Peak and trough tests should be ordered to determine if the client is developing drug toxicity.
Peak and trough levels—peak denoting the greatest and trough denoting the lowest—indicate how much medicine the patient has in their circulation. The following dose should be skipped, and the blood level should be examined again six hours later if the trough exceeds the drug's permissible limit.
There are different types of tests, such as:
Before antibiotic treatment, use culture and sensitivity to identify the microorganisms present and the most appropriate antibiotic.
The therapeutic index is the range between a medication's therapeutic and toxic doses.
Half-life: connected to dosage of medicine.
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When reviewing laboratory results, a medical administrative assistant should take which of the following actions after pulling the patients chart and flagging abnormal results?
When reviewing laboratory results and flagging abnormal results in the patient's chart, a medical administrative assistant should: place the results on the provider's desk for review. That way, the providers could manage the administration and take further action by transferring the results to the appropriate technicians.
What does the medical administrative assistant's duty?A medical administrative assistant is responsible for performing the administrative office and desk-related tasks in the hospital. They are responsible for checking the patients in for scheduled appointments, keeping track of medical records and charts related to patients, and transferring lab results to the appropriate technicians.
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what refers to routine physical examinations, immunizations, prenatal care, dental checkups, screening for heart disease and cancer, and other services intended to ensure good health and to minimize the effects of illness if it occurs?
Preventive care aids in the early detection and prevention of significant illnesses and medical issues.
What is preventive health care?Prophylaxis, often known as preventive healthcare, refers to actions made to stave off disease. Disease and disability are dynamic processes that start before people are aware they are affected. They are influenced by environmental variables, genetic predisposition, disease agents, and lifestyle choices.
Preventive care aids in the early detection and prevention of significant illnesses and medical issues. Preventive care includes many procedures and screenings, such as yearly physicals, vaccines, and flu injections. This is often referred to as routine care.
Given the rise in chronic disease prevalence and related deaths worldwide, preventive healthcare is especially crucial. There are numerous approaches to disease prevention. One of them is the dissemination of information to prevent teen smoking.
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the pregnant client tells the nurse she has a history of mitral valve stenosis as a sequela of rheumatic fever. the nurse plans to closely monitor the client based on the understanding that which physiologic change in pregnancy increases this client's risk for complications?
The physiologic change in pregnancy that increases this client's risk for complications is Increased blood volume.
What is rheumatic fever?Rheumatic fever is defined as the type of fever that occurs due to inadequate treatment of streptococcus infection that affects the heart, blood vessels and joints.
In pregnancy, the general physiology of an individual changes which include an increase in blood and fluid volume.
This occurs due to the blood supplements given to the pregnant woman for the proper development of the foetus.
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the client cannot swallow and just had an enteral tube placed for feeding and medications. medications will have to be in liquid form or crushed for administration. the client has the following medications prescribed. which medication will the nurse withhold and consult with the health care provider?
Oxycodone extended release tablet is the medication which the nurse will withhold and consult with the health care provider for the client cannot swallow and just had an enteral tube placed for feeding and medications.
Oxycodone, sold-out underneath the whole names Roxicodone and OxyContin among others, may be a robust, semi-synthetic opioid used medically for treatment of moderate to severe pain. it's extremely addictive and a ordinarily abused drug.
Enteral tube, additionally called tube feeding, may be a method of delivering nutrition on to your abdomen or gut. Your doctor may advocate tube feeding if you cannot eat enough to induce the nutrients you wish. once tube feeding happens outside the hospital, doctors talk to it as home enteral nutrition (HEN).
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when periodontal scaling on the palatal gingival tissue of the maxillary right second molar under block anesthesia administered only to the maxillary right posterior sextant, the patient begins to gag without initiation by the clinician. what nerve was inadvertently anesthetized so as to cause this situation? group of answer choices nasopalatine nerve greater palatine nerve lesser palatine nerve middle superior alveolar nerve
This condition was brought on by unintentional anesthesia of the lesser palatine nerve.
How long will anesthesia last?Anesthesia-related medications might linger in your body for as long as 24 hours. After receiving sedation, regional, or anesthesia, you shouldn't drive or go back to work until the medication has left your system. As long as your doctor gives the all-clear, you must be able to get back to your regular routine after local anesthetic.
