The assessment of a client admitted with increased ascites related to cirrhosis reveals the following: pulse 86 beats per minute and weak, respirations 28 breaths per minute, blood pressure 130/88 mm Hg, and pulse oximetry 90%. Which nursing diagnosis should receive top priority

Answers

Answer 1

The nursing diagnosis which should receive top priority is ineffective

breathing pattern.

Ascites is a medical condition in which fluids build up in the stomach. The

weight of the accumulated fluid can exert a force on the diaphragm which

may result in difficult and ineffective breathing pattern.

In this scenario, the results given indicates high respiratory rate due to

difficulty in taking in air . The  low oxygen saturation also indicates the

diagnosis. The high respiration rate could cause or other severe

issues such as cell death which is why it must receive top priority.

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Related Questions

What is something the doctor can appreciate as part of the external exam?.

Answers

Patient appearing comfortable is something the doctor can appreciate as

part of the external exam.

External examination done by Doctors examining the symptoms the patient

has in order to determine a diagnosis. This is done by examining parts of the

body for changes and symptoms.

The patient has to be comfortable to enable adequate external exam and a

correct diagnosis.

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If you were a message at the tip of your finger what part of the nervous system would you use first if you wanted to get to the brain? (I know its not D)


Select one:


a.

peripheral nervous system



b.

Spinal cord



c.

Somatic nervous system



d.

central nervous system

Answers

Answer:

No I think you are wrong, it would be D which is central nervous system.

1. When an allergic reaction proceeds to life-threatening anaphylaxis, it will usually do so __________. *

Answers

Answer: quickly within 30 minutes

Explanation:

A nurse is describing the advantages and disadvantages of circumcision to a group of expectant parents. Which statement by the parents indicates effective teaching

Answers

The statement that the parents will make that indicates the teaching of circumcision received from the nurse is effective is: the rate of penile cancer is low for circumcised males

Circumcision of male babies a procedure which involves the cutting away of the foreskin of the penile organ as soon as male babies are born.

Male circumcision has many benefits and also some disadvantages. It is believed to be done for the sake of hygiene aside for religious reasons.

One of the major medical benefits the American Academy of Pediatrics (AAP), the CDC, and the American Urological Association have noted is that it infant circumcision gives protects against some forms of cancer and urinary tract infections.

Therefore, the statement that the parents will make that indicates the teaching of circumcision received from the nurse is effective is: the rate of penile cancer is low for circumcised males

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What does aldosterone do.

Answers

Answer:

Usually, aldosterone balances sodium and potassium in your blood.

As you have learned through this lesson, the Code of Ethics is intended to assist nurses in making appropriate decisions that support their patients' care and well-being. That is not always easy, particularly when a patient's wishes are not respected by family. Using the ANA's Code of Ethics for Nurses as a guide, consider what actions you would take in the following situations. Identify the portions of the Code of Ethics for Nurses that guided your decision.

Angela has been working at Saint Abram's Hospital for five years; for the past year she has been the charge nurse in the telemetry unit. This evening, every bed is occupied, although she is short-staffed due to hospital inservices earlier in the day.

Rosemary Tyrone underwent minimally invasive heart surgery earlier in the week and is recuperating in the telemetry unit; she will be discharged within a few days. Each evening, her son Tony and several members of her extended family descend on the unit and immediately begin demanding that Rosemary receive special meals, extra attention from the nursing staff, and, despite the fact that she is in a shared room, that the volume on her television be raised so she can watch her favorite programs, which this evening was a college basketball game that seemed to interest her son more than her. The nurse's aide who had been trying to accommodate Tony's demands just ran from the room in tears and frustration. Tony is now standing inches from the unit secretary demanding to see the president of the hospital, the chief of surgery, and "whoever is the boss of that incompetent nurse."

Using the Code of Ethics, choose three topics to develop an appropriate response. Your response should be a minimum of 250 words. Keep in mind Mrs. Tyrone's right to privacy as well as her roommate's right to a peaceful and supportive environment in which to heal. Identify which provisions of the ANA's Code of Ethics apply in this situation.

