based on susan's assessment data and history, you identify which of the following as a priority nursing diagnosis for susan at this time?

Answers

Answer 1

We discover a deficient fluid volume linked to a fluid intake that is insufficient based on Susan's assessment data and history. as a top nursing concern at this time for Susan.

Fluid Volume:

Dehydration, also known as fluid volume depletion, is a frequent condition that many patients experience and is treatable by nurses. Excessive water loss from the body results in dehydration. The result is a dehydration of the body's cells and blood vessels. The reason for this is because the body excretes more water than it takes in.

Nursing Assessment of Fluid Deficiency

1. Conduct a thorough, head-to-toe assessment:

When making clinical judgments to assist determine the cause of dehydration, this enables caregivers to evaluate the whole individual and bring together all the facts.

2. Rate recording and output:

This allows caregivers to obtain objective data to determine the patient's net fluid loss.

3. Evaluate vital signs:

Vital signs may be abnormal with dehydration (i.e., tachycardia and/or hypotension).

4. Evaluate laboratory values:

We refer to this as In light of Susan's assessment (3 cm dilated, 80% of her past erased, and fetal position at zero), as well as your examination of her data, Nursing Diagnoses Types:

1. A diagnostic with a problem-focused approach.

You position Susan's torso where it is indicated on your appraisal for the ultrasonography transmitter. There are several reasons why the overall heart rate has improved. These include looking for shortening and thinning.

2. Nursing risk identification. When risk factors necessitate the nurse's intervention, a risk factors is done in nursing.

3. Health promotion "A conclusion drawn from a skillful evaluation process" is what a nurse assessment is.

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Complete Question:

Based on Susan's assessment data and history, you identify which of the following as a priority nursing diagnosis for Susan at this time?


Related Questions

the nurse is aware that environmental factors can mitigate or exacerbate disasters. which are examples of environmental factors? (select all that apply.)

Answers

The nurse is aware that environmental factors can mitigate or exacerbate disasters. The environmental factors are:

a. Air temperature

b. Political unrest

c. Building stability

e. Coastal flooding

Who is a nurse?

Nursing practise provides nursing care. While providing care, nurses employ the nursing process to carry out the nursing care plan. This is based on a specific nursing theory that was selected after considering the care context and the population served. When providing nursing care, the nurse uses both nursing theory and best practises developed through nursing research. The nursing process has five steps: examine, implement, plan, diagnose, and assess. Nurses may use this procedure from the American Nurses Association to determine what type of care is best for the patient.

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when administering a blood transfusion to a client with multiple traumatic injuries, the nurse monitors closely for evidence of a transfusion reaction. shortly after the transfusion begins, the client complains of chest pain, nausea, and itching. when urticaria, tachycardia, and hypotension develop, the nurse stops the transfusion and notifies the physician. the nurse suspects which type of hypersensitivity reaction?

Answers

The nurse suspects an anaphylactic reaction, a type of hypersensitivity reaction that can occur after a blood transfusion.

Anaphylactic reactions are severe and can occur rapidly, often within minutes of starting the transfusion. Symptoms of an anaphylactic reaction can include chest pain, nausea, itching, urticaria (hives), Tachycardia (fast heartbeat) , Tachycardia is a condition characterized by a rapid heart rate, typically defined as a heart rate over 100 beats per minute in adults. Tachycardia can be a normal response to physical activity or stress, but it can also be a symptom of an underlying medical condition, such as anemia, heart disease, or electrolyte imbalances. If these symptoms are present, the transfusion must be stopped immediately and the physician notified to ensure prompt treatment. Anaphylactic reactions can be life-threatening and require prompt medical attention.

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a woman, diagnosed with an ectopic pregnancy, asks the nurse the purpose of receiving methotrexate. what is the best reply for the nurse to make?

Answers

The treatment should be done with the drugs and easily diagnosed.

What is diagnosis?

