An effective understanding of what should be on a plan of care for a patient with chronic kidney disease who is receiving gluconate and calcium acetate is demonstrated by the nursing student's statement, "Administer a stool softener."
What is chronic kidney disease?
Chronic kidney disease, also referred to as chronic kidney failure, is characterized by a progressive loss of renal function. The kidneys filter the blood of wastes and surplus fluid, which is subsequently expelled through urine. If you have advanced chronic renal illness, your body may amass dangerous levels of fluid, electrolytes, and wastes.
When chronic kidney disease first starts, you might not exhibit many signs or symptoms. Kidney disease might not be identified until it has already progressed.
Treatment for chronic renal disease usually aims to address the underlying cause in order to decrease the progression of kidney damage. However, even if the kidney disease's root cause were to be eliminated, the damage would still continue to worsen.
Without mechanical filtering (dialysis) or a kidney transplant, the end-stage renal failure from chronic kidney disease is fatal.
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a patient with non-hodgkin's lymphoma will be starting a course of doxorubicin, a antineoplastic antibiotic. when planning this patient's care, what nursing diagnosis should the nurse prioritize?
in the latter half of the 19th century, forensic chemists began using spectroscopy to analyze substances found at crime scenes. t/f
In the latter half of the 19th century, forensic chemists began using spectroscopy to analyze substances found at crime scenes. This statement is false (f).
Rather than in the 19th century, forensic chemists started using spectroscopy in the 20th century to examine materials discovered at crime scenes. The development of a spectrometer in the 1930s allowed for the measurement of the infrared (IR) light signal. The introduction of "organic mass spectrometry" in the 1950s, which provided additional direction for equipment users, was made possible by John H. Beynon and Fred W. McLafferty.
Then, beginning in 1959, Klaus Biemann and Carl Djerassi's research groups contributed to expanding the capabilities of mass spectrometers so they could be used to analyze natural compounds and plant extracts such as cannabis, alkaloids, and cocaine.
In 1977, the Environmental Protection Agency, or EPA, allowed the use of spectrometry data as evidence in a case involving the discovery of a pesticide in animal tissues. In a criminal homicide case the next year, a court decided to accept the results of a mass spectrometry test as evidence.
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which explanation would the nurse provide to the parents of a child with spasmodic croup who ask why their child is receiving humidified oxygen
Spasmodic Croup is usually mild and treatable at home. However, it's an illness that can quickly become serious. Severe croup can cause breathing difficulties in general but if the child's skin “caves in”.
What is spasmodic croup?
This type of spasmodic croup is thought to be caused by allergies or reflux from the stomach. I'm scared because it suddenly rings in the middle of the night. Your child may sleep soundly and wake up breathless in a few hours.
Therefore, Spasmodic Croup is usually mild and treatable at home. However, it's an illness that can quickly become serious. Severe croup can cause breathing difficulties in general but if the child's skin “caves in”.
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during a routine prenatal visit, a client complains of gingivitis and gums that bleed easily with brushing. when assisting to plan the care for the client, the nurse includes a goal that addresses proper nutrition to minimize this problem. the nurse determines that the goal has been achieved when the client makes which statement?
The nurse determines that the goal has been achieved when the client says "i am eating fresh fruits and vegetables for snacks and for dessert each day".
What is gingivitis ?It is a kind of gum condition that results in irritated gums.
Oral hygiene issues are the cause. Gingivitis left untreated can result in tooth loss and other severe diseases.
Gums that are large, bloated, retreating, occasionally sensitive, or that bleed readily are symptoms.
A professional cleaning and mouth rinses are part of the treatment.
What are the gingivitis symptoms and signs?recurring foul breathbleeding gums when you brush or floss.puffy or swollen gums.gums in deep red.regressing gumsuncomfortable or tender gums.To know more about gingivitis :
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phenazopyridine is prescribed for a client for symptomatic relief of pain resulting from a lower urinary tract infection. the nurse should provide the client with which information regarding this medication?
