the nurse is creating a plan of care for a client. which actions by the nurse demonstrate the components of the nursing process? select all that apply.

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Answer 1

The nursing  when working in systematic, problem-solving approach with  patient care consists of obtaining vital signs, documenting the nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level.

Hence, A is the correct option

In general  , the actions by the nurse that include components of the nursing consists of following a thorough assessment for client's health Together with Analyzing all the given data from assessment by identifying the actual and  potential health problems

Nurses' also need to Develop a plan that include direct  goals and interventions to solve  client's issues and achieve desired outcomes. Carrying out the plan of care by providing nursing interventions. Evaluating the effectiveness of the plan of care by monitoring the client's response to interventions and modifying the plan of care as needed.

Hence, A is the correct option

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-- The given question is incomplete , the complete question is

The nurse is creating a plan of care for a client. which actions by the nurse demonstrate the components of the nursing process?

A. Obtaining vital signs, documenting the nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level.

B. Taking a client's health history only.

C. Comparing client outcomes against planned goals

D. Not Prioritizing on activities that works in improving client comfort.


Related Questions

the nurse is assessing a child diagnosed with cushing disease. which statement by the parents demonstrates a need for further teaching?

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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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a patient's care is assigned to sally jones. the patient needs to use the bathroom. sally jones is on a meal break. who will help the patient?

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The patient can be assisted by any staff member who is available while Sally Jones (the patient's assigned nurse) is on her meal break.

An assigned nurse is a healthcare professional who is responsible for providing care to an individual or group of patients. They typically evaluate and monitor the health of the patient, administer medications, and coordinate care with other healthcare professionals. They are also responsible for educating the patient and their families about treatment plans and providing emotional and practical support to their patients. Assigned nurses need to be skilled in critical thinking and problem-solving in order to provide the best care for their patients.

That being said, assigned nurses are also humans, which means that they also need breaks (such as meal breaks) in their work time. While the assigned nurse is on their break, in the case where their patient needs assistance, other medical staff members can assist the patient.

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Provide a one sentence description of the function of each sequence. Make sure to mention how the sequences relate to the protein that is being produced

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Each DNA nucleotide that codes for an amino acid determines the sequence of the amino acids.

The DNA's nucleotide order has no bearing on the amino acid sequence.

The majority of genes have the necessary instructions to produce the useful molecules known as proteins. Within each cell, the process from gene to protein is intricate and tightly regulated. Transcription and translation are the two main procedures. Gene expression is the result of transcription and translation working together.

According to the fundamental of molecular biology, DNA codes for RNA, which codes for proteins. The genetic molecule that is passed from parents to children is called DNA. It holds the blueprints for creating the RNA and proteins that make up the body's structure and perform the majority of its functions.

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the nurse is conducting an assessment on a newborn and witnesses a startled response with the extension of the arms and legs. the nurse should document this as which response?

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The response that is shown by the newborn in the case above (startled response with the extension of arms and legs) should be documented as the Moro reflex.

Moro response, also known as the startle response, is a reflex seen in newborns up to about 4 months of age. It is triggered by a sudden loud noise or movement and is characterized by a brief extension of the arms, accompanied by crying or a startled look on the baby's face. The arms may then flex downward and inward in a protective gesture, and the baby will usually cry and often be comforted by being held.

The Moro response is an involuntary, primitive reflex that serves to protect the baby from harm and is present at birth. It is a natural protective reflex and is considered to be a normal part of development in newborns.

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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

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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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which clinical indicator during the postoperative period of a client who had a successful nephrolithotomy

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One of the main clinical indicators during the postoperative period of a client who had a successful nephrolithotomy is adequate pain control.

Nephrolithotomy is a surgical procedure performed to remove kidney stones from the urinary tract. Pain is a common postoperative symptom and can lead to complications such as delayed recovery, poor wound healing, and increased risk of infection.

Proper pain management involves the use of pain medications, patient education, and monitoring for side effects. Effective pain control not only promotes patient comfort but also facilitates early ambulation, improved respiratory function, and overall recovery.

