As a thumb rule, the estimated level of hct (hematocrit) is thrice the value of hgb (hemoglobin).
If both the RBC as well as the hemoglobin are normal, the hematocrit can be estimated to be about three times the hemoglobin. Hematocrit and hemoglobin are both measures of red blood cells used to assist identify nutritional deficits, acute diseases, and chronic medical disorders. Hemoglobin is a protein found in red blood cells (RBCs), whereas hematocrit is the proportion of blood volume made up of red blood cells.
Regardless of the patient's hydration level, hematocrit value will always be thrice the hemoglobin value. For example, a patient with a hemoglobin value of 12.0 g/dL should have a hematocrit of 36%. When he is dehydrated, his hematocrit and hemoglobin levels fall.
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a client with coccidioidomycosis has developed a severe headache with neck stiffness, has a fever, and states feeling very ill. which complication does the nurse prioritize investigating, because it is the most common cause of death from coccidioidomycosis?
Meningitis complication that nurses prioritize investigating because it is the most common cause of death from coccidioidomycosis
The most frequent cause of death from coccidioidomycosis infection is meningitis. Headache, fever, and neck stiffness are symptoms of meningitis, an inflammation of the meninges surrounding the central nervous system. Coccidioidomycosis infection can cause joint (arthritis) and dermatologic (erythema nodosum) consequences, however these do not result in mortality. Coccidioidomycosis and acquired immune deficiency syndrome are unrelated.
An inflammation (swelling) of the linings that protect the brain and spinal cord is known as meningitis. The swelling is typically brought on by a bacterial or viral infection of the fluid around the brain and spinal cord. However, other types of infections, tumors, certain medications, and traumas can also result in meningitis.
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a 17-year-old high school football player is seen in your clinic with neck pain after practice. he reports the pain started after he tackled a teammate and was associated with tingling in both arms. what is next best step in management?
a nurse is monitoring the vital signs of a patient who has been administered epinephrine. which of the readings should nurse report immediately to the primary health care provider?
The readings that the nurse should report immediately to the primary health care provider is a Systolic blood pressure below 100 mmHg.
What is vital signs?Vital signs is defined as the cardinal signs that can be measured in the body which evaluates the physiological conditions of the major organs of the body.
The four vital signs that are usually monitored include the following:
Body temperature : The normal temperature is 36.2 -37.2 °CPulse rate: The normal pulse rate for an adult is 60 to 100 beats per minute.Respiration rate (rate of breathing): The normal respiratory rate for an adult is 12 to 16 breaths per minute.Blood pressure: The normal blood pressure of an adult is a systolic pressure of 120 and a diastolic pressure of 80.Epinephrine is a medication that has the ability of increasing the activities of the heart thereby should lead to an increase in blood pressure.
If after administration of epinephrine and the client's systolic pressure is below 100mmHg, the attention of the physician should be called as the the administered drug is not effective.
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caregivers of a 9-year-old client in the terminal phase of a fatal illness ask the nurse for guidance in discussing death with the client. which response is appropriate?
The response which is appropriate is that at this developmental stage, most children have an adult concept of death and should be encouraged to discuss it.
What is Death?This is referred to as the irreversible functioning of the organism and is characterized by the stoppage of the activities which are done by the body system on a daily basis such as respiration, excretion etc.
At this developmental stage and age, most children have an adult concept of death and usually have fears for it when under severe conditions such as in the terminal phase of a fatal illness.
This therefore means that the child should be encouraged to discuss about it with anyone so as to know what the child wants and feel relaxed about the process during the process of medical care.
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micro tears in the skin have been discussed in class as increasing the chance of passing or receiving an infection (if one is present in a partner). what has not been mentioned as potentially increasing one's risk to micro tears:
In the classroom, it has been highlighted how micro tears in the skin increase the risk of infection (if one is present in a partner) silicone-based lubrication.
By lowering surface-to-surface friction, silicone lubricant allows items that have rusted or grown stiffer over time to move more freely. Lubricating particles like graphite, PTFE, or molybdenum disulphide are present in dry lubricants.
Silicone lubricant is a fantastic product for maintaining and prolonging the life of your tools and equipment, lubricating rubber surfaces, and preventing parts from sticking and binding. It also prevents dust, filth, oil, and grime from adhering.
