Note that in the above scenario, involving Chronic Myeloid Leukemia(CML) the medical treatment with a drug having the above-described modes of action that is likely to produce a complete remission in this patient are:
Inhibiting tyrosine Kinase activityChronic myelogenous leukemia; translocation causes uncontrolled nonreceptor tyrosine kinase activity of BCR-ABL fusion of gene.What is Translocation?Chromosomal translocation is a genetic condition that causes atypical chromosome rearrangement. Balanced and unbalanced translocation are included, with two primary types: reciprocal- and Robertsonian translocation.
Translocations can be discovered with high sensitivity and specificity by targeted hybrid-capture-based DNA sequencing panels, although this needs intron sequencing. By utilizing off-target coverage, capture-based targeted sequencing may detect all translocation partners of a captured gene.
Note that while these drugs do not cure CML, they can induce complete remission in a significant proportion of patients and have significantly improved the outlook for individuals with this cancer.
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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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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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(ME1000P: Intro to Healthcare) Preconceived negative biases or prejudices about clients of different cultures hamper therapeutic relationships. How might the health care professional assess personal negative biases or prejudices?
Write one well-written paragraph and answer the above questions.
Healthcare professionals might assess personal negative biases or prejudices based on the outcomes on the health of a client for certain practices and beliefs.
Why do healthcare professionals need to assess personal negative biases associated with cultural context?Healthcare professionals need to assess personal negative biases associated with cultural context because certain practices and beliefs may be opposite to reach the wellness state, but it is important to highlight that professionals also need to carefully consider beliefs in order to avoid further issues related to the integrity of the client.
For example, in certain cultural context people is not willing to receive a blood transfusion, which may represent a subject of concern for reaching suitable healthcare.
Therefore, with this data, we can see that healthcare professionals must assess issues related to the cultural context and religious beliefs in order to obtain better outcomes and enhance the quality of life.
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you are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. the patient tells you that he does not want to go to the hospital and insists that you leave him alone. you should:
The cardiac problem is a buildup of fatty plaques withinside the arteries (atherosclerosis) is the maximum not unusual place reason of coronary artery disease.
Risk elements consist of a negative diet, loss of exercise, weight problems and smoking. Healthy life-style selections can assist decrease the hazard of atherosclerosis. Coronary artery disease, arrhythmia, heart valve disease and heart failure are the four most common types of heart disease. Heart disease refers to several types of conditions that affect the heart. It can be treated by a Healthy lifestyle habits — such as eating a low-fat, low-salt diet, getting regular exercise and good sleep, and not smoking — are an important part of treatment.
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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 pediatric client with a ventricular septal defect repair is placed on a maintenance dose of digoxin. the safe dose is 0.03 mg/kg/day, and the client's weight is 7.2 kg. the primary health care provider (phcp) prescribes the digoxin to be given twice daily. how much digoxin would the nurse administer to the client at each dose?
The digoxin that the nurse administers to the patient at each dose is 28.8 mcg.
Digoxin is in a class of drugs called cardiac glycosides. Their function is to slow the heart rate and improve the filling of the ventricles with blood. Digoxin belongs to a class of drugs called digitalis glycosides. Used to improve heart strength and efficiency or to control heart rate and rhythm.
This improves circulation and reduces swelling in the hands and ankles of patients with heart problems. Digoxin is used to treat heart failure, usually with other drugs. It is also used to treat certain types of arrhythmias. Treatment for heart failure helps maintain walking ability and improve heart strength.
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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 admitting an older adult to a skilled nursing facility. what assessment parameters will the nurse expect to find with the musculoskeletal assessment? select all that apply.
The assessment parameters that the nurse expects to find with the musculoskeletal assessment are:
decreased endurancejoint stiffnessdecreased range of motionThe musculoskeletal exam assists in identifying the functional anatomy associated with clinical conditions, thereby differentiating the underlying system involved and potentially pointing to the condition, assisting in early diagnosis and intervention.
Inspection, palpation, and observing the range of motion of the joints are techniques for assessing the musculoskeletal system. The musculoskeletal exam assists in identifying the functional anatomy associated with clinical conditions, thereby differentiating the underlying system involved and potentially pointing to the condition, assisting in early diagnosis and intervention. The 5 P's acronym is used systematically in a neurovascular assessment to determine the presence of compartment syndrome. The letters P stand for pain, pallor, pulse, paresthesia, and paralysis.
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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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TRUE/FALSE. the medical record must meet the standards defined by the centers for medicare and medicaid services conditions of participation, any other federal regulations, state laws, and accrediting agencies such as the joint commission on accreditation of healthcare organizations.
