Question 17 Marks: 1 Marsh miasma is another name for the disease known as Legionella.Choose one answer. a. True b. False

A deficiency cited during a survey for medication management indicates that there are areas for improvement to ensure patient safety and compliance with regulations.

The timeline for correcting this deficiency depends on the severity and potential impact on patient care. In general, corrections must be made as soon as possible, preferably within a 10-day period following the survey. Immediate action is necessary if the deficiency poses a direct or immediate threat to patient health or safety. In these cases, a facility may be required to submit a plan of correction within 48 hours and implement necessary changes promptly. For less urgent deficiencies, a facility typically has 30 to 60 days to submit a plan of correction and implement changes.

However, it is crucial to address any deficiency in a timely manner to avoid further consequences or potential penalties from regulatory authorities. In summary, deficiencies related to medication management identified during a survey should be corrected as soon as possible, with the specific timeline dependent on the severity of the issue. Facilities are encouraged to prioritize patient safety and comply with relevant regulations by submitting a plan of correction and making necessary changes promptly.

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People can help prevent their BACs from rising to dangerous levels by pacing their drinking, eating food, alternating with non-alcoholic beverages, setting a limit, avoiding drinking games, not mixing alcohol with drugs, and not driving.

These strategies can help slow down the absorption of alcohol into the bloodstream and reduce the overall amount of alcohol consumed, which can prevent BACs from rising too quickly. Pacing drinking and setting a limit on the amount of alcohol consumed can help individuals stay within safe limits.

Eating food before or during drinking can help slow down alcohol absorption, while alternating with non-alcoholic beverages can help reduce the overall amount of alcohol consumed. Avoiding drinking games can prevent rapid consumption of alcohol and the dangerous spikes in BAC that can result.

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True. When a patient has a definitive diagnosis, assigning a code from category G89 (Pain) is not appropriate unless the reason for the encounter is pain control or management.

This is because the G89 category is intended to be used for pain diagnosis, not for pain that is a symptom of an underlying condition that has already been diagnosed. It is important to accurately diagnose and code a patient's condition to ensure proper treatment and reimbursement. If the reason for the encounter is solely pain control or management, then a code from the G89 category may be assigned. However, it is important to ensure that the pain is not a symptom of an undiagnosed condition that may require further investigation and treatment.

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NaCl, 218 g, or almost half a pound; [tex]Mgcl_{2}[/tex], or 4 oz; and [tex]Nicl_{2}[/tex], or 7.6 g, or roughly 14 oz or 1/2 tsp. The target organ and rate of excretion are the key variations of salt.

The metrics LD50 (Lethal concentration-50) and LC50 are used to quantify the outcomes of various experiments so that they may be compared. The dose that will kill 50% of the test population is referred to as LD50. The term "exposure concentration of a hazardous chemical fatal to half of the test animals" is abbreviated as "LC50."

The LD50 test evaluates the quantity of a drug needed to eradicate 50% of a certain species when administered all at once over a predetermined period of time. This information can be used to assess the acute toxicity of different drugs.

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True.

For admission to a facility, it is generally required that a resident does not have any stage 2, 3, or 4 pressure sores. This is because these sores can indicate poor overall health and may require specialized medical care that may not be available at the facility. Additionally, pressure sores can be very painful and can increase the risk of infection, which can be dangerous for older adults with weakened immune systems. As such, facilities may require residents to have a certain level of overall health and wellness in order to be admitted.

While facilities aim to provide quality care, the presence of pressure sores does not automatically disqualify a resident from admission. The facility's care team will assess the individual's needs and develop a care plan to address the pressure sores and promote healing.

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Parathyroid hormone (PTH) is a hormone secreted by the parathyroid glands that plays a crucial role in regulating calcium and phosphate levels in the blood.

PTH inhibits reabsorption of phosphate in the proximal tubules of the kidneys. This means that PTH decreases the amount of phosphate that is reabsorbed by the kidneys and increases the amount of phosphate that is excreted in the urine. This results in a decrease in serum phosphate levels. On the other hand, PTH increases calcium resorption in the kidneys and intestines. In the kidneys, PTH increases the reabsorption of calcium in the distal tubules, which results in an increase in serum calcium levels. In the intestines, PTH stimulates the conversion of vitamin D to its active form, which then increases the absorption of calcium from the diet.

