The nasal route is the transmission method for the pathogen Mycobacterium tuberculosis. The nose serves as M. tuberculosis' point of entrance.
M. tuberculosis spreads by airborne rather than surface-to-surface contact. When a person breathes droplet nuclei carrying M. tuberculosis, the droplet nuclei travel through the mouth, nose, upper respiratory tract, & bronchi to reach the lungs' alveoli. This is known as transmission.
The innate immune cell vacuoles of macrophages provide Mycobacterium TB with a moderately acidic and perhaps nutrient-restricted environment in which to develop. In aquatic and terrestrial habitats, other mycobacterial species are exposed to acidic conditions.
Although TB germs typically assault the lungs, they can also affect the kidney, spine, as well as brain. Not every person who contracts TB germs gets ill.
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A small study of the effectiveness of therapeutic lifestyle change found that more than _____ percent of those who completed the program experienced relief from depressive symptoms, as compared with only about _____ percent of those in a treatment-as-usual comparison group.75; 20
A small study of effectiveness of therapeutic lifestyle change found that more than 75% of those who completed the program experienced relief from depressive symptoms, as compared with about 20% of those..
What therapy strategy is the most successful?Psychodynamic The most well-known counseling method is undoubtedly counseling. This form of counseling, which has its roots in Freudian thought, emphasizes the formation of solid therapist-client bonds. The objective is to assist clients in acquiring the psychological skills necessary to deal with challenging emotions and circumstances.
Which treatment technique is most popular right now?Cognitive behavioral therapy may currently be the most popular form of therapy (CBT). CBT investigates the connection between a person's feelings, and behaviors, as previously mentioned. It frequently recognizes unfavorable ideas and changing them to better ones.
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nurses on an orthopedic nursing unit use standardized care plans that incorporate nursing, physical therapy, occupational therapy, and case management actions for clients who experience a particular surgery. which type of care plan do these nurses use?
The clinical pathway is type of care plan do these nurses use.
What is orthopedic nursing unit ?
A patient is typically moved to a hospital floor specifically for people with orthopedic issues after undergoing orthopedic surgery.
What is occupational therapy ?
The utilization of routine daily activities with individuals, groups, or populations (clients) for therapeutic in order to support occupational performance and participation is referred to as occupational therapy.
Therefore, clinical pathway is type of care plan do these nurses use.
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Place the following events in the correct order.
Odorant molecules bing to receptors on olfactory hair
G protein is activated leading to the formation of cAMP
Ion channels open in the olfactory cell membrane
Influx of sodium or calcium ions, depolarizing the olfactory cell
Receptor potential is transmitted into the brain
The sensory neurons in the nose are the first in this neural code. An electrical signal is started when an odor molecule attaches to a receptor and travels from the sensory neurons to the olfactory bulb.
What happens after an odorant molecule binds to an olfactory cilium and before a nerve impulse enters the orbitofrontal region?A G protein and adenylyl cyclase are activated when an odorant molecule binds to an olfactory receptor protein, producing cAMP.
Which layering in the olfactory bulb is correct?The MOB of most mammals is composed of seven roughly concentric layers, starting from the surface and going in the following order: (1) olfactory nerve layer (ONL), (2) glomerular layer (GL), (3) external.
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Why is time management important to medical facilities and to medical professionals in general?
Answer:
Every second counts in a life or death situation, therefore, hospitals depend on accurate time. Legally, doctors & nurses are required to record every minute of patient care to avoid potentially fatal consequences.
which stage of bowlbys attachment theory is occurring when the patient who recently lost parents in a road accident expereinces shortness of breath, lethargy, and loss of appetite
The second stage of bowlbys grieving, yearning and searching, is marked by shortness of breath, a sense of weariness, and lack of appetite as a result of emotional outbursts.
The four phases of grief are described by Bowlby's attachment theory as follows: numbness, longing and searching, disorganization and despair, and reorganization. The second stage of grieving, yearning and searching, is marked by shortness of breath, a sense of weariness, and lack of appetite as a result of emotional outbursts. Mourning happens when bowlbys a child's relationship to their primary caregiver fails. The third stage of grief is disarray and despair, bowlbys is characterized by repeatedly telling appetite tales and accepting that the loss is irreparable.
