A family is asking why their father with end-stage COPD is being referred to hospice care and the best response from the nurse would be hospice assists the family and patient to prepare for death.
Hospice is an interdisciplinary base team approach that gives services to the patient and family to arrange for death. Hospice care provides pain management however cannot guarantee complete pain management. All areas of health care follow the patient's selection for "DNR" standing.
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes stalemated flowing from the lungs. Symptoms embody respiration issue, cough, mucous secretion (sputum) production and asthmatic.
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When preparing to use a bottle of sterile saline for a dressing change, the nurse notes that the date it was opened was two days ago. what should the nurse do?
Answer:
When preparing to use a bottle of sterile saline for a dressing change, the nurse notes that the date it was opened was two days previous.
What should the nurse do?
(The nurse should obtain a new bottle of sterile saline, as most solutions are considered sterile for 24 hours after they are opened.)
Explanation:
Hope this helps you ; )
A patient is admitted to the emergency department with an open stab wound to the left chest. what is the first action that the nurse should take?
A patient is admitted to the emergency department with an open stab wound to the left chest. the first action that the nurse should take is to tape a nonporous dressing on three sides over the chest wound.
why do we use tape on the chest wound?
Because the dressing taped on three sides will allow air to escape when intrapleural pressure increases during expiration, but it will prevent air from moving into the pleural space during inspiration. Placing the patient on the left side or covering the chest wound with an occlusive dressing will allow trapped air in the pleural space and cause tension pneumothorax. the head of the bed should be elevated to 30 to 45 degrees to facilitate breathing.
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Which findings are expected when assessing the skin of an older adult? one, some, or all responses may be correct.
The findings that are expected when assessing the skin of an older patient are Dry skin, Wrinkling and Decreased turgor. That is option B,C, and E.
What is Assessment?Assessment is defined as a systematic way to obtain data's from the patient which would help in creating a provisional diagnosis for the patient concerning their health.
Depending on the gender, age and race, there are some unique findings that are being expected in each individual.
For the elderly, there are changes in the skin tone, strength and elasticity due to the modification of the connective tissues.
Therefore, the findings that are expected when assessing the skin of an older patient are Dry skin, Wrinkling and Decreased turgor.
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Complete question:
Which findings are expected when assessing the skin of an older adult? one, some, or all responses may be correct.
Fissure
Dry skin
Wrinkling
Excoriation
Decreased turgor
A clinic nurse notes that large numbers of clients present with flu-like symptoms. which recommendations should the nurse include in the plan of care for these clients? select all that apply.
Take antipyretics for fever.
Rest, staying hydrated, and eating nutritious foods and drinks are all part of flu treatment. Medications such as pain relievers and fever reducers can also be used to treat symptoms. Caregivers should instruct patients to sneeze or cough into their upper arm sleeves, not their hands. Hands can carry respiratory droplets that can contaminate surfaces and spread to others. Influenza vaccination is a preventive measure. It is not intended to treat flu symptoms. Antipyretics are antipyretics. The hypothalamus is forced by antipyretics to overcome the prostaglandin-induced increase in body temperature. The fever eventually subsides as a result of the body's efforts to cool itself down. Most antipyretics also have additional functions.Antipyretics must be given to the patients.
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A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be suspected of having? a) hepatitis b) meningitis c) mers-cov d) tuberculosis
Option B: Meningitis; It should be suspected when a patient complains of headache, fever, disorientation, and red patches on their skin.
What is meningitis?The fluid and membranes (meninges) that surround your brain and spinal cord become inflamed when you have meningitis. Signs and symptoms of meningitis, such as swelling, generally include headache, fever, and stiff neck. Although bacterial, parasitic, and fungal infections can sometimes cause meningitis, viral infections account for the majority of cases in the United States. Some cases of meningitis improve without therapy after a few weeks. Others may be fatal and call for immediate antibiotic therapy. Early meningitis symptoms can resemble flu symptoms (influenza). The onset of symptoms can take several hours or several days.
