The statement that best describes the appropriate response by the CNL to the nurse is option A
"EBP involves critiquing and synthesizing evidence, while research involves designing a study because there is a gap in knowledge."
What is evidence-based practice?Evidence-based practice (EBP) is the process of integrating clinical knowledge with external research evidence to provide high-quality care to patients. It's a practice-based approach that involves incorporating research results and clinical expertise into patient-centered decision-making to improve patient outcomes.
In evidence-based practice, critical thinking and decision-making are used to evaluate clinical data and apply the best available research evidence to improve patient outcomes.
What is research?Research is a systematic process of investigation that aims to generate new knowledge and add to the existing body of knowledge. Research is critical for identifying and resolving gaps in knowledge and answering questions about a subject. Researchers employ specific methods to test hypotheses and come up with new ideas. Research is critical in determining the best practices for patient care.
The complete question is as follows:
A nurse is trying to determine the difference between evidence-based practice (EBP) and research. She approaches her unit CNL to assist her in her dilemma. What statement best describes the appropriate response by the CNL?
A. EBP involves critiquing and synthesizing evidence, while research involves designing a study because there is a gap in knowledge.
B. EBP needs institutional review board (IRB) approval, while research does not.
C. EBP involves collecting and analyzing data, while research includes critiquing and synthesizing
evidence.
D. In EBP, the first step is identifying a clinical problem, while in research identifying a clinical problem is the last step.
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the home health nurse arrives at a client's home and immediately notes the client is experiencing increased dyspnea. the client has a 7-year history of chronic obstructive pulmonary disease (copd). which assessment finding should the nurse prioritize?
When the client has a 7-year history of chronic obstructive pulmonary disease, the nurse should prioritize the client's oxygen saturation levels.
Oxygen saturation levels: The home health nurse should prioritize the client's oxygen saturation levels because increased dyspnea is a sign of hypoxemia, which is a decrease in oxygen levels in the blood. Clients with COPD often have low oxygen levels due to damage to the lungs, which can cause difficulty breathing, fatigue, and other symptoms. A low oxygen saturation level may require immediate intervention to improve the client's breathing and prevent further complications.
The nurse should assess the client's oxygen saturation levels using a pulse oximeter or other device and intervene as necessary to improve oxygenation, such as administering supplemental oxygen or adjusting the client's medications. The home health nurse should prioritize assessing the client's oxygen saturation level. This is because increased dyspnea in a client with a 7-year history of chronic obstructive pulmonary disease (COPD) may indicate worsening of the condition or possible complications, and oxygen saturation level is a critical parameter to evaluate respiratory function.
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a nurse administers incorrect medication to a client. after assessing the client, and completing an incident report, which is the priority action by the nurse?
The priority action by the nurse after administering incorrect medication to a client is to assess the client and report the incident. This must be done immediately to prevent any potential harm to the client.
The nurse must assess the client for any signs or symptoms of an adverse reaction to the medication. This may include monitoring vital signs, lab tests, and any other procedures necessary to assess the client's condition. The nurse must then complete an incident report documenting the event, detailing the circumstances, any treatments that were provided, and any patient responses to the medication.
Once the incident is reported, the nurse must also inform their supervisor and/or the medical facility's risk management department. Additionally, the nurse must take any other steps necessary to ensure the client's safety and well-being.
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a recently hospitalized client with multiple sclerosis voices a concern about generalized weakness and fluctuating physical status. which nursing intervention is the priority for this client?
The nursing intervention that should be a priority for this patient is space activities throughout the day.
What is multiple sclerosis?Multiple sclerosis is defined as the autoimmune disorder whereby the cells of the immune system destroys the normal protective covering of nerve cells.
The clinical manifestations of multiple sclerosis include the following:
fatigue.numbness and tingling.loss of balance and dizziness.stiffness or spasms.tremor.pain.bladder problems.bowel trouble.For a nurse, a recently hospitalised client with multiple sclerosis who has a concern of generalised weakness should be placed on spacing activities which will encourage maximum functioning within the limits of strength and fatigue.
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which risk would the nurse expect in a patient who consumes excessive amounts of coffee in the day and evening hours?
