Preventing pressure on peripheral blood vessels is the goal that nurse is trying to achieve.
Avoid putting pressure on peripheral blood vessels. A circulating air bed distributes human weight across a greater area, lowering pressure against capillary beds and allowing better tissue perfusion. A client who lost 35% of her complete body surface area in a fire is currently 48 hours postburn. The peripheral vascular system (PVS) comprises all blood vessels located outside of the heart. A cardiovascular disorder in which blood arteries constrict, reducing blood flow to the limbs.
Peripheral vascular disease is caused by the accumulation of fatty deposits and calcium in the artery walls (atherosclerosis). Aging, diabetes, and smoking are all risk factors. Leg soreness, especially when walking, is one of the symptoms. Tobacco cessation, exercise, and a balanced diet are frequently effective remedies. When these improvements are insufficient, medication may be used.
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In anticipation of a client returning to the room after a subtotal thyroidectomy, which intervention would be highest priority for the nurse to perform
In anticipation of a client returning to the room after a subtotal thyroidectomy, the highest priority intervention for the nurse would be be to set up a tracheostomy kit by the patient's bed.
Sometimes the parathyroid glands are unintentionally removed during thyroid surgery. A subsequent hypocalcemia may cause the glottis to contract, obstructing the airway. Edema at the surgical site may also do the same. Airway obstruction following thyroid surgery is an emergency circumstance, albeit being uncommon. A tracheostomy kit, suction tools, and oxygen should be easily accessible in the client's room. The laryngeal nerve needs to be assessed through speech, so having a pen and paper on hand is appropriate. It is recommended to adopt a semi-Fowler position to increase respiratory excursion. A patent airway, however, takes precedence over these procedures.
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After providing AM care to a client receiving mechanical ventilation via an endotracheal tube, the nurse notes a sudden decrease in the pulse oximetry reading. How will the nurse assess endotracheal tube placement
It is not a way to verify endotracheal tube placement to obtain arterial blood gases.
Endotracheal Tube (ETT) is an airway catheter that is inserted into the trachea through the mouth or nose in endotracheal intubation. The ETT is inserted into the patient's trachea to ensure that the trachea is not blocked as the respiratory tract and breathable air can enter the lungs. The ETT is the most reliable tool in ensuring the airway remains clear.
The main modality for verifying ETT placement is a combination of:
chest rises,breath sounds, andAssess tidal CO2 via capnography.This question is multiple choice:
a. End-tidal carbon dioxide levelb. Auscultate lung soundsc. Obtain arterial blood gasd. Monitor for symmetrical chest movementThe correct answer is C.
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adaptive equipment are mobility aids or mobility-assistive devices that are designed to enable a patient to _______________.
Adaptive equipment are mobility aids or mobility-assistive devices that are designed to enable a patient to bathing, dressing, grooming, toileting, and feeding.
Adaptive equipment are gadgets that aid with washing, clothing, grooming, toileting, and eating, which are self-care tasks included in the spectrum of daily living activities (ADLs). Mobility vans are a rising market for adaptable equipment. In this scenario, adapted equipment, also known as assistive technology, can aid a person with a handicap in operating a motor vehicle when they would otherwise be unable to do so.
Mobility adaptive equipment is utilised when an illness or injury impairs or renders an individual's motor functions inoperable. If a person has limited motor functions, there is equipment and technology that can help them restore part or all of their movement.
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30. When applying towels around the incision a. It is important that the skin be dry b. Drape the area nearest you first c. Walk to the opposite side of the patient to place the last towel d. All of the above
When applying towels around the incision option d. All of the above is correct, as it it is important to have dry skin, nearest area is to be draped first and last towel should be placed on opposite side.
An incision is a cut through the skin that's made during surgery. It's also called a surgical crack. Some lacerations are small, others are long. The size of the gash depends on the kind of surgery you had.
Dry skin accompanies most surgical procedures as a result of the temporary towel swelling that takes place with any operation. This temporary stretch causes the skin to produce have further of the external skin than it needs and once the lump resolves, this skin sloughs off.
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Why would being able to create technologies smaller than 100 nanometers be so significant to the medical community?
The ability to produce technologies smaller than 100 nm would be extremely beneficial since they could work on a cellular level and go through the body without requiring surgery.
The field of research known as nanomedicine combines nanotechnology with medications or diagnostic chemicals to increase the capacity to target specific cells or tissues. These materials are created on a nanoscale and are safe to use in the body.