Therefore, the prompt identification and treatment of pain are crucial for successful postoperative outcomes.

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the nurse is caring for a 6-month-old infant with diarrhea and dehydration. the parent is concerned because the infant has some patches on the tongue. which feature indicates a geographic tongue?

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A geographic tongue is a condition in which the tongue's surface develops irregular, smooth, red patches with white borders, giving it the appearance of a map.

The patches are usually harmless and painless, although they can cause some discomfort or sensitivity to certain substances, such as hot or spicy foods, alcohol, or tobacco. Although the exact cause of geographic tongue is unknown, several factors may contribute to its development, such as genetics, allergies, stress, hormonal changes, or deficiencies in certain nutrients or minerals.

In most cases, geographic tongue does not require any treatment, although some over-the-counter products or prescription medications may help relieve any discomfort or symptoms that occur. If the patches on the infant's tongue are smooth, red, and bordered with white, then they are likely indicative of a geographic tongue. However, a healthcare professional should be consulted to rule out any other potential conditions or concerns.

Additionally, it is important to address the infant's diarrhea and dehydration promptly and appropriately, as these conditions can be serious and even life-threatening if left untreated. A healthcare professional can recommend the appropriate treatment and management plan for these issues.

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while assessing an adult client, the nurse detects opening snaps early in diastole during auscultation of the heart. the nurse should refer the client to a physician because this is usually indicative of

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The nurse should refer the client to a physician because this is usually indicative of mitral stenosis.

Mitral stenosis (MS) is a heart condition characterized by the narrowing of the mitral valve orifice, which reduces blood flow from the left atrium to the left ventricle. This causes an increase in pressure in the left atrium and pulmonary vasculature, leading to right-sided heart failure.

MS is a common condition in developing countries, but it is less frequent in industrialized nations. Rheumatic fever is the most common cause of MS, although it can also develop as a result of carcinoid syndrome, systemic lupus erythematosus (SLE), rheumatoid arthritis, or other causes.

Mitral stenosis can be asymptomatic or cause symptoms ranging from mild to severe. The opening snap that is heard early in diastole is caused by the sudden opening of the stiff and narrowed mitral valve as the pressure gradient between the left atrium and left ventricle reaches the critical point.

The severity of the opening snap reflects the degree of stenosis in the valve. Therefore, it is imperative to refer the client to a physician as soon as possible for a more thorough evaluation and diagnosis.

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true or false? a hospital's irb might determine that an experimental treatment poses too many risks relative to the potential benefit to the patient and recommend that the treatment not be offered at that facility.

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True. An Institutional Review Board (IRB) is a group of individuals who review research studies that involve people. The IRB reviews protocols to make sure that the rights and welfare of the people involved in the study are protected. If the IRB determines that an experimental treatment poses too many risks relative to the potential benefit to the patient, then they may recommend that the treatment not be offered at that facility.

An IRB may come to this conclusion based on a variety of factors. The IRB will review the proposed study and consider the potential benefits, the potential risks, and any alternatives available. They may consider the risks to the patient of not being in the study versus the potential benefits they could receive. In addition, they may also evaluate the informed consent process and consider whether the patient is able to understand the study and any potential risks.

The IRB may also consider whether the experimental treatment is the best option for the patient, compared to other available treatments. If the risks are deemed to be too high or the benefits are too small, then the IRB may recommend that the treatment not be offered at that facility. In this situation, the IRB is responsible for protecting the welfare of the patient and ensuring that their best interests are taken into consideration.

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how do your dietary levels of fiber, total carbohydrate, and % calories from carbohydrate compare to the recommendations? are you eating the right kinds of high carbohydrate foods? (7 pts)

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The recommended dietary levels of fiber, total carbohydrate, and % calories from carbohydrate vary depending on individual factors such as age and activity levels. In order to ensure you are getting the right kinds of high carbohydrate foods, you should speak to a registered dietitian who can provide you with a personalized nutrition plan.

Dietary fiber and carbohydrates provide the body with energy, and the amount needed depends on individual needs. It is important to understand the types of carbohydrates that are being consumed as well as the amount, in order to make sure you are eating the right kinds of high carbohydrate foods.