Therefore, PTH has opposing effects on phosphate and calcium levels in the blood. It increases calcium resorption and decreases phosphate reabsorption, leading to an increase in serum calcium and a decrease in serum phosphate.

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It is important to consult with your facility's administration or legal team for specific guidelines on contract retention.

The length of time a facility keeps resident contracts may vary depending on state regulations and facility policies. In general, it is recommended that contracts be kept for at least 7 years. This allows for potential legal disputes or audits to be resolved using the contract as evidence. However, some facilities may choose to keep contracts for longer periods of time for their own records and archives.

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Paresthesia and diminished sensation can be caused by nutritional deficiencies, such as those in vitamin B12, folate, thiamin, and other B vitamins.

A lack of vitamin B12 can cause nerve injury and sensory abnormalities since it is necessary for the formation and maintenance of the protective myelin sheath that surrounds nerves. Folate is required for healthy nerve cell activity, and a lack of it can cause sensory alterations and nerve damage.

Thiamin is necessary for healthy nerve cell function, and a lack of it can cause sensory alterations and nerve damage. Additionally, sensory alterations might result from a lack of other B vitamins.

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To protect both the patient and the medical assistant when moving patients, it is important to assess the patient's condition, use proper body mechanics, secure the patient, use mechanical aids, communicate effectively, wear appropriate PPE, and follow infection control protocols. By following these safety precautions, the risk of injury can be reduced.

Moving patients is an important aspect of medical assisting, and it is essential to take appropriate safety precautions to protect both the patient and the medical assistant (MA) from injury. Here are some safety precautions that should be observed:

1. Assess the patient's condition: Before moving the patient, assess their condition and determine if they are able to help with the movement. If the patient is unable to assist, you may need to use additional staff or equipment to lift and move the patient safely.

2. Use proper body mechanics: When lifting or moving a patient, use proper body mechanics to avoid straining your back or other muscles. Keep your back straight, bend your knees, and lift with your legs.

3. Use mechanical aids: Use mechanical aids such as a gait belt, transfer board, or lift to assist with moving the patient. These aids can reduce the risk of injury to both the patient and the MA.

4. Secure the patient: Ensure that the patient is properly secured during the move, to prevent falls or other injuries.

5. Communicate effectively: Communicate effectively with the patient during the move, explaining the procedure and providing reassurance.

6. Wear appropriate personal protective equipment (PPE): Wear appropriate PPE such as gloves and gowns when handling patients to avoid exposure to bodily fluids or other hazards.

7. Follow infection control protocols: Follow proper infection control protocols when handling patients, including washing your hands before and after the procedure.

By following these safety precautions, the medical assistant can help ensure the safety and well-being of both the patient and themselves during patient movement.

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Ensure patient consent, assess mobility, use proper body mechanics, employ assistive devices, clear environment, ample staffing, training, and continuous monitoring for safe patient transfers.

While moving patients, guaranteeing the security of both the patient and the Clinical Associate (MA) is of central significance. A few insurances should be seen to limit the gamble of injury and guarantee a smooth exchange process.

Correspondence, first and foremost, is vital. Prior to endeavoring any persistent development, the MA ought to plainly discuss the arrangement with the patient, making sense of each step and getting their assent. This assists with tending to any worries and guarantee participation.

Besides, evaluating the patient's condition is indispensable. The MA ought to assess the patient's portability, strength, and any ailments that could influence the exchange. This appraisal helps in choosing the fitting exchange method and gear.

Legitimate body mechanics are fundamental to forestall strain or injury. The MA ought to twist at the knees and utilize their leg muscles, keeping the back straight, while lifting or moving the patient.

Utilizing assistive gadgets like exchange belts, slide sheets, or derricks can essentially diminish the actual stress on both the patient and the MA. Keeping a messiness free climate limits the gamble of stumbling or staggering during the exchange. Furthermore, guaranteeing legitimate lighting improves perceivability and lessens the probability of mishaps.

Having an additional sets of hands during patient exchanges is valuable. Another MA or medical care proficient can give help and help in overseeing complex developments.