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a 93-year-old client in a nursing home has been eating less food during mealtimes. which is the correct nursing intervention?
The nurse should substitute the supplemental drink rather than the meal for the old client who is eating a very less amount of food for the meal.
The best supplement energy drinks for old clients add energy drinks between meals to help them reach their calorie goals.There are several sugar-free drinks available. These include Profit High Protein, Care Light, Includes Boost Max, Boost Glucose Control, Glucerna, and Premier Shakes. Low-fat milk, almond milk, and soy milk provide large amounts of calcium, protein, and other nutrients that are good for bone and muscle health, which are very important for older adults. of almond milk has only 30 calories per 8 oz. Thus, the client would get enough energy even he/she eats less food during mealtimes.
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after teaching a group of students about the standard childhood immunizations given today, the instructor determines that the students need additional teaching when they identify which as a common disease for which immunizations are given?
Answer:
Below
Explanation:
It is important for students to understand the diseases for which immunizations are given in order to understand the importance of being vaccinated. Some common diseases for which immunizations are given include measles, mumps, rubella, polio, chickenpox, and influenza. It is important for students to understand the symptoms of these diseases and the potential complications that can arise if they are not properly vaccinated.
the nurse is assessing the patient on mitotane therapy. which assessment finding requires action by the nurse?
When a patient can raise 10 pounds after previously being unable to lift even 5 pounds, the nurse must take action in mitotane therapy.
What assessment results from the list below should the nurse consider relevant to a Cushing's syndrome diagnosis?Serum sodium levels rise and potassium levels fall in a person with Cushing's syndrome. a blood test. Blood glucose levels rising, eosinophil counts falling, and lymphoid tissue disappearing are all signs of Cushing's syndrome.
Which of the following would you expect to see in a Cushing disease patient?A fatty hump between your shoulders, a rounded face, and pink or purple stretch marks on your skin are some of the classic Cushing syndrome symptoms that can be brought on by an excess of cortisol.
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being able to separate patient examinations into their individual parts and to determine the relationship of each part to the patient's symptoms and clinical history is an example of
Critical thinking is demonstrated by the ability to break down patient exams into its component elements and evaluate how each part relates to the patient's symptoms and clinical history background.
Asking questions, describing a topic, studying the patient's symptoms, assessing assumptions and biases, avoiding emotional reasoning, avoiding oversimplification, taking into account alternative interpretations, and allowing ambiguity are all aspects of critical thinking. The nursing process is a critical thinking technique aimed at resolving patient issues in clinical history practice. The patient's symptoms process is "a conceptual framework that allows the student or the practicing nurse to think methodically and analyze relevant information about the patient's symptoms ," according to the American Association of Colleges of Nursing.
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During a well-child visit, a 9-year-old boy and his father ask about health safety and sports activity. The boy wants to play baseball. His medical history is significant for tetralogy of Fallot, which was surgically corrected when he was 3-years-old. His last echocardiogram shows a right ventricular pressure to be < 50 mm Hg. Which of the following recommendations do you make?
A A functional capacity evaluation is needed first
B He may only play leisure sports, like golf or cycling
C It is safe for him to play any sport, including baseball
D The boy should abstain from all sports and physical education class
Option C, The best advice for a patient whose medical history is relevant for tetralogy of Fallot, which has been surgically treated since he was 3 years old, is that he is safe to play any recreation, including baseball.
Despite their cardiac conditions, most kids can engage in some form of physical exercise. However, you should speak with the child's cardiologist about the possible hazards and symptoms to watch out for.
An infection of the heart's inside lining or of the heart valve brought on by bacteria is a potential side effect of tetralogy of Fallot.
In those under 50, between 50 and 75, and beyond 75, the average level (95% CI) of RVSP was 16 mmHg - 39 mmHg, 15 mmHg - 45 mmHg, & 17 mmHg - 52 mmHg, respectively.
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the nurse is caring for a patient receiving cardiotonic drugs. the patient has edema. which intervention should be taken to alleviate edema?
Analyze the patient's heart rate and blood pressure carefully to spot any cardiovascular abnormalities that might require a dose adjustment.
