A pattern of persistent disobedience and argumentativeness is described as an oppositional defiant disorder (ODD).
What leads to defiant conduct?Parenting problems include child maltreatment or neglect, severe or inconsistent punishment, or an absence of parental oversight. Other family problems include a child who lives wa ith such a parent, strife within the family, or a parent who suffers from a mental health illness substance use condition.
What exactly is defiant syndrome?Oppositional defiant disorder (ODD) is just a condition in which your child exhibits a pattern of disrespectful, rebellious, and irate conduct toward adults. Parent management training and psychotherapy are effective treatments for ODD.
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the texas department of health has isolated yersinia pestis from wood rats and prairie dogs in west texas and the texas panhandle. in addition to the fever, chills, and severe headache, this patient has developed hemorrhages under the skin. what disease is this camper likely to have?
The camper is most likely to get infected with Bubonic plague. It is brought on by the bite of an infected flea and is the most prevalent type of plague.
Y. pestis enters the body through the bite and moves to the closest lymph node, where it replicates. The lymph node then develops an inflammatory bump that is unpleasant, stiff, and uncomfortable. The inflamed lymph nodes may develop into pus-filled open sores at later stages of the infection. The bubonic plague rarely spreads from person to person. The more severe form of plague known as pneumonic plague, bubonic plague, can spread to the lungs. The most virulent type of plague is called pneumonic plague, or lung-based plague.
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a client is prescribed an angiotensin-converting enzyme (ace) inhibitor for hypertension. the nurse questions the prescription of an ace inhibitor for a client with which condition? heart failure renal artery stenosis diabetes coronary artery disease
The ACE inhibitor is prescribed for the heart failure conditions
ACE inhibitors improve heart failure by reducing afterload, preload, and systolic wall stress, resulting in increased cardiac output without increasing heart rate. ACE inhibitors play an important role in promoting salt excretion by increasing and decreasing renal blood flow. production of aldosterone and antidiuretic hormone. In addition to reducing afterload, ACE inhibitors also reduce myocardial cell hypertrophy.
Since the 1980s, several large prospective, randomized, placebo-controlled trials have demonstrated that treatment with ACE inhibitors reduces overall mortality, particularly in patients with heart failure with reduced ejection fraction. These trials demonstrated that ACE inhibitors reduce mortality even in patients with asymptomatic ventricular dysfunction. Based on the above evidence, ACE inhibitors are recommended as first-line treatment in patients with heart failure.
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a nutritionist planning a diet for a basketball player wants him to consume 3,650 calories and 650 grams of food daily. calories from carbohydrates and fat will be 60% of the total calories. there are 4, 4, and 9 calories per gram for protein, carbohydrates, and fat, respectively. how many daily grams of fat will the diet include?
Answer:
210 grams of fat
Explanation:
Given that a 3650 calorie diet is 650 grams of food, with 60% of the total calories from carbohydrates and fat, you want to know the number of grams of fat the diet will include if protein, carbohydrates, and fat give 4, 4, and 9 calories per gram, respectively.
SetupWe can write three equations based on the given information. Let p, c, f represent grams of protein, carbohydrates, and fat, respectively. Then we have ...
p +c +f = 650 . . . . . . . . total grams
4p +4c +9f = 3650 . . . . total calories
0p +4c +9f = 0.60·3650 . . . . calories from carbs and fat
SolutionThe attachment shows a calculator solution to this system of equations. It tells us the diet should include ...
210 grams of fat
Ad Hoc solutionSubtracting the 3rd equation from the 2nd, we have ...
(4p +4c +9f) -(4c +9f) = 3650 -0.6·3650
4p = 0.4·3650
p = 365
Solving the first equation for c gives ...
365 +c +f = 650
c = 285 -f
Substituting into the last equation, we have ...
4(285 -f) +9f = 2190
5f = 1050 . . . . . . . . . . . . subtract 1140
f = 210 . . . . . . . . . . . . divide by 5
The diet will include 210 daily grams of fat.