Standard preparation and expertise refreshes for MAs on safe patient dealing with strategies are critical. This guarantees that MAs know about the most recent rules and methods, diminishing the gamble of errors or inappropriate exchanges.

Ultimately, checking the patient's solace and answering any indications of trouble during the exchange is fundamental. Assuming the patient communicates distress or encounters torment, the exchange ought to be ended, and proper changes made.

All in all, patient security during moves depends on viable correspondence, careful evaluation, legitimate body mechanics, assistive hardware, a protected climate, satisfactory staffing, progressing preparing, and persistent observing.

Sticking to these precautionary measures upgrades the security and prosperity of the two patients and MAs during the exchange interaction.

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The total intake the client consumes the following during a 12-hour shift is 1512 ml.

To determine the total intake a client consumes the following during a 12-hour shift from breakfast, lunch and dinner is calculated as follows:

Intake = 2 cups of tea x 8 oz + 8 oz of milk + 1.5 cups of tea x 8 oz + 6 oz jello + 1.5 bowl of broth x 6 oz

Intake = 16 oz + 8 oz + 12 oz + 6 oz + 9 oz

Intake = 51 oz

Intake = 1512 ml (1 oz = 29.5735 ml)

Therefore, the intake is 1512 ml.

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After cardiac arrest, targeted temperature management (TTM) should be used to improve patient outcomes. The recommended temperature for TTM is typically between 32°C to 36°C (89.6°F to 96.8°F). This temperature range is selected to minimize the risk of neurological damage and other complications following cardiac arrest.

The exact temperature within this range may be determined by a healthcare professional based on the patient's individual needs and condition. It is important to maintain the selected temperature constant during the TTM period to ensure effective treatment. During TTM, the patient's temperature should be carefully monitored and maintained within this range using specialized cooling and warming equipment, as well as medications such as sedatives and neuromuscular blocking agents.

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The decision on which medication to administer to a client coming off cardiopulmonary bypass will depend on various factors, including the client's current condition and the surgeon's preference. However, in general, a medication commonly administered in this situation is protamine sulfate.

Protamine sulfate is an antidote to heparin, which is commonly used during cardiopulmonary bypass to prevent blood clotting. Protamine sulfate works by binding with heparin to form a stable complex that can be removed by the body. Administering protamine sulfate helps to reverse the effects of heparin and prevent bleeding after the procedure.

Also, healthcare provider's orders and institutional protocol regarding the administration of medications during cardiopulmonary bypass and ensure that the medication is given at the appropriate time and dose. The nurse should also closely monitor the client for adverse reactions to the medication, such as an allergic reaction or changes in blood pressure.

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The given statement " Nursing intervention when caring for a patient with ICP is to maintain the head of the bed at 30 degrees and maintain alignment of the head " is true  because maintaining the head of the bed at a 30-degree angle can help to decrease ICP by facilitating the drainage of cerebrospinal fluid and blood from the brain.

Additionally, keeping the patient's head aligned helps to prevent any venous congestion or compression of blood vessels in the neck, which can further increase ICP. Other nursing interventions when caring for a patient with ICP include monitoring the patient's neurological status, vital signs, and level of consciousness.

This can involve performing frequent neurologic assessments to detect any changes in the patient's mental status or motor function, as well as monitoring the patient's breathing and heart rate to detect any signs of respiratory distress or hypertension.

Nurses may also administer medications to help decrease ICP, such as diuretics, osmotic agents, or corticosteroids, as well as provide supportive care to prevent complications such as infection, dehydration, or pressure ulcers.

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The frequency of license renewal for a facility depends on the specific regulations and laws of the state in which the facility is located. In the United States, each state has its own regulations for licensing and certification of healthcare facilities, such as hospitals, nursing homes, and ambulatory care centers.

Typically, state licensing boards require facilities to renew their license on a regular basis, usually every one to three years. During the renewal process, the facility must demonstrate that it is in compliance with all applicable regulations, including those related to safety, quality of care, and staffing. In some states, the renewal process may involve an inspection or survey by a regulatory agency to ensure that the facility is meeting all requirements. The facility may also need to submit documentation related to its operations, finances, and patient outcomes.