The nurse would expect the risk of increased heart rate, jitteriness, and difficulty sleeping in a patient who consumes excessive amounts of coffee during the day and evening hours.
Coffee is a popular beverage consumed by millions of people every day. It contains caffeine, a stimulant that can have both positive and negative effects on the body.Excessive coffee consumption can lead to a number of health problems, including an increased risk of heart disease and stroke. In addition, caffeine can cause jitteriness, nervousness, and difficulty sleeping, which can interfere with a person's ability to function properly during the day.Caffeine can also increase heart rate and blood pressure, which can be particularly dangerous for people with pre-existing heart conditions. It can also cause stomach problems, such as acid reflux and ulcers, and can interfere with the body's ability to absorb certain nutrients, such as calcium and iron.Therefore, the nurse would expect the risk of increased heart rate, jitteriness, and difficulty sleeping in a patient who consumes excessive amounts of coffee during the day and evening hours.Learn more about stroke: https://brainly.com/question/26482925
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a 42 year-old woman presents with an overdose of her xanax (alprazolam) that her family indicates she has been taking for years to help with her anxiety. the bottle indicates that the prescription was filled yesterday with 90 pills and is now empty. the patient is minimally responsive to painful stimuli and does not react when you suction secretions out of her posterior pharynx. what is your next management step?
The next management is to provide supportive care.
Supportive care is a critical component of medical management for patients with various health conditions. It involves providing interventions and measures aimed at relieving symptoms, managing complications, and improving the overall well-being of the patient.
Supportive care is often used in conjunction with other treatments and therapies to optimize patient outcomes and quality of life.
Supportive care can encompass a wide range of interventions depending on the specific needs of the patient and the nature of the condition being managed. Some common examples of supportive care measures include:
Symptom management: This involves addressing and managing the various symptoms that a patient may be experiencing, such as pain, nausea, vomiting, shortness of breath, fatigue, or insomnia.
Symptom management can involve the use of medications, physical interventions, or non-pharmacological approaches such as relaxation techniques, breathing exercises, or complementary therapies.
Nutritional support: Nutrition plays a crucial role in the overall health and well-being of patients. In some cases, patients may require special dietary considerations, such as a modified diet for certain medical conditions or assistance with feeding due to physical limitations.
Nutritional support may involve dietary modifications, supplements, or specialized feeding techniques, depending on the patient's needs.
This would include ensuring an open airway and providing oxygen support as needed. Vital signs should be monitored closely, and labs drawn as indicated to assess for electrolyte and metabolic disturbances.
Intravenous fluids should be administered if necessary, and activated charcoal may be considered to decrease absorption of the alprazolam.
If the patient is not responding to painful stimuli, they should be monitored for sedation and treated with a benzodiazepine antagonist if indicated.
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the nurse assesses a child and finds that the child's pupils are pinpoint. what does this finding indicate?
These findings indicate that the child has opioid poisoning.
Opioids are a class of drugs that includes morphine, heroin, and codeine. These drugs act on the body to relieve pain and feelings of euphoria, but they can also cause slowed breathing and sharp pupils.
Opioids are a type of drug that constricts the pupils, making them look like dots. It is important to note that this judgment must be followed up with further testing to ensure the cause of opioid poisoning is properly identified and treated.
Opioid overdose constricts the pupils, causing them to become sharp instead of their normal size. When nurses assess a patient and discover these symptoms, they must take immediate action to ensure patient safety
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if on physical examination the clinician auscultates rhonchi, the clinician should ask the patient to take a deep breath and cough in order to:
If on physical examination the clinician auscultates rhonchi, the clinician should ask the patient to take a deep breath and cough in order to clear the airway.
