The client has developed peritonitis, a serious complication of peritoneal dialysis. Peritonitis is an inflammation of the peritoneum, the lining of the abdominal cavity.
Peritonitis is a serious medical condition that occurs when the lining of the abdominal cavity, known as the peritoneum, becomes inflamed. This can happen due to a number of reasons, such as a ruptured appendix, a bacterial infection, or a leaking abdominal organ. When peritonitis occurs, it is a medical emergency and can be fatal if not treated promptly. Symptoms of peritonitis include severe abdominal pain, nausea and vomiting, and fever. Treatment typically involves antibiotics and surgery.
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a client with peptic ulcer disease is experiencing fewer symptoms because of suppression of hydrochloric acid secretion into the lumen of the stomach. what category of medication is this client most likely receiving?
Proton pump inhibitor medication is this client most likely receiving
What is medication?
Both imparting knowledge to others and absorbing it from someone else are acts of education. Education also covers the institution of teaching as a whole as well as the information acquired through formal education or instruction.
What is Hydrochloric acid?
Hydrochloric acid is the aqueous solution of hydrogen chloride gas and the main component of gastric acid, an acid produced naturally in the human stomach to help digest food. Hydrochloric acid is synthetically produced for a variety of industrial and commercial applications
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. on day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. the parents ask whether they can hold their infant during his next gavage feeding. given that this newborn is physiologically stable, what response would the nurse give?
During the feeding, you may hold your baby. is the answer the nurse would give. The nurse, as a support person and teacher, is responsible for shaping the environment and making caregiving responsive to the needs of both the parents and the infant.
What does "100% oxygen flow" mean?
This oxygen is PURE, it contains only oxygen! As a result, whatever comes out of that flow meter has a FiO2 of 100%. Think about the following: If I set the oxygen flow rate to 1 L/min, I'll get 1 L/min of 100% oxygen.
Parental interaction by holding should be motivated during gavage feedings; nasal cannula oxygen therapy allows for easy feedings and psychological and social interactions. Swaddling and kangaroo care during feedings both provide positive interactions for the infant and help the infant associate feedings with effective interaction.
Therefore, the nurse's best response is to let the parents hold their baby.
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the cardiac monitor alarm alerts the critical care nurse that the patient is showing no cardiac rhythm on the monitor. when the nurse assesses the patient, the patient is found to be experiencing cardiac arrest. in providing cardiac resuscitation documentation, how will the nurse describe this initial absence of cardiac rhythm?
The nurse can describe the initial absence of cardiac rhythm in the patient found to be experiencing cardiac arrest as: asystole.
Cardiac arrest is the condition where the heart loses its function, and breathing and consciousness are also lost. This leads to collapse of the person. The sudden symptoms that may be the indicative of cardiac arrest are: chest discomfort, shortness of breath, heart palpitations, etc.
Asystole is also called flatline in general language. It is cessation in the electrical and mechanical activities of the heart. It is a type of cardiac arrest. The initial few minutes are quite crucial after asystole as with immediate medical care like CPR, the patient can be treated and the heart function can be regained.
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the nurse is explaining to new parents the various vaccinations their newborn will receive before being discharged home. which immunization should the nurse teach the parents about that will help decrease the incidence of hepatic disease later in life?
The Nurse advises getting hep B immunization to prevent hepatitis B. Cirrhosis and liver cancer can both be avoided later in life with it, according to research.
What causes infant liver disease?
Neonatal hemochromatosis, a condition previously known as gestational alloimmune liver disease, is the most frequent cause of abrupt liver failure in the newborn era. Following this are metabolic disorders, viral infections, hemophagocytic lymphohistiocytosis, and other uncommon causes.
According to a study, it can prevent both cirrhosis and liver cancer later in life.
Therefore, nurses inform the parents about factors that will lower the risk of developing liver disease in later life.
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considering the normal frequency of bowel evacuation, how infrequently can evacuation occur and still be considered within normal range? a. once a day c. once a week b. once every 2 days d. once every 2 weeks
Evacuation which occur Once a week and still be considered within normal range
What is bowel movement ?Faeces pass through the gut and out the anus, consisting of undigested food, bacteria, mucus, and intestinal lining cells. known also as defecation.
