When admitting a patient with possible respiratory failure with a high PaCO₂ , the assessment information which should be immediately reported to the health care provider is that the patient is somnolent.
Respiratory failure: what is it?A critical condition that makes it challenging to breathe on your own is respiratory failure. When the lungs can't get enough oxygen into the blood, respiratory failure sets in.
It is a clinical condition that develops when PaCO₂ is lower than 60 mmHg and/or PaCO₂ is higher than 50 mmHg and the respiratory system is unable to continue its primary function, which is gas exchange.
The patient's breathing rate will decrease as their level of somnolence increases, which will lead to an increase in PaCO₂ and respiratory failure. Quick action is required in order to avoid respiratory arrest. SpO2 of 90%, weakness, and high blood pressure all need constant observation but may not always portend imminent respiratory arrest.
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The community health nurse is reviewing the health status of the community. which is the best factor for the nurse to examine?
The best factor for the community health nurse to examine is leading causes of death and illness.
What is community nursing?
Community nursing is the practice of providing nursing care outside of acute hospitals, such as in homes, offices for general practitioners, community hospitals, jails, schools, and nursing homes. A community nurse in the UK must possess a degree recognized by the Nursing and Midwifery Council and at least one to two years of experience working as a licensed adult nurse.
The community health nurse is evaluating the state of the local population. The best thing for a nurse to consider is what the major illnesses and fatalities are caused by.
A negative state of mind, body, and, to some extent, spirit is generally referred to as being "illness," according to this definition. It is the general impression of being ill or poorly, separate from the person's experience of good health.
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The nurse is caring for a client diagnosed with tuberculosis (tb). which assessments, if made by the nurse, are consistent with the usual clinical presentation of tb? select all that apply.
Assessment of high-grade fever, if made by the nurse, is consistent with the usual clinical presentation of tuberculosis.
What is tuberculosis?
Tuberculosis is a potentially severe bacterial infection that mostly affects the lungs. The germs that cause TB are spread when a person with the illness coughs or sneezes. Most people who have the bacteria that cause tuberculosis don't have any symptoms. Fever, weight loss, night sweats, and a cough that occasionally has a crimson hue are among the symptoms that usually surface when they occur. Treatment is not usually required for those who do not exhibit any symptoms. For individuals with active symptoms, a protracted course of treatment with multiple antibiotics will be required.
Fatigue, dyspnea anorexia, weight loss, hemoptysis, chest pain or discomfort, chills and sweats (which may happen at night), and a low-grade fever, the client with TB typically has these symptoms.
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The nurse observes that a toddler is exhibiting stress due to hospitalization which nursing action is most?
If the nurse observes that a toddler is exhibiting stress due to hospitalization then she can calm the child by talking to him/her.
The nurse will explain to the child why going to the health center is essential and she or he will reassures the little patient that the health center isn't a risky location and begs her not to worry.
the child can receive a whole lot of physical solace and assurance from the nurse. just like the dread of needles, it is most suitable to avoid asking the kid not to cry or to behave like a "large lady" or "huge boy" and as an alternative divert their attention with toys, books, or films.
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Mindy wants to lose weight. the fact that her parents engage in regular exercise is a(n)?
Mindy wants to lose weight and the fact that her parents engage in regular exercise is a predisposing factor.
When losing weight, additional physical activity will increase the amount of calories your body uses for energy or “burns off.” The burning of calories through physical activity, combined with reducing the amount of calories you eat, creates a “calorie deficit” that ends up in weight loss.
The ACSM recommends a minimum of half-hour of moderate-intensity exercise, five days per week. a pair of If you are simply beginning out, you'll be able to begin with less frequency. The secret is consistency—even if that involves twenty minutes on three days per week. In short, some exercise is healthier than no exercise.
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Sexual jealousy promotes long-term mating bonds because it is designed to drive off any individuals that would lure away a mate. this would be considered the:__________
Sexual jealousy promotes long-term mating bonds because it is designed to drive off any individuals that would lure away a mate. This would be considered the function of behavior.
The function of behavior determines why humans are bound to act in a certain way in a particular situation. The function of behavior determines what an individual will get if he acts in a particular way in a scenario.
