The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity which can worsen the client's pre-eclampsia.
What is severe pre-eclampsia?
Pre-eclampsia can be categorized as mild or severe. You may be diagnosed with mild pre-eclampsia if you have high blood pressure plus high levels of protein in your urine.
You can also be diagnosed with severe pre-eclampsia if you have symptoms of mild preeclampsia plus signs of kidney or liver damage.
Thus, the nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity which can worsen the client's pre-eclampsia.
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During an infection control surveillance study, the nurse reviews various medical records and identifies that which person is at risk for infection?
During an infection control surveillance study, the nurse reviews various medical records and identifies that which person is at risk for infection is Healthcare-associated infections
Tracking process and outcome surveillance measures over time allows the infection prevention and control (IPC) program to do _____
Practical solutions to prevent any harm caused by the infections to the patients and the health care workers
The infection prevention and control (IPC) program is a program whose main responsibility is to protect the patient, the health care workers and the family of the patient form any harm that can be caused by the infections. It helps to reduce any transmission of the health care associated infections.
This program provides a practical solution which are designed to prevent the harm that can be caused by infections to the health care personnel as well as the patients.
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A patient is admitted to the emergency department with an open stab wound to the left chest. what is the first action that the nurse should take?
A patient is admitted to the emergency department with an open stab wound to the left chest. the first action that the nurse should take is to tape a nonporous dressing on three sides over the chest wound.
why do we use tape on the chest wound?
Because the dressing taped on three sides will allow air to escape when intrapleural pressure increases during expiration, but it will prevent air from moving into the pleural space during inspiration. Placing the patient on the left side or covering the chest wound with an occlusive dressing will allow trapped air in the pleural space and cause tension pneumothorax. the head of the bed should be elevated to 30 to 45 degrees to facilitate breathing.
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A nurse is caring for a client whose serum potassium level is 2.6 meq/l (2.6 mmol/l). the nurse anticipates which intervention will be prescribed?
The prescribed intervention will be IV infusion of 10 mEq potassium chloride in 100-mL normal saline solution over 1 hour times three doses.
What is IV infusion?
A vein can be used to administer fluids, medications, nutrients, or blood through intravenous treatment, or IV (in-trah-VEE-nus). IV therapy involves a needle, a small plastic tube called a cannula that inserts into a vein, and plastic tubing to link the apparatus to a bag of fluid. The parts are referred to collectively as a "IV."
Examples of IV infusion include normal saline, which is salt in water, and D5W, which is dextrose (sugar) in water. Another example is lactated Ringer's, which contains sodium, potassium, chloride, calcium and lactate etc.
A client with a blood potassium level of 2.6 meq/l (2.6 mmol/l) is being treated by a nurse. The recommended intervention is a three-dose IV infusion of 10 mEq potassium chloride in 100 mL of normal saline solution over the course of an hour.
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Recognizing challenges is the first step in finding
solutions. Check each of the following statements
that are currently considered challenges for the
foodservice industry.
Producing food that is both satisfying and healthy, Finding ways to pay higher wages and still meet customers' demands for lower prices.
Healthy foods contain the nutrients that your body requires to stay healthy and vibrant. A healthy, balanced diet mostly consists of water, carbohydrates, fat, protein, vitamins, and minerals. Unfortunately, the food industry makes less money from fresh foods than it does from processed items.
Initiatives for improving public health, such the campaign to remove junk food from schools, have been vigorously resisted even by huge food manufacturers. These processed junk meals are devoid of the nutrients your body need and are created from grains like corn, wheat, and soybeans. They are high in calories (fillers).
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Explain the effect of having too much protein in the diet.
The nurse is assisting in monitoring a client who received hydralazine hydrochloride to treat autonomic dysreflexia. which finding accurately indicates that the medication is effective?
Blood pressure declines.