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h. pylori infection is rare and causes peptic ulcers in the vast majority of those infected true false

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The statement is false. Two thirds of people have H. pylori infection, which is rather common.

Even in patients who have no symptoms, H. pylori can still result in a variety of gastrointestinal problems.Numerous things can cause peptic ulcers, such as medicines, stress, and certain foods.

H. pylori infection is not typically the cause of peptic ulcers.

In addition to being a significant risk factor for stomach cancer, H. pylori infection is linked to other illnesses such gastritis (inflammation of the stomach lining), gastric lymphoma, and other health problems (a type of cancer affecting the immune cells in the stomach).

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a client with chronic renal failure has begun treatment with a colony-stimulating factor. what medication does the nurse anticipate administering to the client that will promote the production of blood cells?

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The medication that the nurse anticipates administering to the client with chronic renal failure who has begun treatment with a colony-stimulating factor to promote the production of blood cells is Epoetin alfa.

What is Epoetin alfa?

Epoetin alfa is a medicine that is used to treat anemia (a lack of red blood cells) in individuals with chronic renal failure (kidney disease). Epoetin alfa is a type of hormone that promotes the development of red blood cells in the body.

A person with renal disease has a lower number of red blood cells in their body than normal, causing them to become anemic. When a person with kidney disease is given Epoetin alfa, the drug works by increasing the number of red blood cells in the body.

As a result, the person's anemia symptoms are alleviated. The nurse should administer Epoetin alfa to the client since it promotes the production of blood cells.

Hence, Epoetin alfa is the medication that the nurse anticipates administering to the client with chronic renal failure who has begun treatment with a colony-stimulating factor to promote the production of blood cells.

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a client is prescribed an angiotensin-converting enzyme (ace) inhibitor for treatment of hypertension. what expected outcome does the nurse expect this medication will have?

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The expected outcome of this medication is a decrease in blood pressure and improved overall cardiovascular health. In some cases, the medication may be used to prevent or reduce the risk of heart attack, stroke, and other complications associated with high blood pressure.

What is an ACE inhibitor drug?

An ACE inhibitor is a type of medication prescribed to lower blood pressure by decreasing the production of hormones that cause the blood vessels to constrict. This decreases the amount of work the heart has to do, allowing it to work more efficiently and reducing the pressure in the arteries.

The nurse will be monitoring the patient's blood pressure and overall cardiovascular health to ensure that the medication is having the desired effect. It is important to note that ACE inhibitors may cause side effects in some patients, including fatigue, dizziness, headache, and an increase in potassium levels. It is also important to follow the instructions given by the healthcare provider when taking ACE inhibitors to ensure the safest and most effective outcome.

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when providing discharge instructions to a child who was admitted to the hospital following stridor, wheezing, and urticaria after taking penicillin, which nursing action is priority?

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The priority nursing action when providing discharge instructions to a child who was admitted to the hospital following stridor, wheezing, and urticaria after taking penicillin is to provide the family with instructions on how to recognize early signs and symptoms of an allergic reaction.

It is important to educate the family on signs and symptoms of an allergic reaction such as hives, swelling of the face, lips, tongue, and/or throat, difficulty breathing, wheezing, coughing, and/or stridor, chest tightness, and changes in skin color. Additionally, they should be instructed on how to obtain emergency medical help and the appropriate use of auto-injectable epinephrine if they observe signs and symptoms of an allergic reaction.

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a nurse auscultates a client's carotid arteries, finding the strength of the pulse to be bounding. which score should the nurse record?

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The nurse should record a score of 4+ for the strength of the client's carotid artery pulse if it is bounding.

Pulse strength is the strength of a person's pulse. This strength can be evaluated by feeling the strength of the heartbeat.

A pulse is typically assessed on a scale of 0 to 4, with 0 being absent, 1 being weak, 2 being normal, and 3 and 4 being bounding. A pulse strength score of 2 is considered to be normal and is typically indicative of good cardiovascular health. A score of 1 or lower could suggest a weak or absent pulse, while a score of 3 or 4 could suggest a strong or bounding pulse.