Submission Requirements:

For all assignments, remember to:

-Proofread for spelling, grammar, and punctuation.
-Use complete sentence structure and standard written English. Do not use texting abbreviations or other shortcuts.
-Make sure that paragraphs have a minimum of six sentences.

Answers

Answer:

The first and most important thing to take into consideration when looking at this issue is to make sure the patient is receiving everything they need to recover and stay healthy. The patient's well-being is the top priority. Following the code of ethics and James 1:19, the best response to the situation would be to ask the son to not visit her until she is discharged.  Mrs. Tyrone will be discharged within a couple of days meaning she needs to just rest so she can fully recover. With her son and extended family coming and causing issues it is not helping her. It does not say Mrs. Tyrone cannot speak for herself so if she is in need of special meals or extra attention she can make that known herself since she is the patient, not her family. If Mrs. Tyrone was unable to speak for herself then her family could be her advocate but this isn't the case. Especially with the hospital being so full of patients they aren't able to give extra care to everyone there. As well as Tony is being an extra burden on the staff and not contributing towards his mother's recovery. Tony was taking advantage of the situation by watching basketball claiming that his mother wanted to watch it. This shows he does not have his mother's best interests in mind. On top of that, he made the nurse cry and is yelling at security meaning Tony should be escorted out of the building and asked not to return. They should still allow the other family members to visit as it is not right to not allow any family members to visit. By doing this Mrs. Tyrone should be able to rest without any more distractions for the next few days before she is discharged.

Explanation:

I'm taking an online Nursing course and this was one of the projects, here's my response hope it helps.

Mary is 50 years old and has entered menopause. During a checkup, a bone scan reveals the beginnings of osteoporosis. Her physician suggests hormone therapy. What hormone might she prescribe for mary?.

Answers

Answer:

oestrogen

Explanation:

because the lack of oestrogen can cause menopause and the development of osteoporosis

Why do hispanics have higher death rates for heart disease.

Answers

Idontknow the answer i need points goodluck

A client who is 50 lb overweight and has high blood pressure is discouraged because she has only lost 10 lb of body fat. What effect would a 10-pound loss of body fat likely have on her blood pressure

Answers

it would lower blood pressure. i hope this helps :)

How does Edna Viruell-Fuentes explain the difference in health outcomes between Mexican Americans and Mexican immigrants

Answers

Mexican immigrants often have better health outcomes than Mexican Americans because Mexican Americans are more attuned to racial discrimination in the U.S. and that discrimination leads to stress , which has negative effects on their health . -Mexican immigrants are more likely to live in ethnic enclaves , which help to shelter them from stress of discrimination .

what do you call the outermost connective tissue wrapping that surrounds the kidney?

Answers

Answer:

Renal Capsule

Explanation:

Each kidney is held in place by connective tissue, called renal fascia, and is surrounded by a thick layer of adipose tissue, called perirenal fat, which helps to protect it. A tough, fibrous, connective tissue renal capsule closely envelopes each kidney and provides support for the soft tissue that is inside.

Have a great day! :D

What should a health care worker do if the solution to a problem requires a task that is outside of the scope of practice

Answers

Answer: Consult a supervisor.

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What is different about normal cell division and cancer cell division?

Answers

They grow, divide and die. Cancer cells, on the other hand, don't follow this cycle. Instead of dying, they multiply and continue to reproduce other abnormal cells.
Cancer cells are cells gone wrong — in other words, they no longer respond to many of the signals that control cellular growth and death. Cancer cells originate within tissues and, as they grow and divide, they diverge ever further from normalcy. Over time, these cells become increasingly resistant to the controls that maintain normal tissue — and as a result, they divide more rapidly than their progenitors and become less dependent on signals from other cells. Cancer cells even evade programmed cell death, despite the fact that their multiple abnormalities would normally make them prime targets for apoptosis. In the late stages of cancer, cells break through normal tissue boundaries and metastasize (spread) to new sites in the body.

