A patient with severe pain and a history of rheumatoid arthritis and schedules the patient for a follow-up appointment in one month.
What is Rheumatoid arthritis?Rheumatoid arthritis is an inflammatory disorder in which a patient feels pain in more than one joints. This disorder can damage different body systems like liver functioning, heart, lungs and blood vessels.
Knee arthroplasty is a surgery which results in a replacement of knee of the patient. It can relieve pain of the patient but few people still complain about the pain after the surgery.
Therefore, A patient with severe pain and a history of rheumatoid arthritis and schedules the patient for a follow-up appointment in one month.
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The nurse is reviewing a patient's laboratory results. What findings does the nurse assess that are consistent with acute glomerulonephritis? (Select all that apply.)
a) Red blood cells in the urine
b) Proteinuria
c) Polyuria
d) Hemoglobin of 12.8 g/dL
e) White cell casts in the urine
The following findings are indicative of acute glomerulonephritis, which the nurse may evaluate: Proteinuria, white cell casts in the urine, and the presence of red blood cells in the urine
What blood test is required to diagnose glomerulonephritis?Patients with acute glomerulonephritis and signs of underlying systemic diseases such systemic lupus erythematosus and polyarteritis nodosa may benefit from the antinuclear antibody test.
What do those with acute glomerulonephritis find out through their urinalysis?Red blood cells, substances that shouldn't be present in urine, white blood cells that signal inflammation, and other signs of poor kidney function can all be found during a urinalysis. There may not be as much waste as you might have thought.
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which service may be available as part of a residential treatment program
Participants in residential treatment programmes could also receive vocational training, training for daily living skills, psychoeducation about the disease process and drugs.
Which element falls under the category of psychoeducation?
Cognitive-behavior therapy, group therapy, and education are all combined in psychoeducation. The main objective is to educate patients and their families about the various aspects of the condition and its management so that they may collaborate with mental health specialists for a better overall result.
Which service is most likely to be provided by the community health nurse?
The prevention and treatment of mental illness are the primary responsibilities of the community health nurse in mental health care.
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prior to discontinuing the iv oxytocin, which assessment is most important for the nurse to obtain?
Before discontinuing intravenous (IV) oxytocin, the most important assessment for the nurse to obtain is the status of the uterine contractions.
What is oxytocin?Oxytocin is commonly used to induce or augment labor, and its primary effect is to stimulate uterine contractions. Therefore, it is essential to assess the frequency, duration, and strength of the contractions to determine if the medication is still needed and to prevent any potential complications.
If the contractions are strong and frequent enough to facilitate cervical dilation and descent of the fetus, the oxytocin infusion can be discontinued. However, if the contractions are weak or insufficient, the oxytocin infusion may need to be continued or even increased to ensure adequate progress in labor.
Additionally, the nurse should assess the fetal heart rate (FHR) to ensure that the medication has not caused any adverse effects on the fetus, such as fetal distress or changes in FHR pattern. If any concerns are noted, the healthcare provider should be notified immediately for further assessment and management.
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which immediate nursing intervention is most likely to increase anxiety for a client who is increasingly agitated?
Nurse being assertive is most likely to increase anxiety for a client who is increasingly agitated.
Which task should the nurse prioritize for an anxious freshly admitted patient?
The nurse should evaluate the patient as her first step. The nurse can give the patient the information they need to help reduce their anxiety by finding out how well they comprehend the procedure.
In order to treat anxiety conditions, nurses may: Remain composed and nonaggressive. When dealing with clients, keep a composed, non-threatening demeanor; anxiety is contagious and can be passed from staff to client or vice versa. Ensure the client's protection.
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The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection?
a school-age child who is current with immunizations
an older adult client with a history of heart failure
a middle-aged adult who takes prescribed medication to control blood pressure
an adolescent who has a right radial fracture
Infections that patients contract as a result of receiving medical care are known as healthcare associated infections (HAIs).
Which of the following patients is susceptible to infection?
Certain patients are more at risk than others; for example, infections are more likely to spread to small children, the elderly, and people with weakened immune systems. Other risk factors include protracted hospital stays, the use of indwelling catheters, healthcare workers who don't wash their hands, and excessive antibiotic usage.
At a medical facility, who is most vulnerable to infection?
