By offering choices consistent with the client's heritage the nurse would use to provide emotional support for a resident in a nursing home who recently immigrated from another country.
When a nurse offers options that are respectful of the client's cultural values and customs, compliance with a treatment plan is improved. The nurse's cultural or personal biases and views shouldn't affect or get in the way of providing competent care.
The focus right now should be on tailoring treatment to the client's requirements and culture rather than helping them fit into American culture. Unless they are harmful to the person's health, cultural traditions shouldn't be discussed.
In order to help the parents deal with their loss, the nurse should be attentive to any cultural or religious beliefs that they may have.
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which cue would the nurse expect to identify when assessing a patient whose health record indicates an acoustic neuroma
Loss of hearing, tinnitus, and vertigo
What is acoustic neuroma?The major nerve (vestibular) that connects your inner ear to your brain might develop a noncancerous growth called an acoustic neuroma, also known as a vestibular schwannoma. The pressure from an acoustic neuroma can cause hearing loss, ringing in the ears, and unsteadiness. Branches of this nerve directly affect your balance and hearing.
Schwann cells that cover this nerve give rise to acoustic neuromas, which often grow slowly or not at all. Rarely, it may develop quickly and enlarge to the point where it presses against the brain and causes vital functions to be disrupted.
Typical symptoms of an acoustic neuroma include hearing loss, tinnitus, vertigo attacks, and stumbling gait. Loss of eyesight, increased salt retention, or tachycardia are not side effects of acoustic neuromas.
I understand the question you are looking for is this:
A nurse is assessing a patient with an acoustic neuroma who has been recently admitted to an oncology unit. What symptoms is the nurse likely to find during the initial assessment?
A) Loss of hearing, tinnitus, and vertigo
B) Loss of vision, change in mental status, and hyperthermia
C) Loss of hearing, increased sodium retention, and hypertension
D) Loss of vision, headache, and tachycardia
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What drug or substance that might change the way things work in a synapse
Stimulants and depressants have an effect on the synapses among neurons in the frightened system:
stimulants purpose greater neurotransmitter molecules to diffuse throughout the synapse.depressants stop the next neurone sending nerve impulses.Psychotropic drugs exert their outcomes by changing a synaptic occasion. these alterations in the end change the pastime of a neurotransmitter. some psychotropic drugs facilitate the effects of a neurotransmitter, and are referred to as agonistic.
Tablets make their effects regarded via performing to beautify or intervene with the interest of neurotransmitters and receptors in the synapses of the mind. some neurotransmitters carry inhibitory messages across the synapses, at the same time as others bring excitatory messages.
Amphetamine, heroin, marijuana, nicotine, alcohol, and prescription painkillers, can regulate a person's conduct by way of interfering with neurotransmitters and the regular communique between brain cells.
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A 6-year-old patient is seen in the office for acute otitis media, coded as H66.90. This is an example of what ICD-10-CM convention
A 6-year-old patient with acute otitis media is examined in the office; the diagnosis is H66.90. This is an example of the ICD-10-CM Not Otherwise Specified (NOS) convention.
Not Otherwise Specified (NOS)Not Otherwise Specified (NOS) is a subtype of diseases and disorders in medical classification schemes such as the ICD-9, ICD-10, or DSM-IV. When a particular diagnosis was not determined but the symptoms were enough to generate a broad diagnostic, it is usually used to highlight the presence of an ailment.
According to the DSM-IV, for instance, "an illness or disturbance that does not fit the criteria for the specific disorders already addressed is referred to as not otherwise specified (NOS)". The phrase was created as a result of the fact that "it is sometimes difficult for the practitioner doing the diagnostic evaluation to group all of the symptoms that a client is experiencing into one diagnostic category."
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The nurse is suctioning a client's tracheostomy using an open system. For which action should the nurse use the gloved, dominant hand
The action that the nurse should use globed dominant hand is when manipulating the suction catheter.
What is tracheostomy?Tracheostomy is defined as the medical procedure that involves the incision of the anterior part of the trachea through with a pipe is being passed thereby allowing the patient to breath.
The patient's that are in need of a tracheostomy are those patients that:
Finds it difficult to breathe normally after an injury or accident, andPatients that are suffering from severe muscle weakness.Medical conditions that make it necessary to use a breathing machine (ventilator) for an extended period.Medical conditions that block or narrow your airway, such as vocal cord paralysis or throat cancer.The dominant hand is the hand that is not always being used while carrying out a procedure.
During tracheostomy, manipulating the suction catheter should be done with the both hands therefore the nurse should use the gloves dominant hand too.
