Answer:
Breast sensitivity
Explanation:
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 patient is sent to a general surgeon by her family physician for an opinion and recommendation for surgical repair of a recurrent femoral hernia, right. a brief problem focused history and exam are performed. the mdm complexity was straightforward. what is the correct e/m service code?
The correct e/m service code is CPT Code: 99241
ICD-10-CM:
K41.91
A femoral hernia occurs when fatty tissue or a portion of your bowel protrudes through the top of your inner thigh into your groin. It pushes through a weak spot in the surrounding muscle wall (abdominal wall) into an area called the femoral canal. Femoral hernias are generally not life-threatening medical conditions. Strangulation of the hernia can become life-threatening, however, and must be treated through emergency surgery.
Femoral hernias are frequently confused with inguinal hernias due to their proximity. Femoral hernias are relatively uncommon. If the hernia is not repaired, the intestine can become trapped inside. This is referred to as an incarcerated or strangulated hernia. It has the potential to cut off blood supply to the intestines.
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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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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
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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Which of the following describes an acute infection caused by reactivation of dormant chickenpox virus?
a. Herpes simplex
b. Herpes zoster
c. Meningococcemia
d. Verrucae
Answer:
b. Herpes zoster
Explanation:
Herpes zoster, also known as shingles, is an acute infection caused by the reactivation of the dormant chickenpox virus (varicella zoster virus). It is characterized by a painful rash and blisters on the skin, often appearing on one side of the body or face. It can also cause neurological symptoms such as weakness, numbness, and pain. The virus is reactivated due to a decrease in the body's immune system function, which can occur due to aging, stress, or certain medications. Herpes simplex is a different type of herpes virus that causes cold sores or genital herpes. Meningococcemia is a bacterial infection caused by Neisseria meningitidis that can lead to meningitis and sepsis. Verrucae are wart-like growths caused by the human papillomavirus (HPV).
Functional imaging studies indicate that drugs that alleviate symptoms of schizophrenia tend to increase activation of thefrontal cortex
It is false that functional imaging studies indicate that drugs that alleviate symptoms of schizophrenia tend to increase activation of the frontal cortex.
Functional imaging is that the study of human brain perform supported analysis of knowledge noninheritable victimization brain imaging modalities like Electroencephalography (EEG), fMRI, or Optical Imaging, MEG or PET. Functional imaging techniques is accustomed verify the consequences of brain injury or sickness on brain systems associated with psychological feature and behavior and to work out however rehabilitation changes brain systems.
Schizophrenia is a serious disturbance within which individuals interpret reality abnormally. Dementia praecox could end in some combination of hallucinations, delusions, and intensely disordered thinking and behavior that impairs daily functioning, and might be disabling. Individuals with dementia praecox need womb-to-tomb treatment.
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Which of the following is NOT a recommended guideline of the American Medical Association as a way to protect electronic medical records?
Keep all backup disks in a safe place away from the practice
Prepare a backup plan for use when the computer system is down
Change login codes every 18 months
Store disks in a bank safe deposit box
Set security levels to limit entry to all functions
In order to safeguard electronic medical records, the American Medical Association changes login codes every 18 months.
Which medical course is the best?Medical and surgical bachelor's degree: This degree, which is sometimes referred to as MBBS, is frequently regarded as the most prestigious in the medical industry. To enroll in this programme, one must successfully pass the NEET UG admission test.
What does a work medical entail?Pre-placement health testing and pre-employment medical exams both seek to analyze and monitor people in order to identify risk factors that could prevent them from performing effectively at work. It guarantees there is no risk to the employee or their coworkers.
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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 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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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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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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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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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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Scattered and off-focus radiation outside of the collimated field can have what effect on the width of the histogram?
A. Causes narrowing of the histogram
B. Causes widening of the histogram
C. Causes both narrowing and widening of the histogram
D. Causes neither narrowing nor widening of the histogram
Scattered and off-focus radiation outside of the collimated field can (B) Causes widening of the histogram.
Off-focus radiation in x-ray generation is the emission of x-ray photons from sources other than the anode focal area. These photons, which are essentially a type of scatter, may blur and are useless for diagnostic purposes.
When a radiation beam comes into contact with a substance, such body tissue, more radiation is produced that spreads out in various directions.
In order to concentrate light as sharply as possible, a telescope must be collimated, or all of its parts must be in perfect alignment.
In a histogram, several classifications are grouped into columns along the horizontal x-axis, resembling a bar graph in its display of the data. Each column's data count or percentage of occurrences are shown on the vertical y-axis. Data distribution patterns can be seen visually using columns.
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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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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 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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78-year-old man has a history of a cerebrovascular accident. the nurse notes that when he walks, his left arm is immobile against the body with flexion of the shoulder, elbow, wrist, and fingers and adduction of the shoulder. his left leg is stiff and extended and circumducts with each step. what type of gait disturbance is this individual experiencing?