Take the medication at bedtime.
Take the medication before meals.
Discontinue the medication if a headache occurs.
-> A reddish-orange discoloration of the urine may occur.
A urinary tract infection (UTI) occurs when microbes enter the urinary tract and cause infection. Bacteria are the most common cause of UTIs, though fungi can infect the urinary tract in rare cases. Most UTIs are caused by E. coli bacteria that live in the bowel.
A urinary tract infection is an infection that affects the urinary tract in some way. It is referred to as a bladder infection when it affects the lower urinary tract and a kidney infection when it affects the upper urinary tract (pyelonephritis). Lower urinary tract infection symptoms include urination pain, frequent urination, and the need to urinate despite having an empty bladder.
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what can we learn from the example of how allegheny general hospital reduced its central line infections? if you find the root cause of a problem, you can make an error-free system. central line infections are a weak signal. dramatically improving safety and quality requires many small changes in a system. in reducing these infections, a top-down strategy was devised and implemented in a single step, and was responsible for decreasing infections throughout the system.
Numerous small systemic adjustments are necessary to significantly increase safety and quality.
What did we learn from Allegheny General Hospital?Allegheny General Hospital serves as an example of how identifying and addressing a wide range of system flaws can help reduce (and even completely eradicate) major unfavorable consequences. No single action, such as a "silver bullet approach," or top-down order from senior management was necessary to eradicate central line infections. Instead, it called for numerous little adjustments to the care processes in response to numerous small "abnormalities," which could only be made with the help of the experts who were really performing the work. The results of a root cause analysis, often known as "system diagnosis," revealed a number of elements that needed to be addressed rather than just one single cause.
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Match each type of drug that can be prescribed for antisocial personality disorder (APD) with its role in alleviating symptoms of the disorder.
Anti-anxiety drugs.
- Lower hostility
Lithium
- Treat aggressive and impulsive behaviors.
Stimulants
- Normalize cortical arousal levels.
What do you mean by Antisocial Personality Disorder (APD)?
Antisocial Personality Disorder (APD) is a mental health disorder characterized by a pattern of disregarding or violating the rights of others. People with APD may act impulsively, be callous and remorseless, and act irresponsibly. They may be aggressive and deceitful, and may lack empathy. APD is sometimes referred to as psychopathy or sociopathy.
What do you mean by Drugs?
Drugs are any chemical substance that is used to treat, prevent, diagnose, or cure a disease or condition, or to enhance physical or mental performance. Common drugs include prescription and over-the-counter medications, vitamins, and supplements.
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which needle should the nurse use to administer intravenous fluids (iv) via a client's implanted port? hesi
which nursing interventions would be included in the plan of care for a patient who becomes agitated in the evening? select all that apply. limiting caffeine intake creating a calm environment isolating the patient to minimize stimuli consulting with the health care provider allowing the patient to sleep for long hours
The strategy of care for an individual who will become agitated with in evening would include interventions like telling the patient to cut back on their caffeine intake.
What exactly are easy interventions?Simple interventions take place when one person, most frequently a friend or relatives, confronts the person who has a substance addiction disorder in a safe setting. If a physician is consulted before the intervention is carried out, the individual carrying it out will be more successful.
What types of interventions work well?Putting essential components of promising ideas into reality as intended and to match local needs is the process of implementing effective interventions. It follows a traditional pattern whereby intimate friends and family members meet their loved one by surprise.
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a patient consumes 2 oz of an ice pop and 30 ml of ice chips during the shift. intravenous fluids infused at 125 ml/h during the shift. the foley catheter was emptied of 800 ml at 6 pm. 80 ml were emptied from a drain at 6 pm. calculate the intake (in ml) for the 6 am to 6 pm shift.
At 6:00 p.m., 800 ml were removed from the foley catheter. At 6:00 p.m., 80 ml were drained from a drain. Again for 6 am till 6 pm shift, the intake is 1590 mL.
