The nurse would determine which immunizations are safe for a child who is receiving prednisone based on the specific type and dose of the medication, as well as the timing of the immunization.
When a child is receiving prednisone, a corticosteroid medication commonly used to treat inflammation, the nurse must consider the potential effects of the medication on the child's immune response to immunizations.
The safety of specific immunizations may depend on factors such as the type and dose of the medication, the timing of the immunization relative to the medication, and the child's overall health status.
For example, some live vaccines may be contraindicated in children taking high doses of prednisone, while inactivated vaccines may be safe to administer. The nurse should consult with the child's healthcare provider and follow established immunization guidelines to determine which immunizations are safe and appropriate for the child.
The answer is general as no options are provided.
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a patient is admitted to the emergency department with a diagnosis of ischaemic stroke. the nurse should recognize that which of these factors is a contraindication for the client receiving tissue plasminogen activator (tpa)? () a) 170 mm hg/105 mm hg b) 185 mm hg/110 mm hg c) 190 mm hg/120 mm hg d) 175 mm hg/100 mm hg elevated blood pressure (systolic >185; diastolic >110 mm hg) is a contraindication to tpa.
The nurse should recognize that elevated blood pressure (systolic >185; diastolic >110 mm hg) is a contraindication for the client receiving tissue plasminogen activator (tPa). The correct answer is Option B.
Tissue plasminogen activator (tPA) is a protein that dissolves blood clots. It can be given to people who have had a stroke to help dissolve the clot and restore blood flow to the brain. tPA must be given within 4.5 hours after stroke symptoms begin. If given in the right way at the right time, tPA can improve the chances of recovering from a stroke.
There are a few reasons why a patient with a stroke might not be able to receive tPA, including:
Blood pressure greater than 185/110 mmHg.
Blood glucose less than 50 or greater than 400 mg/dL.
Current use of anticoagulant medications.
Most patients with a stroke are eligible to receive tPA. However, tPA is not right for everyone. The risk of bleeding in the brain is a major concern when using tPA. Therefore, patients with certain medical conditions or taking specific medications may not be able to receive tPA.
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the fact that drugs use to treat schizophrenics take several weeks to exert their antischizophrenic effects suggest that
The fact that drugs use to treat schizophrenics take several weeks to exert their antischizophrenic effects suggests that these drugs do not directly impact the etiology of schizophrenia
But instead target some of the underlying physiological processes that lead to symptoms like psychosis, which are associated with schizophrenia.
What are antipsychotics?
Antipsychotics are a class of medications that are used to treat psychotic disorders such as schizophrenia and bipolar disorder. They work by blocking certain neurotransmitters (dopamine and serotonin) in the brain. Antipsychotics are thought to work by reducing the activity of dopamine in the brain.
Schizophrenia is a complex, chronic mental illness characterized by hallucinations, delusions, disordered thinking, and emotional responses. The drugs used to treat schizophrenia are known as antipsychotics or neuroleptics. These drugs can take several weeks to exert their antipsychotic effects.
This suggests that they do not directly affect the underlying cause of schizophrenia, but rather target some of the underlying physiological processes that lead to the symptoms of the disorder. The most commonly prescribed antipsychotics include chlorpromazine (Thorazine), haloperidol (Haldol), and clozapine (Clozaril).
These drugs have different mechanisms of action and side effects, but all are thought to work by reducing the activity of dopamine in the brain. The antipsychotic effects of these drugs can take several weeks to become apparent.
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a nurse assesses risk factors for vision loss in an older adult client. which action will the nurse include in this assessment?
The nurse will assess risk factors for vision loss in an older adult client by evaluating the client's medical history, current medications, and any other relevant information that might indicate a potential vision problem. They will also conduct a physical exam, assess the patient's vision, and discuss lifestyle habits and environmental factors that may be causing or exacerbating the vision problem.