It is important for healthcare facilities to adhere to all licensing requirements and maintain up-to-date records in order to ensure the safety and well-being of patients and staff, as well as to avoid any penalties or sanctions from regulatory agencies.

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The given statement Large doses of radiation can be applied to local areas, as in therapy, with little danger is false because radiation is not well targeted or if the body is exposed to it for extended periods of time.

In general ,Radiation therapy is a type of medical treatment that uses high-energy radiation to kill cancer cells and shrink tumors. It can be delivered using different methods, including external beam radiation therapy, which delivers radiation from a machine outside the body, or internal radiation therapy, which involves placing radioactive materials directly into or near the tumor.

Radiation therapy is typically administered in a carefully controlled setting by trained medical professionals, who use specialized equipment and techniques to target the radiation as precisely as possible. Patients undergoing radiation therapy are carefully monitored for side effects, which can include skin irritation, fatigue, nausea, and changes in blood cell counts.

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a) use of antibiotics.

The basic principles of disease control include the control of disease source, mode of transmission, and susceptibility. The use of antibiotics is not a basic principle of disease control, as it is a specific treatment for bacterial infections rather than a general preventative measure.

The basic principles of disease control include all of the following except the use of antibiotics. Antibiotics are a specific type of medication used to treat bacterial infections, but they are not a principle of disease control. The principles of disease control include the control of disease source, the mode of transmission, and susceptibility. Control of disease sources involves identifying and eliminating the source of the disease, such as contaminated food or water. Mode of transmission refers to the way in which the disease is spread, such as through person-to-person contact or through contaminated surfaces. Susceptibility refers to the vulnerability of individuals to the disease, which may be influenced by factors such as age, genetics, and underlying health conditions. Effective disease control requires the implementation of measures targeting all three principles.

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It is appropriate to move an adult victim who needs CPR in certain situations like immediate danger, such as a fire, toxic gas, or unstable structure.

You should only move the victim when:

1. The scene is unsafe: If the area where the victim is located poses an immediate danger, such as a fire, toxic gas, or unstable structure, you need to move the victim to a safe location before performing CPR.
2. The victim is in a difficult position: If the victim is in a position that prevents you from effectively performing CPR, such as on a narrow staircase or in a crowded space, you may need to move the victim to a more suitable location.
3. AED access is limited: If an AED is needed but not accessible in the current location, it may be necessary to move the victim to a location where the AED can be used effectively.

Remember to prioritize the victim's safety and perform CPR as soon as possible once they are in a safe and suitable location.

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The statement "When a resident denies the use of a third-party provider, it must be documented in their resident record" is True because this documentation is important to ensure that the resident's wishes and preferences are respected, and that the care team is aware of any limitations or restrictions the resident may have regarding their care.

When a resident denies the use of a third-party provider, it is important to document the resident's decision in their record in a clear and concise manner. This documentation should include the date of the refusal, the name of the resident, the name of the third-party provider that was offered, and the reason for the refusal.

In addition, it may be helpful to document any discussions or conversations that occurred between the resident and the care team regarding the use of the third-party provider. This can help to provide additional context and clarity to the documentation, and can help to ensure that everyone involved in the resident's care is on the same page.

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The most appropriate destination for patients with suspected acute ischemic stroke is Certified stroke center.

Option A

The most appropriate destination for patients with suspected acute ischemic stroke is a certified stroke center. Certified stroke centers are specialized hospitals or medical facilities that have the expertise, equipment, and protocols to provide timely and comprehensive care for stroke patients. They are equipped to quickly diagnose and treat stroke patients, including administering clot-busting medication or performing interventional procedures to restore blood flow to the brain.

Certified stroke centers have specialized stroke teams, including neurologists, neurosurgeons, radiologists, and other healthcare professionals who are trained in stroke care. They also have access to advanced imaging techniques such as computed tomography (CT) scans and magnetic resonance imaging (MRI) to accurately diagnose stroke and determine the most appropriate treatment options.

Receiving care at a certified stroke center is associated with better outcomes for stroke patients, including reduced disability and improved survival rates. Therefore, it is important for patients with suspected acute ischemic stroke to be transported to a certified stroke center whenever possible, as this can greatly improve their chances of receiving timely and appropriate care.

