Listen to the patient's breath sounds
First, the nurse should listen for unilateral breath sounds to see if the ET tube has been moved into the right mainstem bronchus. In that case, quick help will be required to adjust the tube. The other actions are equally acceptable, but identifying and fixing tube malposition is the most important course of action.
Endotracheal intubation inhibits the cough reflex and interferes with normal conciliary function, which increases the production of airway secretions and reduces the capacity to expel them.
To maintain airway patency and remove secretions, endotracheal tube (ETT) suction is required, which improves oxygenation and ventilation in a ventilated patient.
Infants that have been intubated frequently undergo ETT suction. Maximizing secretion removal with the least amount of procedure-related side effects should be the aim of ETT suction.
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When looking at a review of systems for an elderly client, which gastrointestinal data should cause the nurse the most concern?
The gastrointestinal data that should cause the nurse the most concern is the reports of constipation.
Aging is associated with a lot of diseases along with decreased body functions. The elderly may face diseases like diabetes mellitus, gastritis, heart diseases, etc. Constipation while aging is not a normal process but is caused by the presence of many factors. Constipation in the elderly is marked by straining rather than decreased bowel movements. It is more to be concerned with due to changes in anorectal function than physiological changes.
Patients with irritable bowel syndrome (IBS) are more likely to experience abdominal pain and discomfort. Side effects from medications like opioids, antacids, etc., and endocrine, neurologic, rheumatologic, and psychological diseases may also cause constipation in the elderly.
The most anxious consequences of constipation include stool impaction in which hardened feces accumulate in the rectum causing a rectal sensation and fecal incontinence. Therefore, the nurse should consider the case of constipation to be cured for the elderly facing gastrointestinal despair.
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When performing mouth to mask ventilation on an adult patient, a ventilation should be delivered over how many second(s)?
When performing mouth to mask ventilation on an adult patient, a ventilation should be delivered over one second as you watch the person's chest rise.
Mouth to mask ventilation is a technique of rescue respiratory that avoids mouth to mouth contact by the use of personal protective equipment like a mask or face protect.
During ventilation, maintain an upward and forward pull on the lower jaw along with your fingers to stay the airway open. Maintain a correct face to mask seal victimization the two-handed technique. Take a deep breath and exhale through the open port of the on-way valve. Exhale slowly into the mask for one ½ to two seconds in duration.
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A 9-year-old girl learning to be competent at school would be in erikson's psychosocial stage of?
A 9-year-old girl learning to be competent at school would be in Erikson’s psychosocial stage industry vs. inferiority.
What is Erikson’s psychosocial stages?Erik Erikson who is an ego psychologist, has developed a significant and important theory of development in the psychosocial field.
Despite the influence of psychoanalyst Sigmund Freud’s work, Erikson’s placed more emphasis on the psychosocial than psychosexual development. The stages of this theory are:
Stage 1: Mistrust vs Trust (It lasts from Infancy from birth to 18 months)
Stage 2: Guilt and Shame vs. Independence (It lasts from Toddler years from 18 months to three years)
Stage 3: Guilt vs. Initiation (It starts in Preschool years from three to five)
Stage 4: Industry vs Subordination (Middle school years from six to 11)
Stage 5: Identity vs. Confusion
Stage 6: Isolation vs. Intimacy (It is found in young adult years from 18 to 40)
Stage 7: Generativity vs. Stagnation (Found in the Middle age from 40 to 65)
In Stage 8, Integrity vs. Hopelessness (Lasts from Older adulthood from 65 to death)
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On the first postpartum day after a cesarean birth, the client is prescribed a full liquid diet as tolerated. before providing a full liquid breakfast, the nurse should assess which factor?
If on the first postpartum day after a cesarean birth the client has prescribed a full liquid diet as tolerated, then the nurse should assess the presence of the bowel sounds.
What are bowel sounds?Bowel sounds can be defined as different types of sounds emitted by the gastrointestinal tract of the patient, which may be useful to assess the tolerance to the diet in the client.
