When auscultating a client's chest, the nurse hears swishing sounds of normal breathing the would the nurse document this finding as adventitious sounds.
Chest auscultation involves employing a medical instrument to concentrate to a patient's system and deciphering the lungs sounds detected. it's a basic element of physical examination that may assist within the designation of metabolic process problems and identification of adventitious sounds.
Holding it between the index and finger of your dominant hand, place the chest piece of the stethoscope flat on the patient's chest exploitation mild pressure. Using a 'stepladder' approach hear breath sounds on the anterior chest.
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A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone. the nurse will monitor the client for which adverse medication effect?
A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone so the nurse will monitor the client for hyperkalemia adverse medication effect.
Cirrhosis is scarring (fibrosis) of the liver caused by long-term liver injury. The connective tissue prevents the liver in operation properly. Cirrhosis of the liver is typically referred to as end-stage disease as a result of it happens when alternative stages of damage from conditions that have an effect on the liver, like hepatisis.
Ascites is once an excessive quantity of fluid builds up in your abdomen (belly). This condition usually happens in those who have cirrhosis of the liver (scarring) of the liver.
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A client is scheduled to receive total parenteral nutrition (tpn). to administer tpn, which piece of equipment is important for the nurse to obtain?
For a client that is scheduled to receive total parenteral nutrition (tpn). to administer tpn, the piece of equipment that is important for the nurse to obtain is infusion pump.
What is infusion pump?An external infusion pump is a medical device used to deliver fluids into a patient's body in a controlled manner.
Hypertonic solution should be administered in an infusion pump for continuous and uniform infusion to prevent hyperosmolar diuresis or fluctuations in glucose.
Thus, for a client that is scheduled to receive total parenteral nutrition (tpn). to administer tpn, the piece of equipment that is important for the nurse to obtain is infusion pump.
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Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (tb)?
The nurse should wear a particulate respirator (N95) when providing care to a client with a diagnosis of tuberculosis (TB).
Tuberculosis is an air-borne disease that spreads by inhaling infected droplets. It is caused by a bacteria known as Mycobacterium tuberculosis. The primary organs that are affected by TB are the lungs. TB infections can also affect other organs/systems like meninges, lymph nodes, genito-urinary tract, peritoneum, pericardium, etc. The signs or symptoms of tuberculosis include chronic cough, fever, night sweats, and weight loss.
The treatment for tuberculosis includes the prescribed medications along with a healthy diet and regular exercise. Medical professionals should ensure the medication is taken regularly.
Proper precautions should be taken while caring for a client with tuberculosis. The nurse should first wash hands, put on a gown, and wear an N-95 respirator or mask, face shield, and gloves. The patient should be asked to cover his mouth and nose when sneezing or coughing. The patient should not be allowed to move out of the isolation room unless mandatory.
N-95 mask is recommended because it can be worn more than once unlike a surgical mask which is disposed of after being used once.
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A client has just been diagnosed with type 1 diabetes. when teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline?
A client has just been diagnosed with type 1 diabetes and when teaching the client and family how diet and exercise affect insulin requirements, the nurse should include the guideline that "You'll need less insulin when you exercise or reduce your food intake."
Type 1 diabetes could be a serious condition wherever your glucose (sugar) level is just too high as a result of your body cannot make a hormone called insulin. This happens as a result of your body attacks the cells in your pancreas that make the insulin, which means you cannot produce any at all.
A diet that has carbohydrates from fruits, vegetables, whole grains, legumes, and low-fat milk is encouraged. People with type 1 diabetes are advised to avoid sugar-sweetened beverages
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What can friends provide to affect mental health positively?
Answer:
Friends prevent isolation and loneliness and give you a chance to offer needed companionship, too. Friends can also: Increase your sense of belonging and purpose. Boost your happiness and reduce your stress.
Why do you need fewer layers of clothing when you're exercising outside in cold weather compared to just resting?
We need fewer layers of clothing when we're exercising outside in cold weather compared to just resting because exercise produces heat.
When a person exercises, there is a lot of exercise energy that is lost as heat. A part of the heat is made when the chemical energy of ATP is converted into mechanical energy. Metabolic reactions that occur during the process of exercise also produce heat.
