A nurse examining a patient with an abnormal growth on the shoulder would ask the following questions about allergies and medical history.
The nurse would ask these questions to examine possible causative factors, as various skin disorders and growths could be a result of hereditary factors, lifestyle choices, medication side effects, or exposure to toxins, radiation, or other chemicals. The nurse may need to refer the patient to a specialist to receive a proper diagnosis and treatment plan.
Example to examine possible causative factors abnormal growth:
Are you allergic to anything?Do you have any medical conditions, like diabetes, that affect your skin?Have you been exposed to toxic chemicals or radiation?Have you been exposed to the sun for extended periods?Did you have any surgery or radiation therapy in that area?Are you on any medication that can cause skin problems?Have you had any prior skin growths?Have any of your family members had skin cancer?What is your history of sunburns?Have you ever used tanning beds?Any personal history of melanoma or other skin cancers?Learn more about abnormal growth at https://brainly.com/question/30793981
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the nurse is assessing a child diagnosed with cushing disease. which statement by the parents demonstrates a need for further teaching?
The nurse is assessing a child diagnosed with Cushing Disease. The following statement by the parents would demonstrate a need for further teaching: "We don't know how to care for our child's condition."
Understanding the diagnosis, possible treatments, and how to properly care for their child are essential for parents of a child diagnosed with Cushing Disease. More teaching may be necessary to help parents become comfortable and knowledgeable in managing their child's condition.
It is important for the parents to be aware of the physical, psychological, and lifestyle changes that may occur due to Cushing Disease. Treatment options may include medications, lifestyle changes, and/or surgery. Parents should understand the benefits, risks, and potential side effects of each treatment option.
Education should also include the importance of follow-up visits and understanding the signs and symptoms of potential complications associated with the condition. Resources for parents should also be provided.
In conclusion, if the parents express a need for further teaching, the nurse should provide more education regarding Cushing Disease, potential treatments, lifestyle changes, follow-up care, and additional resources.
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the health care triage team is caring for a group of clients who were injured in a large industrial accident. which client would receive immediate care from the nu rse?
The client who has difficulty breathing would receive immediate care from the nurse.
Triage is the process of classifying patients or casualties into different levels of priority for medical attention and treatment depending on their level of severity or type of medical emergency. The most severe cases are treated first because they require immediate attention and intervention from medical professionals. The aim of triage is to ensure that patients receive appropriate care in a timely and efficient manner.
A triage nurse is a registered nurse who is specially trained in triage and emergency medical care. Triage nurses are responsible for assessing and prioritizing patients according to their level of need for medical attention. They work in hospitals, clinics, and other healthcare settings, and are an essential part of the emergency medical response team.
The healthcare triage team is caring for a group of clients who were injured in a large industrial accident. The client who has difficulty breathing would receive immediate care from the nurse.
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a psychiatric-mental health nurse is engaging in active listening with a client. which technique would the nurse most likely use? select all that apply.
A psychiatric-mental health nurse is engaging in active listening with a client. The following are the techniques that a nurse would most likely employ:
Responding indirectly to statementsUsing open-ended statementsConcentrating fully on what the client says. Options 1, 4, and 5 are correct.Active listening is an important technique used by psychiatric-mental health nurses to build rapport with clients and understand their thoughts and feelings. When engaging in active listening, the nurse should focus on the client's words, body language, and tone of voice.
The nurse should also use appropriate techniques to encourage the client to express themselves fully and clarify any misunderstandings. The nurse may use open-ended statements to encourage the client to talk and express themselves freely. The nurse may also respond indirectly to the client's statements to clarify any misunderstandings and show that they are actively listening.
Additionally, the nurse should concentrate fully on what the client says and give their full attention to the client without distractions. Changing the subject to gather more information is not a recommended technique for active listening as it may interrupt the client's flow of thought and prevent them from expressing themselves fully. Options 1, 4, and 5 are correct.
The complete question is
A psychiatric-mental health nurse is engaging in active listening with a client. which technique would the nurse most likely use? select all that apply.
Using open-ended statementsChanging the subject to gather more informationAllowing the client to talk as the client wishesConcentrating fully on what the client saysResponding indirectly to statements,To know more about the Psychiatric-mental, here
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the nurse is teaching a patient who will take oral cyclophosphamide (cytoxan). which statement by the patient indicates understanding of the teaching?
