared and having good labor support. the nurse determines that additional discussion is needed when the group identifies which possible outcome as the result of being prepared?
--->need for someone to control the situation.
Prenatal education promotes a woman's sense of control while teaching her about the birthing process. A growing body of research shows that a woman who is well-prepared and has appropriate labor support is less likely to require anesthesia or analgesia and is also less likely to need a cesarean delivery.
No matter how many times a mother has gone through labor and delivery, the birth plan she is following, or the unforeseeable decisions she might have to make, it is emotionally and physically taxing. You will assist in providing prenatal, perinatal, and postpartum care for women and newborns as a labor and delivery (L&D) nurse. Your patients will turn to you for knowledge, comfort, and direction as they navigate a fragile new life, new family member, and completely new experience. Your responsibility is to respond to their feelings with empathy, answer their inquiries in a straightforward and calm manner, keep an eye on their pain with appropriate care and support, and put their baby's health and safety first.
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where should the nurse position the drain collection bag for the t-tube drain to facilitate proper drainage?
The nurse position the drain series bag should be below the t-tube drain to facilitate right drainage. The t-tube drainage bag and tubing will paintings with the help of gravity to empty the bile.
The tubing and drainage bag ought to be beneath the t-tube insertion site (that is at or beneath the waist) to assist drain bile. Drainage ought to NOT be greater than 500 mL/day (notify MD if this happens)…the drainage will lower because the affected person recovers. T Tube is a draining tube located withinside the not unusualplace bile duct after not unusualplace bile duct (CBD) exploration with supra-duodenal choledochotomy.
It presents outside drainage of bile right into a managed path whilst the recovery system of choledochotomy is maturing and the authentic pathology is resolving. Most T-tubes aren't related to a drainage bag whilst you are discharged and are consequently closed. When tubes are closed, it's far encouraged you flush them a couple of times every day with 10 mL sterile saline, the usage of sterile techniques (cleansing the cap and the give up of the tube with alcohol earlier than injecting saline).
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a nurse is reviewing a client's complete white blood cell (wbc) count and differential. the nurse determines that the client is experiencing neutropenia based on which absolute neutrophil count?
The nurse determines that the client is experiencing neutropenia based on 800 cells/mm3 absolute neutrophil count.
Having too few neutrophils, a particular kind of white blood cell, leads to neutropenia. While all white blood cells aid in the body's ability to fight infections, neutrophils are particularly crucial in the battle against some illnesses, particularly those brought on by bacteria. It's likely that you won't be aware of your predicament.
You don't necessarily have neutropenia if only one blood test reveals low neutrophil numbers. If a blood test indicates you have neutropenia, it needs to be repeated for confirmation because these levels might change day to day.
You may be more susceptible to infections if you have neutropenia. Even common oral and digestive system bacteria can cause significant sickness when neutropenia is severe.
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a teenager has recently developed signs of bulimia nervosa. she has been binge eating alone in her room and vomits immediately afterward to try to control her weight. why will this not result in sustainable weight loss?
which would the nurse include when teaching a client about the use of an incentive spirometer
After surgery, if you have lung issues, a history of smoking, or if you've been sedentary for a while, you might be requested to use a spirometer.
What will you include when teaching a patient to use an incentive spirometer?Use an incentive spirometer ,If you can, sit on the edge of your bed.Ensure that the incentive spirometer is held upright.Put the mouthpiece inside your mouth and close your lips tightly.Inhale slowly and deeply as much as you can.Hold your breath for at least five seconds or as long as you can. After surgery, if you have lung issues, a history of smoking, or if you've been sedentary for a while, you might be requested to use a spirometer.While you are awake, use your incentive spirometer as directed every one to two hours. Tell the client to breathe in through the mouthpiece only, as deeply as they can, without using their nose. Hold the spirometer vertically, close the mouthpiece with a tight seal while exhaling normally, and then gently inhale as if sipping from a straw while attempting to raise and sustain the ball to the predetermined target.After reaching your greatest inhalation, hold your breath for 5–10 seconds before exhaling normally.To learn more about incentive spirometer refer
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a client was admitted to the hospital with a pathologic pelvic fracture. the client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. what does the nurse suspect may be occurring based on these symptoms?