Strong ganglionic blockers such as hydralazine hydrochloride lower blood pressure by dilating blood vessels. If a severe attack of hypertension occurs, it can be administered slowly by intravenous pressure. A spinal cord injury in the upper back can lead to the development of autonomic dysreflexia, a serious condition. It can cause dangerously high blood pressure and an extremely slow heart rate that can lead to stroke, seizure, or cardiac arrest. It occurs when the autonomic nervous system, which regulates automatic functions such as breathing and digestion, overreacts to something beneath the damaged spinal cord. Also called hyperreflexia. More than half of people with upper back spinal cord injuries suffer from it. Dysautonomia is a medical problem that requires urgent attention. It can be life threatening.Therefore, the correct answer is Blood pressure declines.
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A shock victim with breathing difficulties, chest injuries, or who's had a heart attack, should _____.
A shock victim who is having trouble breathing, has chest injuries, or has had a heart attack has to be treated very away in a hospital.
Cardiogenic shock: what is it?Cardiogenic shock, a life-threatening disorder, occurs quickly when your heart cannot keep up with the demand for blood from your body. Cardiogenic shock most frequently results after a heart attack. Your cells are dependent on oxygen to survive and function. This may result in catastrophic organ failure.
The primary pumping chamber of your heart may be damaged by a serious heart attack (left ventricle). Your body can't acquire enough oxygen-rich blood when this occurs.
The following conditions can also cause your heart to weaken and cause cardiogenic shock:
heart attack-related damage to the heart muscle. There is muscular inflammation in your heart (myocarditis). An infection of the heart's valves and inner lining (endocarditis) An unnatural heartbeat (arrhythmia).To know more about cardiogenic shock visit:
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Which actions of the nurse convey an attitude of respect toward the client?
Empathy is demonstrated when one can see the problem from the client's perspective. Respect is shown to the client by encouraging a private environment during therapeutic discussions.
What is the therapeutic relationship?A therapeutic relationship is one that exists between a client or patient and a healthcare provider.It is a way for a therapist and a client to communicate and work toward the client's positive improvement.The working alliance, transference/countertransference, and the genuine connection are the three components that psychoanalysis theorizes make up the therapeutic relationship.Evidence has been acquired on the interplay between components as well as on each component's own contribution to the outcome.The therapeutic connection, as opposed to a social one, is centered on the client's needs and objectives.To learn more about the therapeutic alliance, refer to:
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A client is diagnosed with pheochromocytoma. which finding in the urinalysis report supports the diagnosis?
A client is diagnosed with pheochromocytoma. The finding in the urinalysis report supports the diagnosis by Total catecholamines - 640 mmol/24 hr.
How Pheochromocytoma Is Diagnosed?
Rarely, the little glands on top of the kidneys known as the adrenal glands will develop a tumor known as a pheochromocytoma. These tumors may be malignant or benign (noncancerous) (cancerous).
Catecholamines, the hormones that regulate our ability to fight or flee, are frequently overproduced by pheochromocytomas, which results in symptoms including elevated blood pressure, headaches, anxiety, and a sense of impending doom.
A blood or urine test to identify elevated levels of the hormones that these tumors emit is typically the first step in making a diagnosis if suspicious symptoms are noticed or if a person has a family history of a genetic condition associated with this type of tumor. Additional tests and imaging examinations can also be required.
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A client with crohn's disease is scheduled to receive an infusion of infliximab. what intervention by the nurse will determine the effectiveness of treatment?
The nurse should Check the frequency and consistency of bowel movements.
What is Crohn's disease?Crohn's disease is a type of inflammatory bowel disease (IBD) that causes inflammation of the tissues in the digestive tract, which can lead to abdominal pain, diarrhea, weight loss, loss of strength, and malnutrition.
If a client with Crohn's disease is scheduled to receive an infusion of infliximab, the intervention that will determine the effectiveness will be checking the frequency and consistency of bowel movements by the nurse.
Crohn's disease commonly affects the small intestine.
In conclusion, Crohn's disease may lead to life threatening complications if not handled properly.