The nurse will notify the provider and "question the client about fluid intake" in response to observing hematuria in a patient receiving a third dose of high-dose cyclophosphamide (cytoxan).
When administering high-dose cyclophosphamide (cytoxan), it is essential to monitor for adverse effects, such as hematuria. The nurse should immediately notify the provider and assess the patient's fluid intake, as hydration is critical for preventing and managing cytoxan-induced hemorrhagic cystitis.
The nurse may also administer mesna to help protect the bladder from the harmful effects of cytoxan. Adequate hydration and regular monitoring for hematuria are critical interventions in the management of patients receiving high-dose cytoxan therapy.
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a client on corticosteroid therapy needs to be taught that a course of corticosteroids of 2 weeks' duration can suppress the adrenal cortex for how long?
If a client is on corticosteroid therapy for a prolonged period of time, the adrenal cortex can be suppressed because corticosteroids mimic the effects of natural steroids .
In general , the duration of adrenal after corticosteroids will vary depending on the dose, duration of therapy. While the course of corticosteroids lasting two weeks can suppress the adrenal cortex for up to several weeks after the medication is stopped.
Also, corticosteroid therapy have many potential risks and side effects of like adrenal suppression. Clients should work closely and healthcare provider should determine proper therapy and doses for any signs of adrenal suppression s. If adrenal suppression is suspected, the client's healthcare provider may recommend tapering off the medication .
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a helathcare provider in the emergency department identifies that a client is in cardiogenic shock. which tye of emdication is indicated
The medication indicated for a client in cardiogenic shock is an inotrope, such as dobutamine or dopamine.
An inotrope is a drug that increases the force of contraction of the heart muscle, allowing it to maintain or increase cardiac output in the presence of heart failure or shock. Dobutamine and dopamine are two commonly used inotropes that can be given to a client in cardiogenic shock. They work by increasing the heart rate and force of contraction, improving cardiac output and systemic perfusion. It is important to monitor the client's response to the inotrope and adjust the dose as needed.
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a client is brought to the emergency department with hypoglycemia blood glucose level of 19 mg/dl. what drug should the nurse prepare to administer intravenously?
The drug that should be administered intravenously to a client with hypoglycemia blood glucose level of 19 mg/dl is Dextrose.
Hypoglycemia is the medical term for low blood sugar level. It can happen to anyone who has diabetes, but the chances are higher in those who take insulin or other diabetes medicines.
What is Dextrose?
Dextrose is a type of sugar that is used to treat low blood sugar (hypoglycemia) in an emergency. It comes in a 50% solution and is typically administered intravenously. This medication should only be used in an emergency setting and should not be given to a person with normal blood sugar levels. The nurse should prepare to administer dextrose intravenously in the case of hypoglycemia blood glucose levels of 19 mg/dl.
What is hypoglycemia?
Hypoglycemia is a condition in which the blood sugar level becomes too low. It is most commonly seen in people with diabetes, but it can occur in anyone. The normal range of blood glucose levels is between 70 mg/dl to 100 mg/dl. When the glucose level drops below 70 mg/dl, it is considered low and can lead to hypoglycemia.
Symptoms of hypoglycemia include sweating, shaking, headache, confusion, dizziness, irritability, blurred vision, and fatigue. Severe hypoglycemia can lead to seizures, loss of consciousness, and even death.
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the ed nurse is receiving a client handoff report at the beginning of the nursing shift. the departing nurse notes that the client with a head injury shows battle sign. the incoming nurse expects which to observe clinical manifestation?
Battle Sign is a clinical manifestation that may be observed when a nurse is receiving a client handoff report at the beginning of the nursing shift. The departing nurse notes that the client with a head injury shows Battle Sign. The nurse can expect to observe changes in the level of consciousness, such as confusion, disorientation, drowsiness, agitation, or restlessness.
To determine the level of consciousness, the nurse should perform a comprehensive neurological assessment. This includes assessing the patient's Glasgow Coma Scale, assessing the pupils and pupillary light reflex, monitoring vital signs, and checking for any changes in muscle tone. The nurse should also assess for any cognitive deficits, such as memory loss or difficulty focusing on tasks.