The process of identifying a disease, sickness, or injury from its symptoms and warning signs. In addition to a physical examination, medical history, and procedures including blood tests, imaging investigations, and biopsies, a diagnosis may also be made.

What is ectopic pregnancy ?

The most typical ectopic pregnancy, known as a tubal pregnancy, occurs when a fertilised egg becomes impaled on its way to the uterus. This commonly occurs when the fallopian tube is inflamed or malformed, which can cause damage to the tube. Incorrect development of the fertilised egg or hormonal imbalances could also be at fault.

Therefore, treatment should be done with the drugs and easily diagnosed.

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the nurse is caring for a comatose school-age child receiving gastrostomy tube feedings. the nurse aspirates 15 ml of stomach contents prior to administering a feeding. what is the appropriate action by the nurse?

Answers

The nurse does the aspirations of 15 ml of stomach contents prior to administering a feeding. The appropriate action by the nurse is to replace the stomach contents and continue with the feedings as prescribed, thus the correct option C.

Before administering feedings, the nurse should always aspirate stomach contents from nasogastric or gastrostomy tubes to check for tube placement and determine how much stomach is still there. To prevent the child from losing a significant amount of stomach acid, the nurse will return any amount of stomach waste that was done while aspirations. The modest amount of gastric contents 15 ml shouldn't prevent people from eating. The pH value may be impacted by specific drugs and formulations. A specific plan for verifying the tubes' position should be written down in the progress records if the patient is taking a medicine that is known to change pH readings. This information should be sent to the medical team, pharmacy, and senior nursing staff.

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The complete question is:

The nurse is caring for a comatose school-age child receiving gastrostomy tube feedings. The nurse aspirates 15 ml of stomach contents prior to administering a feeding. What is the appropriate action by the nurse?

a. Discard the stomach contents and continue with the feedings as prescribed.

b. Replace the stomach contents and hold the feeding.

c. Replace the stomach contents and continue with the feedings as prescribed.

d. Discard the stomach contents and notify the health care provider of the aspiration amount.

the nurse is caring for a client with coronary artery disease (cad). what is an appropriate nursing action when evaluating a client with cad?

Answers

The appropriate nursing action when evaluating a client with CAD is to assess the characteristics of chest pain.

The most prevalent symptom is chest pain or discomfort that happens on a regular basis after activity, after eating, or at other predictable times; this occurrence is known as stable angina and is related with constriction of the coronary arteries. Chest tightness, heaviness, pressure, numbness, fullness, or squeezing are additional symptoms of angina.

Unstable angina is defined as angina that fluctuates in intensity, type, or frequency. Unstable angina can occur before a heart attack. Around 30% of persons who visit the emergency room with an unknown source of discomfort have pain caused by coronary artery disease. Angina, shortness of breath, sweating, nausea or vomiting, and lightheadedness are all symptoms of a heart attack, also known as a myocardial infarction, and require rapid emergency medical attention.

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a patient who has been diagnosed with depression asks why the provider has not ordered a monoamine oxidase (mao) inhibitor to treat the disorder. the nurse will explain to the patient that mao inhibitors:

Answers

The patient require strict dietary restrictions.

What is MAO inhibitor?

In contrast to conventional antidepressants, monoamine oxidase inhibitors (MAOIs) cure various types of depression as well as other nervous system diseases such panic disorder, social phobia, and depression with atypical symptoms. Despite being the first antidepressants to be developed, dietary limitations, side effects, and safety issues make MAOIs a less preferred option for treating mental health illnesses. Only in the event that all other forms of treatment have failed should MAOIs be considered. In order to help members of the interprofessional team treating patients with illnesses for which this drug class has a therapeutic use, this exercise will emphasise the mechanism of action, adverse event profile, pharmacology, monitoring, and relevant interactions of MAOIs.

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which time during the menstrual cycle would the nurse stress as the optimal time to achieve pregnancy

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The two to three days prior to ovulation, or commonly days 12 and 13, of your menstrual cycle, are the optimum times to become pregnant.

Menstrual cycle: what is it?