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On the continuum of health, the two endpoints are absence of disease and optimal health. True or false?.
It is true that on the continuum of health, the two endpoints are absence of disease and optimal health.
The health continuum refers to associate degree integrated system of health care that follows a patient through time or through a variety of services. The goal of a health continuum is to supply a a lot of comprehensive patient care.
Optimal health is a equilibrium of physical, emotional, social, spiritual, and intellectual health, life style. Change is expedited through a mixture of learning experiences that enhance awareness, increase.
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Your patient is a 55 y/o male, complaining of chest pain. he states that he had a heart attack in 2011. what can you document in his pmhx?
The document in 55 y/o male pmhx(Past Medical History) is Myocardial infarction (MI) and Coronary artery disease (CAD).
What defines Coronary artery disease from Myocardial infarction?Chest pain, also known as angina or Myocardial infarction, is a result of oxygen-poor blood that is unable to reach the heart muscle because of narrowed or blocked coronary arteries. CAD may weaken the heart muscle over time, which could cause major pumping issues and irregular cardiac rhythms.
A substantial portion of myocardial infarction (MI) patients undergo angiography without having obstructive coronary artery disease (CAD). Although both sexes can get this kind of MI, women experience it more frequently. It's not a minor issue, either.
Plaque accumulation on the artery walls damages the cells lining the arteries, resulting in CAD. Atherosclerosis, a disorder in which plaque accumulates hardens and constricts the arteries, restricts blood flow and puts additional strain on the heart. A heart attack can be the result.
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A nurse is screening women for risk factors for breast cancer. which factors are considered a risk for this disorder? select all that apply.
The risk factors are :
previous cancerUsing female hormone therapy Having an extreme fear of cancer Cystic breast disorder.What is female hormone therapy?
Female hormones are present in medications used for hormone replacement therapy. You take the medication to replenish the lost estrogen caused by menopause. Hot flashes and vaginal soreness are two common menopausal symptoms that are most frequently treated with hormone therapy.
What is Cystic breast disorder ?
As fluid builds up inside the glands of the breasts, breast cysts form. The size of breast cysts can be determined: Microcysts are too small to feel, although they can be observed through imaging procedures like mammography or ultrasound.
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Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (tb)?
The nurse should wear a particulate respirator (N95) when providing care to a client with a diagnosis of tuberculosis (TB).
Tuberculosis is an air-borne disease that spreads by inhaling infected droplets. It is caused by a bacteria known as Mycobacterium tuberculosis. The primary organs that are affected by TB are the lungs. TB infections can also affect other organs/systems like meninges, lymph nodes, genito-urinary tract, peritoneum, pericardium, etc. The signs or symptoms of tuberculosis include chronic cough, fever, night sweats, and weight loss.
The treatment for tuberculosis includes the prescribed medications along with a healthy diet and regular exercise. Medical professionals should ensure the medication is taken regularly.
Proper precautions should be taken while caring for a client with tuberculosis. The nurse should first wash hands, put on a gown, and wear an N-95 respirator or mask, face shield, and gloves. The patient should be asked to cover his mouth and nose when sneezing or coughing. The patient should not be allowed to move out of the isolation room unless mandatory.
N-95 mask is recommended because it can be worn more than once unlike a surgical mask which is disposed of after being used once.
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During an abdominal assessment the nurse is assessing for rebound tenderness. which response by the patient indicates a positive blumberg's sign?
Patient states, "I felt a very sharp pain as you let up on the pressure to my stomach."
Peritonitis, a serious condition marked by peritoneal inflammation, is indicated by rebound tenderness. A common cause of this inflammation is an infection.
When the patient feels a sharp, stabbing pain when the examiner releases pressure from the abdomen, this is known as the Blumberg sign and the patient experiences rebound tenderness. It implies peritoneal sensitivity (as from appendicitis). Consider that place to be the source of discomfort if the patient complains of pain in a location different than the one the nurse is checking for rebound tenderness. Blumberg's sign is not correlated with nausea. When having cholecystitis, a patient would experience severe discomfort and hold his or her breath in reaction to pressure applied to the right costal margin (Murphy's sign).