What are the risks of anesthesia?Anesthesia is generally fairly safe. Anesthesia can, in extremely rare circumstances, cause issues like irregular heart rhythms, breathing difficulties, allergic responses to the drugs administered, and even death. The hazards vary based on the type of operation or procedure, the patient's health.
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measuring staffing adequacy: group of answer choices is an ongoing evaluation of matching patient care needs with appropriate nurse staffing and outcomes achieved requires knowledge of recent research evidence is essential for medicare certification is a quarterly evaluation of evidence for nurse staffing, physician availability and reimbursement
The correct answer is, an ongoing evaluation of matching patient care needs with appropriate nurse staffing and outcomes achieved.
What is adequacy?
Adequacy is the state of having sufficient quality or quantity to be accepted. Numerous studies indicate that there is valid grounds for concern over the sufficiency of the diet consumed by British youngsters. More adequacy synonyms include sufficiency, capability, competency, and suitability.
Due to the complexity of contemporary burn care, it takes a coordinated team of specialists to give the best results for each burn survivor. In many areas of a burn victim's care, such as physiologic monitoring, fluid resuscitation, pain control, infection control, complex wound care, and rehabilitation, nurses play a crucial role. According to research, patient mortality is generally correlated with hospital nursing resources, which are defined as nurse staffing and the standard of the workplace. But nobody has ever looked into the connection between those resources and burn mortality.
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a client is admitted to the emergency department following a fall from a horse, and the primary health care provider (phcp) prescribes insertion of a urinary catheter. while preparing for the procedure, the nurse notes blood at the urinary meatus. the nurse should take which action?
Yes, regardless of the vendor you select, a prescription is required for all urinary catheters. Each package of a catheter bears a mark indicating that it is a “RX only” (i.e., prescription only) product.
What prescribes insertion of a urinary catheter?A flexible tube called a urinary catheter is used to drain the bladder and collect urine in a drainage bag.
Urinary catheters that are implanted permanently can be extremely painful, uncomfortable, and reduce a person's quality of life. If a catheter is present, constipation can result in pain and issues with the bladder emptying.
Therefore, A urinary catheter is often implanted by a physician or nurse. They can be inserted either through a tiny hole drilled into the lower belly or the urethral catheter, a tube that exits the bladder.
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mportant vaccinations for older adults include: a. hpv and influenza. b. smallpox and influenza. c. pneumonia and hpv. d. pneumonia and influenza.
the nurse teaches 17-year-old girl with has a severe gonorrheal infection about her disease. the nurse realizes that the girl understands the implications of her disease when the client makes which statement?
The nurse realizes that the girl understands the implications of a severe gonorrheal infection when the client makes a statement that it leads to pelvic inflammatory disease which is characterized by burning and painful sensation when peeing and can be spread through sexual contact etc.
Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complication.
Gonorrhea is referred to a form of sexually transmitted bacterium which affects both male and females. In females, it spreads into the uterus or fallopian tubes and cause pelvic inflammatory disease which causes a burning and painful sensation when peeing which is what should be said that shows that the girl understands the implications of her disease.
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the critical care nurse is caring for a patient with a pulmonary artery pressure monitoring system. the nurse is aware that pulmonary artery pressure monitoring is used to assess left ventricular function (cardiac output). what else are pulmonary artery pressure monitoring systems used for?
To assess the patient's response to fluid and drug administration.
Monitors for pulmonary artery pressure
The technology enables you and your office to assess the patient's heart rate and pulmonary artery pressure in order to better understand the progression of their heart failure and their treatment requirements.
A pressure sensor is inserted using a catheter into the artery that transports blood from the heart to the lungs in order to measure pulmonary artery pressure. This can aid in the diagnosis of clots, heart failure, and other cardiovascular issues. The main arteries emerging from the right ventricle of the heart are called pulmonary arteries.
One of the most frequent causes of pulmonary hypertension is assumed to be issues with the left side of the heart. These include issues with the mitral valve, the left ventricle, and the aortic valve.
