the nurse is assessing a client who has been in a car accident. the client reports sore ribs and painful breathing on the left side of the chest wall. a chest x-ray confirms fracture of two ribs and left-sided hemopneumothorax. what can the nurse anticipate?
The left pleural area will be opened up and a pleural evacuation device will be linked to a chest tube in such a case.
Define hemopneumothorax.
Combining pneumothorax and hemothorax, hemopneumothorax is a medical condition. When there is air outside the lung, in the space between the lung and the chest cavity, it results in pneumothorax, also known as a collapsed lung. Most frequently, a chest injury like a gunshot, stabbing, or broken rib results in hemopneumothorax.
The goal of hemopneumothorax treatment is to drain the blood and air from the chest, restore lung function, stop further complications, and treat any wounds. Chest tube thoracostomy is the primary treatment for hemopneumothorax. In order to drain the air and blood from the area around the lungs, this procedure involves inserting a hollow plastic tube between the ribs. It's possible to connect the tube to a device to aid in the drainage.
The chest tube will be removed once your doctor is certain no additional fluid or air needs to be drained. Surgery will almost certainly be required to repair damaged tissue in patients with large wounds or other injuries. Depending on how much blood they've lost, they might also require one or more blood transfusions.
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the health care provider ordered four tests of renal function for a patient suspected of having renal disease. which of the four is the most sensitive indicator? creatinine clearance level uric acid level blood urea nitrogen (bun) bun to creatinine ratio
Creatinine clearance level is the most sensitive indicator.
How important is creatinine clearance?
The amount of endogenous creatinine removed from the blood in 1 minute is measured by the creatinine clearance. The rate of glomerular filtration is gauged by this. Consequently, the creatinine clearance test is a sensitive indicator of the development of renal disease.
The amount of blood plasma that is cleared of creatinine per unit of time is known as creatinine clearance (CrCl). For determining renal function, it is a quick and economical approach. The comparison of the levels of creatinine in blood and urine can be used to calculate both CrCl and GFR. Rate of glomerular filtration.
Hence, the answer is creatinine clearance level.
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the family members of a client with mild dementia are asking the nurse about permitting the elderly father to prepare an advance directive. which information would be essential for the nurse to include in a discussion with this family?
The nurse should explain that the client may have some ideas and ability to make certain decisions about what is wanted at end of life.
What is the reason for this?
A patient with mild dementia may have adequate some cognitive ability to contribute to discussions and taking end-of-life care decisions.
They can also identify a person to serve as the health care proxy decision maker. It is not necessary to have a complete psychiatric evaluation before preparing an advance directive, nor is it necessary to be cautious about encouraging the patient in discussing end-of-life wishes.
Discussions about advance directives are about having wishes fulfilled and wants met.
So therefore, the nurse should explain that the client may have some ideas and ability to make certain decisions about what is wanted at end of life.
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What is the transparent front part of the eye that covers the iris, pupil, and anterior chamber?.
peter is a clinical psychologist. when determining whether a client’s behavior shows psychopathology, he should use all of the following criteria except whether the
Peter should use all of the criteria when determining whether a client’s behavior shows psychopathology except when the client recognizes he or she has a disorder.
What is psychopathology?
The study of mental disorders, including their origins, progression, symptomatology, diagnosis, and treatment, is known as psychopathology.
When assessing a client’s behavior for signs of psychopathology, clinical psychologists use four dimensions or the 4Ds: deviance, distress, dysfunction, and danger. A client recognizing that they have a disorder is not indicative of any of these dimensions.
Hence, Peter should use all of the criteria when determining whether a client’s behavior shows psychopathology except when the client recognizes he or she has a disorder.
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Except in cases when the client is aware of a disorder, Peter should consider all of the criteria when deciding whether a client's behavior demonstrates psychopathology.