How do cardiotonic medications work?
Cardiotonic medications strengthen the contraction of the heart's muscle (myocardium). A positive inotropic action is what we'd call this. The amount of blood leaving the left ventricle at the time of each contraction increases when the myocardium contracts with greater force.
What is the most popular cardiotonic medication?
The most widely prescribed cardiotonic medication is digoxin (Lanoxin). Digitalis glycosides or cardiac glycosides are other names for the cardiotonics. The leaves of the foxglove plant are used to produce digitalis or cardiac glycosides (Digitalis purpurea and Digitalis lanata).
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the nurse is caring for a child who has been prescribed corticosteroids for the treatment of asthma. the nurse understands that medication dosage for this client is based on what?
the nurse is caring for a child who has been prescribed corticosteroids for the treatment of asthma. the nurse understands that medication dosage for this client is based on severity of disease
Lungs are impacted by the condition known as asthma. It results in recurrent episodes of coughing at night or in the early morning, as well as shortness, chest tightness, and wheezing. Taking medication and avoiding the things that set off an episode can help you manage your asthma. A person is more likely to acquire asthma if they have an asthmatic parent, had a serious respiratory illness as a kid, have an allergy, or have been exposed to particular chemical irritants or industrial dusts at work.
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is the following statement true or false? when conducting a follow-up assessment on a patient with alzheimer disease, the nurse should include an assessment on the primary caregiver as well.
False because early onset is more progressive than late-onset Alzheimer disease; late-onset Alzheimer disease is more common.
As far as dementia goes, Alzheimer's disease is the most prevalent. The disease is gradual, starting with mild memory loss and potentially progressing to the loss of communication and environmental awareness. The brain regions that are responsible for thought, memory, and language are affected by Alzheimer's disease. It can significantly impair a person's capacity to carry out daily tasks.Memory loss that interferes with daily life, such as asking the same questions repeatedly or getting lost in a familiar setting, difficulty managing finances and paying bills. A challenge finishing routine duty at work, at home, or in leisure, reduced or bad judgement, losing things and not being able to go back and find them and mood, attitude, or behavior changes.To know more about alzheimer check the below link:
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a patient with massive trauma and possible spinal cord injury is admitted to the emergency department. the nurse suspects that the patient may be experiencing neurogenic shock in addition to hypovolemic shock, based on the finding of:
They has to check the heart rate to suspects that the patient may be experiencing neurogenic shock .
What is neurogenic shock ?
A primary and secondary injury combination known as neurogenic shock causes loss of sympathetic tone and an unopposed parasympathetic response that is controlled by the vague nerve. Patients consequently struggle to regulate their body temperature, heart rate, and blood pressure.
What is heart rate ?
Your heart rate is the average range of beats per minute for an adult, which is between 60 and 100. Checking your pulse will allow you to feel each heartbeat.
Rationale: The normal sympathetic response to shock/hypotension is an increase in heart rate. The presence of bradycardia suggests unopposed parasympathetic function, as occurs in neurogenic shock. The other symptoms are consistent with hypovolemic shock.
Therefore, has to check the heart rate to suspects that the patient may be experiencing neurogenic shock .
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the nurse has made an error in documenting an assessment finding in the client's record. what action should the nurse take to correct the error?
Then, enter the right information after crossing out the mistake and initialing and dating the line.
What is the role of a nurse?Nurses treat wounds, give medicine, do regular physicals, take thorough medical histories, monitor blood pressure and heart rate, run diagnostic tests, handle medical equipment, take blood samples, and admit and release patients in accordance with doctor's orders.
Can anybody work as a nurse?The California Board of Registered Nursing must grant you a license before you may work as an RN in California (BRN). Whatever the job's perceived difficulty or ease, you must satisfy educational criteria, pass a criminal history check, and complete the national license exam. Nursing is regarded as a high-stress and challenging profession owing to a variety of factors, including exams.
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which nursing intervention helps prevent complications associated with a shortened urethra revealed by a recent interview
The nursing intervention that helps prevent complications associated with a shortened urethra are monitorization of bladder elimination, irrigation of the bladder, and checking the catheter.