The menstrual cycle refers to the monthly series of changes a woman's body undergoes to prepare for the possibility of conception. The regular emergence about an egg from a single ovaries is known as ovulation. Within the same day, hormone levels also get the uterus ready for conception.

What is the order of the four phases of the menstrual cycle?

The four phases of the monthly period are luteal phase, productive phase, ovulation, as well as menstrual bleeding. Menstrual irregularities include menstrual that are fewer than 21 days apart and maybe more than 35 days apart. missed three straight periods in total.

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which component of the assesment data will the nurse include as part of the related factors for the patient diagnosed with pneumonia woth impared gas exchange in the lungs

Answers

A nurse include Fatigue-related reduction in ventilatory effort - Alveolar secretion buildup.

Examine for any indications of pneumonia & respiratory distress that need immediate attention. An auscultation of the client's lungs, collection of vital signs, including pulse oximetry, and a skin examination are all parts of the physical examination. A frequent NANDA-I nursing assessment for pneumonia nursing care plans is ineffective airway clearance. The excessive secretions as well as ineffective or unproductive coughing that go along with this diagnosis. In pneumonia, inflammation as well as increased secretions make it challenging to keep an airway open. Prevent venous stasis is one aspect of pulmonary embolism nursing care. To avoid venous stasis, promote walking and both passive and active leg exercises. Observe the thrombolytic treatment.

(The nurse is designing a plan of care for a patient who is has been diagnosed with pneumonia. The nurse determines that the patient is experiencing impaired gas exchange in the lungs. Which component of the assessment data can be part of the related factors for this patient? Select all that apply.

Observable cyanosis

The family history of the patient

Decreased ventilatory effort caused by fatigue

Accumulation of secretions within the alveoli

The diet that the patient should follow for this disorder)

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the nurse is administering a prn pain medication to a child. what is the highest priority for the nurse in this situation?

Answers

The highest priority for the nurse in this situation is to ensure the safety of the child. The nurse should verify the correct dosage and ensure the child is monitored for any adverse reactions after taking the medication.

Depending on their age, weight, and type of pain, children's pain medications will vary. Ibuprofen (Advil, Motrin), acetaminophen (Tylenol), and naproxen sodium are typical over-the-counter (OTC) drugs used to relieve pain in children (Aleve). Before giving your child any medication, always consult your doctor.

Both over-the-counter (OTC) and prescription drugs are available to alleviate pain, offering a choice of painkillers. Acetaminophen, ibuprofen, and aspirin are OTC painkillers that can be used to relieve mild to moderate pain. Opioids, which include codeine, hydrocodone, and oxycodone, are available only by prescription and can be used to treat moderate to severe pain. With a prescription, nonsteroidal anti-inflammatory medications (NSAIDs) can be used to treat both acute and ongoing pain.

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the nurse is caring for a young adult who presents to the emergency room with severe abdominal pain in the right lower quadrant. which assessment technique should the nurse use to determine rebound tenderness?

Answers

Press in the abdomen and slowly release technique should the nurse use to determine rebound tenderness.

Option 1: A client with a bowel blockage should exhibit abdominal distension, according to the nurse. Rebound tenderness is not determined by inspection.

Option 2: The nurse applies pressure to the abdomen and then gradually releases it while checking for rebound soreness. The client has rebound tenderness if the pain intensifies.

Option 3: During every abdominal assessment, the nurse auscultates each of the four abdominal quadrants without checking for rebound pain.

Option 4: The assessment of rebound tenderness does not involve percussion. When percussion is used on a client who is experiencing abdominal pain, the agony is intensified.

What is abdominal pain?

Constipation, irritable bowel syndrome, food allergies, lactose intolerance, food poisoning, and stomach viruses are less serious causes of abdominal pain. Appendicitis, an abdominal aortic aneurysm, a bowel obstruction, malignancy, and gastroesophageal reflux are some of the more severe reasons.