During treatment, individuals and healthcare professionals frequently engage more closely than they do in community settings. Furthermore, those who are already sick or weak are more likely to be susceptible to infection.
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The nurse is creating a plan of care to target the nonspecific body defenses.
Which should the nurse include?
a. Skin
b. Plasma cells
c. B lymphocytes
d. T lymphocytes
Skin is the body's first line of defense against infections, serving as a physical barrier that prevents the entry of pathogens. So the correct option is a. Skin.
The nurse should include skin as a target of the nonspecific body defenses in the plan of care. In addition, the skin produces antimicrobial substances that help to kill or inhibit the growth of bacteria and other microorganisms. Plasma cells, B lymphocytes, and T lymphocytes are all components of the specific immune response, which targets specific pathogens and develops over time as the body is exposed to different antigens. In contrast, the nonspecific body defenses are always present and do not require prior exposure to specific pathogens.
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a patient received intravenous (IV) push of ceftriaxone sodium antibiotic 250 mg through an existing IV line. the IV was flushed with normal saling before and after administration of the antibiotic to check for patency and to clear the IV line
Flushing an IV line with normal saline before and after medication administration is a common practice that helps to ensure the patency of the line and prevent medication incompatibilities and infections. It is important for nurses to follow this practice to ensure patient safety and medication effectiveness.
It is common practice to flush an IV line with normal saline before and after administering medication to ensure patency of the line and to clear the line of any residual medication or blood. In this scenario, the patient received an intravenous (IV) push of ceftriaxone sodium antibiotic 250 mg through an existing IV line, and the IV line was flushed with normal saline before and after the administration of the antibiotic.
By flushing the IV line with normal saline before and after the administration of the antibiotic, the nurse helps to prevent medication incompatibilities and reduce the risk of infection. Flushing the line before the administration of the medication helps to clear any blood or medication that may be present in the line, which could interfere with the effectiveness of the medication or cause an adverse reaction. Flushing the line after the administration of the medication helps to clear any residual medication from the line, which could accumulate and cause an overdose.
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The nurse is explaining the Health Insurance Portability and Accountability Act to a group of new employees. What should the nurse include when explaining its purpose? Select all that apply.
a.Protects health insurance benefits
b.Provides transferability of insurance to others
c.Protects family members
d.Protects those with preexisting conditions
e. Provides personal health information privacy
Health insurance protect health insurance benefits, pre-existing conditions, and personal health information privacy. So, the correct options are A, D and E.
What is Health Insurance?Health insurance or medical insurance is defined as the type of insurance that covers the whole or a part of the risk of a person incurring medical expenses as with other types of insurance the risk is shared among several persons.
Health insurance protect health insurance benefits, pre-existing conditions, and personal health information privacy.
Therefore, the correct options are A, D and E.
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Which of the following characteristics is always present in a patient with COPD?
A. Productive cough
B. Obstructive airways
C. Shortness of breath
D. Hypercapnea
B. Obstructive airways. It is not entirely possible to remove the blockage. There is no cure for asthma.
What are the characteristics of all obstructive pulmonary diseases?
Inflammated and readily collapsible airways, airflow obstruction, difficulty exhaling, and frequent trips to the doctor's office and hospitalizations are the main characteristics. Asthma, bronchiectasis, bronchitis, and chronic obstructive pulmonary disease are among the different types (COPD).
What COPD patient symptom is most prevalent?
A person's daily burden of COPD is determined by a variety of symptoms and how they affect them. Dyspnea, coughing, and sputum production are the most typical signs of COPD, whereas wheezing, chest tightness, and chest congestion are less frequent but nevertheless bothersome symptoms.
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The nurse is caring for a patient who is visually impaired. Which measures should the nurse take when communicating with this patient? Select all that apply.
1 Use at least 14-point print.
2 Check if the patient wears glasses.
3 Use indirect lighting and avoid glare.
4 Enter the room without addressing the patient.
5 Follow the patient's gestures and nonverbal communication
When speaking with this patient, the nurse should perform the following actions: Employ a minimum of 14-point type. 2 Verify the patient's eyeglasses status. 3 Avoid glare by using indirect lighting. 4 Without addressing the patient, enter the room.