One of the aspects of the function of behavior is that a person acts in a certain way in order to achieve the desired thing.
A person acting jealous is a behavior that he shows with a motive to drive off any other individual that will come close to his person of interest. Sexual jealousy is a common function of behavior that can be observed in humans.
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What action should be included in the nusing care of an infant with increased intracranial pressure?
The head of the bed should be raised by 30 degrees, the neck should remain neutral, the body should maintain a normal temperature, and volume overload should be avoided during the nursing care of an infant.
What is intracranial pressure?
The pressure that fluids like cerebrospinal fluid (CSF) exert inside the skull and on the brain tissue is known as intracranial pressure, or ICP. ICP is measured in mm of mercury (mmHg), and for an adult lying supine, it typically ranges between 7 to 15 mmHg at rest.
Securing the airway, ensuring adequate oxygenation and ventilation, and giving circulatory support as required should all be done right away if a patient is thought to have elevated ICP. The head of the bed should be raised by 30 degrees, the neck should remain neutral, the body should maintain a normal temperature, and volume overload should be avoided. Before being sent for radiology for brain imaging, the patient must be stabilized. The most effective test for verifying the diagnosis of elevated ICP and identifying its etiology is a computed tomography (CT) scan. To direct medical and nursing interventions, invasive ICP monitoring is frequently needed.
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The nurse oversees a team of nurses who are providing health services in the community. Which action made by the nurse represents the tertiary level of prevention?
The nurse oversees a team of nurses who are providing health services in the community and the action made by the nurse which represents the tertiary level of prevention is screening for cervical cancer.
Tertiary prevention focuses on managing difficult, long-run diseases, injuries, or sicknesses. The goal is to forestall any deterioration and maximize quality of life as a result of disease is currently established and first bar activities are unsuccessful.
Health services in community are classified into: Preventive health services like chemoprophylaxis for infectious disease, cancer screening and treatment of diabetes and hypertension. Encouraging health services like Health education, birth control, vaccination and nutritionary supplementation.
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During a follow-up visit, a female client who underwent a mastectomy asks the nurse if she can work in her backyard or at least do some household work. which suggestion would be most appropriate?
Wear gloves and protective clothing to avoid any injuries.
The nurse should recommend that the client wear gloves when doing backyard work or housework to prevent injuries that may heal slowly or become infected.
Working, whether it be in the backyard or doing some household chores, can be helpful in promoting feelings of usefulness, thereby enhancing the client's coping abilities and self-esteem. She could be advised to follow up more frequently; however, this would not help prevent any untoward injury.
What is an injury?An injury is any physiological damage to living tissue brought on by sudden physical stress. Blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, overexertion, and accidents can all result in injuries.
Any part of the body can get hurt, and every ailment has its own set of signs and symptoms. A medical professional typically treats serious injuries, and the sort of care required greatly depending on the damage. Traffic accidents are the most common cause of unintentional human injury and injury-related mortality.
Even while any of these might be exacerbated by an accident, chronic illnesses, psychological stress, infections, and medical treatments are different from injuries.
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The nurse is planning care for a client following an incisional cholecystectomy for cholelithiasis. which intervention is the highest nursing priority for this client?
Assisting the client to turn, cough, and deep breathe every 2 hours is the highest nursing priority for this client who has just undergone incisional cholecystectomy for cholelithiasis.
What is Cholelithiasis?This is referred to as gallstone disease and it requires a medical procedure such as incisional cholecystectomy.
The high abdominal incision which is required during surgery may interfere with full respiratory excursion and there may be some form of breathing difficulties in the individual
This is therefore the reason why the nurse should assist the client to turn, cough, and deep breathe every 2 hours so as to prevent complications which may arise.
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Which assessment finding indicates that the lactulose is effective in decreasing the ammonia level in the client with hepatic encephalopathy?
The assessment finding which indicates that the lactulose is effective in decreasing the ammonia level in the client with hepatic encephalopathy is passage of two or three soft stools daily.
