A physician ordering corticosteroids for a child with Systemic Lupus Erythematosus (SLE) is typically done to: reduce inflammation and suppress the immune system.
The corticosteroids work by reducing the production of certain chemical messengers that cause inflammation, which helps to reduce the signs and symptoms associated with SLE. Additionally, corticosteroids help to reduce the activity of the immune system, which helps to slow the progression of the disease and limit the damage it can cause.
The goal of corticosteroid therapy in this situation is to reduce inflammation, reduce the activity of the immune system, and slow the progression of SLE. In order to ensure that the corticosteroid therapy is as effective as possible, the physician will likely order regular blood tests to monitor the patient's health.
This is important because too many corticosteroids can cause serious side effects, so it is important to keep the dosage within safe limits. Additionally, the physician may also order other tests such as x-rays and ultrasounds to monitor the progress of the disease and make sure the corticosteroids are having the desired effect.
Overall, the purpose of corticosteroid therapy for a child with SLE is to reduce inflammation, suppress the immune system, and slow the progression of the disease. It is important to note that this type of therapy can only be effective if the dosage is carefully monitored and adjusted accordingly, as too many corticosteroids can cause serious side effects.
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the nurse starts 500 ml of d5/0.9% ns at 100 ml/hr at 0100. at 0200, the hourly rate is decreased to 50 ml/hr per physician order. parenteral intake is closed at 0600. select the statement that applies to iv intake for the 2300 to 0700 shift.
Intravenous intake is 300 mL for the 2300 to 0700 shift.
Intravenous (IV) intake, often known as infusion therapy, is a type of medical treatment that involves the injection of drugs, fluids, or nutrients into the body directly into a patient's veins
D5/0.9% NaCl is a solution that contains glucose and sodium chloride in addition to distilled water. It's a type of intravenous fluid that's used to replace fluids, glucose, and electrolytes in people who are dehydrated, hypoglycemic, or lacking electrolytes.
To solve the given problem, let's first calculate the total volume of fluid infused from 0100 to 0200.
The volume of fluid infused from 0100 to 0200 = (100 - 50) × 1= 50 mL
A total volume of fluid infused from 0100 to 0200 = 500 + 50 = 550 mL
Therefore, the total IV intake from 0100 to 0700 = 550 + 300 = 850 mL
The IV intake is 300 mL is a statement that applies to the 2300 to 0700 shift.
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gladys was admitted to sunshine nursing facility for rehabilitation following her hip fracture. upon admission, the nursing staff assessed gladys in multiple areas, some of which are cognitive loss, mood, vision function, pain, and the medications she is taking. this information will be recorded in her health record for the:
Upon admission, the nursing staff assessed Gladys in multiple areas. Some of which are cognitive loss, mood, vision function, pain, and the medications she is taking. This information will be recorded in her health record for the purpose of continuity of care, which is an essential part of the nursing process.
What is the nursing process?
The nursing process is a tool that nursing students use to provide care to patients. It is an orderly, systematic, and comprehensive method for providing care to individuals or groups.
The nursing process is made up of five steps: assessment, diagnosis, planning, implementation, and evaluation. The nursing process is cyclical and allows nurses to re-evaluate and adjust care plans as necessary.
What is the continuity of care?
The continuity of care refers to the management of patient care and services during a particular time. Continuity of care may refer to ongoing treatment of an individual or group, typically when a patient is moving from one healthcare setting to another.
Healthcare providers must ensure that continuity of care is maintained during this transition. The goal of continuity of care is to provide comprehensive and coordinated healthcare to patients as they move through different healthcare settings.
What are the benefits of continuity of care?
It helps to improve patient outcomes
It aids in reducing hospitalizations
It reduces overall healthcare costs
It fosters patient trust and satisfaction
It allows healthcare providers to better understand and address patient needs and preferences
It helps healthcare providers to coordinate care more effectively and efficiently
It can help to reduce medical errors and adverse events.
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which statement by the nurse shows an understanding of the focus of the quality assurance programs developed in the 1980s?
The nurse's statement indicates an understanding that the quality assurance programs developed in the 1980s is "The quality assurance programs focus on processes used to provide care and improving those processes". Option C is correct.