Visceral, parietal, and transferred pain are the three basic forms of stomach pain.

Anywhere in the belly area, between your ribs and pelvis, can experience abdominal pain. We frequently refer to abdominal discomfort as "stomach pain" or a "stomachache," although other organs outside the stomach can also cause abdominal pain.

Your: are located in your abdomen.

Stomach.

Liver.

Gallbladder.

Pancreas.

intestines small.

enormous intestine.

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from birth to about 10 weeks of age, infants show more time looking at visual stimuli. this is thought to indicate

Answers

This is thought to indicate that they are forming important neurological connections that are essential for learning and development.

During this time, infants will also become more attuned to their surrounding environment, and their responses to stimuli will become more sophisticated.

What is neurological connections?

Neurological connections refer to the connections between neurons in the brain and the central nervous system. These connections are formed by the synaptic transmission of electrical signals between neurons, and are responsible for the transfer of information and the coordination of body movement and behavior.

Therefore, This is thought to indicate that they are forming important neurological connections that are essential for learning and development.

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the nurses and nursing assistants on a subacute hospital unit have been informed that a patient will be admitted from a long-term care facility. the responsibility the nursing assistant has during this process is:

Answers

The nursing assistant is accountable for this process, it is true. Welcome and lead patients to their rooms.

What differentiates RNs from normal nurses?

A nurse who already has passed all academic & licensing requirements and has been granted a license to administer nursing in the state is known as an RN. Additionally, "registered nurse" will have a title or position indicated.

How could I tell if a career in nursing is the appropriate choice for me?

If you have the patience to cope with people and a desire to help them, this can be a clue that you were designed to become a nurse.

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a client who is experiencing depression states, "i can't seem to do anything to take care of myself, how can i get going?" what is the nurse's best response?

Answers

The nurse's best response is "I notice it has been a while since you have had a shower."

What helps people cope with depression?

People cope with depression in various ways, including talking to a therapist or counselor, engaging in physical activity, eating healthy foods, joining a support group, and practicing mindfulness and relaxation techniques. Other strategies such as getting enough sleep, limiting alcohol and drug use, and avoiding negative people can also be helpful. Additionally, trying to think positively, setting realistic goals, and engaging in meaningful activities can help people manage their depression.

The nurse replied like this to provide a concrete and achievable goal for the client to work toward. It is important in conversations with a client who is struggling with depression to provide them with achievable goals that can help to provide a sense of accomplishment, which can help to improve their overall mood.

Therefore, "I notice it has been a while since you have had a shower is the response.

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the nursing student is studying hip fractures. the faculty member knows that the student understands the topic when she states:

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The nursing student understands the topic of hip fractures when she is able to accurately explain the following:Anatomy of the hip joint and surrounding structures, including the femur, acetabulum, and ligaments.

Causes of hip fractures, including falls, osteoporosis, and trauma.

Symptoms of a hip fracture, such as severe pain in the hip or groin area, difficulty bearing weight on the affected limb, and swelling.

Assessment and diagnostic tests used to diagnose a hip fracture, including x-rays and MRI scans.

Treatment options for hip fractures, including surgery (such as internal fixation or hip replacement) and non-surgical options (such as traction or bed rest). The role of rehabilitation and physical therapy in the recovery process, including the importance of regaining strength, range of motion, and balance.

Potential complications associated with hip fractures, including blood clots, infection, and joint stiffness.

The importance of patient education and follow-up care to prevent future fractures and promote overall health and well-being.

When the nursing student can explain these aspects of hip fractures in a clear and concise manner, it indicates that she has a good understanding of the topic and is ready to apply this knowledge in clinical practice.

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which drug is contraindicated in a patient with a peptic ulcer and who has chronic obstructive pulmonary disease

Answers

The COPD patient has to have a peptic ulcer. Caffeine should not be used as an analeptic by the patient as a consequence. Sumatriptan, atomoxetine, and orlistat.

The ideal method for treating ulcers?