The nurse will use the assessment results to recommend any necessary treatment or interventions to improve the client's vision and overall health.Nurses examine the risk factors for vision loss in an older adult patient to assess their chance of developing vision loss. The following steps should be taken:Ensure that the client is well-informed about the assessment and that any concerns are addressed. You should also express your empathy and compassion for any concerns the patient may have.Examine the client's past and current medical history. Some illnesses, medications, and disorders may increase the risk of vision loss, so it's critical to evaluate the client's previous and current medical history. Some of the chronic illnesses and medications that contribute to the risk of vision loss include diabetes, high blood pressure, and some types of medication.Enquire about the client's family medical history. Many eye disorders and illnesses, such as macular degeneration and glaucoma, have a genetic component. As a result, asking about the client's family medical history can provide important information about their risk of developing such disorders.Assess the patient's lifestyle. If a patient smokes, it may increase the risk of vision loss. It is critical to inquire about the client's lifestyle, particularly whether they smoke or use alcohol, as these behaviors may increase the risk of vision loss.Inquire about the client's occupation and hobbies. Some occupations, hobbies, and other activities may increase the risk of eye harm, therefore knowing more about these factors is important. The nurse should assess the risk factors for vision loss in an older adult client.Learn more about glaucoma: https://brainly.com/question/2286998
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the nurse enters the room to do an initial assessment on a client with a fracture of the femoral head. what would be the expected findings on the affected limb?
However, if the nurse enters the room to do an initial assessment on a client with a fracture of the femoral head, the expected findings on the affected limb would include:
Swelling Pain Reduced range of motion Bruising or discoloration Stiffness Difficulty bearing weight on the leg or inability to walk Normally, the leg may seem shorter than the other leg as well. The degree of pain can vary depending on the severity of the fracture. The affected leg can also become numb, tingling, or cold to the touch. To confirm the diagnosis, an x-ray or other imaging tests are often necessary.
A femoral head fracture is a type of hip fracture that involves the ball-like head of your thighbone or femur. Fractures to the femoral head can range from small cracks to complete breakage, depending on the force of the injury. These injuries may occur in conjunction with other hip injuries or fractures. The most common cause of a femoral head fracture is a fall. Other potential causes include motor vehicle accidents, sports injuries, and domestic violence.
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the nurse is teaching an antepartum class to first-time mothers. a mother asks the nurse if she should stay in bed when her contractions start. how should the nurse respond?
When a first-time mother asks the nurse if she should stay in bed when her contractions start, the nurse should respond by telling her to move about to aid the baby's descent.
The nurse should respond to the mother by telling her that it is best to stay in bed when contractions start. Being in bed can help to make the contractions more effective and help progress labor. Additionally, staying in bed can help reduce fatigue, making it easier to cope with labor. If the mother feels that she needs to move around to cope with the contractions, then she can do light walking or try other comfort measures such as changing positions or having a warm shower.
The nurse is teaching an antepartum class to first-time mothers. A mother asks the nurse if she should stay in bed when her contractions start. Antepartum refers to the period of time from conception through the onset of labor. It's a term that refers to the period of time before childbirth. It usually takes about 40 weeks from the first day of a woman's last menstrual cycle to the day her baby is born
During antepartum classes, mothers are usually educated on how to properly care for themselves and their unborn children during pregnancy. They're also taught the warning signs of potential complications, such as preterm labor and preeclampsia, and how to deal with them. This helps mothers prepare for childbirth and postpartum care.
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In most cases, interest will accrue during your period of deferment or forbearance (except in the case of certain forbearances, such as the one offered as a result of the COVID-19 emergency).
You are not required to make loan payments while you are in a deferral or forbearance period.
Yet even if you are not making payments during this time, interest will still be accruing on your debts, causing your loan balance to increase.
To this rule, there are some exceptions. As an illustration, the US government suspended payments and interest on federal student loans during the COVID-19 pandemic, therefore no interest was charged on those loans throughout the forbearance period. This interim remedy, though, might not be applicable to all forms of forbearance.
Understanding the conditions of your specific deferment or forbearance is crucial if you want to know how interest will change during that time.
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an older adult client was recently diagnosed with glaucoma. which intervention will the nurse teach the client to help prevent an increase in intraocular pressure?
For a client who has recently been diagnosed with glaucoma, what the nurse teaches the client to help prevent an increase in intraocular pressure is as follows:
Avoid actions that increase intraocular pressure: Activities that cause an increase in intraocular pressure, such as straining or heavy lifting, should be avoided by the client. It can be necessary to teach the client how to use the Valsalva maneuver when lifting heavy objects or defecating.
Avoid activities that put a lot of strain on the eyes: The client should be told to avoid activities that put a lot of strain on the eyes, such as reading in poor lighting or for long periods of time, watching television for extended periods of time, or using a computer for long periods of time.