Brown, uniformly formed stools that don't hurt to pass and aren't too loose, hard, or painful are typically signs of a healthy bowel movement. There is no perfect range for everyone's bowel movements; the normal, healthy range may include one to three bowel movements per day or as little as three bowel movements per week.Normal bowel habits range from two or three evacuations per day to one per weekLearn more about Bowel movement here:
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an older adult is postoperative day one, following a coronary artery bypass graft (cabg). the client's family members express concern to the nurse that the client is uncharacteristically confused. after reporting this change in status to the health care provider, what additional action should the nurse take?
The nurse should check for examination of potential causes of the client's delirium.
The first step in treating delirium is to deal with any causes or triggers. This can entail quitting a particular medication, curing an illness, or correcting a bodily imbalance. The goal of treatment is to then create the ideal environment for both physical and mental recovery.
Once a patient is sent to the hospital, delirium can be brought on by a variety of circumstances, including surgery, an infection, seclusion, dehydration, inadequate nourishment, and drugs including sedatives, painkillers, and sleeping aids.
A neurological examination tests reflexes, balance, vision, and coordination. This can assist identify if delirium is brought on by a stroke or another illness. several exams. Blood, urine, and other tests may be required by the doctor.
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despite having been administered prescribed pain medication, a dying client is still experiencing dyspnea due to fear and anxiety. which nursing intervention should the nurse use to potentiate the effects of pain medication and help reduce the dyspnea?
If a nurse wants to enhance the effects of painkillers and lessen dyspnea, she should try progressive relaxation, imagery, and humor.
Which pain reliever is most frequently used?Acetaminophen. For mild to severe pain, such as that brought on by a headache, skin injury, or musculoskeletal disease, acetaminophen is typically prescribed as the first line of treatment. For the treatment of back pain and osteoarthritis, acetaminophen is frequently given.
What do drugs consist of?When used to cure, halt, and prevent disease, lessen symptoms, or assist in the diagnosis of illnesses, chemicals or other compounds are referred to as "medicines." Medical progress has made it possible to treat many diseases and save lives. Nowadays, medicines are made from a variety of sources.
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Common skin disorder characterized by flare-ups in which red papules covered with silvery scales occur on the elbows, knees, scalp, back, or buttocks.
Answer: Psoriasis is the skin disorder that cause flare-ups and red papules covered with silvery scales on the elbows knees scalp back and buttocks.
Explanation:
What causes Psoriasis The cause isn't fully understood But it is thought to be an immune system problem where infection fighting cells attack healthy skin cells by mistake.
Cold weather and dry conditions can trigger psoriasis.
What can you do to maintain psoriasis?
1. Take daily baths
2. Keep your skin moist
3. Cover the affected areas overnight
4. Expose your skin to small amounts of sunlight
5. Avoid scratching
6. Stay cool
7. Live a healthy life style
You can also visit these medical specialists
1. Dermatologist- For skin nails and Hair
2. Primary care provider- Gives diagnoses and treats diseases
3. Rheumatologist- Specializes in arthritis
a study sample who were free of bowel cancer were questioned extensively about their diet. they were followed for several years to see whether their eating habits will predict their risk of developing bowel cancer: this is an example of a:
To avoid getting sick with colon cancer, you have to maintain your diet. For those who have a history of bowel cancer or in order not to get colon cancer, it is necessary to avoid foods that are high in sugar and processed foods, such as snacks, smoked/processed meats, and ready-to-eat foods.
Colon cancer is a malignant tumor in the large intestine, which is characterized by changes in the pattern of bowel movements continuously.
Colon cancer can occur due to a lack of fiber diet, eating too much red meat and fat, smoking habits, and consumption of alcoholic beverages. Colon cancer is a dangerous disease because cancer cells that are not treated properly can spread to other organs and parts of the body.
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describe how you would draw on communication theories to design an intervention to increase childhood vaccine uptake among vaccine skeptical parents in the united states. make sure to discuss framing and draw on specific health behavior and communication theories as applicable
When designing an intervention to increase childhood vaccine uptake among vaccine skeptical parents in the United States, it is important to consider the theories of framing and health communication.
Framing theory posits that the way in which information is presented can influence how it is interpreted and how likely people are to act on it. In the context of vaccines, this means that pro-vaccine messages should be framed in a way that is likely to be effective with the target audience.