The Silicone Lube has relatively little anti-corrosive qualities because it is intended to be a lubricant. Temperatures beyond 350°F are not advised for use.
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the nurse cares for a client with an abnormal cortisol level. the nurse recalls which information about cortisol?
the nurse cares for a client with an abnormal cortisol level. the nurse recalls that Cortisol stimulates gluconeogenesis.
Cortisol maintains the blood glucose concentration by stimulating the liver for gluconeogenesis. Gluconeogenesis involves the formation of glucose from amino acids and fatty acids. Cortisol mobilizes free fatty acids and inhibits protein synthesis. The blood levels of cortisol increase in stressful conditions.
In fact, the hormone cortisol has many roles for the body, especially in controlling metabolism. The production of this hormone is regulated by three organs at once, namely the pituitary gland, the hypothalamus in the brain, and the hormonal gland. When cortisol levels are low, these organs work together to meet the levels.
Cortisol hormone function
Following are the tasks performed by the hormone cortisol in the human body:
• Affects memory formation.
• Fights inflammation in the body.
• Controls the balance of salt and water in the body.
• Regulate blood sugar levels.
• Adjust blood pressure to body conditions.
• Helping the development of the fetus in pregnant women.
The role of the hormone cortisol is so important, it is mandatory to maintain levels of this hormone so that it is not deficient or excessive. Things like stress and physical activity like exercise can affect the levels of the hormone cortisol in the body. During exercise, for example, cortisol performs its function as a blood sugar regulator so that sugar can be processed into an energy source. That way, the body is able to adapt to the increased energy needs and you can exercise smoothly.
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a patient is diagnosed with giant cell arteritis (gca) and is placed on corticosteroids. a concern for this patient is that he will stop taking the medication as soon as he starts to feel better. why must the nurse emphasize the need for continued adherence to the prescribed medication?
Numerous regimens are used to treat giant cell arteritis by obtaining strong evidence from clinical trials. The nurse advises the patient to follow the required regimen.
What is the most effective treatment for giant cell arteritis?
The primary treatment for giant cell arteritis is high doses of corticosteroid medication such as prednisone. Because immediate treatment is required to prevent vision loss, your doctor will most likely begin treatment before confirming the diagnosis with a biopsy.
The need to suppress vascular inflammation and reduce the risk of blindness underpins the use of high doses of corticosteroids in the treatment of giant cell arteritis.
Therefore, GCA may cause bilateral damage to the vertebral arteries, such as bilateral occlusion, resulting in a severe stroke with a high mortality rate if the patient doesn't adhere to prescribed medication.
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which statement is not true? vitamins provide energy. deficiency of a fat-soluble vitamin is less likely than of a typical water-soluble vitamin. vitamins are necessary in many biochemical reactions in the body. vitamin deficiencies are rare in the united states.
Vitamin deficiencies are rare in the united states is false statement.
Vitamins are organic molecules required as micronutrients. They are of two types, fat soluble and water soluble. Vitamin B and C are water soluble while vitamin A, D, E and K are fat soluble.
They are present in vegetables, fruits, dairy and meat products. Although vitamins do not convert into ATP directly, but they perform significant functions responsible for energy generation. For example, vitamin B12 assists in red blood cell formation, vitamin D increases muscle function thus metabolism of glucose to produce energy.
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a client is scheduled for an upper gastrointestinal barium study. which teaching will the nurse provide for the client to prepare for this diagnostic test?
The nurse should advice client to only have fluids.
Prior to this test, your doctor may advise without eating, drinking, or chewing gum the night before or in the morning. Food obstructs the view of your GI system on X-rays, thus your stomach must be empty. A little sip of water may be taken together with your regular medications if your doctor approves.
Drinking clear liquids up to 5 hours before the procedure's start time (water, Seven-Up, ginger ale, or apple juice) is right for procedures that are scheduled to begin after noon. Still, you shouldn't eat anything substantial after midnight the previous evening.