If the causes of an ulcer are treated, it can recover. Medical professionals use combinations of medications to treat simple ulcers in order to lower stomach acid, cover or protect that ulcer during healing, or get rid of any potential bacterial infections.

How does the pain from an ulcer feel?

The use of NSAIDs and acquiring the H. pylori bacteria or germ are the two most frequent causes of ulcers. The most typical symptom is an abdominal ache, which can range from moderate to burning, seen between breastbone and belly button.

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which behavioral change would the nurse observe in the spouse of a pregnant client during the focusing phase

Answers

Engages in building a relationship with the newborn is the behavioral change does the nurse observe in the spouse of a pregnant client during the focusing phase.

The very early offspring of humans are called infants or babies. Infant is a formal or specialised synonym for the phrase baby. It comes from the Latin word infans, which means "unable to talk" or "speechless." Other organisms' young may also be referred to by the names. In everyday speech, an infant that is only a few hours, days, or even a few weeks old is referred to as a newborn.

In medical contexts, an infant in the first 28 days following delivery is referred to as a newborn or neonate (from the Latin neonatus, newborn); the word is applicable to premature, full-term, and postmature newborns. The child before birth is referred to as a foetus. Infants are often described as being younger than one year old.

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the school nurse is preparing health promotion presentations regarding unintentional injuries for a high school health fair. on which topic should the nurse place as the priority when preparing the presentation?

Answers

The nurse gave the presentation's focus on automobile safety top priority.

Why are RNs different from other nurses?

A nurse who has met all academic & licensing requirements is referred to as a "RN" and has been granted an authorization to practice health in the state. The words "registered nurse" will be followed by a title or position.

Are RNs at a disadvantage to CNAs?

An RN handles a wider variety of duties than a CNA does alone. The level of autonomy that RNs have in their work is not the same for CNAs who work as RNs' or other medical practitioners' assistants. CNAs have a more limited job description and are under supervision, but because they help other staff members, their workload is lessened.

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which activity would an occupational and environmental health nurse expect to perform in the future based on current trends?

Answers

Suggest cost effectiveness in house health services is an occupational and environmental health nurse expect to perform in the future based on current trends.

As an occupational and environmental health nanny , you will deliver health and safety programs and services to workers, worker populations and community groups. The practice focuses on creation and restoration of health, forestallment of illness and injury, and protection from work- related and environmental hazards. Occupational Health nursers are well placed to carry out requirements assessment for health creation enterprise with the working populations they serve, to prioritize these enterprise alongside other occupational health and safety enterprise which may be underway, and to co- ordinate the conditioning at the enterprise position. The workers know that the occupational health nanny is concerned with guarding and promoting the health of people at work, and thus they don't need to have a specific' medical complaint' in order to see the nanny or ask advice.

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during an extended stay in a hospital the nurse has observed a 5-year-old having severe temper tantrums. how should the nurse address this behavior with the parents?

Answers

When observing the severe temper tantrums of a 5 year old during extended stay, the nurse can address this behavior as: "Is it common for your child to throw temper tantrums at home as we have observed this angry behavior several times here."

Temper is defined as the state of mind of an individual during the time of calm as well as anger. A person with short temper tends to become angry very often for the smallest of things. A person with even temper is said to calm and cool.

Anger is one of the human emotions which appears during the situations of dislike or when something wrong happens. The anger can sometimes be good as it removes the negative feeling present inside the person.

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a nurse is caring for a client who is pregnant and who presents with the complaint of hyperemesis. the physician orders zofran 4 mg po. the nurse has 8 mg tablets on hand. how many tablets does the nurse need to give to her client?

Answers

A client who is pregnant and has a complaint of hyperemesis should be given '1/2 tablet' of zofran 4 mg po.

What do you mean by hyperemesis?

Hyperemesis is a condition characterized by severe and persistent nausea and vomiting. It is most common in pregnant women, but can also occur in non-pregnant individuals. Symptoms can include dehydration, weight loss, electrolyte imbalance, and malnutrition. Treatment typically involves a combination of lifestyle changes, medications, and supportive care.