The nurse should also look for any signs of increased intracranial pressure, such as a bulging fontanelle in infants or nausea and vomiting in adults. If the patient is in a coma, the nurse should monitor their vital signs and neuro assessments. If there are any changes in the patient's condition, the nurse should notify the medical team and follow the protocol for head injury management.
The nurse should also provide patient and family education on the risks of head injury and prevention strategies. By recognizing the clinical manifestation of Battle Sign, the nurse can ensure that appropriate care is provided to the patient.
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a client is diagnosed with a large thoracic aneurysm. which findings will the nurse expect when assessing this client? select all that apply.
A client diagnosed with a large thoracic aneurysm, the nurse would expect the following findings are a. chest pain, b. sudden and severe back pain, and d. pulsating mass in the thoraxe. bradycardia and hypotensionf. dyspnea and coughing while lying flat
An aneurysm is a bulge in a blood vessel, resulting from a weakening in the vessel wall. Thoracic aneurysms develop in the part of the aorta, the largest blood vessel in the body, that runs through the chest (thoracic cavity). Symptoms of thoracic aortic aneurysms vary depending on the size of the aneurysm and its location. In many cases, thoracic aortic aneurysms do not cause any symptoms.
However, if an aneurysm is large enough to put pressure on surrounding organs or tissues, a person may experience: chest pain, back pain, difficulty breathing, severe pain in the abdomen or backIf the thoracic aortic aneurysm is near the heart, it may also cause symptoms such as dizziness or fainting. So therefore, a client diagnosed with a large thoracic aneurysm, the nurse would expect the following findings are a. chest pain, b. sudden and severe back pain, and d. pulsating mass in the thoraxe. bradycardia and hypotensionf. dyspnea and coughing while lying flat.
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because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. thiazide diuretics treat hypertension because they:
The treatment of primary hypertension is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they increase urine production and reduce blood volume.
What is hypertension?
Hypertension, also known as high blood pressure, is a chronic medical condition in which the blood pressure in the arteries is consistently elevated above the normal range.
Primary hypertension is a type of hypertension that has no clear underlying cause. It is a chronic condition that can have a significant impact on a person's health if left untreated. Primary hypertension accounts for 90 to 95% of hypertension cases.
What is the treatment for primary hypertension?
The treatment of primary hypertension is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics are one of the most common treatments for hypertension.
They are a type of diuretic medication that increases urine production and reduces blood volume. They are effective in reducing blood pressure because they cause the body to get rid of excess fluid and salt.
Thiazide diuretics work by blocking the reabsorption of sodium in the kidneys, which reduces the amount of water that the body retains. This results in a decrease in blood volume and a reduction in blood pressure.
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the client reports right knee pain of 6/10 on the pain scale and requests medication. the nurse assesses and flushes the intravenous site. which type of intervention skill is the nurse using?
The type of intervention skill that the nurse is using: technical skill.
The intervention skills that involve the use of tools, procedures, and equipment to deliver care or treatments to patients are referred to as technical skills. Technical skills are essential for nursing professionals who work with modern medical technologies such as intravenous medication, telemetry systems, and robotic surgery.
In the given scenario, the nurse flushes the intravenous site to ensure that the medication is delivered properly. Flush the IV site is a technique that requires technical ability to ensure that the medication is delivered to the patient's body without complications or adverse effects.
The nurse's technical ability is critical in ensuring that patients receive safe and efficient care. Nursing care necessitates a combination of technical, interpersonal, and critical thinking abilities. Technical skills assist nursing professionals in providing quality patient care by ensuring that the care is delivered correctly and efficiently.
Nursing professionals must have the necessary training and proficiency to provide technical care interventions to ensure positive patient outcomes.
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which patient on the adult medical unit will be assigned to a registered nurse (rn) floating from the ambulatory care gl unit?
Patient assignment to a Registered Nurse (RN) is a significant responsibility in a hospital. RN's are responsible for the patient's primary care and must maintain constant communication with other team members. It is the nursing profession's responsibility to ensure that each patient receives adequate care.
The patient who will be assigned to an RN floating from the ambulatory care GL unit is typically one who requires constant medical attention. Patients with complicated health issues are usually assigned to RNs. Patients who require medical attention or are scheduled for surgery are also assigned to RNs.
