The nurse has provided preoperative instructions to a client scheduled for surgery at an ambulatory care center. Which statement, made by the client, would indicate that further instruction is needed ?
- "The nurse will explain the details of the surgery before I sign a consent."
- "If I do not follow the instructions, my surgery could be cancelled."
- "The physician will update my family after the procedure and provide specific discharge instructions."
- "My medical records will be sent to the ambulatory care center prior to my surgery."
It is important for the client to have a clear understanding of the surgery and the risks involved before signing a consent form. Therefore, statement "The nurse will explain the details of the surgery before I sign a consent." would indicate that further instruction is needed.
This statement implies that the client may not have been adequately informed about the details of the surgery and may need more information before giving their consent. The other statements made by the client indicate that they understand their responsibilities and the steps that will be taken following their procedure, but statement one implies that they may not have the necessary information to make an informed decision about their surgery.
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A client who sustained serious burns now has a stress ulcer. Which clinical indicators of shock should the nurse immediately report to the primary healthcare provider
Serious burn injuries can result in a state of shock if the burn causes damage to the blood vessels. Symtpoms like weakness, Tachycardia, cold extremities, and diaphoresis should be brought to the attention of primary healthcare providers.
For a variety of causes, burn injury patients may develop psychological suffering. Just a few of the problems with burn injuries are the pain, the prognosis, and the drawn-out recovery times. The following are some additional reasons for similar emotional or mental distress: concerns about scars and physical appearance alterations. Skin tissue damage by hot (scald, flash, flame, contact), cold, electrical, chemical, radiation, sunlight, or other sources is known as a burn injury. One of the leading causes of morbidity and mortality worldwide is burns. They may cause severe disfigurement, physical damage, loss of employment, psychological issues, and a substantial financial burden.
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The health care provider has prescribed an over-the-counter antacid for a pregnant client in her first trimester who is having ongoing nausea, vomiting, and heartburn. Which instruction concerning the antacid should the nurse prioritize after noting the client is also prescribed a multivitamin supplement
The instruction concerning the antacid that the nurse should prioritize after noting the client is also prescribed a multivitamin supplement should be that the patient should take antacid 1 hour after the multivitamin.
The instruction that the nurse should prioritize after noting that the client is also prescribed a multivitamin supplement is that the patient should take the antacid 1 hour after the multivitamin. This is because certain antacids, when taken together with certain vitamins and minerals, can affect their absorption.
Many antacids contain aluminum, magnesium, or calcium, which can bind to dietary minerals such as iron, zinc, calcium, and folic acid, thus reducing their absorption. Therefore, it's recommended to take them at a separate time than when multivitamin supplements are taken to increase the effectiveness of the multivitamin and reduce the risk of nutrient deficiencies.
Additionally, separating the administration of the two agents would allow better identification of the treatment that is working best. It could be that the multivitamin is enough to alleviate the symptoms, and the antacid may not be needed after all.
It is also important to note that pregnant patients should always be counselled to check with their healthcare provider before taking any medication, including over-the-counter antacids, as some medications can be harmful to the developing fetus.
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List the various signs and symptoms of decreased cardiac output under the correct category for each.
The various signs and symptoms of decreased cardiac output include change in the mental status, light-headedness, dizziness, confusion, loss of consciousness, and chest pain, etc.
What factors affects Cardiac output?Cardiac output is the product of heart rate (HR) and stroke volume (SV) of the heart and it is measured in units of liters per minute. Heart rate is most commonly defined as the number of times the heart beats in one minute. Stroke volume is the volume of blood which is ejected out during ventricular contraction or for each stroke of the heart while beating.
Various signs and symptoms of decreased cardiac output under the correct category include not being able to exercise much, feeling very tired, swelling in the arms and legs, shortness of breath, nausea and vomiting and excessive abdominal pain.
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What is an appropriate stretching exercise that addresses a low back arch in an athlete who is training in Phase 2: Strength Endurance
Active kneeling hip flexor stretch is appropriate for addressing a low back arch in an athlete who is training in Phase 2: Strength Endurance.
Hip flexor stretch is the form of exercise that provided various benefits like improved mobility, reduction in pain, improved flexibility and posture. It can be simply called the kneeling exercise where one leg is kneeled down at a time. It can also be done by lying down on the edge of the table.