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What should be included in the discharge teaching plan for a client who has lymphedema post right mastectomy
Things that should be included in the discharge teaching plan for a client who has lymphedema post right mastectomy are:
1. Use a thimble when sewing.
2. Wear a heavy duty oven mitt for removing hot objects from the oven.
3. Long sleeves should be worn to prevent insect bites.
4. Shave underarms with an electric razor
What is lymphedema ?Lymphedema refers to tissue swelling caused by an accumulation of protein-rich fluid that's usually drained through the body's lymphatic system.Lymphedema can be caused by cancer treatments that remove or damage your lymph nodes. Severe cases of lymphedema can affect the ability to move the affected limb, increase the risks of skin infections and sepsis, and can lead to skin changes and breakdownTreatment may include compression bandages, massage, compression stockings, sequential pneumatic pumping, careful skin care and, rarely, surgery to remove swollen tissue or to create new drainage routes.To learn more about lymphedema,
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Which finding(s) is a major criterion used to help the health care provider diagnose acute rheumatic fever in a child
Subcutaneous nodules and Pericarditis are considered major criteria used in the diagnosis of acute rheumatic fever.
Rheumatic fever is an untreated throat streptococcal infection-related consequence that causes inflammation of the joints, heart, skin, and neurological system. While rheumatic fever can occur at any age, it tends to affect children and teenagers between the ages of 5 and 15.
Depending on which body organs become damaged, rheumatic fever symptoms might vary substantially. Rheumatic fever symptoms include joint discomfort, fever, and swelling. Heart inflammation (carditis)-related chest discomfort or palpitations as well as tiny nodules under the skin.
Some children with heart inflammation do not even exhibit any symptoms, and the inflammation is only identified until there is cardiac damage years later. Other children experience chest pain brought on by heart sac inflammation ( pericarditis). Children may experience both chest pain and a high fever.
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Nearly all the somatosensory input to the cerebrum passes by way of synapses in which region of the brain?.
The thalamus is the brain region from which all the somatosensory input passes by the synapses to the cerebrum.
The brain is a central nervous system of all humans, which controls all voluntary and involuntary actions. It has three major parts- Forebrain( Prosencephalon), Midbrain( Mesencephalon), and Hindbrain( rhombencephalon). The forebrain is the largest part of the brain having two parts cerebrum and the diencephalon.
The thalamus is the part of the diencephalon, which performs the somatosensory function by transmitting all the sensory information by the impulses from the various receptors present in the body to the cerebral cortex.
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Describe why it is necessary to understand the difference between inpatient and outpatient coding guidelines.
It is necessary to understand the difference between inpatient and outpatient coding guidelines because both patients have different needs and treatments.
What is the difference between inpatient and outpatient coding guidelines?Outpatient coding is the detailed diagnosis report in which the patient is treated in one visit, while on the other hand, an inpatient coding is a system that is used to report a patient's diagnosis during his duration of stay. So understand the difference between inpatient is very necessary for the nursing staff in order to give the right treatment.
So we can conclude that it is necessary to understand the difference between inpatient and outpatient coding guidelines because both patients have different needs and treatments.
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A nurse is assessing a newborn with the parents present. The nurse explains that which aspect of newborn behavior is an important indication of neurologic development and function
The presence and strength of a reflex is an important indication of neurologic development and function.
What is meant by neurological development?
The word "neurodevelopment" describes how the brain develops neural networks that affect behaviour or functioning (e.g., intellectual functioning, reading ability, social skills, memory, attention, or focus skills).
The rapid rate of brain development beginning before birth and continuing throughout early childhood is one of the key causes. Although the brain continues to grow and develop throughout adulthood, the first eight years of life can lay the groundwork for future success in learning, health, and living. The differentiation of neural progenitor cells, which starts in the third gestational week (GW), is the first step in the lengthy process of human brain development.
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The employer/employee relationship works both ways brainstorm some responsibilities the chapter did not list for both employer to employee and employee to the employer
The employer has a duty to provide a good working environment in addition to timely payments, and the employee has a duty to comply with the employer's recommendations.
What is the concept of employee and employer?The difference between employee and employer is mainly described as per the legal aspects of the law. While the employee is the one who provides the service, the employer is the company, which assumes the economic and hiring responsibility.
With this information, we can conclude that The relationship between employee and employer must have mutual respect, respect for the dignity of the employee, as well as the employee must have a posture of a true leader, having this authority and knowing how to impose his authority without being authoritarian.
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When forming your general impression of a patient with a medical complaint, it is important to remember
It is important to remember the conditions of many medical patients may not appear serious at first.