Particles are created to be attracted to damaged cells, allowing for direct therapy of specific cells. This approach protects healthy cells in the body and enables for earlier illness identification. Infection might be detected considerably sooner if nanoscale sensors are put directly into the implant or surrounding environment. As targeted medicine delivery becomes more practical, it may be able to treat an infected region at the first indication of illness.
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George suffers from pain in his neck due to continuous typing for long hours. What kind of exercise can George do for his neck
George suffers from pain in his neck due to continuous typing for long hours. George should perform chin tucks and try massages with ice or heat.
The neck is the group of structures that link the head to the body. It is a complicated structure made up of several bones, muscles, nerves, blood vessels, lymphatics, and connective tissues. Depending on the reason, neck discomfort, or cervicalgia, can continue for days to years. Physical strain, bad posture, emotional stress, osteoarthritis, spinal stenosis, ruptured disc, pinched nerve, malignancies, and other health issues are all common causes.
Neck discomfort is occasionally an indication of a more serious issue. Seek medical attention if you have neck discomfort with numbness or lack of strength in your arms or hands, or if you have pain that shoots into your shoulder or down your arm.
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Laura is about to start her third round of chemotherapy. Her chemotherapy medication is dosed by her BSA. She weighs 120 lb and is 60 in tall. What is her BSA
Her chemotherapy medication is dosed by her BSA. She weighs 120 lb and is 60 in tall her BSA was 1.52 m2
Is chemotherapy exclusively used for cancer patients?
Chemotherapy is a common family of medications used to treat a wide range of illnesses, including but not limited to malignancies, blood problems, and a wide range of autoimmune diseases. Similar to how it can be given orally, topically, intravenously, or subcutaneously.In order to eradicate your body's rapidly proliferating cells, chemotherapy is a pharmacological therapy. Chemotherapy is most frequently used to treat cancer because cancer cells grow and reproduce a great deal faster than most other types of body cells. Chemotherapy medications come in a variety of forms.
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Which established the Medicare clinical laboratory fee schedule, which is a data set based on local fee schedules for outpatient clinical diagnostic laboratory services
The Balanced Budget Act of 1997 established the Medicare Clinical Laboratory Fee Schedule (CLFS), which is a data set based on local fee schedules for outpatient clinical diagnostic laboratory services.
This fee schedule was implemented as a way to control the cost of laboratory services under the Medicare program and to ensure that payments to laboratories are based on fair and reasonable charges. The CLFS sets payment rates for laboratory services based on the median charges for laboratory tests in a given geographic area, taking into account the cost of providing the service, the volume of tests performed, and other factors. This fee schedule applies to clinical laboratory services furnished to beneficiaries in all settings, including physicians' offices, hospitals, and independent laboratories.
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If a problem with a team member is not directly or immediately impacting patient care, the team leader should:
The team leader should discuss the problem after the call.
The concept of consistent care across the entire health care team from first patient contact to patient discharge is called the continuum of care. Healthcare organisations track patient experiences in order to assess and improve treatment quality. Nurses have a significant influence on patient experiences since they spend so much time with them. To enhance patient perceptions of the quality of treatment, nurses must understand the elements that impact the nursing work environment.
Data was gathered using a descriptive qualitative study approach. Four focus groups were held, one with each of six or seven registered nurses working in mental health care, hospital treatment, home care, and nursing home care. Purposive sampling was used to recruit a total of 26 nurses.
According to participants, a variety of factors influence patients' perceptions of the quality of nursing care. They think that adding these features into regular nursing practise will lead to better patient experiences. Nurses, on the other hand, operate in a healthcare system in which they must balance cost-efficiency and accountability and their desire to offer nursing care based on patient requirements and preferences, and they face a contradiction between these two approaches.
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What type of water contaminants presents the greatest health threat to most residents of developing countries
Which of the following actions would NOT be performed during the scene size-up?
A. Notifying the dispatcher to send fire personnel
B. Rapidly assessing a patient's respiratory status
C. Noting the position of a crashed motor vehicle
D. Asking a neighbor to secure the patient's dog
B) During the scene size-up, actions that would assess a patient's respiratory status quickly would not be taken.
What are the four main steps in patient assessment?The scene size-up, primary assessment, secondary assessment, and reassessment are the primary components of patient assessment.
What is the most crucial aspect of a patient's assessment?To ensure that the patient is not predisposed to a medical emergency during the actual procedure, it is essential to conduct a focused physical exam and take a history. In order to get a sense of the patient's mental state, it's also important to talk to them.