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When an individual puts off seeking treatment for a symptom that should be dealt with immediately, it is called:________
Individual putting of seeking treatment for a symptom that should be dealt with immediately, it is called:
Delay behavior
When people do not quickly seek medical attention for an issue, there is a delay behavior. Appraisal, illness, behavioral, and medical are the four stages of delay behavior. Additionally, there are a variety of reasons why people put off getting medical care.
stages of delay:
appraisal delay
the length of time required for someone to recognize their symptoms as a sign of disease
Do I Feel Sick? ---> No ---> delay
Illness delay
the interval between understanding you're sick and choosing to seek medical help
do i need professional care---->no---> delay
Implementing delay
the amount of time it takes from when you decide to go until you arrive for an operation. Various individuals will cause delays at various stages of the process.
is the care worth financial, human, emotional, social cost----->no-----> delay
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Initial office visit for patient requiring equal management of copd and chf. what is the first listed diagnosis?
1st listed diagnosis:
Diagnosis of COPD
Spirometry, a quick breathing test, is used to identify COPD.
Diagnosis of CHF
Physical examination, symptom analysis, and a review of your health history are the first steps in the diagnosis of CHF. the lungs' fluid making cracking noises. a cardiac murmur that suggests damaged valves. a rapid heartbeat An x-ray of your chest can reveal whether your heart is enlarged and whether there is fluid in or near your lungs.
Other diagnosis:
COPD: Lung (pulmonary) function tests, Chest X-ray, CT scan,
Arterial blood gas analysis, Laboratory tests.
CHF: Electrocardiogram (EKG, ECG)
-Chest X-ray
-Blood tests may include a complete blood count (CBC),
-B-type natriuretic peptide (BNP)
-Echocardiography or ultrasound testing of the heart
Congestive heart failure(CHF):
Congestive heart failure is a condition where the heart's ability to pump blood is compromised by a variety of disease processes.
symptoms:
Fatigue, decreased capacity for exercise, breathing difficulty, Swelling (edema)
COPD (chronic obstructive pulmonary disease)
A slow, progressive blockage of airflow into or out of the lungs is a symptom of chronic obstructive pulmonary disease (COPD).
Cough, soreness in the chest, shortness of breath, wheezing, and exhaustion are all typical signs of chronic obstructive pulmonary disease.
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Predict how healthy behaviors can affect health status. the numbers 1.12.1 refer to _______________.
By predicting how healthy behaviors can affect health status, the numbers 1.12.1 refer to the standard, the last year of the grade span, and the number of the performance indicator in the sequence.
Health behaviors are actions that folks take that have an impact on their health. They embody actions that end in improved health, like uptake well and being physically active, and actions that increase one's risk of unhealthiness, like smoking, excessive alcohol intake, and risky sexual behavior.
Health status is a person's relative level of wellness and illness, taking under consideration the presence of biological or physiological disfunction, symptoms, and practical impairment.
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The nurse is aware that using research to fill a gap in knowledge that requires a solution can have what affect on patient care?
Answer:
Improve clinical outcomes and promote health across the lifespan.
Explanation: hope this help
Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit?
The question which would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit is "What brings you into the hospital today?"
Initial assessment is that the method of distinctive a human learning and support must change set design of a personal learning plan which can offer the structure for his or her learning. In different words it determines the learner's place to begin for his or her learning program.
The focus in psychiatric unit is on treating mental state by providing medicine assessments, prescribing medications, and giving therapies like cognitive-behavioral medical care (CBT), dialectical behavior therapy (DBT), supportive psychotherapy, and family therapy.
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Recognizing challenges is the first step in finding
solutions. Check each of the following statements
that are currently considered challenges for the
foodservice industry.
Producing food that is both satisfying and healthy, Finding ways to pay higher wages and still meet customers' demands for lower prices.
Healthy foods contain the nutrients that your body requires to stay healthy and vibrant. A healthy, balanced diet mostly consists of water, carbohydrates, fat, protein, vitamins, and minerals. Unfortunately, the food industry makes less money from fresh foods than it does from processed items.
Initiatives for improving public health, such the campaign to remove junk food from schools, have been vigorously resisted even by huge food manufacturers. These processed junk meals are devoid of the nutrients your body need and are created from grains like corn, wheat, and soybeans. They are high in calories (fillers).