What exactly is the catheter and how do they work?A catheters is a pipe that is put into your bladder to allow unrestricted drainage of your urine. The most frequent justifications for catheter use are to give the bladder some rest after an episode of urine retention.
How does a catheter get put in?Put sterile lubricant jelly on the catheter's tip to lubricate it. Gently insert the catheter tip into in the urethral meatus while holding the coiled catheters in your dominant hand. Slowly insert the catheter into the bladder through the urethra.
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a pregnant client at 24 weeks' gestation arrives in the office and reports that her feet and legs are swelling. during a client evaluation, the nurse notes that she can elicit a 4-mm skin depression that disappears in 10 to 15 seconds. the client is considered at risk for preeclampsia. what additional assessment would be beneficial for the nurse to complete?
The nurses complete the Admission history and physical assessment.
Things like lacking length, sore or soft breasts, feeling more worn-out and nausea are commonplace symptoms of early pregnancy. a few humans have signs of pregnancy earlier than they omit their length. Take an at-home pregnancy check if you assume you might be pregnant.
Stomach or tummy pain is commonplace during pregnancy. inside the first trimester, it's miles not unusual to experience mild pains in the lower tummy area. these are a result of hormonal changes in your developing womb.
Multiplied stages of the hormones progesterone can also make you produce more fluid. improved discharge is an everyday part of being pregnant, but it's critical to keep an eye on it and tell your physician or midwife if it changes in any way.
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an agitated client diagnosed with schizophrenia and the client's family arrive in the psychiatric unit for admission. which action should the nurse perform first?
An agitated client diagnosed with schizophrenia and the client's family arrive in the psychiatric unit for admission therefore the action which the nurse should perform first is to administer antipsychotic medications.
Who is a Nurse?This is referred to as a healthcare professional who specializes in the taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complications.
Schizophrenia on the other hand is referred to as a serious mental disorder in which people interpret reality abnormally and the first line of care and treatment is for the nurse to administer antipsychotic medications as it helps to reduce the symptoms such as hallucinations, delusions etc thereby making it the correct choice.
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What are some of the reasons why people do not seek treatment for psychological disorders?.
Answer: Afraid, embarrassed, can't afford care.
after teaching a client about myasthenia gravis, the nurse would judge that the client has formed a realistic concept of the disease and the treatment plan when the client makes which statement?
After teaching a client about myasthenia gravis, the nurse would judge that the client has formed a realistic concept of her health problem when she says that by taking her medication and pacing her activities , she will live longer, but ultimately the disease will cause her death.
What do you mean by nyasthenia gravis?
Myasthenia gravis is characterized by weakness and rapid fatigue of any of the muscles under your voluntary control. It's caused by a breakdown in the normal communication between nerves and muscles.
There's no cure for myasthenia gravis, but treatment can help relieve signs and symptoms, such as weakness of arm or leg muscles, double vision, drooping eyelids, and difficulties with speech, chewing, swallowing and breathing.
Though this disease can affect people of any age, it's more common in women younger than 40 and in men older than 60.
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the nurse helps a client to correctly perform peritoneal dialysis at home. the nurse must educate the client about the procedure. which educational information should the nurse provide to the client? clean the catheter insertion site daily with soap keep the dialysis supplies in a clean area, away from children and pets wear a mask while handling any dialysate solutions keep the catheter stabilized to the abdomen, below the belt line
The educational information that the nurse provide to the client is about keeping the dialysis supplies in a clean area and away from the childrens and pets.
Why is it important to keep the dialysis supplies away?
Since the supplies could be harmful to kids and animals, it's crucial to keep them out of the way and in a clean space when not in use. Masks are often only used during exchanges, particularly if a client has an upper respiratory infection.
