Order blood cultures drawn from two sites.
Infectious endocarditis (IE) is an infection of the endocardium, the inner lining of the heart muscle, brought on by pathogens that enter through the circulation. The majority of cases of IE are seen in individuals with abnormal (leaky or narrow) heart valves, artificial (prosthetic) heart valves, or pacemaker leads. Any structural cardiac condition can increase a person's risk of having IE. Rheumatic fever used to be the primary risk factor for IE and is still prevalent in underdeveloped nations. Fatigue and shortness of breath with exercise are the primary symptoms, along with a low-grade persistent temperature without a clear cause. Along with a murmur that is new or shifting, patients may also have joint and muscular discomfort.
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A client returns from the postanesthesia care unit after a rotator cuff repair. which action would the nurse take?
A client returns from the post-anesthesia care unit after a rotator cuff repair and the action which the nurse would take is neurovascular assessment.
A neurovascular assessment is a systematic take a look at employed by clinicians to assess neurovascular compromise, impaired blood flow to the extremities, and harm to the peripheral nerves.After the neurovascular assessment, nurse should assess for capillary refill in the nail beds.
Tips to speed recovery after rotator cuff surgery include wearing a sling, sleep carefully, ask for help, catch for complications, do the physical therapy, keep comfortable, be mindful of your movement and pace yourself.
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The nurse on a post-surgical orthopedic unit receives nursing report on a group of adult clients. which client should the nurse see first?
The nurse on a post-surgical orthopedic unit receives nursing report on a group of adult clients and the client which the nurse should see first is a client who has respiratory rate of 8 breaths/minute.
After receiving anaesthesia for a surgery or procedure, a patient is taken to the post-surgical orthopedic unit to recover and come to life. The post-surgical orthopedic unit could be a vital care unit wherever the patient's important signs are closely discovered, pain management begins, and fluids are given.
A person's respiratory rate is the range of breaths you're taking per minute. The conventional respiration rate for an adult at rest is twelve to twenty breaths per minute. A respiration rate underneath twelve or over twenty five breaths per minute whereas resting is taken into account as abnormal.
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Ipaa protects a category of information known as protected health information (phi). phi covered under hipaa includes:______.
phi covered under hipaa includes Identifiable health information that is created or held by covered entities and their business associates.
What is Considered PHI Under HIPAA Rules?PHI is considered as any identifiable health information which is used, maintained, stored, or transmitted by a HIPAA a healthcare provider, health plan or health insurer or a healthcare clearing house.
It is the past and current health information which is considered PHI under HIPAA Rules, future information about medical conditions or physical and mental health related to the provision of care
PHI is health information includes physical records, electronic records, or spoken information, health records, health histories, lab test results, and medical bills.
Demographic information is also considered PHI under the HIPAA Rules, like patient names, Security numbers, Driver’s license numbers, insurance details.
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The nurse administers medications by various routes of delivery. the nurse recognizes which route of administration as requiring higher dosages of drugs to achieve a therapeutic effect?
When higher doses are required, the oral route of administration will be used.
What is the oral route of drug administration?
The most frequent and approved mode of medicine delivery, particularly for out-patients, is oral administration. When practicable, the oral route (Latin per os, meaning through the mouth) is the main choice for medication delivery since it is both convenient and affordable.
Oral medications (tablets, capsules, syrup, solutions, suspensions, powders, emulsions, and so on) are inserted into the mouth and consumed. Although a few medications are meant to be dissolved in the mouth, almost all pharmaceuticals used orally are swallowed.
The majority of these are taken for the systemic medication effects that come from absorption from the numerous sites throughout the gastrointestinal tract. A few medications, such as antacids, are taken orally for their local activity in the gastrointestinal system.
Therefore, oral administration will be used in this case.
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What should discharge instructions after tubal ligation include?
The discharge instructions should include the following at different times of the surgery.
During Your Hospital StayYou had tubal ligation (or tying the tubes) surgery to close your fallopian tubes. These tubes join the uterus and ovaries.
A woman becomes infertile after having her tubes tied. This often signifies that a woman is no longer able to become pregnant.
However, even after tubal ligation, there is a slight chance of conception. (A similar surgery with complete tube removal has a better rate of effectiveness in preventing pregnancy.)
After your surgeryPractice the following self-care techniques:
• Keep your incisions’ surrounding areas clean, dry, and protected. Change your dressings and bandages as directed by your physician.
• Avoid bathing, relaxing in hot tubs, and swimming until your skin has recovered.
• For a few days after the surgery, avoid heavy activities. Never try to lift anything heavier beyond 10 pounds (about a gallon, 5 kg, a jug of milk).