What is considered visually impaired?Experts use the phrase "visual impairment" to refer to any degree of vision loss, including total blindness and partial vision loss. While some people are totally blind, many others suffer from what is known as legal blindness. Both longitudinally and cross-sectionally, low cognitive performance was linked to visual impairment. Declining cognition was more strongly associated with worsening vision than the other way around. According to the researchers, preserving strong vision may be a crucial tactic for halting age-related cognitive loss.
What causes visual impairment?Vision loss and disability may occur as a result of eye injuries sustained while playing, working, or in accidents. The most frequent reason for vision loss is specifically injuries to the cornea. Loss of vision can have a significant impact on both your physical and emotional health. It can increase your risk of falling and lower your quality of life. Loneliness, social isolation, and thoughts of concern, anxiety, and dread have all been connected to eyesight loss. People with eyesight loss frequently experience depression.
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NURSING PROCESS
The nurse's assessment findings include right sided weakness, slurred speech, and dysphagia. The nurse identifies that Mrs. Rusk is at high risk for several problems.
In developing the nursing plan of care, which problem has the highest priority?
A. Aspiration
B. Skin Breakdown
C. Altered nutrition
D. Self care deficit
They include evaluation, planning, implementation, diagnosis, and assessment. The first step is assessment, which calls for the use of critical thinking abilities and the gathering of both subjective and objective facts.
What constitutes a nutrition assessment's four components?Anthropometric, biochemical, clinical, and dietary (ABCD) is a shorthand for the many forms of nutrition assessments.
What are the five nursing skill levels?Novice, advanced beginner, competent, proficient, and expert are the five levels that have been recognized (Benner, 1984). As a learner advances through these five skill levels, three particular performance areas alter (Benner, 1984).
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when treating a 56 year old female with chest pain, you have established iv acess
The correct option A. administer one more dose of nitroglycerin. You have given a 56-year-old woman who has chest pain oxygen, but the pain has not subsided since. As a result, you should give her one more dose with nitroglycerin.
Explain the causes for the chest pain?Heart issues are one probable cause of chest pain, but other possibilities include lung infections, muscular strains, rib injuries, and panic attacks. Several of them are significant ailments that demand medical care.
Chest pain can be caused by a variety of lung conditions, such as -
a blood clot with in lung (pulmonary embolism), inflammation of a membrane lining the lungs (pleurisy), and more.a collapsed lunglung artery blood pressure being too high (pulmonary hypertension).The question states-
You have put a 56-year-old woman who was experiencing chest pain on oxygen, installed an IV line, and given her 2 doses of this sublingual nitroglycerin. The patient's agony hasn't lessened, though. She has a blood pressure reading of 106/66 mm Hg, which you recheck.Thus, as a result, you should give her one more dose with nitroglycerin.
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The complete question is-
When treating a 56-year-old female with chest pain, you have placed on her oxygen, established IV access, and administered two doses of sublingual nitroglycerin. However, the patient's pain has not improved. You reassess her blood pressure and note that it is 106/66 mm Hg. You should:
A. administer one more dose of nitroglycerin.
B. give a 20 mL/kg saline bolus to raise her BP.
C. request permission to give her morphine.
D. transport at once and closely monitor her.
the nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?
A. Fentanyl
B. Morphine
C. Meperidine
D. Hydromorphone
Fentanyl anesthetic is commonly used for short procedures on pediatric clients, the correct option is A.
Sedation and analgesia are necessary for a variety of disorders in the pediatric population. Ineffective pain management may cause physiological and behavioral reactions that may have a negative impact on the growing nociceptive system. Morphine is no longer the drug of choice for quick procedures due to the development of short-acting opioids.
Shorter acting opioids like fentanyl are preferred for procedural sedation. Fentanyl and midazolam are a well-liked and safe combination for procedural sedation and analgesia in children. To lessen the possibility of hemodynamic or respiratory compromise when administered together, both should be administered in smaller dosages.
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a client has a surgically created colostomy. which is the most effective nursing intervention initially to help the client accept the colostomy?
Colostomy, choose the proper pouch size with skin barrier opening, To prevent leaks or skin irritation, regularly replace the pouching system. Be cautious when removing the pouching system from the skin.