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The staff development coordinator plans to teach use of physical management techniques for use when patients become assaultive. Which topic should the coordinator emphasize
When patients become aggressive, the staff development coordinator should emphasize practice and teamwork to improve management techniques.
The use of manual intervention to control and limit undesirable behavior is known as physical management. In a crisis, using sound techniques can help to reduce injury and liability. Physical management training has numerous advantages for your company. If done correctly, it can produce competent and confident staff capable of handling crisis situations, as well as reduce staff fear by relieving anxiety caused by confusion and indecision. Physical management is an important tool for creating and maintaining a safe work environment.
In general, physical management is part of a use-of-force continuum. According to the organizations involved, these can range from verbal or nonverbal techniques to, eventually, lethal force.
For example, most security organizations consider the first technique to be officer presence, with lethal force as a last resort.
The staff development coordinator plans to teach use of physical management techniques for use when patients become assaultive. Which topic should the coordinator emphasize?
a. Practice and teamwork
b. Spontaneity and surprise
c. Caution and superior size
d. Diversion and physical outlets
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While explaining the importance of developing leadership skills among nurses to a group of first-year nursing students, Natalie, a nursing unit manager, emphasizes that:
Nursing Unit Manager Natalie explains to a group of first-year nursing students the importance of developing leadership skills among nurses, emphasizing: The public needs nurses to take the lead in advancing consumer advocacy concerns.
The four basic skills for leadership in nursing are communication, problem-solving, management, and self-assessment. The most important leadership skill for nursing students in clinical care coordination. Prioritization, time management, and clinical decision-making are secondary factors involved in coordinating clinical care. She believes clear and open communication, accountability and defined roles, and participatory decision-making are key to a healthy environment. Communication skills are key to effective leadership, regardless of the type of leader or the type of unit the caregiver leads.
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The "chain of infection," i.e., the transmission of infectious agents in healthcare settings requires a ________________.
A. Source or reservoir of infectious agents
B. Susceptible host with a portal of entry receptive of the agent
C. Mode of transmission for the agent
D. All of the above
The chain of infection in a healthcare setting requires: (A) Source or reservoir of infectious agents; (B) Susceptible host with a portal of entry receptive of the agent; and (C) Mode of transmission for the agent.
Infection is the invasion and the multiplication of small microorganisms inside the living body. These microorganisms may release toxic substances into the host body and they may interfere with the normal functioning of the host resulting in diseases,
Infectious agents are the small microorganisms that have the potential to enter the host body and cause diseases. The example of infectious agents is bacteria, virus, parasite, fungi, etc.
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Aldosterone inhibitors are prescribed to patients with advanced heart failure. A common side effect of these drugs is __________.
Which breed is promoted for small-scale operations?
Bourbon
Black Turkey
Bronze
Slate
The most commonly promoted breed for small-scale operations is the Bronze turkey.
What are the advantages of promoting a specific breed for small-scale operations?
1. Increased Efficiency: Keeping the same breed makes it easier to predict production, feed needs, and other factors that can help small-scale operations maximize efficiency.
2. Improved Genetics: By selecting and promoting a specific breed, small-scale operations can have access to improved genetics, which can lead to better health and higher production levels.
3. Reduced Labor Costs: By using a specific breed, small-scale operations can reduce labor costs by eliminating the need to learn and manage multiple breeds.
4. Reduced Feed Costs: By using a specific breed, small-scale operations can reduce feed costs by having a better understanding of the breed’s nutritional requirements.
5. Increased Revenues: By promoting a specific breed, small-scale operations can increase revenues by establishing a reputation for quality and consistency.
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What's the primary focus of the pharmacy technician?
How are pharmacy technicians required to continue training after graduation?
What’s the difference between a drug’s brand name and generic name?
The primary focus of the pharmacy technician is to process and dispense prescribed drugs (question 1). Pharmacy technicians are required to continue training after graduation because new drugs appear and they need to be correctly prescribed (question 2). The difference between a drug’s brand name and a generic name is the fact that the generic name is not technical.
What is the primary role of a pharmacy technician?The primary role of a pharmacy technician is to provide proper prescriptions for approved drugs for specific patients.
Therefore, with this data, we can see that the primary role of a pharmacy technician is based on the prescription of different drugs, which requires continuous specialization after graduation.