When we are resting in cold weather, there is no extra heat being produced by the body as compared to when we are exercising. Hence, more clothes are required during resting in order to make heat trapped in your body through the extra layers. While exercising, extra heat is produced which keeps you warm, and hence fewer layers are needed.
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When the nurse is screening clients for hypertension, which finding would indicate a need to refer a client to a health care provider?
When the nurse is screening clients for hypertension, the finding which would indicate a need to refer a client to a health care provider is diastolic blood pressure reading greater than 89 mm Hg.
Hypertension is once blood pressure level is just too high. Blood pressure level is written as 2 numbers. the primary (systolic) variety represents the pressure in blood vessels once the center contracts or beats. The second (diastolic) variety represents the pressure within the vessels once the center rests between beats.
Blood pressure is measured by employing a pressure level monitor with an expansive cuff that ideally goes over the higher arm. Initial screening for prime pressure level is finished by checking pressure level during a clinical setting
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A 40-year-old man is conscious, but has an increased rate of breathing. You should?
A 40-year-old man is conscious, but has an increased rate of breathing. You should: assess the regularity and quality of breathing.
When treating a patient who is experiencing respiratory distress, what should come first?
Enhancing blood oxygen levels is the initial step in treating ARDS. Your organs can't work correctly without oxygen.
How do you evaluate breathing when evaluating a patient?
Look out for significant breathing cues in the patient:
Verify the breathing rate.Check the patient's chest for any irregularities.Check for symptoms of strained breathing and inquire about any shortness of breath.Verify the patient's blood pressure and pulse.Evaluation of oxygen saturationQuestions:
A 40-year-old man is conscious, but has an increased rate of breathing. You should:_____
A:apply 100% oxygen via nonrebreathing mask.
B:assist his ventilations with a bag-mask device.
C:immediately insert a nasopharyngeal airway.
D:assess the regularity and quality of breathing.
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A client is color blind. the nurse understands that this client has a problem with?
If a client is color blind, then the nurse understands that this client has a problem with cones (i.e. cone cells of the vision).
What are the cone cells of the vision?The cone cells of the vision are a specialized type of sensory cells that are required to observe colors and they have roles in the process of color sensitivity.
The cone cells are photoreceptors that sense the light according to their emission spectra and thus transmit differential information to form different colors in the brain.
In conclusion, if a client is color blind, then the nurse understands that this client has a problem with cones (i.e. cone cells of the vision).
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A nurse is caring for a client in the clinic. which sign or symptom may indicate that the client has gonorrhea?
A sign or symptom that the client may have gonorrhea:
Urination causes burning as, Gonorrhea most commonly affects the throat, urethra, or rectum. In females, gonorrhea can also infect the cervix.
What exactly is gonorrhea?
Both men and women are susceptible to gonorrhea, a bacterial infection spread through sexual activity.
Gonorrhea is most commonly transmitted through vaginal, oral, or anal_ intercourse. However, children of infected mothers can contract the disease after birth.
In infants, gonorrhea most commonly causes eye damage.
The best way to avoid STIs is to avoid having sex at all, to use a condom when you do, and to maintain a mutually monogamous relationship.
How is gonorrhea spread?
You can contract or spread gonorrhea through oral, anal_, or vaginal sex.
When engaging in sexual activity, using a condom or other barrier method can significantly reduce your chances of transmitting or contracting STIs such as gonorrhea. Just keep in mind that these barriers will not always completely eliminate your risk, especially if they are not used correctly.
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Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data?
The action that a nurse should implement when assessing a nonnative client to facilitate collection of subjective data is speak to the client using local slang.
Subjective nursing data are collected from sources apart from the nurse's observations. This sort of knowledge represents the client's perceptions, feelings, or issues as obtained through the nursing interview. The client is taken into account the first supply of subjective data.
In order to collect subjective data from a patient, the nurse should gather objective information, asking related people subjective questions, conducting examinations and asking clarifying questions.
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A shock victim with breathing difficulties, chest injuries, or who's had a heart attack, should _____.
A shock victim who is having trouble breathing, has chest injuries, or has had a heart attack has to be treated very away in a hospital.
Cardiogenic shock: what is it?Cardiogenic shock, a life-threatening disorder, occurs quickly when your heart cannot keep up with the demand for blood from your body. Cardiogenic shock most frequently results after a heart attack. Your cells are dependent on oxygen to survive and function. This may result in catastrophic organ failure.