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he nurse is assisting in collecting subjective and objective data from a client admitted to the hospital with tuberculosis (tb). the nurse would expect to note which finding?

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Cough producing purulent sputum. Subjective data refers to the symptoms and signs that patients experience and observe.

Objective data, on the other hand, refers to the physical signs and laboratory or diagnostic test results that healthcare providers observe and record. Tuberculosis (TB) is an infectious respiratory illness caused by the bacteria Mycobacterium tuberculosis. People with TB may exhibit a variety of symptoms. Therefore, the nurse assisting in collecting subjective and objective data from a client admitted to the hospital with tuberculosis (TB) would expect to note the following finding: Cough producing purulent sputum is a classic symptom of TB.

The cough is dry and persistent and may produce sputum (mucus and other material coughed up from the lungs) that may be bloody or yellow-green. The cough can last for three or more weeks, and it may cause the individual to feel weak or tired.A persistent cough that lasts more than two weeks is the most frequent and prevalent clinical symptom of TB. People with the disease frequently complain of a cough that lasts more than two weeks and that may produce phlegm or sputum.

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a client with a bmi of 27 asks if the overweight classification applies to them. the nurse informs the client that the term overweight refers to bmis within which range?

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The nurse might educate the client that the term "overweight" normally refers to body mass index (BMI) levels within the range of 25 to 29.9. The client would be regarded as overweight based on this classification as her BMI of 27 is within this range.

Although BMI is not a perfect indicator of health, it may be used to identify those who may be more susceptible to certain conditions, such as heart disease, diabetes, and some forms of cancer. Also, the nurse can advise the patient on methods for managing their weight and leading a healthy lifestyle, as well as any health hazards linked to being overweight.

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fill in the corresponding hormones (and actions where necessary) for the following endocrine axes in the blanks provided. solid black arrows represent hormones. red arrows represent the negative feedback of a hormone, and blue arrows represent the action of a stimulus. hypothalamo-pituitary-gonadal axis (male)

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Hypothalamo-pituitary-gonadal axis (male) is a reproductive endocrine axis in males that is responsible for the production of male gametes and sex hormones.

Explanation :

The corresponding hormones for the hypothalamo-pituitary-gonadal axis (male) are: Follicle-stimulating hormone (FSH): Follicle-stimulating hormone (FSH) is secreted by the anterior pituitary gland and stimulates the growth and maturation of the seminiferous tubules, which produce sperm.

Testosterone: Testosterone is secreted by the Leydig cells in response to luteinizing hormone (LH) and plays a vital role in spermatogenesis, sex drive, and the development of secondary male sexual characteristics

Inhibin: Inhibin is produced by the Sertoli cells and regulates the secretion of FSH by the anterior pituitary gland.

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which activities would the nurse perform to meet the client's safety and security needs based on maslow's hierarchy of needs? select all that apply. one, some, or

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According to Maslow's hierarchy of needs, safety and security needs come after physiological needs, such as food and shelter. Safety and security needs include the need for physical safety, security, stability, and freedom from fear and anxiety. Here option C is the correct answer.

Therefore, the nurse would perform activities to ensure that the client's physical environment is safe and secure, such as checking for hazards, ensuring that equipment is in good working condition, and providing appropriate support devices if needed.

By ensuring the client's physical safety, the nurse can help meet the client's safety and security needs, allowing them to focus on other needs, such as social interaction and self-expression.

Maslow's hierarchy of needs is a theory in psychology that proposes that human needs can be arranged in a hierarchy of five levels. The levels, in ascending order, are physiological needs, safety and security needs, love and belongingness needs, esteem needs, and self-actualization needs. The theory suggests that individuals must meet lower-level needs before they can focus on higher-level needs.

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Complete question:

Which activities would the nurse perform to meet the client's safety and security needs based on Maslow's hierarchy of needs?

a) Provide the client with emotional support and empathy

b) Administer prescribed medication to manage pain

c) Ensure the client's physical environment is safe and secure

d) Encourage the client to participate in social activities to reduce isolation

e) Provide the client with opportunities for self-expression and creativity

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

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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 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?

