An important consideration that should be made by a nurse when using a case management plan to maximize patient care outcomes is that case management plans should be individualized for each client.
Case management plans are used by nurses to provide a comprehensive and coordinated approach to patient care. It involves developing an individualized plan of care for each patient to optimize outcomes, reduce healthcare costs, and promote patient satisfaction.
The plan is developed by considering the unique needs, preferences, and resources of the patient and their family. The nurse should assess the patient's health status, identify their healthcare goals, develop interventions to achieve those goals and evaluate the effectiveness of the plan.
By doing so, the nurse ensures that the patient receives appropriate and timely care, improves communication between healthcare providers, and reduces the chances of unnecessary hospitalization or readmissions. It is important to note that case management plans should not be standardized as each patient has different healthcare needs and require a unique approach to their care.
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a client has undergone a laparoscopic cholecystectomy. which instruction should the nurse include in the discharge teaching?
The instruction that the nurse should include in the discharge teaching for a client who has undergone a laparoscopic cholecystectomy is report bile-colored drainage from any incision. Option D is correct.
A laparoscopic cholecystectomy is a surgical procedure to remove the gallbladder using small incisions and a camera. After the procedure, it is common for the client to have drainage from the incision sites. However, if the drainage is bile-colored, it could indicate a complication such as a bile leak, which can be serious and require medical attention.
Laparoscopic cholecystectomy is a minimally invasive surgical procedure to remove the gallbladder. It is a commonly performed surgery for the treatment of gallstones, inflammation, or other conditions that affect the gallbladder. The procedure involves making several small incisions in the abdomen and using a camera and specialized instruments to remove the gallbladder.
After the procedure, the client may experience some pain, swelling, and tenderness around the incision sites. The client may also have drainage from the incision sites, which is normal. However, if the drainage is bile-colored, it could indicate a complication such as a bile leak, which occurs when bile leaks from the bile ducts into the abdomen.
Therefore, the instruction that the nurse should include in the discharge teaching for a client who has undergone a laparoscopic cholecystectomy is to report any bile-colored drainage from any incision, as this could indicate a complication that requires medical attention. Option D is correct.
The complete question is
A client has undergone a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the discharge teaching?
a. Empty the bile bag daily
b. Breathe deeply into a paper bag when nauseated
c. Keep adhesive dressings in place for 6 weeks
d. Report bile-colored drainage from any incision
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a nurse is interviewing a patient to determine suitability for home parenteral nutrition. which patient statement would alert the nurse to a potential problem?
A nurse is interviewing a patient to determine suitability for home parenteral nutrition. The patient stated that what would alert the nurse to a potential problem is the statement concerning the ability of the patient to manage the home parenteral nutrition.
Home parenteral nutrition is used to support the nutritional needs of patients who are unable to maintain adequate oral intake or are malnourished. Patients who are on home parenteral nutrition need to be able to manage the therapy effectively.
Patients should also be able to recognize signs of complications and should know what to do if they occur, which is why the statement concerning the ability of the patient to manage the home parenteral nutrition would alert the nurse to a potential problem.
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a client comes to the emergency department because they think they are having a heart attack. further assessment determines that the client is not having a heart attack but is having a panic attack. when beginning to interview the client, which question would be most appropriate for a nurse to ask?
When beginning to interview a client who is having a panic attack, the nurse should first ask the client about their anxiety and try to understand the cause of their panic attack.
The first step for the nurse should be to verify the client's condition and ensure that they are safe.After the client has been stabilized, the nurse should begin the interview to understand the client's condition.The client should be interviewed in a quiet area where they can concentrate and respond to the nurse's inquiries. If possible, a family member or friend may be present to provide support and assist with the client's recollection of events that led up to the panic attack.A panic attack is a sudden, overwhelming feeling of intense anxiety and fear that can last for several minutes. Common symptoms include shortness of breath, sweating, heart palpitations, trembling or shaking, and a sense of impending doom.
Panic attacks can occur without warning and may be caused by stressful situations, trauma, or underlying mental health conditions such as anxiety disorders.
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which interventions are helpful when caring for a client with impaired vision? select all that apply.
When caring for a client with impaired vision, there are several interventions that can be helpful to improve their quality of life and independence. Here are a few examples:
Ensure adequate lighting: Make sure that the client's living space is well-lit to aid visibility.