• You can start having sex as early as you’ll be ready. This normally happens for women in a week.
• You might be able to go back to work in a short while.
• You can eat what you normally would. If you’re feeling nauseous, try dry bread or crackers with your tea.
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The nurse performs hand hygiene with soap and water before caring for a client. what is the primary rationale for this action?
Answer:
The primary reason why nurses perfom good hygine before attending to a patient is to prevent introducing harmful bacteria to the patient.
Explanation:
Why is it dangerous to administer an intravenous line of pure water to a patient?
It dangerous to administer an intravenous line of pure water to a patient because the pure water will go directly into a vein would cause your blood cells to become hypotonic, possibly leading to death.
Serious patient harm can result once sterile water is run by direct IV infusion due to hemolysis related to the hypotonic nature of the product. Sterile water for injection is sterile water that is supposed to be used by pharmacy to compound IV product like canal nutrition solutions.
Pure water is injected into an IV would diffuse via osmosis into the more concentrated environment within red blood cells, create them intumesce as a result of the surplus water and eventually create them burst.
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Which is included in self-care instructions for a woman following a modified radical mastectomy?
The self-care instructions for a woman following a modified radical mastectomy include that she expect a decrease in sensation or tingling in her affected arm as her body heals.
Loose wear should be worn since tight clothing ought to be worn by woman since tight clothing might impede circulation within the affected arm. The cavum of the affected arm shouldn't be beardless nor ought to depilatory creams or robust deodorants be used.
A decrease in sensation and tingling within the affected arm and within the incision area unit expected for weeks to months when the surgery. Drains ought to be empty a minimum of twice daily and a lot of usually if necessary.
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Which elements of hpi are met in this statement? patient complains of headache and blurry vision for the past 3 days.
Location, quality and duration are the elements of HPI met in this statement.
An explanation of how the patient's current ailment developed. The HPI often provides a chronological account of how the patient's current illness developed from its initial signs and symptoms to the present. The following components, in some combination, should be present:
Location: What is the location of the pain?Quality: Include a description of the quality of the symptom (i.e. sharp pain)Severity: The degree of pain for example can be described on a scale of 1 - 10Duration: How long have you had the painTiming: Describe when you have pain for example pain with exertion or pain in the eveningContext: What is the patient doing when the pain beginsModifying Factors: What makes the pain better or worse for example aspirin helpsAssociated Signs and Symptoms: Physicians based on assessment may ask about other sensations or feelings for example – do you experience pain while exercisingTwo Levels of HPI:
Brief HPI: Requires one to three HPI elements (see above list)Extended HPI: Requires four HPI elements or the status of three chronic problems (see 1997 guidelines for the status of chronic conditions)Learn more about HPI here:
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The nurse is caring for a client after a laparoscopic cholecystectomy. which nursing action is priority?
The correct answer for his question is Access puncture sites for bleeding.
If gallstones are not creating difficulties, they do not need to be treated. Patients with cholecystitis or gallstone symptoms are treated with cholecystectomy, which is the surgical removal of the gallbladder. Laparoscopic cholecystectomy, also known as minimally invasive cholecystectomy, is conducted through four tiny incisions, using a camera used to view the inside of the belly and lengthy instruments used to remove the gallbladder. Surgery is performed under anesthesia, and patients remain unconscious during the process.
The majority of patients go home the day of or the day following surgery. Patients can resume eating at their regular home meals. Mild to severe discomfort is usual for a few days and may be controlled with prescription pain medicines.
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The priority action for a nurse for a client after laparoscopic cholecystectomy is to access puncture sites for bleeding.
If gallstones are not creating difficulties, they do not need to be treated. Patients with cholecystitis or gallstone symptoms are treated with cholecystectomy, which is the surgical removal of the gallbladder. Laparoscopic cholecystectomy, also known as minimally invasive cholecystectomy, is conducted through four tiny incisions, using a camera used to view the inside of the belly and lengthy instruments used to remove the gallbladder. Surgery is performed under anesthesia, and patients remain unconscious during the process.
The majority of patients go home the day of or the day following surgery. Patients can resume eating at their regular home meals. Mild to severe discomfort is usual for a few days and may be controlled with prescription pain medicines.
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How might you use resources like healthgrades in your clinical practice?
Resources like healthgrades in clinical practice evaluates hospitals entirely on risk adjusted mortality and in-hospital complications.
Healthgrades is an internet based online information of doctors, dentists, and hospitals that has over one hundred million users and has collected knowledge on quite 3 million U.S. tending suppliers.
