The proper rate and delivery of blow-by oxygen for a newborn patient should be 2-4 L/min, delivered at the level of the patient's face or in the direction of the patient's nose and mouth.
When a newborn patient is receiving blow-by oxygen, the proper rate and delivery should be as follows:
The newborn patient should be in a semi-reclined position to help maintain a stable airway.
The nurse should ensure that the oxygen tubing is securely attached to the oxygen source and the blow-by adapter.
The rate of oxygen delivery should be set between 2-3 L/min.
The blow-by oxygen mask should be placed about an inch or two in front of the baby's face, keeping it stable with one hand, and the other hand holding the head to prevent sudden movement.
The newborn's oxygen saturation should be monitored by pulse oximetry.
It is important to ensure that the flow is adjusted appropriately and that the patient is receiving the right amount of oxygen. The distance between the oxygen source and the patient should also be taken into account when delivering the oxygen.
Hence, the above steps need to be followed to ensure the proper rate and delivery of blow-by oxygen for a newborn patient.
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an informatics nurse specialist is meeting with a primary care provider's staff members. the office has agreed to implement a patient portal. when describing this tool, the nurse specialist would identify which aspects as being possible for clients? select all that apply.
The aspects that an informatics nurse specialist would identify as being possible for clients are laboratory results, details of medical history, communication with the provider, scheduling appointments, and prescription renewal.
The possible aspects of a patient portal that can be identified by an informatics nurse specialist as being possible for clients are listed below:
To view laboratory results: Clients can view their laboratory results through a patient portal. The patient portal allows clients to view their laboratory results.To see details of their medical history: The patient portal allows clients to see the details of their medical history. Through the patient portal, clients can have access to their medical history.To communicate with the provider: Clients can use the patient portal to communicate with their provider. Patients can ask questions, request an appointment, and get a response from their provider through the patient portal.To schedule appointments: Through the patient portal, clients can schedule their appointments with their providers. They can check available time slots and schedule their appointment.To renew prescriptions: Clients can request prescription renewals through the patient portal. The patient portal allows clients to request medication refills from their providerscomplete question
"An informatics nurse specialist is meeting with a primary care provider's staff members. The office has agreed to implement a patient portal. When describing this tool, the nurse specialist would identify which aspects as being possible for clients? Select all that apply
Schedule office appointments
Access their medical history
Communicate with the health care provider"
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h. pylori infection is rare and causes peptic ulcers in the vast majority of those infected true false
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 patient shares with the nurse a concern about a skin tag on the inner thigh. the patient is becoming worried that the skin tag is cancerous. how should the nurse respond?
A sympathetic and comforting response from the nurse is appropriate if a patient expresses worry to them about a skin tag on their inner thigh and expresses concern that it could be malignant. These are some potential actions the nurse may take:
Allowing the patient to completely express their problems can help you better understand them. Pay attention to what they have to say. Use open-ended inquiries to find out additional details about the skin tag, such as when it originally emerged, whether it has changed in size or appearance, and whether the patient is experiencing any other symptoms.
The patient should be informed about skin tags, which are benign growths that frequently appear in parts of the body where skin rubs up against skin, such as the inner thighs. Unless they are causing pain or irritation, they are usually not harmful and don't need to be treated by a doctor.
Reassure the patient by informing them that skin tags are often not malignant and are a common, innocuous skin ailment. Remind them that it's always preferable to be safe than sorry and that it's critical for them to see a doctor if they have any concerns.
Encourage the patient to see a healthcare provider: Offer to help the patient make an appointment with a healthcare provider if they would like, and remind them that a healthcare provider will be able to provide a definitive diagnosis and recommend any necessary treatment.
Provide resources: If the patient is interested, provide them with resources such as pamphlets or websites that offer information about skin tags, including how to identify them and when to seek medical attention.
Overall, the nurse should respond to the patient's concerns with empathy, respect, and professionalism, while providing them with accurate information and support to help them make informed decisions about their health.
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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)?
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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during a difficultg delivery an obstetrician uses forceps to extract the infant. upon examining the baby you notice forceps impressions posteriorinferior to th ear. you are most concerned that the:
During a difficult delivery, an obstetrician uses forceps to extract the infant. Upon examining the baby, you notice forceps impressions posterior-inferior to the ear.
In such cases, the pediatrician is most worried about nerve damage. The facial nerve, which controls facial movements and expressions, is located behind the ear. As a result, there is a risk of nerve damage during a difficult delivery that necessitates the use of forceps to extract the baby.
Forceps are a type of medical instrument that resemble a pair of tongs. During childbirth, obstetricians use forceps to help the baby's head pass through the birth canal. If a child's health or life is in jeopardy, forceps can be used as an emergency surgical instrument. Forceps are also used to extract a placenta that has become lodged in the birth canal, to extract a deceased fetus, or to assist in the delivery of a second twin.
Forceps delivery has several potential dangers, including: Damage to the mother's perineum, which is the area between the vagina and the anus is one potential danger. Infection or injury to the bladder, urethra, or rectum is another risk. Forceps can cause the infant's face or head to become bruised or swollen. Head injury, cephalohematoma, or even brain hemorrhage can occur. The infant's cranial nerves, including the facial nerves, can be affected by forceps delivery. As a result, the baby may have facial weakness or paralysis, which might be temporary or permanent.
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the nurse is caring for a client with a cerebral aneurysm who is on aneurysm precautions and is monitoring the client for signs of aneurysm rupture. the nurse understands that which is an early sign of rupture?
The nurse is caring for a client with a cerebral aneurysm who is on aneurysm precautions and is monitoring the client for signs of aneurysm rupture. The nurse understands that the headache is the early sign of rupture.
What is a cerebral aneurysm?
Cerebral aneurysm is also known as intracranial aneurysm, which is a bulging or weakened area in the wall of an artery in the brain. An aneurysm occurs when the blood pressure pushes the weakened part of the wall outward, forming a ballooned shape.
It poses a threat to the patient as it can rupture, leading to serious conditions like a hemorrhagic stroke or death. Various factors such as smoking, high blood pressure, family history, and injury to the brain may increase the risk of a cerebral aneurysm.
It may not have symptoms in its early stages. Hence, it is essential to take preventive measures to avoid complications. To prevent complications, nurses must take aneurysm precautions and monitor the patient regularly. The early sign of rupture is a headache.
The headache can be severe and sudden, which is often described as the worst headache of one's life. Other early signs of rupture are nausea, vomiting, and loss of consciousness. Early detection and timely medical intervention can prevent the rupture and improve patient outcomes.
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to address the needs of a chronically ill patient and promote the concept of wellness, a nursing care plan should outline steps to:
To address the needs of a chronically ill patient and promote the concept of wellness, a nursing care plan should outline steps to encourage positive health characteristics within the limits of the disease.
A nursing care plan is an organized list of nursing interventions tailored to meet a patient's individual needs. It is a dynamic document that is created, implemented, and revised to reflect the patient's changing condition and needs. Nursing care plans are based on the patient's assessment and diagnosis and involve the nursing process of assessment, planning, implementation, and evaluation.
The purpose of a care plan is to provide a systematic and organized approach to assessing, planning, delivering, and evaluating quality care to a patient. The care plan outlines the nursing diagnoses and expected outcomes, the nursing interventions necessary to achieve the desired outcomes, the expected outcomes, and the nursing interventions necessary to achieve the desired outcomes. The plan should also include any treatments, medications, follow-up assessments, or referrals that are necessary to meet the patient's needs.
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which clinical indicator during the postoperative period of a client who had a successful nephrolithotomy
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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a client has developed disseminated intravascular coagulation (dic). the nurse knows that which statements regarding dic are true? select all that apply.
The correct statements regarding DIC that are true are:
Thrombotic occlusion occurs in small and midsized blood vessels.Bleeding may accompany coagulation.Generation of thrombin increases.Endogenous anticoagulation mechanisms are suppressed.Disseminated Intravascular Coagulation (DIC) is a condition where blood clots form throughout the body. It is caused by the body releasing certain proteins, which disrupts the body's normal clotting process. This can lead to excessive clotting, resulting in organ damage due to lack of blood flow. The symptoms of DIC include weakness, bleeding, and organ failure.
Treatment depends on the severity of the condition but may include blood transfusions, anticoagulants, and medications to reduce inflammation. If not treated promptly, DIC can lead to life-threatening complications such as stroke, sepsis, or organ failure. It is important to consult a doctor for proper diagnosis and treatment of DIC.
A patient has developed disseminated intravascular coagulation (DIC). The nurse knows that which statements regarding DIC are true? Select all that apply.
Thrombotic occlusion occurs in small and midsized blood vessels.Bleeding may accompany coagulation.Generation of thrombin increases.Endogenous anticoagulation mechanisms are suppressed.Learn more about DIC at https://brainly.com/question/28235396
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which condition is evident in a child who has been vomiting for 2 days and is found to have a rapid pulse, dry mouth, decreased skin elasticity, and irritability?
The condition that is evident in a child who has been vomiting for 2 days and is found to have a rapid pulse, dry mouth, decreased skin elasticity, and irritability is dehydration.
Dehydration is a condition in which the body loses more fluids than it takes in. It may be caused by a variety of factors, including illness, sweating, and not drinking enough fluids. Dehydration can occur in anyone, but it is most common in children and older adults.
Signs and symptoms of dehydration Dry mouth, thirst, and dry skin are the most frequent symptoms of dehydration. Other indications and symptoms of dehydration include the following: Headache, dizziness, or lightheadedness. Urinating less frequently than normal or having dark yellow urine. Rapid heartbeat and breathing Dry, cool skin that does not bounce back after being pinched. Fatigue, irritability, and confusion.
Other possible symptoms include sunken eyes, no tears when crying, and severe dehydration that may cause fainting or coma. The child is most likely dehydrated if he or she has any of these symptoms. The medical provider must be contacted immediately to determine the proper diagnosis and treatment.
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which rationale is appropiate for prescribing a mucolytic for a patient diagnosed with chronic bronchitis
One appropriate rationale for prescribing a mucolytic for a patient diagnosed with chronic bronchitis is to help thin and loosen the excessive mucus that is often present in the airways, making it easier to cough up and clear from the lungs.
his can help to improve breathing and reduce symptoms such as coughing and wheezing.
Mucolytics work by breaking down the chemical bonds that hold mucus together, making it less viscous and easier to expectorate. Commonly prescribed mucolytics for chronic bronchitis include acetylcysteine, guaifenesin, and bromhexine.
It is important to note that mucolytics may not be appropriate for all patients with chronic bronchitis, and their use should be guided by a healthcare professional who takes into account the patient's individual symptoms, medical history, and other factors.
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- fat-free - helps promote immune health - adequate folate intake prior to and early in pregnancy may reduce the risk of neural tube defects. a. health claim b. structure/function claim c. nutrient content claim
The given statements:- "Fat-free- Helps promote immune health- Adequate folate intake prior to and early in pregnancy may reduce the risk of neural tube defects" are classified as a C. Nutrient Content claim.
What is a Nutrient Content claim?
Nutrient content claims describe the level of a nutrient in the product using terms such as "good source," "low in," and "high in." These statements relate to the nutrient content of the food and can only be made for nutrients that have established daily reference values.
The purpose of nutrient content claims is to allow consumers to compare the nutrient content of similar products more easily.
Example of Nutrient Content claims:
"Fat-free"· "Low sodium"· "High fiber"· "Good source of vitamin D"· "High in calcium"· "Reduced calorie"
The given statements don't qualify as Health claim or Structure/Function claim. Health claims on food labels describe a relationship between a food, food component, or dietary supplement ingredient and reducing the risk of a disease or health-related condition.
A structure/function claim is a claim that describes the role of a nutrient or dietary ingredient intended to affect normal structure or function in humans.
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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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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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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?
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 is 1-day postoperative abdominoplasty and is discharged to go home with a jackson-pratt (jp) closed-wound system drain in place. the nurse teaches the client how to care for the drain and empty the collection bulb. which statement indicates that the client needs further instruction?
The client needs further instruction if they do not understand that the drainage bulb should be emptied when it is two-thirds to three-quarters full.
The nurse should explain that the bulb should be emptied when it is two-thirds to three-quarters full, and that the fluid should be measured and recorded each time. It is important to ensure that the client knows how to properly measure, record and empty the bulb in order to avoid possible complications.
The nurse should also explain the importance of proper wound care, including cleaning the area around the drain and the drain itself with soap and water and patting it dry.
The nurse should also explain the importance of keeping the drainage bulb below the level of the wound, to ensure that the wound does not become infected. Finally, the nurse should educate the client about when to contact the healthcare provider for any signs of infection or increased drainage.
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when educating a client with a wound that is not healing, the nurse should stress which dietary modifications to ward off some of the negative manifestations that can occur with inflammation?
Some dietary modifications to ward off some of the negative manifestations that can be helpful include: Increasing protein intake, antioxidant intake, intake of processed foods, and intake of omega-3 fatty acids.
Increasing protein intake: Protein is essential for wound healing and tissue repair. Encourage the client to eat lean sources of protein such as fish, chicken, beans, and lentils.
Increasing antioxidant intake: Antioxidants can help reduce inflammation in the body. Encourage the client to eat plenty of fruits and vegetables, particularly those high in vitamin C (such as oranges, strawberries, and kiwi) and vitamin E (such as spinach, almonds, and sweet potatoes).
Reducing intake of processed foods and added sugars: These foods can contribute to inflammation in the body. Encourage the client to choose whole, unprocessed foods and limit added sugars.
Increasing intake of omega-3 fatty acids: Omega-3s have anti-inflammatory properties and can help reduce inflammation in the body. Encourage the client to eat fatty fish such as salmon, mackerel, and tuna, as well as walnuts, flaxseeds, and chia seeds.
In addition to dietary modifications, the nurse should stress the importance of proper wound care and medication management, as well as regular follow-up with the healthcare provider.
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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?
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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which initial nursing action would best help the patient learn self-care of a new colostomy pouching system?
The best initial nursing action to help the patient learn self-care of a new colostomy pouching system would be to provide a demonstration of the procedure.
This would include a step-by-step explanation of how to change the pouching system, how to clean and care for the skin surrounding the stoma, and how to troubleshoot any problems that may arise.
Demonstrations can help patients feel more confident in their ability to manage their colostomy, and provide a visual guide for them to follow. Additionally, allowing the patient to practice the procedure under the nurse's supervision can help reinforce the learning and identify areas where additional education may be needed.
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Compose a 5-6 sentence paragraph about a GI situation using as many terms as possible
Many people experience gastrointestinal (GI) problems, which can range in severity from moderate to severe. Gastroesophageal reflux disease is one potential scenario (GERD).
Where do you have abdominal pain?middle abdomen. The majority of your small and large intestines are located in your lower belly. GIT disorders are more likely to be the cause of lower abdominal pain. It might also have something to do with your uterus, ovaries, or ureters.
What level of severity is gastrointestinal?A issue with your digestive system is indicated by bleeding in the GI tract. The blood frequently appears in stools or vomit, becoming it dark or tarry even if it isn't always apparent. The severity of life-threatening bleeding can range from mild to severe.
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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 patient asks whether long-term use of acid-reducing medications has any adverse effects. which information should the nurse include in the response?
The nurse should include information on the potential side effects of long-term use of acid-reducing medications, such as the increased risk of gastrointestinal infections, stomach ulcers, and intestinal bleeding.
Acid-reducing medications, such as proton pump inhibitors and H2 blockers, reduce the amount of acid produced in the stomach. This is helpful for treating acid reflux, GERD, and other conditions that involve too much stomach acid.
Proton pump inhibitors (PPIs) work by blocking an enzyme responsible for producing acid in the stomach. Common PPIs include omeprazole, pantoprazole, lansoprazole, and rabeprazole.
H2 blockers, also known as H2 receptor antagonists, block the action of histamine receptors in the stomach, which reduces acid production. Common H2 blockers include cimetidine, ranitidine, and famotidine.
Side effects of PPIs and H2 blockers can include headaches, diarrhea, nausea, and abdominal pain. If these side effects occur, it is important to speak to your healthcare provider. It is also important to note that acid-reducing medications should not be used for longer than 8-12 weeks without consulting a doctor.
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when considering teh benefit of pharmacogenomics, what information shoudl the provider iclude when prescribing a new medication?
The provider should include information about a patient's genetic makeup when prescribing a new medication as part of pharmacogenomics. This will help the provider determine the most effective dose and form of the drug, as well as any potential adverse reactions the patient may experience.
The provider should also consider any potential drug-drug interactions that may occur, as well as any hereditary or environmental factors that may affect the efficacy of the medication. It is important for the provider to understand the patient's genetic makeup to ensure the best possible outcomes.
Pharmacogenomics is the study of how a person's genes can impact their response to medications. By analyzing a patient's genetic makeup, providers can determine how certain medications will be metabolized and if there may be any genetic factors that could impact their effectiveness or risk of side effects. This information can help to inform treatment decisions and create personalized treatment plans for individual patients.
Overall, pharmacogenomics can be a valuable tool in helping providers create personalized treatment plans for their patients. By taking into account a patient's genetics, providers can make more informed decisions about medications and reduce the risk of negative outcomes.
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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 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?
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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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
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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anemia associated with pregnancy is usually related to iron deficiency; it also may occur in conjunction with a deficiency of:
Anemia associated with pregnancy is usually related to iron deficiency; it also may occur in conjunction with a deficiency of Folate.
Iron deficiency is the most common cause of anemia during pregnancy. Folate deficiency anemia. Folate is a vitamin found naturally in certain foods, such as green leafy vegetables. A B vitamin, the body needs folic acid to produce new cells, including healthy red blood cells. During pregnancy, women need extra folic acid.
Iron deficiency anemia adversely affects maternal and fetal health throughout pregnancy and is associated with increased morbidity and fetal death.
Affected mothers often experience breathing problems, fainting, fatigue, heart palpitations, and sleep problems.
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the nurse is assessing a client with a moon-shaped face and thin arms and legs. the nurse expects which other assessment findings? select all that apply. one, some, or all responses may be correct.
The nurse is assessing a client with a moon-shaped face and thin arms and legs. The nurse expects the following assessment findings:
buffalo hump striae on the abdomen and a round or protuberant abdomenAnd, It leads to the conclusion that the person is having Cushing syndrome.
What is Cushing syndrome?
Cushing's syndrome is a collection of symptoms and signs that result from long-term exposure to cortisol, a hormone produced by the adrenal gland.
The majority of instances of Cushing's syndrome are caused by taking steroid drugs, although other causes include benign or malignant tumors of the adrenal gland or pituitary gland.
Cushing's syndrome is characterized by a large number of signs and symptoms, making it difficult to diagnose. These signs and symptoms include the following:
Weight gain in the face, upper back, and stomach is caused by fat redistribution.Sparse hair or baldness is common, particularly in women.High blood pressure and muscle weakness are possible.Anxiety, irritability, and depression are all possibilities.Buffalo hump is a condition in which a lump of fat accumulates on the upper back.Bone loss in the legs, hips, and spineStomach ulcers and skin infections that heal slowlyPurple streaks on the skin that are thin and easily bruisedPoor healing of woundsMenstrual periods that are irregular or absent in womenDiabetes mellitus is a disorder that causes blood sugar levels to be high.Moon-shaped faceEasy bruisingStriae on the abdomen (abdominal stretch marks)Round or protuberant abdomenThinning of the skin with an easy bruising tendencySkin breakdown at the back of the heels due to excessive pressure"the nurse is assessing a client with a moon-shaped face and thin arms and legs. the nurse expects which other assessment findings? select all that apply. one, some, or all responses may be correct".
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the nurse makes which dietary recommendation for a patient with esophagitis as a result of radiation therapy to treat lung cancer?
The nurse may recommend that the patient with esophagitis as a result of radiation therapy to treat lung cancer consume a soft and bland diet to reduce irritation and discomfort in the esophagus.
Esophagitis is a common side effect of radiation therapy to treat lung cancer, which can cause irritation and inflammation in the esophagus. To alleviate the symptoms and promote healing, the nurse may suggest that the patient consume a soft and bland diet, avoiding spicy, acidic, or rough-textured foods that may further irritate the esophagus.
Foods such as soups, mashed potatoes, cooked vegetables, and well-cooked lean protein sources like fish or chicken can be recommended. Additionally, the nurse may encourage the patient to eat small, frequent meals, chew slowly, and avoid lying down for at least 30 minutes after eating to help reduce the risk of reflux.
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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?
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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