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Which airway device is most appropriate as an initial intervention for a semiconscious patient who requires ventilation with a bag-valve-mask (BVM) resuscitator
An NPA may be used on a conscious, semiconscious or unconscious patient. initial intervention for a semiconscious patient who requires ventilation with a bag-valve-mask (BVM) resuscitator
A bag valve mask (BVM), often referred to as an Ambu bag, a manual resuscitator, or a "self-inflating bag," is a portable device that is frequently used to deliver positive pressure ventilation to patients who are not breathing or are not breathing enough. The device is a necessary component of resuscitation kits for trained personnel working outside of hospitals (such as ambulance crews), and it is often used in hospitals as a piece of standard equipment in emergency rooms and other critical care settings. The American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care urge that "all healthcare personnel should be conversant with the use of the BVM," highlighting the prevalence and use of BVM in the United States.
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A nurse is caring for an infant with a tentative diagnosis of hypertrophic pyloric stenosis (HPS). What is most important for the nurse to assess
When caring for an infant with diagnosis of Hypertrophic Pyloric Stenosis (HPS), it is important for the nurse to assess the signs of dehydration.
HPS is the disease of the infants where the entry of food into the small intestine is blocked. This happens because the opening between the stomach and the small intestine thickens. The disease appears in the babies that are less than or up to 6 months of age.
Dehydration is the condition where the body of an individual has less quantity of fluids than normal. Dehydration can arise due to several reasons like inadequate fluid intake, due to some disease or as an effect of medications.
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If Miguel does not order all the supplies, how will he know which ones should be ordered?
Answer: by checking his list
Explanation:
you are called to the home of a female patient in cardiac arrest. as you walk into the scene, you discover the first responders have just performed a combination of cpr and use of an aed amd she has remained a pulse; however, she remains unconscious and is not breathing. her husband arrives and hands you what appears to be a valid do not resuscitate order and asks that you discontinue your efforts to save her. what should you do next
You should immediately stop all resuscitation efforts and contact the patient's physician to confirm the validity of the DNR order. If the order is valid, you should follow the instructions on the order and provide comfort care to the patient and her family.
Nutrition, caregiver responsiveness, and learning opportunities are all __________ influences on maturation.
Nutrition, caregiver responsiveness, and learning opportunities are all environmental influences on maturation.
Nutrition, caregiver responsiveness, and learning opportunities are all examples of environmental factors that can influence a child's physical and cognitive development. They are not genetic or innate factors, but rather the external conditions and experiences that can shape a child's growth and maturation. Adequate nutrition, responsive caregiving and sufficient learning opportunities can facilitate child's growth, while the lack of them can hinder it.
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Explain how random assignment would help establish cause and effect in this experiment.
Edgar is a psychologist interested in the effects of the presence of self-checkout counters on customer satisfaction. He convinces a large clothing company to consider adding self-checkout
counters to some of its stores. Edgar's hypothesis is that if self-checkout counters are introduced, customers will be more satisfied. He is proposing an experimental study to examine this belief
The only way to be certain about cause and effect is through an experimental research using random assignment. For instance, in a random assignment research, the experimental group is given the drug while the control group is not, in order to determine if a treatment results in patient cures.
Using randomization, such as by chance (e.g., flipping a coin) or a random number generator, random assignment or random placement is an experimental strategy for allocating human participants or animal subjects to various groups in an experiment (e.g., a treatment group against a control group).
By doing this, it is made sure that each participant or topic has a fair chance of being assigned to a group. By assigning participants at random, it is possible to prevent systematic disparities between and within groups from existing at the commencement of the experiment. As a result, it is safer to ascribe any differences between groups that are noted at the end of the trial to the methods or treatments used.
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The nurse is to administer a cyclic feeding through a gastric tube. It is most important for the nurse to
Answer:
Check the residual volume before the feeding
Explanation:
The nurse will deliver a cyclic feeding through a stomach tube. It also is critical therefore for nurses to lift the bed's head should 45 degrees.
Elevating a head of a bed 30 to 45 degrees helps reduce aspiration into in the lungs. As according to Maslow's hierarchy of needs, this is a priority.
Most patients who are unable to obtain an appropriate oral intake via food or oral nutritional supplements, or who are unable to eat and drink safely, may benefit from nasogastric tube feeding. The purpose of this strategy is to enhance and maintain each patient's dietary intake and nutritional status.
Nasogastric tube (NG tube) is used in individuals with dysphagia who are unable to achieve nutritional demands despite dietary modifications and are at risk of aspiration.
Nasogastric (NG) intubation is a process in which a thin, plastic tube is placed into the nose, down into the stomach, and out. Once an NG tube has been correctly put and secured, healthcare workers such as nurses can directly feed food and medicine to the stomach or take things from it.
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When a patient is obese or has a thick chest wall, what is difficult to palpate?