The RN floating from the ambulatory care GL unit is well suited for patients with complex health issues. The RN's specialized skills and knowledge are crucial for handling complex medical conditions. Moreover, their specialized care skills are needed to prevent the spread of diseases in the hospital.
In conclusion, patients requiring specialized care, medical attention, or surgery are usually assigned to RNs. RNs from the ambulatory care GL unit are responsible for patients with complicated health issues, as they have specialized skills and knowledge that are necessary to prevent the spread of diseases in the hospital.
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which prescribed action has the highest priority when a client comes to the emergency department with moderate substernal chest pain that is unrelieved by rest and nitro
The highest priority action when a client comes to the emergency department with moderate substernal chest pain that is unrelieved by rest and nitro is to administer aspirin and obtain an electrocardiogram (ECG).
Chest pain can be a sign of a heart attack, and the administration of aspirin can help prevent further blood clot formation, while an electrocardiogram (ECG) is the most important initial diagnostic tool to evaluate for ischemic changes or arrhythmias that may be causing the chest pain.
Other actions that may be taken include providing supplemental oxygen, initiating cardiac monitoring, and administering pain medication, but aspirin and ECG are the highest priority interventions in this situation.
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a victim of a stab wound to the chest develops a pneumothorax. which type of pneumothorax is most likely in his case?
a 54-year-old patient is admitted with diabetic ketoacidosis. which admission order should the nurse implement first?
When a 54-year-old patient is admitted with diabetic ketoacidosis, the nurse should first implement an admission order to check the patient's vital signs.
Diabetic ketoacidosis (DKA) is a severe, potentially life-threatening complication of diabetes mellitus that can occur when the body produces high levels of blood acids known as ketones. It's a medical emergency that happens when your body breaks down fat too rapidly, resulting in a build-up of waste products known as ketones in your blood.
DKA happens more often in those with type 1 diabetes, but it may also affect those with type 2 diabetes.
When a patient is admitted with diabetic ketoacidosis, the nurse should follow these admission orders:
Check the vital signs of the patient. A priority when managing diabetic ketoacidosis is to monitor and control the patient's vital signs, such as their blood pressure, heart rate, and breathing rate. The nurse will be able to get a good understanding of the patient's condition by recording these measurements.Order for an arterial blood gas test (ABG) to be done. A blood test that helps to check for the level of oxygen, carbon dioxide, and bicarbonate in the patient's blood should be performed. The results of this test can provide important information about the patient's medical condition, such as whether or not they have acidosis or other problems.Begin an intravenous (IV) access. As the patient will be dehydrated, it is essential to initiate an IV line to administer medications and fluids.Order a urine test to be done. This test is done to check the level of ketones in the patient's urine, which will provide information about the patient's health condition.Learn more about Diabetic ketoacidosis: https://brainly.com/question/28096487
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a 5 year old presents with high fever, inspiratory stridor, severe respiratory distress, drooling, and dysphagia. acute epiglottitis is suspected. when assessing the child, the nurse would avoid:
Acute epiglottitis is a severe condition that can cause respiratory failure, and patients with acute epiglottitis can require emergency intubation.
When assessing a child with suspected acute epiglottitis, the nurse should avoid anything that might agitate or stimulate the child, as well as anything that might exacerbate their respiratory distress, such as attempting to look inside their mouth or throat. Avoiding throat examination and agitation is essential when assessing a child with acute epiglottitis. While assessing the child with acute epiglottitis, the nurse should not examine the throat, as this can cause the epiglottis to swell and further impede the airway.
They should also avoid anything that might agitate the child, as this can cause further respiratory distress. The nurse should also avoid giving anything by mouth, as this may be difficult or impossible for the child to swallow.In conclusion, when assessing a child with suspected acute epiglottitis, the nurse should avoid throat examination, agitation, and anything that might exacerbate the child's respiratory distress.
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1. the nurse arrives on shift to find the patient having a seizure. which action would be appropriate for the nurse to take?
Answer:
When a nurse arrives on shift and finds the patient having a seizure, the appropriate action to be taken is to protect the patient from further injury by guiding the patient's movements and provide appropriate care to prevent complications such as aspiration or head injury.