The urethra tube narrows when there is a urethral stricture. This hinders the flow of urine from the bladder and may result in a number of health issues with the urinary system, such as irritation or infection.
Some of the nursing interventions for this kind of shortened urethra are:
Urine production and characteristics should be monitored to identify bladder elimination abnormalities as soon as possible.Keeping the bladder constantly irrigated for 24 hours to avoid blood clots that restrict the passage of urine.Irrigation is used to maintain the catheter and keep blood clots from blocking it.To increase fluid intake (2500–3000) in order to ensure smooth urine flow.Symptoms of poor bladder elimination patterns must be continuously monitored.To know more about the urethra:
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many mutations in receptor kinases that lead to cancer allow the receptor to dimerize and become activated, even in the absence of signaling molecules. an example is a mutant form of the egf receptor kinase called her2/neu. an antibody that prevents dimerization of her2/neu receptor kinases is being tested for its effectiveness in preventing cancer. at which stage does this drug work?
An antibody that prevents dimerization of Her2/neu receptor kinases would prevent the receptor from becoming activated.
A protein involved in normal cell growth. HER2/neu may be produced in excess by some types of cancer cells, such as breast, ovarian, bladder, pancreatic, stomach, and esophageal cancers. This can cause cancer cells to grow faster and spread to other parts of the body. Checking her HER2/neu levels in some types of cancer cells can help plan treatment. Also called c-erbB-2, HER2, human EGF receptor 2, human epidermal growth factor receptor 2.
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true or false: diet and physical activity play a role in the development of certain chronic diseases, such as cardiovascular disease and cancer.
It is accurate to say that certain chronic conditions, such as cancer and cardiovascular disease are influenced by nutrition and physical activity.
How is cancer triggered?Cancer being brought on by cells that divide out of control and invade healthy tissue. Cancer is mostly brought along by Dna. The most of DNA mutations that result in cancer occur in areas of DNA called genes. These alterations are sometimes refereed to as genetic changes.
What precisely is cancer?The body's unregulated development of abnormal cells is what causes cancer. Cancer may develop because when body's natural regulator experiences problems. Old cells do not really die; they just keep multiplying uncontrolled to create new, abnormal cells. These extra cells may congregate into tumor-like fat tissue.
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a nurse manager is conducting a meeting with staff. what factors may significantly influence how communication is received and perceived during the meeting? (select all that apply.)
A staff meeting is being led by a nurse manager. Gender disparities, stress levels, and the manager's status are all variables that might have a big impact on how communication is received and understood at a meeting.
Combining several communication channels enhances the possibility that the message will reach everyone in the company who needs to hear it. With the nurse, the management discusses the findings of the performance evaluation. nurse manager may develop communication biases against certain viewpoints. nurse manager discussing the issue with both sides in the same room while giving them both an equal amount of time to present their cases is the most successful technique to settle disputes.
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the nurse is teaching a client receiving interferon therapy about measures to combat possible adverse effects. which statement by the client indicates the need for more teaching?
A client undergoing interferon therapy is being taught by the nurse how to prevent any side effects. Interferon treatment suppresses the immune system by lowering the production of Th1 cytokines and immune cells.
Recombinant DNA technology is utilised to create interferons that are used therapeutically. Interferon alphas are used to treat cancer and viral infections (such as chronic hepatitis and the human papillomavirus) (hairy cell leukemia, AIDS related - Kaposi sarcoma, malignant melanoma). Multiple sclerosis can be treated or slowed down by interferon betas. Poor sleep, ongoing bodily inflammation, certain hereditary variables, and a lack of social support are all interferon side effects. Strong antioxidants include vitamin C and bioflavonoids, particularly proanthocyanidins (pycnogenols) found in bilberry, pine bark extract, grape seed extract, and pine seed extract.
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a nurse is providing a patient with instructions about picc removal. the nurse knows the patient understood the post-procedure instructions when he makes which of the following statements?
"Inhale deeply and hold it." A patient is receiving instructions from a nurse on how to remove a PICC. "You can remove the catheter, but I have to stay in bed for 30 minutes afterward."
