An IV secondary infusion is prescribed for client with heart failure and if medication is to be delivered at a rate of 400 mcg/minute than the infusion pump will deliver at 24 ml/hour.
IV secondary infusion is typically an intermittent infusion that infuses at regular intervals (e.g., each eight hours). This kind of IV medical aid typically contains medications that are provided in an exceedingly smaller infusion bag and mixed with a agent fluid like saline (e.g., IV antibiotics).
Heart failure happens when the heart muscle does not pump blood yet because it ought to. Blood typically backs up and causes fluid to make up within the lungs (congest) and within the legs. The fluid buildup will cause shortness of breath and swelling of the legs and feet. Poor blood flow might cause the skin to seem blue (cyanotic).
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following surgery for a mitral valve replacement, a patient was required to take coumadin. this medication is classified as an
According to the research, the correct answer is anticoagulant. Following surgery for a mitral valve replacement, a patient was required to take coumadin. This medication is classified as an anticoagulant.
What is an anticoagulant?It is a drug with an inhibitory effect on blood coagulation being used for the treatment of thrombosis due to its ability to hinder the blood coagulation process.
In this sense, coumadin is an anticoagulant medication that prevents the formation of clots or thrombi in the blood or prevents them from increasing in size.
Therefore, we can conclude that according to the research, coumadin is classified as an anticoagulant since it prevents clot formation associated with heart disease.
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true or false? while the u.s. healthcare system does some things well, it ranks at or near the bottom on important health outcome measures such as life expectancy, infant mortality, and adult obesity rates.
Yes, the claim is true; but, despite the fact that the American healthcare system excels in some areas, overall health outcome indicators like average lifespan, infant mortality, or adult obesity rates show that it is at and near the bottom of the pack.
What is meant by a healthcare system?A health system is the collective term for all organisations, institutions, & resources (components) involved in producing health actions. A health system is centered on people's health because its primary goal is to protect and improve their health. An organization of people, institutions, & resources that provides health care services to satisfy the requirements of target populations is known as a health system, health care system, or healthcare system. The World Health Organization defines a health system as all organizations, individuals, and behaviors whose principal goal is to promote, restore, or maintain health. This includes more direct activities that improve health and those that have an impact on the factors that influence health.
What is an example of a health care system and what is are current healthcare system?A woman care for just a sick child living at home is only one example, along with private healthcare providers, behavior modification programs, vector control initiatives, health insurance companies, and laws governing workplace safety and health.
The US healthcare system is classified as a mixed system because it combines publicly paid government programs like Medicare and Medicaid (covered below) with privately financed market programs like private health insurance plans.
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the nurse is taking a health history of a toddler with a suspected congenital heart defect. which response by the mother could indicate that the child is experiencing hypercyanotic spells?
The mother's comment, "he likes to stop & squat wherever he walks," may point to the child's hypercyanotic periods.
What is the point of a squat?You may lose weight by doing squats because they burn calories. Additionally, they lessen your probability of suffering knee and ankle injuries. The motion you make when exercising fortifies the tendons, bones, and ligaments that surround your leg muscles. Your knees & ankles are partially relieved of weight.
What constitutes a squat's most crucial component?The most important action in a squat is keeping your spine neutral or slightly stretched as you descend. Your form breaks once your lower back rounds into flexion (imagine a wonderful curvy C), and the stress placed on your lower back and muscles is quite harmful.
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a client with bacterial pneumonia becomes increasingly restless and confused. temperature is 100 f, and pulse, blood pressure, and respirations are increased since the last assessment 6 hours ago. which action should the nurse take first?
Assess the patients oxygen saturation. Bacterial pneumonia is a lung illness caused by specific bacteria. Streptococcus (pneumococcus) is the most frequent, although other bacteria can also cause it.
According to the findings of this study, among acutely infected nursing home patients, a reduction in oxygen saturation of more than 3% from baseline, as well as a single oxygen saturation of 94, should indicate pneumonia. A 4-percentage-point drop from baseline or a single oxygen saturation of 94 or above shows that pneumonia is improbable.