How is the primary assessment done?
Start your clinical evaluation of the patient as you approach. To aid in your assessment and the creation of a treatment plan, keep an eye out for important clinical markers. A crucial aspect of this assessment is identifying the mechanism of injury (MOI) or the nature of the illness (NOI).
Take into account the following instances when determining the MOI for trauma patients:
Environmental circumstancesVehicle damage and speedType of firearm, surface, and height of fallTake into account the following instances when determining the NOI for medical patients:
The presence of prescription drug and alcohol bottlesData from onlookers, family, and caregivers' environmental factorsYou might be able to forecast injury and disease patterns and severity using each of these factors.
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Activities lasting longer than twenty minutes will gradually start using less glucose and more ________.
a nurse is caring for a laboring client who experienced a precipitous birth. which of the following actions should the nurse take
Postpartum hemorrhage actions should the nurse take to caring for a laboring client who experienced a precipitous birth.
What is postpartum hemorrhage?35 percent of maternal deaths are due to postpartum hemorrhage (PPH), the primary cause of maternal mortality worldwide. PPH is essentially caused by the placenta failing to fully separate from the uterine wall, most commonly due to uterine muscle contraction problems.Postpartum hemorrhage, or PPH, occurs when a woman experiences significant bleeding soon after delivering birth. It's a severe yet uncommon condition. It typically occurs within a day of giving birth, however it can sometimes occur up to 12 weeks later. PPH affects 1 to 5 out of every 100 new mothers (or 1 to 5 percent of them).Classically, there are four types of shock: distributive shock, cardiogenic shock, obstructive shock, and hypovolemic shock.Learn more about postpartum hemorrhage here:
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Disclaimer: The question given in the portal is incomplete. Here the complete question.
Question: A nurse is caring for a laboring client who experienced a precipitous birth. which of the following actions should the nurse take?
1. Retained placenta
2. Postpartum hemorrhage
3. Hemorrhoids
4. Uterine rupture
Sally has attended birthing class at the local hospital, and has learned breathing and relaxation techniques to use during delivery. Sally is most likely preparing for a(n) Blank______ childbirth.
Answer:
at home childbirth
Explanation:
why would she be learning if they tell you what to do in a hospital
Individuals who are high users of pain relieving medications are _______ to benefit from pain management programs than less frequent users.
Individuals who are high users of pain-relieving medications are less likely to benefit from pain management programs than less frequent users.
Pain occurs when there is a disease condition, Analgesics are the painkillers drugs used to relieve the pain in the body. These medications are taken for all types of pain like- injury, internal pain of the body, headache, etc., Individuals who take a high dose of pain killers get addicted to them. In such individuals, there is no effect of the painkillers and the pain becomes severe. This is why they are less likely beneficial from Pain Management Program.
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What is management in public health?
Answer:
Explanation:La gestión de la salud pública es un conjunto de procesos que, bajo la dirección y liderazgo de la autoridad sanitaria, buscan que todos los actores del Sistema de Salud logren resultados en salud, mediante el desarrollo e implementación efectiva y eficiente de las políticas, planes, programas
To prevent coding errors, always use both the Alphabetic Index (to identify a code) and the ______ (to verify a code).
A nurse is providing community teaching regarding prevention of HIV transmission. Identify two (2) points the nurse will share with the client.
Nurse will share points such as:
Using latex condoms to stop the spread of the diseaseUsing prescription medication as directed to lower the chance of transmissionWhat are the causes of HIV and how can it be prevented?The human immunodeficiency virus (HIV) is the primary cause of the chronic, potentially fatal illness known as acquired immunodeficiency syndrome (AIDS). HIV interferes with your body's capacity to fight disease and infection by weakening your immune system.
HIV is a sexually transmitted disease/infection (STI). Additionally, it can be transferred through sharing needles, injecting illegal substances, and coming into touch with infected blood. Additionally, it can be passed from mother to kid while she is pregnant, giving birth, or nursing. Without treatment, it can take years for HIV to progressively impair your immune system to the point where you develop AIDS.
HIV/AIDS has no known cure, however drugs help manage the infection and prevent the disease's progression.
Prevention of HIV are:
You can employ techniques like abstinence, never sharing needles, and consistently using condoms as directed. Additionally, you might be able to benefit from HIV preventive treatments including pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP).
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A nurse is reviewing the medical records of several patients who have had their intraocular pressure (IOP) measured:
The patient the nurse would identify as having an increased IOP suggesting glaucoma is patient D with an Increased IOP greater than 24 mmHg.