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in virginia, a period of accidental and health insurance coverage which may be applied to reduce the length of a pre existing condition exclusion under a new plan is called
A period of accidental and health insurance coverage which may be applied to reduce the length of a pre existing condition exclusion under a new plan is called Creditable coverage
What is Creditable coverage ?When you first become eligible for Medicare, the Notice of Creditable Coverage serves as documentation of your insurance. Every year, a Notice of Creditable Coverage is mailed to people who have creditable coverage through their workplace or union. You are being notified that your existing coverage is acceptable.
Prescription drug coverage offered by a group health plan is deemed creditable if its actuarial value is equivalent to or greater than that of typical Medicare Part D prescription drug coverage. "Non-creditable" prescription drug coverage is that which does not adhere to this requirement.Learn more about Creditable coverage here:
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when adding the prescribed end-expiratory pressure therapy to a patient's mechanical ventilator settings, the nurse would associate the therapy with the development of which complication?
When adding the prescribed end-expiratory pressure therapy to a patient's mechanical ventilator settings, the nurse would associate the therapy with the development of complications of respiratory aid Pulmonary barotrauma.
An infection is the major danger of mechanical ventilation because the artificial airway (the breathing tube) might allow bacteria to enter the lung. The risk of infection is highest during the first two weeks of mechanical breathing and rises with duration. Positive-pressure breathing is known to cause pulmonary barotrauma. Consequences might include pneumothorax, pneumomediastinum, pneumoperitoneum, and subcutaneous emphysema.
A reduction in venous return, right ventricular output, and pulmonary blood flow are caused by positive pressure ventilation's increased intrathoracic pressure during inspiration. Ventilator-associated pneumonia is the most prevalent illness among patients on mechanical ventilation who also receive positive pressure ventilation. Due to the high intrathoracic pressure (ITP), positive pressure ventilation made it difficult for the right ventricle to fill with blood, which in turn decreased cardiac output.
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which complication is the nurse's main priority during the early postoperative period after a subtotal thyroidectomy?
Given that hypocalcemia is a potential side effect after partial thyroidectomy, the nurse should be on the lookout for it in the patient.
How does a woman's period feel?Even though it appears to be a lot of blood, a girl typically only sheds a few teaspoons of blood throughout her entire period. About three to six times per day, most girls have to replace their pads, tampons, or menstrual cups.
Why do women get their period?When you have a period as a woman, your body lets go of tissue that is no longer needed. Your body gets ready for pregnancy each month. Your uterus' lining thickens in anticipation of housing a fertilized egg. A fertilized egg that is ready to implant itself in the lining of the womb is released.
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the nurse is caring for a client suspected of having stones that have collected in the common bile duct. what test should the nurse prepare the client for that will locate these stones?
Based on the fact that the nurse is caring for a client suspected of having stones that have collected in the common bile duct, the test that should be conducted is Ultrasonography
What is Ultrasonography?This refers to the procedure that is taken by a medical professional or practitioner in order to work on suspected gallbladder or biliary tract disease.
Hence, it can be seen that based on the given question, there is a suspicion that there are stones that have been collected in the common bile duct and the test that the nurse should prepare the client for that will locate these stones is Ultrasonography
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on examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. what is the nurse's highest priority?
A nurse who is evaluating a lady who gave birth five hours earlier discovers that after 15 minutes, the mother completely drenched a perineal pad. The nurse begins by massaging the patient's fundus.
What is endometrial fundus?Similar to the rest of the uterus, the fundus comprises three layers. The perimetrium surrounds the organ from the outside. The second layer, which is muscular, is the myometrium. the mucous membrane and inner channel of the uterus is the endometrium.
These tubes aid in the movement of eggs into the uterus from your ovaries. The cervix is the bottom portion of the uterus that joins to the vagina. The corpus or fundus refers to the upper, larger region of the uterus.
The fundus, a broad area at the top of the uterus, will house a fertilised embryo as it develops into a baby and will be the superior-most part of the uterus.
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after explaining the causes of hypothyroidism to the parents of a newly diagnosed infant, the nurse should recognize that further education is needed when the parents ask which question?
The correct answer is option C, which says, hypothyroidism can we treated by exposing are baby to a special light, right?
Hypothyroidism is the condition of the body when the thyroid gland does not produces enough amount of important hormones which are crucial for the metabolism of the body.