The nurse suspect that client has Multiple myeloma.
What is Multiple myeloma?
A kind of white blood cell called a plasma cell evolves into the cancer multiple myeloma. To help your body fight diseases, healthy plasma cells create antibodies that attach to and kill microorganisms. In multiple myeloma, cancerous plasma cells accumulate in the bone marrow and displace healthy blood cells.
What multiple myeloma symptom often manifests first?
Among the various symptoms of multiple myeloma, bone pain is frequently the first sign that individuals experience. You may also experience numbness or weakness in your arms and legs as additional symptoms. Your spine's bones may get affected by multiple myeloma, which might lead to them collapsing and pressing against your spinal cord.
Hence Multiple myeloma is a correct answer.
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you enter ms. evers’s room and notice she is slumped over in her chair and appears unresponsive and cyanotic. you do not see signs of life-threatening bleeding. which is the next appropriate action?
The most appropriate action would be to check the responsiveness when you enter ms. evers’s room and notice she is slumped over in her chair and appears unresponsive and cyanotic.
Responding to changes in the internal or external environments is what responsiveness or irritability is all about. It involves noticing a stimulus and reacting to it. Body systems' physiological or psychological processes are called bodily functions. Cells ultimately perform all of the body's tasks. The body's primary concern is survival. The body must keep its internal environment in a state of homeostasis, which is a state of relative constancy, in order to survive.
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an older adult client diagnosed with cancer is admitted to the oncology unit for surgical treatment. the client has been on chemotherapeutic agents to decrease tumor size prior to the planned surgery. the nurse caring for the client is aware that what precipitating factors in this client may contribute to acute kidney injury (aki)? select all that apply.
Age-related physiologic changes and chronic systemic disease factors contribute to acute kidney injury.
What is acute kidney injury?
an illness where the kidneys are abruptly unable to remove waste from circulation.
The rapid development of acute renal failure occurs over a few hours or days. Potentially fatal It most frequently affects people who are already hospitalized and extremely unwell.
Reduced urine production, fluid retention-related edema, nausea, exhaustion, and shortness of breath are among the symptoms. Sometimes symptoms can be undetectable or very faint.
Treatments include fluids, drugs, and dialysis in addition to addressing the underlying cause. The two factors that contribute to acute kidney disorder are:
age-related physiologic changes chronic systemic diseasehence, the two factors that contribute to acute kidney disorder are:
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the nurse is preparing to care for a client who will be weaned from a cuffed tracheostomy tube. the nurse is planning to use a tracheostomy plug and plans to insert it into the opening in the outer cannula. which nursing action is required before plugging the tube?
Deflate the cuff on the tube action is required before plugging the tube.
A tracheotomy or a tracheostomy is an opening surgically created via the neck into the trachea (windpipe).
To permit direct access to the respiration tube and is normally performed n a working room below standard anesthesia. A tube is generally positioned via this opening to offer an airway and to put off secretions from the lungs.
breathing is completed via the tracheostomy tube instead of through the nose and mouth. The time period “tracheotomy” refers back to the incision into the trachea (windpipe) that forms a temporary or permanent establishment, which is called a “tracheostomy,” however; the terms are occasionally used interchangeably.
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the american cancer society reports that smoking can cause or worsen poor blood flow in the arms and legs (peripheral vascular disease or pvd). surgery to improve the blood flow often doesn't work in people who keep smoking. because of this, many vascular surgeons won't do certain surgeries on patients with pvd unless they stop smoking. based on this information, what is a vascular surgeon? (1 point) doctor who operates on arteries doctor who treats respiratory disease doctor who operates on heart tissue doctor who treats lung infections
A vascular surgeon is a doctor that operates on arteries.
What are arteries?