What is a seizure?
A seizure is a sudden change in behavior, movement, sensation, or awareness caused by abnormal electrical activity in the brain. A seizure can be convulsive, nonconvulsive, or both, depending on the type and severity of the seizure.
What are the steps to take when a patient is having a seizure?
Remain calm and remain with the patient during the seizure:
Do not leave the patient alone, it is important that you remain calm and reassure the patient that they will be okay.
Gently guide the patient to the floor or bed:
It is important to guide the patient to the ground or bed to prevent injury. If you cannot move the patient, place pillows or soft items around the patient to prevent injury.
Loose clothing around the neck:
The nurse should loosen any clothing around the patient's neck to allow the patient to breathe properly.
Protect the patient from injury:
Ensure the patient's safety by removing any sharp objects or items that can harm the patient while they are having the seizure. Use side rails to prevent the patient from falling off the bed.
Place the patient on their side:
This will prevent the patient from aspirating if they vomit or have any other secretions.
Perform suctioning if necessary:
This will prevent the patient from choking on their secretions.
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a client has been admitted to the neurologic unit for the treatment of a newly diagnosed brain tumor. the client has just exhibited seizure activity for the first time. what is the nurse's priority response to this event?
The nurse's priority response to a client with a newly diagnosed brain tumor who has exhibited seizure activity for the first time would be to ensure the client's safety.
This will includes: Staying with the client and protecting them from injury during the seizure.
Placing the client in a side-lying position to prevent aspiration and maintain an open airway.
Assessing the duration, frequency, and characteristics of the seizure and documenting these findings in the client's medical record.
Administering any medications as ordered by the healthcare provider to control the seizure.
Monitoring the client's vital signs and level of consciousness before, during, and after the seizure.
Notifying the healthcare provider immediately of the seizure activity.
Implementing seizure precautions to prevent future seizures.
Once the client is stable, the nurse should provide emotional support to the client and their family, as a new diagnosis of brain tumor and seizure activity can be very distressing. The nurse should also collaborate with the healthcare team to develop a comprehensive plan of care for the client that addresses their physical, emotional, and psychosocial needs.
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what type of study would not be included in evidence-based practice if the nurses were looking for quantitative research?
Quantitative research is usually not included in evidence-based practice if nurses are looking for quantitative research, as qualitative research is more suitable.
Qualitative research studies, which focus on the meaning of events or experiences and the interpretation of data, would not be included in evidence-based practice as it does not meet the criteria for quantitative research, which measures the strength and direction of relationships between variables.
Qualitative research is a type of exploratory research that is often used to generate hypotheses and uncover meanings, themes, and patterns.
In summary, quantitative research studies are the type of studies that are included in evidence-based practice as they provide the most accurate and objective data to inform healthcare decisions. Qualitative research studies are not included in evidence-based practice as they do not provide the necessary accuracy or objectivity.
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a client has been brought to the emergency department following an overdose of insulin that resulted in unconsciousness. when explaining the rationale for this to the family, the nurse will emphasize that neurons:
The nurse may underline that neurons are impacted by the overdose while describing the cause of a client's unconsciousness after an insulin overdose to their family. The hormone insulin controls the quantity of glucose in the blood, and an overdose can cause a sharp drop in blood sugar levels (hypoglycemia).
Glucose is necessary for the normal operation of neurons, which are specialized cells found in the brain and nervous system. Many neurological symptoms can result from neurons that are unable to operate normally when blood glucose levels go too low. This can be especially harmful if the brainstem is compromised, which regulates crucial processes like breathing and heart rhythm.
Because of the insulin overdose, the client's unconsciousness was probably caused by a lack of glucose reaching the brain, the nurse could inform the client's family. Together with the possible risks of insulin overdose and the significance of obtaining medical attention, the nurse may also stress the significance of constantly monitoring blood glucose levels in people with diabetes.
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a patient has been involved in a traumatic accident and is hemorrhaging from multiple sites. the nurse expects that the compensatory mechanisms associated with hypovolemia would cause what clinical manifestations? (select all that apply.)
Hypovolemia is a decrease in blood volume that might lead to circulatory shock in severe cases. When a patient is suffering from hypovolemia, the body has many compensatory mechanisms that try to maintain the volume of blood.