If you're young and otherwise healthy, these bacteria can live in your throat without interfering with your breathing. However, if your body's defences (immune system) become compromised for any reason, the bacteria can enter your lungs. This causes the air sacs in your lungs to become infected and irritated. They get clogged with fluid, resulting in pneumonia. The majority of pneumonia cases develop when your body's natural defences fail, allowing bacteria to penetrate and flourish within your lungs. White blood cells rapidly increase in order to eliminate the invading organisms. They, together with bacteria and fungus, populate the air sacs in your lungs (alveoli). Breathing may be difficult.
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a 76-year-old resident of an assisted living facility who has a history of heart failure has presented to her primary care provider for a scheduled appointment. which of the woman's statements suggests that her heart failure is worsening?
Answer:
Electrocardiogram (ECG)
Explanation:
a healthcare-associated infection (traditionally known as a nosocomial infection) is a healthcare-associated infection (traditionally known as a nosocomial infection) is always caused by pathogenic bacteria. always present, but is inapparent at the time of hospitalization. acquired during the course of hospitalization. always caused by medical personnel only a result of surgery
A nosocomial infection is a healthcare-associated infection which is usually: acquired during the course of hospitalization. always caused by medical personnel only a result of surgery.
The correct answer choice is option b
What is meant by nosocomial infection?Nosocomial infection can simply be defined as any infection which is contracted or acquired in the process of recieving treatment for a health condition in a medical center.
However, these infections were not present before the arrival of the patient to the clinic but comes into the body or invades the body system usually, frequently and most of the time when health care tools are not properly cleaned.
In conclusion, we can now confirm from above that nosocomial infection are contacted in the health care center.
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a nursing instructor is teaching about mood disorders and informs the class that bipolar disorder is divided into types/groups related to demonstrated characteristics. what are these groups/types? select all that apply.
A nursing instructor is teaching about mood disorders and informs the class that bipolar disorder is divided into types/groups related to demonstrated characteristics. Threats about her future.
people with the bipolar disorder each episode of intense depression and episodes of mania – overwhelming joy, excitement or happiness, large energy, a reduced need for sleep, and reduced inhibitions. The revel in bipolar is uniquely personal. No humans have precisely the same level.
Bipolar disorder is broadly believed to be the end result of chemical imbalances within the mind. The chemical substances chargeable for controlling the brain's features are called neurotransmitters and include noradrenaline, serotonin, and dopamine.
To diagnose bipolar sickness, a medical doctor performs a physical exam, asks approximately your signs, and recommends blood testing to decide if any other situation, which includes hypothyroidism, is inflicting your signs and symptoms. If the health practitioner does not discover an underlying reason for your signs, she or he plays a psychological evaluation.
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true or false: dietitians should recommend only organic foods for clients and patients attempting to lose weight. true false question. true false
Dietitians should recommend only organic foods for clients and patients attempting to lose weight is a false statement.
Who is a dietitian?A dietician is an individual that is professionally trained to identify and treat disease conditions that are related to malnutrition which may require nutritional therapy.
Individuals that often require weight loss are obese patients and both organic and conventional foods can be used.
Organic foods are those food products that are grown without the use of fertilizers while conventional foods makes use of fertilizers.
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which of the following happens during inflammation? a. the capillaries supplying blood to the area become more leaky (i.e., permeable). b. prostaglandins deaden nerve endings, alleviating pain. c. neutrophils release histamine. d. all of the above
Option A, During inflammation, the capillaries supplying blood to the area become leakier.
If the sore is enlarged, red, and painful, inflammation may be present. Inflammation is, broadly speaking, the immune system's response to an irritant. Fragments of fingers and other foreign objects. B. Bacteria may be the cause of irritation.
Pathogens, such as bacteria, viruses, or fungi. Explicit wounds such as scratches or injury from foreign items effects of radiation or chemicals.
Acute inflammation is transient inflammation that occurs after injury or infection. In the affected area, it often manifests as redness, swelling, warmth, and pain.
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a nurse is assessing a newborn using apgar scoring. the newborn demonstrates the following: a heart rate of 90 bpm; a good, lusty cry; grimaces on irritation; flaccid, limp muscle tone; and a pink body with acrocyanosis. how should the nurse score this client
Nurse score this client as 5.