Answers

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 bubonic plague dealt a major blow to church credibility which led philosophers to explain events through scientific hypotheses.

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The bubonic plague, also known as the Black Death, killed an estimated 25 million people in Europe during the 14th century. This devastating event caused a major blow to the credibility of the Church, which had long been the primary source of explanation for natural phenomena.

This prompted philosophers to develop scientific hypotheses to explain events and phenomena. Scientists such as Galileo, Copernicus, and Newton used empirical evidence to support their theories, which challenged the Church's teachings.

This shift in thinking helped to usher in the scientific revolution, which began in the 16th century and fundamentally changed the way that people viewed the world. This shift ultimately led to the emergence of modern science and the scientific method. Thus, the bubonic plague had a profound impact on the development of science and the way that people viewed the world.

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a client is being shown her preterm infant in the neonatal intensive care unit (nicu) for the first time. the client immediately starts to cry and refuses to touch her baby. which situation would this behavior represent?

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This behavior is known as "postpartum denial." It is a phenomenon in which a parent reacts with emotional detachment or outright refusal to accept their baby due to the shock of delivering a preterm infant.

This can be caused by a variety of factors, including the trauma of seeing an infant in the NICU, fears related to the infant's prognosis, and feelings of guilt for the role that the parent may have played in the preterm delivery. Postpartum denial is also an adaptive reaction that can help a parent cope with their situation.

The best course of action for the healthcare provider is to help the parent through their emotions and reactions, using a supportive and non-judgmental approach. This can include providing information and reassurance, while being mindful of the parent's level of stress and anxiety.

It is also important to ensure that the parent has access to the necessary resources and support they need, such as mental health care, to help them process their emotions and develop a bond with their child.

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a client is placed on the operating room table for the surgical procedure. which surgical team member is responsible for handing sterile instruments to the surgeon and assistants?

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The surgical team member that is responsible for handing sterile instruments to the surgeon and assistants is the scrub nurse.

A scrub nurse is a type of operating room nurse who is responsible for preparing and maintaining the sterile field before, during, and after surgical procedures. This includes collecting, arranging, and preparing instruments and supplies. They must be meticulous in their duties and be able to accurately interpret physician orders. Scrub nurses also assist with positioning patients, as well as monitoring their vital signs. In addition, they may help with transferring patients and any other duties that may be assigned to them.

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what impact does telehealth/telemedicine (i) have in comparison to face-to-face visits (c) on the overall outcome and satisfaction (o) in geriatric patients aged above 65 with mental health disorders (p) in the post-pandemic period (t)?

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The impact that telehealth/telemedicine has in comparison to face-to-face visits on the overall outcome and satisfaction in geriatric patients aged above 65 with mental health disorders in the post-pandemic period is significant.

However, the studies have found that telehealth is a promising approach to providing mental health care to older adults with psychiatric disorders. Telehealth provides comparable clinical outcomes to face-to-face treatment while also improving access to care and the patient's quality of life.

Therefore, the effectiveness of telehealth or telemedicine depends on a range of factors, including the patient's age, health status, and the type of mental health condition being treated. Telehealth provides a platform for delivering timely and cost-effective care for geriatric patients with mental health disorders during the post-pandemic period.

Additionally, telehealth allows the delivery of care to the geriatric population in remote areas, and this is important as many elderly patients are not able to travel due to their health conditions. The use of telehealth for geriatric mental health care will significantly impact the healthcare delivery system during and after the pandemic period.

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for which primary purpose does an individual take an opioid drug that has been prescribed by a health care provider?

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Opioids are prescribed by healthcare providers for the primary purpose of relieving moderate to severe pain.

Opioids are a class of drugs that are used to reduce pain. They act on the brain and nervous system to produce a sense of pleasure and reduce the perception of pain. Opioids can be naturally occurring, synthetic, or semi-synthetic and they come in a variety of forms, including pills, patches, and injectable liquids. Commonly prescribed opioids include morphine, hydrocodone, oxycodone, and codeine.