Strength endurance is the type of muscle strength that requires tension in the muscles for longer durations of time. It is the ability of the body to exert itself but remain active for longer durations of time without suffering any wound or fatigue.
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which site would the nurse asses first for the amount of drainage from a client discharged from the postanesthesia care unit
The surgical site would the nurse asses first for the amount of drainage from a client discharged from the Post-Anesthesia Care Unit.
The circulating OR nurse and/or anesthesiologist who is delivering the patient to recovery will provide the PACU nurse with a comprehensive verbal report. The PACU nurse assesses the patient's airway, respiratory, and circulatory state immediately, then concentrates on a more complete evaluation.
A post-anesthesia care unit is an essential component of hospitals, ambulatory care clinics, and other healthcare institutions. Patients who have undergone general, regional, or local anaesthesia are transported from the operating room suites to the recovery area. Anesthesiologists, certified registered nurse anaesthetists, and other medical personnel routinely watch the patients. Providers follow a structured handoff to the medical PACU personnel that includes information such as which drugs were administered in the operating room suites, how hemodynamics were during the operations, and what is expected for their recovery. Patients are watched for any possible issues after initial assessment and stabilisation until they are moved back to their hospital rooms.
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When discussing infection prevention with a group of prenatal women, which interventions should the nurse emphasize to prevent toxoplasmosis in this population
Before eating, thoroughly cook the meat.
Throughout the pregnancy, have your significant other change the litter box. interventions should the nurse emphasize to prevent toxoplasmosis in this population
The protozoan infection toxoplasmosis is most frequently transferred via contact with raw meat, though it can also be acquired by handling cat feces in soil or cat litter. Mosquitoes primarily infect people with malaria in Africa and South America. Malaria is reduced with the use of insect repellent. By using condoms, sexually transmitted illnesses can be avoided. Keeping away from large gatherings of young children in childcare centers helps reduce exposure to CMV.
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Identify the correct match between a type of lipid and a food that contains a considerable amount of it. Answer a. saturated fat / meat b. polyunsaturated fat / yogurt c. cholesterol / peanut butter d. monounsaturated fat / coconut oil
Identification of the right match between the type of lipid and foods that contain lots of fat is A. Saturated fat/meat.
What is dietary fat?Fat is a hydrophobic organic substance that is poorly soluble in water, but soluble in organic solvents such as chloroform, ether, and benzene.
The main function of fat for the body is as an energy material and stores the most energy in the body. Healthy fats have other functions in the body and it takes an adequate amount of fat in the diet for good health. One of the foods that contain a lot of fat is meat.
If the consumption of saturated fat is above 10% of total energy, there is a risk of increasing LDL levels which play a role in carrying cholesterol to the coronary arteries.
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Which of the following is a primary benign tumor that arises from the protective coverings of the brain
Of the following which are primary benign tumors arising from the covering of the brain is meningioma.
What is a tumor?Tumors are lumps that appear as a result of body cells growing excessively. This condition occurs when old cells that should die still survive, while the formation of new cells continues to occur. Tumors can grow in any part of the body and can be benign or malignant.
Meningioma is a tumor that forms in the meninges, which coverings covering the brain and spinal cord.
These tumors can grow so large that they press on the brain and nerves and cause severe symptoms. Meningiomas are classified as benign tumors that develop very slowly, and may not even show signs for years.
Your question is incomplete. Maybe the point of your question is :
Which of the following is a primary benign tumor that arises from the protective coverings of the brain
Meningioma tumorGlioma tumorLearn more about tumor symptoms here :
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Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia
In patients with pernicious anemia, the B vitamin that is deficient is vitamin B12. Pernicious anemia is a type of megaloblastic anemia, which is caused by the body's inability to properly absorb vitamin B12. This can be due to a lack of intrinsic factor, which is a protein that is necessary for the absorption of vitamin B12 in the gastrointestinal tract. Without enough intrinsic factor, the body cannot absorb vitamin B12 from food, leading to a deficiency of this vitamin and the development of pernicious anemia.