What is intraocular pressure?This is known as the fluid pressure of the eye. This is the amount of force the internal fluid is applying inside of the eye.
As pressure is a measure of force per area, IOP is a measurement involving the magnitude of the force exerted by the aqueous humour on the internal surface area of the anterior eye.
Hence, a high IOP greater than 24mmHg in a patient suggests glaucoma, therefore, the correct answer is option D.
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The complete question
A nurse is reviewing the medical records of several patients who have had their intraocular pressure (IOP) measured:
Patient A: IOP 12 mm Hg
Patient B: IOP 15 mm Hg
Patient C: IOP 21 mm Hg
Patient D: IOP 24 mm Hg
Which patient would the nurse identify as having increased IOP suggesting glaucoma?
13) when neither anti-a serum nor anti-b serum clot on a blood plate with donor blood, the blood is type ________
When neither anti-A serum nor anti-B serum cause clumping (agglutination) of donor cells, the blood type specified is O.
What is agglutination?
Antibodies or agglutinins for the antigens A and B exsist in the plasma and these are termed anti-A and anti-B. Antigen antibody complexes are formed when the corresponding antigen and antibody are not present, thus effectively agglutinating the blood. in this, few blood drops are mixed with sera that contain anti -sera or antibodies. If the blood doesn't react to any of the anti-A or anti-B serum , then the blood type is O. The blood group O contains both antibodis A and B but contains neither A antigen nor B antigen. Therefore , blood type O is referred to as universal donor.
So, when neither anti-a serum nor anti-b serum clot on a blood plate with donor blood, the blood is type O.
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A child is recovering from a bout with group A beta-hemolytic Streptococcus infection. The child returns to the clinic a week later complaining of decrease in urine output with puffiness and edema noted in the face and hands. The health care provider suspects the child has developed:
The health care provider suspects the child has developed: Acute post infectious glomerulonephritis.
Acute poststreptococcal glomerulonephritis (APSGN) shows symptoms like infection of the skin or throat and caused by nephritogenic strains of group A beta-hemolytic streptococci. Poststreptococcal glomerulonephritis (GN) is a kidney disease that occurs after infection with certain strains of streptococcal bacteria. The kidneys are responsible for removing waste from the body, regulating electrolyte balance and blood pressure, and stimulating the production of red blood cells. A child is recovering from a bout with group A beta-hemolytic Streptococcus infection. The child returns to the clinic a week later complaining of decrease in urine output with puffiness and edema noted in the face and hands. So these are the symptoms of Acute post infectious glomerulonephritis.
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A woman expresses to you a desire to attempt to birth without pain medications. She likes the idea of a labor coach, but she is apprehensive about having anyone other than her husband and the doctor in the room at the time of delivery. What method of childbirth education would best suit this woman
Bradley's method of childbirth best suits this woman.
The process of childbirth is done with very careful planning and methods. Normal delivery is the most common method of childbirth. Apart from this various childbirth methods are also recommended by doctors for safe delivery of the baby. These methods are- C-section, vaginal delivery( normal), water delivery, Bradley method, etc.
Bradley's method refers to the safe delivery of the baby in a natural way coached by the husband. This method is also known as Husband coached natural childbirth. This method focuses on the relaxation and the sense of safety of a woman at the time of delivery without any medication.
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which response would the nurse provide to the client admitted with severe preeclampsia who anxiously asks the nurse will my baby be all right
The correct response of the nurse to the client would be "We'll be constantly monitoring your baby's condition. I'll let you listen to the baby's heartbeat."
What is preeclampsia?Preeclampsia is defined as a critical pregnancy situation that is characterized by hight blood pressure which usually occurs from 20 weeks of gestation.
The signs and symptoms of Preeclampsia include the following:
Excess protein in urine (proteinuria) or other signs of kidney problems.Decreased levels of platelets in blood (thrombocytopenia)Increased liver enzymes that indicate liver problems.Severe headaches.As a professional nurse and a competent nurse, it is their duty to reassure their patients which is a way to calm down any situation that may cause psychological stress.
It is the work of the Nurse to reassure her client and that anything is being done to monitor the fetus.
You can further prove this by offering to allow the client listen to the heart beat of her baby.
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A nurse is caring for a client experiencing nausea, vomiting and anorexia due to chemotherapy treatment. What actions should the nurse take to treat this side effect
The actions which a nurse which is caring for a client experiencing nausea, vomiting and anorexia due to chemotherapy treatment should take to treat this side effect are:
Avoiding smellsAvoid anything that triggers nauseaTaking water in between mealsTaking appropriate medicationsWhat is nausea?Nausea is feeling or a sensation of illness or discomfort in the digestive system, usually characterized by a strong urge to vomit.