This involves activation of the renin-angiotensin-aldosterone system and increased sympathetic nervous system activation.
The following are the clinical manifestations expected from the compensatory mechanisms associated with hypovolemia:
Increased heart rate
Decreased urine output
Narrow pulse pressure
Tachypnea
All of the above clinical manifestations are expected from the compensatory mechanisms associated with hypovolemia.
The reason why all of the above clinical manifestations happen is due to the fact that when the body is in hypovolemic shock, there are not enough fluid in the circulatory system, so the body responds by decreasing urine output, increasing heart rate, and increasing sympathetic nervous system activation in order to compensate for the reduced blood volume.
These compensatory mechanisms might be insufficient, however, and the patient will need fluid resuscitation and other measures to stabilize their condition.
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the nurse assesses the client as shown. what pulse is the nurse assessing? dorsalis pedis popliteal femoral posterior tibial
The nurse is assessing the posterior tibial pulse. Thus, Option C is correct.
A pulse is a pattern of expansion that can be observed when the blood is pumped through the artery. The pulse has a significant physiological and pathophysiological significance in medicine. The pulse rate, rhythm, and intensity can all provide important information about the cardiovascular system's function.
The importance of the pulse in assessing patients includes determining a patient's pulse rate, which provides a measurement of heart activity. In general, the pulse rate is used to calculate the average heart rate in a given time period. It can be used to track heart function over time, as well as to diagnose cardiovascular diseases.
To summarize, the nurse is assessing the posterior tibial pulse in this scenario.
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which phase of the chronic illness trajectory is reflected in the patient with a gradual cognitive decline associated with dementia?
The phase of the chronic illness trajectory that is reflected in a patient with a gradual cognitive decline associated with dementia is known as the "decline phase". This is the stage in which physical, emotional, and cognitive abilities start to become more and more impaired, eventually leading to death.
The decline phase can be further broken down into four distinct categories: acute phase, stabilization phase, terminal phase, and hospice phase.
Chronic illnesses are a kind of disease that lasts a long time and causes functional limitations or disability. Chronic diseases, such as diabetes, cancer, and asthma, have been linked to unhealthy behaviors like tobacco usage, physical inactivity, and an unhealthy diet. The phases of the chronic illness trajectory are as follows:
Prodromal period
Acute period
Chronic period
Convalescence period
Termination period
Disability phase
Functional decline phase
The functional decline phase of chronic illness
The functional decline phase is characterized by progressive functional limitations that can be cognitive, social, or physical in nature. The individual is unable to perform everyday tasks or perform their job. The elderly, for example, frequently experience this phase of a chronic illness trajectory. Dementia is a chronic illness, and a gradual cognitive decline associated with dementia is often seen in the functional decline phase of the chronic illness trajectory.
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a patient diagnosed with chronic obstructive pulmonary disease reports daily symptoms of dyspnea and cough. which medication will the primary health care provider prescribe?
It is the primary health care provider who will determine which medication to prescribe to the patient. A patient diagnosed with chronic obstructive pulmonary disease and experiencing daily symptoms of dyspnea and cough, may be prescribed with medication such as bronchodilators, inhaled corticosteroids, and phosphodiesterase inhibitors.
Chronic Obstructive Pulmonary Disease, or COPD, is a disease characterized by reduced airflow that makes breathing difficult. It's caused by chronic bronchitis and emphysema, two lung disorders. Chronic bronchitis is a long-term inflammation of the bronchi, which are the tubes that bring air to the lungs, while emphysema is the destruction of the alveoli, or air sacs, in the lungs. Bronchodilators for COPD Bronchodilators are medications that help open up the airways in the lungs.
They relax the muscles surrounding the bronchial tubes, allowing more air to pass through. They're commonly used to relieve shortness of breath caused by COPD. Bronchodilators are given as inhalers, nebulizers, and tablets. Inhaled Corticosteroids for COPD Inhaled corticosteroids are medications that reduce inflammation in the airways. These medications are commonly used to treat asthma, but they can also be used to treat COPD. Inhaled corticosteroids are usually given with a bronchodilator.
Phosphodiesterase Inhibitors for COPD Phosphodiesterase inhibitors are medications that help relax the muscles around the airways. They're used to relieve shortness of breath caused by COPD. They're usually given as tablets. Therefore, it is the primary health care provider who will determine which medication to prescribe to the patient.