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the nurse teaches a client receiving an inhaled corticosteroid about the possibility of developing oral thrush. which action(s) would the nurse include in the teaching plan as a way to reduce this risk? select all that apply.
The nurse will include the following in her teaching plan as a way to reduce this risk:
Performing strict oral hygiene Cleaning the inhaler per package instructionsUsing proper technique when administering the dose.Using inhaled corticosteroids can make you more likely to have thrush, a mouth illness caused by a fungus. This results from chronic illnesses like asthma and COPD not eliciting an immunological response. It might also be because of poor oral hygiene.
You can lessen your risk of developing thrush by brushing your teeth or rinsing your mouth after using your inhaler. Thrush can be treated with oral or topical medications if it does manifest.
Though thrush is uncommon, inhaled corticosteroids can raise your risk of developing it. Using your inhaler as needed is crucial to control your chronic respiratory illness. Discuss underlying medical concerns with your healthcare professional if you suffer thrush regularly.
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An infant with severe dehydration would be expected to present with________
A. excessive tearing.
B. moist oral mucosa.
C. bulging fontanelles.
An infant with severe dehydration would be expected to present with decreased urine output.
When you lose more fluid from your body than you take in, dehydration results.
Your body's ability to function is impacted when the normal amount of water in it decreases, which throws off the balance of minerals (salts and sugar) in your body.
Over two thirds of a healthy person's body is made up of water. It aids digestion, removes waste and toxins, lubricates the eyes and joints, and maintains healthy skin.
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a patient who has long-term packed rbc (prbc) transfusions has developed symptoms of iron toxicity that affect liver function. what immediate treatment should the nurse anticipate preparing the patient for that can help prevent organ damage?
The immediate treatment the nurse should anticipate when preparing the patient to help prevent organ damage is to administer a special polyethylene glycol solution, either by mouth or through a gastric tube, to remove the contents of the stomach and intestines (total intestinal irrigation). ), even if its effectiveness is unclear.
What is Red blood cell (RBC) transfusion?Red blood cell (RBC) transfusion should be performed to treat or prevent imminent and inadequate release of oxygen (O2) to tissues, that is, in cases of anemia, but not every state of anemia requires red blood cell transfusion.
What is the purpose of blood transfusion?Transfusions are given to increase the blood's ability to oxygen carry, restore the amount of blood in the body (blood volume), and correct clotting problems.
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all of the following represent a 2 week temporary deferral from donating blood or blood products except:_____.
A. Measles (rubeola) vaccine
B. German measles (rubella) vaccine
C. Mumps vaccine
D. Polio vaccine
The following represent a 2 week temporary deferral from donating blood or blood products except: Measles (rubeola) vaccine.
Donor deferral way that an person isn't eligible to donate based totally at the modern requirements. This waiting period is vital to defend the fitness and protection of both the donor and the affected person who receives the donated blood.
Donors whose personal health is probably affected by donating (category 1) Donors with risk of a transmitting transfusion transmissible infections (class 2) Donors with a circumstance where transmissibility by using blood is unknown or donors with diseases or a circumstance not appropriate for blood donation (class three)
Temporary donor deferral is used to guard recipients of blood from feasible infectious disorder publicity or is used to guard donors if health status measures including hematocrit or blood strain are outside ideal values.
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a student who uses a wheelchair and needs healthcare services related to a breathing machine is enrolled in special education services. he is considered medically fragile and requires nursing care 24 hours a day. the school would like to share the cost of the nurse with the family. how the cost be legally shared?
The cost to be legally shared for the student with a wheelchair who requires nursing care 24 hours a day due to medical fragility is that the school and the insurance company can collaborate to share the costs, but there must be no cost imposed on the family.
The Importance of Health InsuranceEven if you eat right, exercise, and are currently healthy, the risk of an accident or illness is always present. Hence, having health insurance is mandatory due to its many benefits. Health insurance contributes to lower medical expenses, keeping healthcare more inexpensive and, as a result, more accessible. Access to care, which was facilitated by health insurance, led to decreased death rates and improved health care outcomes. On the most essential level, health insurance might make the difference between sickness and health, or perhaps between death and life.
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When giving high-quality cpr, you should minimize necessary interruptions in chest compressions to less than how many seconds?.