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Which outcome of acyclovir does the nurse discuss with a patient with an initial outbreak of herpes genitalis?
Elimination of symptoms is the outcome of acyclovir that the nurse discusses with a patient with an initial outbreak of herpes genitalis.
What are symptoms?Only the person who is experiencing a symptom can identify less evident disruptions in normal function such a stomachache, lower back pain, or weariness. Due to the subjective nature of symptoms, others can only be made aware of them by the person experiencing them.
Three main symptom categories are as follows:
Symptoms that return: Symptoms are referred to as remitting symptoms when they fully disappear or get better. Examples include the common cold, whose symptoms may last several days before going away on their own.
Chronic symptoms are persistent or reoccurring symptoms. Chronic illnesses like diabetes, asthma, and cancer frequently exhibit chronic symptoms.
Relapsing symptoms are those that have previously appeared, disappeared, and then come again.
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A nurse begins work in an agency that provides care to members of a minority ethnic population. the nurse will be better able to demonstrate cultural competence after?
A nurse begins work in an agency that provides care to members of a minority ethnic population.
The nurse will be better able to demonstrate cultural competence after exploring the commonly held beliefs and values of the population.
What is minority ethnic population?In its original sense, an ethnic group is a group of individuals that outnumber the larger groups within those groups in terms of practice, color, religion, ethnicity, or other characteristics. But in modern sociology, minorities are a classification of people who are relatively less favorable than members of a dominant social group.Minority membership is often defined by differences in observable characteristics or customs, such as those related to: race, religion (minority following that religion), sexual orientation (a minority with that sexual orientation) or disability. Racist frameworks can be used to recognize that a person can belong to more than one minority group simultaneously (e.g., racial and ethnic minorities).To learn more about minority ethnic population, refer to the following link:
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A patient has had a cuffed tracheostomy tube in place for 7 days. after changing the tube and twice inserting 10 ml of air, cuff pressure measures zero. the most appropriate action would be to?
The most appropriate action would beto place a new tracheostomy tube.
After injecting 10 mL of air, if the cuff pressure is 0 cm H2O, the cuff was probably ruptured during insertion. The tube must often be replaced if the cuff is ripped or blown.
Hence, the right answer is to place a new tracheostomy tube.
How long is it possible to maintain a tracheostomy?After tracheostomy, the median survival time was 21 months (range, 0-155 months). After tracheostomy, the survival rate was 65% after one year and 45% after two years. With a hazard ratio of dying of 2.1 (95% confidence interval, 1.1-3.9), patients older than 60 years at tracheostomy had considerably shorter survival times.To learn more about tracheostomy, visit:
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From dr. lissa rankin's video, what are the physiological health benefits of being more mindful with your health?
In addition to reducing stress, mindfulness can treat heart disease, lower blood pressure, lessen chronic pain, enhance sleep, and soothe digestive problems.
What is mindfulness about?Health care professionals who practice mindfulness report feeling less stressed, more connected to their patients, and overall better quality of life. Additionally, it benefits mental health practitioners by lowering their stress levels and boosting their feelings of positivity and self-compassion.
Without acting on them or allowing them to dictate how we behave, negative emotions and bodily sensations can be managed with the use of mindfulness. Our ability to focus better and tune out distractions improves when we incorporate mindful breathing into our daily lives.
Your whole mental health can be greatly enhanced by practicing mindfulness. The practice is said to aid in the management of stress, depression, addiction, and anxiety. Patients with medical issues like hypertension, persistent discomfort, and heart failure have proved that it is useful.
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4.a nurse is caring for a new mother who is concerned that her newborn's eyes cross. what would be a therapeutic response by the nurse?
The nurse will respond “This is normal because newborns lack the muscle control necessary to regulate eye movement".