Vomiting means to regurgitate or eject the contents of the stomach through the mouth.
Anorexia is the loss of appetite, especially as a result of disease.
So therefore, the actions which a nurse which is caring for a client experiencing nausea, vomiting and anorexia due to chemotherapy treatment should take to treat this side effect are avoiding smells, avoid anything that triggers nausea, taking water in between meals and taking appropriate medications.
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A person consuming 2200 kcal/day who wants to meet AMDR recommendations should limit daily fat intake to:
For a person consuming 2200 kcal/day to meet the AMDR for fat intake, he/she must limit daily fat intake to 440-770 kcal/day (AMDR for fat intake is 20-35% of total kcal).
What is AMDR?The Acceptable Macronutrient Distribution Range (AMDR) expresses dietary recommendations in the context of a complete diet.It recommends the range of intake of a macronutrient.This provides simple targets to people for consuming carbs, fat and protein in amounts that generally support good health while making meal planning easier for certain people. A diet with this distribution of protein, fat, and carbohydrates may be helpful for prevention of diseases like heart disease, type 2 diabetes, etc.AMDR for fat intake is 20-35% of total energy intake (kcal)For a person consuming 2200 kcal/day,
20% of 2200= 440 and 35% of 2200= 770;
i.e. 440- 770 kcal/day.
AMDR for carbohydrate intake is 45-65% of total energy intake (kcal)AMDR for proteins intake is 10-35% of total energy intake (kcal)Learn more about AMDR here:
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A blood-borne pathogen training class might
include.
A bloodborne pathogen training class might include Human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) they are the most common bloodborne pathogens from which health care workers are at risk
The medical term ____________________ describes a chronic condition that produces redness, tiny pimples, and broken blood vessels.
The medical term Rosacea describes a chronic condition that produces redness, tiny pimples, and broken blood vessels.
Skin disorders:
When any pathogen like bacteria, viruses, fungi, etc. invades the body it causes infection or disease. The infection can be of any part of the body. The infections that occur on the dermal surface of the body like on the skin are known as skin disorders or skin diseases. These may be painful, painless, temporary, or lethal. Some of the skin disorders are Acne, blisters, etc.,
Rosacea is a chronic skin disorder, caused by the intestinal bacteria Helicobacter pyroli. Rosacea are of four types-
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The nurse prepares to administer the inactivated polio vaccine to a 4 month old infant. Which assessment finding does the nurse delay administering the vaccine
The assessment finding which delays the nurse in administering the vaccine is allergy.
What is Allergy?This is referred to the abnormal manner the immune system of an individual reacts to a medication.
The allergies of polio vaccine, although rare include weakness, pain etc which is why allergy test must be done.
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Patients in an obstetrician’s office include both pregnant women and women with fertility problems. Why is it important to be sensitive to women who are struggling with infertility, as well as women who may have recently had a miscarriage?
The disorder known as infertility affects or limits one's capacity to become pregnant and give birth to a child.
What factors contribute most to infertility?Ovulation problems are frequently the root of infertility (the monthly release of an egg from the ovaries). While some problems prevent the release of an egg entirely, others only do so during certain cycles.
Injury or obstruction to the fallopian tube is commonly caused by inflammation of the tube (salpingitis). This could be the result of a sexually transmitted infection, endometriosis, adhesions, or pelvic inflammatory disease, which are the usual causes of these symptoms. Endometriosis, which happens when endometrial tissue expands outside of the uterus, may have an impact on the ovaries, uterus, and fallopian tubes.
Women in these situations should take the prescribed drugs as directed by their doctor.
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A 4-year-old boy was seen two weeks ago by his pediatrician because his father was concerned about him being very clumsy lately. The boy also has a hard time running, climbing stairs and he walks on tiptoes. There is a strong family history of muscular dystrophy. They are here today to go over the results of a muscle biopsy and EMG results. A confirmed diagnosis of Duchenne muscular dystrophy was made. The pediatrician wrote a prescription for physical therapy, and leg braces.
The 2022 ICD-10-CM Diagnostic code for this type of disease involving the nervous system is G71.01.
What is ICD-10-CM code?This is known as morbidity classification which classifies diagnosis and reasons for visits to healthcare facilities.
The boy has muscular dystrophy as a result of defects in the nervous system with the diagnosis for such being G00-G99 thererby making G71.01 the most appropriate choice.
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