What about psychopathology?Psychopathology is the study of mental disorders, including how they develop, how they manifest, how to diagnose them, and how to cure them.Clinical psychologists employ the four dimensions, sometimes known as the 4Ds, when evaluating a client's behavior for indications of psychopathology: deviance, distress, dysfunction, and danger. A client's awareness of their disease is not a sign of any of these dimensions. Therefore, Peter should consider all the factors when deciding if a client's behavior exhibits psychopathology, with the exception of the case where the client is aware of a disease.The study of abnormal cognition, behavior, and experiences which vary depending on social norms and are based on a number of notions that are considered to be the social norm at each given era is known as psychopathology.The study of abnormal mental states, or psychopathology, has directed both clinical and scientific advancement in modern psychiatry for for than a century and provided a Gestalt for psychiatric diseases.Learn more about psychopathology here:
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which needle should the nurse use to administer intravenous fluids (iv) via a client's implanted port? hesi
phenazopyridine is prescribed for a client for symptomatic relief of pain resulting from a lower urinary tract infection. the nurse should provide the client with which information regarding this medication?
Take the medication at bedtime.
Take the medication before meals.
Discontinue the medication if a headache occurs.
-> A reddish-orange discoloration of the urine may occur.
A urinary tract infection (UTI) occurs when microbes enter the urinary tract and cause infection. Bacteria are the most common cause of UTIs, though fungi can infect the urinary tract in rare cases. Most UTIs are caused by E. coli bacteria that live in the bowel.
A urinary tract infection is an infection that affects the urinary tract in some way. It is referred to as a bladder infection when it affects the lower urinary tract and a kidney infection when it affects the upper urinary tract (pyelonephritis). Lower urinary tract infection symptoms include urination pain, frequent urination, and the need to urinate despite having an empty bladder.
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many psychologists believe that our sense of free will is mostly an illusion and that our behavior is mostly determined by external forces. who is the scientist who takes the most extreme version of this position and how does he explain why we do what we do, if not by our own conscious choice?
The idea that free will is a delusion was first put out by psychologist B.F. Skinner.
He made this statement in an effort to highlight the numerous constraints and pressures that have an impact on how we make decisions because he felt that the notion of complete free will is always subject to a variety of constraints and pressures.
B. F. Skinner has served as their most outspoken and eloquent spokesperson. It is disregarded that ideas like "free will" and "motivation" are just illusions covering up the true reasons of human behaviour. According to Skinner's theory of things, a criminal has little to no control over their actions.
Hence, our behavior is mostly determined by external forces.
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before they head back over to carl and layla's house, layla has paul bring all his medications and supplements. she says she'll help him sort them in the morning before she goes to work. paul fills up an entire grocery bag full of different medications and supplements. what is the best course of action to handle the situation? a. layla sort the medications in the morning and make a list of when he needs to take each pill. b. contacting the medical care provider on the label and getting paul in as soon as possible to have a health care professional sort the situation. c. allow paul to sort the situation on his own. d. none of the above
The best course of action to handle the situation is that layla sort the medications in the morning and make a list of when he needs to take each pill.
What is medications?
Chemicals or other substances are called "medicines" when they are used to treat, halt, or prevent disease, lessen symptoms, or aid in the diagnosis of illnesses. A number of ailments can now be cured and lives can be saved thanks to medical advancements. Nowadays, there are numerous sources for drugs.
All medicines are substances that, once swallowed, move to a "receptor" or target in the body where they carry out their activity. Medications consumed orally as pills, tablets, capsules, caplets, powders, liquids, or capsulelets are first swallowed before passing through the oesophagus and into the stomach.
Therefore, The best course of action to handle the situation is that layla sort the medications in the morning and make a list of when he needs to take each pill.
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a client with renal failure who has been taking aluminum hydroxide/magnesium hydroxide suspension at home suspension at home for indigestion is drowsy and has decreased deep tendon reflexes. which action should the nurse take first?
Notify the patient's health care provider action should the nurse take first.
What is renal failure ?
A disorder where the kidneys stop functioning, making it impossible for them to maintain the balance of the body's chemical processes or remove waste and excess water from the blood. When it occurs unexpectedly, such as after an injury, acute or severe renal failure can be treated and cured.
What is indigestion ?
