The option that is most appropriate next step in the management of a 4-year-old patient with unilateral diminished breath sounds with auscultation of the lungs is rigid bronchoscopy. Therefore, the correct answer is option D.
Rigid bronchoscopy is a medical procedure that is used to gain access to a patient's airway, thus allowing larger airway instruments (and cameras) to diagnose and treat airway diseases. It is also used to treat airway obstruction and remove foreign objects.
The patient in the question above has unilateral diminished breath sounds. It may mean that there is air or fluid in or around the lungs. It also may indicate that an over-inflation of a part of the lungs is happening. To make sure what happened to the patient's lungs and how to treat him properly, the physicians should use rigid bronchoscopy to find out with minimum risk.
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which foods are recommended for cancer risk reduction? potatoes and yams yellow or orange fruits and vegetables walnuts, pistachios, and almonds onions and celery
Answer: fruits and vegetables
Explanation:
a loading dose of acetylcysteine (mucomyst) 8 grams, which is available as a 20% solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen toxicity. how many ml of diluent should be added to the medication to obtain a 1:4 concentration?
120 ml of diluent should be added to the medication to obtain a 1:4 concentration.
8 grams = 8,000 mg prescribed dose. Using the formula, D/H x Q, 8,000 mg / 200 mg x 1 ml = 40 ml of the 20% solution. Dilute the 40 ml to a 1:4 concentration for administration using ratio and proportion, 1 : 4 solution :: 40 ml : X X= 160 ml total volume to administer. Subtract total volume of 160 ml - 40 ml of 20% concentration = 120 ml diluent is added to obtain a 1:4 concentration.
Acetaminophen toxicity is the second most frequent reason of liver transplantation worldwide and is the most common cause of liver transplantation in the United States. It is responsible for 56,000 emergency room visits, 2,600 hospitalizations, and 500 deaths each year in the United States. Fifty percent of them are unintentional overdose deaths. More than 60 million Americans devour acetaminophen on a weekly basis, and most are unaware that it is contained throughout combined products. This activity examines the aetiology, evaluation, as well as treatment of acetaminophen overdose and emphasises the value of an interprofessional team in managing and preventing this problem.
Acetylcysteine is used to thin and loosen mucus in the airways caused by certain lung diseases when inhaled orally. This effect aids in the removal of mucus from the lungs, allowing you to breathe more easily. Acetylcysteine is employed to prevent liver failure from acetaminophen overdose when taken orally.
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A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Maintaining a semi-Fowler's position as often as possible
Administering oxygen via nasal cannula at 2 L/min
Helping the client select a low-salt diet
Encouraging the client to drink 2 to 3 L of water daily
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and he feel the congestion in the lungs therefore the action the nurse should take to help this client with tenacious bronchial secretions is to administer oxygen via nasal cannula at 2 L/min which is therefore denoted as option B.
Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complications.
In this scenario we were told that the client has chronic obstructive pulmonary disease and feels congestion in the lungs which means that there is difficulty in breathing in the affected individual.
This is therefore the reason why it is best to administer oxygen via nasal cannula at 2 L/min so as to assist in breathing and drugs such as bronchodilators should be prescribed to clear the congestion.
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a median episiotomy was performed during a vaginal delivery. the doctor cut too far posteriorly. which perineal structure was cut? chapter 11
An episiotomy is a perineum incision performed during the second stage of labour to facilitate the birth of an infant. The most common are lateral and median episiotomy, as well as mediolateral episiotomies.
A midwife can assist you in avoiding a tear during labour when the baby's head becomes visible. The midwife will instruct you to stop pushing and pant or puff a couple of quick short breaths, blowing out through your mouth. The skin of the perineum usually stretches well, but it can tear, especially in first-time mothers. Massaging the perineum in the final weeks of pregnancy can lower the chances of having an episiotomy during birth.
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An episiotomy is a perineum incision performed during the second stage of labour to facilitate the birth of an infant. The most common are lateral and median episiotomy, as well as mediolateral episiotomies.