When the parents say that hypothyroidism can be treated my exposing our child to a special light is completely wrong this is why the nurse recognize that further education and information to be given to the parents so that they can have more knowledge about hypothyroidism.
Hypothyroidism has nothing to do with the special kind of light it is and Radioactive rays which are used sometimes so that hypothyroidism can be treated. When it is present in a very bad condition in the body.
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Complete question - After explaining the causes of hypothyroidism to the parents of a newly diagnosed infant, the nurse should recognize that further education is needed when the parents ask which question?
a) "So, hypothyroidism can be only temporary, right?"
b) "Are you saying that hypothyroidism is caused by a problem in the way the thyroid gland develops?"
c) "So, hypothyroidism can be treated by exposing our baby to a special light, right?"
d) "Do you mean that hypothyroidism may be caused by a problem in the way the body makes thyroxine?"
what additional nursing theory from our readings could also align with an improved quality of practice initiative?
Florence Nightingale's nursing theory is an dditional nursing theory from our readings that could also align with an improved quality of practice initiative.
Nursing Concepts and Theory Models According to Florence Nightingale
In her conceptual model, Florence Nightingale positions the environment as the main focus of nursing care so that nurses do not have to understand the entire disease process. This concept model is an attempt to separate the nursing profession from medicine. In general, the nursing care provided is more oriented to the provision of air, light, cleanliness, environmental comfort, tranquility and adequate nutrition (vitamins and minerals are given in sufficient quantities), starting with data collection compared to mere treatment measures. The effort of this theory is for nurses to be able to carry out independent practice without being dependent on other professions.
The Three Major Environments In Florence Nightingale's Theory
1. Physical Environment
According to Florence Nightingale, the basic natural environment is related to ventilation and air. A clean physical environment will greatly affect the patient wherever the patient is, whether in the room it must be free from dust, odors, and smoke. Likewise, the bed must be clean, the room warm, the air clean and not humid.
2. Environmental Psychology
According to Florence Nightingale, negative environmental conditions can cause physical stress and adversely affect the patient's emotions. Therefore, the patient is required to maintain physical stimulation. Getting enough food and sunlight, as well as doing manual activities that can stimulate all the factors to be able to maintain his emotions. Communication that exists with the patient is seen in an overall environmental context, communication should not be carried out in a hurry or discontinuous.
3. Social Environment
According to Florence Nightingale, observations from the social environment, especially specific relationships, specific data are collected and then associated with disease states, this is very important for disease prevention. Thus, every nurse must exercise their observational skills in connecting specific cases more than just the data shown by patients in general.
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Blocking all translation in hormone secreting cells would most immediately impact secretion of? insulin cortisol norepinephrine estradiol epinephrine
Blocking all translation in hormone secreting cells would most immediately impact secretion of insulin .
The majority of hormones are released into the body's general circulation to act on the proper distant target tissues. There are significant exceptions, though, including self-contained portal circulations, in which blood is diverted to a particular location. Capillary beds are where a portal circulation starts. Capillaries join together to form a group of veins as they move out from the capillary bed, and the veins eventually separate to create another capillary bed. The tissues that are fed by the second capillary bed are the only ones to get blood drawn from the first capillary bed.
The human body contains two portal circulations that transfer hormones. Blood is gathered by one system, the hypothalamic-hypophyseal portal circulation, from capillaries that originate in the hypothalamus.
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a nurse refers a client with severe anxiety to a psychiatrist for medication evaluation. the physician is most likely to order which psychotropic drug regimen on a short-term basis?
a nurse is teaching a client about diaphragmatic breathing. what client action indicates that further teaching is needed?
If the client exhales forcefully with a short expiration indicates then it indicates that further teaching is needed to illustrate diaphragmatic breathing.
What is the diaphragmatic breathing method?The diaphragmatic breathing method is a respiratory strategy based on the use of the diaphragm muscles, which include deep breathing and paused cycles and it is associated with the relaxation of the lung tissues.
Therefore, with this data, we can see that the diaphragmatic breathing method involves the use of the diaphragm muscles during the breathing process and it may enhance breathing by relaxation.
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What best describes when the majority of case report form (crf) data are verified against source record information?