Avoid positions that place pressure on the eyes: The client should be advised to avoid positions that place pressure on the eyes, such as sleeping with their eyes pressed against a pillow or lying in a position that places their head below their heart.
Avoid activities that raise blood pressure: The client should be advised to avoid activities that raise blood pressure, such as drinking caffeine and taking cold medication.
Use eye drops and oral medications as prescribed: Clients should use eye drops and oral medications as prescribed by their physician. Even though they might not have symptoms, the medication is still needed to help prevent glaucoma from getting worse.
Glaucoma is a group of eye diseases that damage the optic nerve and can result in blindness. Elevated intraocular pressure (IOP) is a risk factor for the development of glaucoma. Glaucoma can be treated with drugs, laser surgery, and surgery. If left untreated, glaucoma can lead to blindness. The earlier glaucoma is diagnosed, the better the prognosis.
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which are ethical issues that need to be considered as health care reform continues? select all that apply.
Ethical issues related to health care reform include:
Ensuring patient privacy: Patient privacy is an important ethical consideration in healthcare reform. With the increasing use of electronic health records (EHRs) and other health information technologies, there is a need to protect patients' personal health information from unauthorized access or disclosure.
Healthcare reform efforts should prioritize the protection of patient privacy and confidentiality, and ensure that appropriate measures are in place to safeguard patients' health information.
Guaranteeing equitable access to healthcare services: Equity in healthcare means that all individuals, regardless of their socioeconomic status, race, gender, age, or other factors, should have equal opportunities to access healthcare services.
Healthcare reform efforts should aim to promote equitable access to healthcare services, so that everyone has the same chance to receive necessary healthcare regardless of their background or circumstances.
Fairly distributing healthcare resources: Healthcare resources, including facilities, equipment, personnel, and funding, are often limited.
Healthcare reform efforts may involve allocation of these resources in a fair and just manner, so that they are distributed in a way that meets the needs of the population while minimizing disparities and ensuring that vulnerable populations are not left behind.
Preventing discrimination based on age, gender, race, or other protected classes: Healthcare reform should ensure that all individuals, regardless of their age, gender, race, or other protected classes, are treated with dignity and respect, and are not subjected to discrimination or bias in their access to healthcare services or in their treatment by healthcare providers.
Ethical principles of justice and fairness should guide healthcare reform efforts to eliminate discrimination and promote equitable care for all.
Providing informed consent for medical treatment: Informed consent is a fundamental ethical principle in healthcare, which requires healthcare providers to obtain voluntary, informed, and competent consent from patients before initiating any medical treatment or procedure.
Healthcare reform efforts should prioritize the importance of obtaining informed consent from patients, and ensure that patients are fully informed about the benefits, risks, and alternatives of their treatment options so that they can make autonomous and informed decisions about their healthcare.
In conclusion, healthcare reform efforts raise important ethical considerations related to patient privacy, equitable access to healthcare services, fair distribution of healthcare resources, prevention of discrimination, and informed consent.
It is essential for healthcare policymakers, providers, and other stakeholders to carefully consider these ethical issues and incorporate ethical principles in the design and implementation of healthcare reform initiatives to ensure that they are just, fair, and aligned with the values of respect, autonomy, and social justice.
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the nurse is monitoring a group of clients being treated for various chronic illnesses. which clients should the nurse prioritize as most at risk for hyperkalemia? select all that apply.
Hyperkalemia is a condition in which there is an elevated level of potassium in the blood. It can be caused by a variety of medical conditions and medications, and can be life-threatening if not treated quickly.
The clients at most risk for hyperkalemia are those who have chronic kidney disease, diabetes, or heart failure. These conditions can cause a buildup of potassium in the bloodstream, and the medications used to treat them can also cause an elevation in potassium levels. Additionally, clients who are taking certain medications, such as ACE inhibitors, angiotensin-II receptor blockers, and diuretics, are at an increased risk of developing hyperkalemia.
The nurse should prioritize these clients as most at risk for hyperkalemia, and should monitor their potassium levels closely. They should also assess for signs and symptoms of hyperkalemia, such as nausea, fatigue, abdominal pain, and muscle weakness, and report these to the physician immediately. The nurse should also provide patient education on the importance of taking medications as prescribed, eating a balanced diet, and monitoring their potassium levels regularly.
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the nurse on the medical unit expects which medication to be prescribed for a client experiencing alcohol withdrawl kaplan c ngn mental health
The medication prescribed for a client experiencing alcohol withdrawal is benzodiazepines.