The medical record must meet the standards defined by the Centers for Medicare and Medicaid Services Conditions of Participation, any other federal regulations, state laws, and accrediting agencies such as the Joint Commission on Accreditation of Healthcare Organizations. This statement is True.
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program as well as Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards in collaboration with state governments.
CMS also has administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly known as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. Until 2001, CMS was known as the Health Care Financing Administration (HCFA).
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on the patient's rhythm strip, you note there are pacemaker spikes that are not followed by a p wave or a qrs. what type of pacemaker malfunction is this called?
On the patient's rhythm strip, you note there are pacemaker spikes that are not followed by a p wave or a qrs. This malfunction is called asynchronous pacing.
Failure to capture is the term used when the pacemaker produces an electrical impulse (pacer spike) but no depolarization is seen. An atrial pacemaker spike is seen on the ECG, however it is not followed by a P wave or a QRS complex (ventricular pacemaker). This is not how a pacemaker normally works. When the pacemaker fails to start an electrical stimulus when it should, this is known as failure to pace or fire. Absence of pacer spikes on the rhythm strip indicates a problem. Failure to perceive is the term used when a pacemaker initiates an electrical impulse despite not sensing the patient's own heart rhythm. Pacer spikes that fall too near to the patient's own rhythm and earlier than normal are signs of failure to perceive.
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excessive growths of stratum corneum layer of epidermis that often occur on hands and feet
Stratum corneum hyperplasia refers to abnormal stratum corneum growths, which frequently affect the hands and feet. as well as bedsores and pressure sores.
Which layer of epidermis is mostly found in the skin on hands and feet?The whole outside of the body is covered by the biggest organ in the body, the skin. The epidermis, dermis, and hypodermis, the three layers that make up the skin, have distinctly different anatomical structures and physiological roles. The complex network of cells that make up the skin act as the body's first line of defense against viruses, UV rays, chemicals, and mechanical harm. The volume of water discharged into the environment and temperature are both controlled by it. This page covers the relevant vascular supply, innervation, embryology, anatomical components, function, and clinical relevance of the skin's epidermal layer.Skin layer thicknesses are classified according to the thickness of the epidermal and dermal layers and vary depending on the area of the body. Because of a second layer of epidermis called the stratum lucidum, the hairless skin on the palms of the hands and soles of the feet is the thickest. According to the thickness of the dermis, the upper back is the thickest, but histologically it is referred to as "thin skin" since the epidermal thickness is thinner than hairless skin and lacks the stratum lucidum layer.To Learn more About stratum corneum growths, refer to:
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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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a 30-year-old potential client states she just had a physical and was informed by her physician that her total cholesterol and blood pressure looked great. you review her medical history and note she is taking vitamins and antihypertensive medication. based on this profile, she would be considered as having how many risk factors?
If you go over her medical history, you'll see that she takes vitamins and hypertension drugs. She would be regarded as having 1 risk factor based on her profile.
What is the name of a medical doctor?A professional with such a doctorate doctor is refereed to as a "specialist" in particular. Physicians investigate, diagnose, and treat illnesses and injuries in an effort to preserve, promote, and restore health.
What will be new in medicine in 2022?future-proof mRNA vaccines. a fresh method of prostate cancer treatment. New treatment to lower LDL. According to a group of Cleveland Clinic doctors and researchers lead by D, these three ground-breaking innovations will transform healthcare in 2022.
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A nurse is preparing to administer blood to a client the unit of blood on hand is type O negative and the client is type a positive blood. Which of the following action should the nurse take?
A. Administer the blood as ordered
B. Contact the provider for further orders
C. Notify the blood bank
D. Complete an incident report
The following action should the nurse take Administer the blood as ordered. Option A.
The nurse first reviews the physician's instructions regarding blood transfusions and ensures that the client has been informed of the procedure and has signed an informed consent form. Once this is done, the nurse should ensure that at least an 18 or 19-gauge IV needle is inserted into the patient.
For emergency transfusions, O-negative blood is the blood type with the lowest risk of causing serious reactions in most transfusion recipients. For this reason, it is sometimes called the universal blood donor type. To give blood a healthcare practitioner inserts a thin needle usually into a vein in the arm or hand.
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the parents of a child admitted with rheumatic fever (rf) ask why the child has been placed on bedrest. the nurse explains that bedrest serves what primary purpose for the client?
Bedrest serves primary purpose for the client with rheumatic fever to restrict the inflammation and pain.