Health communication theory suggests that people are more likely to engage in healthy behaviors if they feel that they have the knowledge and skills to do so. In the context of vaccines, this means that parents should be provided with accurate information about vaccines and be given the opportunity to ask questions and get clarification. Additionally, parents should be given resources to help them make informed decisions about vaccines.
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a client who has experienced nonunion of a fracture is scheduled for bone grafting using cadaver bone. the client appears restless and anxious about the procedure. after determining that the client understands the surgical procedure, the nurse should explore which item next?
Bone grafting using cadaver bone is scheduled for a customer whose fracture has failed to heal. The customer seems uneasy and restless during the process. After ascertaining that the patient is aware of the surgical process, the nurse should inquire about any concerns the patient may have with developing hepatitis or perhaps an infection with the human immunodeficiency virus.
Without treatment (such as surgery), nonunion is a broken bone's inability to mend completely. It is common to refer to a fracture with nonunion as a "false joint" or pseudoarthrosis because it typically takes on the structural appearance of a fibrous joint. When there is no healing between two sets of diagnostic imaging, such as an X-ray or CT scan, the diagnosis is typically made. Usually, this happens 6 to 8 months later. A fracture's major consequence, nonunion, can happen when the fracture moves excessively, has insufficient blood supply, or becomes infected. Smokers are more likely to experience nonunion. Normal bone repair is halted or interfered with. In very few instances, a nonunion may continue to mend without treatment since the process of bone healing is highly unpredictable. Generally speaking, if a nonunion is still present at six months after the injury, it won't heal without special care, usually orthopaedic surgery. A delayed union is a non-union that eventually heals.
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a client is receiving 5% dextrose injection 500 ml iv with heparin sodium 25,000 units at 1,000 unit/hour per protocol for acute coronary syndrome (acs). the client's partial thromboplastin time (ptt) is 76 seconds. based on the acs protocol, the infusion should be decreased by 100 units/hour for a ptt between 71 to 80 seconds. the nurse should program the infusion pump to deliver how many ml/hour? (enter numeric value only, whole number.)
(1,000 units/hour plus 100 units/hour as per protocol) Change the infusion rate to 900 units/hour. Using the equation D/HxQ, 900 units/hour is divided by 25,000 units/500 ml, giving a result of 90/5ml
Definitions and examples of protocolFor the purpose of data transmission between digital equipment, such as computers, protocol is a collection of guidelines or procedures. There must be a prior agreement regarding the information's structure and the methods by which each party will send and receive it for computers to communicate information.
Which protocol categories are there?Network protocols can be broadly categorized into three groups. These include network communication and security protocols, as well as network management protocols: Common data transmission methods like TCP/IP and HTTP are examples of communication protocols.
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the nurse is caring for a client with essential hypertension. the nurse reviews lab work and assesses kidney function. which action of the kidney would the nurse evaluate as the body's attempt to regulate high blood pressure?
The kidney excretes sodium and water action of the kidney would the nurse evaluates as the body's attempt to regulate high blood pressure .
Blood pressure (BP) is the force exerted by moving blood against the walls of blood vessels. The heart's action of pumping blood through the circulatory system is primarily responsible for this pressure. The pressure in the major arteries is what is meant when the word "blood pressure" is used without a qualifier. Systolic pressure (maximum pressure during one heartbeat) over diastolic pressure (minimum pressure between two heartbeats) is the typical way blood pressure is expressed in the cardiac cycle. It is expressed in millimeters of mercury (mmHg) above the ambient air pressure.
Along with respiratory rate, heart rate, oxygen saturation, and body temperature, blood pressure is one of the vital indications that healthcare practitioners consider when assessing a patient's health. An adult's normal resting blood pressure is roughly 120 millimeters of mercury.
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a 40-year-old man newly diagnosed with hypertension is discussing risk factors with the nurse. the nurse talks about lifestyle changes with the patient and advises that the patient should avoid tobacco use. what is the rationale behind that advice to the patient?
Option B-Tobacco use increases the patient's concurrent risk of heart disease.
Several plants in the Solanaceae family genus Nicotiana go by the common name "tobacco," which is also the name for any product made from the cured leaves of these plants. N. tabacum is the most important commercial crop out of the more than 70 species of tobacco known. Some nations also employ the more powerful variety N. Rustica.