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a 73 year old white female is brought in by her family with complaints of poor attention and memory problems that have been getting worse over the past several months. she denies recent headache, head trauma, fever, malaise, nausea and vomiting. she has a remote history of subarachnoid hemorrhage that did not require surgical intervention. she is otherwise very healthy for her age. there is no family history of dementia. neurologic exam reveals decreased attention and poor recent memory. her gait is wide based. what is the most likely diagnosis?
The air pressure hydrocephalus (NPH) diagnosis is the one that is most likely to be made. NPH is characterized by an abnormal buildup if cerebrospinal fluid (CSF) inside the cavities or ventricles of the brain.
What are the signs of normal pressure hydrocephalus?Excess cerebrospinal fluid (CSF) builds up in the brain's ventricles in the brain illness known as normal pressure hydrocephalus (NPH), which results in issues with thinking and reasoning, difficulties walking, including loss of bladder control.
How long can a person with hydrocephalus expect to live?Children who have hydrocephalus often survive into adulthood if it is detected and treated early. A baby's life expectancy won't be shortened by hydrocephalus if they have surgery to remove the extra fluid from their brain and live to be one.
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What supplies would you need to empty the urinary collection bag and measure the urine output appropriately
The supplies which would be needed to empty the urinary collection bag and measure the urine output appropriately include the following:
GlovesGarbage bagsCatheterWhat is Urine?This is referred to as a liquid by product of metabolism and is usually whitish or yellowish and stored in the bladder before it is expelled put from the body. Urine is harmful to the body as it contains urea which is why it must be expelled as soon as we feel the urge to.
Some medical conditions such as prostate cancer etc require emptying the urinary collection bag and measure the urine output appropriately and materials such as catheter, garbage bags etc ensure that they are properly done.
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a patient has a pseudomonas aeruginosa infection that is sensitive to aminoglycosides, and the prescriber orders gentamicin. the patient tells the nurse that a friend received amikacin for a similar infection and wonders why amikacin was not ordered. what will the nurse tell the patient?
Answer: Amikacin is given when infectious agents are involved.
Explanation:
Amikacin injection is used to treat serious bacterial infections in many different parts of the body. This medicine is for short-term use only (7 to 10 days). Amikacin belongs to the class of medicines known as aminoglycoside antibiotics. It works by killing bacteria or preventing their growth.
a 10 week pregnant client presents to the obstetrician's office with complaints of acute, right-sided abdominal pain, dizziness, and vaginal bleeding. a pelvic exam determines adnexal tenderness. what diagnosis should the nurse suspect?
For pregnant clients complaining of acute right-sided abdominal pain, dizziness, and vaginal bleeding, pelvic examination determines adnexal sensitivity. Nurses should doubt the diagnosis of endometriosis.
What does adnexal tenderness mean and what causes it?Adnexal tenderness is mild pain or tenderness in the pelvic area, including the uterus, ovaries, and fallopian tubes. The cause of adrenal tenderness includes: Ectopic Pregnancy: A pregnancy in which the embryo attaches to the fallopian tube, abortion. Endometriosis: A cyst in the ovary or fallopian tube.Does PID cause adnexal pain?All women with suspected PID (Pelvic inflamatory disease) should be evaluated for cervical discharge, cervical motion tenderness, uterine tenderness, adnexal tenderness, or a mass should undergo a pelvic examination. Diagnosis of pelvic inflammatory disease is clinical.
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Bone is constantly being broken down by what?
a client comes to the emergency due to symptoms of a potential heart attack. further assessment determines that the client is not having a heart attack but is having a panic attack. when beginning to interview the client, which question would be most appropriate for the nurse to ask?
"How do you feel about everything going on in your life right now?" is a suitable question to ask. An anxiety disorder called panic disorder causes the symptoms like frequent, unexpected episodes of panic or fear.