Rheumatic fever (acute rheumatic fever) is a condition that may have an effect on the guts, joints, brain, and skin. infectious disease will develop if infection, contagion, and strep skin infections aren't treated properly. Symptoms embody fever and painful, tender joints. Treatment involves medication, typically for keeps.
Rheumatic fever causes inflammation, particularly of the guts, blood vessels and joints. The heart valves may be inflamed and become scarred over time. Rheumatic fever will cause long complications in sure things. It primarily affects youngsters between the ages of six and sixteen.
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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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the nurse determines which nursing intervention would best assist the client with a brain tumor who may be at increased risk for aspiration?
the nurse should determine evaluation of gag reflex and ability to swallow intervention would best assist the client with a brain tumor who may be at increased risk for aspiration.
An accumulation of aberrant brain cells is known as a brain tumour. Brain tumours come in a wide variety of forms. Brain tumours can vary in their cancerousness and non-cancerousness. Like other cancers, brain and spinal cord tumours are brought on by modifications to the DNA of cells. Our genes, which regulate how cells work, are made out of the molecule called DNA. Our parents are the origin of our DNA, thus we typically resemble them. But DNA has an impact beyond just our appearance. A malignant brain tumor's prognosis depends on mucosal lining factors such its location inside the brain, size, and grade. A brain tumour frequently returns and cannot always be removed, but it can occasionally be healed if discovered early on.
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In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey?
A. Initiation of pulse oximetry.
B. Complete set of vital signs.
C. Client’s allergy history.
D. Brief neurologic assessment.
In conducting a primary survey on a trauma patient, the following which is considered one of the priority elements of the primary survey is brief neurologic assessment and is therefore denoted as option D.
What is a Trauma?This is referred to as an incident that causes physical, emotional, spiritual, or psychological harm to an individual.
This could cause different types of negative effect which is why a brief neurologic assessment which helps to determine the level of consciousness is needed as part of the primary survey and is therefore the reason why option D was chosen as the correct choice in this scenario.
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the nurse is developing a bowel training program for a patient. what education can the nurse provide for the patient that will increase the chance of success of the bowel program? (select all that apply.)
Drink between 2 and 4 L of liquids every day, have a sufficient intake of foods that contain fibre, establish a daily defecation time that is no later than 15 minutes from your regular wake-up time to bowel movement.
Predictable faction is encouraged by regularity, timing, diet (including increased fiber intake), food and hydration consumption (2–4 L daily), exercise, and the right position (National Institute for Health and Clinical Excellence, 2010). People who frequently lose control of their bowels or who suffer from persistent constipation can benefit from a regimen called bowel retraining. There is a regular time for faeces, and daily attempts at evacuation should be done no later than 15 minutes before food that time. Only if the patient is constipated, and even then, only occasionally rather than daily, are enemas and laxatives required.In an effort to encourage your body to have regular bowel movements, the method involves attempting to use the restroom at the same time each day.To know more about bowel check the below link:
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A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via a peripherally inserted central catheter (PICC) line. When assessing the client, the nurse notes that the client's arm seems swollen above the PICC insertion site. Which of the following actions should the nurse take first?A. Measure the circumference of both upper arms.B. Notify the provider who inserted the PICC line.C. Remove the PICC line.D. Apply a cold pack to the client's upper arm.
The actions that the nurse should take first is to measure the circumference of both upper arms. That is option A.
What is total parenteral nutrition (TPN)?The total parenteral nutrition (TPN) is defined as the process by which an individual that is incapable of taking in food through the mouth into the gastrointestinal tract is fed through a parenteral route.
The total parenteral nutrition (TPN) must include the following to provide an adequate diet for the affected individual:
protein, carbohydrates (in the form of glucose), glucose, fat, vitamins, and minerals.One of the ways to achieve the total parenteral nutrition is feeding through the peripherally inserted central catheter (PICC) line.
It is one of the responsibility of a nurse in duty to monitor the insertion site of the peripherally inserted central catheter (PICC) line.
If the site is swollen, the first action the nurse should take is to measure the circumference of both upper arms.
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a patient presents with heatstroke. the nurse uses cool packs, cooling blanket, and a fan. which technique is the nurse using when the fan produces heat loss?
Your physician may perform the following to do this on heatstroke: Put cold water on you. It has been demonstrated that the fastest way to drop your core body temperature is to take a cold or ice bath.