As well as cigarettes, cigars, pipes, and shishas, dried tobacco leaves are mostly used for smoking. Additionally, they are available for snuff, dipping, chewing, and snus use.
Besides harmala alkaloids, tobacco also contains nicotine, a stimulant that is extremely addictive. Many fatal diseases, notably those that affect the heart, liver, and lungs, are caused by or at risk due to tobacco smoking.
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if the oral dosing rate of a drug is held constant, what will be the effect of increasing the bioavailability of the preparation?
The oral dosing rate of a drug is held constant. Hence, the effect of increasing the bioavailability of the preparation will be: the steady-state plasma drug concentration that will be increased.
What is the steady-state plasma drug concentration?The steady-state concentration is a dynamic equilibrium in drugs that consistently stay for long and indefinite periods. The steady-state plasma drug concentration is consistent and has built up to a concentration level that effective for the treatment.
To calculate the steady-state plasma of the drugs, we can use this equation: the total exposure over 1 doing internal / the time of the dosing interval.
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curcumin is derived from black pepper and has been proven to prevent many types of cancer. select one: a. true b. false
It is FALSE to state that Curcumin which is derived from black pepper has been proven to prevent many types of cancer. This is because there is insufficient evidence to come to such a conclusion.
What is Curcumin?Curcumin is a brilliant yellow substance generated by Curcuma longa plants. It is the main curcuminoid found in turmeric, which is a member of the ginger family, Zingiberaceae. It is marketed as a herbal supplement, a cosmetic ingredient, a food flavoring, and a food coloring.
When used with aspirin, blood thinners (coumadin or heparin), nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, and anti-platelet medications, curcumin can increase the risk of uncontrolled bleeding (clopidogrel, ticlopidine).
Curcumin may aid in the treatment of oxidative and inflammatory disorders, metabolic syndrome, arthritis, anxiety, and hyperlipidemia, according to research. It may also aid in the treatment of exercise-induced inflammation and muscular soreness, hence improving recovery and future performance in physically active individuals.
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a 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (chf). her care provider has recently added spironolactone (aldactone) to the woman's medication regimen. the nurse should consequently assess for signs and symptoms of
A 66-yr-antique lady has complex medical records that include poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy, and chronic heart failure (CHF). her care provider has currently brought spironolactone (Aldactone) to the woman's medicine regimen. the nurse ought to consequently determine for signs and symptoms and symptoms of hyperkalemia.
Hyperkalemia is the scientific time period that describes a potassium level in your blood it is higher than every day. Potassium is a chemical this is critical to the characteristic of nerve and muscle cells, such as the ones for your heart. Your blood potassium degree is normally three.
If hyperkalemia comes on abruptly and you've got very excessive ranges of potassium, you can sense coronary heart palpitations, shortness of breath, chest pain, nausea, or vomiting. surprising or intense hyperkalemia is a lifestyle-threatening situation. It calls for instant hospital treatment.
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a patient with deep vein thrombosis is receiving an intravenous (iv) heparin infusion. he asks the nurse how this medication will help him. the nurse's response is accurately based on which concept?
Heparin is merely a type of anticoagulant that works by aiding antithrombin with inactivating factor Xa as well as thrombin, which reduces the production of fibrin and lowers the danger of blood clots developing.
What is thrombosis?
The end result of hemostasis's blood coagulation phase is a thrombus, sometimes known as a blood clot. A thrombus is made up of two parts: a plug of aggregate platelets & red blood cells and a web of cross-linked fibrinogen protein. The substance that make up a thrombus is referred to as cruor. Blood clots that block veins and arteries cause thrombosis. Chest discomfort, numbness solely on a single side of the body, and swelling and pain in one leg are symptoms. Heart attack and stroke are two types of life-threatening thrombosis complications.
What causes a thrombosis?
When blood circulation in your vein slows down or it becomes obstructed, blood clots may form. DVT becomes more likely if you have one or more of these risk factors: Being sedentary due to bed rest or sitting too long without moving, such as during travel. Family history of blood clots. The discomfort brought on by a DVT is typically experienced mostly in calf muscles and along the vein because it descends your inner leg. This could feel rather like a cramp and painful area.