Daily cleaning of the catheter insertion site should be done without the use of soap and instead with an antiseptic such povidone-iodine. In order to prevent continuous rubbing, the catheter should also be secured to the abdomen above the belt line rather than below it.
Therefore, The educational information that the nurse provide to the client is about keeping the dialysis supplies in a clean area and away from the childrens and pets.
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when caring for a client with chronic glaucoma, the nurse sets the goal of drug therapy to slow disease progression by reducing iop. what are the first-line drugs used to treat glaucoma?
Topical beta-blockers pg. 1080 are the first-line drugs used to treat glaucoma.
Nowadays, lesions with both deep and superficial components as well as amblyogenic lesions are treated with topical beta blockers. The benefit of the treatment can be observed within days when it is started during the proliferative phase of the lesion.The use of topical beta-blockers in the management of glaucoma is well-established. We wanted to find out how patients fared after experiencing symptomatic atrioventricular (AV) block brought on by topical beta-blockers.Beta blockers used topically are the preferred medical treatment for glaucoma. These medications lessen intraocular pressure (IOP), preventing vision loss due to optic nerve injury. The topical beta blockers that are offered in the United States are timolol, betaxolol, lagobolon, metipranolol, and caretook.To know more about Beta blockers check the below link:
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although the thought of biologic disasters is alarming, treatment and transmission-based precautions can be relatively simple in some cases. health care workers can protect themselves using standard precautions and treat clients using fluoroquinolone antibiotics for infections with which biologic agent?
The aerobic gram-positive and gram-negative organisms.
Antibiotics are used to deal with or prevent a few varieties of bacterial infections. They kill the microorganism or save them from reproducing and spreading. Antibiotics aren't effective for viral infections. This consists of the commonplace bloodless, flu, most coughs, and sore throats.
The main sorts of antibiotics encompass Penicillins, for instance, phenoxymethylpenicillin, flucloxacillin, and amoxicillin. Cephalosporins, for example, cefaclor, cefadroxil, and cefalexin. Tetracyclines, for example, tetracycline, doxycycline, and lymecycline.
Penicillins are the oldest of the antibiotics and are generally safe however they could purpose facet consequences such as diarrhea, pores and skin rash, fever, and more.
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a client admitted with inflammatory bowel disease asks the nurse for help with menu selections. what menu selection is most likely the best choice for this client?
For the nutritional therapy of inflammatory bowel disease, a bland, low-residue, high-protein, and high-vitamin diet must be consumed. Tofu satisfies all the requirements.
What is inflammatory bowel disease?Blueberries, spinach, and multigrain bagels are not low-residue foods. Antibiotics, corticosteroids, and other pharmacological types are used to treat inflammatory bowel disease and bring about remission.
The appropriate kind is often determined by the location of the inflammation and the severity of the problem.
Therefore, Tofu satisfies all the requirements, this menu selection is most likely the best choice
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The given question is incomplete, so the complete question is here:
A patient admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is most likely the best choice for this patient?
A)
Spinach
B)
Tofu
C)
Multigrain Bagel
D)
Blueberries
a client with ascites had 5400 ml of fluid removed during paracentesis. the health care provider prescribes 8 g of albumin iv per 1000 ml of fluid removed. if the albumin is supplied as 25 g in 100-ml bottles, how many ml will the nurse administer?
The quantity of albumin in mls that the nurse would administer would be = 3.2ml.
What is ascites?Ascites is the collection of fluid in the abdominal cavity due to systemic abnormality which is usually removed by the process called paracentesis.
The quantity of fluid removed = 5400 ml
The dose of albumin prescribed= 8g / 1000ml albumin
If 8g = 1000ml
xg = 100ml
make xg the subject of formula;
xg = 100 × 8/1000
xg = 800/1000
xg = 0.8 g/100ml
The available dose/ vehicle = 25g/100ml
if 25g = 100ml
0.8 g = ×ml
XML = 0.8 ×100/25
X ml = 80/25
X ml = 3.2 ml
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