Answer:
there arent any options to choose from in the question but I'll try answering
Explanation:
so I think when you have a disruptive patient the course of action that should be taken is
-remaing calm and asking the patient to calm down
-malkmg sure that the patient acknowledges the fact that you respect them and they should do the same
side note:
I'm not an expert at this I'm just in year 10 but If u give the options I could help out more
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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as an experiment, a person who wishes to avoid getting ill during the winter significantly boosts his or her vitamin intake by taking multiple vitamin supplements. this action could group of answer choices reduce the person's fiber intake. be dangerous, because the human body needs vitamins only in small amounts. help the person look decades younger. help the person live decades longer.
This action could be dangerous, because the human body needs vitamins only in small amounts.
A vitamin is an organic molecule (or a group of molecules that are chemically closely related, i.e. vitamers) that is an essential micronutrient that an organism requires in small amounts for the proper functioning of its metabolism. Essential nutrients cannot be synthesized in the body, either entirely or in sufficient quantities, and must therefore be obtained through diet.
Some species can synthesize vitamin C but not others; it is not a vitamin in the first case but is in the second. The term vitamin excludes the three other essential nutrient groups: minerals, essential fatty acids, and essential amino acids.
Vitamins perform a variety of biochemical functions. Vitamin A influences cell and tissue growth and differentiation. Vitamin D acts as a hormone, regulating mineral metabolism in bones and other organs. The B complex vitamins act as enzyme cofactors (coenzymes) or as their precursors. Antioxidants are vitamins C and E. Excess intake of water-soluble vitamins is less likely to cause clinically significant illness than deficient intake of fat-soluble vitamins.
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you have a rash that only shows up in 1/1001 people who do not have syndrome x, but it shows up in 50 percent of people who do have syndrome x. given that you have the rash, what should your credence be that you have syndrome x?
The credence that you may have syndrome X is from .31 to 6. So the correct option is B.
What is the syndrome x?Fragile x syndrome is a type of intellectual disability that will be hereditary which is caused by a specific gene which will produce a protein necessary for brain development but not having it, it will not be produced correctly. It will affect men more strongly than women. So it's pretty dominantly sex-linked. The protein that will be missing will be the FMRP that will be found in the nucleus and cytoplasm of the cell but that in this disease will be absent.
The type of mutation that will be is known as a trinucleotide repeat expansion in which there is an increase in the number of three base repeats of the DNA.
Among the symptoms of this disease will be intelligence problems, emotional problems and speech and language problems, ear infections, autism, seizures, among others.
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You have a rash that only shows up in 1/1001 people who do not have syndrome x, but it shows up in 50 percent of people who do have syndrome x. given that you have the rash, what should your credence be that you have syndrome x?
A. 0 to .3
B. 0.31 to 6
C. .61 to .9
D. .9 to 1
E. not enough information is given.
nurse prepares to administer a scheduled dose of digoxin. the nurse finds a new laboratory report showing a plasma digoxin level of 0.7 ng/ml. what action should the nurse take?
After the laboratory report shows a plasma digoxin level of 0.7 ng/ml, the nurse should check the patient's apical pulse, and if it is within a safe range, administer the digoxin.
Digoxin, sold beneath the name Lanoxin among others, could be a medication wont to treat numerous heart conditions. most often it's used for fibrillation, chamber flutter, and cardiopathy. digitalis is one in all the oldest medications employed in the sector of medicine.
Your apical pulse is a pulse purpose on your chest at all-time low tip (apex) of your heart. It's completely different than your blood vessel pulse points as a result of it lets your supplier listen on to your heart because it contracts and radiates blood.
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a nurse is performing a developmental screening on a 4-month-old infant. identify two (2) physical and motor skills the nurse should expect to see from the infant.
Two physical and motor skill the nurse would see are 1. the baby will push up to his elbows when lying on his stomach and 2. Brings his hands to his mouth.
In terms of children's capacities to utilise and control their bodies, physical development refers to the advancements and refinements of motor skills. One of the numerous areas of newborn and toddler development is physical development.
A motor talent is a capability that involves using specific muscle movements to perform a certain activity.These activities could involve biking, running, or walking. The neurological system, muscles, and brain of the body must all cooperate to achieve this talent.
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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 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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todd is a 26-year-old personal trainer who requires 3,000 calories per day. todd is very conscientious about his diet and ensures his daily food intake does not exceed or fall below 3,000 calories. what characteristic of a nutritious diet does todd's diet display?
The characteristic that Todd's diet display is Moderation means not eating to extremes, neither too much nor too little.