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the nurse is caring for a woman who just delivered a healthy 7-pound baby 8 hours ago and is experiencing episodes of palpitations, heart rate is fluctuating between 90 and 120, blood pressure is 100/70. the client is questioning the nurse about her palpitations. what would be the most accurate response?
Answer:
Were keeping a check on it
Explanation:
With Hallucinogen use you develop a false sense of ______.
a 13-year-old boy comes to the er reporting fatigue and a rapid heartbeat. in conversation with the parent, it becomes apparent that the boy has grown 2 in (5 cm) in the previous 5 months. what is the first condition the health care team would attempt to rule out?
Iron-deficiency anemia is the first condition the health care team would attempt to rule out.
What is the main cause of fatigue?Most of the time, one of your routines or behaviors, especially lack of exercise, can be linked to exhaustion. It frequently has a connection to depression. Sometimes, exhaustion is a sign of various underlying illnesses that need to be treated by a doctor.
What removes fatigue?Many people find that maintaining a healthy diet and engaging in regular physical exercise can help them feel less worn out. It also helps to address the underlying causes of weariness, whether they be insufficient sleep or a medical issue. When weariness compromises safety, it becomes a problem for everyone's health.
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ben is a 56-year-old man who takes acid-reducing medications to treat a stomach ulcer. at his yearly check-up, he reports unusual fatigue, cold hands and feet, and difficulty concentrating on tasks at work. he most likly has a deficiency of:
He may have a calcium deficiency because the calcium excreted in the urine is also blocked by the kidneys. Yearly consumption of the drug can cause kidney disorders.
Stomach acidsAcid reflux is a digestive disease in which stomach acid or bile irritates the lining of the digestive tract. Symptoms include heartburn that usually occurs after eating and worsens when lying down. Relief from lifestyle changes and over-the-counter medications is usually temporary. Stronger medication may be needed. The correct diet for people with stomach acid is to consume food with a balanced nutritional intake, increasing fiber such as vegetables and fruit.
Avoid consuming foods that can trigger stomach acids, such as spicy, fatty, sour, chocolate, carbonated foods, and caffeine. Meet the needs of body fluids by increasing the consumption of water. Avoid consuming alcohol and smoking.
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Answer: Iron
Explanation:
the nurse provides care for a client who is one day postoperative. the client reports nausea and is refusing to eat. the nurse assesses the client by auscultating the abdomen. which cause will the nurse suspect if assessment reveals hypoactive bowel sounds?
Emaciation, a continuous pursuit of thinness and refusal to maintain a normal or healthy weight, a distortion of body weight and very disordered eating behaviour are all symptoms of anorexia nervosa.
Anorexia nervosa, often known as anorexia, is an eating disorder characterised by underweight, dietary restriction, body weight disturbance, anxiety of gaining weight, and an overwhelming desire to be small. Anorexia nervosa's physical indications and symptoms are connected to malnutrition. Anorexia is also characterised by mental and behavioural difficulties such as an inaccurate sense of body weight and an intense fear of gaining weight or becoming obese.
It may be difficult to detect signs and symptoms since what constitutes a low body weight varies from person to person, and some people may not seem particularly thin. Furthermore, persons suffering from anorexia frequently conceal their thinness, eating habits, or health difficulties.
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a nurse is caring for a client who has hypertension and diabetes mellitus. the client's blood pressure this morning was 150/92 mm hg. when the client asks the nurse what his or her blood pressure should be, what is the nurse's most appropriate response?
Client asks the nurse what his or her blood pressure should be, 130/80 mm hg or lower is the nurse's most appropriate response
What is hypertension and diabetes mellitus ?Diabetes, obesity, and high blood pressure are frequently present together. The term "metabolic syndrome" refers to all of these disorders taken together. Cardiovascular problems are more likely to affect those with metabolic syndrome. There are several causes and risk factors that are similar between diabetes and hypertension.
A condition where the kidneys produce an excessive volume of urine and the body is unable to regulate the blood's level of glucose (a form of sugar).Diabetes causes small blood vessels in your body damage over time, stiffening the blood vessel walls. Due to the pressure increase, high blood pressure results. Type 2 diabetes and high blood pressure together significantly raise the risk of a heart attack or stroke.Learn more about Hypertension and diabetes mellitus here:
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pan-cancer single-cell analysis reveals the heterogeneity and plasticity of cancerassociated fibroblasts in the tumor microenvironment
The majority of the tumor microenvironment's (TME) constituents are cancer-associated fibroblasts (CAFs), which have an impact on the disease's hallmarks.