There is a lower chance of death in heatstroke and organ damage the sooner you can be submerged in cold water. Use cooling methods that involve evaporation. Health care professionals may use evaporation to try to lower your body temperature if cold water immersion is not an option. Warm air is blown over you as cool water is misted on your body, evaporating as it cools your skin. Provide cooling blankets and ice for you. Applying ice packs to your groin is another technique, which involves wrapping you in a special cooling blanket.
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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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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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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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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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“My toe is on fire.” HPI RH is a 78-year-old man who presents to the ED complaining of significant toe pain. Mr RH states, “I think I’m paying the price for my fun at the festival.” He reports having spent the weekend indulging on beer and sausage at the local festival. In the early hours of Monday morning (approximately 3 hours ago), he awoke to sudden excruciating pain in his right big toe. Over the past hour, this toe has become red, swollen, and so painful that he cannot walk. He has not experienced any trauma or injuries. He also denies having experienced these symptoms previously. PMH HTN × 28 years PUD × 15 years Obesity × 40 years SH The patient typically drinks “a can of beer or two” daily but drank significantly on Friday, Saturday, and Sunday. He does not smoke or use illicit drugs. Meds Chlorthalidone 25 mg PO daily, started 1 month ago Pantoprazole 20 mg PO daily All NKDA ROS Other than feeling somewhat dehydrated from all of his drinking, the patient has no major complaints prior to this ED visit. No chest pain, nausea/vomiting, or respiratory symptoms. Bowel habits are normal. He has no prior history of arthritic symptoms or joint problems. PE Gen A healthy-appearing, obese man in acute distress VS BP 135/70 mm Hg, P 105 bpm, RR 17, T 37.5°C; Wt 88 kg, Ht 158 cm Skin Poor skin turgor. No rashes or other dermatologic abnormalities. HEENT PERRLA, dry mucous membranes, throat/ears clear of redness or inflammation Neck/Lymph Nodes Negative for lymph node swelling or masses Lungs/Thorax Clear to auscultation bilaterally, symmetric movement with inspiration CV Tachycardic, normal rhythm, normal S1 and S2 Abd Obese, but soft, nontender; positive bowel sounds in all quadrants. Genit/Rect Deferred MS/Ext Erythematous, edematous right first metatarsophalangeal joint, which is very warm to touch; joint is exquisitely painful with patient relating the pain as currently a 10/10 (on a 1–10 scale with 0 being no pain and 10 being the worse pain the patient has ever suffered); no s
Answer:
Based on the information provided, it appears that the patient is experiencing a possible case of gout. Gout is a type of arthritis that occurs when there is an excess of uric acid in the body, which can cause the formation of crystals in the joints. Common symptoms of gout include sudden, severe pain in a joint (often the big toe), redness and swelling in the affected joint, and warmth in the affected area. It is possible that the patient's increased alcohol intake over the weekend may have contributed to the development of gout. Other risk factors for gout include obesity, high blood pressure, and certain medications. It is important for the patient to see a healthcare professional for proper diagnosis and treatment of their condition. Treatment options for gout may include medications to reduce inflammation and pain, and lifestyle changes such as weight loss and reducing alcohol intake to prevent future gout attacks.
15.
Why do you think developing nations in Africa or Asia might report a high number of deaths from diseases that can be controlled in the United States? What factors prevent access to prevention and treatment?
The absence of good health care causes people to die of preventable diseases in Africa and Asia. Poor enlightenment and lack of health care support could prevent access to prevention and treatment.
Why do people die of ailments in Africa and Asia?We know that health care infrastructure is not yet so much developed in Africa and Asia. As such, it is usual to see that a large number of people bow in death to preventable and even treatable illness in the Americas.
The only way that this stem could be curbed is that The United States and other bigger countries should initial coordinated efforts so as to be able to develop the health care infrastructure in Africa and Asia.
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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.
you are dispatched to a residence for a 4-year-old girl who is sick. your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. her mother tells you that she has been running a high fever for the past 24 hours. your most immediate concern should be:
Her mother tells you that she has been running a high fever for the past 24 hours. Our most immediate concern should be assessing the need for ventilation assistance.
Patients who are unable to breathe sufficiently on their own may benefit from ventilation assistance, which consists of a range of techniques. These treatments range from mechanical ventilation for patients with abrupt respiratory failure to at-home oxygen therapy for people with chronic obstructive pulmonary disease (COPD).
When an illness or accident produces immediate or progressive respiratory failure, ventilation support is used. Additionally, it could be utilized following surgery until the patient is well enough to breathe properly on their own. The kind and stage of the illness process, as well as the results of blood and pulmonary function tests that show the patient's level of oxygenation, are all taken into consideration by doctors when selecting the appropriate medication.
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