A patient who has had an Open Reduction and Internal Fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. The action the nurse should take is: (2) Check the postoperative orders for the patient's weight-bearing status.
ORIF is the surgery perform to mend the severe fractures. This is performed when the bones are broken into pieces or are dislocated from their original position. The use of external objects is done to mend the bones. The objects can be discs, screws, wires or rods.
Post-operative weight bearing should always be assessed because if the patient lifts objects of more than the assigned weight, it can cause damage to the operated region. It can cause to wounds to open again followed by excessive bleeding. This can worsen the condition.
The question is incomplete, the complete question is:
A patient who has had an Open Reduction and Internal Fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?
Use a mechanical lift to transfer the patient from the bed to the chair.Check the postoperative orders for the patient's weight-bearing status.Avoid administration of pain medications before getting the patient up.Delegate the transfer of the patient to nursing assistive personnel (NAP).To know more abut ORIF, here
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How might you use resources like healthgrades in your clinical practice?
Resources like healthgrades in clinical practice evaluates hospitals entirely on risk adjusted mortality and in-hospital complications.
Healthgrades is an internet based online information of doctors, dentists, and hospitals that has over one hundred million users and has collected knowledge on quite 3 million U.S. tending suppliers.
The website of healthgrades evaluates roughly 5 hundred million claims from federal and private reviews and data to rate and rank doctors supported complication rates at the hospitals where they follow, experience, and patient satisfaction.
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Nursing implications for a client taking central nervous system (cns) stimulants include monitoring the client for which conditions?
Nursing implications for a client taking central nervous system (cns) stimulants include monitoring the client for conditions such as tachycardia, weight loss, and mood swings.
What is a central nervous system (cns) stimulant?A central nervous system (cns) stimulant is a type of drug that has the ability to bind to the receptors in the Central nervous system which helps to enhance its activities.
Examples of central nervous system (cns) stimulants include the following:
amphetamines, methylphenidate, atomoxetine, modafinil, armodafinil, pitolisant and solriamfetol.The side effects or adverse effects that may be encountered when taking central nervous system (cns) stimulant include the following:
tachycardia, weight loss, and mood swings.Learn more about stimulants here:
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A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?
The most practical and accurate method of determining volume status is daily weight.
Clients diagnosed with esophageal varices are at risk for hemorrhagic shock. Which is a sign of potential hypovolemia?Hypotension is a sign of potential hypovolemia.
You have low blood pressure, or hypotension, when your readings are significantly lower than you would anticipate.It can manifest on its own as a problem or as a symptom of numerous other disorders.
Even though it might not show any symptoms, if it does, a doctor may need to treat it.Absolute hypotension is resting blood pressure is less than 90/60 mmHg (millimeters of mercury).You experience orthostatic hypotension when you stand up from a seated position, which lowers your blood pressure within three minutes.
Both your systolic (top) and diastolic (bottom) pressures must decrease by at least 20 and 10 mmHg, respectively. Another name for this is postural hypotension because it happens when a person posture shift.
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While caring for a postoperative patient, the nurse spreads trochanter rolls on the bed before positioning the patient. in which position is the nurse preparing to place the patient?
The nurse positions the patient after spreading trochanter rolls on the bed while tending to a postoperative patient. The nurse is getting ready to arrange the patient in the supine position.
What do you mean by trochanter rolls?When a patient is immobile and recovering after surgery or an operation, the trochanter roll is a cushion tool or pillow used to maintain the hip in place or in a neutral posture. Its basic purpose of it is to stop external hip rotation. When using this instrument, we want the hips and legs to be properly aligned and supported. This entails giving support to the hip and thigh region to stop the legs from sliding outward when in a recumbent position. This body component won't be able to maintain itself without this roll. This could result in additional problems or even injuries in the near future. These ailments include muscle rips, tendon and ligament damage, physical discomfort, and pain in other parts of the body.
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What comfort measures would the nurse include in the plan of care for the client who is actively dying?
The comfort measures include:
Stopping medicines that do not aid comfortStopping needle sticks and blood drawsStopping lab work, therapies, diagnostic studiesProviding medications that can relieve pain, discomfort and nauseaProviding emotional and spiritual supportRelaxation and breathing techniques to ease anxietyWhat is comfort care?