What information is required before removing a PICC line?To avoid infection and migratory infection, a PICC line should always be covered with a clean, tight dressing. Only a physician's prescription is required to remove a PICC line. When removing a PICC line, use slow, intermittent traction.
How is a PICC line removed by a nurse?When the catheter is removed, place the sterile gauze over the insertion site while holding the hub and main catheter in the other hand.
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a nurse who is providing care on a pediatric client has conducted a medication reconciliation. in light of the fact that the client takes methylphenidate, the nurse is justified in considering a history of what health problem?
This methylphenidate medication may induce sleeplessness, weight loss, and gastrointestinal problems.
What is methylphenidate ?
Methylphenidate, often known as Ritalin and Concerta, is the most commonly prescribed central nervous system (CNS) stimulant medicine used to treat attention deficit hyperactivity disorder (ADHD) and, to a lesser extent, narcolepsy. It is a major treatment for ADHD; it can be taken orally or administered topically, and different formulations have variable durations of action, which typically range from 2-4 hours. Though there is little to no evidence to support its use as an athletic performance enhancer, cognitive enhancer, aphrodisiac, or euphoriant, claims that it can be used for these purposes persist.
Methylphenidate side effects include tachycardia, palpitations, headache, sleeplessness, anxiety, hyperhidrosis, weight loss, reduced appetite, dry mouth, nausea, and stomach pain.
This medication may induce sleeplessness, weight loss, and gastrointestinal problems.
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88. The antigen specificity of an adaptive immime response is due to ?
a.Activation of antigen specific lymphocytes
b.Folding of antigen to fit the pathogen
Lysis of only certain pathogens by macrophages
d.Phagocytosis of only certain pathogens by macrophages
e.Production of cytokines by antigen specific macrophages
The antigen specificity of an adaptive immune response is due to the activation of an antigen specific lymphocyte. Thus, the correct option is A.
What is Antigen specificity?Antigenic specificity is the ability of the host immune cells to recognize an antigen specifically as a unique molecular entity or a foreign particle and distinguish it from another with the exquisite precision. Antigen specificity in the host immune cells is due to primarily because of the side chain conformations of the antigen molecules.
Adaptive immunity can be defined by two important characteristics which are specificity and memory of the immune cells. Specificity of the immune cell refers to the adaptive immune system's ability to target the specific pathogens, and memory refers to the cell's ability to quickly respond to pathogens to which it has previously been exposed.
The antigen specificity of an adaptive immune response is due to the activation of antigen specific lymphocytes.
Therefore, the correct option is A.
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In the evaluation of a patient with nystagmus, you suspect the main cause is peripheral vestibular dysfunction. You decide to perform caloric testing. Which of the following physical exam findings is expected in a patient with normal vestibular function?cold water in the right ear produces nystagmus in the left eye; if you did warm water it would go to the same side
cold goes to opposite, warm goes to same
Nystagmus in the left eye is caused by cold water in the right ear; warm water would cause it on the other side. Warmth goes to the same as cold, and vice versa.
Your sense of balance and hearing are both mediated by the vestibulocochlear nerve, cranial nerve eight. Although this nerve is not responsible for controlling eye movement, a loss in it might make balance so unstable that nystagmus results. Vestibular dysfunction results from damage to the vestibular system brought on by illness, viral infection, high dosages of some antibiotics, stroke, deterioration of the inner ear's balance function, hits to the head (such as concussions, brain trauma, whiplash), or some other unidentified cause (s).
Thus, we can conclude that cold water in the right ear causes nystagmus in the left eye while warm water would do so on the opposite side. Cold and warmth are equivalent, and vice versa.
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when educating a patient about oral macrolides such as erythromycin what information should the nurse not include
The nurse should not include information about the potential side effects of taking oral Macrolides, such as:
NauseaVomitingDiarrheaAbdominal painEducating Patients on Oral Macrolides: What Information Should Not Be Included?It is important not to include information about potential side effects when educating a patient about a medication. This can create unnecessary anxiety or worry about the patient, and can influence the patient's decision to take the medication.
Furthermore, side effects vary from person to person, and it is important for the patient to be aware of any potential side effects they may experience and to seek medical advice from their healthcare provider if they experience any adverse reactions.