Rhonchi refer to a low-pitched sound that is heard while breathing. They are audible when air moves through the airways that are obstructed or narrowed due to an infection, inflammation, or an obstructing mass. The sound of rhonchi can be compared to snoring or wheezing. They are usually heard when taking a breath or coughing in order to clear the airways. A physical examination is a process of evaluating the body for any physical symptoms or signs of illness. It involves a medical professional carefully examining the patient's body to detect the presence of abnormalities or diseases. The physical examination is often carried out by a healthcare provider, nurse, or physician assistant. The healthcare provider usually begins by asking about the patient's medical history, followed by performing a thorough physical examination. If a clinician auscultates rhonchi on physical examination, the clinician should ask the patient to take a deep breath and cough in order to clear the airway. Rhonchi often occur when air is blocked or narrowed in the airways, and coughing can help to clear the airway of mucus or other obstructions. Coughing can also help to clear the lungs of excess fluid or other irritants, which can reduce the risk of infection or other complications.Learn more about physical examination: https://brainly.com/question/28306075
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medications for treating diabetes tend to become less effective over time. group of answer choices false no answer text provided. true no answer text provided.
Medications for treating diabetes tend to become less effective over time is TRUE because the body develops resistance to the drugs.
Over time, some people with diabetes may need to adjust their diabetes medications to maintain blood sugar control because of changes in their body's sensitivity to these medications. Regular monitoring and follow-up with healthcare providers are recommended to ensure that the treatment regimen remains effective.
The condition of diabetes is where the sugar content in the blood exceeds normal and tends to be high. Diabetes mellitus is a metabolic disease that can affect anyone
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the home health nurse is caring for an 82-year-old client who reports almost daily diarrhea. the nurse should assess for what common cause of diarrhea in older adults?
An older adult who has diarrhoea virtually every day should have their medication routine reviewed by a home health nurse because antibiotic use is a common cause of this condition.
What nursing diagnostic is most important for liquid stools?A client who is 89 years old and has frequent watery stools is being cared for by the nurse. When creating this patient's care plan. Polycarbophil is prescribed to a patient who has been experiencing liquid stools (FiberCon).
When placing a client in the Sims position, which action is most crucial for the nurse to carry out?When putting a client in the Sim's place, what course of action is most crucial for the nurse to take. Elevate the bed to a working height of waist height.
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8. erwin wants to increase his monounsaturated fat intake. which meal has the highest amount of monounsaturated fat?
The meal with the highest amount of monounsaturated fat will depend on the specific foods and preparation methods used. However, incorporating foods like nuts, seeds, oils, and fatty fish into your meals can help you increase your intake of monounsaturated fats and promote overall health.
Monounsaturated fats are a type of healthy fat that can be found in a variety of foods, including nuts, seeds, oils, and some types of fish. Here are a few meal options that are high in monounsaturated fats:
Grilled salmon with avocado salsa: This meal features a generous serving of grilled salmon, which is high in heart-healthy omega-3 fatty acids, as well as a topping of avocado salsa, which is rich in monounsaturated fats.
Mediterranean-style chicken wrap: This wrap is filled with grilled chicken, hummus, roasted red peppers, and olives, all of which are good sources of monounsaturated fats. You could also drizzle some olive oil on top for an extra boost of healthy fat.
Black bean and sweet potato tacos: These vegetarian tacos are filled with black beans, sweet potatoes, and avocado, all of which are high in monounsaturated fats. You could also add some sliced almonds or a drizzle of almond butter for an extra dose of healthy fat.
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which statements made by the nursing student demonstrate adequate knowledge about the etiology of hypothermia and administration of different treatments?
To avoid "after-drop," core rewarming techniques should be started before exterior ones during moderate hypothermia.
Which patient should the nurse regard as requiring the highest level of care?There are frequently issues about patient prioritising on nursing exams. Which patient is a priority is a common question in these inquiries. Patients who have problems with their airways, breathing, or circulation should always be given priority, in that order.
Which of the following would be the nurse's top priority when caring for a hypothermic client?Get the victim to a warm, dry place if at all possible. If you are unable to rescue the person from the cold, do your best to keep them as warm and wind-free as you can.
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the nurse is educating a pregnant client and instructs her to avoid deli meats and unpasteurized cheeses. this is because of risk of infection with:
The nurse is educating a pregnant client and instructs her to avoid deli meats and unpasteurized cheeses. This is because of the risk of infection with listeria.
Listeria is a type of bacterium that is most commonly found in unpasteurized milk and cheese, as well as cold deli meats and smoked fish.
The bacterium can cause listeriosis, a type of foodborne illness that is particularly dangerous during pregnancy.