A patient care plan that prioritizes symptom management, pain management, and quality of life is referred to as comfort care. Patients who have been hospitalized multiple times often receive it because additional medical care is unlikely to make a difference. Palliative care and hospice are examples of comfort care.
Comfort care is regarded by the National Institute on Aging as "an vital component of medical care near the end of life." The institution states that persons who are terminally sick or in need of urgent medical attention require assistance with four different types of demands: bodily comfort, mental and emotional requirements, spiritual needs, and physical tasks.
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A hospital patient knows how to interact with his/her doctors and nurses and vice versa. a shared understanding of what communication tool enables people to make sense of what is happening?
A hospital patient knows how to interact with his/her doctors and nurses and vice versa and a shared understanding of frames communication tool enables people to make sense of what is happening.
Communication is that the most vital part of our work with patients. it's the cornerstone of our interaction with folks. a decent and an efficient exchange between folks helps them see what the opposite person thinks and the way he or she feels.
Good communication between nurses and patients is essential for providing prime quality, personalized care. The angle of medical employees and their ability to speak effectively are 2 of the foremost vital factors that contribute to a decent patient expertise and high levels of patient satisfaction.
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The nurse is developing teen health intiatives for the community. which intervention would be consisten wiht the intiatives of healthy people?
The correct option is A - "Reduce the obesity rate among adolescents".
What is obesity ?
Obesity is a medical condition, occasionally referred to as a disease, in which excessive or excess body fat has built up to the point where it may be harmful to one's health. When a person's body mass index (BMI), which is calculated by dividing their weight by their height squared (despite known allometric flaws), exceeds 30 kg/m2, they are considered obese; a BMI in the range of 25–30 kg/m2 is considered overweight. Lower numbers are used in several East Asian nations when calculating obesity.
Interventions to reduce obesity rate:
Eat more "healthy" fat and less "bad" fat.
Reduce your intake of processed and sugary foods.
Increase your intake of fruits and vegetables.
Consume a lot of dietary fiber.
Eat foods with a low GI as your primary focus.
Include your family on your trip.
Exercise aerobically frequently.
Question:
The nurse is developing teen health initiatives for the community. Which intervention would be consistent with the initiatives of Healthy People 2020?
A. Reduce the obesity rate among adolescents
B. Increase adolescent communication with a trusted adult
C. Encourage all adolescents to have a wellness checkup every 18 months
D. Increase the proportion of adolescents who receive reproductive health instruction before age 14.
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The nurse is administering an enteral feeding to a child with a gastrostomy tube (g-tube). which action will the nurse take when administering a prescribed feeding through the client's g-tube?
Check for gastric residual before starting feeding will the nurse take when administering a prescribed feeding through the client's g-tube.
A gastrostomy tube, often known as a G-tube, is an implanted medical tool that provides direct access to your child's stomach for additional feeding, hydration, or medicine. Although there are several medical disorders for which G-tubes are utilized, feedings to improve your child's nutrition is the most popular application.
Before commencing to feed the patient, the nurse should check for gastric residual by gently aspirating from the tube with a syringe or by placing the tube below the level of the stomach with just the syringe barrel attached.
The client's head should be lifted between 30 and 45 degrees, and the formula should be allowed to flow naturally rather than being plunged unless the tube is clogged. If it is not contraindicated, the nurse should flush the G-tube after feeding with a tiny amount of water and leave it open for 5 to 10 minutes to let the air out.
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Uring your initial assessment you determine the patient is responsive only to pain. this is imporant because:__________
Because pain is a common symptom in both abdominal and urologic ailments.
To effectively manage pain, pain evaluation is essential. Due to their extensive interactions with patients and their families while they are in the hospital, nurses are in a unique position to evaluate pain. The most typical symptom that affects kids in hospitals is pain. Acute pain does not involve neural tissue and is self-limiting, short-lived, and connected with tissue damage and an inflammatory response.
Due to the multidimensional nature of pain, assessments must take into account its intensity, location, duration, description, impact on activity, as well as potential influences on how the child perceives and copes with pain (bio-psychosocial phenomenon). These influences can include social history/problems, cultural and religious beliefs, past painful experiences, as well as a child's first painful experience.
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The nurse is teaching a four-point alternating gait to a patient. if the patient has understood the teaching completely, which pattern would be present in the patient?
The pattern the nurse would be present to the patient is the client will advance both the left crutch and right foot at the same time.