When there is no real danger present or obvious reason, a panic attack is a rapid bout of acute dread that results in significant physical symptoms. It's frightening to experience a panic attack. When you have a panic attack, you might believe that you are losing control, experiencing a heart attack, or perhaps going to pass away. Numerous people just experience one or two panic attacks in their lives, and the issue usually disappears when a stressful circumstance is over. However, if you've experienced frequent, unplanned panic attacks and have spent a significant amount of time living in constant terror of an attack, you may be suffering from a disease known as panic disorder.
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phenytoin is used in the treatment of epilepsy. if a woman in the first trimester of her pregnancy consumes phenytoin, her baby is likely to be born with a syndrome called fetal hydantoin syndrome. in such a scenario, phenytoin can be considered an example of a
During pregnancy, period phenytoin is considered an example of a teratogenic effect.
Anti-epileptic drugs are medications that regulate aberrant electrical activity in the brain to prevent or cure seizures or convulsions. Phenytoin, an anti-epileptic drug, is a teratogen in both humans and animals.
Teratogenic effect generates embryonic hypoxia and cardiac arrhythmias, indicating a relation between an I, arrhythmia, and hypoxia-related teratogenic mechanism. Causes fetal hydantoin syndrome, which results in prenatal and postnatal growth limitations, motor or intellectual disability, a short nose with a broad nasal bridge, low-set or irregularly shaped ears, limb, and positional malformations, and abnormalities.
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the nurse is caring for a client who is scheduled for electroconvulsive therapy. the nurse notes that an informed consent has not been obtained for the procedure. on review of the record, the nurse notes that the admission was an involuntary hospitalization. which is important information for the nurse to remember?
The nurse caring for a client who has scheduled electroconvulsive therapy for which there's no informed consent obtained, it is important for the nurse to get informed consent from the client.
In the question, it is stated that the nurse who is caring for a client has scheduled electroconvulsive therapy. The nurse gets to know that there is no informed consent for the procedure of the client and it was based on involuntary hospitalization. It is important for the nurse to obtain informed consent from the client.
Electroconvulsive therapy is a procedure that is conducted under general Anesthesia in which small currents are passed through the brain that leads to triggering brain seizure.
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udeep is taking part in an intervention in which he receives text messages reminding him to take his medication. sudeep is most likely taking part in what kind of intervention?
Sudeep is participating in an intervention in which he receives messages via text to remind him to take the medication. Sudeep is most likely participating in the dynamic tailoring intervention.
What is "dynamic tailoring intervention"?The use of drugs, communication, or other sorts of therapy personalized to an individual or a group to enhance health or modify behavior is known as "dynamic tailored intervention". There are five stages of intervention, which are the five major steps of intervention (known as the 5 A's), as follows:
AskAdviseAssessAssistArrangeSudeep receives messages via text to remind him to take his medication. Sudeep is participating in the dynamic tailoring intervention for drug use.
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with some minerals, definitive blood tests are needed to diagnose whether the client is deficient or experiencing a toxicity. the nurse is aware that one mineral can result in muscle weakness when either deficiency or toxicity of this mineral occurs. which mineral causes muscle weakness in both deficiency and toxicity?
Both potassium mineral shortage and toxicity weaken muscles.
The effects of too much potassium in the blood extend beyond the heart muscles. It may also have an impact on all of your body's muscles. High potassium levels might cause muscular weakness or deterioration.
Even basic tasks like walking might leave you feeling weakened.
Additionally, your muscles can stop working correctly, which would fatigue you. You could even feel a persistent, dull soreness in your muscles. Even if you haven't finished a physically demanding task, it might seem that way. The blood potassium level can also have an impact on how well your nerves work.
Potassium aids in the proper signaling of your nerves to the brain. But when your blood has too much potassium, this becomes challenging.
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A patient sustained an electric shock when she accidentally touched live wires following a severe storm. The shock affected her urinary function and resulted in oliguria and uremia. How will the patient’s symptoms be treated if she develops anuria?.
Answer: Hemodialysis
Explanation:
the nurse is preparing new parents and their infant for discharge by answering questions and presenting basic discharge instruction. which explanation should the nurse provide when questioned about the infant's yellow hue?
When questioned about the infant's yellow hue, the nurse should provide instructions while discharging the infant that the tint is due to jaundice.