The website of healthgrades evaluates roughly 5 hundred million claims from federal and private reviews and data to rate and rank doctors supported complication rates at the hospitals where they follow, experience, and patient satisfaction.
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The goal of a warm-up is to
_____ your body and muscle temperature.
A. maintain
B. increase
C. decrease
What evidence exists showing that maternal behavior is mediated by hormones?
B. New (human) mothers with higher levels of blood cortisol were more physically affectionate with and talked more to their babies than women with lower levels of blood cortisol.
Cortisol- The stress hormone cortisol is known to play a role in the body's reaction to physical and/or mental stress. Cortisol also contributes to a number of homeostatic maintenance processes, including blood pressure, immunological function, anti-inflammatory activity, protein, glucose, and adipose tissue metabolism.
Homeostatic Maintenance- The preservation of a steady internal environment is known as homeostasis. The word "homeostasis" was developed to define the physical and chemical conditions that an organism must maintain in order for its constituent cells, tissues, organs, and organ systems to operate correctly.
The given question is incomplete, find below the complete question,
Q. What evidence exists showing that maternal behavior is mediated by hormones?
A. Male rats who are given oxytocin engage in more licking and grooming behaviors directed toward their offspring than male rates who are not given oxytocin.
B. New (human) mothers with higher levels of blood cortisol were more physically affectionate with and talked more to their babies than women with lower levels of blood cortisol.
C. New (human) mothers with higher levels of blood oxytocin were more physically affectionate with and talked more to their babies than women with lower levels of blood oxytocin.
D. Female rats who are given oxytocin engage in more licking and grooming behaviors directed toward their offspring than female rates who are not given oxytocin.
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A client has undergone extensive diagnostic testing and has been diagnosed with breast cancer staged as t3, n0, m0. what conclusion can the nurse draw from the staging of the client's breast cancer?
The customer has a sizable tumor despite their being no lymphatic involvement. Breast cells can become cancerous and evolve into breast cancer.
Breast CancerBreast cancer is the second most common cancer in women to be diagnosed in the US.
Breast cancer can affect both men and women, but it is considerably more common in women.
Thanks to tremendous investment in research and awareness initiatives, breast cancer diagnosis and treatment have advanced. Breast cancer survival rates have increased, and the number of fatalities associated with the disease is gradually declining, thanks to earlier detection, an innovative, customized approach to therapy, and better understanding of the disease.
Symptoms• Nips and turns
• Changes to the nipples
Breast cancer symptoms and signs might include:
• Breast tissue that seems to become thicker or lumpier than the rest of the breast
• The breast’s size, shape, or appearance changes
• Alterations to the breast’s skin, such as dimpling
• A recently flipped nipple
• The pigmented region of skin around the nipple (areola) or breast skin peels, scales, crusts, or flakes.
• Over your breast, there may be redness or pitting similar to that of an orange.
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Which roles could the nurse assign to unlicensed assistive personnel (uap) in caring for a client with a cast? select all that apply. one, some, or all responses may be correct.
The roles a nurse could assign to Unlicensed Assistive Personnel (UAP) in caring for a client with a cast are routine tasks, such as taking vital signs, supervising ambulation, bed making, assisting with hygiene, and activities of daily living.
A cast holds a broken bone in place as it heals. Casts conjointly facilitate forestall or decrease muscle contractions, and are effective at providing immobilization, particularly once surgery. Casts immobilize the joint higher than and therefore the joint below the realm that's to be unbroken straight and while not motion.
UAP are meant to provide overarching principles for observe in things across the time of care wherever registered nurses delegate tasks to UAP.
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How does the inappropriate activation of the stress response in modern humans lead to disease?
Inappropriate stress response activation in contemporary people results in illness Even though we are not physiologically agitated, we consistently do it. Long-term stress is harmful. Each person's capacity to cope with stress is influenced by a variety of genetic, environmental, and developmental variables.
Modifications in the body's ability to respond to stressors (such as inadequate, excessive, and/or prolonged responses) can lead to disease.
A variety of physiological systems, including the growth, metabolism, reproduction, and immunological competence, as well as the development of behavior and personality, can all be negatively impacted by exceptionally intense and/or prolonged stresses.
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What is the category of drugs capable of inducing perceptions of sights, touch, or tastes with no basis in reality?
Hallucinogenic drugs are capable of inducing perceptions of sights, touch, or tastes with no basis in reality.
What is meant by hallucinogenic drugs?A wide range of chemicals known as hallucinogens changes perception, ideas, and emotions. They result in hallucinations, which are perceptions and pictures that appear real but are not.