What are the characteristics of the eyes of newborns?A newborn's vision ranges from 20/200 to 20/400 at birth. They are more likely to open their eyes in dim light because they are sensitive to bright light. If your infant's eyes occasionally cross or stray outward, don't be alarmed (go "wall-eyed"). This is typical until your baby's vision gets better and his or her eye muscles get stronger. However, the eyes often straighten up by the time a baby is 4-6 months old. Even occasionally, one or both eyes may continue to stray in, out, up, or down. This is likely the result of strabismus.
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You are educating your client on taking blood pressure at home. what would be important to include in your client education?
What would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
What is blood pressure?
Blood pressure is the pressure of circulating blood against the walls of blood vessels.
Most of this pressure results from the heart pumping blood through the circulatory system.
Thus, what would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
what would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
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Avoiding which outcome is the primary reason for establishing professional boundaries with clients?
Avoiding loss of therapeutic effectiveness outcome is the primary reason for establishing professional boundaries with clients.
What is therapeutic effectiveness?The term "therapeutic effects" refers to the response(s) to a therapy of any type, the results of which are thought to be positive or favorable. This is true whether the result was expected, unanticipated, or even an unintentional consequence.
A negative or unpleasant reaction is the reverse and is referred to as an unfavorable consequence (including nocebo) (s). What is viewed as a therapeutic impact vs. a side effect depends on the nature of the problem and the therapy's goals. There is no inherent difference between the two reactions; they are both behavioral/physiologic changes that occur in response to the treatment strategy or drug.
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Which model of nursing care would include working within the walls as well as beyond the walls of the hospital?
Nursing case management model is the model that include working within the walls as well as beyond the walls of the hospital.
What is Nursing case management?The nursing case management is the nursing care model, the nurse needs to provide nursing care for a particular patient or client in nursing care in nurse managed centers, urgent care centers, health agencies, rural area and schools etc.
Case management is a model of care delivery that integrates patient and taking care of cost factors to make the provider's satisfaction and provides a method of managing individuals' holistic health concerns.
The other three options are not provide healthcare as they are provide care inside the hospital, or with technical assistant by the registered nurse.
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Eating small portion sizes and planning your daily eating pattern so that you don't overconsume any nutrients is a healthful component of the diet known a?
Eating small portion sizes and planning your daily eating pattern so that you don't overconsume any nutrients is a healthful component of the diet known as moderation.
Healthy eating is very important to maintain health, have energy, feel good. It can be done by eating variety of nutritional food.
Therefore, daily eating pattern in moderation can include limiting sweets, adding nutritional foods, calculating calories and eating small portion sizes.
Eating in moderation, that is small portion sizes help avoid excessive consumption. A few benefits of this eating pattern are it helps with weight loss, hypertension, diabetes, cholesterol and also weight control.
A few ways to eat in moderation are eating in small sized dishes, avoiding trigger foods, eating vegetables as appetizers etc.
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Which intervention would be most appropriate to prevent a patient fall by reducing the risk of entanglement?
The nursing intervention that would be most appropriate to prevent a patient fall by reducing the risk of entanglement is: coiling and securing excess electrical, telephone, and any other cords or tubing; option C.
What are nursing interventions?Nursing interventions are steps and actions taken by a nurse to prevent the worsening of the condition of a patient as well as to provide relief and curative purposes.
Entanglement results when an individual finds himself or herself entangle with things like ropes, cords and strings. Entanglements can cause falls in patients in hospitals.
The nursing intervention that would prevent falls by reducing the risks of falls would be coiling and securing excess electrical, telephone, and any other cords or tubing.
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Note that the complete question is given below:
Which intervention would be most appropriate to prevent a patient fall by reducing the risk of entanglement?
A. cleaning all spills promptly and posting a sign indicating a wet floor
B. removing excess equipment, supplies, and furniture from rooms and halls
C. coiling and securing excess electrical, telephone, and any other cords or tubing
D. keeping the floors clutter and obstacle free, particularly the path to the bathroom
A client with a history of lung disease is at risk for developing respiratory acidosis. the nurse should assess the client for which signs and symptoms characteristic of this disorder?