In the question, it is stated that the nurse is preparing the parents for the discharge presentation by answering questions related to further instructions for caring for the child. While questioning the infant's yellow hue, the nurse should instruct that the tint is due to Jaundice.
Jaundice causes yellow coloring of the skin, mucus membranes, or the eyes. This yellow coloring is mainly caused by Bilirubin, a by-product of old Red Blood Cells. The excess of Bilirubin causes the yellow pigment.
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camille consumes a low-carbohydrate, high-protein diet to lose weight. in 3 months she has lost 10 pounds, but her rate of weight loss has slowed. why does a low-carbohydrate, high-protein diet promote weight loss? check all that apply. check all that apply
When a person's normal carbohydrate intake decreases, consequently does the water weight connected with glycogen storage of a person. A high-protein diet reduces metabolic rate, causing the body to shed more water through sweat.
In the absence of appropriate carbohydrate intake, the liver produces glucose from amino acids extracted from the bodies natural tissue proteins; protein tissue includes a lot of water, and disassembling that protein leads in water loss in the urine.
When paired with exercise, a high protein diet is good grow lean muscle. Lean muscle tends to burn calories during the day, that can aid in weight loss.
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Rosita is excited about her first day at a physician's office as an administrative medial assistant. Which of the following should Rosita also keep in mind about her physical appearance while working at the office?
The options that should Rosita can also keep in mind about her physical appearance while working at the office is option C: Facial or tongue piercings are unacceptable in most offices.
What is Workplace etiquette about?How you come across to others at work matters whether you are beginning your first internship or have years of work experience under your belt. Building new relationships and ensuring you have a successful, happy experience at work require you to set a professional tone.
Note that In the majority of business and corporate settings, sandals and open-toed (and open-heel) shoes are not seen as appropriate attire Although open-toed shoes and a business suit can look fantastic together, they are nevertheless not accepted in a formal business atmosphere. Piercing of any kind that is visible on the face or body is not acceptable.
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See full question below
Which of the following should Rosita also keep in mind about her physical appearance while working at the office?
Shoes worn should be open-toed.
Name pins and tags need to be visible only when dealing with new patients.
Facial or tongue piercings are unacceptable in most offices.
the nurse is caring for a newborn with bluish nails and lips, rapid respirations, sweating, and having difficulty feeding. which considerations should the nurse use when assessing the blood pressure to screen for potential cardiac problems? select all that apply.
The nurse is caring for a newborn with bluish nails and lips, rapid respirations, sweating, and difficulty feeding. which considerations should the nurse use when assessing the blood pressure to screen for potential cardiac problems Assess blood pressure in the upper extremities.
If you have signs of coronary heart ailment, your healthcare provider may order exams to peer when you have a coronary heart disorder. Your provider may also probably order blood exams to test the cholesterol levels, triglycerides, sugar, lipoproteins, or proteins that are a sign of inflammation.
You could check for coronary heart disorder at home by using measuring your pulse price and your blood strain when you have a blood stress screen. you may additionally display your self for symptoms of coronary heart sickness, along with Chest pain, stress, pain, or tightness. Being quick of breath.
Coronary artery sickness, arrhythmia, coronary heart valve sickness, and heart failure are the 4 most common styles of coronary heart disease. heart disorder refers to numerous types of conditions that affect the coronary heart.
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for the patient on the intensive care unit (icu) who sustained a motor vehicle crash, which action would the nurse implement to keep the patient's large family informed of the patient's status and decrease the number of status checks by the family?
The best course of action the nurse should take to inform the patient's vast family of their condition is to ask the patient to designate a spokesman who will speak with the providers.
The best strategy to ensure that the patient's family is informed as soon as possible is to request that they appoint a spokesperson to facilitate communication between the patient's family and the medical staff. It is not appropriate to ask the family to check at the end of the shift because this is the worst time to learn about the patient owing to communication between caregivers as they switch changes. The family will not be able to stay informed of the patient's present condition by asking the doctor to schedule a patient-care conference for them. It is improper to ask security to accompany the family to the main lobby.
