On the skin, use a barrier/healing cream or paste.
To encourage healing and avoid further skin breakdown, the nurse should apply a barrier/healing cream or paste to the area around the stoma. When used on nonintact skin, fragranced or alcohol-containing diaper wipes can sting and aggravate skin breakdown. The barrier wafer is useful, but it does not solve skin deterioration.
Skin disintegration can be caused by friction, shear, dampness, pressure, or trauma. These causes can damage and hurt skin either collectively or separately. Skin disintegration can also be caused by immobility, poor nutrition, incontinence, drugs, dehydration, altered mental status, and loss of sensation.
Minor scrapes, cuts, rips, blisters, or burns can all result from skin disintegration. Minor skin breakdown is damage to the top layer of skin caused by friction, shear, dampness, or pressure.
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a nurse is providing discharge instructions to a client who was admitted for a respiratory illness.the nurse is teaching about infection prevention precautions. the nurse asks the client about where the client lives. the client describes the place where they live with others, share housekeeping tasks, and attend group meetings every day. what is the kind of housing the client is describing?
Answer:
Transitional housing
Explanation:
a client with polycythemia vera reports gouty arthritis symptoms in the toes and fingers. what is the nurse's best understanding of the pathophysiological reason for this symptom?
Symptoms of limp polycythemia vera are fatigue, dizziness or headache, blurred vision, nosebleeds, excessive sweating, difficulty breathing, itching, numbness in the hands or feet, and skin turning red. If symptoms of gouty arthritis occur, there may be an increase in uric acid.
Polycythemia vera is a blood disorder that causes the body to produce too many red blood cells. This disorder occurs due to malignancy of the growing blood cells when the bone marrow produces too many red blood cells.
Increased levels of uric acid in the blood (hyperuricemia) are a major factor in the occurrence of gouty arthritis. Problems will arise if monosodium urate (MSU) crystals form in the joints and surrounding tissues.
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what is a common outcome of weight cycling (yo-yo dieting)? question 33 options: decreased likelihood that future weight loss efforts will be successful malnutrition anorexia nervosa redistribution of subcutaneous body fat
A common outcome of yo-yo dieting results in a decrease in the likelihood that future weight loss efforts will be successful
The type of dieting in which the weight of the body increase and decreases like a yo-yo is called Yo-yo dieting. In common terms, Yo-yo dieting is called weight cycling during which the person gains more weight by dieting and then immediately moves to decrease it again by dieting.
This type of dieting causes the following consequences:
It leads to obesity.
During the high-weight stage, this causes the presence of high-fat content in the body.
It causes an increased risk of diabetes, heart problem, muscle loss, fatty liver, blood pressure, etc.
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the nurse is performing a cardiopulmonary assessment on a 6-year-old client. which finding would cause the nurse to anticipate treatment for pertussis?
Understanding the clinical presentation of pertussis according the cardiopulmonary assessment is necessary for managing the disease in an environment with high vaccine uptake.
What exactly is a cardiopulmonary evaluation?Cardiopulmonary exercise test (CPET) evaluates integrative exercise reactions that occur the pulmonary, cardiovascular, hematological, cognitive, and skeletal muscle systems, that are not sufficiently reflected thru the measurement of individual multiple organ function.
How are tests for cardiopulmonary exercise conducted?The patient will need to exercise moderately on an erect bicycle while using a mouthpiece to breathe during the CPET test. Each breathe will be counted in order to gauge the body's functioning. Before and after exercise, the lungs' strength and capacity are assessed.
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the healthcare provider prescribes acetazolamide (diamox) 600 mg/m2/day divided into 3 doses. the nurse calculates the child's body surface area (bsa) as 0.7 m2 . how many mg should the child receive per dose? (enter the numeric value, whole number, only.)
The child should receive 140 [tex]\frac{mg}{dose}[/tex]. Acetazolamide is used to treat glaucoma, a disorder in which elevated eye pressure causes progressive visual loss.
Acetazolamide lowers intraocular pressure. Start with 25 mg/kg/24 hours divided 1-4 times daily, then pressure gradually increase by 25 mg/kg/24 hours until clinical response or as tolerated, up to a maximum of 100 mg/kg/24 hours. You should not take acetazolamide if you are allergic to it, or if you have severe liver disease or cirrhosis or pressure, severe renal illness, or an electrolyte imbalance such with acidosis or low blood potassium or sodium levels.