Periodic site visits describe when the majority of case report form (CRF) data are verified against source record information.
Describe the case report form (CRF).In clinical research, a case report form (CRF) is a specific document. It should be driven by the study protocol, have substantial content, and have materials to gather the study's unique data.
What information is contained in a case report?Data gathered during the patient's involvement in the clinical trial is recorded in case report forms.
How may a case report form be made more effective?To meet the demands of everyone who handles data, including investigators, data managers, biostatisticians, clinical research monitors and coordinators, database developers and programmers, and data entry employees, etc., case report form designs should be standardized. An efficient CRF design would always be simple to use.
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Orthostatic hypotension can cause a feeling of light-headedness or dizziness if one stands up too quickly. Why can standing quickly cause this to occur?.
The reason why Orthostatic hypotension occurs quickly in a standing position is the percolation of blood around the legs die to change in gravity.
What is Orthostatic hypotension?We must recall that the term "hypotension" is synonymous with the decrease in the blood pressure. So it can just be said to mean, a situation in which a person has a low blood pressure.
On the other hand, Orthostatic hypotension is a unique case of low blood pressure that is rampant when you are standing or sitting. It is caused by the fact that the change in the gravity could cause blood to accumulate around the legs.
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which technique would prove that a patient was exposed to a certain virus even if it is no longer in their system?
The technique which could prove that a patient was exposed to a certain virus is: the plaque reduction neutralization test (PRNT). This technique can expose the virus even if it is no longer in their system.
What is a plaque reduction neutralization test?The plaque reduction neutralization test, also known as PRNT, is used to measure the patient’s antibody ability to neutralize the virus and protect their cells from infection. Using the PRNT, the nurse can test their patient’s ability to neutralize the virus, even if it does not exist in their system anymore. This test is very effective in giving information about the virus exposure history of the patient.
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which occurs when a patient reports that another provider sent the patient to the provider, but the first provider didnot schedule the appointment or document a request for services?
Referral occurs when a patient reports that another provider sent the patient to the provider.
The Referring Provider is the person that referred the patient to the provider providing the services being reported. A Rendering Provider is a someone who provides services or care to another person/patient.
Examples include, but are not limited to, a primary care provider referring to a specialist, an orthodontist referring to an oral and maxillofacial surgeon, a physician referring to a physical therapist, and a provider recommending to a home health service.
When a patient is sent to a physician who also prescribes and conducts a diagnostic service, the diagnostic service requires its own claim form. A referring physician is a physician who makes a reference as defined in this section, or who directs or controls referrals made by another person or entity.
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a nurse is assessing a child with a tick-borne disease. what finding would indicate to the nurse that the child has developed ehrlichiosis and not rocky mountain spotted fever?
Absence of rash would indicate to the nurse that the child has developed ehrlichiosis and not rocky mountain spotted fever
What is tick-borne disease ?Through the bite of an infected tick, tick-borne illnesses are spread. These include Tularemia, Powassan Rocky Mountain Spotted Fever, Babe-siosis, Anaplasmosis, and Ehrlichiosis. Bacteria, viruses, or parasites may be present in ticks.
The bacterium Borrelia burgdorferi and, in rare cases, Borrelia mayonii are the culprits behind Ly-me disease. Through the bite of infected blacklegged ticks, it is transferred to people. Fever, headaches, exhaustion, and the distinctive skin ra-sh known as erythema migrans are typical symptoms.The majority of Lyme disease cases can be healed with a 2- to 4-week course of oral antibiotics, but patients can occasionally experience pain, exhaustion, or problems thinking for more than 6 months after finishing therapy. "Post-Treatment Ly-me Disease Syn-drome" is the name of this ailment (PTLDS).Learn more about Tick-borne disease here:
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Physical
means that you have more than enough
to complete
tasks. Someone physically fit has a
risk of
problems including
and
disease.
Physical means that you have more than enough to complete tasks. Someone physically fit has a risk of problems including disease but is comparatively less.
Physical fitness is described by experts as "one's capacity to carry out everyday activities with maximum efficiency, strength, and endurance while managing the illness, exhaustion, and stress and reducing sedentary behavior." This goes beyond just being able to sprint fast or lift a lot of weight.