When giving high-quality CPR, you should minimize necessary interruptions in chest compression to less than 10 seconds.
What is CPR?This is referred to as cardiopulmonary resuscitation and it is a life saving technique which is used in patients who have a hear attack or isn't breathing and it involves compression, artificial ventilation etc.
When this procedure is done,there are interruptions which are done for various types of purposes such as rescue breaths, pulse checks etc and it is also best to minimize necessary interruptions in chest compression to less than 10 seconds so as to make it more effective.
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the nurse is monitoring an infant for signs of increased intracranial pressure. on assessment of the fontanelles, the nurse notes that the anterior fontanelle bulges when the infant is sleeping. based on this finding, which is the priority nursing action?
When the baby is napping, the nurse notices that the posterior fontanelle swells. The most important nursing intervention is to alert the registered nurse.
Can timid people work as nurses?Given that the field of nursing is all about connections and patient –, families, and doctors, it makes sense to assume that extroverts would do best in it. However, introverts can contribute some of the best medical care and intuition in the nursing profession and fit very well there.
How many breaks are given to nurses?Nurses who work longer than 10 hours a day are entitled to a second 30-minute meal break. Every four hours, nurses in California are entitled to a 10-minute break, just like any other employee. Employers have to pay.
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g what could be a potentially helpful strategy for reducing deaths related to communicable diseases in poorer nations?
A potentially helpful strategy for reducing deaths related to communicable diseases is:
Handle & Prepare Food SafelyFood can carry germsWash Hands OftenClean & Disinfect Commonly Used SurfacesCough and Sneeze into a Tissue or Your SleeveDon't Share Personal ItemsGet VaccinatedAvoid Touching Wild AnimalsStay Home When SickWhat are communicable diseases?
Communicable diseases are illnesses that spread from one person to another or from an animal to a person, or from a surface or food. Diseases can be transmitted during air travel through direct contact with a sick person. respiratory droplet spread from a sick person sneezing or coughing.
What are some strategies for preventing communicable diseases?
Immunise against infectious diseases.Wash and dry your hands regularly and well.Stay at home if you are sick.Cover coughs and sneezes.Clean surfaces regularly.Ventilate your home.Prepare food safely.Practice safe sex.To know more about communicable diseases:
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a nurse cares for a client with a bmi of 36 kg/m2 and nonalcoholic fatty liver disease. the client asks the nurse if he is a candidate for bariatric surgery. how should the nurse respond to the client?
The nurse can respond that the BMI and condition of the patient meets the criteria for a bariatric surgery.
What is a bariatric surgery?Bariatric surgery is performed for the patient to lose weight, this is achieved by changing the digestive system by making a gastroesophageal reduction. This causes the caloric intake to decrease since less will be consumed than it was before, this without altering the appetite.
This procedure is performed when diet and exercise are not effective for weight loss. This is how morbidity and mortality are prevented.
Among the indications is to be between 18-60 years old, a BMI of 35-40 kg/m² associated with a disease associated with worsening comorbidity, obesity over 5 years, among others.
Therefore, we can confirm that the nurse can respond that the BMI and condition of the patient meets the criteria for a bariatric surgery.
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you are asked to see mr. bob smith, a 65 y/o retired plumber with hip and knee pain. pmh is negative. after a thorough musculoskeletal examination, your correct diagnosis is osteoarthritis. you have likely also detected that mr. smith has:
It is detected that Mr. smith has Heberden's nodes.
What is Heberden's nodes?Heberden's nodes are small, pea-sized lumps of bone that occur in the joint closest to the tip of the finger, also called the distal interphalangeal joint. Heberden's nodes are a symptom of osteoarthritis (OA) of the hands.
Osteoarthritis is the main cause of Heberden's nodes. It is a form of arthritis that occurs when the tissue that covers the ends of bones, called cartilage, wears away. Cartilage can break down from slow wear and tear over time or if you have joint damage.
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the immunization clinic nurse is assessing the mantoux tuberculin skin test a client received 2 days ago. the result is positive. the client does not have signs or symptoms of active tuberculosis. the client is upset regarding the positive result and asks when to start the tuberculosis medication regimen. what is the nurse's best response to this question?