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the nurse is working with a client that has not been diagnosed yet. the client is aggressive, unable to control anger, and violent at times. the client was brought to the emergency deparment by local police. the nurse selects what system as the etiology for the clients' behavior? classify the symptoms according to origin in the body
The nurse selects biological and psychological influences for clients' aggressive, unable to control anger, and violent behavior.
Aggressive behavior as per psychological science, describes any behavior or act geared toward harming an individual or animal or damaging property. Biological causes embrace biology, medical and psychiatrical diseases, neurotransmitters, hormones, substances of abuse, and medications.
Negative emotions, together with worry, anger, pain, and frustration, significantly once in the midst of high arousal, might produce aggressive behavior. Contrary to the concept of catharsis, social psychological analysis has found that partaking in aggression doesn't cut back any aggression.
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Which of the following are and which of the following are not reasons why almost all major motion pictures are now shot, edited, and released digitally?
Reasons:
Digital is less expensive to shoot than analog stock
It is more cost effective to distribute film digitally
Digital editing is less expensive than analog editing
Not Reasons:
Digital just looks better than film stock
Analog film stock is no longer available
Reasons:Digital is less expensive to shoot than analog stock. It is more cost effective to distribute film digitally.Digital editing is less expensive than analog editing. Not Reasons: Digital just looks better than film stock. Analog film stock is no longer available
You can access every image you have stored digitally at any time and from any location. Something that is simply impossible to accomplish in print, unless you want to fill your pocket with dozens of wallet-sized printouts. The disadvantage is that, in comparison to printed media, you are considerably less likely to regularly view your photographs. You probably won't frequently look through all of your images on screen compared to having your photos live in actual space. Prints can sometimes be grainy and pixelated, even if an image may seem fantastic on the screen. You can print from your digital photographs and get the best of both worlds, but it will require some additional work on your part and the express consent of the photographer.
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which statement indicates that a new graduate nurse understands central venous pressure (cvp) measurement when used on a client?
The pressure in the thoracic vena cava just below the right atrium is known as central venous pressure, or CVP.
What does having a high CVP mean?Elevated CVP is a sign of fluid retention or dysfunctional cardiac contractility. Low central venous pressure, on the other hand, is a sign of volume loss or diminished venous tone.
Does heart failure have a high CVP?While CVP may be normal in left heart failure and pulmonary edema [19], an increased CVP may indicate right heart dysfunction or blockage to right ventricular outflow, which would cause blood to pool in the right atrium.
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the nurse provides care for a client who is diagnosed with an infarction of the posterior wall of the right atrium. which clinical finding should the nurse anticipate relating to the infarction location?
Nurse would anticipate relating to Irregular heart rate.
What is meant by infarction of the posterior wall?
Essentially, the coronary sinus, pulmonary veins, and the atrium (LA in particular) are all located on the posterior side of the heart. When the venous end of the lower straight heart tube folds up and posteriorly at 8 weeks, this occurs. When circulation to the posterior heart is compromised, posterior wall myocardial infarction happens. Although it frequently occurs alongside inferior or inferolateral MI, posterior myocardial infarction might be difficult to diagnose on its own.
Cardiac arrhythmia consequences may often include heart failure, abrupt death, and stroke. A higher risk of blood clots is related to heart arrhythmias. A stroke may result from a blood clot that escapes and travels from the heart to the brain.
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using the sbar model, when the nurse is providing the background of a patient to teammates, what information should the nurse include? select all that apply.
The nurse's concerns the SBAR , vital signs, and patient identity information are all included in this. Indicate your room number, unit, patient, and self. Briefly describe the issue, including what it is, when it occurred or began, and its severity.
The SBAR (Situation-Background-Assessment-Recommendation) approach offers a framework for discussion of a patient's condition among members of the healthcare team. A simple, tangible framework like SBAR is helpful for structuring any interaction, especially those that are urgent and call for a physician to act right away. the date of admission and the admitting diagnosis. current list of prescription drugs, allergies, IV fluids, and lab results. latest vital signs. Results from the lab: Include the date, time, and results from related tests for comparison. additional clinical data.
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