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3. How does drinking alcohol or using drugs put a person at risk for HIV infection?
A.) They impair judgment, which makes it more likely for people to engage in risky behavior.
B.) They impair judgment, which makes it less likely for people to engage in risky behavior.
C.) They improve judgment, which makes it more likely for people to engage in risky behavior.
D.) They improve judgment, which makes it less likely for people to engage in risky behavior.
A medication that may produce exercise intolerance in a patient who has hypertension is?
Hydrochlorothiazide may produce exercise intolerance in a patient who has hypertension.
A diuretic called hydrochlorothiazide is usually prescribed to treat high blood pressure and swelling due to fluid retention. Other uses include treating renal tubular acidosis and diabetes insipidus, and reducing the risk of kidney stones in people with high urinary calcium levels. High blood pressure is treated with this drug. Lowering high blood pressure lowers the risk of heart attack, kidney problems, and stroke. Diuretics, or "water pills," are a class of drugs that contain hydrochlorothiazide. It works by increasing your urine production. This helps the body excrete excess salt and water. This drug also reduces edema, or excess water in the body, caused by conditions such as heart failure, liver disease, or kidney disease.The correct answer is Hydrochlorothiazide.
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A nurse finds a client with absent breathing and prepares to begin one-person cardiopulmonary resuscitation. what will the nurse do first?
CPR with chest compressions.
Cardiopulmonary resuscitation (CPR) is an emergency procedure involving chest compressions and artificial respirations, in which additional steps are performed to keep the patient independent in breathing and circulation in cardiac arrest while preserving intact brain function. . If someone is not breathing regularly and is unconscious, call 999 and start CPR on her immediately. If you dial 999 to call an ambulance, you should be able to get basic life-saving advice over the phone. For example, taking her CPR training that includes both techniques. Only try Hands-on CPR if you are unsure. It is recommended for those who do not respond and have difficulty breathing, and those who have breathing problems. B. Agony breathing.The nurse should start by chest compressions.
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explain two challenges that the organization has experienced
One of the most prevalent issues in organizations is a lack of direction, which has two main causes:
a)Lack of communication:-Many modern firms worry about the lack of effective communication. Since imperfection is a quality of communication, many conflicts that impede the performance of both individuals and businesses are caused by a lack of streamlined information transmission between and among organizational stakeholders. Despite having a duty to provide customers with high-quality services and goods, organizations across many industries, including the healthcare industry, nevertheless struggle with inadequate communication.
b)poor teamwork:-Any team can experience a significant energy drain from poor collaboration. But when attempting to develop your team after the start-up phase, it can be a special challenge.
Poor cooperation may be caused by a variety of factors, but it frequently occurs when one or more people try to rule the group. This frequently occurs when people attempt to impose solutions in order to satisfy their own interests, which are frequently at odds with the needs of the team.
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Approximately ________ percent of children with a learning disability have a reading problem.
Answer:
Approximately 80 percent of children with a learning disability have a reading problem
An older adult client is admitted to a long-term care facility because of the progression to the moderate stage of alzheimer disease. how should the nurse proceed with functional assessment?
An older adult client is admitted to a long-term care facility because of the progression to the moderate stage of Alzheimer's disease so the nurse should use an assessment tool that is designed for use with cognitively impaired clients to proceed with functional assessment.
Alzheimer's disease is a nervous disorder that slowly destroys memory and thinking skills and, eventually, the power to hold out the only tasks. In the majority with the unwellness — those with the late-onset kind symptoms 1st seem in their mid-60s.
Assessment tools may include BCAT Self-Assessment Tools, BCRS, FAST, and GDS, Dementia Severity Rating Scale, IQCODE, etc.
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When too little carbohydrate is consumed in a person’s diet, ______ are used to make glucose.
Answer:
amino acids
Explanation:
In a 3-month-old infant, fluid and electrolyte imbalance can occur quickly, primarily because an infant has?
In a 3-month-old infant, fluid and electrolyte imbalance can occur quickly, primarily because an infant has immature kidney function.