In the 1980s, quality assurance programs in healthcare focused on improving the processes used to deliver care, rather than solely on the outcomes of care. This involved identifying areas for improvement, implementing changes, and evaluating the effectiveness of those changes. The goal was to ensure that processes were standardized and consistent, which could improve patient outcomes and reduce costs.
By recognizing that quality assurance programs focused on improving processes, the nurse demonstrates an understanding of the key objectives of these programs.
This statement should be provided with answer choices:
a. "The quality assurance programs focus on individual incidents or errors and minimal expectations"b. "The quality assurance programs focus on decreasing the cost of health care for the consumer"c. "The quality assurance programs focus on processes used to provide care and improving those processes"d. "The quality assurance programs focus on coordinating care for the patients"Learn more about quality assurance programs https://brainly.com/question/29962742
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which finding is an indication of ulcer perforation in a client with peptic ulcer disease (pud)? select all that apply hesi
The indications of ulcer perforation in a client with peptic ulcer disease (PUD) are tachycardia, hypotension, a rigid, board-like abdomen.
Peptic ulcer disease (PUD) is a condition where ulcers (open sores) form in the lining of the stomach and small intestine, causing abdominal pain, indigestion, and other symptoms. It is caused by a combination of factors including an imbalance of stomach acid and digestive enzymes, Helicobacter pylori bacteria, and lifestyle factors like diet, stress, and smoking. Treatment includes lifestyle modifications, antibiotics, and medications to reduce stomach acid.
PUD begins when the lining of the stomach and small intestine is damaged. This damage can be caused by an imbalance of digestive enzymes, an increase in stomach acid production, or an infection from Helicobacter pylori bacteria. Over time, this damage leads to the formation of ulcers, which are sores that open in the lining of the stomach and small intestine.
The most common symptoms of PUD are abdominal pain, bloating, heartburn, indigestion, and nausea. If left untreated, the ulcers can lead to serious health complications like anemia, malnutrition, and bleeding. In rare cases, the ulcers can perforate the stomach or small intestine, leading to a life-threatening infection.
Your question seems to be incomplete. The completed version should be as follows:
which finding is an indication of ulcer perforation in a client with peptic ulcer disease (pud)? select all that apply hsi
TachycardiaHypotensionMild epigastric painA rigid, board-like abdomenDiarrheaLearn more about peptic ulcer disease at https://brainly.com/question/28273166
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which clinical manifestation of nonhogkind lymphona woudl the nurse aspect to find when assessing the client quilzet
When assessing a client with non-Hodgkin's lymphoma, the nurse would expect to find clinical manifestations such as swollen lymph nodes, fever, night sweats, weight loss, and fatigue.
The clinical manifestation of non-Hodgkin lymphoma that the nurse might expect to find while assessing the client Quilzet would be swollen, painless lymph nodes.
What is Non-Hodgkin lymphoma?
Non-Hodgkin lymphoma (NHL) is a type of cancer that affects the lymphatic system, which is responsible for maintaining immunity and removing excess fluid from the body. NHL is a type of blood cancer that affects lymphocytes, a type of white blood cell that helps the body fight infection. There are various types of NHL, and the symptoms can vary depending on the type. However, most people with NHL will have swollen, painless lymph nodes in the neck, armpit, or groin as their first symptom. This is often accompanied by other symptoms such as fever, night sweats, fatigue, weight loss, and itching. The severity of these symptoms can range from mild to severe, and they can develop slowly over time or suddenly. Other possible symptoms of NHL may include bone pain, chest pain, abdominal pain, shortness of breath, and coughing.
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which response by a client with a platelet count of 50,000 cells per microliter indicates to the nurse that additional teaching is required?
If the client responds that they plan to participate in contact sports, it indicates that additional teaching is required as contact sports can increase the risk of bleeding in a client with a platelet count of 50,000 cells per microliter.
A platelet count of 50,000 cells per microliter indicates a low platelet count, which increases the risk of bleeding. Clients with low platelet counts should avoid activities that may cause injury or bleeding, including contact sports. If a client indicates that they plan to participate in contact sports, it suggests that they do not fully understand the risks associated with their condition and may require additional teaching from the nurse to ensure their safety.
The answer is general as no options are provided.
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the nurse provides teaching for a patient who will begin taking indomethacin to treat symptoms of rheumatoid arthritis. which statement by the patient indicates a need for further teaching?
Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve moderate-to-severe joint pain and inflammation.
It reduces inflammation, swelling, and pain by blocking the production of prostaglandins.Indomethacin can cause some side effects. A nurse provides teaching to a patient who will start taking indomethacin to treat symptoms of rheumatoid arthritis.
The statement given by the patient that indicates the need for further teaching by the nurse is: "I'm going to drink alcohol on the weekends when I'm with my friends."This is an incorrect statement because indomethacin and alcohol should not be mixed.
This is because taking both drugs together increases the risk of developing gastrointestinal (GI) side effects such as stomach ulcers and bleeding. The nurse should make the patient aware of this, so that the patient avoids alcohol while taking indomethacin. This is because, in addition to worsening the patient's condition, this can also lead to serious side effects.
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which prescription would the nurse anticpate for the client who takes a emdication that interferes with fat absorptiopn
The prescription that the nurse would anticipate for the client who takes a medication that interferes with fat absorption is orlistat.
Orlistat is a medication that is used to treat obesity. It works by blocking the absorption of fat in the digestive system. This causes the body to absorb fewer calories from the food that is eaten. Orlistat is available as a prescription medication and as an over-the-counter medication. Prescription medication is usually given to people who are obese and have other health problems related to their weight, such as high blood pressure or diabetes.
The over-the-counter medication is intended for people who are overweight but do not have any other health problems related to their weight. It is usually used in combination with a reduced-calorie diet and exercise program. Orlistat should only be used under the supervision of a doctor or other healthcare provider. It can have side effects, such as gas, bloating, diarrhea, and oily spotting. In rare cases, it can also cause serious liver damage.
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a team of nurses are analyzing a systematic review to determine its effectiveness for their situation. which factor may indicate a bias that the nurses should approach this study cautiously?
The nurses should approach this systematic review cautiously if there are any indications of bias.
Bias can be caused by factors such as the study participants, the setting, the outcome measures, the data collection methods, the results, and the interpretation of the data. For example, if the study participants are not representative of the population the nurses are working with, or if the data collection methods are not valid, it may indicate a bias. It is also important to note any conflicts of interest in the authors of the study. Therefore, it is essential for the nurses to carefully review all the aspects of the systematic review to determine if there are any indications of bias.
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a patient is admitted for a diagnostic workup for cachexia. the final diagnosis is malignant neoplasm of lung with metastasis. the present on admission (poa) indicator is
The Present on Admission (POA) indicator for a patient admitted for a diagnostic workup for cachexia with a final diagnosis of malignant neoplasm of the lung with metastasis is “Y” (Yes).
Cachexia is a medical condition caused by an underlying illness, such as cancer, that results in severe weight loss and decreased muscle mass, along with fatigue, anemia, and weakness. Diagnostic workup for cachexia usually includes laboratory tests, imaging studies, and endoscopies to identify the underlying cause of the condition. In this case, the final diagnosis is a malignant neoplasm of the lung with metastasis.
The Present on Admission (POA) indicator is used to indicate whether a patient's condition was present at the time of admission to the hospital. The POA indicator for this patient is "Y" (Yes) because the patient was already exhibiting signs and symptoms of the underlying condition (cachexia) at the time of admission. POA helps provide an accurate diagnosis and allows for accurate payment of services.
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which prescribed action would the nurse question when caring for a client who has heart failure, with blood pressure 102/70 mm hg, pulse 106 beats/minute, and bilateral lung crackles?
A client in heart failure, with a heart rate of 106 beats per minute and blood pressure of 102/70 mm hg, reports dizziness. The prescribed action is prepare for transcutaneous pacing intervention.
A temporary method of heart attack person during a medical emergency is transcutaneous pacing (TCP), and then it is called as external pacing. some cotemporary defibrillators can perform both tasks, transcutaneous pacing and defibrillation use pads and an electrical stimulus to the heart . Defibrillation is used in more serious cases , such as ventricular fibrillation and shockable rhythms. The current pulses are delivered through the patient heart during transcutaneous to stimulate the heart condition.
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4. ccr identifier or header: does the ehr contain this data when on the patient profile tab of the pharmacy section?