In conclusion, if on the first postpartum day after a cesarean birth the client has prescribed a full liquid diet as tolerated, then before providing a full liquid breakfast the nurse should assess the presence of the bowel sounds.
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You are educating your client on taking blood pressure at home. what would be important to include in your client education?
What would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
What is blood pressure?
Blood pressure is the pressure of circulating blood against the walls of blood vessels.
Most of this pressure results from the heart pumping blood through the circulatory system.
Thus, what would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
what would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
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Why is it dangerous to administer an intravenous line of pure water to a patient?
It dangerous to administer an intravenous line of pure water to a patient because the pure water will go directly into a vein would cause your blood cells to become hypotonic, possibly leading to death.
Serious patient harm can result once sterile water is run by direct IV infusion due to hemolysis related to the hypotonic nature of the product. Sterile water for injection is sterile water that is supposed to be used by pharmacy to compound IV product like canal nutrition solutions.
Pure water is injected into an IV would diffuse via osmosis into the more concentrated environment within red blood cells, create them intumesce as a result of the surplus water and eventually create them burst.
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During a physical examination, the nurse notes that the older adult client has a smooth red tongue. which follow-up intervention would the nurse anticipate?
A smooth red shiny tongue is an indication of loss of vitamin B12.
What is Vitamin B12?
Vitamin B12 is a water-soluble vitamin that occurs naturally in certain foods, is added to others, and is accessible as a dietary supplement and as a prescription drug. Because vitamin B12 includes the element cobalt, substances with vitamin B12 activity are known as "cobalamins".
Methylcobalamin and 5-deoxyadenosylcobalamin are two forms of vitamin B12 that are metabolically active. However, after being converted to methylcobalamin or 5-deoxyadenosylcobalamin, two additional forms, hydroxocobalamin, and cyanocobalamin become physiologically active.
Therefore, the examination is an indication of loss of Vitamin B-12
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The nurse recognizes that the client most at risk for mortality associated with surgery is the?
The answer to the question is Client with chronic alcoholism.
What is alcoholism?Any alcohol consumption that causes serious issues with mental or physical health is generally considered to be alcoholism. It is not a recognized diagnostic entity since there is controversy about how to define the term "alcoholism." The DSM-5 classification for alcohol use disorder and the ICD-11 classification for alcohol dependence are the two most common diagnostic classifications, respectively.
All organ systems can get damaged by excessive alcohol consumption, but the immune system, liver, pancreas, heart, and brain are most vulnerable.
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A new nurse leader has the opportunity to delegate to a member of the staff. what criteria should the nurse leader be sure are followed before doing this?
In order for the New nurse to delegate, he or she must know the five rights of delegation, their state nurse practice acts, and therefore the working facilities' policies and procedures on delegation.
What is Delegation in nursing?
Delegation in nursing may be a controversial subject. It strikes fear into the guts of most nurses who feel that they are all too often placed in the precarious situation of having to delegate but not entirely sure it’s safe or what it may mean for them. This webinar explores delegation in nursing – either in your everyday clinical practice or once you are in the role of team leading. it's essential knowledge – because knowledge is power. This insight into delegation will reveal when you’re safe and the way to execute this skill with absolute confidence. Delegation is one of the keys to exceptional patient care and a high-functioning, well-integrated team. So knowledge of the way to do this confidently can only be empowering.
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Exercise has no positive effects on the nervous system. T F
Answer:
False
Explanation:
no idea whats going on pls help
Answer:
just write the answer as per direction
explain why there is a growing concern over the physical fitness of children and adolesents
Combining energy drinks with ____________ has become common but is not advised because of possible adverse health effects associated with this practice.
Combining energy drinks with Alcohol has become common but is not advised because of possible adverse health effects associated with this practice.
What is Health?Health may be characterized as a circumstance of complete physical, mental and social well-being and not entirely the absenteeism of disease or any other infirmity.
According to the context of this question, the intake of energy drinks is beneficial for individuals in order to deliver energy as soon as possible. But the probable mixing of these energy drinks with alcohol leads to numerous negative health impacts. This leads to overall negative or abnormal health-related consequences for the individuals.