A midwife can assist you in avoiding a tear during labour when the baby's head becomes visible. The midwife will instruct you to stop pushing and pant or puff a couple of quick short breaths, blowing out through your mouth. The skin of the perineum usually stretches well, but it can tear, especially in first-time mothers. Massaging the perineum in the final weeks of pregnancy can lower the chances of having an episiotomy during birth.
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a client with hypertension receives a prescription for carteolol (cartel) 7.5mg po daily. the drug is available in 2.5 mg tablets. how many tablets should the nurse administer?
A client with hypertension receives a prescription for carteolol (cartel) 7.5mg po daily and the drug is available in 2.5 mg tablets, so, 3 tablets the nurse should administer.
Hypertension, additionally known as high blood pressure, is vital sign that's more than normal level of blood pressure. Your blood pressure changes throughout the day supported your activities. Having blood pressure measures systematically on top of traditional could lead to a diagnosing of high blood pressure (or hypertension).
Carteolol is a non-selective beta-adrenergic blocking agent wont to treat eye disease. it absolutely was proprietary in 1972 and approved for medical use in 1980. Carteolol is employed alone or in conjunction with alternative medicines to treat enlarged pressure within the eye that's caused by chronic glaucoma or a condition known as intraocular (in the eye) high blood pressure.
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When lifting or moving any patient, the EMT must remember to primarily use the muscles of his or her:
Select one:
a. arms.
b. legs.
c. back.
d. hips.
When lifting or moving any patient, the EMT must remember to primarily use the muscles of his or her legs. Thus, the correct option is B.
What measures should be taken by the EMT?EMT is the Emergency medical technician. It is also known as an ambulance technician, it is a health professional which provides emergency medical services to the patients such as basic first-aid treatment as needed.
The roles of EMT include response appropriately to the emergency calls, assess a person's condition and know how to provide proper medical care to the patient, put together an initial plan of care to quickly stabilize an individual in the distress.
The best way to lift or move any patient, includes the EMT must remember to primarily use the muscles of his or her legs.
Therefore, the correct option is B.
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according to quality and safety education for nurses (qsen), what intervention will best help reduce the risk of medication errors?
Alerting other staff to not bother the nurse when preparing medications to administer help reduce the risk of medication errors.
A substance used to treat, diagnose, or prevent disease is known as a medication. A significant area of medicine is drug therapy, which depends on the growth of pharmacology science blood pH and the administration of pharmacy. Pharmaceutical corporations, academia scientists, and governments all engage in complicated and expensive initiatives related to drug research and development. Because of the complicated process involved in moving a medication candidate from discovery to commercialization, partnering is now considered best practise. Governments typically control how pharmaceuticals are promoted, what drugs can be marketed, and in some places, how much drugs cost. Disposal of old medications and drug pricing have become contentious issues.
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a 23-year-old man presents with 2 days of rice water diarrhea after a recent trip to india. what is the appropriate pharmacologic treatment for his condition?
Doxycycline (cholera). Doxycycline is currently advised as the first-line treatment for adults, including pregnant women, and children for rice water diarrhea.
Assuming that the cholera strain is sensitive, several antibiotics, including doxycycline, ciprofloxacin, and azithromycin, are useful in the treatment of cholera causing diarrhea. The WHO recommends only administering antibiotics to cholera patients whose condition is deemed "serious." According to this suggestion, antibiotics should only be administered to individuals who have "severe dehydration" (10% dehydration) at the time of their diagnosis. In terms of transmission, one litre of rice-water stools contains V. cholerae germs. 105 to 108 organisms constitute an infectious dosage.
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a patient develops a tumor in one of their parathyroid glands, causing an increase in the release of parathyroid hormone into the blood. what would be the result?
Answer:
Hypercalcemia
Explanation:
Parathyroid tumors may increase the levels of parathyroid hormones. This leads to more calcium in your blood. This is called hypercalcemia.
a client with septic shock receives a prescription for ddextrose 5% in water (d5w) 250 ml with dopamine (intropin) 0.6 grams/250 ml at a rate of 5 mcg/kg/minute. the client's weight is 148 pounds the nurse should set the infusion pump to deliver how many ml/hour?
The client's weight is 148 pounds the nurse should set the infusion pump to deliver 8 ml/hour.