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a client is prescribed ibuprofen for pain and inflammation associated with rheumatoid arthritis. what information in the past medical history is most concerning
When a client is prescribed ibuprofen for pain and inflammation associated with rheumatoid arthritis, the nurse should review the client's medical history to identify any potential contraindications or concerns.
In general the information which is required is the past medical history like any case or history of gastrointestinal (GI) bleeding, peptic ulcer disease, or other GI problems.
Hence, Ibuprofen is also known as the nonsteroidal anti-inflammatory drug (NSAID) that is responsible for causing stomach and intestinal bleeding and ulcers if used for long-term use . So clients having any history of GI problems or who are at high risk for GI bleeding should use caution when taking ibuprofen or other NSAIDs, and their healthcare provider may recommend alternative treatments or additional monitoring.
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a child is diagnosed with hypoparathyroidism. which electrolyte imbalance would the nurse most likely expect to address?
Answer:
Hypocalcemia
Explanation:
The low production of parathyroid hormone (PTH) in hypoparathyroidism leads to abnormally low calcium levels in the blood and an increase of phosphorus in the blood
which gl health problem would the nurse suspect when a patient is admitted to the hospital with elevated serum amylase and lipase levels and a decreased calcium level?
The nurse would suspect pancreatitis when a patient is admitted to the hospital with elevated serum amylase and lipase levels and a decreased calcium level.
What is Pancreatitis?
Pancreatitis is a condition where inflammation and swelling of the pancreas occur. Inflammation damages the pancreas's enzymes and tissue, which can cause serious health problems.
Pancreatitis can cause elevated serum amylase and lipase levels, as well as a decreased calcium level.
Furthermore, abdominal pain and fever are common symptoms of pancreatitis. So, if a patient is admitted to the hospital with elevated serum amylase and lipase levels and a decreased calcium level, pancreatitis is suspected.
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which statement would the nurse include when educating a patient with gi bleeding regarding a prescribed small bowel capsule endoscopy? select all that apply. one, some, or all responses may be correct.
The nurse should include the following statements when educating a patient with GI bleeding about a prescribed small bowel capsule endoscopy:
- This procedure is used to examine the small intestine
- You will need to avoid eating and drinking for 8 hours prior to the procedure
- You will be asked to swallow a pill-sized capsule
- You will be asked to wear a special belt that sends images to a receiver
- Images will be sent to a computer and examined by a doctor
- After the procedure, you may experience abdominal discomfort
- You should notify your doctor immediately if you experience nausea, vomiting, or a fever
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when caring for a client diagnosed with a peptic ulcer, the nurse administers omeprazole and amoxicillin. what diagnostic finding indicates therapeutic effects of this drug regimen?
The diagnostic finding that indicates the therapeutic effect of this drug regimen is the absence of Helicobacter pylori.
A peptic ulcer is a disease caused by damage to the lining of the digestive tract. It is often caused by inflammation and sometimes leads to perforation, bleeding, and other complications.
The decrease in pain is a diagnostic finding that indicates the therapeutic effects of the omeprazole and amoxicillin drug regimen when caring for a client diagnosed with a peptic ulcer.
These drugs are often administered as part of the treatment of peptic ulcers. Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper part of your small intestine.
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the client is admitted to the hospital with cardiomyopathy, pulmonary edema, and dyspnea. the client is started on dobutamine. what should the nurse include in the client's teaching about dobutamine? select all that apply.
The nurse should include teaching about the purpose, potential side effects, and proper administration of dobutamine when educating the client admitted with cardiomyopathy, pulmonary edema, and dyspnea. Dobutamine is a medication used to increase the strength and contraction of the heart muscles and to help improve heart function.
The nurse should explain to the client that dobutamine is used to increase cardiac output, reduce pulmonary edema, and improve dyspnea. The nurse should also inform the client of potential side effects such as increased heart rate, nausea, vomiting, and headache. Additionally, the nurse should explain to the client how to take the medication, including the time, amount, and method of administration.
To ensure the client understands the teaching, the nurse should review the information and ask questions to ensure the client is comfortable and knowledgeable about the medication and its effects.
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