Using the child's BSA,
BSA = 0.7 [tex]m^{2}[/tex],
calculating the [tex]\frac{mg}{dose}[/tex],
600 mg x 0.7 [tex]m^{2}[/tex] = 420 [tex]\frac{mg}{dose}[/tex]
= 140 [tex]\frac{mg}{dose}[/tex]
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the nurse is preparing discharge teaching for a client admitted for sepsis. the client asks what is included when the nurse checks vital signs. which assessment(s) is included? select all that apply.
Included in the examination of vital signs are body temperature, pulse rate, respiratory rate, and blood pressure. Although blood pressure is not actually considered a vital sign, it is often measured together with vital signs.
Sepsis begins when germs that cause infection have entered the bloodstream. Toxins from these bacteria then attack the functions of various vital organs, such as changing body temperature, heart rate, and blood pressure. This then causes widespread and uncontrollable inflammation.
Symptoms include fever, difficulty breathing, low blood pressure, fast heart rates, and mental confusion. Treatment includes antibiotics and intravenous fluids. Sepsis is serious enough to cause failure in the function of vital organs such as the lungs and kidneys.
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which strategy would the nurse include in the client's plan of care regarding preventing the development of ureteral colic from renal calculi in the future
Strategy that the nurse include in the client's plan of care regarding preventing the development of ureteral colic from renal calculi in the future is by making client deink lots of water.
How is ureteral colic caused?Ureteric colic is a medical condition that is characterized by the presence of a urinary stone causing severe urinary system pain.
The most important thing to prevent kidney and ureteral stones is to drink lots of fluids. Drinking fluids will help in passing more urine which is important in preventing stones.
To avoid getting renal colic in the future, these steps can be taken to prevent urinary stones: Drinking at least 8 to 10 glasses of water everyday, cutting back on salt in your diet, limiting red meat, fish, and eggs.
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a patient has suffered repeated upper respiratory infections. the patient is now complaining of ear pain, muffled sound, and crackling noises. the patient does not exhibit any signs of equilibrium problems. what is the probable cause of these symptoms?
An affected person has suffered repeated upper respiration infections. the affected person is now complaining of earache, muffled sounds, and crackling noises. the affected person does now not show off any signs of equilibrium issues or infection of the middle ear equilibrium is detected in the internal ear.
A device referred to as a pneumatic otoscope is frequently the simplest specialized device a doctor wishes to diagnose ear contamination. This instrument permits the physician to look inside the ear and decide whether or not there is fluid at the back of the eardrum. With the pneumatic otoscope, the physician lightly puffs air against the eardrum.
Respiratory tract infections (RTIs) are infections of components of the body concerned with breathing, such as the sinuses, throat, airways or lungs. maximum RTIs get better without treatment, however from time to time you may need to see a GP.
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a nurse is assessing a patient with acute respiratory distress syndrome (ards). the patient is being mechanically ventilated with high levels of positive end expiratory pressure (peep). which assessment finding by the nurse indicates a complication is occurring associated with ventilator therapy?
The nurse who is assessing the patient with ARDS is mechanically ventilated with PEEP. While assessing the nurse find out that the patient has subcutaneous emphysema on the upper thorax which indicates the complication associated with ventilator therapy.
In the question, it is stated that the patient who is suffering from Acute Respiratory Distress Syndrome is being assessed by a nurse and is being ventilated with high levels of Positive End Expiratory Pressure. While assessing the patient the nurse faces complications with ventilator therapy this indicates that the patient has subcutaneous emphysema on the upper thorax.
The subcutaneous emphysema indicates barotrauma that is caused by positive ventilation and PEEP. These are indications that the PEEP levels should be reduced.
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the nurse caring for a small-for-gestational-age newborn in the special-care nursery. what characteristics are commonly documented? select all that apply.
Nurse is caring for a small-for-gestational-age newborn in the special-care nursery, then the characteristics that are documented are eating, weight and infection of the baby.
What characteristics are documented of small-for-gestational-age newborn?Small for gestational age is used to describe a baby who is smaller than the usual amount for the number of weeks of pregnancy and SGA babies have birthweights below the 10th percentile for the babies of same gestational age.