First convert the weight into kilograms: 148 pounds/2.2 kg = 67 kg.
Next calculate the number of mcg/kg/minute: 5 x 67 x 1 minute = 335 mcg/min.
Calculate the number of mcg/hour: 335 x 60 minutes = 20,100 mcg/hour.
Now calculate the number of ml/hour needed to administer 20,100 mcg/hour: 600,000 mcg : 250 ml :: 20,100 mcg : X ml 600,000/20100 :: 250/X 600,000X = 5,02500 X = 8.375 (rounded to) 8 ml/hour.
Septic shock is a life-threatening condition that happens when your blood pressure drops to a dangerously low level after an infection. The infection can be caused by any type of bacteria. Fungi such as candida and viruses can also be a cause, although this is rare. At first the infection can lead to a reaction called sepsis.
Sepsis can cause abnormal blood clotting, resulting in small clots or burst blood vessels that cause tissue damage or destruction. Most people recover from mild sepsis, but septic shock has a 40% mortality rate.
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a novice nurse asks the preceptor to describe the primary purpose of evaluation. which statement made by the nursing preceptor is most accurate?
"Nurses use evaluation to determine the effectiveness of nursing care." is the statement made by the nursing preceptor most accurate.
Healthcare is the development of health via the prevention, diagnosis, treatment, amelioration, or remedy of sickness, infection, injury, and other bodily and intellectual impairments in human beings. Fitness care is delivered with the aid of fitness professionals and allied health fields.
Health care facilitates saving you from diseases and improves nicely of existence. Wholesome people 2030 focuses on improving fitness care best and making sure everybody gets the fitness care offerings they need. Helping fitness care companies communicate extra effectively can help improve fitness and properly-being.
Health care is defined as specific tiers of care: primary, secondary, tertiary, and quaternary.
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the main problem with u.s. services for the elderly who have adl (activities of daily life) impairments but do not need nursing-home care is their:
The main problem with U.S. services for the elderly who have ADL (activities of daily life) impairments but do not need nursing-home care is their high cost.
The activities of daily living ar classified into basic ADLs and Instrumental Activities of Daily Life (IADLs). The fundamental ADLs (BADL) or physical ADLs ar those skills needed to manage one's basic physical wants, as well as personal hygiene or grooming, dressing, toileting, transferring or ambulating, and eating.
Nursing Home Care is provided 24-hours on a daily basis by Registered Nurses who ar supported by Care Assistants. All residents need some part of medical care like administration of endovenous medication and or wound care; these are simply a couple of attainable reasons why 24-hour medical care would be needed.
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when assessing an older adult as a candidate for crutch walking, the nurse should take into account that for some elderly people, crutch walking is an impractical goal primarily because of decreased:
The nurse should take into account that for some elderly people, Crutch walking is an impractical goal primarily because of decreased Motor coordination.
Some senior citizens aren't ideal candidates for crutch walking because they aren't strong enough to use crutches or because they lack the coordination needed to walk securely with crutches. Though less crucial than motor coordination, visual acuity may have an impact on a person's capacity to learn crutch walking.
Though less crucial than motor coordination, reaction time may affect a person's capacity to acquire crutch walking. Although it may have an impact, motor coordination is more significant when learning crutch walking. The capacity to sequence the activation of muscles in a way that maintains posture is known as motor coordination.
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a patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. what additional history is needed?
The other two options may produce pain but not necessarily limit functioning.
Begin by inspecting the head for skin color and symmetry of facial movements, noting any drooping. If drooping is noted, ask the patient to smile, frown, and raise their eyebrows and observe for symmetrical movement.
The eyebrows, eyes, ears, nose, and mouth, as well as the palpebral fissures, and the nasolabial folds should appear symmetric when inspecting the head.
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when treating a patient with a hospital acquired infection with vancomycin, what would you do? a) report the hai to medicare b) assess patients response c) obtain wbc count d) ensure to obtain a peak and trough
When treating a patient with vancomycin for a hospital-acquired infection, I would "ensure to obtain a peak and trough". The correct answer is D.