Therefore, combining energy drinks with Alcohol has become common but is not advised because of possible adverse health effects associated with this practice.
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The nurse is assisting in monitoring a client who received hydralazine hydrochloride to treat autonomic dysreflexia. which finding accurately indicates that the medication is effective?
Blood pressure declines.
Strong ganglionic blockers such as hydralazine hydrochloride lower blood pressure by dilating blood vessels. If a severe attack of hypertension occurs, it can be administered slowly by intravenous pressure. A spinal cord injury in the upper back can lead to the development of autonomic dysreflexia, a serious condition. It can cause dangerously high blood pressure and an extremely slow heart rate that can lead to stroke, seizure, or cardiac arrest. It occurs when the autonomic nervous system, which regulates automatic functions such as breathing and digestion, overreacts to something beneath the damaged spinal cord. Also called hyperreflexia. More than half of people with upper back spinal cord injuries suffer from it. Dysautonomia is a medical problem that requires urgent attention. It can be life threatening.Therefore, the correct answer is Blood pressure declines.
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Which area of the heart is located at the third intercostal (ic) space to the left of the sternum?
The area of the heart that is located at the third intercostal (IC) space to the left of the sternum is an Erb's point.
What is Erb's point?Through the different foci we can listen to different areas of the heart that can identify pathologies depending on the area we are listening to or recording.
The Erb point or the accessory aortic focus is the one that is below the pulmonary focus, this area allows listening to the acoustic phenomena of the aortic valves, that is, in this part the aortic valves are found. Its located at the third intercostal (IC) space to the left of the sternum. Then, by locating the aortic valves here, it allows us the phenomena that may occur in these valves.
Therefore, we can confirm that the area of the heart that is located at the third intercostal (IC) space to the left of the sternum is an Erb's point.
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A nurse is caring for a patient with pancreatitis experiencing four episodes of vomiting in the last 2 hours. which action should the nurse implement first?
Answer:
Infusion of lactated Ringer's solution as ordered
Explanation:
hop this helps u ; )
Health disparities in the client care population are likely to occur when the health-care workforce lacks diversity in which areas?
Health disparities in the client care population are likely in the area of health care services which is when the healthcare workforce lacks diversity.
Health disparities are the differences in the quality of health and healthcare across ethnic, racial, and socio-economic groups. It can be taken as mass-specific differences in the presence of disease, access to healthcare, or health outcomes, they are the difference in the heath care field which are not dependent on access-related factors, or clinical preferences.
Along with race, ethnic, and cultural differences, health disparities are also depended on choices, lifestyle, age, socioeconomic, and sexual orientation too.Those disparities are an important factor as they possess ethical and moral dilemmas.Healthcare is tied to many notions of socio-justice, quality of life, and opportunity for the patients, the communities, and the nation as a whole .
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The nurse is interviewing a client during an initial visit at a cardiologist's office. what symptom will the nurse expect to find as an early symptom of chronic heart failure?
The symptom that the nurse expects to find as an early symptom of chronic heart failure is Fatigue.
What are the causes of chronic heart failure?
One of the most common conditions that cause chronic heart failure is coronary artery disease. CHD results in a narrowing of the coronary arteries that supply the heart with blood and oxygen, depriving it of the oxygen it must function effectively.
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A client is prescribed misoprostol. the nurse would expect to administer this drug by which route?
A client is prescribed misoprostol. The nurse would expect to administer this drug by ORAL route.
Misoprostol can be administered orally, vaginally, sublingually, buccally, or raptorially. Studies on the pharmacokinetics of misoprostol administered vaginally vs orally have revealed that vaginal misoprostol had delayed absorption, lower peak plasma levels, and slower elimination, much like an extended-release medication. 4–6 Additionally, misoprostol administered vaginally is linked to stronger cervix and uterine effects as well as a larger area under the curve (AUC) and a bigger total exposure to the medication. 5 However, there is a considerable range in the way that different women absorb misoprostol via the vaginal epithelium.