Use contrasting colors: Use contrasting colors for important objects like door handles or light switches, to make them more visible.
Provide assistive devices: Provide the client with assistive devices like magnifying glasses, telescopes, or screen readers to help with reading and other tasks.
Offer orientation and mobility training: Help the client navigate their environment safely by teaching them new routes and orientation techniques.
Encourage socialization: Encourage the client to participate in social activities to prevent isolation and depression.
Consult with a vision specialist: Consult with a vision specialist to obtain additional resources and support for the client.
Overall, it's important to approach each client's needs individually and work with them to find the interventions that work best for them.
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a client with chronic kidney disease is receiving epoetin alfa. which laboratory result would indicate a therapeutic effect of the medication?
When a client has chronic kidney disease and is receiving epoetin alfa, the laboratory result that would indicate a therapeutic effect of the medication is an increase in red blood cell count (hemoglobin and hematocrit levels).
Epoetin alfa is a medication that increases the production of red blood cells. It is prescribed to people with chronic kidney disease who have anemia (low red blood cell count) as a result of their disease or treatment. Hemoglobin and hematocrit levels are laboratory values used to assess the number of red blood cells. An increase in hemoglobin and hematocrit levels indicates that the number of red blood cells has increased, which would be a therapeutic effect of epoetin alfa.
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a synthetic form of oxytocin is sometimes administered to women prior to childbirth. what would be the effect of administration of this drug?
The effect of administration of a synthetic form of oxytocin to women prior to childbirth is that it increases the strength and frequency of uterine contractions.
What is oxytocin?Oxytocin is a hormone produced in the hypothalamus and released from the posterior pituitary gland. Oxytocin has a number of roles in the human body, but its main function is to induce labor and help women deliver babies safely. It causes the uterus to contract more frequently and with greater strength. This assists in the movement of the baby through the birth canal.
Oxytocin is also involved in the breast milk ejection reflex, which enables mothers to breastfeed their babies. It promotes bonding and the formation of social connections by increasing feelings of trust, attachment, and intimacy.
Synthetic oxytocin is available as an injection, and it is used to induce or augment labor. It can be given to women who have low levels of oxytocin in their bodies or who are experiencing slow or unproductive labor.
What are the effects of oxytocin administration?When oxytocin is given to women prior to delivery, the following effects may occur:It induces or augments labor, making contractions more frequent and stronger.It promotes uterine contractions, which can be beneficial in the delivery of the baby and expulsion of the placenta.It shortens the first and second stages of labor by increasing the strength of contractions.It helps prevent postpartum hemorrhage by promoting contraction of the uterus after the baby is born.It can cause side effects such as nausea, vomiting, and diarrhea, in addition to uterine hyperstimulation, which can be dangerous for both the mother and the baby.Learn more about Oxytocin here: https://brainly.com/question/28303150
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3. Ashlynn has a tendency to speak a little fast in her normal conversations. How will she need to adjust as she is answering phones in the healthcare facility? She also is a friendly person and enjoys talking on the phone. What precautions should she take so that this does not become an issue on the job?
It's crucial to talk slowly and clearly while taking calls in a healthcare facility so that the person on the other end can comprehend what you're saying. She can also seek feedback on her phone manner from her boss or coworkers and act on any advice they may have.
Why do I dread making phone calls to people?Due to the fact that we are only able to hear our voices when talking on the phone, it might be intimidating. We frequently experience self-consciousness over the tone of our voices and the words we choose when there are no other social indicators present, such as gestures, body language, and eye contact.
How do I pick up the phone like a medical assistant?While answering a phone, medical office administrative assistants should introduce themselves first, followed by the name of the facility. The caller's name should then be noted by the administrative assistant in the medical office so that it can be referenced later on if necessary.
What safety measures should Ashlynn take to prevent her inclination to speak quickly from becoming a problem on the job?Ashlynn should work on speaking slowly and clearly, ask her boss or coworkers for feedback, take pauses as needed, and maintain a cheerful tone of voice without racing through her words to avoid her tendency to speak quickly becoming a problem at work. When chatting with callers, she should also steer clear of overly technical vocabulary and concentrate on utilizing simple terms.
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the nurse applies a moisture-retentive dressing to a patient's wound. she understands that the main advantage of this dressing, rather than a wet dressing, is its ability to:
The main advantage of a moisture-retentive dressing, rather than a wet dressing, is its ability to reduce evaporation and retain the wound's natural moisture, allowing for better healing.