Babies with low birthweight is at increased risk for complications because babies tiny body is not that strong. They have a harder time eating, gaining weight and fighting infection. Because they have little body fat, therefore low birthweight babies have difficulty staying warm in normal temperatures.
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twenty four hours after a client returns from surgical gastric bypass, the registered nurse (rn) observes large amounts of blood in the nasogastric tube (ngt) cannister. which assessment finding should the rn report as early signs of hypovolemic shock?
Lethargy should the rn report as early signs of hypovolemic shock.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to the decrease perfusion to the brain which can manifests as lethargy or confusion.
An emergency situation known as hypovolemic shock occurs when the heart is unable to pump enough blood to the body due to significant blood or other fluid loss. Numerous organs may stop functioning as a result of this kind of trauma.
Causes
Hypovolemic shock results from a blood loss of at least one fifth of your normal blood volume.
Blood loss may result from:
cuts that are bleeding
bleeding from additional wounds
Internal bleeding, for instance, in the digestive system
When you lose too much bodily fluid due to other factors, your blood circulation may also suffer. This may be because of:
Burns \diarrhea
excessive sweating
Vomiting
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an adult client with newly diagnosed asthma presents for client education regarding situations that could precipitate an asthma attack. in this teaching, which precipitants would the nurse state may trigger an attack? select all that apply.
Asthma is most often caused by dust, cigarette, animal fur, cold air, physical activity, viral infections and chemical exposure.
Asthma triggerBacteria from dust are often the main trigger for asthma. These bacteria are called endotoxins, which are commonly found in household appliances, especially in the bedroom, which cause asthma symptoms.
Causes and trigger factors of asthma are divided into two groups, namely genetic factors and environmental factors. In genetic factors, the trigger for the disease is because family members have a history of asthma sufferers, a history of allergic diseases, or it could be because they were born prematurely. Meanwhile, on environmental factors, the triggers come from outside the body, such as vehicle fumes, cigarette smoke, cold air, flu and infections, dust, humidity in the house, and allergens.
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the mental health nurse is preparing a presentation about prescription drug abuse to a local community group. when describing the incidence, which age group would the nurse identify as experiencing an increase?
The mental health nurse ought to concentrate on both sexes between the ages of 12 and 17 for educational interventions linked to prescription medication addiction.
What is mental health?Our emotional, physical, and social well-being are all parts of our mental health. It influences our thoughts, emotions, and behaviors. Additionally, it influences how we respond to stress, interact with others, and make good decisions. Every period of life, from adolescence and childhood to maturity, is vital for mental health. Your emotional well-being is referred to as "mental health." Having a broad sense of wellbeing, confidence, and self-esteem is a sign of good mental health. Achieving strong mental health allows you to appreciate and design the life you desire, build healthy relationships with the others, and get through the day.
What is the main goal of mental health?The objectives for mental health and mental disorders have included raising the level of living and enhancing the health of persons who experience these issues. Mental diseases affect people of all ages and from all racial and ethnic backgrounds, but some subgroups are disproportionately affected.
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a client at an outpatient psychiatric clinic has been experiencing anxiety. the nurse would like to suggest activities for the client to do in their spare time. what would be an appropriate activity for the nurse to suggest to the client? select all that apply.
To take up a pastime, go on daily walks, and do stretching exercises, the nurse will advise the patient.
Providing care for people, families, and communities in order for them to achieve, maintain, or reclaim optimal health and quality of life is the goal of the nursing profession, which is part of the healthcare industry. By way of patient care philosophy, education, and practice area, nurse can be distinguished from other healthcare professionals. With varying levels of prescription authority, nurses practice in a wide range of specializations. In almost all healthcare settings, nurses make up the majority of the workforce, although there is evidence of a qualified nurse shortage on a global scale. Numerous nurses deliver care under the direction of doctors, and it is because of this conventional function that the public's perception of nurse as caregivers is created. A graduate degree in advanced practice nursing is required for nurse practitioners. But the majority of legal systems do allow them.
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the nurse is educating a patient diagnosed with angina pectoris about the difference between the pain of angina and a myocardial infarction (mi). how should the nurse describe the pain experienced during an mi? (select all that apply.)