Lactulose reduces humour ammonia levels by causation catharsis, after decreasing colonic hydrogen ion concentration and inhibiting faecal flora from manufacturing ammonia from urea. Ammonia is removed with the stool. 2 or 3 soft stools daily indicate effectiveness of the drug. Watery symptom indicates overdose.
Daily deterioration within the client's handwriting indicates a rise within the ammonia level and worsening of hepatic encephalopathy. Frothy, foul-smelling stools indicate symptom, caused by impaired fat digestion.
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Which action would the nurse implement when performing peritoneal dialysis for a client?
The answer to the question is Warm the dialysate solution slightly before instillation.
To reduce discomfort in the abdomen and encourage peritoneal artery dilatation, the infusion should be warmed to body temperature. The client should be put in the semi-Fowler position since the side-lying position may limit fluid inflow and inhibit maximum urea elimination. It should take 10 to 20 minutes to infuse the dialysate solution. The infusion of dialysate solution shouldn't be affected by routine drugs.
What is dialysis?Hemodialysis, often known as haemodialysis or just dialysis, is a procedure used to clean the blood in people whose kidneys are not functioning properly.
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The nurse is performing an assessment on an older adult. from which data does the nurse deduce that the client is at high risk for falls in the home? select all that apply.
The nurse is helped by the acronym DAME (Drug/alcohol use, Age-related physiologic state, Medical issues, Environmental) in determining the fall risk at home. With frequent and sometimes urgent trips to the bathroom, the diuretic furosemide might make the customer trip and possibly collapse. Volume loss and standing vertigo are some side effects of furosemide. Due to a loss of normal feeling in the lower limbs and feet brought on by diabetic neuropathy, falls are more likely. A loss of balance, volume loss, and urine urgency are all effects of alcohol use. Positive fall prevention behaviors include having a single floor of living space and exercising frequently.
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The nurse is caring for a client with severe compensated heart failure. what human brain natriuretic peptide (bnp) medication may be used in a critical care unit with hemodynamic monitoring?
human brain natriuretic peptide (BNP) medication is also used in a critical care unit with hemodynamic monitoring is Natrecor.
What is Natrecor?
Natrecor (nesiritide) is indicated for the treatment of patients with acutely decompensated coronary failure who have dyspnea at rest or with minimal activity. during this population, the utilization of Natrecor reduced pulmonary capillary wedge pressure and improved short-term (3 hours) symptoms of dyspnea.
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Which factors should the nurse consider when communicating with a patient from a different background?
Some of the factors the nurse should consider when communicating with a patient from a different background are religion, language, Perspectives on death etc.
Which factors are to be considered when addressing patient from different background?
There are several factors that affect influence care of patients from different cultures or different background, some of these factors include;
ReligionPerspectives on deathBeliefs about medicationResponses to MedicationsLanguage, etcThus, some of the factors the nurse should consider when communicating with a patient from a different background are religion, language, Perspectives on death etc.
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To be successful when starting a new exercise program, it is recommended that you __________.
To be successful when starting a new exercise program, it is recommended that you think about your motivation for beginning an exercise program.
To begin with exercise program some tips ought to be unbroken in mind like begin slowly and build up step by step, provide yourself lots of time to heat up and funky down with simple walking or mild stretching, break things up if you have got to, be artistic, hear your body and be versatile.
What motivates each folks to start with exercise program is different: maybe it's a condition, an issue with sleep, a special event you want to look nice for, having extra energy to play at the side of your youngsters or grandkids, or simply desirous to feel higher and healthier in your own skin.
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The nurse is reviewing the characteristics of culture . which statments is correct reagrding the developement of ones culture?
The correct statement is culture is learned through language acquisition and socialization.
What is nursing assessment?Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a registered nurse.
Culture is the total way of a life of a people.
Culture determines many aspects of an individual's life such as language, clothing, food, ethics and morals.
Culture is learned through language acquisition and socialization.
The culture of individuals vary and this must be taken into consideration while providing healthcare for such individuals so as to avoid causing unintended conflicts between the nurse and the client.
.
Therefore, the understanding of a clients culture will no doubt assist the nurse to deliver quality healthcare to the client.