Moisture-retentive dressings are intended to keep moisture within the wound bed. These dressings are used for wounds that are struggling to heal because they are dry and lack moisture. In the wound bed, these dressings maintain an optimal moisture level by absorbing and retaining exudate from the wound bed.
The primary advantage of a moisture-retentive dressing over a wet dressing is its ability to maintain a moist environment for the wound to heal. The moisture-retentive dressings can hold moisture against the wound bed, preventing it from evaporating and keeping it in contact with the wound surface, which improves the healing process of the wound. The wound bed is kept moist by moisture-retentive dressings, which improves the patient's comfort, reduces pain, and reduces dressing changes.
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in a patient with portal hypertension, the most likely result of increased portal venous pressure would be:
In a patient with portal hypertension, the most likely result of increased portal venous pressure would be: the development of esophageal varices, splenomegaly, ascites, and hepatic encephalopathy.
What is Portal Hypertension?Portal hypertension is a condition that causes high blood pressure in the portal vein. The portal vein is a significant vein in the liver that transports blood from the digestive system to the liver. The liver breaks down nutrients and removes harmful substances from the bloodstream.
Portal hypertension is a severe condition that can have a significant impact on the liver. Increased blood pressure in the portal vein can cause liver damage and severe complications if left untreated.
Common complications of portal hypertension include varices, ascites, and encephalopathy.
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a nurse is teaching a patient with bulimia nervosa about scheduling healthy, balanced meals. why doesa nurse consider providing this patient education important?
Providing education on scheduling healthy, balanced meals for a patient with bulimia nervosa is important for several reasons.
Firstly, it provides the patient with the knowledge and skills necessary to make healthy food choices. This education can help the patient to develop healthier eating habits and aid in avoiding binging and purging behaviors. Secondly, it can help the patient to become more aware of their eating habits and any triggers that may lead to binging and purging.
Finally, having a regular schedule of healthy meals can provide the patient with structure and routine, which can help to reduce feelings of anxiety and depression that can be associated with bulimia. Overall, this education can provide the patient with the necessary resources to make positive changes in their eating behaviors and improve their overall health.
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jackson is a 30 year adult male who has had asthma for four years. during his annual physical, he explains that he uses his rescue inhaler more than once a day. the physician performs a physical exam with a focus on his respiratory system and reviews his plan of care, including his medications. 1. the physician decides to start jackson on a new medication called fluticasone. explain how this type of medication works. 2. give an example of one advantage fluticasone has over other asthma medications. 3. once jackson starts fluticasone, what are some common side effects he can expect? 4. what is are some serious potential side effects that jackson should report to his physician?
1.) Fluticasone works by reducing inflammation in the airways ; 2.) it can be used as maintenance medication to prevent asthma symptoms 3.) headache, sore throat, and hoarseness ; 4) increased risk of infection, decreased bone density, and adrenal suppression.
What is fluticasone?1. Fluticasone is a type of medication known as inhaled corticosteroid. It works by reducing inflammation in the airways, which helps to prevent asthma symptoms such as coughing, wheezing, and shortness of breath.
2. One advantage of fluticasone over other asthma medications is that it can be used as a maintenance medication to prevent asthma symptoms from occurring, rather than just treating symptoms when they occur.
3. Some common side effects of fluticasone include headache, sore throat, and hoarseness. These side effects are usually mild and go away on their own over time.
4. Some serious potential side effects of fluticasone include increased risk of infection, decreased bone density, and adrenal suppression. If Jackson experiences signs of infection such as fever, chills, or persistent cough, he should contact physician immediately. If he experiences bone pain or fractures, or if he has any symptoms of adrenal suppression such as weakness, fatigue, or weight loss, he should contact his physician.
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a patient with acute dyspioenia is schdueld for a spiral computed tomography (ct) scan. which informstion obtained by the nurse is most impoorant to cimmuncate to the healthc are provider before the ct?
When a patient with acute dyspnea is scheduled for a spiral computed tomography (CT) scan, the most important information the nurse should communicate to the healthcare provider before the CT scan is the patient's allergies.
Acute dyspnea is a term used to describe a rapid onset of shortness of breath or difficulty breathing. It is often related to a medical emergency and may require immediate medical attention. A spiral computed tomography (CT) scan is a diagnostic medical test that uses a combination of X-rays and computer technology to produce detailed images of the body.