Yes, the electronic health record (EHR) does contain CCR Identifier or Header data when on the patient profile tab in the pharmacy section.
This information is used to identify a patient's individual medical record and ensure accuracy when processing their medical care. Identifier Data or CCR Headers are an important part of the patient profile and help provide safe and reliable care.
CCR is an interoperable XML-based record format used to capture data and track patient health information over time. This can include information such as patient demographics, laboratory results, diagnosis, medications, and other treatment summaries.
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which measures would the nurse include when teaching a client with hyperthyroidism how to manage the discomfort associated with exophthalmia? select all that apply. one, some, or all responses may be correct.
When teaching a client with hyperthyroidism how to manage the discomfort associated with exophthalmia, the nurse should include the following measures:
Keep the head elevated.
Avoid activities that cause eye strain.
Maintain good eye hygiene.
Apply cool compresses to the eyes.
Avoid exposure to bright lights or sunlight.
Rest the eyes periodically from activities that require prolonged focus.
Use artificial tears to moisturize the eyes.
Use lubricating ointment at night to prevent dryness of the eyes.
The nurse should teach the client to keep their head elevated and avoid activities that cause eye strain when they have exophthalmia, which is a condition characterized by protruding eyes that cause discomfort. The nurse should also advise the client to maintain good eye hygiene by avoiding exposure to bright lights or sunlight, and to use cool compresses to reduce the discomfort caused by inflammation.
The client should also be advised to rest their eyes periodically from activities that require prolonged focus and use artificial tears to moisturize the eyes. To prevent dryness of the eyes, the nurse should advise the client to use lubricating ointment at night.
Hence, all the above measures are correct responses when teaching a client with hyperthyroidism how to manage the discomfort associated with exophthalmia.
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physiological damage, reduced immunity, and increased susceptibility to physical and mental health issues are characteristic of which stage of the general adaptation syndrome?
The stage of the General Adaptation Syndrome (GAS) characterized by physiological damage, reduced immunity, and increased susceptibility to physical and mental health issues is known as the exhaustion stage.
General Adaptation Syndrome (GAS) is a three-stage physiological response to stress that was first discovered by Hans Selye in 1936. GAS consists of the alarm, resistance, and exhaustion stages.
The alarm stage is the body's initial response to stressors. It is marked by the release of hormones such as adrenaline and cortisol which are designed to help the body fight or flee the stressor.
The resistance stage is when the body attempts to maintain homeostasis. The hormones that were released in the alarm stage are now at their peak and the body is using its resources to adapt to the stressor.
The exhaustion stage is when the body's resources are depleted and it is no longer able to adapt to the stressor. If the stressor persists, the body will begin to suffer from various health issues such as fatigue, muscle pain, and depression.
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the nurse is caring for a client with chronic obstructive pulmonary disease. the plan of care will focus on what client problem?
The nurse caring for a patient with chronic obstructive pulmonary disease focuses on breathing problems, as well as respiratory issues, in their care plan.
Chronic obstructive pulmonary disease (COPD) is a long-term condition that affects the lungs, causing breathlessness and frequent coughing with a lot of mucus. Cigarette smoking is the most common cause of COPD.
However, a large number of individuals who have never smoked before can acquire COPD due to the influence of environmental factors. Because the breathing tubes, air sacs, or both in the lungs become damaged and inflamed in COPD, breathing becomes more difficult.
To get a breath of air, people with COPD frequently have to work more difficult. COPD exacerbation is frequently characterized by an increase in the degree of dyspnoea, cough, and sputum production.
Treatment is primarily focused on symptom control, and medication to treat COPD is typically aimed at reducing inflammation in the lungs, dilating bronchioles, and reducing mucus production.
Rehabilitation programs for COPD patients include exercise programs that help maintain function and decrease shortness of breath, as well as strategies for staying healthy and maintaining a healthy lifestyle.
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a patient has been involved in a traumatic accident and is hemorrhaging from multiple sites. the nurse expects that the compensatory mechanisms associated with hypovolemia would cause what clinical manifestations? (select all that apply.)
Hypovolemia is a decrease in blood volume that might lead to circulatory shock in severe cases. When a patient is suffering from hypovolemia, the body has many compensatory mechanisms that try to maintain the volume of blood.