Hence, we can state that the patient should choose a spokesperson who will speak with the providers.
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Your question is incomplete. Please find the complete question below.
For the patient in the intensive care unit (ICU) who sustained a motor vehicle crash, which action would the nurse implement to keep the patient's large family informed of the patient's status and decrease the number of status checks by the family?
1 Ask the family members to check on the change of shift.
2 Ask security to escort the family from the waiting room to the main lobby.
3 Ask the healthcare provider to schedule a patient-care conference for the family.
4 Ask the patient to identify a spokesperson to communicate with the providers.
a client was admitted to a postoperative nursing unit after undergoing abdominal surgery. during this time, the nurse failed to recognize the significance of abdominal swelling, which significantly increased during the next 6 hours. later, the client had to undergo emergency surgery. the lack of action on the nurse's part is liable for action. which legal term describes the case?
The nurse failed to recognize abdominal swelling after abdominal surgery, which increased during the next 6 hours and later, the client had emergency surgery so the nurse's part is liable for action under the legal term tort.
Abdominal surgery treats conditions that have an effect on your abdomen, as well as the abdomen, tiny intestines, spleen, appendix and also the colon (or rectum). Surgery could also be required for a spread of reasons, like infection, tumors, herniation repair or maybe viscus illness.
Tort is wrongful act that cause somebody to suffer harm—in nursing, this could be an action or inaction by a nurse that causes a patient damage. Torts is classified as intentional or unintentional.
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what environmental emergency may be present whena patiet is exhibiting symptoms of weakness, headache, dizziness, and anxiety?
Heat exhaustion may be present when a patiet is exhibiting symptoms of weakness, headache, dizziness, and anxiety.
When you experience heat exhaustion, what happens to your body?The skin could be wet and cold. The respiration will be shallow and rapid, and the pulse rate will be quick and feeble. Heat stroke could result from heat exhaustion if it is not untreated. If symptoms intensify or last for more than one hour, get medical attention.
How does heat exhaustion affect the organs?Vital organs like the heart, lungs, kidneys, liver, and brain can suffer temporary or permanent damage from heatstroke. Problems arise more quickly as temperatures rise, especially when they surpass 106° F (41° C).
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what is the priority action for the nurse to take if the patient with type 2 diabetes reports blurred vision and irritability
Diabetes management is built on a healthy diet and regular exercise. Dietary changes can help you control your weight, blood pressure, and your body's capacity to create and respond to insulin.
Why is type 2 diabetes management so crucial?It is a serious condition that may last a lifetime. If type 2 diabetes is left untreated, excessive blood sugar levels can gravely harm several body organs, such as your feet, heart, and eyes. These are referred to as diabetes complications.
In what ways is type 2 diabetes managed or treated?Although there is no cure for type 2 diabetes, you can manage the condition by losing weight, eating healthfully, and exercising.
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sarah has designed a fitness program that includes aerobic exercise, resistance exercise, and flexibility exercise. what characteristic of a well-designed fitness program was sarah most concerned about when she designed her program?
A workout regimen that is well-designed will be moderate. was Sarah's top priority when she created her program.
whenever mode is defined?A set's mode is the value that appears the most frequently in that set. A mode or modal value is a value any number that appears frequently in a data collection and is one of three indicators of central tendency, the other two being the mean and median.
How is mode defined?The value that recurs frequently inside a set is known as the mode in statistics. The mode, or modal value, in a set of data is also referred to as the value or number that occurs most frequently. One of the four measures of central tendency, along with mean and median
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a patient comes to the walk-in clinic. while assessing the patient's vital signs, the nurse assesses the patient's blood pressure at 128/89 mm hg. according to jnc7, how would this patient's blood pressure be classified?
A patient comes to the walk-in clinic. while assessing the patient's vital signs, the nurse assesses the patient's blood pressure at 128/89 mm hg. according to jnc7, Postural hypotension, and resulting injury.
A regular blood pressure stage is much less than a hundred and twenty/eighty mmHg. irrespective of your age, you may take steps every day to hold your blood stress in a healthy variety.