Long-term use of opioids can lead to tolerance, physical dependence, and in some cases, addiction. Other potential risks include increased sensitivity to pain, nausea, vomiting, and constipation.

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the nurse is reviewing laboratory results of a digoxin level for the client taking digoxin. the digoxin level is 2.5 ng/ml, which indicates digoxin toxicity. which signs and symptoms would the nurse note? select all that apply.

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The nurse is reviewing laboratory results of a digoxin level for the client taking digoxin. the digoxin level is 2.5 ng/ml, which indicates digoxin toxicity . The signs and symptoms of digoxin toxicity include: nausea, vomiting, anorexia, fatigue, confusion, headache, abdominal pain, blurred vision, and bradycardia (slow heart rate).

The nurse should also assess the client for increased levels of K+, BUN, and creatinine. If digoxin toxicity is suspected, then the nurse should immediately notify the physician and discontinue the medication. Additionally, the nurse should monitor the client’s vital signs, ECG, and electrolytes.

Treatment for digoxin toxicity includes the administration of antidigoxin Fab antibodies and supportive care.

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when preparing to receive a preschool-age child to the pediatric intensive care unit after surgery for the removal of a brain tumor, which nursing action would prompt the charge nurse to immediately intervene?

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When preparing to receive a preschool-age child to the pediatric intensive care unit after surgery for the removal of a brain tumor, the nursing action that would prompt the charge nurse to immediately intervene is not given.


The charge nurse should immediately intervene if the nursing action involves the administration of sedatives or other medication that is contraindicated for pediatric patients.


All medications prescribed for pediatric patients must be in child-safe containers and administered in the correct dosage and route as ordered.
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which of the following can cause an increase in pulse rate? a. exercise, stimulant drugs b. sleep, depressant drugs c. excitement, fever d. a and c only

Answers

Exercise and excitement can cause an increase in pulse rate, as can stimulant drugs and fever. Therefore, the correct answer is option D.

An increase in pulse rate (also known as tachycardia) can be caused by a variety of factors, including exercise, stress, anxiety, fever, anemia, dehydration, hyperthyroidism, and the consumption of certain medications.

Exercise: Physical activity can lead to an increase in heart rate due to the body's need for extra oxygen to fuel the muscles.Stress: Anxiety or stress can trigger a rise in heart rate as the body produces hormones such as adrenaline and cortisol to cope with the perceived threat.Fever: An increase in body temperature due to an illness can lead to an increased heart rate.Anemia: Low levels of oxygen-carrying red blood cells can cause a rapid heart rate due to the body’s attempt to compensate for the lack of oxygen in the bloodstream.Dehydration: A decrease in fluid levels in the body can cause a rapid heart rate as the body attempts to make up for the lack of volume in the bloodstream.Hyperthyroidism: An overactive thyroid can cause a higher resting heart rate.Medications: Stimulants, decongestants, and certain medications used to treat high blood pressure can increase heart rate.

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what assessment finding would alert the nurse that a client's open pneumothorax has progressed to a tension pneumothorax? select all that apply 1. mediastinal shift 2. shortness of breath 3. tachypnea 4. distended neck veins 5. hypotension

Answers

The nurse is alerted that a client's open pneumothorax has progressed to a tension pneumothorax if the assessment findings include mediastinal shift, shortness of breath, distended neck veins, and hypotension. This is in addition to tachypnea. Thus, options 1, 2, 4, and 5 are correct.

Pneumothorax is a medical emergency characterized by air or gas accumulation in the pleural space, causing lung collapse. It is caused by injury, disease, or medication administration, and it can happen suddenly or gradually. When air or gas enters the pleural space and builds up, it causes the lung to collapse or compress.

Tension pneumothorax is a complication that can occur in a client with an open pneumothorax. It develops when the open injury acts as a one-way valve, allowing air into the pleural space on inspiration but not permitting it to leave on expiration.

This increases the pressure inside the thorax, leading to mediastinal shift and compression of the contralateral lung, compromising circulation, and respiration. Clinical manifestations of tension pneumothorax can progress rapidly and are life-threatening if not promptly treated.

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