Which of the following patients would be a candidate now for revaccination with PPSV23?
a. a 66-year-old woman who received the first dose of PPSV23 at 60 years of age
b. a 68-year-old man who received the first dose of PPSV23 at 64 years of age
c. a 71-year-old man who received the first dose of PPSV23 at 65 years of age
d. A 45-year-old woman without a spleen who received the first dose of PPSV23 at 42 years of age
A) A 66-year-old woman who had her primary PPSV23 treatment when she was 60 years old would be a possibility for PPSV23 revaccination at about this time.
Who should to obtain PPSV23?23 different types of bacteria that cause pneumoniae illness are safeguarded from by PPSV23. The PPSV23 vaccine is advised for all persons aged 65 and over. Those who are 2 years of age or older who already have several symptoms that put them at risk for pneumococcal meningitis.
When must PPSV23 be administered?The second dosage of PPSV23 to be provided at least 5 years after the first prescription, while the initial dose of PPSV23 to be delivered at least 8 weeks after each and every prior dose of the pneumococcal polysaccharide vaccine.
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describe 1 bone and 1 muscle out of the human body you find interesting and why.
One bone that I find interesting is the clavicle, also known as the collarbone. The clavicle is a long, slender bone that connects the shoulder blade to the sternum and helps to support the shoulder joint. It is an important structure in the body, as it helps to stabilize the shoulder and allow for a wide range of arm movements.
One muscle that I find interesting is the masseter muscle, which is located in the jaw. The masseter muscle is responsible for the movement of the jaw when chewing and grinding food. It is a powerful muscle that is capable of generating a great deal of force, and it plays a key role in the digestion process.
I find these structures interesting because of the important functions they serve in the human body. The clavicle helps to support the shoulder joint and allow for a wide range of arm movements, while the masseter muscle plays a crucial role in the process of chewing and grinding food. Both the clavicle and the masseter muscle are essential for the proper functioning of the human body, and their importance is often overlooked.
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Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
To screen her for problem drinking, you would use the CAGE questionnaire.
The CAGE questionnaire is a commonly used screening tool for problem drinking and prospective alcohol issues. Its name is an abbreviation for its four questions. The questionnaire takes less than a minute to conduct and is frequently used as a rapid screening tool in primary care or other broad settings rather than as an in-depth interview for persons with alcoholism.
The CAGE questionnaire is not intended for a specific group, but rather to identify people who drink excessively and require therapy. The CAGE questionnaire is trustworthy and valid; nevertheless, it is not valid for diagnosing other drug use disorders, despite the fact that slightly modified versions of the CAGE questionnaire have been widely used for this purpose.
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smoke free laws, fluoridation of drinking water, and fortification of flour with folic acid are examples of which type of public health intervention
Changing the context to make the default decision healthy type of public health intervention
Any activity or program that seeks to enhance the overall physical and mental well-being of the population is considered a public
health intervention. Governmental health departments and non-governmental groups are just two examples of the entities that may carry out public health interventions (NGOs). Typical intervention kinds include screening programs, vaccinations, supplemental food and drink, and health promotion. Obesity, use of drugs, alcohol, and tobacco[4], and the spread of infectious diseases, such HIV, are common problems that are the focus of public health efforts.
If a policy avoids disease on both an individual and community level and has a beneficial effect on public health, it may fit the definition of a public health intervention.
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The patient has an order for diphenhydramine HCl (Benadryl) 37.5 mg orally. The medication available is diphenhydramine HCl 6.25 mg/10 mL. How many mL will the nurse administer
60 mL will the nurse administer. (If needed, round to the nearest whole number).
Diphenhydramine is really an antihistamine that is used to treat allergy, hay fever, as well as common cold symptoms. Rash, itching, watery eyes, irritated eyes/nose/throat, cough, runny nose, as well as sneezing are among the symptoms. It is also employed to prevent or cure motion sickness-related nausea, vomiting, and dizziness. Diphenhydramine also has the potential to aid with relaxation and sleep. This drug works by inhibiting the production of a natural chemical (histamine) by your body during an allergic response.
To avoid motion sickness, consume your medication 30 minutes before beginning any activity, such as travel. Take your dosage around 30 minutes prior bedtime to help you sleep. Contact your doctor if you have trouble sleeping for more than two weeks. If ones condition doesn't really improve or worsens, notify your doctor.