This involves activation of the renin-angiotensin-aldosterone system and increased sympathetic nervous system activation.
The following are the clinical manifestations expected from the compensatory mechanisms associated with hypovolemia:
Increased heart rate
Decreased urine output
Narrow pulse pressure
Tachypnea
All of the above clinical manifestations are expected from the compensatory mechanisms associated with hypovolemia.
The reason why all of the above clinical manifestations happen is due to the fact that when the body is in hypovolemic shock, there are not enough fluid in the circulatory system, so the body responds by decreasing urine output, increasing heart rate, and increasing sympathetic nervous system activation in order to compensate for the reduced blood volume.
These compensatory mechanisms might be insufficient, however, and the patient will need fluid resuscitation and other measures to stabilize their condition.
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true or false: the germ theory of disease resulted in the hygiene movement and the development of the first vaccine.
The germ theory of disease, which states that diseases are caused by microorganisms, was established in the mid-1800s. So the statement is true.
The germ theory of disease resulted in the hygiene movement and the development of the first vaccine. The hygiene movement sought to improve sanitation, cleanliness, and public health, leading to a drastic reduction in the mortality rate from infectious diseases. The development of the first vaccine was made possible by the understanding of the causal link between germs and disease. Vaccines are effective in preventing the spread of disease by providing immunity to pathogens and enabling the body to fight off infections. In summary, the germ theory of disease led to the hygiene movement and the development of the first vaccine and has drastically improved public health.
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which approach would the nurse take for a client with alzheimer disease who is fearful and anxious about being admitted
The nurse would take a compassionate, empathetic approach when dealing with a client with Alzheimer's Disease who is fearful and anxious about being admitted.
The nurse should recognize that the client is feeling overwhelmed and scared and take the time to listen to their concerns and reassure them of their safety and well-being. The nurse should also strive to create a comfortable environment that promotes trust and openness and encourages the client to communicate their feelings. Additionally, the nurse should use simple language and repeat instructions as needed, explain the admission process step-by-step, and reassure the client that they are in good hands.
In order to further help the client cope with their anxiety, the nurse could encourage the client to practice relaxation techniques such as deep breathing and guided imagery. The nurse could also provide distractions such as reading material, puzzles, or music. Most importantly, the nurse should establish and maintain strong communication with the client, ensuring that they understand the admission process and feel comfortable with the new environment.
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following delivery, the parents have chosen to have their infant's cord blood frozen. a blood test is performed on the cord blood and found to contain igm antibodies. the nurse interprets this to mean:
If a blood test is performed on cord blood from a newborn infant and found to contain IgM antibodies, this can indicate that the infant has been exposed to an infection or virus in utero.
IgM antibodies are a type of antibody that the body produces in response to an acute infection or recent exposure to a virus or bacteria. These antibodies are the first line of defense against infections and are typically produced within the first 1-2 weeks after exposure.
If IgM antibodies are present in cord blood, it suggests that the infant has been exposed to an infection or virus in utero and has mounted an immune response to the pathogen. However, it's important to note that the presence of IgM antibodies does not necessarily indicate that the infant is currently infected, as these antibodies can persist in the blood for several months after the infection has cleared.
If a newborn's cord blood is found to contain IgM antibodies, the healthcare team should follow up with additional testing and monitoring to determine the cause of the antibodies and whether the infant requires any further treatment or evaluation.
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which signs and symptoms would the nurse observe in a child with autism spectrum disorder? select all that apply. one, some, or all responses may be correct.
The nurse would observe the following signs and symptoms in a child with autism spectrum disorder:
difficulty in social interactionchallenges in communicationrepetitive behaviorsdifficulty in developing relationshipsdifficulty in making transitionsdifficulty in relating to peopleunusual reactions to sensory stimuli.Autism Spectrum Disorder is a neurodevelopmental disorder characterized by difficulties with communication, social interactions, and behavior. These difficulties can lead to challenges in social interaction, communication, and developing relationships. Repetitive behaviors, difficulty in making transitions, and difficulty in relating to people are also common among those with ASD. In addition, those with ASD often display unusual reactions to sensory stimuli, such as sensitivity to sound, light, or texture.
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a junior nursing student is having an observation day in the operating room. early in the day, the student reports eye swelling and dyspnea to the or nurse. what should the nurse suspect?