In normal cells, hundreds of genes intricately control the process of cell division. Normal growth requires a balance between the activity of those genes that promote cell proliferation and those that suppress it. It also relies on the activities of genes that signal when damaged cells should undergo apoptosis.

A BMI __________ is considered underweight and is associated with a higher risk of anemia, osteoporosis, and heart irregularities.

Answers

Answer:

Below 18.5

Explanation:

You are enjoying a breakfast of raisin bran cereal in skim milk accompanied by a glass of orange juice. The vitamin C in the orange juice will enhance the absorption of:

Answers

Answer: The iron in the cereal

While preparing some chicken wings for cooking you observe white fibers connecting the bones and the muscles to bone. What type of fibers are these?.

Answers

These fibres are called the connective tissue fibres.

Connective tissues bind structures together, form framework and support for organs and the body as a whole.

It is characterized by an abundance of intercellular matrix with relatively few cells.

There are different types of connective tissue which include:

loose connective tissue,adipose tissuefibrous connective tissueelastic connective tissuecartilage,osseous tissue and blood.

The specific type of connective tissue that connects bones to bones and muscles to bones is the fibrous connective tissue. Example is the tendons.

Therefore, the white fibres are called connective tissue fibres.

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How does the yellow from pancreatic cancer appear.

Answers

This occurs when the bile duct is blocked. Usually bilirubin is excreted, but it builds up in the body because the tumor blocks it and the liver does not work correctly. This is known as jaundice.

The acceptable protocol and structure for electronically preserving health information is the core of _________.

Answers

A clinical document (CD) is a written, printed or electronic record that provides evidence of medical care. Clinical documents use an XML markup standard developed by Health Level 7 International (HL7), an organization dedicated to developing standards for the exchange of electronic health information.

RainbowSalt2222

A client's menstrual period is two weeks late. She has been feeling tired and has had episodes of nausea in the morning. What classification of pregnancy symptoms is this client experiencing

Answers

Answer: Presumptive

Explanation:At least i think this is right. Please dont be mad if this wrong.

How to determine basal metabolic rate vs resting metabolic rate.

Answers

Answer:

Resting metabolic rate is a measurement of the number of calories that your body burns at rest. Resting metabolic rate is usually measured in the morning before you eat or exercise and after a full night of restful sleep. Basal metabolic rate (BMR) is a measurement of the number of calories needed to perform your body’s most basic ( basal) functions, like breathing, circulation and cell production.

If a tornado approaches you should seek shelter on the
floor in the occupancy.
A Highest
B.2nd
C.Lowest
D.Main
Points: 10

Answers

Answer: Lowest

Explanation:

The reason i picked the lowest is because you need to hide in the basement or someone where you can get hurt

When administering benazepril with spironolactone, the nurse should be aware that which electrolyte imbalance may occur?.

Answers

When administering benazepril with spironolactone, the nurse should be aware of HYPERKALEMIA. This condition occurs when the potassium level is higher than normal.

Potassium is an essential micronutrient that is required during muscle (heart) contraction, to maintain fluid balance and normal blood pressure.

Hyperkalemia is an electrolyte imbalance that occurs when the potassium level in the blood is higher than normal.

Benazepril is a medicament used for the treatment of hypertension, which has been associated with hyperkalemia.

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Approximately _____ of adults in the United States are overweight, as defined by a body mass index (BMI) greater than 25.

Answers

Approximately 74 percent of adults in the United States are overweight. BMI

is known as body mass index and it is calculated by

BMI= weight/height

BMI = kg/m²

Body mass index helps to determine if a person is overweight or

underweight. Being over weight means having a BMI of 25-29.9 while

having below 18.5 means being underweight.

Recent studies have however shown that approximately 74 percent of adults

have a BMI of greater than 25 which means they are overweight.