Fitness is defined as the quality or state of being fit and healthy.
Someone who is physically fit with a good state of physical well being and mental well being have the risk of diseases but those are comparatively less because the person has good immune system.
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the client with chronic kidney disease is exhibiting signs of anemia. which is the best nursing rationale for this symptom?
The client with chronic kidney disease is exhibiting signs of anemia and the best nursing rationale for this symptom is diminished erythropoietin production.
Anemia happens once your blood does not have enough red blood cells. this will happen if: Your body does not build enough red blood cells. hurt causes you to lose red blood cells additional quickly than they'll get replaced. Your body destroys red blood cells.
When your kidneys are broken, they turn out less glycoprotein (EPO), a endocrine that signals your bone marrow—the spongy tissue within most of your bones—to build red blood cells. With less erythropoietin production, your body makes fewer red blood cells, and fewer element is delivered to your organs and tissues.
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the nurse is providing discharge teaching to a client recovering from a burn injury. what recommendation should the nurse make to help the client increase nutritional density of in the diet?
The recommendation that the nurse should make to help the client increase nutritional density of in the diet is putting a whole milk products to foods when and where possible.
What is the course of action for burn injuries?As soon as possible after the burn injury, cool the burn with cool or lukewarm running water for 20 minutes. Never use creams, iced water, or anything fatty like butter or ice. Warm up both you and the other person.
Note that An injury to the skin or other organic tissue known as a burn is one that is primarily brought on by heat, radiation, as well as radioactivity, electricity, and following the nurse instruction above is the right thing to do.
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what is an amount of medication required to produce a specific effect, the size of which varies for each drug, is a:
How much of a drug is needed to produce a certain effect, which varies for each drug, is the dose.
Drug dose is a certain amount or dose of a drug that gives a certain effect on a disease. The dose of the drug must be appropriate because if the dose is too low, the therapeutic effect will not be achieved. Conversely, if it is excessive, it can cause toxic effects or poisoning and even death.
Understanding drug dose
The dose of a drug is the amount of a drug that can be used or given to a patient either for internal or external use. Types of dose includes 2 doses, namely:
• Maximum Dose (maximum)
Valid for one-time and daily use. Submission of drugs with doses exceeding the maximum dose can be done by putting an exclamation mark and the doctor's initials, writing the prescription, underlined under the name of the drug or the number of drugs should be written in full letters.
• Usual Dosage
It is a non-binding guide but is used as a general guideline (usual / commonly used dose).
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which life-threatening condition would the nurse monitor for potential development when providing care
Tension pneumothorax is a life-threatening condition would the nurse monitor for potential development when providing care.
A tension pneumothorax is a severe circumstance that results whilst air is trapped within the pleural area below effective pressure, displacing mediastinal structures, and compromising cardiopulmonary features. The early popularity of this condition is lifestyle-saving both outdoors in the health facility and inside the current ICU.
A pneumothorax may be because of a blunt or penetrating chest injury, positive scientific strategies, or damage from an underlying lung disorder. Or it can arise for no apparent cause. symptoms normally include sudden chest pain and shortness of breath.
Prevention consists of elevating the pinnacle of the bed 30-forty five levels, imparting everyday oral hygiene with chlorhexidine answer, training strict hand hygiene, and acting daily sedation vacations.
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a pediatric nurse is providing care for a 7-year-old boy who has been diagnosed with glomerulonephritis. in addition to monitoring this child's blood work closely, what other assessment should prioritized in order to gauge the progression of his disease?
The 7-year-old boy has been diagnosed with glomerulonephritis. in addition to monitoring this child's blood work closely his daily weight need to be assessed.
Weight is the most reliable indicator of fluid intake or output and the assessment of insensible losses in a critically sick patient with renal illness. Accurate intake and output measurements can be challenging. Daily weights would therefore take precedence over respiratory auscultation and apical pulse rate, even if each should be done due to their importance for glomerulonephritis consequences. Skin turgor measurement is not a reliable indicator of fluid balance.
In order to maintain healthy levels of electrolytes (salts in solution) in all of the body's fluids, fluid balance, a component of homeostasis, requires that the amount of water in the organism be managed by osmoregulation and behavior.
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