What do the peaks and troughs of vancomycin mean?Drug levels in a person's body are indicated by their peak and trough levels. A medication's blood level peaks at its maximum concentration, while its trough levels reflect its lowest concentration. The nurse must ensure that she/he gets a peak and trough while administering vancomycin to a client for a hospital-acquired illness. Draw a trough sample no later than 30 minutes before the following dosage. Draw the peak specimen one to two hours after the intravenous dosing is finished.
The antibiotic vancomycin is used to treat severe, perhaps fatal infections caused by gram-positive bacteria that have become resistant to less damaging drugs.
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what is a possible health benefit of anthocyanins? a. to protect against the effects of aging b. to promote weight loss c. to prevent some cancers d. to reduce complications of diabetes e. to lower blood cholesterol levels
The best health benefit of anthocyanins is that it prevent some cancers which means option c is the correct choice.
Anthocyanins possess antidiabetic, anticancer, anti-inflammatory, antimicrobial, and anti-obesity effects, as well as prevention of cardiovascular diseases. Anthocyanins are a collection of antioxidants determined in red, blue, and pink end result and veggies. A weight loss program wealthy in those compounds may also save you infection and defend in opposition to kind 2 diabetes, cancer, and coronary heart disease. Regularly consuming anthocyanin-wealthy ingredients can also advantage your reminiscence and normal mind health.
Therefore, option c is the correct choice.
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___________ refers to the exploration of feelings of sorrow, anger, and guilt over the experience of a significant loss.a.Grief workb.Primal therapyc, catharsisd,Dream work
Grief work refers to the exploration of feelings of sorrow, anger, and guilt over the experience of a significant loss.
Grief work is a type of psychotherapy that tries to assist clients in navigating the cognitive, emotional, social, spiritual, and bodily reactions to loss. These feelings are frequently associated with the loss of a loved one, but they can also be regarded more generally as being influenced by any catastrophic loss that has a large life-altering impact. According to grief counsellors, each person's experience and expression of grief is unique to them and is influenced by their family background, personal values, and core beliefs. They think it's usual for people maternal comfort to isolate themselves from friends and family and feel helpless; some people may even be angry and wish to take action. Some people could laugh, while others might feel intense sorrow or guilt. Both crying and not crying might be considered acceptable ways to show grief.
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TRUE/FALSE. continuous improvement in the context of a hospital organization entails maintaining profitability, even if some quality measures have to be traded off.
Continuous improvement in the context of a hospital organization entails maintaining profitability, even if some quality measures have to be traded off. The given statement is false.
A group of people who cooperate is known as an organisation. Examples of such groups include unions, corporations, charities, and neighbourhood associations. The term "organisation" can be used to describe a person, a company, a group, or the process of creating something. A club, corporation, charity, or political party are all examples of official groups of individuals. These specialty schools are chronic illness primarily offered by nonprofit institutions. Functional, departmental, and matrix organisations are the three types of organisations that best reflect the organisational structures currently used by the majority of businesses. Owners must weigh the benefits and drawbacks of each of these formats before picking which to use for their particular firm.
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which pregnancy complication cannot be treated with regular prenatal care?headachesexcessive weight gainhigh blood pressuregenetic abnormalities
Answer:
genetic abnormalities
Answer:
D. genetic abnormalities ( last choice)
Explanation:
due to its associated toxicity, which medication is indicated for use in patients for both atrial and ventricular dysrhythmias?
Amiodarone due to its associated toxicity, which medication is indicated for use in patients for both atrial and ventricular dysrhythmias.
Heartbeat irregularities called arrhythmias include instances where the heart beats too rapidly or too slowly. Other names for them include dysrhythmias, cardiac, and heart. Adults with bradycardia have excessively low resting heart rates, while those with tachycardia have excessively high resting heart rates (above 100 beats per minute). There are certain arrhythmias that show no symptoms at all. Palpitations or a halt of heartbeats are examples of symptoms that could be present. Chest pain, breathlessness, lightheadedness, or fainting could be signs of a more serious condition. A few arrhythmia occurrences can raise a person's risk of experiencing problems like a stroke or heart failure, even if the majority of arrhythmia episodes are not hazardous. Unexpected deaths might be caused by other people.