A. Grade 4 murmur B. Sternal angle C. JVP D. Apical impulse
When a patient is obese or has a thick chest wall, option D: apical impulse is difficult to palpate.
The best place to measure your heart rate is on your chest, where your apical pulse is located. It is also known as the apex beat and the point of maximal impulse (PMI). Along your arteries are where your other pulse spots are situated. Obesity negatively affects the diastolic function of the heart. Because of different loading conditions and an increased LV mass that may negatively affect the ventricle's passive filling capabilities, obesity can change the LV filling indexes. This can consequently affect apical impulse caused due to affected cardiac output. Thus, option D is the correct choice.
The apex beat, also known as the apical impulse, is the palpable cardiac impulse that is located in the fifth intercostal space, closest to the midclavicular line (MCL), and furthest down on the chest wall. It is typically caused by the LV.
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A 24 yr old girl is trying to increase lean body mass but never feels hungry, causing her to undereat. She should try to consume a diet higher in nutrient-dense foods because this will help increase her calorie intake. Group of answer choices True False'
A 24 yr old girl is trying to increase lean body mass but never feels hungry, causing her to undereat. She should try to consume a diet higher in nutrient-dense foods because this will help increase her calorie intake .False
The term "nutrient density" refers to the ratio of the number of desirable nutrients to other factors, such as weight, energy content, or the quantity of undesirable nutrients. Similar characteristics are described by terms like "nutrient rich" and "micronutrient dense." Various national and international standards have been created and are now in use (see Nutritional rating systems).
Nutrient profiling, according to the World Health Organization, organizes and/or ranks foods based on their nutritional content in an effort to improve human (and/or animal) health and avoid disease. Ranking by nutrient density is one such nutrient profiling strategy
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Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease
If the 8-year-old child is not able to grasp the scientific reasoning for his condition, then the nurse is assessing Intellectual development. This is because intellect determines the ability to judge and understand complex topics.
Intellectual growth is all about giving a child's reasoning and problem-solving abilities a swift boost. Their memory, problem-solving ability, reasoning, and thinking capacities all work together to form who they are through time. It all comes down to how well a youngster develops their capacity for thought and reasoning. The child's capacity for intellect and reasoning displays the most substantial growth between the ages of six and eleven. The onset of formal academic education and the development of reading and writing abilities, to an unknown extent, boost this increase.
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The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory
The nurse's teaching on the pathophysiology of osteoarthritis and degenerative joint disease best illustrates the learning theory of cognitive-constructivism. This theory suggests that learning is an active process in which individuals construct new knowledge and meaning from their experiences.
By educating the client on the pathophysiology of the disease, the nurse is providing the client with the necessary information to understand their condition, and the client is actively processing and constructing new knowledge about their condition. Additionally, this type of teaching also emphasizes the client's autonomy and encourages them to take an active role in their own care, which aligns with the principles of cognitive-constructivism. By providing the client with a thorough understanding of their condition, the nurse is empowering them to make informed decisions about their care and treatment.
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Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training. Nancy is exhibiting which trait of a follower?
Nancy demonstrates the follower nature of assuming responsibility for identifying a safety concern and concedes authority for the solution to you.
Nursing management includes the effective use of time because management is effective time, the success of clinical manager nurse plans, who have the theory or systematic use of principles and methods related to major institutions and organizations within them, including each unit.
Management skills can be classified into three levels, namely.
Intellectual skills, which include the ability or mastery of theory, and thinking skills.Technical skills include/methods, procedures, or techniques.Interpersonal skills, including leadership skills in interacting with individuals or groups.The skills that Nancy shows you are interpersonal skills, where she identifies problems but still gives authority to provide solutions to you.
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The nurse is caring for a client who is at 37 weeks' gestation and has a biophysical profile of 10. Which nursing action is best
Schedule a health care provider appointment for one week is the best nursing action.
A biophysical profile is a test that is performed after the 28th week of pregnancy. This noninvasive diagnostic test aids in determining the health of the foetus. Body movement, muscle tone, breathing movement, heart rate, and amniotic fluid level are all measured. A biophysical profile is a prenatal ultrasound examination of foetal well-being that employs a scoring system, the result of which is known as Manning's score. It is frequently used when a non-stress test is inconclusive or for other obstetrical purposes.
Each assessment is assessed with either 0 or 2 points, and the total is between 0 and 10. A BPP of 8 or 10 is often thought to be comforting. Because foetal movements do not occur in the first half of a pregnancy, a BPP is usually not conducted before the second half.
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