Alcohol withdrawal refers to the physical and emotional symptoms that occur when an individual who has been drinking for a long period of time stops drinking abruptly. The condition typically develops within a few hours to a few days of the last drink and can last for several days or weeks. The symptoms of alcohol withdrawal range from mild to severe and can include nausea, vomiting, headache, sweating, insomnia, agitation, anxiety, seizures, and hallucinations.
These symptoms are caused by changes in the brain's chemistry that occur as a result of chronic alcohol consumption. Benzodiazepines are a class of medications used to treat anxiety and other psychiatric conditions. They are also used to treat alcohol withdrawal, as they help to reduce the severity of the symptoms and prevent seizures.
Benzodiazepines work by enhancing the activity of a neurotransmitter called gamma-aminobutyric acid (GABA), which is responsible for slowing down the brain's activity. This helps to reduce anxiety and other symptoms associated with alcohol withdrawal.The most commonly used benzodiazepines for alcohol withdrawal include diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium). These medications are typically administered on an as-needed basis to manage the symptoms of alcohol withdrawal.
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the nurse is caring for a couple who have just learned that their infant has a genetic disorder. what would be least appropriate for the nurse to do at this time?
The least appropriate thing for the nurse to do in this situation would be to tell the couple how to feel. It is important for the nurse to be empathetic and understanding of the parents’ feelings and to provide support, but it is not the nurse’s job to tell them how to respond or feel.
The couple needs to be allowed to process the information and grieve in their own way, and the nurse should be there to provide emotional support and guidance. The nurse should also ensure that the couple has all the information they need about the disorder and any available treatments or support.
The nurse should also provide resources for the couple to contact, such as support groups, counselors, or other parents of children with the same disorder, as well as provide referrals to specialists as needed.
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61. the client is four hours post admission after high cervical spinal cord trauma. which nursing intervention should be implemented? a. undertake neurological assessment every four hours b. administer narcotic medications every six hours c. assess the client for difficulty in swallowing or speaking d. nurse the client prone with legs slightly elevated
The nursing intervention that should be implemented four hours post admission after high cervical spinal cord trauma is to undertake neurological assessment every four hours. The correct answer is Option A.
What is a neurological assessment?A neurological assessment is an evaluation of the patient's nervous system, which includes the brain, spinal cord, and nerves. It can aid in determining the patient's level of consciousness and how well they can perceive and respond to sensory input. A neurological evaluation can also be utilized to monitor progress or deterioration over time.
What is the importance of a neurological assessment?A neurological assessment is essential because it can aid in the detection of issues with the nervous system, including stroke, neuromuscular conditions, and degenerative diseases, among others. The assessment will determine if there are any changes in the patient's nervous system functioning and if there is any improvement in their condition following surgery or rehabilitation.
The importance of neurological assessment includes:
Monitoring the patient's neurological status is essential for patient care in the hospital setting;
Ensuring the patient receives appropriate care;
It aids in the identification of potential complications;
It provides feedback to the physician, which is essential for proper diagnosis and treatment planning.
Therefore, the nursing intervention that should be implemented four hours post admission after high cervical spinal cord trauma is to undertake neurological assessment every four hours.
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what is the most important consideration for the nurse when communicating with an adolescent about sexually transmitted infections (sti)?
When communicating with an adolescent about sexually transmitted infections (STIs), the most important consideration for the nurse is to create a safe, non-judgmental, and supportive environment. Adolescents may feel embarrassed or ashamed about discussing their sexual health and practices, so the nurse needs to establish trust and maintain confidentiality to ensure that the adolescent feels comfortable sharing information.
The most important consideration for the nurse when communicating with an adolescent about sexually transmitted infections (STIs) is to ensure that the conversation is nonjudgmental and confidential.
Sexually transmitted infections (STIs) are infections that can be contracted via sexual contact. STIs are also known as sexually transmitted diseases (STDs). The following are some of the most prevalent STIs: Gonorrhea, Chlamydia, Syphilis, Herpes, Genital, warts, Hepatitis B, HIV/AIDS
The nurse should use clear and age-appropriate language to explain the risks associated with unprotected sexual activity and ways to prevent STIs, such as using condoms and getting regular testing. The nurse should also provide resources for testing and treatment, as well as information about local health clinics and other support services.