A generic word for a collection of gastrointestinal symptoms, indigestion refers to pain, a burning sensation, or discomfort in the upper belly, feeling full too quickly after eating, and feeling uncomfortable after eating.
Therefore, Notify the patient's health care provider action should the nurse take first.
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a nurse is teaching a group of women about human papillomavirus (hpv). what should the nurse tell the women that human papillomavirus puts women at risk for?
the nurse is preparing to administer furosemide to a 3-year-old with a heart defect. after verifying the arm band, which is the most appropriate second identifier for the nurse to use?
Asking the parent, the child's name is the most appropriate second identifier for the nurse to use.
Furosemide is a loop diuretic used to treat fluid retention caused by heart failure, liver scarring, or renal illness. It may also be used to treat high blood pressure. It can be administered orally or intravenously.
Severe side effects
strong stomach ache that may extend into your back - this could indicate an inflamed pancreas (pancreatitis) Severe side pain or blood in your urine could be indicators of irritated kidneys. Tinnitus (ringing in the ears) or hearing loss
Furosemide is a powerful diuretic (water pill). It aids in the removal of extra fluid from your body. However, consuming too much furosemide might result in dehydration (low fluid level) and electrolyte abnormalities.
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what initial measure can the nurse implement to reduce risk of injury for a client with liver disease? prevent visitors, so as not to agitate the client raise all four side rails on the bed apply soft wrist restraints pad the side rails on the bed
For reducing the risk of injury in liver disease, one can pad the side rails of the bed. In case, if the patient feels restless, these pads help to provide restraints. Many precautions should be taken while treating liver diseases.
Pads help to control the patient's activities. Patients with liver disease have infection-related problems. Infection can also cause injury to the liver. Precautions that should be taken while treating liver disease are
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what can we learn from the example of how allegheny general hospital reduced its central line infections? if you find the root cause of a problem, you can make an error-free system. central line infections are a weak signal. dramatically improving safety and quality requires many small changes in a system. in reducing these infections, a top-down strategy was devised and implemented in a single step, and was responsible for decreasing infections throughout the system.
Numerous small systemic adjustments are necessary to significantly increase safety and quality.
What did we learn from Allegheny General Hospital?Allegheny General Hospital serves as an example of how identifying and addressing a wide range of system flaws can help reduce (and even completely eradicate) major unfavorable consequences. No single action, such as a "silver bullet approach," or top-down order from senior management was necessary to eradicate central line infections. Instead, it called for numerous little adjustments to the care processes in response to numerous small "abnormalities," which could only be made with the help of the experts who were really performing the work. The results of a root cause analysis, often known as "system diagnosis," revealed a number of elements that needed to be addressed rather than just one single cause.
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when caring for a client with chronic glaucoma, the nurse sets the goal of drug therapy to slow disease progression by reducing iop. what are the first-line drugs used to treat glaucoma?
Topical beta-blockers pg. 1080 are the first-line drugs used to treat glaucoma.
Nowadays, lesions with both deep and superficial components as well as amblyogenic lesions are treated with topical beta blockers. The benefit of the treatment can be observed within days when it is started during the proliferative phase of the lesion.The use of topical beta-blockers in the management of glaucoma is well-established. We wanted to find out how patients fared after experiencing symptomatic atrioventricular (AV) block brought on by topical beta-blockers.Beta blockers used topically are the preferred medical treatment for glaucoma. These medications lessen intraocular pressure (IOP), preventing vision loss due to optic nerve injury. The topical beta blockers that are offered in the United States are timolol, betaxolol, lagobolon, metipranolol, and caretook.To know more about Beta blockers check the below link:
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a 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. her blood pressure is 164/90 mm hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. she is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. what assessment should the nurse make next?
Assessment should the nurse take next
a) degree fundal height.
b) take a look at deep tendon reflexes.
c) Palpate the fundus and check the fetal heart fee.
d) attain a voided urine specimen and decide on blood kind.
Atypical uterine bleeding is bleeding between monthly extended bleeding or exceptional. feasible causes include fibroids, polyps, hormone adjustments, and — in the uncommon case
Digestion issues, such as indigestion, gas, constipation, diarrhea, food allergic reactions, and food poisoning, are all extraordinarily commonplace causes of stomach pain. In most instances, the pain will depart within some hours or some days. irritation caused by an infection or infection.