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Statement "I should take the apixaban at the same time every day." indicates teaching is successful. So the option C is correct.

This statement indicates that teaching is successful in that the client has an understanding of how to take the medication as prescribed. It is important to also explain to the client the importance of taking the medication as prescribed to help reduce their risk of blood clots.

Additionally, the client should be taught the potential side effects of the medication and how to seek medical help if they experience any of these side effects.

Finally, it is important to emphasize the importance of continuing to take their prescribed medications even if they feel better, and to never change or stop taking the medication without consulting their healthcare provider.

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The complete question is:

A client with atrial fibrillation is prescribed apixaban to reduce blood clot risk. Which client statement indicates teaching is successful?

A) "I should take the apixaban with food or milk."

B) "I should take the apixaban twice a day."

C) "I should take the apixaban at the same time every day."

D) "I should take the apixaban on an empty stomach."

Caution should be exercised when giving morphine to patients who have a history of respiratory depression, liver or kidney impairment, head injury, hypotension, or who are taking other medications that can cause respiratory depression such as benzodiazepines or barbiturates.

Additionally, morphine should be used with caution in elderly or debilitated patients and those with a history of substance abuse. It is important to carefully monitor the patient's vital signs and level of consciousness when administering morphine to ensure their safety.

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Hypotension (low blood pressure) - This can occur due to the rapid removal of fluids during dialysis, causing dizziness, weakness, or fainting. Infection - Dialysis can increase the risk of infection, particularly at the site where the dialysis catheter is inserted.

Anemia - Dialysis can reduce the number of red blood cells in the body, leading to anemia and symptoms such as fatigue, shortness of breath, and weakness. Electrolyte imbalances - Dialysis can disrupt the balance of electrolytes in the body, leading to complications such as muscle cramps, nausea, and seizures. Vascular access problems - Dialysis requires a vascular access point, which can become infected, clotted, or otherwise damaged, making it difficult to continue treatment. Cardiovascular disease - Dialysis patients are at increased risk of developing heart disease and other cardiovascular complications due to the strain placed on the heart and blood vessels during treatment.

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The nurse knows that the teaching has been effective when the client's parents make  statement such as:

"The client may have some side effects, like insomnia, loss of appetite, or weight loss, but they are rare."

Insomnia is described as a sleep disorder characterized by difficulty falling or staying asleep, or waking up too early and not being able to go back to sleep. It can be a short-term problem caused by stress or a change in schedule, or a chronic condition that lasts for months or even years.

A person's quality of life can be negatively impacted by insomnia, which can result in daytime exhaustion, irritation, difficulties concentrating, and other medical issues. In addition to medicine or other therapies, treatment for insomnia may involve behavioral modifications, such as creating a regular sleep schedule or abstaining from coffee and alcohol.

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"We understand that methylphenidate can help improve our child's focus and attention, and we should monitor for potential side effects like decreased appetite and trouble sleeping." This statement would indicate that the parents have understood the teaching about the medication methylphenidate.

Methylphenidate is a stimulant medication commonly prescribed for ADHD, and it works by increasing the levels of certain neurotransmitters in the brain to help improve focus and reduce hyperactivity. However, it can also cause side effects such as decreased appetite and difficulty sleeping. It's important for parents to be aware of these potential side effects and to monitor their child closely while on the medication.

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The activity that directly influences quality of care is clinical decision-making.

Clinical decision-making is a complex process that involves gathering and synthesizing information from various sources, making a diagnosis, formulating a treatment plan, and monitoring the patient's response to therapy. The quality of care provided to a patient is directly influenced by the quality of clinical decision-making by the healthcare provider.

Good clinical decision-making involves applying evidence-based guidelines, considering the patient's preferences and values, and taking into account the patient's unique clinical situation. It requires knowledge, skill, and judgment, and is influenced by factors such as the provider's training, experience, and expertise, as well as the resources available in the healthcare setting.

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Answer:

We don't have a question, but I am assuming he is having a anxiety or a panic attack.

Explanation:

Please provide the question for further discussion

The stage of cognitive development in which an adolescent can reason abstractly and think in hypothetical terms is the formal operational stage, according to Jean Piaget's theory. This stage typically begins around age 12 and continues through adulthood.