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While explaining the importance of developing leadership skills among nurses to a group of first-year nursing students, Natalie, a nursing unit manager, emphasizes that:
Nursing Unit Manager Natalie explains to a group of first-year nursing students the importance of developing leadership skills among nurses, emphasizing: The public needs nurses to take the lead in advancing consumer advocacy concerns.
The four basic skills for leadership in nursing are communication, problem-solving, management, and self-assessment. The most important leadership skill for nursing students in clinical care coordination. Prioritization, time management, and clinical decision-making are secondary factors involved in coordinating clinical care. She believes clear and open communication, accountability and defined roles, and participatory decision-making are key to a healthy environment. Communication skills are key to effective leadership, regardless of the type of leader or the type of unit the caregiver leads.
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Which of the following is a small elevation on the skin that contains fluid but may develop into a pustule
The following are small elevations on the skin that are filled with fluid but can develop into pustules are pimples.
What are pustules?Pustules are small bumps on the skin that contain fluid or pus. Pustules usually appear as white bumps surrounded by reddish skin. These bumps look a lot like pimples, but they can grow quite large.
Pustules can form anywhere on the body but are most common on the back, chest, and face. Pustules can also be found in groups in one area of the body. Pustules can be pimples which are usually caused by hormonal imbalances or hormonal changes in the body.
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What type of personal protective equipment should you use when helping a patient with a small cut that is not bleeding
Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as:
Protein is an essential nutrient that is necessary for a number of bodily functions. It is necessary for building and maintaining tissues, such as muscles, organs, bones, skin, and blood.
Protein is composed of smaller molecules called amino acids, which are the building blocks of life. Amino acids are responsible for a number of bodily functions, including development, growth, repair, and maintenance.
When dietary protein is consumed, it is broken down in the stomach and small intestine into individual amino acids. After that, the bloodstream carries these amino acids to the body's cells for use. The body then uses the amino acids to create new proteins, which are used to build and maintain tissues.
Protein also plays an important role in other bodily functions, such as metabolism, energy production, and hormone regulation. In addition, proteins are necessary for the production of enzymes, hormones, and other substances, which are important for the proper functioning of the body.
By consuming a diet high in protein, Mrs. Webb can ensure that her body is receiving the necessary building blocks for the creation and maintenance of healthy tissues. Eating a diet rich in protein can also help her body to maintain its energy levels, regulate hormones, and carry out other important functions.
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A client with diabetes mellitus complains of difficulty seeing. What would the nurse suspect as the causative factor
Answer:
Neovascularization of the retina
Explanation:
A client with diabetes mellitus complains of difficulty seeing. The nurse concludes that the causative factor is neovascularization of the retina.
Neovascularization is a process in which new blood vessels form in your body. This may happen in a variety of sites in the eye, including the retina or cornea. These new vessels have the potential to leak and cause vision loss. Diabetes mellitus is becoming increasingly common. This condition is distinguished by hyperglycemia. Diabetes is classified into two types: type 1 diabetes mellitus or type 2 diabetes mellitus, having type 2 diabetes accounting about 90% of all occurrences.
Diabetes mellitus is caused by a combination of circumstances. Belonging to a specific ethnic group, increasing age, being overweight or obese, a family history of diabetes, a history of heart disease or hypertension, hyperlipidemia, and a history of gestational diabetes are all risk factors for type 2 diabetes mellitus. Excessive appetite, unintentional weight loss, exhaustion and weakness, impaired vision, anger, as well as other mood changes are all possible. If you or your kid exhibits any of these symptoms, user should consult your doctor. A blood test is the most accurate technique to establish the existence of type 1 diabetes.
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What type of data collection might be best to estimate whether a new medicine is more effective in curing the common cold than aspirin
Experiment is the type of data collection which is best to estimate whether a new medicine is more effective in curing the common cold than aspirin.
Aspirin, also known as acetylsalicylic acid, is a nonsteroidalanti-inflammatory medicine used to reduce pain, fever, and/ or inflammation, and as an antithrombotic. Specific seditious conditions which aspirin is used to treat include Kawasaki complaint, pericarditis, and rheumatic fever.