If a junior nursing student reports eye swelling and dyspnea (difficulty breathing) while observing in the operating room, the OR nurse should suspect that the student may be experiencing an allergic reaction.
Allergic reactions can be triggered by a variety of circumstances, including exposure to allergens such as latex, drugs, or cleaning agents. The nurse may be concerned that the student is having an allergic reaction to latex gloves, which are frequently used in surgical settings, given the student's placement in the operating room.
In response to the student's symptoms, the nurse must move immediately and appropriately. If necessary, the nurse should contact for emergency medical assistance or deliver medicine depending on the severity of the student's symptoms. The nurse should also see to it that the pupil is taken away from the allergen's source and, if necessary, given the right medical care.
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a student nurse is talking with his instructor. the student asks how the quality of care is evaluated. how would the instructor best respond? (select all that apply).
The instructor should best respond by explaining that quality of care is evaluated by assessing patient outcomes, conducting patient satisfaction surveys, evaluating adherence to regulatory and clinical standards, and examining overall costs.
The instructor should best respond by explaining that quality of care is evaluated by assessing patient outcomes, conducting patient satisfaction surveys, evaluating adherence to regulatory and clinical standards, and examining overall costs.
Measuring the cost of careAll of these methods are used to evaluate the quality of care. These methods help measure the quality of care and allow for continuous improvement in the quality of care provided. The evaluation of care quality is essential because it helps ensure that patients receive the best possible care.
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you are assessing a patient who opens her eyes when you speak to her, who can respond to you but seems confused as to time and place, and who localizes pain. what is her glasgow coma scale score? 7 10 12 15
The Glasgow Coma Scale score for a patient who opens her eyes when you speak to her, who can respond to you but seems confused as to time and place, and who localizes pain is 12.
What is the Glasgow Coma Scale?
The Glasgow Coma Scale (GCS) is a neurological assessment tool that assesses a patient's level of consciousness.
It quantifies the degree of the patient's neurological trauma, such as brain injury. It is utilized to evaluate and monitor a patient's response to treatment, as well as to communicate with other healthcare providers.
The GCS is divided into three sections: eye opening, verbal response, and motor response.
The patient is graded on a scale of 3 to 15 based on their response to each section of the test. The scores are then combined to give a total score ranging from 3 to 15.
In summary, when the patient opens her eyes when you speak to her, who can respond to you but seems confused as to time and place, and who localizes pain, her Glasgow Coma Scale score is 12.
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a nurse is educating adolescents on how to prevent infections. the nurse determines which statement(s) by participants indicates more education is needed?
The nurse should determine which representatives of the participants indicated a need for further education by evaluating their understanding of how to prevent infection.
If the adolescent does not provide correct information, then the nurse knows that further education is needed. For example, if a teenager states that hand washing is not necessary to prevent infection, nurses need to provide further education about the importance of proper hand washing to prevent infection.
Infection is a condition in which microorganisms or foreign objects enter the body and cause certain diseases. There are many kinds of microorganisms, ranging from viruses, bacteria, germs, fungi, and parasites. Infections are contagious and can be transmitted in many ways, often without realizing it.
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famotidine is prescribed for a client with peptic ulcer disease. which mechanism of action is a characteritic of this mediation
Famotidine is an H2-receptor antagonist medication used to treat peptic ulcer disease. Its mechanism of action is to inhibit gastric acid secretion.
Famotidine is an H2-receptor antagonist used to treat stomach and duodenal ulcers. It works by blocking the production of acid in the stomach and decreasing inflammation. It can also be used to treat GERD, and in some cases, to prevent heartburn. Neutralizing gastric acidity, increasing gastric motility, and facilitating histamine release are not actions of famotidine.
Common side effects include nausea, constipation, and headache. In serious cases, it can cause kidney failure. The recommended dosage of famotidine is typically 20 mg per day.
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Which of the following places the eight stages in the cycle of psychological addiction in the correct order?
internal frustration, fantasizing about substance, obsessing about substance, use of substance, loss of control, depression over behavior, cessation of behavior, and passage of time
The correct order for the eight stages in the cycle of psychological addiction is internal frustration, fantasizing about the substance, obsessing about the substance, use of the substance, loss of control, depression over behavior, cessation of the behavior, and passage of time.