Blood pressure has an everyday sample. commonly, blood stress starts to upward thrust some hours before a person wakes up. It keeps to upward push throughout the day, peaking at noon. Blood stress normally drops in the late afternoon and nighttime.
(it's pleasant to take your blood pressure out of your left arm in case you are right-exceeded. but, you could use the alternative arm when you have been told to accomplish that via your healthcare provider.) relaxation in a chair subsequent to a desk for five to 10 minutes. (Your left arm must rest without difficulty at the heart stage.)
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Which of the following particles is not considered part of an element’s atomic mass?
the goal of adding folic acid to the food supply by enriching cereal grains was to: group of answer choices improve maternal nutrition prevent spina bifida reduce mortality from cardiovascular disease all of these prevent anencephaly
The goal of adding the folic acid to the food supply by enriching the cereal grain was to prevent the spina bifida and the anencephaly
The studies provide a solid scientific basis for the consensus that synthetic folic acid can prevent spina bifida and anencephaly.
Spina bifida occurs when a baby's spine and spinal cord do not develop properly while in the womb, causing a gap in the spine. Spina bifida is one of the types of neural tube defects. A structure that develops in the baby's brain and spinal cord is called a neural tube.
Anencephaly is one of the serious birth defects in which a baby will born without some parts of the brain and skull. It is also a form of neural tube defect (NTD).
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3. the patient was admitted with cough, fever, and shortness of breath through the emergency department. one day two la test reconfirmed the presence of bacteria in the sputum culture and the physician documented a diagnosis of bacterial pneumonia. based on this information, is the bacterial pneumonia is a healthcare-associated infection or a community-acquired infection?
The bacterial pneumonia diagnosed in one day through LA test is said to be a community-acquired infection and not a healthcare-associated infection.
Pneumonia is the lung disorder where the lungs get filled with fluid or pus and therefore get inflamed in the body. This can happen due to bacterial or viral infection. If not treated effectively, the disease can become deadly as it reduced the gaseous exchange through the lungs.
Community-acquired infection is where the disease is acquired from outside any healthcare facility. Even after admission to some hospital, if the disease is diagnosed within 48 hours of admission, it is considered to be a community-acquired infection.
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5. What kind of substances can't permeate membranes by
passive diffusion?
a) Lipid-soluble
b) Non-ionized substances
c) Hydrophobic substances
d) Hydrophilic substances
a client comes to the clinic for evaluation because of complaints of dizziness and difficulty walking. further assessment reveals a staggering gait, marked muscle incoordination, and nystagmus. a brain tumor is suspected. based on the client's assessment findings, the nurse would suspect that the tumor is located in which area of the brain?
The nurse would suspect that the tumor is located in the cerebellum for a patient with dizziness staggering gait, marked muscle incoordination, nystagmus and difficulty walking.
What is the brain cerebellum?The brain cerebellum is an area in the cerebrum that connects it with the spinal cord, which is involved in many functions including sensory-motor functions and or coordination of movements.
Therefore, with this data, we can see that the brain cerebellum is involved in different functions and regulation of movement, thereby a timer in this area may produce difficulty in walking.
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a client in the emergency department reports squeezing substernal pain that radiates to the left shoulder and jaw. the client also reports nausea, diaphoresis, and shortness of breath. what is the nurse's priority action?
The nurse assessing the situation of the client who complains about squeezing substernal pain that radiates to the left shoulder and jaw. The priority action the nurse can take is to administer oxygen and attach a cardiac monitor and administer sublingual nitroglycerin.
A client reports in the emergency department squeezing substernal pain that radiates to the left shoulder and jaw, and also reports nausea, diaphoresis, and shortness of breath. The first priority of assessing the client would be to administer oxygen, and have a cardiac monitor to monitor cardiac activities and provide nitroglycerin accordingly.
Cardiac chest pain is generally caused by Myocardial Ischemia. Administrating enough oxygen can reduce pain and increase the myocardial oxygen supply.
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