A normal resting heart rate for adults tiers from 60 to 100 beats according to minute. Commonly, a decrease heart rate at relaxation implies extra efficient coronary heart feature and better cardiovascular fitness. As an example, a properly-skilled athlete may have a ordinary resting heart charge towards 40 beats according to minute.
Imbalance of a substances within the blood called electrolytes — which includes potassium, sodium, calcium and magnesium .
Coronary heart rate is important due to the fact the coronary heart's feature is so crucial. The coronary heart circulates oxygen and nutrient-rich blood at some stage in the body.
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a client has been diagnosed with major depression. the client reports that the client often wakes up during the night and has trouble returning to sleep. the nurse interprets this finding as suggesting what?
The nurse interprets this finding as suggesting Middle insomnia
What is major depression ?Depression is a mood illness that results in a constant sense of melancholy and boredom. It affects how you feel, think, and behave and can cause a variety of emotional and physical issues. It is also known as major depressive disorder or clinical depression.
Depression has a variety of causes. It can happen for a multitude of reasons and has a wide range of triggers. An traumatic or stressful life event, like a death in the family, divorce, illness, job loss, or financial difficulties, can be the culprit for some people.For the majority of depressed individuals, medication and psychotherapy are helpful. Medication to treat symptoms may be prescribed by your primary care physician or psychiatrist. But many depressed individuals also gain from consulting a psychiatric, psychological, or other mental health expert.Learn more about Major depression here:
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chlorinda travels with her work. she recently took a trip for work in which she worked 40 hours for the week, but had 6 hours of travel time. chlorinda cannot bill the 6 hours of travel time to overtime. group startstrue or false
FALSE In the event that Chlorinda is unable to claim the 6 hours of travel time as overtime, Statement may raise the minimum pay rate based on the cost.
What's the process for the overtime?The Fair Labor Standard Act includes provisions about federal overtime (FLSA). Employees covered by the Act shall receive overtime compensation, unless they are exempt, at a rate that is at least time and a half their usual rates of pay for hours worked beyond 40 in a workweek.
How valuable is overtime pay?It is beneficial to put in extra time. While getting paid more for overtime doesn't always put you in a higher tax bracket, it does increase your taxable income for that tax year. Working more hours entails earning more money for non-exempt workers, regardless of your tax burden.
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after receiving a dose of penicillin, a client develops dyspnea and hypotension. the nurse suspects the client is experiencing anaphylactic shock. what should the nurse do first?
In these cases, all the nurse has to do is administer the epinephrine, as ordered, and prepare the client for intubation, if necessary.
Anaphylactic shock is a relatively severe allergic reaction. This condition can be life-threatening for someone who experiences it because it develops very quickly. Someone who experiences this condition generally feels nausea and pain in the stomach area. Anaphylactic shock appears in just a few minutes after the sufferer is exposed to an allergen which is the cause of anaphylactic shock.
The first treatment for anaphylactic shock is by injecting epinephrine, to reduce the severity of the allergic reaction. Epinephrine injections can be done when medical personnel arrives at the patient's location. Furthermore, when the patient arrives at the hospital, the doctor will provide further assistance.
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you are giving cpr and the first rescue breath does not cause the chest to rise. what should you do? group of answer choices begin the next set of compressions immediately. take a bigger breath and blow with more force for the second rescue breath. perform a finger sweep. re-tilt the head to ensure that the airway is properly opened and ensure that the nose and mouth are properly sealed before giving the second rescue breath.
You are giving CPR and the first rescue breath does not cause the chest to rise therefore the nurse should re-tilt the head to ensure that the airway is properly opened and ensure that the nose and mouth are properly sealed before giving the second rescue breath and is denoted as option D.
What is CPR?This is referred to as cardiopulmonary resuscitation and it is a life saving technique which helps to revive a person who has a heart attack or the heart has topped beating.
In a situation where the individual gives CPR and the first rescue breath does not cause the chest to rise then it is best to re-tilt the head to ensure that the airway is properly opened and ensure that the nose and mouth are properly sealed.