It is also important for the nurse to address any myths or misconceptions the adolescent may have about STIs and to emphasize that seeking help for a possible STI is a responsible and important step in protecting one's health. The nurse should also discuss the importance of discussing sexual health with their partner(s) and practicing open communication.
Overall, the nurse should approach the conversation with sensitivity and empathy, while providing accurate and informative guidance to help the adolescent make informed decisions about their sexual health.
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a patient with type 1 diabetes is eating breakfast at 7:30 am. blood sugars are on a sliding scale and are ordered before a meal and at bedtime. the patient's blood sugar level is 317 mg/dl. which formulation of insulin should the nurse prepare to administer? a. no insulin should be administered. b. nph c. 70/30 mix d. lispro [humalog]
The formulation of insulin that should the nurse prepare to administer to a patient with type 1 diabetes who is eating breakfast at 7:30 am and has a blood sugar level of 317 mg/dl is lispro [Humalog]. The correct answer is d.
What is type 1 diabetes?Type 1 diabetes is an autoimmune disease characterized by the body's failure to produce insulin due to the immune system attacking the pancreas. Insulin is a hormone that regulates blood sugar levels, so a lack of insulin results in high blood sugar levels. It affects children and young adults, although it can occur at any age.
Patients with type 1 diabetes must take insulin for the rest of their lives to regulate their blood sugar levels.
What is a sliding scale?A sliding scale is a tool used to control blood sugar levels in individuals with diabetes. The amount of insulin required is determined by a patient's blood sugar level, which is assessed before meals and at bedtime.
The blood sugar level will dictate the amount of insulin needed, which will be calculated using a sliding scale, ensuring that insulin administration is tailored to the patient's specific needs. The sliding scale provides a set of insulin dosages that correspond to various blood sugar levels.
The dosage of insulin is increased or decreased depending on the patient's blood sugar levels. Dosage adjustments are made after every reading. Insulin, a hormone that regulates blood sugar levels, is the medication most commonly used in the treatment of diabetes.
What formulation of insulin should the nurse prepare to administer?The patient's blood sugar level is 317 mg/dl, and the nurse is required to prepare a formulation of insulin. According to the American Diabetes Association (ADA) guidelines, insulin lispro [Humalog] is a rapid-acting insulin that should be used to control blood sugar levels in individuals with type 1 diabetes.
Lispro [Humalog] is a quick-acting insulin that begins working in less than 15 minutes and has a peak effect within 1 hour of administration. As a result, it is suitable for controlling the patient's high blood sugar levels. The correct answer is d. lispro [Humalog].
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a 6-year-old girl who is being treated for shock is pulseless with an irregular heart rate of 32 bpm. which intervention is priority?
The priority intervention for a 6-year-old girl who is pulseless with an irregular heart rate of 32 bpm is a) Initiate cardiac compressions.
Shock is a condition in which the body is not getting enough blood flow. This can happen when the heart is not pumping effectively or when blood vessels become constricted or blocked. Shock is a medical emergency and can lead to organ failure and death.
An irregular heart rate is a rhythm disorder that causes the heart to beat too quickly, too slowly, or in an erratic pattern. This can be caused by various factors, including heart disease, medication side effects, or electrolyte imbalances. When a patient is in shock and is pulseless with an irregular heart rate, the priority intervention is to initiate cardiac compressions. This involves pressing down on the chest in a rhythmic manner to help keep the blood circulating throughout the body. This should be done while awaiting further medical intervention, such as defibrillation or administration of medications like epinephrine.
Therefore, option A (Initiate cardiac compressions) is the correct answer.
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a 6-year-old girl who is being treated for shock is pulseless with an irregular heart rate of 32 bpm. which intervention is priority?
a) Initiate cardiac compressions
b) Give three doses of epinephrine
c) Administer doses defibrillator shocks in a row
d) Defibrillate once followed by three cycles of cardiopulmonary resuscitation (CPR)
a client with diabetes is found unconscious after the morning dose of insulin. what would be a priority nursing intervention at this time?
Initiating treatment for hypoglycemia would be a priority nursing intervention for an unconscious client with diabetes who has received an insulin dose.
Hypoglycemia is a common complication of insulin therapy, and can cause a range of symptoms including confusion, dizziness, sweating, and loss of consciousness. If the client is found unconscious, it is likely that their blood glucose level has dropped significantly, which can be life-threatening.