Zofran is a medication used to help control nausea and vomiting in pregnant women. It is generally safe for pregnant women to take, but it is important to follow the doctor's instructions and take the correct dosage. The recommended dose for pregnant women with hyperemesis is 1/2 tablet of Zofran 4 mg PO (orally). Taking a lower dose helps to minimize the risk of side effects for the pregnant woman and her baby.

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the nurse is working with an experienced assistive personnel (ap) and an lpn/lvn on the telemetry unit. a patient who had an acute myocardial infarction 3 days ago has been reporting fatigue and chest discomfort when ambulating. which nursing activity included in the care plan is best assigned to the lpn/ lvn?

Answers

LPNs and LVNs typically offer care for stable patients as part of their scope of practise, while registered nurses should handle the majority of care for patients who are unstable.

When a patient is admitted with acute coronary syndrome, which laboratory test is crucial for the nurse to monitor?

With the right follow-up, many low-risk patients can be released from the hospital. The most sensitive test for acute coronary syndrome is often troponin T or I, while the MB isoenzyme of creatine kinase is also employed.

Acute coronary artery syndrome: what is it?

Overview. Acute coronary syndrome is a phrase used to describe a number of ailments connected to abruptly decreased heart blood flow. A heart attack (myocardial infarction) is one of these conditions, where cardiac tissue is injured or destroyed due to cell death.

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a client with aids has developed cytomegalovirus (cmv) retinitis and is receiving treatment with foscarnet. the nurse would monitor for which possible adverse drug effects? select all that apply.

Answers

The nurse would keep an eye out for the following potential negative drug effects of Foscarnet are : Epileptic seizures; hypomagnesemia Hyperphosphatemia.

One of the most severe ocular complications in people with AIDS is cytomegalovirus (CMV) retinitis, which is related to the AIDS-related illness. It can progress to blindness and, in some instances, be accompanied by a systemic illness that could be fatal. It usually results from a latent illness resurfacing.

Foscarnet is primarily used to treat ganciclovir-resistant cytomegalovirus (CMV) infections in transplant recipients or patients with acquired immunodeficiency syndrome (AIDS).

The most frequent side effects are neutropenia and thrombocytopenia. On stopping the medication, neutropenia can be reversed. Elevated serum creatinine, liver enzymes, and bilirubin are some additional side effects [1]. Adults with renal failure also experience psychosis, a headache, and a rash in addition to their fever and rash. Acute ionised hypocalcemia and hypomagnesemia after intravenous administration are frequent side effects. Ionized hypomagnesemia brought on by foscarnet may exacerbate ionised hypocalcemia by reducing preformed parathyroid hormone (PTH) excretion or by causing target organ resistance.

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The above question is incomplete. Check complete question below-

A client with AIDS has developed cytomegalovirus (CMV) retinitis and is receiving treatment with foscarnet. The nurse would monitor for which possible adverse drug effects? Select all that apply.

A Seizures

B Hypomagnesemia

C Hypercalcemia

D Hyperphosphatemia

E Neutropenia

pablo had always gotten much satisfication out of caring for his brotheres and sisters when they were sick. a few months ago, pablo's father convinced him to take a job at a hospital as a nurse's aide

Answers

One reason for Pablo's attitude change may be that the job has undermined his extrinsic motivation for helping others.

What is  Extrinsic motivation?

In the field of artificial intelligence and robotics, intrinsic motivation refers to a process that enables artificial agents to display naturally rewarding behaviours like exploration and curiosity, which are classed together under the same term in psychology.

What is sick ?

Sick or diseased; suffering from a condition. 2. nauseous; prone to throwing up. 3. intensely affected by an unpleasant emotion such as sadness, disgust, or boredom.

Therefore, Extrinsic motivation had always gotten much satisfication out of caring for his brotheres and sisters when they were sick.