Which nursing care is required for a patient with an ostomy?With the proper tools, empty, irrigate, or clean an ostomy pouch on the a regular basis. Changing the pouch frequently might irritate the skin so it should be avoided. In addition to getting rid of bacteria and flatus and stool that causes odours, emptying and rinsing its pouch with the right solution also deodorises it.
What nursing interventions are the most vital?During your nursing career, you will practise and improve the daily nursing interventions of fostering a safe atmosphere, encouraging healthy habits, and paying special attention to patients.
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All of the following are learning domains that must be considered in a medical laboratory science program, EXCEPT?
A). Cognitive Domain
B). Affective Domain
C). Psychomotor Domain
D). Comprehension Domain
All of the following are learning domains that must be considered in a medical laboratory science program except comprehension domain which means option D is correct.
Comprehension domain takes into account the comprehensibility of the brain which is phonemic awareness, phonics, fluency, vocabulary, and comprehension, however it is not the part of laboratory sciences. Laboratory sciences deals with the analytics and quality checks, biosafety labs, and many other experimental setups for the technological researches and measurements. It deals with the mental skills, developmental skills, physical movements and behavioral approaches of the brain. Medical sciences deals with everything that is related to functions of brain and body and so the abstract learning which is done in comprehension domain is not included in the researches.
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what does wbat medical abbreviation?
WBAT stands for Weight Bearing Allowed Today. It is a medical term used to describe when a patient is allowed to put weight on an injured or affected limb.
What is injured ?Injured is a term used to describe when someone or something has been hurt, usually physically, as a result of an accident or other incident. It can also refer to an emotional or psychological harm caused by an event. An injury can range from a simple bruise or cut to a life-threatening condition. Injuries can be caused by accidents, intentional acts, or natural disasters. It is important to seek medical attention as soon as possible after an injury has occurred in order to prevent any further damage. Additionally, proper safety precautions should be taken to help avoid injuries in the first place.
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The nurse understands which preparations use toxoids but not live viruses? Select all that apply.
1. Rotarix
2. Varivax
3. MMR II
4. PEDIARIX
5. DAPTACEL
Pediarix and Daptacel these preparations use toxoids but not live viruses, it contains hepatitis B antigens used in nowadays vaccines, hence option 4 and 5 are correct.
What are the preparations for Pediarix and Daptacel?Pediarix is a combination of diphtheria and tetanus toxoids including inactivated bacterial parts of pertussis, an inactivated poliovirus vaccine, and an inactive viral antigen of hepatitis B.
While in the preparation of Daptacel, it consists of toxoids and inactive bacterial and viral parts of diphtheria, and the acellular pertussis vaccine. and tetanus toxoids.
Therefore, Pediarix and Daptacel are the correct options.
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What does the medical term sclerosis breakdown mean?
Multiple sclerosis, or MS, is one of the most prevalent types of sclerosis. The brain and spinal cord's nerve cells were impacted by this illness.
What does having multiple sclerosis mean?
It is possible for multiple sclerosis (MS) permanently disable the spinal cord and the brain (central nervous system). Myelin, the protective sheath that protects nerve fibres, is attacked by the immune system in MS, which impairs brain-to-body communication.
What is a sclerosis example?
Multiple sclerosis, or MS, is one of the most prevalent types of sclerosis. The brain and spinal cord's nerve cells are impacted by this illness. Multiple sclerosis sufferers eventually endure numbness, lack of coordination, and other symptoms.
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a 3-year-old child undergoes direct laryngoscopy for aspiration of fluid. which cpt code is assigned?
31515 is the CPT code is assigned. The Later Incorporated Terminology codes provide doctors and other healthcare professionals with a standard language for coding healthcare services and procedures.
CPT codes (Current Procedural Terminology) are a global coding system for medical interventions. Each operation is given a five-digit code which represents the type of service provided to the insurance firms.
For example, code 90387 is defined as "Individual Psychotherapy. 60 minutes." CPT is a coding method was using to assign guidelines for medical procedures in order to ensure accurate interaction among healthcare providers, clients, underwriting payers, medical computer programmers, and billers.
The Medicare and Medicaid Service provide a free RVU lookup (Line item lookup) for each CPT code. The AMA also offers CPT/RVU Data File licenses, which allow users to easily import codes and representations into existing statements and clinical billing systems.
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A nurse is at highest risk for blood-borne exposure during which situation?