Moderation may be described as “the avoidance of excess.” In nutrition, ingesting carefully is the exercise of best eating the quantity of meals your frame calls for so that it will be healthful. Moderation in a healthful weight-reduction plan approach ingesting meals withinside the proper quantity or quantity. You have to keep away from ingesting a specific meals or nutrient excessively or insufficiently on the grounds that it is able to bring about both overnutrition or undernutrition. The primary reason moderation is an effective weight-loss tool is that caloric intake usually decreases.
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assessment of a patient in the emergency department reveals that the patient is experiencing respiratory compromise. from the assessment, the team identifies that the patient is in the earliest stage of this condition. which stage would this be?
Assessment of a patient in the emergency department reveals that the patient is experiencing respiratory compromise. From the assessment, the team identifies that the patient is in the earliest stage of this condition. This stage is respiratory acidosis.
A critical condition that makes it challenging to breathe on your own is respiratory failure. When the lungs can't get enough oxygen into the blood, respiratory failure sets in. Our lungs take in oxygen from the outside air, and we exhale carbon dioxide, a waste product of the body's cells.
When your lungs can't expel all of the carbon dioxide your body produces, you get respiratory acidosis. Blood and other bodily fluids become overly acidic as a result.
Acute respiratory acidosis, or respiratory acidosis that is worsening, produces headaches, disorientation, and drowsiness while chronic respiratory acidosis is asymptomatic. Tremor, and asterixis are symptoms. A clinical diagnosis is made after measuring the serum electrolytes and arterial blood gas.
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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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a client with cardiogenic shock who weighs 220 pounds is receiving a solution of dextrose 5% in water (d5w) 250 ml with dopamine 400 mg at the rate of 3 mcg/kg/minute. the nurse should set the infusion pump to deliver how many ml/hour?
when zoe, aged 75, goes down the stairs, she moves slowly and cautiously because she is afraid of falling and ending up in a nursing home. zoe is:
Option (A), acting appropriately, is the correct response. Zoe, who is 75 years old, steps slowly and deliberately when she descends the stairs out of concern that she would trip and wind up in a nursing home. Zoe is behaving properly.
You may even grow a little bit shorter. Muscles typically deteriorate in terms of strength, endurance, and flexibility, which might compromise your balance, stability, and coordination.
Physical activity declines from 40% to 80% as people age, which increases the risk of metabolic disorders and other chronic diseases like cancer, diabetes, and cardiovascular and cerebrovascular diseases.
As a result, we can conclude that Option (A), responding appropriately, is the appropriate action. Zoe, who is 75 years old, descends the stairs carefully and slowly out of fear that she will trip and end up in a nursing facility. Zoe is acting appropriately.
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Complete Question:
When Zoe, aged 75, goes downstairs, she moves slowly and cautiously because she is afraid of falling and ending up in a nursing home. Zoe is:
A) acting appropriately.
B) being overly paranoid.
C) making her condition worse.
D) especially concerned about breaking an arm.
the nurse is caring for a patient being treated with an intraaortic balloon pump. which intervention is most important to include in the patient's plan of care?
Since the nurse is caring for a patient being treated with an intraaortic balloon pump. The intervention that is most important to include in the patient's plan of care is option B: Measure the patient's urinary output every hour.
What is therapy with an intra-aortic balloon pump?The therapeutic device known as an intra-aortic balloon pump (IABP) is one of these. Your heart can pump more blood thanks to it. If your heart isn't able to pump enough blood to your body, you might require it.
A catheter is a small, flexible tube that makes up the IABP. A lengthy balloon is attached to the catheter's tip. An intra-aortic balloon, or IAB, is what this is.
Monitoring urine production can be used to check on the patient's cardiac output and to look for balloon displacement that might be obstructing the renal arteries. Up to 30 degrees of elevation are possible for the bed's head.
Therefore, To stop thrombus formation, use heparin. To prevent the balloon from being moved, just a small amount of movement is permitted for the extremity that contains the balloon insertion site.
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See full question below
The nurse is caring for a patient who has an intraaortic balloon pump in place. which intervention is most important to include in the patient's plan of care?
a.
Avoid the use of anticoagulant medications.
b.
Measure the patient's urinary output every hour.
c.
Provide passive range of motion for all extremities.
d.
Position the patient supine with head flat at all times.
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 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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a float nurse arrives on the unit to assist in the care of clients for the shift. during report, the charge nurse notes that the float nurse appears disheveled, flushed, and is trembling slightly while drinking coffee. based on this information,what should the charge nurse do?
It is crucial to preserve thorough, impartial records if questionable conduct is seen. The offer of aid in finding therapy should be made during a confrontation that takes place in front of a manager or another nurse.