After which the second rescue breath should be given and if the chest rises, then it should be followed by compressions and is therefore the reason why it was chosen as the correct choice.
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which statements made by the nurse indicate how insulin pens simplify self-administered insulin for clients? select all that apply.
The statements made by the nurse which indicates how insulin pens simplify self-administered insulin for clients include the following below:
"The cylinder of the insulin pen contains a prefilled reservoir of insulin.""The dose of insulin in an insulin pen is displayed in a window of the syringe.""Insulin pen automatically reset the dose window to zero, following the injection."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 reduce the risk of complications.
Insulin on the other hand is a hormone which is produced by the pancreas and controls the amount of glucose in your bloodstream by storing excess as glycogen etc.
Insulin pens simplify self-administered insulin for clients because the cylinder of the insulin pen contains a prefilled reservoir of insulin and display the dosage at the window of the syringe for prompt guidance.
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if a newborn does not pass meconium during the first 36 hours of life. what is the most appropriate priority action by the nurse?
According to given statement neonatal intestinal obstruction is the most appropriate priority action by the nurse.
Why is meconium a problem, and what is it?Meconium is the name for the first newborn's stool or excrement. When a newborn breathes amniotic liquid and secretions into the lungs soon after birth, it develops the meconium aspiration syndrome.
What can meconium do to a baby?Right after birth, the meconium can sometimes obstruct the baby's airways. Due to swelling (infection) inside the newborn baby's lungs after birth, it may result in breathing issues. Risk factors that could put the unborn baby under stress before birth include the placenta "aging" if the pregnancy lasts much longer than expected.
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the nurse instructs a client with chronic kidney disease who is receiving hemodialysis about dietary modifications. the nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu?
The diet of a hemodialysis patient with chronic kidney disease must include controlled amounts of sodium, potassium, calcium, phosphorus, and fluids.
Can dialysis patients consume vegetables?
Because these types of dialysis can eliminate more potassium, you may need to eat more potassium-rich foods. Leafy green vegetables are a good way to add potassium to your diet and reduce the need for a potassium supplement.
Renal dietitians and nurses advise most hemodialysis patients to eat high-quality protein since it generates less waste for removal during hemodialysis. Meat, poultry, fish, and eggs are good protein sources.
Therefore, Cut out processed meats high in sodium and phosphorus, such as hot dogs and canned chili.
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a new patient is completing your offices patient registration form. the patient tells you that she has insurance but does not have her card with her and does not know the effective date of coverage, the group plan number, or the identification number. explain one or more ways to obtain the insurance information right away.
The office barrier should ask for the patient's SS#, and CA ID, check the patient's medical record and ask what insurance she has to call her insurance for patient insurance information.
Patients can consult a doctor if they do not have an insurance card. You will need the following information:
1. Member ID:
This information could not be found in your Zenefits profile as it is Protected Health Information (PHI). You can use your SSN instead of your Member ID OR contact your insurance company directly to get it. Your specific insurance company contact information can be found in the Member Services and Claims Information link on your Medical Overview page. For dental and vision insurance, your SSN can be your Member ID.
2. Group/policy number:
This number can be found on the health, dental, or vision dashboard in the Plan.
3. Plan Name/Type:
You find this information on the Medical, Dental, or Vision Overview page in the Plan.
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50 POINTSSSSSS|> pls be honest. i have deep, and i mean deep dark spots.on my face. how do i getg rido f them ? i tried lemon, tried admire my skin, tried benzoyl, aztec clay, tried apple cider vinegar...more than that, i tried everyythinggg. Products simply dont work. what do i do ?
Answer: Chemical peels
you meet with the nurse administrator responsible for improvement when issues in the process of care are identified by those on the wards. she listens carefully to your concern, but in the end says she can only try to help improve nursing issues, and not those that extend to pharmacy or transport. the primary reason your meeting is unlikely to lead to an adequate solution is:
The primary reason your meeting is unlikely to lead to an adequate solution is the nurse administrator did not have the appropriate span of responsibility to engage the system components needed to solve the problem.
Nurse administrator supervise nurses and alternative health care team members. They recruit, rent and train nurses. alternative responsibilities embody building work schedules and conducting performance reviews.