Experiment plays numerous places in wisdom. One of its important places is to test propositions and to give the base for scientific knowledge. It can also call for a new proposition, either by showing that an accepted proposition is incorrect, or by flaunting a new miracle that's in need of explanation.
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Which of the following statements best describes the electrical events recorded by an electrocardiogram (ECG)?
A) the sum of the electrical activity of the autorhythmic cells only
B) the sum of the electrical activity of the contractile cells only
C) the sum of the electrical activity of all cells in the heart
D) the sum of the electrical activity of all the cells of the body
C) All of the heart's electrical activity added collectively. The electrocardiogram's electric signals are characterized by this expression (ECG).
What does the ECG do, and why?One of the most efficient and straightforward techniques for evaluating the heart is an echocardiogram (ECG). A few regions on the chest, arms, and legs include electrodes—small plastic patches that adhere to the skin.
What happens most frequently during an ECG?The P wave, Q wave, R wave, S wave, T wave, and U wave are among the waves that can be seen on an ECG. Interval is the amount of time before two distinctive ECG events. The PR interval, QRS interval, QT interval, and RR interval are among the intervals routinely measured on an ECG.
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Which findings may suggest that a patient is experiencing hemodynamic compromise as a result of a bradyarrhythmia
Everything but the hypertension indings indicate that a patient is suffering from hemodynamic compromise as a result of a bradyarrhythmia.
The majority of arrhythmias, including bradyarrhythmia, are caused by cardiac disease or injury to the heart. Among the causes of bradyarrhythmia are: Changes in the electrical system of the heart caused by ageing. Coronary artery disease is a kind of cardiovascular illness. Bradycardia is defined as a resting heart rate of less than 60 beats per minute. Bradyarrhythmia is the term used to describe a sluggish heart rate produced by an irregular heartbeat (arrhythmia).
Resting heart rates in healthy young adults and athletes are frequently less than 60 beats per minute. Bradycardia does not signify sickness to them. In reality, their sluggish pulse rate indicates that their heart is healthy and well-exercised. When you sleep, it is also common for your heart rate to dip below 60 beats per minute.
When symptomatic bradycardia arises, the primary goal is to diagnose and treat the underlying cause. If symptomatic bradycardia cannot be addressed by treating the underlying cause or if the reason cannot be diagnosed, medication is required.
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After a bronchoscopy because of suspected cancer of the lung, a client develops pleural effusion. What should the nurse conclude is the most likely cause of the pleural effusion
Cancerous lesions in the pleural space increase the osmotic pressure, causing a shift of fluid to that space.
Excessive fluid consumption is generally offset by increased urine production. Pleural effusion causes insufficient chest expansion, although it is not the cause of it. The pleural space is not involved in a bronchoscopy.
The pleural effusion is just a collection of fluid between the tissue layers that border the lungs or chest cavity. Pleural fluid is produced in modest amounts by the body to lubricate the pleural surfaces. It's the thin tissue that borders or surrounds the lungs in the chest cavity. Pleural effusion seems to be an abnormally large accumulation of this fluid.
Your doctor will check you and inquire about your symptoms. The physician will also use a stethoscope to listen to ones lungs and tap (percuss) the chest or upper back. A chest CT scan or x-ray may be sufficient for your provider to make a therapy decision.
If there is lot of fluid that is causing chest heaviness, shortness of breath or a reduced oxygen level, it may be removed (thoracentesis). The removal of the fluid helps the lung to expand, which makes breathing easier.
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An OTR who works in a hospital setting is collaborating with the interprofessional team to promote health literacy for all patients. In addition to reviewing the reading level and clarity of patient education handouts, what action is BEST for the OTR to recommend as part of this process
The best action for the OTR (or occupational therapist) to recommend as part of promoting health literacy for all patients in a hospital setting would be to provide individualized instruction and education to patients and their families.
The action could include teaching patients how to understand and manage their own health conditions, providing instruction on how to use medical equipment and devices, and helping patients understand and navigate the healthcare system. Additionally, the OTR can work with the interprofessional team to develop and implement strategies to improve health literacy among all patients, such as providing education in languages other than English or using plain language to communicate medical information.