3 Between vaginal misoprostol administered dry and vaginal misoprostol moistened with water, saline, or acetic acid, there is no clinically discernible difference.
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In the first year of his presidency, president bill clinton's major goal, a program to assure affordable health care for all americans, was defeated by?
For the first two years of his presidency, Clinton had a Congress controlled by members of his own party, the Democrats. Still, he failed in his efforts to pass legislation to reform the nation's health care system.
Clinton's most ambitious legislative initiative, a plan to provide universal health care, faltered—it never had majority support in Congress. within the 1994 elections, the Republican Revolution swept the country. Clinton vetoed many of the Republican policies like abortion restrictions.
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When one positions their ideas within the larger conversation on a topic, they are creating a
What - to explore what is already known about a topic/research that has already been
conducted.
one positions their ideas within The larger conversation on a topic is research that has already been conducted. are-
one positions their ideas within the larger conversation on a topic, they are creating In order to give a description, summary, and critical evaluation of these works in relation to the research subject under investigation,
a literature review examines books, scholarly papers, and any other materials pertinent to a specific issue, field of research, or theory. The purpose of literature reviews is to show readers how your research fits within a larger field of study and to give an overview of the sources you used to investigate a particular topic.
Ms. Arlene Fink. Reviews of Research Literature: From the Web to Paper. Fourth printing. SAGE, 2014. Thousand Oaks, California
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A patient has skin that is slightly blue in color. a likely treatment for this person might be ________.
Answer:
giving the patient supplemental oxygen by mask
Explanation:
The nurse monitors a client receiving a blood transfusion. the nurse should intervene if which is observed?
The nurse monitors a client receiving a blood transfusion. the nurse should intervene if which is observed the blood infuses at 10 mL/min for the first 15 minutes
R: If there is no response, adjust blood flow to the recommended rate. Blood flow should start off slowly (no faster than 5 mL/min for the first 15 minutes).
Fluid + Electrolyte Balance, 27/30 (Kaplan)
A specialized transfusion record or an electronic device that can produce a report should be used to capture transfusion observations before they are entered into the clinical record. The following should be the minimum monitoring of each unit transfused:
Throughout the transfusion, the patient will be regularly observed visually, and they will be urged to report any new symptoms.
Prior to the transfusion, baseline values for pulse rate, blood pressure (BP), temperature, and respiration rate (RR) must be taken.
Around 15 minutes after the commencement of the transfusion, pulse, blood pressure, and temperature should be assessed (many serious reactions, such as ABO incompatibility or bacterial transmission present early in the transfusion episode). Check RR as well to see if any of these observations have altered.
Repeat the baseline observations if the patient reports new symptoms and take the necessary action. Within 60 minutes after the transfusion's conclusion, check the patient's temperature, blood pressure, and pulse (and as a baseline before any further units are transfused).
Day-care patients should be encouraged to report symptoms that emerge after discharge, and inpatients should be monitored for delayed responses over the course of the following 24 hours (ideally with the issuance of a "Contact Card" providing access to urgent professional guidance).
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What is a possible consequence of abusing intravenous drugs such as
heroin?
A. Improved appetite
B. Alcohol poisoning
C. Hun transmission
D. Lung cancer
Which theoretical context would be most likely to be concerned with healthy community living?
The theoretical context that would be most likely to be concerned with healthy community living is the nursing theory.
What is healthy community living?A healthy community is one that is filled with people who are product and are not sick whose environments are not riddles with the menace of pathogenic organisms. As such, a healthy community primarily involves people.
Pathogens are those organisms which are able to cause diseases. They could easily be picked up in the environment and they are highly infectious and are able to affect a large populations of people at a time as in during a pandemic.
This is the crux of the nursing theory. The focus of the nursing theory is to ensure that the community is health and free from disease conditions.
Thus, the theoretical context that would be most likely to be concerned with healthy community living is the nursing theory.
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Not yet answered question text mrs. ramos is considering a medicare advantage ppo and has questions about which providers she can go to for her health care. what should you tell her?