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a written description of what is right and wrong, and what is acceptable behavior in the healthcare field, is known as:
A written description of what is right and wrong, and what is acceptable behavior in the health care field, is known as: The Patient's Bill of Rights.
The patient's bill of rights is a list of their legal privileges when receiving medical care. It could be stated as a legal principle or a recommendation. A patient's bill of rights typically guarantees that they will have access to information, be treated fairly, and have the ability to make their own medical decisions. Under the direction of the Ministry of Health and Family Welfare, India's National Human Rights Commission developed a Charter of Patients' Rights in 2018. (MOHFW). MOHFW placed the draft in the open for comments in August 2018 in response to the National Council of Clinical Establishments' request.
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a nurse is teaching the staff about the benefits of nursing outcomes classification. which information should the nurse include in the teaching session? (select all that apply.)
The information the nurse should include in the teaching session is as follows:
Adds objectivity to judging a patient's progress.Measures nursing care on a national and international level.Nursing Outcomes Classification links outcomes to NANDA International nursing diagnoses. Such a rating system adds objectivity to judging a patient's progress. The use of standardized nursing terminologies like NOC makes it easier to measure aspects of nursing care on a national and international scale. The indicators for each NOC outcome allow for measurement at any point on a 5-point Likert scale ranging from most negative to most positive.
You can use this resource to help you choose goals and outcomes for your patients. For ease of use, the Nursing Interventions Classification model has three levels: domains, classes, and interventions. The seven domains are the highest level of the model, using broad terms to organize the more specific classes and interventions.
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you respond to a residential house for a 24-year-old who was found lying on his bathroom floor, turning blue with agonal breathing. patient's vitals are: blood pressure 158/104, pulse 64, respirations 4. you suspect?
I suspect narcotic overdose in the 24-year-old man found laying on his bathroom floor, turning blue with agonal breathing and blood pressure 158/104, heartbeat 64, and respirations 4. The correct answer is A.
Overdose symptoms of narcotics include the following:
Consciousness lossnon-responsive to external stimuliconscious, yet unable to communicateBreathing is erratic, sluggish, and shallow, or has ceased.People with lighter skin tones turn blueish purple, while those with darker skin tones turn grey or ashen.Choking noises or a snoring-like gurgling noise The body is terribly limp.The skin on the face is extremely pale or clammy.Blue to purplish black nails and lipsThe pulse is sluggish, irregular, or not present at all.VomitingThis question should be provided with answer choices, which are:
(A) Narcotic overdose(B) Congestive heart failure(C) Myocardial infarction(D) Marijuana overdoseThe correct answer is A.
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the nurse is caring for a client who is scheduled for the creation of an ileal conduit. which statement by the client provides evidence that client teaching was effective?
The statement by the client provides evidence that client teaching was effective is "I will not need to worry about being incontinent of urine."
An ileal conduit is one of the numerous surgical techniques for urinary diversion. It's typically been named because of the Bricker ileal conduit after its inventor, Eugene M. Bricker. During the procedure, a MD creates a replacement tube from a chunk of bowel that permits the kidneys to empty and urine to exit the body through atiny low gap known as a stoma.
Incontinent of urine is a common and infrequently embarrassing problem. The severity ranges from sometimes leaking urine once you cough or sneeze to having an urge to urinate that is therefore sharp and powerful you do not get to a rest room in time.
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you have been called for an interfacility transport of a patient who recently contracted meningococcal meningitis while traveling abroad. the disease is highly contagious, and the hospital has secured the patient in a negative-pressure room. you are briefed on appropriate ppe precautions to take. the term used to describe the patient's current seclusion is?
Isolation is the confinement of those who are contagious and have an active illness. Groups of individuals who are asymptomatic at the moment but may have been exposed to a contagious sickness are placed in quarantine.
What does patience really mean?The term "patience" denotes the ability to wait patiently, endure hardship without becoming agitated or irritated, and do so for an extended length of time. However, when the term "patient" is used in the plural, "patients" refers to someone who gets medical care.