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pancreatin is prescribed for a client with postgastrectomy syndrome. which assessment finding would indicate a therapeutic effect of this medication?
Pancreatin is prescribed for a purchaser with the postgastrectomy syndrome. I'm glad I do not ought to lie still for this technique.
This syndrome is characterized by reduced tolerance to massive meals, rapid emptying or "dumping" of food into the small intestine, belly cramps, diarrhea, postprandial lightheadedness, elevated heart charge, and fast drop in blood sugar tiers. is.
Adjustments in gastric anatomy after surgical procedure, or interference with its extrinsic innervation (vagotomy), will have profound outcomes on the gastric reservoir and pyloric sphincter, thus altering gastric emptying. i have. these outcomes are quite simply referred to as a publish-gastrectomy syndrome.
Human beings who've gone through an overall gastrectomy should supplement their food plan with regular diet B12 injections. two additives required for absorption, stomach acid, and intrinsic factor, come to be unavailable or less available as all or a part of the belly is eliminated.
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a nurse is teaching a client with glaucoma about the prescribed eye drops. the nurse emphasizes the importance of therapy to prevent which complication(s)? select all that apply.
The nurse emphasizes the importance of therapy to prevent visual loss, blindness and nerve damage complications.
Vision is lost when someone is blind. Additionally, it could be used to describe a vision loss that cannot be treated with spectacles or contact lenses. You have very little vision if you are partially blind. You cannot see anything and you cannot see light if you are completely blind. Age-related eye illnesses such glaucoma, cataract, diabetic retinopathy, and age-related macular degeneration are the main causes of blindness and impaired vision in the United States. A few more common eye conditions are strabismus and amblyopia.
Scientists are able to induce the development of particular cell types in stem cells by putting them in the proper environment. Many research teams are investigating the use of stem cells to treat blindness, with one of the more promising methods focusing on the "retinal pigment epithelium," a region of the eye (RPE).
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True or False : the easiest way to win children over to healthy foods is to continue to serve the foods they crave, but with a re-engineering of the ingredients, methods, and presentations.
It is true that the easiest way to win children over to healthy foods is to continue to serve the foods they crave, but with a re-engineering of the ingredients, methods, and presentations.
What is a balanced diet?
Because it contains the proper ratio of vitamins, minerals, and other vital nutrients as well as the ideal number of calories for your body type, a balanced diet is equivalent to a complete diet.It contains Proteins,Fruits,Vegetables,Grains,Fats/oils
It is important for a parent to reconstruct the favorite foods of the children by giving it a homemade twist and reengineered it by substituting it with healthy rich foods so that the children devlop a taste for healthy food.
Hence It is true that the easiest way to win children over to healthy foods is to continue to serve the foods they crave, but with a re-engineering of the ingredients, methods, and presentations.
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a client diagnosed with huntington disease is on a disease-modifying drug regimen and has a urinary catheter in place. which potential complication is the highest priority for the nurse while monitoring the client?
A client diagnosed with huntington disease is on a disease-modifying drug regimen and has a urinary catheter in place therefore the potential complication which is the highest priority for the nurse while monitoring the client is infection or contamination.
What is an Infection?This is referred to as an invasion of the body by harmful microorganisms or parasites which is dependent on various factors. Nurse on the other hand is a healthcare professional who specializes in the taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complications.
Changing the catheter tube and/or bag based on clinical indicators and thoroughly cleaning the area should be adopted due to the risk of infection and contamination thereby making it the correct choice.
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The Joint Commission uses the word "medication" to mean:
a. Any agent to treat a patient
b. Any agent to diagnose a patient
c. Over-the-counter preparations
d. Herbal remedies
g. All of the above
The Joint Commission uses the word "medication" to mean any agent to treat a patient.
What is medication?