Mrs. Ramos can obtain care from any provider who participates in Original Medicare but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network.
What is Medicare?
Medicare is a government health insurance program available to persons who meet specific criteria, such as those who are 65 years of age or older, have certain disabilities, or have the end-stage renal disease (ESRD), commonly known as irreversible kidney failure.
Some individuals might mix up the Medicaid and Medicare programs. Whereas both Medicare and Medicaid are government health insurance programs administered by the Centers for Medicare and Medicaid Services, Medicaid is a needs-based insurance program while Medicare is not. Your ability to get Medicare is not based on your income.
A monthly fee is required for some Medicare benefits. Furthermore, Medicare does have specific restrictions and guidelines regarding the costs of medical care that it will cover. Continue reading to discover more about each Medicare component, what is covered, and how to sign up.
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A patient is receiving norepinephrine 30 mcg/min for treatment of shock. which assessment finding suggest the patient is experiencing peripheral vasoconstriction from the medication?
The assessment finding will be that the clients blood pressure be 110/68 mm Hg suggesting that the drug is effective.
What is nursing assessment?A nursing assessment is a process of gathering relevant patient information by a registered nurse in a systematic way.
Norepinephrine is a neurotransmitter as well as a hormone that is produced by tue body during the fight-or-fight response of the body in order to increase alertness and prepare the body for action.
As a medication, it is given to increase blood pressure in patients who have conditions of low blood pressure.
A patient that is receiving norepinephrine 30 mcg/min for treatment of shock should have a blood pressure be 110/68 mm Hg suggesting that the drug is effective in improving blood pressure.
In conclusion, nursing assessment helps to improve patients care and reduce hospital mortality.
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A nurse is caring for a client diagnosed with rheumatoid arthritis (ra). Which assessment finding does the nurse expect to assess?
According to the research, the correct option is persistent inflammation of the joints. It is the assessment finding that the nurse should expect to assess.
What is rheumatoid arthritis?It is a systemic and chronic inflammatory disease in which the joints become inflamed, producing pain, deformity and difficulty in movement, although it can also affect other parts of the body.
In this sense, the joints that are most frequently inflamed are the wrists, fingers and toes, and there may be difficulty starting movements, said persistent inflammation can end up damaging the bones and ligaments.
Therefore, we can conclude that according to the research, the correct option is persistent inflammation of the joints. It is the assessment finding that the nurse should expect to assess.
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To be successful when starting a new exercise program, it is recommended that you __________.
To be successful when starting a new exercise program, it is recommended that you think about your motivation for beginning an exercise program.
To begin with exercise program some tips ought to be unbroken in mind like begin slowly and build up step by step, provide yourself lots of time to heat up and funky down with simple walking or mild stretching, break things up if you have got to, be artistic, hear your body and be versatile.
What motivates each folks to start with exercise program is different: maybe it's a condition, an issue with sleep, a special event you want to look nice for, having extra energy to play at the side of your youngsters or grandkids, or simply desirous to feel higher and healthier in your own skin.
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When caring for a child diagnosed with west nile virus, the nurse will question which prescription from the primary health care provider?
The nurse will question the prescription of Amoxicillin 40 mg/kg/day orally every 8 hours.
What is west Nile virus?West Nile virus is a single-stranded Ribonucleic acid (RNA) virus that causes West Nile fever.
An RNA virus is a virus whose nucleic acid material is RNA.
RNA differs from another nucleic acid material, the DNA which is the most common nucleic acid material in tge following ways:
RNA is single-stranded whereas DNA is double-stranded RNA contains ribose sugar whereas DNA contains deoxyribose sugar RNA contains the nucleotide uracil while DNA contains thymineThe west Nile virus (WNV) has been found as the leading cause of mosquito-borne disease in the continental United States.
When caring for a child diagnosed with west Nile virus, the nurse will question the prescription of Amoxicillin 40 mg/kg/day orally every 8 hours because it is used for treatment of bacterial infections.
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