The nurse should first call for emergency assistance and begin basic life support measures, such as opening the airway and assessing the client's breathing and pulse. Once the client's ABCs are stabilized, the nurse should check the client's blood glucose level and provide treatment for hypoglycemia if indicated.
Treatment for hypoglycemia may involve administering oral glucose, such as juice or soda, if the client is responsive and able to swallow. If the client is unresponsive or unable to swallow, the nurse may need to administer glucose intravenously or glucagon subcutaneously or intramuscularly to raise the client's blood glucose level. The specific treatment will depend on the client's condition and the healthcare provider's orders.
It is important for the nurse to monitor the client closely and continue to check their blood glucose level regularly to ensure that it remains within a safe range. The nurse should also investigate the cause of the hypoglycemic event and take steps to prevent future episodes, such as adjusting the client's insulin regimen or providing education on self-care and diabetes management.
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a pt has been confined to bed for a period of 2 months and now demonstrates limited rom in both le. range in hip flx is 5-115 deg and knee flx is 10-120 deg. the pta has indicated that flexibility activities should be implemented to improve the rom in preparation of standing activities. which represents the most appropriate intervention to improve flexibility and ready this pt for standing?
The most appropriate intervention to improve flexibility and ready this patient for standing is passive range of motion (PROM) exercise.
What is the passive range of motion (PROM)?Passive range of motion (PROM) is a type of physical therapy that involves a physical therapist or other trained professional to move your limbs through your range of motion for you. In this type of exercise, the person stays in a relaxed position while the joint is moved through its natural motion.
PROM is used when the patient is unable to move on their own, as in the case of a patient who has been confined to bed for two months. Range of motion (ROM) exercises are used to improve the flexibility of a joint. Active and passive movements are two types of range-of-motion (ROM) exercises.
Active movement exercises are carried out by the patient, whereas passive movement exercises are carried out by someone else. The hip flexion and knee flexion ROMs of the patient in this scenario indicate that they have a limited range of motion (ROM).
To improve the patient's ROM and prepare them for standing activities, passive ROM exercises are the most suitable intervention.
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a nurse caring for an infant with neonatal bronchopulmonary dysplasia (chronic lung disease) administers furosemide. what is the priority intervention following the administration of this medication?
The priority intervention following the administration of furosemide by a nurse caring for an infant with neonatal bronchopulmonary dysplasia is to monitor the infant's fluid and electrolyte balance.
Here, correct option is C.
Furosemide is a diuretic drug that is used to treat fluid build-up caused by heart failure, liver disease, and kidney disease. It is also used to treat hypertension. The medication prevents the absorption of salt and excess water in the body.
The drug increases urination and aids in the removal of excess salt and fluid from the body. The priority intervention following the administration of furosemide by a nurse caring for an infant with neonatal bronchopulmonary dysplasia is to monitor the infant's fluid and electrolyte balance. This is because furosemide can cause dehydration by removing excessive water and salt from the body.
Therefore, correct option is C.
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Complete question is :
A nurse caring for an infant with neonatal bronchopulmonary dysplasia (chronic lung disease) administers furosemide. what is the priority intervention following the administration of this medication?
A. monitor the infant's fluid. B. electrolyte balance. C. both.
when reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that which conditions are contraindications to this drug therapy?
When reviewing the health history of a patient who wants to begin taking oral contraceptives, the nurse recalls that hypertension, history of stroke, and history of deep vein thrombosis are contraindications to this drug therapy.
Oral contraceptives, often known as birth control pills, are a kind of hormone therapy that contains estrogen and progestin. These hormones, as the name implies, prevent pregnancy by blocking ovulation. They also thicken the cervical mucus, which makes it difficult for sperm to reach the egg.
Because oral contraceptives are a type of hormonal medication, they may cause a variety of side effects. They're also contraindicated for women who have certain health issues. Here are some contraindications to oral contraceptive therapy: Hypertension: Women who have uncontrolled high blood pressure (over 160/100 mmHg) should not take oral contraceptives.
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a nurse is caring for a client with renal failure who weighed 61 kilograms at admission and now weighs 63 kilograms. how much fluid has the client gained?
1000 mL
250 mL
500 mL
2000 mL
Answer:
To determine the amount of fluid gained by the client, we need to calculate the difference between the admission weight and the current weight.