The primary pumping chamber of your heart may be damaged by a serious heart attack (left ventricle). Your body can't acquire enough oxygen-rich blood when this occurs.
The following conditions can also cause your heart to weaken and cause cardiogenic shock:
heart attack-related damage to the heart muscle. There is muscular inflammation in your heart (myocarditis). An infection of the heart's valves and inner lining (endocarditis) An unnatural heartbeat (arrhythmia).To know more about cardiogenic shock visit:
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The percentage of body weight that consists of water in a person of normal body weight is approximately?
The percentage of body weight that consists of water in a person of normal body weight is approximately 50% to 65%.
Water is an essential component required by living organisms as it is an active part of most of the reactions. In humans, about 50% to 65% of the body weight constitutes water.
Water plays an important function in various body functions, such as it a key nutrient that all the cells require for growth and development. Water plays a major role in excretion as it flushes out waste from the body in the form of urine. Water is essential for homeostasis as sweating and respiration help to lower the body temperature. Water is also an active constituent of saliva and helps in digestion. Lubrication is provided in the body due to water.
Hence, a person should take care to drink enough water so that the body of a person is hydrated.
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After processing in the stomach, the gastric contents are referred to as after processing in the stomach, the gastric contents are referred to as:____
filtrate.
feces.
chyme.
food.
After processing in the stomach, the gastric contents are referred to as: chyme.
What is chyme?
The semi-fluid mass of partially digested food called chyme or chymus is ejected by a person's stomach into the duodenum through the pyloric valve (the beginning of the small intestine).
Chyme, which is made up of partially digested food, water, hydrochloric acid, and other digestive enzymes, is produced as a result of the mechanical and chemical breakdown of a bolus. Chyme moves gradually through the pyloric sphincter and into the duodenum, where nutritional extraction starts. The time it takes for the stomach to convert food into chyme will vary depending on the size and composition of the meal.
Chyme that leaves the stomach has a pH of about 2, which is extremely acidic. Cholecystokinin (CCK), a hormone secreted by the duodenum, causes the gall bladder to constrict and release alkaline bile into the duodenum. The pancreas releases digestive enzymes as a result of CCK. Between the stomach and the remaining small intestine is a brief segment of the intestine known as the duodenum. The hormone secretin, which is also made in the duodenum, stimulates the pancreas to secrete significant amounts of sodium bicarbonate, raising the pH of the chyme to 7. After passing through the jejunum and ileum, where digestion occurs, the chyme travels to the large intestine with the unusable fraction.
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Which factors should the nurse consider when communicating with a patient from a different background?
Some of the factors the nurse should consider when communicating with a patient from a different background are religion, language, Perspectives on death etc.
Which factors are to be considered when addressing patient from different background?
There are several factors that affect influence care of patients from different cultures or different background, some of these factors include;
ReligionPerspectives on deathBeliefs about medicationResponses to MedicationsLanguage, etcThus, some of the factors the nurse should consider when communicating with a patient from a different background are religion, language, Perspectives on death etc.
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People are most likely to follow the instructions they receive from healthcare professionals when?
There is a positive attitude toward the physician forming a working alliance.
The patients' compliance with suggested treatment plans determines the quality of healthcare results. A significant financial burden as well as a widespread threat to health and welfare can result from patient non adherence. More than 40% of patients who misinterpret, neglect, or disobey medical instructions run serious risks in various chronic situations. Although there is no one intervention technique that can increase patient adherence for all patients, decades of research studies have found that effective efforts to increase patient adherence depend on a number of essential elements. These include a realistic evaluation of the degree to which patients are aware of and comprehend the regimen, effective and clear communication between medical staff and their patients, and the promotion of confidence in the therapeutic alliance.
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Which of the following is not a foul? *in basketball*
1 Hitting
2 Pushing
3 Dribbling
4 Holding
Answer:
3 dribbling ; )
Explanation:
Which clinical finding can the nurse expect to document for a patient with suspected hypocalcemia?
The clinical finding that can the nurse expect to document for a patient with suspected hypocalcemia is positive chvosteks sign, positive trousseaus sign, muscle twitching, and cramping.
what is chvosteks sign?