What does it mean to engage in conflict?the act of confronting; the condition of being confronted; an in-person meeting, for example. a clash of forces or ideas; a confrontation between both the culprit and the victim.
What kind of individual avoids conflict?Exactly as it sounds, conflict avoidance refers to the extreme fear of potential confrontations. Avoiding confrontation can show up in our relationships, friendships, and sometimes even family dynamics aside from our professional lives.
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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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a client is experiencing pain, tingling, and numbness of the thumb and first, second, third, and half of the fourth digits of the hand. she states that she has pain in the wrist and hand, which worsens at night, and she has noticed that they have become clumsy. the nurse recognizes these manifestations as:
Answer:
carpal tunnel syndrome
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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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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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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the client's family member states that she will schedule a mammogram and she asks the nurse if it will be painful. how should the nurse respond?
The client's family member states that she will schedule a mammogram and she asks the nurse if it will be painful. The nurse respond show the client's family what most women say causes the discomfort during a mammogram.
An X-ray image of the breast is what a mammogram is. Mammograms are used by doctors to search for early indications of breast cancer. The greatest test available to doctors for early detection of breast cancer, which can occur up to three years before symptoms manifest, is a routine mammography.
On a plastic plate, a technologist will place your breast. From above, another plate will firmly push against your breast. The breast will be held steady and flattened by the plates while the X-ray is taken. You'll experience some pressure. To create a side view of the breast, repeat the steps. The other breast will also undergo the same type of X-ray. After that, you will have to wait while the technician examines the X-rays to make sure the images do not need to be redone.
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When the nurse is conducting the client's cognitive function, which components of the mental status exam best assesses the client's cognition? (Select all that apply. One, some, or all options may be correct.)
a. Level of consciousness.
b. Level of consciousness is an assessment of the client's cognition.
c. Remote memory.
d. Remote memory is an assessment of the client's cognition.
The nurse should assess, Level of consciousness is an assessment of the client's cognition and Remote memory is an assessment of the client's cognition as a part of the mental status exam. The correct option to this question is A and D.
The patient's overall awareness and response should be examined as part of the mental status examination. One may also take into account the patient's orientation, IQ, memory, judgment, and mental process. The patient's conduct and mood should be evaluated concurrently.
Structured Assessment of Cognitive Skills
Attention. Comparatively to the level of awareness, language, memory, constructional ability, and practica, the testing of attention is a more sophisticated consideration of the state of awake.
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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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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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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:
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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Question 5
Which of the following is most appropriate when dealing with poisonings?
O Tell the patient to take ipecac.
O Give them something to eat or drink.
O Identify the name and amount of poison taken.
O Ask whether the patient is conscious.
2 pts
Call the toll-free Poison Help line (1-800-222-1222), which connects you to your local poison center, as soon as you suspect someone has been poisoned to speak with a poison expert.
Which of the following should be handled first when treating poisoned patients?As with any severely ill patient, the initial step is to stabilize the patient's airway, breathing, and circulation. Identifying the toxin, whether through toxidrome, laboratory testing, or history, may point doctors in the proper direction.
What is the most effective poisonous antidote?Flumazenil and naloxone are the traditional antidotes at the receptor level. Flumazenil is a competitive antagonist at the GABA-A receptor complex's benzodiazepine site.
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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.
the nurse is assessing a client who is receiving enteral feedings. which clinical data indicate the client may not be tolerating the tube feedings?
There are several clinical data that may indicate that a client is not tolerating enteral tube feedings. These may include abdominal pain or discomfort, nausea, vomitting, constipation, weight loss, etc.
What are the signs that the client may not be tolerating the tube feedings?There are several clinical data that may indicate that a client is not tolerating enteral tube feedings. These include:
Abdominal pain or discomfort: If the client is experiencing abdominal pain or discomfort, this may be a sign that they are not tolerating the tube feedings well.
Nausea or vomiting: If the client is experiencing nausea or vomiting, this may indicate that the tube feedings are not being well tolerated.
Diarrhea: If the client is experiencing diarrhea, this may be a sign that the tube feedings are not being well absorbed or are causing digestive issues.
Constipation: If the client is experiencing constipation, this may be a sign that the tube feedings are not providing enough fluid or fiber to help with bowel movements.
Weight loss: If the client is experiencing weight loss despite receiving tube feedings, this may be a sign that they are not tolerating the feedings well.
It is important for the nurse to closely monitor the client's clinical data and report any concerns to the healthcare team. The nurse may need to adjust the tube feeding regimen or try alternative feeding methods if the client is not tolerating the current approach.
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