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A couple asks the nurse about placing their 10-year-old child in a car with front-seat passenger air bags. which advice would the nurse provide to this couple?
The advice the nurse should provide to the couple asking about placing their 10-year-old child in a car with front-seat passenger air bags is to advise the couple of the need for an appropriate car seat for this child.
An appropriate car seat should be used for children younger than 8 years old or those who weigh less than 80 pounds. Incase there is an car accident the child would is more likely to have less injuries while being in the back seat compared to being in the front seat in which case the length of the ride does not matter.
Thus with appropriate safety precautions the child can be taken on a long ride. Infants and toddlers should be buckled in a rear-facing car seat with a harness. Air bags pose a danger to children and this might risk their life. Children should always be buckled up no matter the length of the ride. The safest position in the car is middle seating of the back seat and thus children should be placed their when possible.
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What force has historically been a consistent barrier to the development and practice of professional nurses?
Nurses' involvement in biological ethics. In the three categories of biomedical ethics—
those that affect whole patient populations or particular patients; those that have an impact on policy or society at large; those that arise inside organizations—nurses routinely encounter moral challenges.Every day, ethical conundrums in the biomedical sector are dealt with by advanced practice nurses, clinical nurses, legislators, educators, consultants, administrators, and ethicists.
What is biomedical ethics?Bioethics is the study of ethical, social, and legal issues that arise in biomedicine and biomedical research. Bioethicists do study on the moral, societal, and legal issues that occur in biomedicine and biomedical research.
They also participate in the development of institutional policies, conduct seminars and teach courses, serve on ethics committees, and give consultation and advice on moral issues.
Bioethicists are employed by academic institutions, hospitals, medical facilities, governmental agencies, commercial enterprises, and foundations. Bioethicists often need graduate degrees in bioethics or a related discipline, such philosophy, law, medicine, nursing, public health, psychology, political science, biology, or religion.
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A client is admitted to the hospital for a subtotal thyroidectomy. when discussing postoperative medication therapy with the client, which advice will the nurse include in the teaching?
Report palpitations, nervousness, tremors, or loss of weight that may indicate an overdose of thyroid hormone.
What occurs when thyroid hormone levels are high?Hyperthyroidism occurs when your thyroid produces an excessive amount of the hormone thyroxine (overactive thyroid). Hyperthyroidism can cause your metabolism to speed up, resulting in rapid weight loss and a fast or irregular heartbeat. There are several treatments available for hyperthyroidism. Thyroid hormones are hormones that regulate your body's metabolism, or how it converts the food you eat into energy. T3 and thyroxine are produced by the thyroid gland (T4). These hormones regulate your weight, energy levels, internal temperature, skin, hair, nail growth, metabolism, and are an important part of your endocrine system. Thyroid hormone affects nearly every organ system in the body, including the heart, central nervous system, autonomic nervous system, bone, gastrointestinal tract, and metabolism.To learn more about thyroid, refer to the following link:
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While changing bed linens the nurse notices a metal object on the bottom sheet of a client with radiation seeds implanted in the bladder. which action should the nurse take? select all that apply.
While changing bed linens the nurse notices a metal object on the bottom sheet of a client with radiation seeds implanted in the bladder, the action which should be taken by the nurse is consulting with the doctor.
What is Radiation seed?This a radioactive pellet which is specially placed by a doctor with the aid of a small holder which is referred to as an implant in or near a tumor and is used as a form of treatment in cancer patients.
The radioactive pellet gives off energy which helps to stabilize the cells which are dividing abnormally. The Doctor places it in the targeted area with the use of an implant as the radiation given off may pose health risk to other cells.
This is usually lasts within weeks or months depending on the intensity of the radiation and the the nurse noticing a metal object on the bottom sheet of a client with radiation seeds implanted in the bladder will have to consult the doctor first before appropriate action is done.
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How does addressing a public health crisis best relate to the concept of federalism?
In a federalism, both states and the national government have powers that can affect the issues brought on by a public health crisis.