It is commonly used to diagnose conditions related to the chest, such as lung cancer, pneumonia, and other respiratory diseases. It is important to communicate the patient's allergies to the healthcare provider before the CT scan because some contrast dyes used during CT scans can cause an allergic reaction in some patients.
Therefore, it is important to identify any allergies beforehand so that appropriate measures can be taken to prevent adverse reactions or complications. In addition, the healthcare provider may need to adjust the patient's medication before the CT scan, depending on their allergies or other medical conditions.
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which of the following beverages has the highest amount of vitamin e? a. rice milk b. cow's milk c. almond milk d. soy milk 2. cow's milk is a good source of which vitamin?
Rice milk has the highest amount of vitamin E among the given beverages. The correct answer is option a.
Vitamin D is a good source of cow's milk. Vitamin E is an antioxidant that protects the body's cells from damage caused by free radicals. It's also important for a strong immune system and healthy skin and eyes. The recommended daily allowance (RDA) of vitamin E is 15 milligrams for adults. If you have a deficiency, you may require more.The amount of vitamin E in different types of milk varies. Rice milk is a type of milk that is lactose-free and made from rice grains.
It's one of the most common non-dairy milks, and it's high in vitamin E. Cow's milk, on the other hand, contains less vitamin E than rice milk. While it contains other essential nutrients, cow's milk is not a good source of vitamin E. Almond milk and soy milk are also non-dairy options. Almond milk has less vitamin E than rice milk, and soy milk has the least amount of vitamin E among the given options. Rice milk has the highest amount of vitamin E among the given beverages. Vitamin D is a good source of cow's milk.
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after a car accident, linda is taken to the hospital to be treated for pain. what treatment is she most likely to receive?
linda is transported to the hospital after a vehicle accident to receive pain medication. She is most likely to be given morphine therapy.
What is morphine therapy?High likelihood of dependency and addiction. When mixed with other substances, particularly alcohol or other illegal narcotics like heroin or cocaine, or when taken in excessive dosages, can induce respiratory distress and even death.The non-synthetic narcotic opium is used to make morphine, which has a significant potential for addiction. It is employed in the management of pain.Analgesia is morphine's main therapeutic effect. There is no ceiling effect for analgesia with morphine, like there is for all complete opioid agonists. Clinically, the dosage is adjusted to give the patient a sufficient level of analgesia and may be restricted by side effects such respiratory and CNS depression.To learn more about morphine therapy, refer to:
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After a car accident, Linda is most likely to receive pain medication to treat the pain.
What is pain?Pain is the uncomfortable feeling that is sent to the brain by the body's nervous system. It's a signal that something is wrong in the body. Pain can be mild or severe, and it can last anywhere from a few seconds to a few months, depending on the underlying cause.
Pain relief measures: Pain relief is essential in alleviating discomfort and enhancing the quality of life of the patient.
To alleviate discomfort, the following pain relief measures may be used:
Pain medication: Medications such as ibuprofen, aspirin, acetaminophen, and opioids are used to alleviate pain.
Surgery: In some instances, the surgical procedure is required to relieve pain.
Nerve blocks: To alleviate pain, an injection of medication is given to the affected area.
The use of alternative and complementary therapies, such as massage, acupuncture, and chiropractic, can also be used to alleviate pain.
However, Linda is most likely to receive pain medication to treat the pain.
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the nurse is working with school-aged children who are having enuresis or encopresis. what will most likely be the first step in this child's treatment?
The first step in treating enuresis or encopresis in school-aged children is to have a complete physical exam. This will help to rule out any underlying physical conditions that may be contributing to the issue.
Enuresis is the inability to regulate urination control. It is a typical condition in childhood, especially in young boys. Enuresis is divided into two types: primary and secondary.
A child who has never been able to maintain bladder control is referred to as having primary enuresis. Secondary enuresis occurs when a child loses bladder control after a period of drynessEncopresis is a term that refers to when someone soils their underwear, frequently due to an inability to control bowel movements. Children aged 4 to 6 years old are most commonly affected by encopresis. Encopresis is divided into two types, just like enuresis: primary and secondary.
Primary encopresis refers to someone who has never learned to regulate their bowel movements.Secondary encopresis occurs when someone has previously had proper bowel control but has begun to soil their underwear.Learn more about enuresis at https://brainly.com/question/26824719
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