Medication is a substance used to treat, cure, or prevent a disease or medical condition. Medications can be prescribed by a healthcare provider and dispensed by a pharmacist, or they can be purchased over-the-counter without a prescription. Medications can be in the form of pills, capsules, liquid, or injections, and they may be used to treat a wide range of conditions, including infections, pain, mental health disorders, and chronic diseases.
Some medications may have side effects, and it is important for individuals to follow the instructions provided by their healthcare provider when taking them.
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the nurse is preparing a client for a cesarean delivery. a urinary catheter is to be inserted into the client's bladder, and the client asks the nurse why this is necessary. the nurse appropriately replies by telling the client that which is the catheter's primary purpose?
The urinary catheter's primary purpose is to reduce the risk of injuring the bladder during the surgery.
Cesarean delivery (C-section) is employed to deliver a baby through surgical incisions created within the abdomen and uterus . Coming up with for a cesarian section can be necessary if there square measure bound maternity complications. Ladies who have had a cesarian section may need another cesarian section.
A urinary catheter is a versatile tube accustomed empty the bladder and collect excretory product in an exceedingly drain bag. Urinary catheters are typically inserted by a doctor or nurse. Inward urinary catheters will cause severe pain and discomfort and may impair a personality's quality of life. Constipation will cause bladder removal issues and pain if a tubing is present.
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which statement made by a nursing student indicates effective learning about which intervention is included in a plan of care for a patient with chronic kidney disease who is taking gluconate and calcium acetate? hesi
An effective understanding of what should be on a plan of care for a patient with chronic kidney disease who is receiving gluconate and calcium acetate is demonstrated by the nursing student's statement, "Administer a stool softener."
What is chronic kidney disease?
Chronic kidney disease, also referred to as chronic kidney failure, is characterized by a progressive loss of renal function. The kidneys filter the blood of wastes and surplus fluid, which is subsequently expelled through urine. If you have advanced chronic renal illness, your body may amass dangerous levels of fluid, electrolytes, and wastes.
When chronic kidney disease first starts, you might not exhibit many signs or symptoms. Kidney disease might not be identified until it has already progressed.
Treatment for chronic renal disease usually aims to address the underlying cause in order to decrease the progression of kidney damage. However, even if the kidney disease's root cause were to be eliminated, the damage would still continue to worsen.
Without mechanical filtering (dialysis) or a kidney transplant, the end-stage renal failure from chronic kidney disease is fatal.
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according to the joint commission a well-planned, well implemented medication management system supports patient safety and improves the quality of care by doing what?
according to the joint commission a well-planned-Reducing variation, errors, and misuse, Using evidence-based practices, Managing critical processes to promote safe medication management, Monitoring medication management processes with regard to efficiency, quality, and safety
A medication is a substance that is taken in order to treat, diagnose, or prevent illness. Drug therapy is a significant area of medicine that depends on the science of pharmacology for ongoing development and on pharmacy for effective management. There are various classifications for drugs. In summary, all drugs are drugs, but not all drugs are drugs. Therefore, there is a small, straightforward, but important distinction between a drug and a medicine. More articles examining these kinds of terminological variations in medicine can be found on our pharmacy blog, so check back often.
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a client in an in-patient addiction facility earns tokens for positive behavior. these tokens can be exchanged at a canteen for candy, soda, and other small rewards. this technique is called .
The technique of earning tokens for positive behavior is called token economy.
What is the token economy?
A contingency management system based on the methodical reinforcement of target behaviour is known as a token economy. Symbols or tokens that can be traded for other reinforcers are known as reinforcers. A token system, also known as a "token economy" or a "token reinforcement system," is employed to promote acceptable behaviour and learning via visual aids. Tokens, also known as rewards, are the reinforcers that a youngster acquires and exchanges for a bigger reward based on how well they perform.
Hence, the answer is token economy.
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a client admitted with inflammatory bowel disease asks the nurse for help with menu selections. what menu selection is most likely the best choice for this client?
For the nutritional therapy of inflammatory bowel disease, a bland, low-residue, high-protein, and high-vitamin diet must be consumed. Tofu satisfies all the requirements.