How do patients define themselves?Patient comes from the English phrase "adult and pediatric patients," which connotes tolerating or suffering. The patient is really considered passive under this language.
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you are dispatched emergent to a possible carbon monoxide poisoning in a family residence. as you are questioning your patient, your partner is about to apply the pulse oximetry. you quickly remember in school you learned that cos affinity for hemoglobin compared to oxygen is times greater?
I quickly remember in school I learned that CO's affinity for hemoglobin compared to oxygen is 200 times greater.
Carbon monoxide has a 200-fold higher affinity for hemoglobin than oxygen does. As soon as one molecule of carbon monoxide binds to hemoglobin, the hemoglobin-oxygen dissociation curve changes to the left, further increasing its affinity and significantly reducing the release of oxygen to the tissues.
The pH of tissue decreases and hydrogen ion concentration rises in carbon dioxide. Because of this, oxygen release to tissues is enhanced and hemoglobin's affinity for oxygen decreases. The lung experiences opposite changes.
Hemoglobin-bound carbon monoxide reduces the amount of oxygen carried to bodily tissues and essential organs like the brain and heart. The link between oxygen and hemoglobin is around 200 times weaker than the bond between carbon monoxide and hemoglobin.
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the nurse is reinforcing instructions to the client about insulin glargine. the nurse determines that the client understands the action of the medication if the client makes which statement?
If the client gives the statement, will give myself this medication subcutaneously once each night before bed.
A long-acting human recombinant DNA insulin called insulin glargine is used to treat both type 1 and type 2 diabetes mellitus. It is given once daily at the same time every day and has a 24-hour duration of action.
Adults with type 2 diabetes mellitus and children with type 1 diabetes are both prescribed the drug for once-daily subcutaneous delivery. At bedtime, the daily injection should be given. The only insulin that can be added to an insulin pump is regular insulin. No matter what kind of insulin the patient uses, the blood sugar level needs to be checked at least once a day, if not more.
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n iv infusion of dextrose 5% in normal saline (d5ns) 1,000 ml with oxytocin (pitocin) 20 units is prescibed for a client to control postpartum bleeding. the solution is to be administered at a rate of 2 mu/minute. how many ml/hour should the nurse program the infusion pump?
For a patient going through labour, the doctor administers oxytocin (Pitocin) at 0.5 milliunits per minute. Ten units of oxytocin (Pitocin) are infused into one litre of Ringer's lactate. The infusion pump should be set to 6 ml/hour by the nurse.
There are 20 units of oxytocin in 1000 ml of D5NS.
20 U = 20000 mu
20000 mu oxytocin is present in a 1000 ml solution.
20 mu of oxytocin are present per millilitre (20000/1000).
The necessary dose is 2 mu/min
The total dose needed in one hour (60 minutes) is 120 mu.
20 mu are now present in 1 ml.
1 mu can be found in 1/20 ml. There are 120 mu in 120 (1/20) = 6 ml.
So, provide 6 ml (120 mu) over the course of an hour. The 6 ml/hour infusion pump rate will be used.
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a newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches (33cm). the nurse notes that this infant has no molding, and was at breech presentation delivery by c section. what action should the nurse take based on these data?
The action the nurse should take based on these data is to record the finding on the chart since they are within normal limits.
What is nursing action?Nursing actions are described as those interventions a nurse takes to implement their patient care plan, including any treatments, procedures, or teaching moments intended to improve the patient's comfort and health.
There are typically three different categories for nursing actions and they include:
independent actionsdependent actions and interdependent actionsA newborn's head circumference is 12 inches (30.5cm), and his chest measurement is 13 inches (33cm) which is the normal limits. The nurse notes that this infant has no molding, and was at breech presentation delivery by c section. It is expected that the nurse to record the finding on the chart since they are within normal limits.
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at 1930 the client reports experiencing neuropathic pain in the legs. the client has a history of neuropathic pain following chemotherapy. the client describes the pain as burning and rates the pain as a 7 on the pain scale of 1 to 10. based on the client's medication orders (above), which medication would the nurse administer to the client for a report of pain?
Answer:
acetaminophen/codeine 1 tablet