What is federalism?Federalism is a mixed or compound mode of government that combines a general government (the central or "federal") with regional governments (provincial, state, cantonal, territorial, or other sub-unit governments) in one political system, dividing the powers between the two. The Old Swiss Confederacy's unions of states were where modern federalism was first implemented.
In contrast to devolution within a unitary state, where the regional level of government is subordinate to the general level, federalism places the general level of government above the regional level. Confederalism does not.
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Which pulmonary manifestation would the nurse asses for in a patient with underlying left-sided heart failure?
The answer to the question is-
- Paroxysmal nocturnal dyspnea
- Difficulty in breathing
- Crackles in base of lungs on auscultation
What is dyspnea?Shortness of breath (SOB), also referred to medically as dyspnea, is the uncomfortable sensation of not being able to breathe properly. The American Thoracic Society describes it as "a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity" and advises evaluating dyspnea by evaluating the intensity of its sensations and its impact on the patient's activities of daily living. The inability to breathe easily, chest pain or tightness, and "air hunger" are all distinct sensations.
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During a lecture discussing nausea and vomiting, the nurse reviews the role of the chemoreceptor trigger zone which may be stimulated (causing vomiting) by which factors?
The fourth ventricle of the brain's chemoreceptor trigger zone is directly stimulated by opioids, which sets off the vomiting reflex.
The fourth ventricle of the brain's chemoreceptor-triggering zone is directly stimulated by opioids, triggering the gag reflex. Dogs are more susceptible to this than cats, despite the fact that both animals salivate and exhibit symptoms of nausea. more likely to vomit. Vomiting is more common in dogs, which may partially explain why it is more common in human mobile patients than in recumbent patientsWhen administered as a premedication, morphine is more likely than other commonly used opioids to cause nausea, vomiting, and salivation in healthy animals.Therefore, opioids are involved in triggering the chemoreceptor trigger zone.
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In a clinical trial of neural prosthetics with paralyzed humans, a 25-year-old man constructed shapes on a computer screen by activating neurons in his:____
In a clinical trial of neural prosthetics with paralyzed humans, a 25-year-old man constructed shapes on a computer screen by activating neurons in his motor cortex.
What is the motor cortex?The motor cortex can be defined as a specialized tissue located in the area of the frontal lobe of the cerebrum, thereby located both in the left brain hemisphere and right brain hemisphere.
This layer (motor cortex) plays fundamental roles in different major skills of the nervous system including movement, planning activities, controlling aptitudes, etc.
In conclusion, in a clinical trial of neural prosthetics with paralyzed humans, a 25-year-old man constructed shapes on a computer screen by activating neurons in his motor cortex.
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When the emergency department nurse is caring for a client with acute coronary syndrome who reports severe crushing chest pressure, which prescribed medication is best for the nurse to administer?
The pain from an MI is often accompanied by shortness of breath and fear or anxiety. It lasts longer than 15 minutes and is not relieved by nitroglycerin. It occurs without a known cause such as exertion.
What is acute coronary syndrome?The term “acute coronary syndrome” is used to describe a variety of conditions linked to suddenly decreased heart blood flow.
One such condition where damaged or destroyed heart tissue results from cell death is heart attacks (myocardial infarction).
The altered heart function shows a higher risk of a heart attack even when acute coronary syndrome does not cause cell death.
Often, acute coronary syndrome causes intense chest pain or discomfort. It is a medical emergency that must be recognized and attended to immediately. Increasing blood flow, minimizing difficulties, and avoiding more issues are among the objectives of treatment.
SymptomsAcute coronary syndrome symptoms and indications typically appear suddenly. They consist of:
• Angina, or discomfort in the chest, which is frequently described as aching, pressure, tightness, or burning.
• Chest pain moving to the arms, shoulders, upper abdomen, back, neck, or jaw.
• Nausea or diarrhea
• Indigestion
• Breathing difficulty (dyspnea)
• Abrupt, profuse perspiration (diaphoresis)
• Dizziness, lightheadedness, or fainting
• Unusual or unforeseen exhaustion
• Feeling anxious or restless
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A nurse is assessing a client with anxiety. which signs and symptoms would the nurse attribute to sympathetic nervous stimulation?