Electrolytes are found in fluids within the body. Dehydration will upset the fragile balance of electrolytes in an infant. Infants particularly susceptible to dehydration because of their tiny size and quick metabolism, that causes them to exchange water and electrolytes at a quicker rate than adults.
Good fluid intake in children is vital as they need immature thirst mechanisms, comparatively high rates of fluid loss and area unit physically active. Poor fluid intake could have an effect on children's cognitive functioning further as bladder management.
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A food worker needs to thaw frozen fish fillets, how should the food worker thaw the fish?
Frozen fish fillets should be thawed under cold, running water to preserve the fish's natural flavor and freshness. In fact, if we use hot water or something similar, the fresh meat won't be natural and may even be slightly cooked, which is bad for chefs because they won't be able to serve overcooked meals to customers.
It's important to keep in mind that fish meat is more heat-sensitive than beef, which means it can be ruined with less heat. Some types of fish are even only cooked with lemon and vinegar.
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Which ppe would the nurse use when giving a bath to a client with aids, pneumonia, and aids wasting?
Recommendations for best practices regarding ppe would the nurse use when bathing a client with aids, pneumonia, and aids wasting :
-Wear gloves
-Wear gowns
-Wear protective eyewear
- masks, or face shields
Showering or tub bathing may result in water splashes and sprays, as well as exposure to body fluids/secretions from the patient via the water splash. Determine whether you need to wear personal protective equipment by conducting a risk assessment at the point of care (PPE).
Unless they are taking particular precautions, just use ordinary care when showering client with aids, pneumonia, and aids wasting
What personal protection should the nurse wear when giving a bath to a client with aids, pneumonia, or aids wasting?
-Wear gloves when cleaning or decontaminating. Replace ripped or punctured gloves right away. , using a new of gloves for each patient.
-Wear protective eyewear, masks, or face shields (with safety glasses or goggles)
-Wear gowns when blood or body fluids may be splashed.
-Wash hands before and after direct patient contact. When dealing with blood or bodily fluids, you must act quickly and thoroughly.
*After removing gloves: In the event of a glove tear or a suspected glove leak.
Before leaving a work environment. Hand washing is still required when wearing gloves. One of the most important procedures for preventing transmission is hand washing.
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From which database would the cnl collect the most useful nursing-sensitive indicator metrics?
The most beneficial nursing-sensitive indicator metrics would be gathered by the CNL from which database?
What is CNL?
After more than 35 years, the Clinical Nurse Leader (CNL) is the first new nursing position. The CNL is an advanced generalist with a master's degree who serves as the lateral integrator for the healthcare team, facilitating, coordinating, and supervising care both within the microsystem and in cooperation with the macrosystem, according to the American Association of Colleges of Nursing (AACN). CNLs are nursing professionals who have completed a structured CNL education program and obtained a master's or post-degree. master's
The Joint Commission (TJC)
The NDNQI assesses nursing-sensitive data unique to units and hospitals. Additionally, NDNQI offers comparison-based benchmarks.
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Which of the following are microorganisms that vary in their morphology?
a. Fungi
b. Viruses
c. Bacteria
d. Parasites
Gerontological nurses can best foster independence in older adults through which nursing action?
Gerontological nurses can best foster independence in older adults through Considering inner resources for self-care.
What are Gerontological nurses?The area of nursing that focuses on caring for older people is known as gerontological nursing. In order to support healthy aging, maximum functioning, and quality of life, gerontological nurses collaborate with senior citizens, their families, and communities. The term "gerontological nursing," which took the place of "geriatric nursing" in the 1970s, is thought to better reflect the specialty's broader emphasis on health and wellness in addition to illness. To provide for the medical requirements of an aging population, gerontological nursing is crucial.
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Karolina's coach tells her to focus on adding some anaerobic exercises to her training routine. Which activity should she add to her routine to
MOST accurately achieve this goal?
A. jogging
B. weightlifting
C. playing basketball
D. swimming
Answer: weightlifting
Explanation:
anareobic: Anaerobic exercise is any activity that breaks down glucose for energy without using oxygen.
The patient with hemiparesis needs passive range-of-motion (rom) exercises to promote musculoskeletal health. which precaution would be taken to ensure effective rom exercises?