1. When removing a needle from the syringe.
2. While placing a suture needle into the self-locking foreceps.
3. Prior to inserting the intravenous (IV) line, the client moves causing a needle stick to the nurse.
4. A clean needle sticks the nurse through blood-soiled gloves.
As a home health aide, shaving and any associated razor disposal provide the greatest risk of blood-borne exposure. Residents often utilize electric razors, have a low danger of producing any open cuts.
What constitutes blood-borne instances?Bloodborne pathogens are contagious bacteria that can make people sick when they are present in human blood. These pathogens include the human immunodeficiency virus (HIV), hepatitis B (HBV), and hepatitis C (HCV) (HIV).
What four prevalent illnesses spread through blood?Viruses transmitted by blood include HIV/AIDS, Hepatitis B, and Hepatitis C. Blood and other bodily fluid exposures can happen in a range of different jobs. At normal temperature, HIV may live in dried blood for up to six days. Virus concentrations in blood stains are often very little to nonexistent.
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best assessment of fluid resuscitation in the adult burn patient?
Hourly urine output called Parkland formula is the best single sign of sufficient fluid resuscitation in serious burn patients.
For critically burned patients, fluid resuscitation is calculated using the Parkland formula. This formula is only used for patients who have full-thickness or partial-thickness burns that cover more than 10% of the body surface area in children and the elderly, or more than 20% of the body surface area in adults, respectively.
Those with minor burns who suffered oral or inhalation injuries and are unable to accept fluids by mouth may also find it helpful. Using estimations based on body size and burned surface area, fluid resuscitation should be administered to adults and children with burns.
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When covering various wounds, you should always use a(n) ______ dressing A) dry B) occlusive C) sterile D) wet
When covering various wounds, you should always use sterile dressing.
A sterile bandage is free of bacteria, viruses, and other germs that could contaminate the wound and cause infection.
Sterile dressings are frequently non-adhesive, which means they do not adhere to the wound. Instead, they are secured in place using medical equipment or adhesive tape.
Sterile dressings are made to be absorbent, so they can take in any liquid or exudate that may be present surrounding the wound. By doing so, you can encourage healing and keep the wound clean.
Retains moisture: A sterile dressing is made to keep the area around the wound wet. By doing this, you can lessen the chance that the wound will dry out and take longer to heal.
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What are the 3 functions of the epiglottis?
Normally, when at rest, the epiglottis is erect, allowing air to enter the larynx & lungs. In order to prevent food and liquid from entering the windpipe and lungs, the epiglottis rolls backward during swallowing to cover the laryngeal opening.
What are the lung's functions?They let our bodies to take in oxygen during inspiration, also known as inhalation, and expel carbon dioxide during expiration, also known as exhalation. The process of breathing involves the exchange of carbon dioxide and oxygen dioxide.
Can the lungs be fixed?Due to their large surface area, the lungs are constantly at risk of being harmed by pathogens, toxins, or irritants. Fortunately, lung damage can be quickly repaired thanks to regenerative processes that help the organ regain both structure and function.
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The nurse is caring for a client with a diagnosis of clinical dehydration. Which
laboratory finding, as noted in the client's medical record, supports this
diagnosis?
a. Sodium level of 127 mEq/L (127 mmol/L)
b. Sodium level of 135 mEq/L (135 mmol/L)
c. Sodium level of 142 mEq/L (142 mmol/L)
d. Sodium level of 149 mEq/L (149 mmol/L)
Option A, which states that a sodium level of 127 mEq/L (127 mmol/L) supports the diagnosis of clinical dehydration, is the right response.
What is dehydration?When the body is lacking in fluids and electrolytes, a condition known as dehydration develops. This may occur if a person loses more fluids than they are consuming or if their body is incapable of effectively absorbing fluids. Many factors, such as excessive perspiration, nausea or diarrhea, a fever, or inadequate fluid intake, can lead to dehydration.
A particular range of sodium, an electrolyte, can usually be found in the body. Because the body loses water as it loses fluid, a low sodium level, or hyponatremia, is frequently observed in dehydration patients. The client's body may be suffering a shortage of water and electrolytes, which is consistent with clinical dehydration, as seen by the sodium level in this example, which is 127 mEq/L (127 mmol/L), which is below the usual range (135-145 mEq/L or 135-145 mmol/L).