They have responsibility of recognizing patients' symptoms, taking measures inside their scope of apply to administer medications, providing different measures for symptom alleviation, and collaborating with different professionals to optimize patients' comfort and families' understanding and adaptation.
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a client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. the nurse should recognize these findings as signs and symptoms of
The nurse should identify these findings as symptoms and signs of acute pulmonary edema.
What caused the unexpected pulmonary edema?Heart disease is the leading cause of pulmonary edema. However, fluid can build up in the muscles for a variety of reasons. Pneumonia, exposure to specific toxins, medications, chest wall trauma, and travel to or exercise at high altitudes are also all examples.
Can acute pulmonary edema be reversed?Pulmonary edema is fatal, but even the cause determines your prognosis. One year after being set free, roughly half of patients with cardiac hyperemia survive. Heart failure is a long-term disease that can be treated and is a leading cause of left ventricular hypertrophy respiratory failure.
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What If? (p. 38) A medical assistant has been making errors in documenting in patients' charts and is given a verbal warning. She is placed on a corrective action plan, which includes mandatory training on the proper method of documenting. The medical assistant does not comply with the corrective action plan, and, as a result, the employer fires her. 1. Did the employer take the correct steps in terminating the medical assistant? 2. Does the medical assistant have the right to fight the termination of employment based on due process? 3. What could the employer or the employee have done differently in this case?
The answers include the following:
The employer took the correct steps in terminating the medical assistant as part of the disciplinary measures of the organization.The medical assistant lacks the right to fight the termination of her employment because due process which involves verbal warning, correction action plan etc were observed.The employer couldn't have done anything differently as reassignment still involves documentation.Who is a Medical assistant?This is referred to as healthcare professionals whose role is to assist Doctors in their various roles. They supply the information gotten from the patient to the Doctors and assist with documentation processes.
In a scenario where there the medical assistant makes errors even after verbal warning and corrective action plan has been done , terminating him/her is the right thing to do and it can't be contested as the due processes were followed.
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a malpractice lawsuit was filed after a nurse restrained the client for screaming at and attempting to strike anyone who was within striking distance. the nurse followed agency procedures that were consistent with joint commission standards. for which reason is this malpractice lawsuit most likely to be unsuccessful?
The lawsuit against the nurse who restrained the client for screaming at and attempting to strike anyone who was within striking distance will be unsuccessful because the nurse did not breach duty.
In this question, it is stated that a lawsuit was filed against a nurse because the nurse restrained a client for screaming and attempting to strike anyone who was within the striking distance. The nurse followed every agency's procedure which is compatible with Joint Commission standards. The lawsuit will be unsuccessful because the nurse did not breach duty.
In order to control the client and maintain the values and morals for the duty, the nurse only followed the procedure known to the joint commission and due to this, there was no breach of the duty. Hence, the lawsuit will be unsuccessful.
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a client was chopping firewood and experienced a heaviness in the chest and dyspnea. the client arrives in the emergency department four hours after the heaviness and the health care provider diagnoses an anterior myocardial infarction (mi). what orders will the nurse anticipate?
Sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry orders will the nurse anticipate.
What is the main cause of myocardial infarction?When the heart muscle isn't receiving enough blood, it can suffer from a heart attack, also known as a myocardial injury. More the time that elapses without receiving care to reestablish blood flow, more the harm the heart muscle has endured. Heart attacks are typically brought on by coronary heart disease (CAD).
Is myocardial infarction dying painful?Sometimes the discomfort is felt inside the lower abdomen, where indigestion may be assumed to be the cause. Similar to angina, the discomfort is typically more intense, lasts longer, and is not relieved by relaxing or taking nitroglycerin. One in three persons who suffer from heart problems do not experience any chest pain.
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6. the nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. the safe dose for children is 50-100 mg/kg/day divided in doses administered every 6 hours. what would be the low single safe dose and high single safe dose per day be for this child?
500 to 1,000 mg per dose be the low single safe dose and high single safe dose per day be for this child.