What is inflammatory bowel disease?Blueberries, spinach, and multigrain bagels are not low-residue foods. Antibiotics, corticosteroids, and other pharmacological types are used to treat inflammatory bowel disease and bring about remission.
The appropriate kind is often determined by the location of the inflammation and the severity of the problem.
Therefore, Tofu satisfies all the requirements, this menu selection is most likely the best choice
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The given question is incomplete, so the complete question is here:
A patient admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is most likely the best choice for this patient?
A)
Spinach
B)
Tofu
C)
Multigrain Bagel
D)
Blueberries
the nurse helps a client to correctly perform peritoneal dialysis at home. the nurse must educate the client about the procedure. which educational information should the nurse provide to the client? clean the catheter insertion site daily with soap keep the dialysis supplies in a clean area, away from children and pets wear a mask while handling any dialysate solutions keep the catheter stabilized to the abdomen, below the belt line
The educational information that the nurse provide to the client is about keeping the dialysis supplies in a clean area and away from the childrens and pets.
Why is it important to keep the dialysis supplies away?
Since the supplies could be harmful to kids and animals, it's crucial to keep them out of the way and in a clean space when not in use. Masks are often only used during exchanges, particularly if a client has an upper respiratory infection.
Daily cleaning of the catheter insertion site should be done without the use of soap and instead with an antiseptic such povidone-iodine. In order to prevent continuous rubbing, the catheter should also be secured to the abdomen above the belt line rather than below it.
Therefore, The educational information that the nurse provide to the client is about keeping the dialysis supplies in a clean area and away from the childrens and pets.
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Benzodiazepines prescribed to treat generalized anxiety disorder enhance the actions of the neurotransmitter:
a. glutamate.
b. norepinephrine.
c. GABA.
d. acetylcholine.
Benzodiazepines prescribed to treat generalized anxiety disorder enhance the actions of the neurotransmitter: c. GABA.
By increasing the brain's concentration of the inhibitory neurotransmitter GABA, benzodiazepines, also known as "benzos," help people relax or become sedated. Benzodiazepines are widely used drugs. Some examples include diazepam (Valium), alprazolam (Xanax), and clonazepam (Klonopin). Benzodiazepines raise the dangers of dependence, withdrawal, memory loss, car accidents, and hip fracture. When sedative drugs like opioids or alcohol are involved, the risk of overdose is particularly high. The neurotransmitter gamma-aminobutyric acid (GABA), which slows down the central nervous system, is made more effective by benzodiazepines. The calming, sedative effect that reduces anxiety is produced by this.
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the nurse has a teaching session with a malnourished client regarding iron supplementation to prevent anemia during pregnancy. which statement indicates successful learning?
"The iron is needed for the red blood cells" statement indicates successful learning.
Premature birth risk increases with severe iron deficiency anemia during pregnancy (when delivery occurs before 37 complete weeks of pregnancy). Additionally linked to low birth weight babies and postpartum depression during pregnancy is iron deficiency anemia.
Iron deficiency and a lack of folic acid are the two main causes of anemia during pregnancy. Preterm birth and postpartum infections in mothers are both made more likely by anemia.
Your doctor could advise consuming more meat to treat your anemia, particularly red meat (like beef or liver), along with chicken, turkey, pork, fish, and shellfish. Spinach and other dark green leafy vegetables are examples of non-meat foods that are good suppliers of iron.
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the physician prescribes a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of dvt. which medication does the nurse anticipate administering to this client?
Answer:
OOOOO A MEDICAL QUESTION I LOVE MEDICAL STUFF! lets see i believe it would be Desirudin (Iprivask)
Explanation:
Desirudin (Iprivask) is a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT. Argatroban (Acova) is incorrect because argatroban and lepirudin are indicated for prevention or treatment of low platelet counts induced by heparin therapy. Lepirudin (Refludan) is incorrect because argatroban and lepirudin are indicated for prevention or treatment of low platelet counts induced by heparin therapy. Bivalirudin (Angiomax) is incorrect because bivalirudin is administered in combination with aspirin to prevent thrombi in patients undergoing angioplasty.