It originates in the substernal region, manifests suddenly and lasts for a long time. It feels vise-like and spreads to the shoulders and arms.
What is a radiating thing?Something emits rays or waves when it radiates. Light and warmth are given forth by the sun. The warmth that a radiator emits may aid in your memory of this word if your home has one. Any object that emits rays or waves is said to be radiating.
What does someone emit?Most of the electromagnetic radiation that humans emit is infrared radiation, which has a frequency lower then visible light. This result does not only apply to people. Thermal radiation is produced by every item having a temperature greater than zero.
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four-year-old kitimbu has been tired, irritable, and inattentive for the last few months. because his diet lacks , he is likely suffering from .
Children who are easily tired, irritable, and neglectful during the last few months because of their diet are less likely to suffer from malnutrition.
Malnutrition is a condition when a child does not receive enough nutrients, minerals, and calories to help develop vital organs. Malnutrition will have an impact on the growth and health of children.
There are 4 factors underlying malnutrition, namely: the economy, sanitation, parental education, and parental behavior. Poverty is one of the socio-economic determinants, which is the root of the lack of food, crowded and unhealthy living quarters, and the inability to access health facilities.
The hallmark of malnutrition is weight loss, a risk of malnutrition with a body mass index below 18.5 kg/m2, decreased appetite and drinking and feeling tired and weak all the time.
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a client is being seen at the clinic for a routine physical when the nurse notes the client's blood pressure is 150/97. the client is considered to be a healthy, well-nourished young adult. what type of hypertension does this client have?
Essential (primary) type of hypertension does client have
What is Primary type of hypertension ?Most adults with high blood pressure have no known reason. Primary hypertension, also known as essential hypertension, is this kind of high blood pressure. It often grows gradually over a long period of time. Atherosclerosis, or artery plaque buildup, raises the risk of high blood pressure.
The underlying causes of primary and secondary hypertension are different from one another. Secondary hypertension has a known aetiology, but primary hypertension has no known cause. High blood pressure is a symptom of both primary and secondary hypertension.Learn more about Hypertension here:
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a client with major depressive disorder is prescribed new drug therapy. to best test the client's adherence to this therapy, which information would the nurse include in the teaching plan for the client? select all that apply.
Answer:
The length of time treatment is anticipated
The possibility that two or more drugs will be prescribed
A detailed description of possible side effects
The importance of staying in touch with a mental health care provider.
which of the following is not a true statement? question 1 options: cooking in iron skillets can provide dietary iron. vitamin c enhances iron absorption. phytates in cereal enhance the absorption of iron. calcium supplements decrease iron absorption.
[C] Phytates in cereal enhance the absorption of iron is not a true statement.
Why is iron beneficial to the body?
Hemoglobin, a class of proteins found in red blood cells and responsible for transporting oxygen from your lungs to every part of your body, is heavily reliant on iron. Fatigue results from a lack of red blood cells, which carry oxygen, caused by an inadequate intake of iron.
Red blood cells, which transport oxygen throughout the body, are made with the help of iron. Iron deficiency anemia can be brought on by a lack of iron.
Therefore, A nutrient called iron has a variety of vital functions in your body, including preserving your health and giving you energy.
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a client comes to the emergency department (ed) reporting precordial chest pain. in describing the pain, the client describes it as pressure with a sudden onset. what disease process would the nurse suspect in this client?
The nurse suspects that the patient is having coronary artery disease.
Coronary artery disease causes decreased blood flow in the arteries delivering blood to the heart (CAD). The most common kind of heart disease, known as coronary heart disease (CHD), affects around 16.5 million Americans over the age of 20.
Additionally, it is the leading cause of mortality for both men and women in the US. A heart attack happens in the United States once every 36 seconds, according to a trustworthy source.
You may have greater symptoms if your blood flow is more restricted. If a blockage totally or virtually completely stops blood flow, your heart muscle will start to degrade if it is not repaired.
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numerous studies, including genetic studies, randomized controlled trials on lipid lowering medications, and observational studies point to ldl having a causal role in heart disease. which term best describes the concept that ldl plays a causal role in heart disease?
Theory term best describes the concept that ldl plays a causal role in heart disease.