According to the research, the correct option is hypercapnia and an increase in bicarbonate. The nurse should assess the client for hypercapnia and an increase in bicarbonate signs which are characteristics of respiratory acidosis.
What is respiratory acidosis?It presents as shortness of breath and a slow respiratory rate caused by hypercapnia causing carbon dioxide to build up very quickly and the lungs not being able to remove all the carbon dioxide the body produces.
In this sense, it raises the concentration of hydrogen ions (H+) due to a primary pulmonary disorder associated with elevated CO2 arterial pressure or hypercapnia and an increase in bicarbonate.
Therefore, we can conclude that according to the research, the correct option is hypercapnia and an increase in bicarbonate. The nurse should assess the client for hypercapnia and an increase in bicarbonate signs which are characteristics of respiratory acidosis.
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Why did the world health organization decide to delete the sugar recommendation from reports?
The World Health Organization decide to delete the sugar recommendation from reports because it continues to receive funding from around the world.
World Health Organisation works worldwide to push health, keep the globe safe, and serve the vulnerable. Their goal is to confirm that more than a billion folks have universal health coverage, to safeguard more than a billion folks from health emergencies, and supply an extra billion folks with higher health and well-being.
The sugar industry lobbied to possess it removed and vulnerable to withhold funding they typically contributed to the WHO. A new WHO guideline recommends adults and youngsters scale back their daily intake of free sugars to less than 10% of their total energy intake. An additional reduction could be of 5%.
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Which action would the nurse perform first when preparing to apply sterile gloves?
The correct option is "C" i.e Assess the glove packaging for wetness or tears.
What are sterile gloves?
A form of disposable glove known as sterile gloves is free of all bacteria and germs. They help to prevent wound infections and lessen the risk of healthcare workers being exposed to blood and body fluid pathogens.
In order to ensure that the gloves are still sterile, the nurse first inspects the box for signs of dampness or tears. After selecting the gloves and setting them on the work surface, the nurse performs hand hygiene.
Question:
Which action would the nurse perform first when preparing to apply sterile gloves?
A. Perform hand hygiene.
B. Place the package on a stable, flat surface.
C. Assess the glove packaging for wetness or tears.
D. Open the outer packaging.
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The nurse is assessing a client who is bedridden. for which condition would the nurse consider this client to be at risk?
If a nurse is assessing a client who is bedridden, then the condition that she/he should consider being at risk is the predisposition to renal calculi.
What are renal calculi?The expression renal calculi is a medical term to denote the deposit of minerals (e.g., crystals of calcium, magnesium, etc) as well as mineral salts or crystals of uric acid within the kidney tubules.
Individuals that remain in bed many time are prone to suffer this condition (renal calculi) because this position induces the formation of these kidney stones.
In conclusion, a client who is bedridden is prone to suffer the condition of kidney stones due to his/her predisposition to renal calculi.
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When treating a patient with hypertensive crisis, which finding is the initial goal of treatment? ena
In order to stop further organ damage, the first objective is to promptly lower the blood pressure with intravenous (IV) blood pressure drugs.
The terms "hypertensive crisis" and "hypertensive urgency" are interchangeable. Both of these disorders develop when blood pressure rises significantly and can lead to organ damage. Blood pressure spikes and readings of 180/110 or higher are called hypertensive urgency, even if no organs are damaged. Blood pressure medications can safely lower blood pressure within hours. A hypertensive emergency is an emergency in which organ damage is possible due to very high blood pressure. Imminent organ damage should be avoided by immediately lowering blood pressure. Emergent hypertension is rare. Such cases often occur when high blood pressure is untreated, when people forget to take their blood pressure medicine, or when they take over-the-counter medicines that make high blood pressure worse.The first objective is to promptly lower the blood pressure with intravenous (IV) blood pressure drugs.
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