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Complete question:

Pablo had always gotten much satisfaction out of caring for his brothers and sisters when they were sick. A few months ago, Pablo's father convinced him to take a job at a hospital as a nurse's aide so that he could earn money doing what he enjoyed. Now that Pablo has been working at the hospital for a while, he no longer enjoys caring for sick people as much as he did before he took the job. One reason for Pablo's attitude change may be that the job has undermined his ________ for helping others.

which attribute of the nurse will contribute to a proper assessment on a patiet admitted to the hosptial with hypertension

Answers

Critical thinking is the attribute of nurse which will contribute to a proper assessment on a patient admitted to the hospital with hypertension.

A critical component of evaluation is critical thinking. When a nurse draws conclusions or decides on a course of action about a patient's medical condition, it enables them to consider the larger picture. In order to conduct a meaningful and purposeful assessment of a patient while gathering data, the nurse synthesizes the pertinent information relative to the circumstance, recalls past clinical experiences, applies critical thinking norms and attitudes, and employs standards of practice. Relationships between the nurse and the patient have no direct bearing on the evaluation, and seeking assistance from other nurses does not assist the nurse in making accurate assessments.

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all of the following specific laboratory tests meet the criteria for a definitive diagnosis of sle, except?

Answers

All of the following specific laboratory tests meet the criteria for a definitive diagnosis of SLE, except Ribonucleic protein (RNP) antibodies.

What is the SLE confirmation test?

Test for nuclear antibodies (ANA). The autoantibodies known as anti-nuclear antibodies (ANA) target the cell nuclei. The most sensitive diagnostic test for confirming a diagnosis of systemic lupus is the ANA test, which is positive in 98% of all patients with the condition.

People between the ages of 15 and 44 are the most likely to experience symptoms that result in a lupus diagnosis. Anti-Sm antibodies lack sensitivity, whereas anti-dsDNA antibodies are highly specific for SLE. About 70% and 30% of patients with SLE, respectively, have anti-dsDNA and anti-Sm antibodies.

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Complete question:

A patient had a differential diagnosed of Systemic Lupus Erythrematosus (SLE).

Laboratory results:

ANA= positive (homogenous pattern)

Titer 1:320

RA=positive

Complement= decreased

All of the following specific laboratory tests meet the criteria for diagnosis of SLE, EXCEPT?

Ribonucleic protein (RNP) antibodiesThyroid-stimulating hormone receptor antibodiesOverproduction of IgM antibodiesantibodies to U1RNP+ and dcSSc

the nurse is assessing a new client admitted to a nursing home. the client asks the nurse to explain interleukins. the nurse would include which information?

Answers

The nurse would include which information Interleukins help the immune system with inflammation.

What is interleukins and explain its function?

Interleukins are a group of cytokines (cell signaling molecules) that are involved in various physiological processes, including the regulation of immune responses. They are produced by a variety of cells, including white blood cells, and are involved in communication among cells. Interleukins play a key role in the activation and regulation of many immune system components, including T cells, B cells, macrophages, and natural killer cells. They also play a role in inflammation, cell growth, and differentiation, and are important for the body's response to infection and injury.

Interleukins are a type of protein that is produced by the body's white blood cells. They are responsible for regulating the body's immune system by helping to fight infection and inflammation. They also help to promote growth and development of cells, and aid in healing wounds. Interleukins act as messengers between cells, helping to coordinate the body's response to infection and injury.

Therefore, Interleukins help the immune system with inflammation.

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he nurse instructs a client on foods to increase total fiber intake to 25 grams/day. which breakfast choice indicate that teaching has been effective?

Answers

The breakfast choice that indicates teaching has been effective is ½ cup all bran cereal, ½ cup skim milk, 1 slice whole wheat bread, sliced pear.

18 grammes of fibre are provided by a breakfast of all bran cereal, whole wheat toast, and a pear. A breakfast of 12 cup strawberries has 1.5 grammes of fibre. Breakfast with orange slices has 4 grammes of fibre. Breakfast with oats and banana has 7 grammes of fibre.