What is defined as heart disease?Heart disorders of various kinds are referred to as "heart disease." Coronary artery diseases (CAD), that affects heart blood flow, is the most prevalent kind of heart disease in the US. A heart attack may be brought on by decreased blood flow. A test that captures the heart's electrical activity is called an electrocardiogram (ECG). The ECG shows what is happening throughout the heart and aids in identifying any issues with heart rhythm or rate.
Can heart disease be cured?Although there is no known cure for coronary heart disease, treatment can help alleviate the symptoms and lower the risk of complications like heart attacks. Treatment options include modifying one's lifestyle to include regular exercise and quitting smoking.
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the nurse is caring for a client who underwent surgery to remove a spinal cord tumor. when conducting the postoperative assessment, the nurse notes the presence of a bulge at the surgical site. the nurse suspects the client is experiencing what complication from the surgery?
The nurse is worrying about a customer who underwent a surgical procedure to dispose of a spinal wire tumor. while undertaking the postoperative assessments a Cerebrospinal fluid leakage.
A spinal CSF leak takes place anywhere inside the spinal column. A cranial CSF leak takes place in the cranium. The maximum common symptom of a spinal CSF leak is a headache, whilst a cranial CSF leak causes signs along with clear fluid leaking from the nose or ear. some CSF leaks may also heal with conservative treatments including mattress rest.
A CSF leak results from a hollow or tears within the dura, the outermost layer of the meninges. reasons for the hole or tear can include head damage and mind or sinus surgical treatment. CSF leaks may additionally occur after a lumbar puncture, additionally referred to as a spinal faucet or spinal anesthesia. Spontaneous CSF leaks also can occur for no regarded reason.
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Can someone give me more information about Euthanasia besides the definition and types?
Answer:
The alternatives to euthanasia are hospice or palliative care. Often people who lean toward euthanasia are those who fear pain, poor quality of life, burdening loved ones with their care, etc. Self-administered euthanasia: the patient administers the means of death. Other-administered euthanasia: a person other than the patient administers the means of death. Assisted: the patient administers the means of death but with the assistance of another person, such as a physician. There are 4 main types of euthanasia, i.e., active, passive, indirect, and physician-assist. Active euthanasia involves “the direct administration of a lethal substance to the patient by another party with merciful intent” [2].
a client with a 3-day history of nausea and vomiting presents to the emergency department. the client is hypoventilating and has a respiratory rate of 10 breaths per minute. the electrocardiogram (ecg) monitor displays tachycardia, with a heart rate of 120 beats per minute. arterial blood gases are drawn and the nurse reviews the results, expecting to note which finding?
A client with a 3-day history of nausea and vomiting presents to the emergency department. the client is hypoventilating and has a respiratory rate of 10 breaths per minute. Respiratory acidosis.
Hypoventilation is breathing which is too shallow or too sluggish to satisfy the desires of the frame. If a person hypoventilates, the frame's carbon dioxide degree rises. This reasons a buildup of acid and too little oxygen in the blood. a person with hypoventilation would possibly sense sleepy
Hypoventilation refers to a kingdom of decreased or inadequate ventilation. Many elements can contribute to hypoventilation. but, the primary reasons for hypoventilation are principal frightened device depression, neurological disorder, or issues of the respiration muscle groups.
A prognosis is generally made by the clinician's attention that alveolar hypoventilation is regularly related to positive scientific problems. Investigations consist of arterial blood fuel analysis, pulmonary characteristic checks, measurement of breathing muscle electricity, and a single-day polysomnogram.
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the nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. the coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. which is the most appropriate action by the nurse?
The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Then Calling the nursing supervisor is the most appropriate action by the nurse.
A plunger that snugly fits inside a tube known as a barrel makes up a simple reciprocating pump known as a syringe. Through a discharge orifice at the front end of the tube, the syringe can take in and inject liquid or gas when the plunger is linearly pulled and pushed along the inside of the tube. Syringes are instruments used to inject drugs into the body or remove fluid. Hollow needles called "needles" are used to inject medications (drugs) under the skin. Syringes are instruments used to inject drugs into the body or remove fluid. Lancets, also referred to as "fingerstick" devices, are tools with a brief, two-edged blade used to draw blood for testing. The buttocks, thigh, upper arm, and hip are the ideal locations for intramuscular injections.