The nurse's best response to the client's question would be to explain that the positive result on the Mantoux tuberculin skin test does not necessarily mean that the client has active tuberculosis.
The nurse would explain that the client will need to undergo further testing, such as a chest x-ray, to determine if active tuberculosis is present. The nurse would also explain that if active tuberculosis is present, the client will need to start a tuberculosis medication regimen.
A positive result on a mantoux tuberculin skin test (TST) indicates that a person has been infected with tuberculosis (TB) bacteria. However, it does not necessarily mean that the person has active TB disease. A person with a positive TST may or may not have active TB disease and may or may not be contagious.
If a person with a positive TST does not have signs or symptoms of active TB disease, the person does not need to start a TB medication regimen. A person with a positive TST and no signs or symptoms of active TB disease will be monitored closely for the development of active TB disease. If active TB disease develops, the person will be treated with TB medications.
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the nurse is caring for a client with secondary spontaneous pneumothorax. the client develops sudden shortness of breath and chest pain with a tracheal shift after harsh coughing. what should the nurse do next?
A medical emergency known as a secondary spontaneous pneumothorax (SSP) occurs when a lung collapses as a result of an existing chronic lung condition.
What client with secondary spontaneous pneumothorax?Due to underlying chest conditions, secondary spontaneous pneumothorax occurs. In over 70% of cases, patients with chronic obstructive pulmonary disease (COPD) report seeing them most frequently.
During the same hospital stay, patients often have a permanent surgery to avoid recurrence.
Therefore, Options for treatment include observation, chest tube insertion, needle aspiration, nonsurgical repair, and surgery. To hasten the enlargement of your lungs and air absorption, you can receive oxygen therapy.
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a nurse is providing in-home hospice care to a terminally ill client. the client experiences a medical crisis requiring monitoring and medication administration. which level of hospice care would the nurse implement?
Level of hospice care given to a terminally ill client with medical crisis that requires monitoring and medication administration is Continuous care.
How many levels of hospice care?There are four levels of hospice care according to Medicare and they include; Routine hospice care, general inpatient care, continuous care and respite care.
When the patient receives hospice care at home or wherever they are it is known as routine hospice care. In general inpatient care, the patient becomes eligible for more intensive care due to progressive illness. Continuous care is provided when a medical crisis arises and patient is at risk of hospitalization. Respite care relieves the primary caregiver temporarily.
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a doctor orders 0.074 gg of chlorpromazine, which is used to treat schizophrenia. part a if the stock solution is 2.5 %(m/v)%(m/v) , how many milliliters are administered to the patient? express your answer to two significant figures and include the appropriate units.
Based on the mass concentration of the stock solution and the mass of the drug prescribed, the volume of the drug required is 3.0 mL.
What is the volume of chlorpromazine, that is required to treat schizophrenia given the prescription of the doctor?The volume of chlorpromazine, that is required to treat schizophrenia given the prescription of the doctor is calculated as follows:
The concentration of the stock chlorpromazine solution = 2.5 %(m/v)%(m/v)
This means that there are 2.5 grams of chlorpromazine per 100 ml of solution = 2.5 g/100 mL solution
Mass concentration of drug solution = 0.025 g drug/ml solution
mass of drug = 0.074 g
The volume of drug required = mass of drug / mass concentration
Volume of drug required = 0.074 / 0.025
Volume of drug required = 3.0 mL
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the nurse is prioritizing clients based on the risk for falls. which client would be at greatest risk for sudden falls and related injury?
when administering a subcutaneous injection to a client, the needle pulls out of the skin when the skin fold is released. what would be the appropriate next action of the nurse in this situation?
Document the administration and inform the primary care provider.