What is the ampicillin used for?Ampicillin is used to treat bacterial infections in the mouth, sinuses, lungs, sexual system, urinary system, and gastrointestinal tract. It is also used to treat meningitis, an infection of the membrane that includes the brain and spinal cord.
Briefing:The nurse would build up a proportion to calculate the low dose as follows in order to determine the dosage:
50 mg/1 kg = x mg/40 kg;
Solve for x by cross-multiplying:
1 × x = 50 × 40;
x = 2,000 mg
4 daily doses divided = 500 mg.
In order to establish the dosage, the nurse would build up a proportion to calculate the low dose as follows:
100 mg/1 kg = x mg/40 kg;
solve for x by cross-multiplying:
1 × x = 100 × 40;
x = 4,000 mg
4 daily doses divided = 1,000 mg.
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You should check the resraints position every
Answer:
every 15 minutes or as directed by whomever is giving the instructions
Explanation:
the nurse is caring for a client postoperatively from a spinal tumor resection. the nurse assesses that the client has partial paralysis. what anticipated problems should the nurse include in the client's care plan? select all that apply.
The client's care plan should take into account the client's spasticity, reduced range of motion, and bone demineralization and contractures.
What is the procedure for removing spinal tumors?General anesthesia is used to accomplish spinal tumor resection. The cancer is removed, the wound is typically closed with staple or nylon stitch, and a sample of the tumor is submitted to a lab for evaluation. An small incision to expose the spine and nerves.
What negative effects might a spinal tumor operation have?Depending on the treatment, recovery following spine surgery could take weeks or even longer. A momentary loss of feeling or other issues, such as bleeding or nerve tissue injury, could occur.
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the nurse is caring for a patient who begins to complain of shortness of breath. the nurse assesses the patient and notes 3 pitting edema bilaterally in the lower extremities. which medication taken by the patient causes the most concern?
Oprelvekin (interleukin-11) taken by the patient causes the most concern
What is edema ?Edema is a swelling of the tissues of your body brought on by fluid. It can affect the entire body, although it typically affects the feet, ankles, and legs. Causes of edoema include excessive salt intake
Edema can result from medication side effects, pregnancy, infections, and a host of other medical conditions. Small blood arteries in your body might leak fluid into adjacent tissues to cause edema. The tissue swells as a result of the excess fluid amassing. Almost anything in the body is a potential location.Your skin may stretch due to edema, and if it is not addressed, swelling may worsen and result in major health issues. Depending on the source, edoema may be a temporary or chronic illness.Learn more about Edema here:
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a client who is receiving anticonvulsant therapy develops a serious skin reaction involving red wheals and blisters on the face, neck, and extremities. which drug would the nurse likely expect the client to report being prescribed?
Many skin conditions such as red wheals and blisters on the face, neck, and extremities. are treated with oral antibiotics.
What tends to happen if you take an anticonvulsant in excess?
Anticonvulsant toxicity manifests itself as central nervous system depression, motor tics, and ataxia. Numerous agents are relatively harmless in the presence of toxicity, and yet severe toxicity can result in seizures, coma, and death.
Dicloxacillin, erythromycin, and tetracycline are examples of common antibiotics for a client who is receiving anticonvulsant therapy to develop a serious skin reaction involving red wheals and blisters on the face, neck, and extremities.
Therefore, antibiotics can help reduce the symptoms of serious skin reactions.
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a child with spastic cerebral palsy receiving intrathecal baclofen therapy is admitted to the pediatric floor with vomiting and dehydration. the family tells the nurse that they were scheduled to refill the baclofen pump today but had to cancel the appointment when the child became ill. which action should the nurse take?
The nurse should arrange for the pump to be refilled in the hospital.
Pump refills are planned ahead of predicted low-volume warnings by several days in order to prevent baclofen withdrawal. Insisting that the pump be filled as soon as possible should be the nurse's top priority. Baclofen should never be abruptly stopped because it might cause serious side effects such as high fever, tight muscles, altered awareness, and even death.
A low dose or withdrawal may result from waiting until the child is discharged from the hospital for a refill. The client is put in danger if they wait for the low-volume alarm since sometimes the team members who can refill the pump and provide the medication are not immediately available.
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