When performing ROM exercises on a patient who has hemiparesis, some precautions that should be taken include:
moving gently and smoothlyNever push a joint over its breaking point.Carry out the movements in a head-to-toe order.Passive ROM is carried out by either the physical therapist or the nurse, as opposed to active ROM, which is carried out by the client. To avoid harming the delicate tissues, the movements should be made carefully and fluidly.
A joint's soft tissues and bones could be damaged if you push it past its breaking point. To avoid skipping any joints, the exercises should be carried out in a head-to-toe sequence. Pain shouldn't be felt during ROM, although it might be felt if the joint is overworked.
For best results, each movement should be performed five times during a session. Exercises designed to increase a particular joint's range of motion are referred to as range of motion exercises.
Several structures have an impact on this motion: configuration of the joint's bony surfaces, joint capsule, ligaments, tendons, and muscles acting on the joint.
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As the nurse is researching morbidity and mortality, what statistics would be included under the mortality rate?
As the nurse is researching morbidity and mortality is
Brutal death tolls
Death rates according to age
rates of infant and maternal death
The crude death rate (rate of death in the overall population), age-specific death rates, and baby and maternal death rates are all included in the mortality rate. The mortality rates exclude rates of motor vehicle and paternal deaths.
What is morbidity and mortality?
Morbidity
Morbidity is the presence of a particular disease or condition. While an acute ailment, like a respiratory infection, might be referred to as morbidity, it frequently refers to a chronic condition (long-lasting). for example:
diabeteshigh blood pressure (hypertension)heart diseaseobesitylung diseases, such as asthma and chronic obstructive pulmonary disorder (COPD)strokechronic kidney diseaseMortality
Mortality is the total number of fatalities attributable to a given disease or condition.
Mortality is sometimes represented as a mortality rate. This is calculated by dividing the total number of illnesses-related deaths by the population at the period.
Mortality rate is frequently represented in population units, typically as "per 100,000 people,"
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Which type of infection is the nurse trying to prevent when practicing aseptic techniques during a colonoscopy?
Latrogenic is the type of infection which prevent when practising aseptic techniques during a colonscopy.
Aseptic technique is employed to maintain asepsis. Aseptic technique is an important component of infection prevention that is used to:It is used to prevent contamination from pathogens. Pathogens are organisms which cause disease.A person is required to employ the highest precautions for disease prevention and even re-infection in a clinical setting or even a laboratory (for patients).
In order to prevent infection and the spread of pathogens, you, your coworkers, and the patients must practice aseptic technique.It completely eradicates infections while successfully maximizing their presence.Simple steps like wearing sterile PPE, which must all be used, can prevent this.everything from your gloves, gowns, etc., to the tools you utilize during a treatment.Additionally, it's vital to regularly perform either contemporaneous or intermittent cleanings at your workplace.
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Ed has been diagnosed with alzheimer's disease. he is taking an experimental medication. this medicine is designed to:_______
According to the research, the correct option is to increase the level of acetylcholine. This medicine for alzheimer's disease is designed to increase the level of acetylcholine.
What is alzheimer's disease?It refers to neurodegenerative disease, characterized by in which patients present cognitive symptoms and objective failures in activities of daily living; and a phase of dementia, in which cognitive impairment already affects the functionality of the patient.
In this sense, acetylcholine is related to the transmission of information from one neuron to another, helping to maintain memory whose concentration is progressively reduced in patients with Alzheimer's disease, which is why drugs that raise acetylcholine levels in the brain are used.
Therefore, we can conclude that according to the research, the correct option is to increase the level of acetylcholine. This medicine for alzheimer's disease is designed to increase the level of acetylcholine.
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A client is taking lithium sodium. the nurse should notify the healthcare provider for which laboratory value?
A client is taking lithium sodium and the nurse should notify the healthcare provider for 1.5 mEq/L or higher laboratory value.
Sodium affects excitation or mania. Lithium is a mood stabilizer that's a second user to treat or management the wild episodes of manic depression.
Laboratory testing involves the checking of blood, urine, and body tissue samples so as to examine if the ensuing work values fall at intervals within the normal range. Laboratory values wont to confirm a patient's overall health and well-being.
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