The internal frustration is typically the first stage of addiction, where an individual is unhappy with the current state of their life and their psychological needs are not being met.
This leads to fantasizing about using the substance, as the individual believes it will provide a feeling of relief or pleasure.
This then leads to obsessing about the substance, which involves excessively thinking and planning around obtaining it. This can lead to using the substance as an escape or form of relief.
After continued use, an individual can lose control and be unable to regulate the use of the substance, and depression over their behavior can set in. Eventually, the individual can cease the behavior, and over time their physical and mental health can be restored.
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a patient receiving phenytoin (dilantin) has a serum drug level drawn. which level will the nurse note as therapeutic?
The therapeutic serum drug level for a patient receiving phenytoin (Dilantin) is 10-20 mcg/ml. This means that the nurse should note any serum drug levels within this range as therapeutic.
When a patient is taking phenytoin, the nurse should monitor the drug level to make sure that it remains within the therapeutic range. Too high of a level can cause serious side effects, such as drowsiness, confusion, and unsteady walking, while too low of a level can reduce the effectiveness of the medication.
The nurse should also be aware of any other drugs that the patient is taking, as they may affect the metabolism of phenytoin, leading to increased or decreased serum drug levels. If a patient is taking any other drugs that can interact with phenytoin, the nurse should adjust the therapeutic serum drug level accordingly.
In summary, the therapeutic serum drug level for a patient receiving phenytoin (Dilantin) is 10-20 mcg/ml. The nurse should consider the patient's age, weight, overall condition, and any other medications that the patient is taking when determining the therapeutic serum drug level.
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which instruction would the nurse give a uap to perform while caring for a cleint prescribed captopril
The nurse should instruct the Unlicensed Assistive Personnel (UAP) to give the client captopril as prescribed, and monitor for side effects, such as dizziness, lightheadedness, and cough.
Captopril is an ACE inhibitor, which means it is used to treat hypertension and heart failure. As a result, it has some potential side effects that the nurse must educate the UAP on. The nurse would instruct the UAP to report any signs of adverse effects such as hypotension (low blood pressure), angioedema (swelling of the face and throat), or hyperkalemia (elevated potassium levels) to them as soon as possible.
Aside from monitoring the client for side effects, the nurse might also teach the UAP how to take the client's vital signs, including blood pressure, and how to assist the client with activities of daily living, such as bathing, eating, and toileting. Additionally, the nurse could instruct the UAP on how to promote restful sleep for the client, such as by limiting unnecessary noise and ensuring the client is comfortable.
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a client has been admitted to the emergency department (ed) in status asthmaticus. the ed nurse should anticipate administering which medication?
When a client is admitted to the emergency department (ED) in status asthmaticus, the ED nurse should anticipate administering intravenous (IV) corticosteroids such as methylprednisolone. This medication is effective in reducing inflammation and airway edema in severe asthmatic reactions. In severe asthma exacerbations, corticosteroids may also help restore the responsiveness of beta-adrenergic receptors.
The status asthmaticus is a serious and life-threatening condition that develops when an asthma attack continues to worsen and does not respond to standard treatment. When the usual medications that are used to treat asthma fail to provide relief, it is defined as a status asthmaticus. If status asthmaticus occurs, the patient will need to be hospitalized and may require additional treatments including oxygen, intravenous medications, and other medical procedures to help improve their breathing and prevent complications. Therefore, the ed nurse should anticipate administering intravenous (IV) corticosteroids such as methylprednisolone when a client is admitted to the emergency department (ED) in status asthmaticus.
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a client with lower back pain has been recommended a topical nsaid to be applied at the site of pain. the nurse anticipates which likely prescription by the healthcare provider?
The healthcare provider is likely to prescribe a topical Non-Steroidal Anti-Inflammatory Drug (NSAID) for the client with lower back pain, such as diclofenac.
Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and reduce inflammation. It is available in both prescription and over-the-counter (OTC) forms and is used to treat a wide range of conditions, including arthritis, muscle strains, and other joint pain.
Common side effects include stomach pain, headaches, nausea, and diarrhea. In rare cases, it can cause serious side effects such as kidney damage, liver problems, and heart attack. If taken as prescribed, diclofenac is generally safe and effective.
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