Spastic hemiparesis: This condition causes the arm to become motionless in relation to the body. Flexion of the shoulder, elbow, wrist, and fingers also occurs, and an adducted shoulder is shown that does not easily swing.
Why are mishaps referred to as accidents?The word "accident" suggests that no one in particular is to blame for an automobile collision. This is seen in the expression "It was merely an accident," which is frequently used. On the other hand, the word "crash" implies that someone was responsible for the auto accident or that it was their responsibility.
What is an accident example?Physical instances of accidents include unintentional car accidents, slips and falls, burns from touching something hot or sharp, and bumps while walking.
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a 46-year-old man presents with generalized weakness and shortness of breath after he was bitten on the leg by a rattlesnake. his blood pressure is 106/58 mm hg and his pulse rate is 112 beats/min. treatment for this patient should include:
A 46-year-old man presents with generalized weakness and shortness of breath after he was bitten on the leg by a rattlesnake. his blood pressure is 106/58 mm hg and his pulse rate is 112 beats/min. treatment for this patient should include: splinting and lowering of the affected parts.
Every year, not a few people in the world die from venomous snake bites. A venomous snakebite is a medical emergency as it can cause shock and death. Prompt and appropriate treatment of snake bites can reduce mortality by more than 90 percent. Find out the first aid steps when bitten by a snake in the following review.
The difference between venomous and non-venomous snakesSnakes are one of the many animals found in tropical countries like Indonesia. One of the snake's defense mechanisms when it feels threatened is to bite the target.
Snakebite wounds can come from venomous or non-venomous snakes. Snake venom contains poison that can paralyze the body.
There are more than 2000 species of snakes in the world, but only about 200 species of snakes are venomous.
To distinguish the type of snake venomous or nonvenomous, you can pay attention to the following signs:
Non-venomous snake characteristics: rectangular head shape, small canine, round pupils, and bite marks in the form of smooth open wounds in the form of an arch. The characteristics of venomous snakes: triangular head shape, two large canines on the upper jaw, vertical and thinly flat black pupils, surrounded by yellow-green eyeballs, and the type of bite wound is in the form of two fang bite holes, similar to a stick or sharp object punctureSome types of venomous snakes that we can find around us are spoon snakes, welang snakes, cobras, ground snakes, green snakes, sea snakes, and tree snakes.
Bites by these types of venomous snakes require immediate first aid and emergency medical treatment.
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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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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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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 client has been involved in a motor vehicle accident and has sustained spinal cord damage. the client has voluntary motor function loss on one side and a loss of pain and temperature sensation from the contralateral side below the level of the lesion. what type of cord syndrome does the nurse recognize the client has sustained?
Answer:
It sounds like the client has sustained a spinal cord injury that has resulted in Brown-Sequard syndrome. This type of spinal cord injury is characterized by the loss of voluntary motor function on one side of the body and a loss of pain and temperature sensation on the opposite side below the level of the lesion. This type of injury is typically caused by a penetrating injury to the spinal cord, such as a knife wound or gunshot wound. Treatment typically involves addressing any life-threatening injuries and providing supportive care to prevent complications. In some cases, surgery may be necessary to repair the damaged spinal cord.
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Explanation:
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:
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 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 nurse on the medical-surgical unit just received the client care assignment report. which client should the nurse assess first?
The client who reports anxiety and shortness of breath and has unilateral leg swelling should be seen first.
What is unilateral leg swelling?Unilateral leg swelling is described as a very rare clinical feature in patients with ureteral cancer that is caused by direct invasion or metastatic lymphadenopathy can result in the compression of the external iliac vein inducing venous insufficiency.
If a nurse on the medical-surgical unit just received the client care assignment report.
This client is exhibiting signs and symptoms of pulmonary embolism, which is a life-threatening condition.
The signs and symptoms of pneumonia include: Crackles, fever, and pleuritic pain are.
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Complete question:
A nurse on the medical-surgical unit just received the client care assignment report. Which client should the nurse assess first?
the client with anorexia, weight loss, and night sweats
the client with crackles and fever who reports pleuritic pain
the client who had difficulty sleeping, daytime fatigue, and morning headache
the client with unilateral leg swelling who reports anxiety and shortness of breath
a 34-year-old client is diagnosed with chronic hepatitis c. testing reveals that the client is a candidate for treatment. the nurse anticipates that which therapy could be used to treat the client's condition?
Multiple sclerosis and chronic inflammatory illnesses are both treated with interferons. Interferons are immune system-related disorders (e.g. chronic hepatitis)
Proteins called interferons are a component of your body's natural defences. They alert your immune system to the presence of pathogens or cancerous cells in your body. Additionally, they activate killer immune cells to combat the invaders. Because they "interfere" with viruses and prevent their growth, interferons received their name.
a natural substance that supports the body's immune system in the battle against illness, including cancer. White blood cells and other cells in the body produce interferons, but they can also be produced in a lab for use in treating various disorders.
Because they shield cells against viral infections, interferons have the power to "interfere" with viral reproduction.
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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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