What do fibroblasts connected to cancer do?In the tumor microenvironment, a subset of activated fibroblasts known as cancer-associated fibroblasts (CAFs) exhibits substantial variability and flexibility. To control tumor occurrence, growth, metastasis, and therapeutic resistance, they release a range of active substances. Since fibroblasts are generated from early mesenchyme, they exhibit the filament protein integrins,
How do fibroblasts aid in the spread of cancer?Cancer-associated fibroblasts (CAFs) contribute to the cell membrane (ECM) deposition and redecorating, extensive cross-talk with cancer cells, the endothelial transition (EMT), invasion, metastatic spread, and therapy resistance, all of which are critical steps in the progression of cancer. Our skin and tendons include fibroblasts, an unique type of collagen cell.
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what important distinction should be made between the two suppository presscription both on the lable and inpatient counseling? how would you counsel a patient on using their rectal rocket
Due to the base of PEG, the progesterone suppositories are hygroscopic. Make sure the patient is aware that the foil must be removed before to administration.
Hormones, including progesterone, are potent chemicals that might injure the person handling them. Therefore, in handling these substances, patient should always wear gloves and a mask. progesterone spread the drug within, suspensions need to be shaken If patient not,
the dose administered will not be the same as the dose requested. Hormones, including progesterone, are potent chemicals that might injure the person handling them. Therefore, in handling these substances, you should always wear gloves and a mask.
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the nurse is providing discharge teaching for a client who was admitted to hospital after having complex partial seizures secondary to a glioma. the client has been prescribed levetiracetam to manage the seizures. what should the nurse include in the discharge teaching for this medication?
Using the theories of medication, we find that nurse should include Driving a car should be avoided until the you know how this medication effects you as the instruction in discharge teaching to a client who was admitted to hospital after having complex partial seizures secondary to a glioma.
A medication is the drug used to diagnose, cure, treat, or prevent disease. Drug therapy (pharmacotherapy) is the important part of the medical field and relies on the science of pharmacology for the continual advancement and on pharmacy for the appropriate management.
Hence, for a client who was admitted to hospital after having complex partial seizures secondary to a glioma, and have been prescribed levetiracetam to manage the seizures, nurse should include Driving a car should be avoided until the you know how this medication effects you in her discharge teaching.
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an adult comes to the urgent care clinic reporting facial pain, headache, and copious amounts of thick purulent nasal discharge. based on these symptoms, the nurse practitioner suspects the client is experiencing which condition?
The nurse practitioner thinks that the client's condition is Viral rhinosinusitis, acute
Viral rhinosinusitis: what is its cause?Upper respiratory viral infections are the most typical cause of acute rhinosinusitis. The surrounding sinuses are affected in roughly 9 out of 10 patients with viral upper respiratory tract infections. Adult upper respiratory infections with a confirmed sinusitis rate up to 0.5%.
How is rhinosinusitis acquired?Bacteria that invade the lining of your nasal canal and sinuses are what cause ABRS. Streptococcus pneumonia is most frequently to blame. Or the Haemophilus influenzae bacterium could be to blame.
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the nurse is caring for a client who is being treated for pneumonia and develops clostridium difficile from the antibiotic therapy. the client is placed on contact precautions. what interventions should the nurse perform? select all that apply.
Interventions that the nurse should perform to the client being treated for pneumonia are double bagging all trash and label it as contaminated and providing a disposable blood pressure cuff, thermometer, and stethoscope.
What is pneumonia?Pneumonia is infection inflaming air sacs in one or both lungs, which may fill with fluid or pus that can cause cough with phlegm or pus, chills, fever and difficulty breathing.
This illness can range in seriousness from mild to life-threatening. Pneumonia is most serious for young children and infants, people who are older than age 65, and people who have health problems or weakened immune systems.
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several urine tests can be useful in establishing a diagnosis of acute renal failure (arf). the nurse must consider that fractional excretion of sodium can be particularly affected by administration of which type of drug?