Arteries are the blood channels that transport oxygen-rich blood from your heart to every cell in your body. They are a component of your circulatory (cardiovascular) system. They are essential for getting oxygen, nutrients, and hormones all around the body.How do veins work?
Blood channels called veins are found all over your body and collect blood with low oxygen content before returning it to your heart. The circulatory system in your body includes veins. They cooperate with other blood arteries, your heart, and other organs to maintain blood flow. The majority of your blood is stored in veins.What three types of arteries are there?
Three primary categories of arteries include:flexible arteries. arteries in the muscles. Arterioles.To know more about arteries, checkout this link:
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during infertility workup, the client is diagnosed with chlamydial infection. the health care provider will especially be looking for which complication of chlamydial infections that can interfere with egg transportation?
Chlamydial infections can cause fallopian tube destruction, that could obstruct the delivery of eggs.
What results from untreated chlamydia?An antibacterial prescription from a doctor can treat chlamydia. Chlamydia can, however, harm your health permanently if you don't get treatment for it. Your likelihood of contracting additional STIs, such as gonorrhea or HIV, rises. Untreated chlamydia in men can cause fertility (inability to make sperm).
Chlamydia: Is it curable?Yes, herpes can be cured with the proper care. You must take each of the medication prescribed by your doctor in order to treat your condition. Never give anyone else your chlamydia medication. When properly ingested, it will end the illness and may lower your risk of developing issues in the future.
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a client is being admitted to the medical–surgical unit for the treatment of an exacerbation of acute asthma. which medication is contraindicated in the treatment of asthma exacerbations?
The medication which is contraindicated in the treatment of acute asthma exacerbations are Anxiolytics and morphine.
Treatments choices for exacerbations embody bronchodilators, corticosteroids, antibiotics, chemical element medical care, and ventilation. COPD is that the name given to a bunch of long-run respiratory organ diseases. The condition tends to induce worse over time and symptoms will include: asthmatic.
Anxiolytics and morphine are comparatively contraindicated as a result of they're related to metastasis depression, and morphia could cause anaphylactoid reactions thanks to unleash of aminoalkane by mast cells; these medicine could increase mortality and therefore the want for mechanical ventilation.
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the nurse is demonstrating the technique for performing a testicular self examination (tse) to a group of men for a company health fair. one of the men asks the nurse at what age a man should begin performing tse. what is the best answer by the nurse?
A man should begin performing TSE at the age of 15.
A procedure known as "testicular self-examination" involves a man looking at his own testicles and scrotum to look for lumps or swelling. Most of the time, it is done at home in front of a mirror and after a warm bath or shower.
The testicular examination should begin at the age of 15 and last until 40. The exam should be taken every month to check for any changes. Because the scrotal skin is most relaxed at this time and the testicles can be felt more easily, the best time to examine your testicles is right after a hot bath or shower.
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a nurse is teaching a client with bone marrow suppression about the time frame when bone suppression will be noticeable after administration of floxuridine. what is the time frame the nurse should include with client teaching?
After taking floxuridine for 7 to 14 days, bone marrow suppression is detectable.
Who is the so-called client?any person, organization, etc. that seeks the advice of a competent man or woman. a customer. a member of a welfare group who has enrolled or is a recipient of their assistance. a workstation or computer program that queries a server to data or information
Is a customer a client?A client is a particular kind of customer who hires a company to provide technical advise, even though a customer is a person who makes use of a company's goods or services. Clients often purchase recommendations and repairs, whereas customers typically buy items.
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adrian thomas is a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. her father reports that adrian, apart from occasional sinus infections, adrian is not prone to respiratory problems. what potential risk factor is most important to assess with regards to adrian's current problem?
Possible risk factors for severe, acute chest pain include heart disease, lung disease, and cancer. However, the most important risk factor to assess is whether or not the patient has a history of respiratory problems.
If the patient has a history of respiratory problems, they are more likely to experience severe, acute chest pain.The most important risk factor to assess with regards to Adrian's current problem is her history of occasional sinus infections. Sinus infections can lead to inflammation and swelling of the airways, which can in turn cause chest pain. Additionally, Adrian's age is also a risk factor, as young people are more likely to experience chest pain due to respiratory problems than older adults.