During this stage, individuals are able to think logically and systematically, and can consider hypothetical situations and possibilities. They are also able to think about abstract concepts and ideas, such as justice, freedom, and equality, and can understand complex relationships and systems. The study of cognitive development can be broken down into different stages, each characterized by unique changes in thinking abilities and cognitive processes. For example, in the early stages of development, infants and toddlers begin to develop basic cognitive skills, such as attention, memory, and perception.

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Periodic and irregular breathing is an ominous sign that often precedes death in patients with severe head trauma, including children who have suffered a traumatic brain injury (TBI).

Periodic and irregular breathing, also known as Cheyne-Stokes respirations, is a pattern of breathing that is characterized by cycles of progressively deeper and faster breathing, followed by a period of apnea (no breathing). This pattern is often a sign of neurological damage and indicates that the brainstem is not functioning properly.

In patients with severe head trauma, Cheyne-Stokes respirations can indicate that the injury has caused damage to the brainstem, which is responsible for controlling breathing and other vital functions. If left untreated, this can lead to respiratory failure and ultimately, death.

It is important to note that while Cheyne-Stokes respirations can be a sign of impending death, they are not always present in patients with severe head trauma, and their absence does not necessarily indicate a better prognosis.

Therefore, it is crucial for healthcare providers to closely monitor patients with severe head trauma for any signs of respiratory distress and to provide prompt and appropriate interventions as needed.

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Yes, a facility can require a resident to see a specific health care provider. This is typically done for the purpose of continuity of care and ensuring that the resident receives the appropriate level of care from a qualified provider who is familiar with their medical history and needs.

However, residents have the right to choose their own health care providers as long as the chosen provider meets the facility's standards for licensure and certification. It is important for residents and their families to discuss any concerns or preferences regarding health care providers with the facility's staff. It is important to discuss this matter with the facility's administration to understand their policies and options for health care providers.

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Upon an infant's admission to the nursery at 36 weeks' gestation, weighing 4 lb 3 oz and with Apgar scores of 7 and 9, the nursing actions will likely include monitoring vital signs, providing appropriate warmth, and ensuring proper feeding support.

These actions aim to address the infant's preterm birth and promote optimal health and development.Upon the infant's admission to the nursery, the nursing staff will closely monitor the baby's vital signs and overall health, as premature infants born at 36 weeks' gestation may have an increased risk for complications such as respiratory distress or feeding difficulties. The nursing staff will also ensure that the baby is kept warm and stable, and will likely encourage frequent feedings and provide any necessary supplementation or support. Additionally, the staff may assess the baby's ability to regulate their temperature, provide skin-to-skin contact with parents or caregivers, and administer any necessary medications or treatments as ordered by the healthcare provider.

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An infant born at 36 weeks gestation weighs 4 lb 3 oz and has APGAR scores of 7 and 9. The nursing action that should be performed upon the infant's admission to the nursery, the nursing staff should closely monitor the infant's vital signs and respiratory status due to being born preterm.

What should be performed by the nurse after the infant's admission?

The infant must receive additional support, such as oxygen therapy or tube feeding, to ensure their nutritional needs are met. The nursing staff will also assess the infant's overall health and development to determine if any additional interventions or assessments are necessary.

An infant born at 36 weeks gestation, weighing 4 lb 3 oz, and with Apgar scores of 7 and 9 will likely require the following nursing actions upon admission to the nursery:

1. Assess the infant's vital signs, including heart rate, respiratory rate, and temperature, to ensure stability.
2. Place the infant under a radiant warmer or in an incubator to maintain body temperature, as preterm infants have a higher risk of hypothermia.
3. Monitor the infant's oxygen saturation levels and respiratory status, since preterm infants may have underdeveloped lungs and may need supplemental oxygen.
4. Perform a thorough physical assessment to identify any potential health issues or complications related to preterm birth.
5. Establish a feeding plan, as preterm infants may have difficulty coordinating sucking and swallowing, and may require additional support, such as a feeding tube or specialized bottle.
6. Provide ongoing assessments and monitoring to ensure the infant's health and development progress appropriately.

These nursing actions will help ensure the health and well-being of the infant born at 36 weeks' gestation upon admission to the nursery.

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