The amount of fluid gained can be calculated as follows:
63 kg (current weight) - 61 kg (admission weight) = 2 kg
1 kg of body weight is equivalent to 1000 mL of fluid. Therefore, 2 kg is equivalent to 2000 mL of fluid.
Therefore, the client has gained 2000 mL of fluid. Answer: 2000 mL.
kelly currently eats a diet that consists mainly of red meat, junk food, and soda. to lower her risk of heart disease, she should:
Answer:
To lower her risk of heart disease, Kelly should make some changes to her diet and lifestyle. Here are some suggestions:
Reduce consumption of red meat: Red meat is high in saturated fats, which can raise cholesterol levels and increase the risk of heart disease. Kelly can reduce her consumption of red meat and choose leaner sources of protein, such as chicken, fish, beans, or lentils.
Increase consumption of fruits and vegetables: Fruits and vegetables are high in fiber, vitamins, and minerals that are essential for good health. Kelly can add more fruits and vegetables to her diet, aiming for at least five servings per day.
Choose healthier snacks: Instead of junk food, Kelly can choose healthier snacks, such as nuts, seeds, yogurt, or whole-grain crackers with hummus.
the nurse is caring for a client with an infected wound that is left to heal by secondary intention. which observation does the nurse expect to make during assessment of the wound area?
During assessment of the wound, the nurse should expect to observe signs of healing. This can take the form of new granulation tissue, which is a pink, moist, and somewhat shiny tissue that is forming in the wound bed.
The nurse should also observe the wound bed for signs of infection, such as redness, tenderness, warmth, and discharge. Depending on the severity of the infection, the nurse may observe necrotic tissue or slough, which is yellow or tan in color and appears dry and stringy. The nurse should also note any changes in size or depth of the wound, as well as any changes in the surrounding skin.
Additionally, the nurse should observe the presence of any surrounding edema or swelling, which could indicate an infection or other complications. Finally, the nurse should observe for any signs of malodor, which could also indicate infection.
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the nurse is assessing a client who is 14 hours postpartum and notes very heavy lochia flow with large clots. which action should the nurse prioritize?
The nurse should prioritize assessing the client for signs of postpartum hemorrhage.
What is Postpartum hemorrhage?Postpartum hemorrhage is a serious medical condition that can occur after childbirth due to excessive bleeding. It is important to assess a client who is 14 hours postpartum for signs of postpartum hemorrhage if they are experiencing very heavy lochia flow with large clots.
Symptoms of postpartum hemorrhage include excessive bleeding, abdominal pain, lightheadedness, nausea and vomiting, and rapid heart rate. A nurse should always prioritize assessing a postpartum client for signs of postpartum hemorrhage, especially if they are experiencing any of the symptoms listed above.
The nurse should also be prepared to take action if the client is exhibiting any of the symptoms of postpartum hemorrhage. This may include administering medications to help control the bleeding, contacting the healthcare provider, and providing supportive care to the client.
It is important for the nurse to be vigilant in assessing postpartum clients and to take prompt action if any signs of postpartum hemorrhage are present. By assessing the client and taking the necessary action, the nurse can help ensure the client's safety and well-being.
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(T/F) the chemical structure of vitamin b12 contains cobalt.
The given statement " The chemical structure of vitamin b12 contains cobalt." is True. Because, the chemical structure of vitamin B12, also known as cobalamin, contains a central atom of cobalt.
Vitamin B12 is a water-soluble vitamin plays an important role in the normal functioning of the nervous system, the production of red blood cells, and metabolism of fatty acids and amino acids. Cobalt atom in vitamin B12 is surrounded by a complex ring structure called porphyrin ring, which is responsible for its ability to bind to proteins in the body and be transported to where it is needed. Without adequate intake of vitamin B12, person can develop a range of symptoms and health problems, including anemia, neurological problems, and fatigue.
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an adequate calcium intake throughout life helps protect against: a. dementia. b. liver cancer. c. cardiovascular disease. d. diabetes. e. osteoporosis.
An adequate calcium intake throughout life helps protect against osteoporosis.
So, the correct answer is E.
Osteoporosis is a condition characterized by weak bones that are more prone to fractures. Calcium is crucial for the maintenance of healthy bones, and a deficiency in calcium can result in bone loss.