Drugs that cause hallucinations and dissociation are used socially and recreationally. Hallucinogens may be used by individuals to reduce stress or in an effort to reach enlightenment. Some people use hallucinogens just to get away from their problems or to pass the time when they are bored.
Voices are heard while nobody has spoken (the most common type of hallucination). These voices could be neutral, hostile, or supportive. They might order someone to perform something that could be dangerous for them or other people.
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A nurse is using a standardized care plan as the basis for planning care for a newly admitted client. after selecting the relevant care plan, what should the nurse do next?
The nurse should take action by implementing the selected care plan.
What is nursing care plan?A nursing care plan (NCP) is a formal process that correctly identifies existing needs and recognizes potential needs or risks in taking care of a patient.
The nursing care plan is known also as the written manifestation of a the nursing process.
A nursing care plan equally contains relevant information about a patient's diagnosis, the goals of treatment and the specific nursing orders.
After a nursing care plan is chosen, the net step should be be the implementation of that care plan.
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Dr. Alexis keeps her patients' records private and classified. By doing this, Dr. Alexis is showing ________ for her patient.
A. confidentiality
B. self-care
C. credentials
D. education
A clinic nurse notes that large numbers of clients present with flu-like symptoms. which recommendations should the nurse include in the plan of care for these clients? select all that apply.
Take antipyretics for fever.
Rest, staying hydrated, and eating nutritious foods and drinks are all part of flu treatment. Medications such as pain relievers and fever reducers can also be used to treat symptoms. Caregivers should instruct patients to sneeze or cough into their upper arm sleeves, not their hands. Hands can carry respiratory droplets that can contaminate surfaces and spread to others. Influenza vaccination is a preventive measure. It is not intended to treat flu symptoms. Antipyretics are antipyretics. The hypothalamus is forced by antipyretics to overcome the prostaglandin-induced increase in body temperature. The fever eventually subsides as a result of the body's efforts to cool itself down. Most antipyretics also have additional functions.Antipyretics must be given to the patients.
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When conducting inspections of food establishments, the food program specialists generally focus on?
When conducting inspections of food establishments, the food program specialists generally focus on areas such as:
1. Food safety practices
2. Time and temperature control.
3. HACCP
4. Prevention against contamination
5. Personal hygiene.
This is defined as the process in which something is carefully examined or scrutinized such as food etc.
In the case of a food establishment, different criteria are taken into consideration so as to ensure that they are safe for consumption by the public and they include hygiene, absence of contaminants etc.
This therefore makes all the options mentioned above as the most appropriate choices in this scenario.
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8. Identify which method of communication would be considered verbal communication.
A.) shoulder shrug
B.) smile
C.) text message
D.) folded arms
The method of communication would be considered verbal communication is text message. The correct option is C.
What is verbal communication?Verbal communication is defined as oral communication with words spoken aloud by you or others.
Nonverbal communication, on the other hand, is about what isn't said out loud: gestures, facial expressions, and body language.
Any communication that uses language to convey meaning is considered verbal communication.
Oral communication can include telephone conversations, face-to-face discussions, interviews, debates, and presentations, among other things. Written communication, such as letters and emails, can also be included.
Written and oral communication are the two main types of verbal communication. Text messaging is a method of communication that is considered verbal.
Thus, the correct option is C.
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Physical exercise, sleep, and exposure to nonstressful but stimulating environments are most likely to promote?
Physical exercise, sleep, and exposure to nonstressful but stimulating environments are most likely to promote Neurogenesis. The process through which neural impulses are created in the brain is known as neurogenesis. When an embryo is developing, neurogenesis is important, but it also continues in some parts of the brain after birth and throughout life.
What strategies can we use to enhance our neurogenesis?An Environment which is Rich:
Learning a new skill, traveling, picking up a language, forging closer or more varied social ties, and facing intellectual challenges are all stimulants of neurogenesis.
Exercise:
Exercise is seen as a remedy for health since it has profound effects on both the body and the mind.
Diet:
We are what we consume, and the body cannot successfully make new cells of any type without the proper biological components to work with it.
Psychoactive Drugs:
Although it is unlawful for the general population to consume most psychoactive substances, there is interest in using them medically to cure diseases or ailments of the brain.
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The usda identifies calories coming form foods that provide few or no nutrients as?:
The USDA identifies calories coming form foods that provide few or no nutrients as empty.
USDA is the United States Department of Agriculture which is responsible for developing and executing federal laws related to farming, forestry, rural economic development, and food.
Foods such as cookies, biscuits, donuts, energy drink provide few to no nutrients and are known as empty calories. Empty calories come from added sugars, solid fats and sometimes from processed oils.