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a client describes chest pain as sharp, substernal, of intermittent duration, and radiating to the arms and back. the client says the pain increases with inspiration and swallowing and is alleviated when sitting upright. what does the nurse suspect the client may be experiencing?
The nurse may be suspecting that the client may be experiencing pericarditis.
The pericardium, a slender, two-layered sac that surrounds your heart, becomes inflamed when you have pericarditis. Your heart is kept in place inside the chest wall by the pericardium.
Small amounts of fluid are positioned between the layers to minimize friction when the heart beats. Chest pain might be caused by the layers escalating in inflammation.
Most cases of pericarditis have an unknown etiology, however viral infections account for 80 to 90% of cases. It usually only lasts a few weeks Reliable Source.
Pericarditis typically goes away on its own. However, there are several treatments that can shorten the severity of the ailment and stop recurrences.
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the nurse is part of the healthcare team caring for a client in the emergency department. when the sodium level of 128 meq/l comes back with the chemistry blood panel, which client history would the nurse expect to review in the medical record?
A client with a sodium level of 128 mEq/L returns on a chemical blood panel, the history to be reviewed by the nurse is hyponatremia.
What are the normal levels of sodium in the body?
Under normal conditions, the level of sodium in the blood is 135–145 mEq/liter (milliequivalent per liter). A person with sodium levels less than 135 mEq/liter is considered to have hyponatremia.
Hyponatremia is an electrolyte disorder that occurs when the level of sodium (sodium) in the blood is lower than normal. This abnormal level of sodium can be caused by many things, from health conditions to the use of certain medications.
In our body, sodium has many functions, among others, to control water levels in the body, maintain blood pressure, as well as regulate the nervous system and muscle performance.
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a nurse is caring for a patient in hospice care. which changes to the sensory system indicate the patient is approaching death? select all that apply. diminished taste or smell hypersensitive cough reflex difficulty hearing soft sounds persistent stare with no blinking lack of sensation when skin is touched
Diminished taste or smell, hypersensitive cough reflex, difficulty hearing soft sounds, persistent stare with no blinking and lack of sensation when skin is touched, all these options indicate patient is approaching death.
The patient approaching death is seen to lose the taste, smell and hearing abilities for soft sounds. They also experience absent blink reflex and sensation for pain and touch.
The active dying phase is seen for around three days close to death. It can be identified through irregular breathing pattern, patient seems to be in coma, their skin changes colour, decrease and discolouration in urine, fluid buildup in lungs evident by gurgling sounds and hallucinations.
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ovulation typically occurs group of answer choices in the first 1-3 days of a woman's menstrual cycle. about halfway through a woman's menstrual cycle. in the final 1-3 days of a woman's menstrual cycle. only if a woman is pregnant.
Ovulation typically occurs about halfway through a woman's menstrual cycle.
What is Ovulation ?Your menstrual cycle includes ovulation. When your ovary releases an egg, it happens. It's possible that sperm fertilised the egg before it gets expelled. The egg could go to the uterus and implant if fertilised, leading to a pregnancy.
In a typical 28-day menstrual cycle, ovulation usually takes place about 14 days before the beginning of the subsequent period. The length of each person's cycle, however, may differ, as may the interval between ovulation and the beginning of the following menstrual cycle.Learn more about Ovulation here:
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a pregnant patient with anemia has been prescribed an iron supplement. the nurse determines that the patient is also using antacids for heartburn and advises the patient to discontinue this practice. which rationale supports this instruction to the patient?
Since the patient has anemia and has been prescribed an iron supplement, using antacids impairs the absorption of iron in the patient's body.
Anemia is a medical disorder where a person's blood oxygen level falls below a certain threshold or there is not enough oxygen-rich blood present. Iron deficiency is one of the primary causes of anemia in humans. Hemoglobin, an enzyme that gives blood its red color, is made by the body from iron, and red blood cells deliver oxygen for the body's needs. A person suffering from anemia may feel weak and worn out. The patient needs iron constantly to treat her anemia because she is pregnant and takes antacids, which prevent iron from being absorbed properly by her body. This is due to the possibility that antacids containing calcium could also compete with iron for absorption and impair iron absorption.
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