Answer: headache, blurred vision, and facial and extremity swelling
Explanation: The client is exhibiting signs of preeclampsia. In addition to hypertension and hyperreflexia, most clients with preeclampsia have edema. Headache and blurred vision are indications of the effects of the hypertension. Abdominal pain, urinary frequency, diaphoresis, nystagmus, dizziness, lethargy, chest pain, and shortness of breath are inconsistent with a diagnosis of preeclampsia.
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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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:
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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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
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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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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What is leptin released by and how would you predict the levels of leptin to be in nicole when compared to a healthy, female adult of similar age and weight?.
Leptin is released by adipocytes and I expect it would be the lower stage of leptin to be in Nicole, as compared to a healthy, lady person of similar age and weight.
Leptin is a hormone which are chemical messengers that assist extraordinary frame elements to talk with one another. Leptin sends an impulse in your mind that causes you to feel complete and much less hungry. Some people call it a satiety hormone. (Satiety is the feeling of fullness.) It also has an effect on how your body transforms fats into energy. The LEP gene encodes the protein leptin.
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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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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.
a nurse is making a home visit for a client with several home safety concerns. on which safety concept(s) would the nurse advise the client? select all that apply.
A well trained nurse should encourage the client on the safety concerns below:
Remove extension cords from open spaces.Check the batteries in all smoke detectors.Ensure appropriate lighting in hallways and entrances to the home.Remove throw rugs from high traffic areas.Options c, d and e are correct
What is meant by safety concerns?When a nurse educate a client about safety concerns or measures, it simply refers to the process of teaching them ways to identify risk which may be harmful to them directly or indirectly.
It is very important for a healthcare provider who is on a home visit to help the patients recognize life threatening things in their environment and how to be safe from then.
In conclusion, we can deduce from the above that taking enough safety measures is very important to put well being.
Complete question:
A nurse is making a home visit for a client with several home safety concerns. On which safety concept(s) would the nurse advise the client? Select all that apply.
a. Ensure appropriate lighting in hallways and entrances to the home.
b. Store prescription medications on the counter.
c. Check the batteries in all smoke detectors.
d. Remove extension cords from open spaces.
e. Remove throw rugs from high traffic areas.
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during routine medical visits, healthcare providers should counsel patients and their parents that: a. wearing a helmet during sports activities eliminates the risk of mtbi. b. seat belts and child passenger safety seats help prevent mtbi. c. falls are the most common cause of mtbi among children.
During routine medical visits, healthcare providers should counsel patients wearing a helmet during sports activities eliminates the risk of mtbi.
Protective headgear and helmets decrease the potential for severe TBI following a collision by reducing the acceleration of the head upon impact, thereby decreasing both the brain-skull collision. Wearing a helmet is a must to help reduce the risk of a serious brain injury or skull fracture.
Mild traumatic brain injury (mTBI), or concussion, is the most common type of traumatic brain injury. With mTBI comes symptoms that include headaches, fatigue, depression, anxiety and irritability, as well as impaired cognitive function. In sports helmets help to prevent the risk of soft tissue injuries .
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a child undergoing treatment for selective mutism can receive medication and non-medication interventions. is a specific aspect of therapeutic treatment.
A specific aspect of therapeutic treatment for selective mutism is: behavior therapy.
Selective mutism is an anxiety disorder. In this, the patient is unable to speak sometimes, especially in social gatherings. The several other symptoms accompanied with it are: nervousness, disinterest, shyness, lack of co-ordination, etc.
Behavior therapy is the treatment for psychological disorders. The treatment differs according to the symptoms of patients. There are several types of behavior therapy like: applied behavior analysis, cognitive behavioral analysis, exposure therapy, Cognitive behavioral play therapy, Dialectical behavioral therapy (DBT), Rational emotive behavior therapy (REBT) and Social learning theory.
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a nurse is interviewing several clients who survived a school shooting ten years ago when they were in high school. which clients should the nurse identify as having achieved adaptation following this event? select all that apply.
A nurse manager at the neighborhood hospital. Married, a stay-at-home mother of three children. Father of two who doubles as a mechanic and works in a tire store.
Briefing :A person's capacity for survival and success following a traumatic experience is known as adaptation. The mechanic, stay-at-home mother, and nurse manager don't exhibit any signs of maladaptation. An inability to handle the stressful event can lead to negative emotions like anger. Lack of effective coping can result in unwise decisions like abusing drugs and alcohol. Some unhealthy coping mechanisms, such as abusing alcohol, drugs, or tobacco, raise the risk of mortality and morbidity.
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a client has received treatment for oral cancer. the combination of medications and radiotherapy has resulted in leukopenia. what is the nurse's best response to this change in health status?
If a client has received treatment for oral cancer and the combination of medications and radiotherapy has resulted in leukopenia, then the best nurse response to this change in health status should be to ensure that none of the client's visitors have an infection.
What is an immunodepressive patient?An immunodepressive individual is at risk of infection because his or her immune system cannot face infections and therefore the person should be maintained isolated. In this case, we know that the patient is immunodepressive due the radiotherapy might have affected his/her immune response.