One disadvantage of empty calories is that eating them may lead to an increase in blood sugar levels which further can lead to chronic health issues such as diabetes.
The recommended calories intake for a day is 2000 calories for women and 2500 for women in which their is only a certain amount of empty calories which can be consumed in a day which varies according to age and weight of an individual.
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When checking the lower extremeioty of a concious patient for sensation the ems provider should?
EMS personnel should touch the patient's feet and legs and inquire as to whether the patient can feel the touch.
What is lower extremeioty?
The area of the body from the hip to the toes is referred to as the lower extremities. The bones of the thigh, leg, and foot are all part of the lower extremity, as are the hip, knee, and ankle joints. The lower extremity is frequently referred to as the leg.
Who is a EMS provider ?
Pre-hospital emergency medical care is provided by emergency medical services (EMS) personnel. There is an inherent danger of illnesses and injuries at work due to their responsibilities. According to research, EMS personnel suffer from high rates of both fatal and nonfatal injuries and illnesses.
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A new nurse leader has the opportunity to delegate to a member of the staff. what criteria should the nurse leader be sure are followed before doing this?
In order for the New nurse to delegate, he or she must know the five rights of delegation, their state nurse practice acts, and therefore the working facilities' policies and procedures on delegation.
What is Delegation in nursing?
Delegation in nursing may be a controversial subject. It strikes fear into the guts of most nurses who feel that they are all too often placed in the precarious situation of having to delegate but not entirely sure it’s safe or what it may mean for them. This webinar explores delegation in nursing – either in your everyday clinical practice or once you are in the role of team leading. it's essential knowledge – because knowledge is power. This insight into delegation will reveal when you’re safe and the way to execute this skill with absolute confidence. Delegation is one of the keys to exceptional patient care and a high-functioning, well-integrated team. So knowledge of the way to do this confidently can only be empowering.
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Which is a likely reason that someone would harass a peer at school?
to assert power over the peer
to build a friendship with the peer
to increase the popularity of the peer
to promote equality with peer
Answer:
To assert power over the peer
Which hematocrit result would the nurse recognize as normal in a healthy 12-month-old infant?
The hematocrit result which the nurse would recognize as normal in a healthy 12-month-old infant is 29% to 41%.
Your hematocrit result are reported as number. That number is the percentage of our blood that is made from red blood cells. as an example, if your hematocrit check result's forty two, it means forty second of your blood is red blood cells and also the rest is white blood cells, platelets, and blood plasma.
If infant has low hematocrit result, it means that you'll have: Anemia. White blood cell cancers, like leukaemia. Chronic unwellness. Bleeding.
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A client is prescribed prazosin. which action should the nurse take to reduce this client's risk of acute hypotension?
If a patient is given prazosin. To lower the risk of abrupt hypotension in this client, the nurse should provide the first dosage at bedtime.
What does severe hypotension entail?Blood pressure below [tex]\frac{90}{60}[/tex] mm/Hg is referred to as hypotension or low blood pressure. Many folks do not experience any symptoms. In the event that symptoms do manifest, they are typically uncomfortable or upsetting, such as lightheadedness, fainting, and other symptoms. Hypotension can be harmful in some circumstances, thus prompt diagnosis and treatment are crucial.
Your blood pressure is significantly lower than normal when you have hypotension, also known as low blood pressure. It is a disorder that can manifest on its own or as a symptom of a variety of diseases. Symptoms may not always appear, but if they do, they may need to be treated medically.
There are two explanations for hypotension:
Your resting blood pressure is lower than [tex]\frac{90}{60}[/tex] mm/Hg, which is known as absolute hypotension (millimeters of mercury).Three minutes after getting out of a sitting position, you experience orthostatic hypotension, which is a dip in blood pressure. Your systolic (top) and diastolic (bottom) pressures both need to drop by at least 20 and 10 millimeters of mercury, respectively.To know more about hypotension visit:
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To adequately teach patients about the process of labor, the nurse knows that which event is the best indicator of true labor?
The best indicator of true labor is a bloody show.
The work process consists of three steps. The first stage begins when labor begins and ends when the cervical cavity is completely dilated and closed. Fetal birth marks the completion of the second stage, which begins with full cervical dilation. The third stage begins after fetal birth and ends with delivery of the placenta. This activity describes the stages of childbirth and their importance to multidisciplinary teams caring for women in childbirth. Painful contractions, vaginal bleeding or bloody discharge, and vaginal fluid leakage are common presenting complaints. Clinicians should determine whether patients are experiencing regular, clinically meaningful contractions. This indicates that she or he is in her labor.Bloody show is the correct answer.
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