Dietary fibre is a category of plant-based compounds that cannot be entirely broken down by human digestive enzymes. Waxes, lignin, and polysaccharides such as cellulose and pectin are examples of these. Initially, it was assumed that dietary fibre was totally indigestible and provided no energy. Total dietary fibre intake from meals should be 25 to 30 grammes per day.

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the student nurse is preparing a presentation on normal physical growth for toddlers. what information should the student include? select all that apply.

Answers

The information that the student should include is:

- The average weight gain is 3 to 5 pounds per year.

- Toddlers gain height and weight in spurts.

- Head size becomes more proportional to the rest of the body near 3 years.

A toddler is a kid aged 12 to 36 months, however definitions differ. Toddlerhood is a period of rapid cognitive, emotional, and social development. The term is derived from the verb "to toddle," which implies to move unsteadily, as a kid of this age might.

Child development refers to the biological, psychological, and emotional changes that occur in humans between the time of birth and the end of puberty. Childhood is split into three stages: early childhood, middle childhood, and late childhood (preadolescence).

Early childhood is sometimes defined as the period from birth to the age of six. Development is important during this era since numerous life milestones occur during this time period, such as first words, crawling, and walking. Middle childhood/preadolescence, or ages 6-12, are regarded as the most essential years in a child's life. Adolescence is the period of life that begins around the major commencement of puberty, with indicators such as menarche and spermarche commonly occurring between the ages of 12 and 13 years.

The complete question is:

The student nurse is preparing a presentation on normal physical growth for toddlers. What information should the student include? Select all that apply.

The average weight gain is 3 to 5 pounds per year.Toddlers gain height and weight in spurts.Head size becomes more proportional to the rest of the body near 3 years.The bladder of a 2-year-old is actually the size of an adult's bladder, but there are a lot of variables to when a child is potty-trained.Try to limit the fat intake to less than 35% of total calories.Milk is still important to incorporate in the diet for bone health.

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initially after a stroke, a client' s pupils are equal and reactive to light. later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is rising. which complication would the nurse plan to address? spinal shock hypovolemic shock transtentorial herniation increased intracranial pressure

Answers

Increased intracranial pressure complication would the nurse plan to address.

What is pressure?

pressure is an important factor in many cellular processes, such as protein folding, cell division, and cell shape. It is also essential for maintaining homeostasis as it helps regulate the movement of molecules within cells and tissues. Pressure can also affect the rate of diffusion of substances across cell membranes, and the rate at which metabolic reactions occur. Pressure is also important for the functioning of organs, as it is necessary for the movement of blood through the circulatory system and for the proper functioning of the respiratory system. Pressure is also important in the formation of organs and tissues during embryonic development.

Therefore, Increased intracranial pressure complication would the nurse plan to address.

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which step of the nursing process does the nurse perform when revising the care plan after evaluating the patient outcomes of the patient in a coronary care unit

Answers

The nurse is responsible for the nursing procedures of evaluation and assessment. Options 3 and 4 are correct.

The procedure through which the nurse gathers all of the data and revises the treatment plan following review is known as assessment. Later in the process, diagnosis, planning, and implementation take place. After implementing interventions, the nurse discovers that the patient outcomes have not been met.

A coronary care unit (CCU) or cardiac intensive care unit (CICU) is a hospital ward dedicated to the treatment of patients suffering from heart attacks, unstable angina, cardiac dysrhythmia, and (in practise) a variety of other cardiac disorders that need constant monitoring and treatment. The provision of the telemetry & continuous monitoring of the heart rhythm through electrocardiography, is a key element of coronary care. This enables earlier intervention with medicine, cardioversion, or defibrillation, which improves the prognosis.

The complete question is

The nurse is attending to a patient in a coronary care unit. She is revising the care plan after evaluating the patient outcomes. Which steps of the nursing processes is the nurse performing?

PlanningDiagnosisEvaluationAssessmentImplementation

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