In addition to osteoporosis, an adequate intake of calcium is also important in reducing the risk of cardiovascular disease. Calcium is important in maintaining normal blood pressure and reducing the risk of hypertension. High blood pressure is a risk factor for heart disease and stroke. Calcium is also important for maintaining brain health and cognitive function, as well as reducing the risk of liver cancer and diabetes.
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when admitting an older adult client for nausea and vomiting that has lasted for 3 days, the nurse should assess for which clinical findings?
When admitting an older adult client for nausea and vomiting that has lasted for 3 days, the nurse should assess for several clinical findings to determine the most appropriate nursing intervention.
The highest priority is to assess for deficient fluid volume related to nausea and vomiting, as these symptoms can cause a loss of fluids and electrolytes. The nurse should also assess current vital signs, lab values, and any changes in the client's condition, such as decreased urine output, which can indicate dehydration and electrolyte imbalances.
A primary assessment should also be completed at the commencement of each shift, patient encounter or if the patient's condition changes at any other time. By monitoring these clinical findings, the nurse can determine the most appropriate nursing interventions to prevent further complications and improve the client's outcome.
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the nurse is correct to tell a family that their child should begin adult sized portions of food at what age?
Answer:
at 2 years old
Explanation:
As babies get older, they need solid food to get enough nutrients for growth and development
a child has been bitten by another child and there is minimal bleeding from the wound. which action would be most appropriate to do first?
The most appropriate first action would be to "wash the area with soap and water" to prevent infection from the bite wound.
Washing the wound with soap and water is crucial to reduce the risk of infection from the bite. Even if the bleeding is minimal, there is still a risk of bacteria and germs entering the wound, which can lead to infections such as tetanus or rabies. It is important to clean the wound thoroughly and cover it with a clean bandage.
If the wound shows any signs of infection such as redness, swelling, or fever, it is important to seek medical attention immediately. It is also important to report the incident to a responsible adult or authority figure to ensure proper follow-up and prevention of future incidents.
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according to the usda, how many teaspoons of sugar per day should be consumed for a 2,000 calorie diet? no more than teaspoons.
According to the USDA, the amount of sugar per day that should be consumed for a 2,000-calorie diet is no more than 12 teaspoons.
What is the recommended daily intake of sugar?Аccording to the Аmericаn Heаrt Аssociаtion (АHА), the recommended dаily intаke of аdded sugаr for men is no more thаn 9 teаspoons or 36 grаms, аnd for women, no more thаn 6 teаspoons or 24 grаms. However, the USDА recommends no more thаn 10% of your dаily cаlorie intаke should come from аdded sugаr.
The mаximum аmount of sugаr in teаspoons per dаy for а 2,000 cаlorie diet, аccording to the USDА is 12 teаspoons. For children, the recommended dаily intаke of аdded sugаr vаries depending on their аge, gender, аnd cаlorie intаke. The АHА recommends thаt children аges 2-18 limit their dаily intаke of аdded sugаr to no more thаn 6 teаspoons or 25 grаms.
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you are providing nursing care for a 59 year old patient who is in the rehabilitation phase of his cva. as you talk with him of his progress, he begins to cry for what appears to you as spontaneous with no apparent cause. what is the best response in dealing with this situation?
The best response in dealing with this situation where the patient starts crying while in CVA rehabilitation is to empathize and offer support.
Crying can be a sign of emotional distress or physiological reaction following a CVA that may project itself during the rehabilitation. The patient may feel overwhelmed or anxious, experiencing feelings of sadness and frustration, or even a sense of loss due to changes in their lifestyle caused by the stroke. As a nurse, it is important to approach the patient with empathy and understanding during such situations.
The best response in dealing with this situation is to approach the patient with empathy and understanding. Below are some steps that can be taken in dealing with a crying patient.
1. Provide support: Encourage the patient to express their emotions and offer support through active listening and positive reinforcement. Do not interrupt or try to stop the crying or change the subject. Instead, allow the patient to express themselves, listen attentively, and provide reassurance.
2. Empathize: Express empathy and acknowledge the patient's feelings. Let them know that it's normal to feel emotional and upset after a CVA. Encourage the patient to talk about their feelings and offer support, understanding, and reassurance.
3. Assess: Observe the patient's behavior to determine the severity of the situation. If the patient appears to be in distress or if their crying is excessive, notify the healthcare provider or seek immediate medical attention. It is essential to recognize when a patient's crying is an indicator of deeper mental health issues or medical conditions.
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