What is injection?Pushing fluids or medications into the body with a syringe and needle; often known as a "shot." Intradermal (ID), subcutaneous (SC), and intramuscular (IM) injections are the three primary delivery methods. Each kind targets a particular layer of the skin: Subcutaneous injections are given in the layer of fat just below the skin. Injections are given intramuscularly into the muscle.The area becomes desensitized and subcutaneous tissue is raised when the skin is pinched. The discomfort is reduced by swift, strong insertion. By doing so, you can avoid accidentally injecting into muscles.Typically, subcutaneous injections are administered at an angle of 45 to 90 degrees. The amount of subcutaneous tissue present determines the angle. Give longer needles at a 45-degree angle and shorter needles at a 90-degree angle, in general.To learn more about injection refer to:
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which of the statements is false? please choose the correct answer from the following choices, and then select the submit answer button. answer choices a baby born between 37 and 42 weeks is considered term. the mother typically feels fetal movements during the first trimester. the fetus doubles in size during the last two months of development. babies born in the last few weeks of the second trimester are often able to survive despite being premature. fetal movement decreases during the third trimester.
The fetus doubles in size during the last two months of development. babies born in the last few weeks of the second trimester are often able to survive despite being premature. fetal movement decreases during the third trimester. This statement is wrong.
What is Fetal Movement in Pregnancy?
Fetal movements, commonly referred to as "kicks," are the movements of an unborn child while they are still inside the mother. With time, your pregnancy may cause a change in the movement's nature.
Therefore, The fetus doubles in size during the last two months of development. babies born in the last few weeks of the second trimester are often able to survive despite being premature. fetal movement decreases during the third trimester is wrong statement.
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Identify the interventions that can be safely used to manage diaper dermatitis. Select all that apply.
a. Blow dry heat on skin with hair dryer.
b. Apply a skin barrier paste such as zinc oxide.
c. Keep skin surface irritants such as urine and stool off skin.
d. Expose skin to air.
e. Use only cloth diapers.
the interventions that can be safely used to manage diaper dermatitis:
a. Apply a skin barrier paste such as zinc oxide
c. Keep skin surface irritants such as urine and stool off the skin.
d. Expose skin to air
Diaper dermatitis is an inflammatory reaction to the skin of the diaper area—also known as the perineal and perianal areas. It's the most common skin problem young babies have. It typically results from atopy, disease, or synthetic bothering.
The best way to keep the diaper area clean and dry is to change diapers as soon as they become soiled or wet.Apply a cream, glue, or salve to the skin after delicately drying it. Petroleum jelly or products with a high zinc oxide content effectively shield the skin from moisture. Without a prescription, you can purchase an assortment of diaper rash meds. To help the diaper rash heal, do what you can to expose the area to more air.Know more about dermatitis here: https://brainly.com/question/13710891
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the home health nurse is watching the caregiver change the sternotomy dressing on the postoperative client. which action by the caregiver identifies correct principles of infection control?
Before removing the soiled dressing & once again putting on the clean dressing, the caretaker washes her hands.
To stop the transmission of pathogens in medical settings, two levels of protection are advised: Precautions based on transmission and common precautions.
Hand washing is the most efficient way to stop the transmission of bacteria and germs. Hand washing comes first in every aseptic technique. Using gauze that has already been opened, not cleaning hands afterward sneezing, and failing to put on fresh gloves following removing the old bandage all contribute to the risk of wound infection.
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the debate over delivering health care is primarily about the morality of individual actions and decisions. true false
The debate over delivering health care is primarily about the morality of individual actions and decisions is a false statement.
What are the Ethics and Reality of Health care?All practice contexts use the language of ethics related to healthcare, often known as bioethics, and four fundamental concepts are widely acknowledged. Autonomy, beneficence, nonmaleficence, and justice are among these tenets. Veracity (truthfulness) and fidelity (trust) are also mentioned as ethical principles by case managers and other health professionals, but they are not among the fundamental ethical principles defined by bioethicists.An American value is autonomy. It is the capacity for independent decision-making, commonly referred to as self-government. We place a high value on individual liberties and view freedom as synonymous with independence. Our democratic legal system preserves individuals' right to make decisions about their own health care because it encourages individual autonomy.The patient's best interests are served by the benevolent practitioner's treatment. Being kind is the definition of beneficence. The healthcare provider's actions are intended to result in a favorable outcome. The topic of subjective and objective judgments, of benefit vs harm, is always brought up by beneficence. The only way a choice can be considered objectively is if it would be made regardless of who was making it.To learn more about health care, refer to
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