Therefore, with this data, we can see that immunodepressive patients strictly should avoid infections.
Complete question:
A client has received treatment for oral cancer. The combination of medications and radiotherapy has resulted in leukopenia. What is the nurse's best response to this change in health status?
Ensure that none of the client's visitors have an infection.
Arrange for a diet that is high in protein and low in fat.
Administer colony stimulating factors (CSFs) as prescribed.
Prepare to administer chemotherapeutics as prescribed.
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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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True or False: Aging is known to change a person's sociological need to seek connection with others, the devastation of isolation, the stability of personality, and the negative impact of poor emotional health on overall health.
Answer: False
Explanation: Ageing is known to change how an elderly person may relate or their roles in a connection (such as in the family), but community and having companionship/relationship with others is a fundamental need which persists throughout a person's life. With Age a person may loss ability to socialize or connect with others as once was possible, but the need is still existent and problems (such as depression) may result from withdrawal.
It is false that aging is known to change a person's sociological need to seek connection with others, the devastation of isolation, the stability of personality, and the negative impact of poor emotional health on overall health.
What is ageing?It is possible to define ageing as the age-related decline of the physiological processes required for reproduction and survival.
Although it is well recognised that as people age, their relationships and positions in groups (such as families) may alter, the need for community and companionship remains constant throughout a person's lifetime.
Age may cause a person to lose some of their capacity to connect with others or socialise, but the need for connection still exists, and withdrawal can lead to issues (like melancholy).
Thus, the given statement is false.
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Q. Which neurotransmitter is released in response to stress and trauma? answer choices Acetylcholine Serotonin Endorphins GABA
Answer:
Explanation:
Epinephrine. Epinephrine (also known as adrenaline) plays a role in the body's “fight-or-flight” response. It is both a hormone and a neurotransmitter. When a person experiences stress or fear, their body releases epinephrine .
a nurse is caring for a client with orthostatic hypotension. which nursing interventions are appropriate to decrease the risk of falls? select all that apply.
The appropriate measures used to decrease the risk of fall includes use of a walking aid.
What is Hypotension?Blood pressure is low with hypotension. Blood pressure is a measure of pressure that the heart-pumping blood exerts against the artery walls. The top and bottom numbers on a blood pressure reading are the systolic blood pressure, which is the maximum blood pressure, and the diastolic, which is the lowest blood pressure.
Hypotension is typically defined as having a systolic or diastolic blood pressure of less than 90 mmHg or 60 mmHg, respectively. Children are subject to different numbers. In actuality, though, symptoms are only deemed to be present if the blood pressure is very low.
Typically, lightheadedness and dizziness are the primary symptoms. Other signs and symptoms include weakness, breathlessness, headaches, trembling, arrythmia, polydipsia chest pain, and confusion.
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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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an informatics nurse specialist is working on a team that is considering a new technological system for the facility. which aspect would be most important for the team to do as the first step?
The most important aspect for the team to do as the first step would be to "determine the need or problem to be solved".
Who is an informatics nurse specialist?
Nursing informatics is a nursing specialization where a trained nurse in this field combines their clinical skills with a must-have knowledge of technology and computers, and also skilled in using health data to analyze and figure out the best solutions for enhanced delivery of the patient.
So, an informatics nurse specialists working on a team would first need to know and find out the problem to be solved by the team.
In summary, an informatics nurse specialist would need to communicate and would need to collaborate with the team. The first step for the team doesn't start with assessing the information and the technology needs for patient care but rather to determine the problem they need to solve.
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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.
what does microbiology deals with
Microbiologists study the microscopic organisms that cause infections, including viruses, bacteria, fungi and algae. basically
microbiology deals with microscopic organisms.
the intensive care nurse is responsible for the care of a client with shock. what cardiac signs or symptoms would suggest to the nurse that the client may be experiencing acute organ dysfunction?
Signs of acute organ dysfunction in the cardiovascular system include systolic blood pressure <90 mm Hg or mean arterial pressure (MAP) <65 mm Hg, drop in systolic blood pressure >40 mm Hg from baselines or serum lactate >4 mmol/L. An exaggerated response to vasoactive medications and adequate response to fluid resuscitation would not be noted.
What is acute organ dysfunction?acute organ dysfunction is defined as abnormal organ function that prevents homeostasis from being maintained in a critically unwell patient without intervention.Within the first 24 hours, low-grade fever, tachycardia, and tachypnoea are signs of organ failure. Lung failure may develop during the next 24-72 hours. Bacteremia, and renal, intestinal, and liver failure may come after this. the causes of acute organ dysfunction are Infection, damage (from an accident or surgery), hypoperfusion, and hypermetabolism are the causes of the condition. The root reason starts an unchecked inflammatory process. Multiple organ dysfunction syndromes are most frequently brought on by sepsis, which can also lead to septic shock.To learn more about acute organ dysfunction, refer;
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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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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: ..,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,
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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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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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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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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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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