Blushing, hyperhidrosis of palms and head, and trembling.
The sympathetic nervous system is activated whenever our conscious or unconscious energy or defensive needs are recognized, preparing our bodies for emergencies.Hand sweating and facial flushing. has long been treated surgically by resecting the upper thoracic sympathetic ganglion using either cautery or metal clamps. This surgical method is now performed at a more precise symptom-mediating level of the upper thoracic sympathetic ganglion, rather than resecting a large portion of the sympathetic trunk. Tremors and tremors are common and appear to be triggered by activation. According to preliminary research, endoscopic sympathectomy can help certain people with social phobia (ESB). ESB may be a new treatment option for patients with generalized social anxiety disorder who do not benefit from appropriate medication and psychotherapy.There are a number of symptoms associated with anxiety.
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Jack, one of your subordinates, seems to care so much about being liked that he rarely states strong opinions in meetings of your department. based on this, jack probably has a?
Jack care so much about being liked that he rarely states strong opinions in meetings this shows that Jack probably has a: Strong need for affiliation.
Need for affiliation:
A requirement for amicable and open interpersonal interactions is the need for affiliation. In other words, it is the desire for a partnership built on understanding and cooperation.
Everyone has three different categories of requirements, which according to McClelland's needs theory help identify each person's individual profile and aid in comprehending and creating motivational practices for each type of profile.
In this case, JACK exhibits actions that emphasize interpersonal ties, interaction and care so much about being liked while avoiding and resolving conflict with others hence he rarely states strong opinions in meetings of the department , demonstrating a strong need for affiliation. The ease with which each person interacts with clients and their ability to adapt to company norms and procedures are its strengths.
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The nurse is administering digoxin to a patient who has myocarditis. For which adverse effect will the nurse monitor the patient?
Heart rate of 70 beats/min, use of one pillow to sleep, bilateral clear breath sounds are the adverse effects the nurse will monitor the patient.
What is myocarditis?Myocarditis occurs when heart muscle becomes inflamed. When our heart muscle is inflamed, it can affect our heart's electrical system. This can cause the arrhythmia, or a rapid or abnormal heartbeat. Myocarditis can cause heart muscle to weaken and can lead to cardiomyopathy.
Digoxin increases the myocardial contractility and slows heart rate, increasing cardiac output. It is the effective therapy for a patient with heart failure and a heart rate of 70 beats/min. This rate allows heart to fill and empty more effectively because the faster the heart beats, the less it is able to fill; the improved filling improves the cardiac output. The patient should also have clear lungs, showing that heart is effectively moving blood from lungs through the heart to the system without backing up into the lungs. This is the same reason that patient can use a single pillow to sleep; orthopnea caused by the pulmonary edema that requires the patient to sleep with two or more pillows is a characteristic of heart failure. A prolonged PR interval on electrocardiogram demonstrates the negative dromotropic effect of digoxin; however, a prolonged PR interval reflects the first-degree atrioventricular block, an adverse effect of digoxin. Peripheral edema indicates the hypervolemia, which is characteristic of heart failure. Normal serum potassium is an indicator neither of the heart failure nor of effective digoxin therapy.
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An assessment finding for a 65-year-old patient that alerts the nurse to the presence of osteoporosis is:__________
An assessment finding for a 65-year-old patient that alerts the nurse to the presence of osteoporosis is a measurable loss of height.
What is osteoporosis?
Osteoporosis may be a disease that weakens bones to the point where they break easily—most often, bones within the hip, backbone (spine), and wrist. Osteoporosis is named a “silent disease” because you may not notice any changes until a bone breaks. All the while, though, your bones had been losing strength for several years.
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Which factor plays the biggest role in delaying the detection of childhood
diseases?
Answer:
Lack of access to health care
Explanation:
Answer:
cccc
Explanation:
Well this is a good question with some pretty funny answers. Just by looking at it we can use common knowledge to say D is wrong, therefore it can be eliminated. Also look at A is has nothing to do with the delaying of childhood diseases, so it can be eliminated. Then look at B I mean there is no delaying the child already has diseases. So the correct answer is C)lack of health insurance