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you are on the scene your patient is a 60 year old woman who stepped off a curb and injured her ankle. your exam shows that her left ankle is swollen and painful. which of the following should you do ?
A) Transport the potioni immediately to a trauma center, applying high-fluer oxygen enroute
B) Explain to the patient that her ankde in frectured and you must oplini her ankde to prevent[urther injury and reduce pain C) Explain to the pattent that you won't know what type of injury she has to her ankle until the isx-royed at the amargency department and splint the ankle
D) Explain to the pattent that her ankde is sprained and transport her with her ankle elevated on apills with a cold pack opplied to the injury
D) Explain to the pattent that her ankde is sprained and transport her with her ankle elevated on apills with a cold pack opplied to the injury.
It is important to take the appropriate actions to ensure the patient's safety and well-being after an injury. In this case, the patient has a swollen and painful left ankle, but without x-raying the ankle it is not possible to know the nature and extent of the injury. Therefore, option C is the most appropriate. Explain to the patient that you won't know what type of injury she has to her ankle until the is x-rayed at the emergency department and splint the ankle to prevent further injury and reduce pain. Splinting the ankle is a first step in managing her injury and will help to keep her ankle in a stable position while she is transported to the emergency department. High-flow oxygen is not necessary unless the patient is showing signs of distress. A and D options are not appropriate as they are not based on a proper diagnosis.
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Which of the following medications should be questioned by the nurse, if ordered by the provider to treat a patient's complaint of nausea and vomiting
If ordered to treat a patient's complaints of nausea and vomiting, the drug nurse should ask "can domperidone be able to treat nausea and vomiting?"
What is nausea?Nausea is a self-defense mechanism that causes an uncomfortable sensation in the stomach and makes a person feel like throwing up.
Nausea is not a disease, but a symptom caused by certain conditions. Nausea is a protective mechanism that indicates that the body is being attacked by germs or toxins.
Domperidone is a drug used to stop nausea and vomiting. This drug is also used to treat pain or discomfort in the stomach due to gastroparesis.
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A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab) for a patient who is admitted after being bitten by a pit viper snake. Which assessment would the nurse complete prior to administering this medication
The assessment that the nurse would complete prior to administering this medication is that CroFab is the anti-venom for pit viper snakebites.
Crotalidae Polyvalent Immune Fab (Crofab) is a tradition drug used as ananti-venom by Crotalinae rattlesnakes( Cottonmouths/ water moccasins, Copperheads, and Rattlesnakes). Crofab may be used alone or with other specifics. Crofab belongs to a class of medicines called Antivenins.
Antivenom, also known as herbicide, venom antiserum, and elixir immunoglobulin, is a specific treatment for envenomation. It's composed of antibodies and used to treat certain poisonous mouthfuls and stings. Antivenoms are recommended only if there's significant toxin or a high threat of toxin.
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The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left the client immobile. As the nurse enters the home, the client braces hands on the arms of a chair to rise and uses crutches to walk across the room. What is the best response by the nurse
Answer:
shoot them
Explanation:
The client at 32 weeks' gestation expresses concern regarding lower extremity edema and bulging leg veins. Which suggestion(s) by the nurse is helpful
Complete daily moderate activity, and follow the nurse's advice to use compression stockings.
Regularly consume small meals because nausea is often brought on by an empty stomach. Avoiding meal preparation or cooking may be beneficial. It might be beneficial to sometimes sip on diluting fruit juice, cordial, hot tea, ginger tea, clear soup, or beverages containing beef extract. Prenatal care was initially provided in the United States as a defence against preeclampsia, and programme visits comprised physical, family history, and risk assessments by medical specialists. Complete daily moderate activity, and follow the nurse's advice to use compression stockings.Organogenesis occurs in the embryo between implantation, which happens at around 14 days after conception, to about 60 days after conception. This is often the time when teratogenesis is most vulnerable and a deformity is most likely to result from contact to a teratogenic substance.
(The client at 32 weeks' gestation expresses concern regarding lower extremity edema and bulging leg veins. Which suggestion(s) by the nurse is helpful? Select all that apply.
-Complete moderate exercise daily.
-Wear compression stockings.
-Avoid sudden position changes.
-Limit fluid intake to 1 liter daily.
-Keep legs below the level of the heart.)
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