Listeria monocytogenes, a gram-positive bacteria, is the most common species of the Listeria genus, which consists of 10 species. It can be found in soil, water, and various foods, including raw milk, processed foods, and some vegetables.
Listeria, unlike many other germs, can thrive in the cold temperatures of your refrigerator. It can also grow in your food for a long time, even when kept in the fridge, as opposed to other bacteria that can be eradicated by freezing or cooking.
Listeria infection is rare, but it can be serious for certain groups of people, particularly pregnant women and their unborn children, newborns, and people with weakened immune systems.
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a client has developed severe contact dermatitis with burning, itching, cracking, and peeling of the skin on the client's hands. what should the nurse teach the client to do?
Dermatitis is a condition in which person experience severe skin irritation, for which require proper care.
Avoid the irritant: If the dermatitis' underlying cause is identified, the client should limit their exposure to it.
Maintain cleanliness of the afflicted region: The client should wash the affected area with mild soap and lukewarm water, and then gently pat it dry with a soft towel.
Skin moisturizing: The nurse should advise using a moisturizer to assist stop additional skin drying and cracking. After washing your hands, apply the moisturizer right away and as needed throughout the rest of the day.
Apply a topical corticosteroid: You can treat irritation and inflammation by applying a topical corticosteroid cream or ointment. The patient should adhere to the usage guidelines given by the doctor or pharmacist.
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the nurse is performing a routine history and physical on a client who attends the senior citizen's center. what finding noted by the nurse would suggests that the client may have a history of chronic emphysema? select all that apply 1. barrel chest 2. green sputum 3. kyphosis 4. tracheal deviation 5. resonance to percussion of bilateral lung fields 6. reports frequent morning headaches
The nurse performing a routine history and physical on a client who attends the senior citizen's center should look for the following findings that may suggest a history of chronic emphysema:
1. Barrel chest – characterized by an abnormally enlarged thoracic cavity due to over-inflation of the lungs.
2. Green sputum – a sign of infection or inflammation caused by exposure to certain environmental agents.
3. Kyphosis – a curvature of the spine caused by weakening of the chest muscles due to chronic emphysema.
4. Tracheal deviation – a misalignment of the trachea, caused by increased pressure in the chest cavity due to chronic emphysema.
5. Resonance to percussion of bilateral lung fields – an abnormal sound heard by the nurse when tapping on the patient’s chest due to abnormal air flow and ventilation caused by chronic emphysema.
6. Reports of frequent morning headaches – a symptom of chronic emphysema due to decreased oxygen levels in the blood.
By noting these findings, the nurse may be able to identify a history of chronic emphysema in the patient.
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the nurse is caring for a client who has had unrelieved back pain for 3 years. how will the nurse document this type of pain? select all that apply.
The process of how the nurse will document this type of pain is as seen in the section below
Documentation of unrelieved back painThe following steps should be taken to documentation of unrelieved back pain
Document the intensity and characteristics of the pain, such as aching, burning, or stabbing. Document the location of the pain.Document the duration of the pain.Document any factors that increase or decrease the pain. Document any treatments tried and the effectiveness of the treatments.What is unrelieved back pain?
Unrelieved back pain is a type of chronic pain that is ongoing and does not respond to treatment or medications. It is a common condition that affects millions of people worldwide and can have a significant impact on a person's quality of life.
Symptoms of unrelieved back pain include a dull or sharp ache in the lower, middle, or upper back area.
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Share 2 to 3 credible resources you can provide to patients who experience nervous system issues to help them learn more about what they might be experiencing.
They should visit 1. National Institute of Neurological Disorders and Stroke, Centers for Disease Control and Prevention, Mayo Clinic.
What are nervous system issues?The nervous system is a complex network of cells, tissues, and organs that work together to coordinate the body’s responses to internal and external stimuli. Nervous system issues refer to any medical condition that affects the functioning of the nervous system, including diseases, disorders, and injuries.
Common nervous system issues include stroke, epilepsy, Alzheimer's disease, Parkinson's disease, multiple sclerosis, and traumatic brain injury.
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a nurse educator is teaching a group of student nurses about the potential cardiovascular effects of stroke. the nurse educator is correct to explain that stroke-related disturbance of the sympathetic nervous system can lead to
Stroke can have a wide range of effects on the cardiovascular system. One of the most significant effects is related to the sympathetic nervous system (SNS). After a stroke, the SNS may become overactive, leading to a condition known as sympathetic hyperactivity.
This can lead to an increase in heart rate and blood pressure, which can further increase the risk of cardiovascular complications such as congestive heart failure, coronary artery disease, and heart arrhythmias. In addition, it can lead to increased levels of catecholamines in the bloodstream, which can lead to an increased risk of stroke recurrence.
The SNS is also involved in the regulation of blood flow and vascular tone. After a stroke, the SNS may become underactive, leading to an inadequate amount of blood supply to the tissues. This can cause a decrease in blood pressure and an increase in peripheral vascular resistance, which can result in tissue hypoxia. This can lead to decreased levels of oxygen and glucose to the tissues, as well as increased levels of carbon dioxide and lactic acid, further exacerbating the risk of cardiovascular complications.
It is important for nurses to be aware of the potential cardiovascular effects of stroke so they can provide optimal patient care. This includes educating the patient and their family on risk factors, as well as providing appropriate lifestyle modifications. In addition, nurses should monitor the patient’s vital signs, including heart rate and blood pressure, as well as any signs and symptoms of cardiovascular complications.
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why is consuming on a sugar-free diet, without reducing overall caloric intake, not necessarily effective?
a nurse experiences difficulty with palpation of the dorsalis pedis pulse in a client with arterial insufficiency. what is an appropriate action by the nurse based on this finding?
The nurse should immediately assess the client's signs and symptoms and consider other interventions to improve the circulation in the client's lower extremities.
This can include raising the client's legs above the level of the heart, using elastic bandages or compression socks to increase the blood pressure in the lower extremities, and avoiding extreme temperatures in the lower extremities.
Additionally, the nurse should use a Doppler to measure the pulse and check for other potential causes of arterial insufficiency. If the findings are still not clear, then the nurse should consult a physician for further evaluation. Finally, the nurse should provide lifestyle modifications to the client, such as increasing physical activity, limiting salt intake, and avoiding smoking and alcohol.
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during the first 24 hours after a patient is diagnosed with addisonian crisis, which should the nurse perform frequently?
In the first 24 hours after a patient is diagnosed with Addisonian crisis, the nurse should perform frequent assessments to monitor the patient's condition and response to treatment.
This includes regular monitoring of vital signs such as blood pressure, heart rate, respiratory rate, and temperature. The nurse should also monitor the patient's fluid and electrolyte balance closely, assessing urine output and electrolyte levels frequently.
Additionally, the nurse should closely monitor the patient's level of consciousness and mental status, as patients with Addisonian crisis may become confused or disoriented. The nurse should also ensure that the patient is receiving appropriate medication and fluid replacement therapy as prescribed by the healthcare provider.
Frequent communication with the healthcare provider is also important during this time, to ensure that any changes in the patient's condition are promptly addressed.
Overall, the nurse plays a critical role in managing the care of patients with Addisonian crisis during the first 24 hours, and should be vigilant in their assessments and interventions to ensure the patient's safety and recovery.
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a patient requests copies of her medical records in an electronic format. the hospital maintains a portion of the designated record set in a paper format and a portion of the designated record set in an electronic format. how should the hospital respond?
The hospital's response is to only provide the records in print format.
What does a medical record mean in terms of healthcare?When referring to the systematic documentation of a patient's medical history and care across time under the purview of a single health care professional, the phrases medical record, health record, and medical chart are sometimes used interchangeably. The documentation that details a patient's history, clinical findings, diagnostic test results, pre- and post-operative treatment, patient progress, and medication is called a medical record.The medical record request form is available for download in English and Spanish if you'd like to submit your request by mail, fax, email, or in person. Fill out the form, sign it, and send it to Medical Records or fax it to 847-984-5619.To learn more about medical record, refer to:
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what instruction will the nurse provide the assistive personnel (ap) when a client is admitted to the emergency department (ed) with a pustular rash related to secondary syphilis
The nurse should instruct the assistive personnel (AP) on how to provide care to a client who has been admitted to the Emergency Department (ED) with a pustular rash related to secondary syphilis.
Instructions such as Providing the client with a private room, and implementing isolation procedures based on the suspected mode of transmission, if indicated. Use standard precautions at all times, regardless of the mode of transmission suspected or confirmed.
Wear gloves and a gown when providing direct patient care, as well as a mask and eye protection if splashing or spraying of blood or body fluids is expected. Follow hand hygiene procedures to ensure that hands are clean before and after contact with the client and their environment.
Notify the registered nurse (RN) of any changes in the client's condition, such as increased fever, pulse, or respiratory rate, or a decrease in urine output. Report any adverse reactions to medications that the client may have, as well as any problems with eating or drinking.
Perform client care, such as skin care, toileting, and feeding, according to the nursing care plan. To reduce the spread of infection, ensure that client care items are cleaned and disinfected before and after use.
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the nurse is caring for a child who is receiving a skin test to determine the presence of allergies. a positive skin test for one particular allergen shows the mediation of which type of immune globulin?
The nurse is caring for a child who is receiving a skin test to determine the presence of allergies. A positive skin test for one particular allergen shows the mediation of Immunoglobulin E (IgE).
A skin test is a medical test in which a small amount of a test substance is put into or under your skin. This can show if you are allergic to something. The skin test helps determine whether you have allergies or not. A positive skin test for a particular allergen indicates that the individual has developed IgE antibodies to the allergen.
The body's immune system generates antibodies to fight foreign substances, such as bacteria and viruses. Immunoglobulins, also known as antibodies, are a type of protein that aids in this process.
IgE antibodies are the type of antibodies that are produced when an individual has an allergy. They connect to mast cells and basophils, two cell types involved in inflammation, causing them to discharge histamine and other substances that cause allergy symptoms. The immune system's IgE antibodies are activated in response to an allergen, resulting in the release of chemical mediators that cause allergic symptoms.
Hence, When an individual has a positive skin test, it indicates that they have developed an IgE response to the allergen. It indicates that the person is allergic to the substance.
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the newborn was diagnosed with esophageal atresia and a nasogastric tube was inserted. which findings are most consistent with this condition? select all that apply.
The most consistent findings with this condition are:
difficulty swallowing; inability to pass food from the mouth to the stomach;vomiting of fluid, bile, and/or undigested food;a nasogastric tube inserted for nutritional support.Esophageal atresia is a congenital disorder caused by abnormal development of the esophagus during fetal development. It affects the esophageal wall and causes a blockage, preventing food and liquid from passing into the stomach. Symptoms of this disorder include difficulty swallowing, inability to pass food from the mouth to the stomach, and vomiting of fluid, bile, and/or undigested food. A nasogastric tube may be inserted to provide nutritional support and to reduce the risk of aspiration.
In conclusion, the most consistent findings with a diagnosis of esophageal atresia are difficulty swallowing, inability to pass food from the mouth to the stomach, vomiting of fluid, bile, and/or undigested food, and a nasogastric tube inserted for nutritional support.
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which action would the nurse take when caring for clients through a community- based care transition program (cctp)?
When caring for clients through a Community-Based Care Transition Program (CCTP), the nurse will take multiple actions. These actions include assessing the client's health needs, helping to coordinate with their current healthcare providers and any necessary specialists, providing education and resources to the client and their families, and developing a plan of care.
CCTPs provide nurses with a comprehensive approach to care for clients transitioning from one level of care to another. Nurses provide assessments of the client's health needs and coordinate with the client's current healthcare providers and any necessary specialists. They also provide education and resources to the client and their families and create a plan of care.
The nurse will collaborate with other healthcare providers to ensure that the client has the best quality of care available. Additionally, the nurse will monitor the client's progress and any changes in their condition, and provide follow-up care to ensure that the client has adequate support.
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alyssa has been recently diagnosed as suffering a particularly severe form of depression. she was admitted to the hospital and given the typical recommended electroconvulsive therapy (ect) treatment. what will her medical chart reveal about her treatment?
The medical chart of Alyssa will reveal the number of ECT treatments she received, the frequency of treatment, and her response to the treatment.
ECT treatment is typically recommended for severe depression that does not respond to other treatments. The therapy involves sending a small electric current through the brain to induce a seizure, which is believed to help regulate brain chemicals involved in mood.
It is a well-established treatment that is generally safe and effective. It is usually given in a series of treatments over several weeks.
It may cause some side effects, such as headaches, nausea, and confusion, but these usually go away within a few hours or days. The medical chart of Alyssa will also indicate any side effects she experienced and how they were managed.
The goal of ECT is to improve symptoms of depression, such as feelings of sadness, hopelessness, and anxiety. The medical chart of Alyssa will show how her symptoms improved or changed after the ECT treatment was administered.
ECT is usually given under general anesthesia to minimize discomfort and reduce the risk of injury during the seizure.
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9. the clinical instructor asks darla to explain to a postoperative client the importance of using an incentive spirometer to inhale deeply. what quality and safety education for nurses(qsen) competency is the instructor assessing?
The instructor is assessing the QSEN competency of patient-centered care when they ask Darla to explain the importance of using an incentive spirometer to inhale deeply.
Incentive spirometers are commonly used after surgery to help prevent respiratory complications. This is an example of patient-centered care because it emphasizes preventive health strategies that focus on the individual patient's needs and promotes patient autonomy.
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e chest x-ray report for a client states that the client has a left apical pneumothorax. the nurse would monitor the status of breath sounds in that area by placing the stethoscope in which location?
The nurse would monitor the status of breath sounds in the left apical pneumothorax area by placing the stethoscope on the anterior chest wall above the clavicle on the affected side.
Pneumothorax is a condition that occurs when air gets into the pleural space between the chest wall and the lungs. The amount of air present in the pleural space can range from a small amount, which typically causes no symptoms, to a significant amount, which can lead to shortness of breath and, in some cases, can be life-threatening.
A chest x-ray is a non-invasive, painless test that uses a low-dose of radiation to create images of the chest. It is used to evaluate and diagnose lung problems such as pneumonia, emphysema, and lung cancer, as well as other conditions such as heart failure and chest injuries. A chest x-ray report is the written interpretation of the images by a radiologist.
The nurse would monitor the status of breath sounds in the left apical pneumothorax area by placing the stethoscope on the anterior chest wall above the clavicle on the affected side. The affected side will have a decreased or absent breath sound, and the contralateral side may have increased breath sounds. The nurse should also monitor for signs of respiratory distress, such as increased respiratory rate, use of accessory muscles, and cyanosis.
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a postpartum client receiving a continuous heparin infusion for a deep vein thrombosis has an activated partial thromboplastin time (aptt) of 128 seconds. which action would the nurse take in response to this situation?
If a postpartum client receiving a continuous heparin infusion for deep vein thrombosis has an activated partial thromboplastin time (APTT) of 128 seconds, the nurse's response is to shut off the heparin drip.
The activated partial thromboplastin time (APTT) test measures the time it takes for blood to clot. The test is used to see if your blood-thinning medication dosage is right.
Heparin is an anticoagulant that is given to people with blood clotting disorders. Heparin can increase APTT, which can lead to bleeding disorders if not carefully controlled. When APTT is elevated, the heparin drip should be shut off to avoid excessive bleeding. This is the most important step to take if you are a nurse in the above scenario.
As a nurse, you must be aware of heparin's side effects on the patient, as well as how to handle it in case of abnormal blood clotting results. Therefore, you must shut off the heparin drip to stabilize the situation.
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which client would the nurse categorize as urgent level according to the 3-tiered triage system based on condition?
According to the 3-tiered triage system, a client with an urgent level condition would be one who requires rapid assessment and intervention.
Urgent-level conditions include severe chest pain, severe respiratory distress, severe bleeding, or any life-threatening conditions.
The 3-tiered triage system is used to quickly assess a client’s condition in order to determine the appropriate course of action. The three levels of severity are urgent, semi-urgent, and non-urgent. A client with an urgent level condition would require rapid assessment and intervention and may have a life-threatening condition. Conditions requiring urgent care include severe chest pain, severe respiratory distress, severe bleeding, or any other life-threatening diseases.
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