Four-point alternating gait
Four-point gait a gait in forward motion using crutches: first one crutch is advanced, then the opposite leg, then the second crutch, then the second leg, and so on.
Thus, the pattern the nurse would be present to the patient is the client will advance both the left crutch and right foot at the same time.
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Specific amounts of each nutrient that one needs to consume to maintain good health are?
Specific amounts of each nutrient are required to maintain a good health, not more nor less.
Amount of nutrient consumption that is goodA person’s body cannot create everything it needs to function. Humans must consume the six essential components through their meals in order to maintain optimum health.
Essential nutrients are necessary for a person’s development, health, and capacity for reproduction.
This list of essential nutrients includes both macronutrients and micronutrients.
A person requires little levels of micronutrients. Micronutrients are made up of minerals and vitamins. Even though the body only needs traces of them, a deficiency could have harmful effects on health.
Macronutrients are nutrients that a person needs in higher proportions. Water, protein, carbs, and lipids are examples of macronutrients.
Find out more about these nutrients’ sources and their importance by reading on.
Vitamins, minerals, protein, lipids, water, and carbs are the six basic nutrients.
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A new mother who is on her fourth day of breastfeeding complains of very sore breasts. the nurse practitioner would:______.
The answer to the question is Educate the mother that this is normal during the first week or two of breastfeeding and the soreness will eventually go away.
What is breastfeeding?When you nurse your baby, typically directly from your breast, you are breastfeeding. Another name for it is nursing.
Depending on whether your baby prefers short, frequent feedings or longer ones, you should breastfeed him or her as frequently as possible. During your baby's development, this will alter. Babies frequently demand feedings every two to three hours. By two months, feeding every three to four hours is common, and by six months, most infants are fed every four to five hours.
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A high waist-to-hip ratio is an indication of a? high pendicular load. low pendicular load. high allostatic load. low allostatic load.
A high waist-to-hip ratio is an indication of a high allostatic load (option C).
What is allostatic load?Allostatic load is the overall burden of the body as a result of repeated and chronic stress.
Allostatis is the process of achieving stability, or homeostasis, in the body, through physiological or behavioral change. The failure to achieve this stability is referred to as allostatic load.
A waist-to-hip ratio compares the waist measurement to the hip measurement. High ratios can mean that one has more fat around your waist, which can be due to psychological stress etc.
Therefore, a high waist-to-hip ratio is an indication of a high allostatic load.
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A client with a history of chronic alcoholism is admitted to the mental health unit. what does the nurse identify as the cause of a client's use of confabulation?
A client with a history of chronic alcoholism is admitted to the mental health unit so the nurse should identify marked loss of memory as the cause of a client's use of confabulation.
Chronic alcoholism ensures the typically speedy, excessive consumption of excessive alcoholic beverages that's characterized by depression of central system functioning resulting in slurred speech, muscle in-coordination, and sleepiness or loss of consciousness.
Confabulation refers to the assembly or creation of false or incorrect recollections while not the intent to deceive, generally referred to as "honest lying". As an alternative, confabulation could be a falsification of memory by an individual who, believes he or she is genuinely communicating truthful memories.
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Passive occupant protection devices require (_what_) action on the part of the occupant?
Answer:
NO ACTION
Explanation:
The nurse is teaching a student nurse about pulmonary embolism. which response by the student indicates to the nurse teaching was effective?
If the student says that a clot in the iliac vein may lead to potentially lethal pulmonary emboli, the teaching was effective.
What is pulmonary embolism?
A clot from another region of the body, usually the leg or arm, travels through the bloodstream and lodges in the blood arteries of the lung, causing a pulmonary embolism, a blood clot. This decreases oxygen levels in the lungs, limits blood flow to the lungs, and raises blood pressure in the pulmonary arteries.
A clot is referred to as a thrombus if it forms in a vein and remains there. An embolus occurs when the blood clot separates from the vein wall and moves to another area of the body. PEs can harm the heart or lungs and potentially result in death if they are not treated right once.
Therefore, a clot in the iliac vein may lead to potentially lethal pulmonary emboli, is a sign of effective teaching.
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After attending a preconception workshop, a young woman asks the educator to explain neural tube defects (ntd). which conditions are examples of neural tube defects? select all that apply
The correct answer is encephalocele, anencephaly, spina bifida.
Several issues are linked to neural tube defects. Encephalocele can cause seizures, variable degrees of motor impairment, and visual problems; spina bifida can cause varying degrees of paralysis and developmental delays; and anencephaly is deadly.
The term "encephalocele" refers to the extension of the brain through a hole in the skull, like a sac. When the neural tube does not completely shut during pregnancy, encephalocele results.
When a baby is born missing sections of the brain or skull, it is known as anencephaly, a devastating birth abnormality. Such a defect affects the neural tube (NTD). The baby's brain, skull (upper portion of the neural tube), spinal cord, and back bones are all formed when the neural tube develops and shuts (lower part of the neural tube).
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Which information is most important for the nurse to include when teaching a patient and the family about the administration of warfarin?
The most important information that the nurse should include when teaching a patient and the family about the administration of warfarin is about International normalized ratio (INR) results should be between 2 to 3.
What is warfarin?
This drug is used to treat blood clots and/or stop the formation of new clots in the body. Keeping hazardous blood clots at bay lowers the chance of suffering a heart attack or stroke. A specific kind of abnormal heart rhythm, heart valve replacement, a recent heart attack, and specific operations all raise your risk of getting blood clots. Although warfarin is frequently referred to as a "blood thinner," the more accurate term is "anticoagulant." By lowering the concentration of specific molecules in your blood, it aids in maintaining blood flow in your body.
The laboratory test most usually used nowadays to report PT results is the international normalized ratio (INR); a value of 2 to 3 is appropriate. The laboratory tests activated partial thromboplastin time (APTT) and partial thromboplastin time (PTT) are used to monitor heparin therapy and are used to detect deficits of certain clotting factors. GI bleeding is indicated by tarry stools. The antidote for warfarin, vitamin K, is found in green leafy vegetables (Coumadin).
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A client's primary care provider has recommended biofeedback in an effort to address chronic stress and reduce the potential for complications. what will be the goal of this intervention?
A client's primary care provider has recommended biofeedback in an effort to address chronic stress and reduce the potential for complications and the goal of this intervention is teaching the client to consciously control her own body functioning.
Chronic stress, or a continuing stress for long time, will contribute to problems for heart and blood vessels. The consistent and increase in heart beat and therefore the elevated levels of stress hormones and of blood pressure, will take a toll on the body.
Biofeedback is a technique you'll be able to use to be told to regulate some of your body's functions, like your pulse.
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Which external pacemaker involves a pacer wire that is surgically placed in the atria or the ventricle and fed out through the skin?
The external pacemaker which involves a pacer wire that is surgically placed in the atria or the ventricle and fed out through the skin is Transthoracic pacemaker (TTP).
What is Ventricle?
One of the two large chambers at the bottom of the heart that collect and release blood to the lungs and other peripheral areas of the body is called a ventricle. The blood pushed by a ventricle is supplied by an atrium, a neighboring chamber in the upper heart that is smaller than a ventricle. Structures between the ventricles are referred to as interventricular, such as the interventricular septum, whereas structures within a single ventricle are referred to as intraventricular (for example an intraventricular block).
In a transthoracic pacemaker (TTP), a pacer wire is surgically inserted in the atria or the ventricle and fed out through the skin .
An electrode is percutaneously inserted into the ventricular cavity using a needle trocar introducer in the historical method of transthoracic cardiac pacing. Transthoracic cardiac pacing has a limited body of research, and its advantages and drawbacks are little understood.
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Which food items would the nurse recognize as typical food allergens for a child?
A nurse is reviewing legal issues in healthcare with a group of newly licensed nurses which of the:______
A nurse is reviewing legal issues in healthcare with a group of newly licensed nurses and the recommendations that a nurse should take is place copies of incident report in clients medical record.
Main legal issue in nursing is that the nurse ought to keep the belongings of the patient in her custody. Take consent of relative or patient for any quite procedure or treatment. Avoid respondent enquirers to insurance agent.
Newly licensed nurses could face many challenges when transitioning to the workforce like increasing range of patients with complicated conditions and multiple comorbidities, lack of access to intimate mentors and coaches, etc.
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A client is admitted to the hospital for a subtotal thyroidectomy. when discussing postoperative medication therapy with the client, which advice will the nurse include in the teaching?
Report palpitations, nervousness, tremors, or loss of weight that may indicate an overdose of thyroid hormone.
What occurs when thyroid hormone levels are high?Hyperthyroidism occurs when your thyroid produces an excessive amount of the hormone thyroxine (overactive thyroid). Hyperthyroidism can cause your metabolism to speed up, resulting in rapid weight loss and a fast or irregular heartbeat. There are several treatments available for hyperthyroidism. Thyroid hormones are hormones that regulate your body's metabolism, or how it converts the food you eat into energy. T3 and thyroxine are produced by the thyroid gland (T4). These hormones regulate your weight, energy levels, internal temperature, skin, hair, nail growth, metabolism, and are an important part of your endocrine system. Thyroid hormone affects nearly every organ system in the body, including the heart, central nervous system, autonomic nervous system, bone, gastrointestinal tract, and metabolism.To learn more about thyroid, refer to the following link:
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Evaluate whether the organization has a positive or negative impact on the community.
The effect depends of how management handled the whole change process. There are established procedures for implementing change that, when followed, will inform staff members of the need for change, why it is necessary, how management is concerned with the psychological consequences of change on staff members, etc. Employees are more likely to buy into the change and have a positive opinion of the organization if management has effectively communicated the change, stressed its urgency, and institutionalized it.
As a result, employee dedication won't be harmed. The emotional investment of employers in the predicament of individuals affected, for instance, will reveal a lot to those left and have an impact on their loyalty to the organization if the transition process involves a decrease in employees. The remaining employees would just extrapolate the management action to predict what would happen to them in the future if management did not care much about the position of those affected. In this situation, their commitment will suffer.To know more about management visit:
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Using _____ can help people deal with stressful events such as surgery and noxious medical procedures and promote good health habits.
Using control-enhancing interventions can help people cater to stressful events such as surgery and noxious medical procedures and promote good health habits.
What are control-enhancing interventions?
Control enhancing interventions were developed to extend the level of perceived control and well-being of program participants. Program participants experienced significant increases in their perceived level of control and overall functioning whereas control group participants didn't. These results suggested that some declines formerly attributed to biological aging could also be prevented or reversed. Conceptual and methodological issues are discussed also as implications for the future.
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How far away should you be from the steering wheel?
A) 10 to 12 centimeters.
B) 20 to 22 inches.
C) You should be as close as possible.
D) 10 to 12 inches.
Answer:
D) 10 to 12 inches
Explanation:
For optimal safety, 10 to 12 inches is a good height and also prevents drivers from having catastrophic injuries or death on impact from being to close.
Which factor plays the biggest role in delaying the detection of childhood
diseases?
Answer:
Lack of access to health care
Explanation:
Answer:
cccc
Explanation:
Well this is a good question with some pretty funny answers. Just by looking at it we can use common knowledge to say D is wrong, therefore it can be eliminated. Also look at A is has nothing to do with the delaying of childhood diseases, so it can be eliminated. Then look at B I mean there is no delaying the child already has diseases. So the correct answer is C)lack of health insurance
The first step in the diagnostic process is? a physical exam. taking medical tests. a medical history. a second opinion.
The first step in the diagnostic process is taking a medical history.
What is medical history?The medical history, case history, or anamnesis of a patient is information a doctor learns by asking specific questions, either to the patient or to other people who know the patient and can provide pertinent information, with the aim of learning information helpful in formulating a diagnosis and providing medical care to the patient. In contrast to clinical signs, which are determined by direct inspection on the part of medical personnel, medically relevant concerns recorded by the patient or others familiar with the patient are referred to as symptoms. A form of history will often be taken throughout most medical encounters. The breadth and focus of medical histories differ.
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When a client with intermittent claudication asks what causes the associated symptoms, which response would the nurse make?
When a client with intermittent claudication asks what causes the associated symptoms, the nurse should say that it's main cause is a condition called peripheral artery disease (PAD).
Intermittent claudication is muscle pain that happens after you're active and stops once you rest. it has always a signal of blood flow issues like peripheral artery malady. Over time, this will exacerbate and cause serious health issues and complications.
The main reason for gimp may be a condition known as peripheral artery malady (PAD). That condition happens with hardening of the arteries, that may be a buildup of a wax-like substance known as plaque on the within of your arteries. As that buildup gets worse, there is less space for blood to flow through those arteries.
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As part of the sds categories, first-aid measures include important symptoms/effects as well as ______________.
As part of the SDS categories, first-aid measures include important symptoms/effects as well as required treatment.