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The fact that Alzheimer's disease resembles Creutzfeldt-Jakob disease has led some researchers to propose that a(n) _____ is the cause of Alzheimer's disease.

Answers

Answer:

Virus

Explanation:

Which muscle regulates the airflow in the respiratory system? diaphragm heart lymph node lung

Answers

Answer:

The correct answer is: diaphragm

Answer:The diaphragm, a thin sheet of skeletal muscle that forms the floor of the thorax, is the primary muscle of respiration in the human body. When the diaphragm contracts, it moves a few inches inferiorly into the abdominal cavity, expanding the space within the thoracic cavity and drawing air into the lungs.

Explanation: I hope this helped

The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first?.

Answers

Coughing, Itching, anxiety, in addition swelling of the lips, tongues, watery eyes  are all symptoms  of allergic reactions in infants. This need urgent medical attentions than the rest of the symptoms listed in the options because it may lead to anaphylactic shock.

Allergic reactions occurs when the antibodies are released in response to antigens in the blood. Histamine is released into the blood stream by causing dilations of the blood vessels and inflammatory response in the lungs and other effects in the intestine, and this leads to the above symptoms. if not responded to urgently, it may lead to anaphylactic shock.

Child with IgA of Rhinitis does not need urgent medical attention because , eyedrops, decongestants, nasal spay can be used to cure this. Lethargy (fatigue) of the HIV, can be suppressed with antiretroviral drugs to boost energy. Vesicular rash with yellow crust  shows symptoms  of eczema. This  is can be  cured with antibiotics, anti histamine and  application of creams that suppresses corticoids and does not need urgent attention.

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Completed parts.

A)a child with IgA deficiency reporting rhinitis

B)a child reporting coughing, itching, and anxiety

C)a child with HIV who reports feeling lethargic

D)a child reporting a vesicular rash with yellow crust

In the figure above, what letter corresponds to the nerve that carries neural impulses from the eye to the brain?.

Answers

The optic nerve connects each of the eyeballs with the segment of the brain responsible for vision.

The optic nerve or second pair is a nervous element that is part of the cranial nerves, and that has the important function of collecting the sensitivity of sight.

In order to function, this structure requires cones and rods, which are responsible for collecting all the sensations related to vision.

It leaves the eyeball, passes through the eye muscles; then it enters the optic cavity, it is achieved with the ophthalmic artery and with the ophthalmic veins.

Later, upon reaching the cavity of the skull, it decuses in the optic chiasm, also in the brain, it is related to the meninges.

Therefore, we can conclude that the optic nerve transfers the images it receives through the visual system, converting them into nerve impulses to the brain, where they will be processed.

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How many children died from the pfzier and moderna vaccine in the clinical trials.

Answers

Answer:  “corona Vaccine-Related Fatalities Exceed 6,000.”

“6,000% Increase in Reported Vaccine fatalities 1st Quarter 2021 Compared to 1st Quarter 2020.”

No matter your vaccination status or your feelings about getting the shot, those headlines likely give you pause. Can those numbers be right?

These and similar shocking claims are the latest examples of corona vaccine misinformation. And as with most misinformation, these statements get traction because they start with a kernel of truth in this case raw data from a reputable source.

An experiencing LPN/LVN under the supervision of the team leader RN, is assigned to provde nursing care for a client with respiratory problem. Which actions are appropriate to the scope of practice of an experienced

Answers

The following actions are appropriate:

Auscultating breath sounds

Administering medications via metered-dose inhaler (MDI)

Checking oxygen saturation using pulse oximetry

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The nurse is teaching a client about sexually transmitted infections. The nurse determines the teaching was successful when the client makes which statement

Answers

There are different types of sexually transmitted infections. The nurse determines the teaching was successful when the client says STIs can affect anyone if exposed to the infectious organism.

An STI can pass on to others through skin contact with infected person, genitals, mouth, rectum, or body fluids.

Sexually transmitted diseases (STD are often said to be an infection acquired by sexual contact.

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