The Chvostek sign aims to elicit an atypical reaction of the facial nerve, the nerve that innervates many of the muscles of the face. The pressure caused by the tapping acts as a triggering stimulus for involuntary contractions of the facial muscles ipsilaterally, or on the side where the clinical sign is performed.
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A nurse is preparing to turn a client who is unable to mobilize independently. which action best ensures the safety of both the client and the nurse?
Use back muscles to gently and gradually pull the client to the side.
Therapeutic care and client interaction are at the heart of care. By utilizing nursing knowledge and skills, as well as caring attitudes and behaviors, nurses build and maintain this important relationship. The services provided by therapeutic nurses benefit the health and well-being of their clients2. Connections are based on mutual respect, trust, empathy and professional intimacy. It also requires proper use of the powers that accompany the caregiver position. The caregiver-client relationship has her five dimensions: power, trust, respect, professional intimacy, and empathy. These elements are present regardless of the setting, length of involvement, or whether the caregiver is providing primary or secondary care. 3 It is especially important for nurses to keep their promises to their patients because trust is weak early in the relationship. It is difficult to restore trust after a breach.Use back muscles to gently and gradually pull the client to the side is the correct answer.
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Which health care team members began to increase in number during world war ii and are trained to provide care to clients at home? select all that apply. one, some, or all responses may be correct.
During World War II, the number of health care professionals increased. They are skilled in providing care to patients in their homes.
Practical nurse with a license. Registered professional nurse nursing staff that are not licensed.
What do medical teams do?Collaboration is necessary in healthcare. Every healthcare practitioner participates in a specific role as a team member. Some team members are doctors or technicians who assist in the diagnosis of diseases. Others are medical professionals who care for patients' physical and emotional needs or treat ailments.
In this part of the course, you will study about a variety of healthcare professionals, their functions on the healthcare team, and their occupations. You'll also learn more about the team members for people with various chronic conditions.
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As a nursing student you learn that mastering all the components of the comprehensive history provides what?
As a nursing student you learn that mastering all the components of the comprehensive history provides proficiency.
What is comprehensive history?A thorough comprehensive history taking is one technique to obtain a patient's history. Its advantages include the fact that the questioner has a full set of questions to ask, as opposed to iterative hypothesis testing, in which the questioner adapts the questions to the situation. As a result, students studying medicine are typically the ones who take in-depth histories because they lack the necessary skills to improvise. The doctor can then make the appropriate diagnosis after hearing from the medical student's responses.
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A client with a history of lung disease is at risk for developing respiratory acidosis. the nurse should assess the client for which signs and symptoms characteristic of this disorder?
According to the research, the correct option is hypercapnia and an increase in bicarbonate. The nurse should assess the client for hypercapnia and an increase in bicarbonate signs which are characteristics of respiratory acidosis.
What is respiratory acidosis?It presents as shortness of breath and a slow respiratory rate caused by hypercapnia causing carbon dioxide to build up very quickly and the lungs not being able to remove all the carbon dioxide the body produces.
In this sense, it raises the concentration of hydrogen ions (H+) due to a primary pulmonary disorder associated with elevated CO2 arterial pressure or hypercapnia and an increase in bicarbonate.
Therefore, we can conclude that according to the research, the correct option is hypercapnia and an increase in bicarbonate. The nurse should assess the client for hypercapnia and an increase in bicarbonate signs which are characteristics of respiratory acidosis.
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In the u. S. And western europe, massive programs of sewage treatment plant construction in the early 20th century followed the gradual realization that discharging raw sewage into rivers often resulted in epidemic outbreaks of what 2 deadly bacterial diseases?
The discharging of raw sewage into rivers resulted in epidemic outbreaks of diseases such as typhoid fever and cholera.
The 18th and 19th centuries saw industrialization and large-scale population movement into European towns. Overcrowding in substandard housing with insufficient or nonexistent public waste-disposal and water systems was one impact of this demographic transition. Due to the construction of sewers and the flushing of toilets that directly drain into the river, the river became an open, foul-smelling sewer as a result of strong winds and high tides driving seawater upstream. These circumstances led to frequent epidemics of water-borne illnesses like cholera, typhoid fever, and other infectious diseases.
Therefore, once it gradually became clear that disposing of raw sewage into rivers frequently led to cholera and typhoid epidemic outbreaks, large-scale programs of sewage treatment plant construction began in the U.S. and Europe in the early 20th century.