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Which pattern should the nurse report immediately to the HCP?
A. ST depression and "U" waves.
B. Sinus tachycardia.
C. Sinus bradycardia.
D. Sinus arrhythmia
The nurse should report ST depression and "U" waves immediately to the healthcare provider. The Correct answer is Option: A. ST depression and "U" waves.
These ECG changes may indicate hypokalemia, which can lead to life-threatening cardiac dysrhythmias. Sinus tachycardia may be a normal response to stress or exercise, but it should still be monitored closely. Sinus bradycardia can be a normal finding in well-conditioned athletes, but it may also be indicative of certain medical conditions, such as hypothyroidism or increased intracranial pressure. Sinus arrhythmia is a normal finding in younger individuals and does not typically require intervention.
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in the lesson, ihi fellow jana deen explained that she went back to her roots and focused on patients to start making changes in health care. what other resources might be helpful as you seek to improve health care?
Other resources that would be helpful as one seeks to improve health care include :
Technology Data analytics Collaborative partnerships What resources can help improve health care ?The use of technology can help to streamline processes, improve communication, and provide better access to information. Analyzing data can provide insights into patient outcomes, resource utilization, and areas for improvement.
Working with other healthcare organizations, community groups, and government agencies can help to address healthcare challenges and improve patient care. Investing in research and innovation can lead to the development of new treatments, technologies, and approaches to healthcare that can improve outcomes and quality of life for patients.
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a nurse is working with a limited staff because of a severe storm in the area. the facility incident commander has
The nurse must focus on providing care first to people who are life-threatening.
Why should these people be given priority in care?Because they are in a serious condition.Because they can't wait too long for service.The idea is for the advance to be done quickly and equally among all people. However, if the rescue team is small, has few resources and care is limited, people in serious conditions need to be treated first so that there is a greater chance of survival for them.
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What is meant by positive pressure ventilation?
In order to provide air or a mixture of air and other gases to the lungs under positive pressure, pressurized ventilation is a type of respiratory therapy.
How do lungs function?
The lungs can assist oxygenate blood so that it can be moved throughout your body by soaking in fresh air. This is accomplished by drawing in air through the lung arteries, which transform into oxygen-filled cells that aid in respiration. In the body, there are 2 lung (a right and a left), however they are of different sizes.
What do lungs do?
An Introduction The term "lungs" refers to the soft, conical, air-filled organs that make up the majority of the human thoracic (chest) cavity. After the breathed air enters the lungs through the trachea, bronchi, and bronchioles, it is one of the main lung tissue in which the gas exchange occurs.
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the nurse receives reports on several clients. which client will the nurse assess first?
Upon receipt of the report, the nurse should examine clients with respiratory and airway issues first.
Which patient ought the nurse to examine first?
Which customer has to be seen first? - Any client with DVT who is exhibiting respiratory symptoms and/or chest pain should have their examination prioritized by the nurse due to the possibility of PE developing. After the client with DVT, the nurse should evaluate this client and give any necessary antihypertensives.
Which patient should the nurse evaluate first ?
Which patient ought the nurse to examine first? 1. The patient who was just transferred from the emergency department (ED) to the unit and who had no concerns to record.
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which is an example of an independent nursing intervention? preparing a client for endoscopy
Keeping edematous lower extremities elevated on pillows is an example of an independent nursing intervention. Option 4 is correct.
A nursing diagnosis is a clinical judgment concerning individual, family, or community experiences/responses to current or anticipated health problems/life processes that may be part of the nursing process. Nursing diagnoses promote independent practice (e.g., patient comfort or alleviation) above dependent treatments based on medical directives (e.g., medication administration).
Nursing interventions are essentially any actions taken by a nurse to assist patients in achieving their goals. Nursing interventions include physical treatments, emotional support, and patient education. Nursing interventions are further grouped into seven major areas based on the medical requirements they serve: community, family, behavioral, physiological basic, physiological complex, safety, and health system.
The complete question is:
Which is an example of an independent nursing intervention?
1. Preparing a client for endoscopy2. Coordinating with an x-ray technician for imaging3. Starting an intravenous line for a blood transfusion4. Keeping edematous lower extremities elevated on pillowsTo learn more about nursing interventions, here
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