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a nurse practitioner is examining a client who presented at the free clinic with vulvar pruritus. which assessment factor would the practitioner look for that may indicate that the client has an infection caused by candida albicans?
The practitioner look for cottage cheese-like discharge.
What infection is caused by candida albicansOur natural microflora, or the bacteria that frequently reside in or on our bodies, includes Candida albicans. The GI tract, the mouth, and the vagina can all contain it.yeast infection in the urineThe most frequent cause of fungus urinary tract infections is Candida species (UTIs). Candida UTIs can develop in the lower urinary tract or, in rare circumstances, might go to the kidneys.You may be at risk of getting a Candida UTI if you experience any of the following:having taken a course of antibioticshaving a medical device inserted, such as a urinary catheterdiabetesa weakened immune systemIn order to diagnose candidiasis, your doctor will first take your medical history and ask you about your symptoms. They may also ask if you have any conditions or medications that could lead to a weakened immune system, or if you’ve taken a course of antibiotics recently.To learn more about candida albicans, refer to
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the nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?
Diaphoresis and cool, clammy skin are signs of hypoglycemia. A fruity breath is seen with ketoacidosis. Flushing of the face is associated with hyperglycemia.
What is diaphoresis?Diaphoresis may have idiopathic, secondary, or recognized causes. Secondary diaphoresis has a known etiology. In addition to being a side effect of some medications, secondary diaphoresis can also happen after menopause, during pregnancy, or as a result of an underlying medical issue. Diabetes mellitus, endocrine tumors, and thyroid abnormalities are among the medical illnesses that can result in diaphoresis. A gland in the neck called the thyroid is in charge of making hormones like thyroxine. When the thyroid is overactive, as it is in hyperthyroidism, the body produces more thyroxine, which raises the metabolic rate and can cause diaphoresis. Diabetes mellitus patients may experience low blood sugar levels, which trigger the sympathetic nervous system and cause profuse sweating.Endocrine tumors can also develop in the pituitary and adrenal glands, as well as on the thyroid and other hormone-producing organs. This may lead to an overproduction of hormones like cortisol, which makes people sweat more. Hot flashes, or episodes of profuse perspiration, can be brought on by menopause. This happens as a result of hormonal changes, notably a drop in estrogen, which causes the hypothalamus to become deregulated (i.e., a gland in the brain that acts as the thermostat of the body). Diaphoresis during pregnancy can also be brought on by hormonal changes, such as low estrogen levels.To learn more about diaphoresis, refer to
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a family member calls and tells the nurse about wanting to bring in the family to visit an older adult parent on the unit. the family member has a cold and is concerned about spreading upper respiratory infection to the parent. which instructions should the nurse provide?
There is a possibility that the parent could contract a respiratory infection from a family member who has a cold. Avoid visiting senior citizens as a result.
What is respiratory infection?
Infections involving the sinuses, throat, airways, or lungs are examples of respiratory tract infections (RTIs), which affect the body parts involved in breathing. Most RTIs resolve on their own, however occasionally you might need to see a GP.
The family member is suffering from a cold so there might be a chance of getting a respiratory infection to the parent. Therefore, avoiding visiting older adults.
Hence, avoiding visiting older adults.
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in a nursing home, the nutritional content of the food served is carefully tracked. however, many residents do not eat all of the food served to them because it is cold and unappetizing, and none of the staff will heat it up for them. this is an example of
In a nursing homes, nutritional content food is not utilized by residents so it is an example of documenting care rather than providing care.
What is documenting care?Medical notes are an essential tool for appropriate communication with patients, and food served is carefully tracked.
Any purposeful absence of a prescribed treatment or procedure as well as the reason for the omission should always be noted by nurses and midwives in the pertinent notes or on the pertinent chart.
Therefore, It may be assumed that a treatment or procedure was simply neglected or forgotten if a record is not produced.
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