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A patient who was admitted with diabetic ketoacidosis has rapid, deep respirations. which action should the nurse take?
A patient who was admitted with diabetic ketoacidosis has rapid, deep respiration therefore the action which the nurse should take is notify the patient’s health care provider and is denoted as option A.
What is Diabetic ketoacidosis?This refers to a diabetic condition in individuals which is usually accompanied by excess production of ketones which is a form of blood acid.
It is characterized by rapid, deep respiration and sodium bicarbonate should be administered which is why the patient’s health care provider will have to be notified so as ensure the patient is stabilized thereby making option A the most appropriate choice.
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The options include the following:
a.Notify the patient’s health care provider.
b.Give the prescribed PRN lorazepam (Ativan).
c.Start the prescribed PRN oxygen at 2 to 4 L/min.
d.Encourage the patient to take deep, slow breaths
An efficient way of transferring a patient between a hospital and nursing home that uses the patient's bed in the transfer is the:______.
An efficient way of transferring a patient between a hospital and a nursing home uses the patient's bed in the draw sheet method.
Draw sheet method:A draw sheet is also known as a lift sheet. It is used in hospitals to transfer to lift immovable patients from their beds. Lifting a patient along with a lifting process is an easy process.
It is a very easy and comfortable method to transfer the patient. It is also very feasible for patients too. Patients' safety and care must be taken care of in this method.
It is a time-saving, labor-saving, and easy method. A clean, silky, and slippery fiber should be used for this. This method helps patients to move around comfortably. There is little resistance so it requires less effort.
Therefore, An efficient way of transferring a patient between a hospital and a nursing home that uses the patient's bed in the draw sheet method.
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Pretend you are teaching a friend the difference between the words Anatomy & Physiology. Describe using the academic language you leaned in class the difference between the two.
The nurse is assessing the nutritional needs of a client who reports being a strict vegan. because the client adheres to a plant-based diet only, they may be at risk for a deficiency of what nutrient?
The nurse is assessing the nutritional needs of a customer who reports being a strict vegan.
due to the fact the purchaser adheres to a plant-primarily based weight loss plan best, they will be at hazard for a deficiency of vitamin B12 nutrient.
Vegetarian diet: how to get the exceptional nutrition.
Diets which can be vegetarian are becoming increasingly more popular. There are numerous blessings to eating a vegetarian weight loss plan, consisting of decrease risks for heart ailment, diabetes, and diverse malignancies.
even though some vegans eat an excessive amount of processed foods, which can be heavy in calories, sugar, fats, and salt, they do so. additionally, they could not consume sufficient calcium-wealthy food, whole grains, end result, veggies, or other ingredients high in these minerals.
however with enough education, a vegetarian weight-reduction plan can also accommodate the needs of individuals of every age, consisting of children, teenagers, and expectant or nursing mothers. knowing your nutritional necessities will assist you create a weight loss plan as a way to fulfill them.
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The nurse monitors a patient after chest tube placement for a hemopneumothorax. the nurse is most concerned if which assessment finding is observed?
The correct answer is 400 mL of blood in the collection chamber.
The patient may be at risk for hypovolemic shock given the amount of blood present. An air leak would be anticipated right away following the insertion of a chest tube for a pneumothorax. When a pneumothorax is evacuated, this chamber first bubbles with brisk air. Even if the pain has to be managed, the threat of more bleeding is more important. Although subcutaneous emphysema in a patient with a pneumothorax should be observed, it is not rare. A tiny amount of air under the skin will be harmlessly reabsorbed.
Pneumothorax and hemothorax are two medical disorders that can occur together. A pneumothorax, commonly referred to as a collapsed lung, occurs when there is air between the lung and the chest cavity, outside the lung. When blood is present in the same area, hemothorax results.
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The nurse is providing postoperative care to a patient who underwent coronary artery bypass graft (cabg) surgery. for which common complication would the nurse monitor the patient?
Answer:
Atrial dysrhythmias
Explanation:
Postoperative dysrhythmias, mainly atrial dysrhythmias, are common in the first three days following Coronary Artery Bypass Graft (CABG) surgery.
Which question will the nurse ask the patient to help determine the cause of hypokalemia?
Answer:
what symptoms do you have
Explanation:
