one positions their ideas within The larger conversation on a topic is research that has already been conducted. are-
one positions their ideas within the larger conversation on a topic, they are creating In order to give a description, summary, and critical evaluation of these works in relation to the research subject under investigation,
a literature review examines books, scholarly papers, and any other materials pertinent to a specific issue, field of research, or theory. The purpose of literature reviews is to show readers how your research fits within a larger field of study and to give an overview of the sources you used to investigate a particular topic.
Ms. Arlene Fink. Reviews of Research Literature: From the Web to Paper. Fourth printing. SAGE, 2014. Thousand Oaks, California
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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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A nurse is assessing a client's right lower leg, which is wrapped with an elastic bandage. Which signs and symptoms suggest circulatory impairment?
A nurse is assessing a client's right lower leg, which is wrapped with an elastic bandage. Signs and symptoms that suggest circulatory impairment: Numbness, cool skin temperature, and pallor.
What is pallor?
Pallor may be a pale color of the skin that can be caused by illness, emotional shock or stress, stimulant use, or anemia, and is the result of a reduced amount of oxy hemoglobin and may also be visible as pallor of the conjunctivae of the eyes on physical examination.
Pallor is more evident on the face and palms.
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The family of a client in hospice decides to place their loved one in a long-term care facility to establish an effective pain control regimen. Which aspects of hospice care is the family using?
The family of a client in hospice decides to place their loved one in a long-term care facility to establish an effective pain control regimen so the aspects of hospice care which the family is using is palliative care.
Long term care facilities offer residential look after individuals with disabilities and aged people who cannot look after themselves. A semipermanent care facility (LTCF) will describe something from an individual's home to a medical centre.
Hospice care focuses on the care, comfort, and quality of lifetime of an individual with a heavy illness who is approaching the tip of life. At some purpose, it's going to not be doable to cure a heavy illness, or a patient might select to not bear sure treatments. Hospice is meant for this situation.
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The nurse is providing education regarding drug distribution to a patient. which factors affect drug distribution in the body? select all that apply
The nurse is providing education regarding drug distribution to a patient. the factors affect drug distribution in the body are: -
a) Amount of blood flow to the body tissues
c) Medications being fat or water soluble
Factors Influencing the Distribution of Drugs
Vengamma Ramineni
2020 Tuesday, October 6
The medications are put through a series of procedures known as disposition processes, which have the tendency to reduce the drug's plasma concentration.
The procedures for drug disposal are:
1. Distribution - In this process, a medication is transferred reversibly across compartments.
2. Elimination - In this process, the medication is permanently removed from the body by biotransformation and excretion.
Definition
The reversible transport of a drug from one compartment (blood) to another is known as drug distribution (extravascular tissue).
The gradient in concentration between the blood and extravascular tissues drives distribution, which is a passive process.
Diffusion of the free drug causes this process to continue until equilibrium is reached.
These activities are involved in drug distribution two steps:
Free medication in the blood passes past the capillary wall and enters the interstitial/extracellular fluid (ECF).
Drugs can pass through tissue cell membranes and into intracellular fluid (ICF) from extracellular fluid (ECF). This process is rate-limited and is affected by two variables:
the ECF's rate of perfusion, and
Drug Permeability across Membranes.
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A 20-year-old woman has been prescribed estrogen. as with all women taking estrogen, the nurse will carefully monitor the client for?
cardiovascular complications.
The cardiovascular system is known to be affected by estrogen in a variety of ways, both good and bad:
HDL cholesterol is raised (the good kind)LDL cholesterol is reduced (the bad kind)induces certain modifications that have the reverse effect of promoting blood clot development as well.increases blood flow by relaxing, squeezing, and dilating blood vessels.absorbs free radicals, which are blood-borne, naturally occurring particles that have the potential to harm tissues like the arteries.Other, as of yet unrecognized effects of estrogen on the cardiovascular system are likely. The body of knowledge regarding this crucial and contentious hormone continues to grow as a result of new studies, which also raises more uncertainties.
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Which requires health insurance specialists to differentiate among technical descriptions of similar procedures in the cpt coding manual?
Critical thinking differentiate among technical descriptions of similar procedures in the cpt coding manual
Describe the current procedural terminology (CPT) manual and how to use the (CPT) coding systemCurrent Procedural Terminology (CPT) is utilized for administrative management tasks like processing claims and creating standards for reviewing medical services.
Current Procedural Terminology (CPT) is a medical code set that is used to report the medical, surgical and diagnostic procedures and diagnostic procedures to entities such as physicians, health insurance companies and accreditation organizations.
Uses Of (CPT):
CPT coding is similar to ICD-10-CM coding, except that it identifies the services rendered, rather than the diagnosis on the claim.CPT is identified by the Centers for Medicare and Medicaid Services. Users of the CPT code set must pay license fees to the AMA.
So we can conclude that: Current Procedural Terminology (CPT) is used for administrative management purposes such as claims processing and developing guidelines for medical care review.
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The nurse is caring for a patient with a potassium level of 2.8 meq/l. which assessment change related to this is most concerning?
The nurse is caring for a patient with a potassium level of 2.8 mEq/L. The most concerning assessment change is "The patient feels palpitations and has an irregular pulse. " Option D
This is further explained below.
What is potassium level?Generally, Kidney disease could be indicated by high potassium levels.
Extra potassium in your body is excreted via your kidneys. You may have too much potassium if your kidneys aren't functioning properly.
In conclusion, A patient with a potassium level of 2.8 mEq/L is being cared for by the nurse.
The statement "The patient feels palpitations and has an erratic pulse" is the most alarming evaluation change. Choice D
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complete question
The nurse is caring for a patient with a potassium level of 2.8 mEq/L. Which assessment change related to this is most concerning?
a. The patient feels lightheaded when getting out of bed.
b. The patient has tremors when stretching arms out straight.
c. The patient has bone pain and joint stiffness.
d. The patient feels palpitations and has an irregular pulse.
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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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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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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A 40-year-old man is conscious, but has an increased rate of breathing. You should?
A 40-year-old man is conscious, but has an increased rate of breathing. You should: assess the regularity and quality of breathing.
When treating a patient who is experiencing respiratory distress, what should come first?
Enhancing blood oxygen levels is the initial step in treating ARDS. Your organs can't work correctly without oxygen.
How do you evaluate breathing when evaluating a patient?
Look out for significant breathing cues in the patient:
Verify the breathing rate.Check the patient's chest for any irregularities.Check for symptoms of strained breathing and inquire about any shortness of breath.Verify the patient's blood pressure and pulse.Evaluation of oxygen saturationQuestions:
A 40-year-old man is conscious, but has an increased rate of breathing. You should:_____
A:apply 100% oxygen via nonrebreathing mask.
B:assist his ventilations with a bag-mask device.
C:immediately insert a nasopharyngeal airway.
D:assess the regularity and quality of breathing.
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Kiara is afraid that her friend siraj is getting bullied. what signs might she have recognized in him to come to that conclusion?
The signs like giving up activities he used to like, and feeling more anxious than usual could be indications that he is getting bullied.
What is bullying?Bullying is a unique pattern of regularly and purposefully inflicting injury and humiliation on other people, usually those who are weaker, younger, smaller, or otherwise more defenseless than the bully. Bullying differs from regular aggressiveness in that it targets those who are weaker than you.
Bullying can include physical and verbal assaults (including calling someone names and making fun of them), threats of violence, various types of intimidation, and purposeful exclusion from activities. According to studies, bullying peaks between the ages of 11 and 13 and declines as kids get older.
Therefore, giving up activities he used to like, and feeling more anxious than usual could be signs that someone is being bullied.
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A nurse educates a patient about the antipsychotic medication regime. afterward, which comment by the patient indicates the teaching was effective?
The answer to the question is Taking this medication regularly will reduce the severity of my symptoms.
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 frequently exhibit chronic symptoms.
Relapsing symptoms are those that have previously appeared, disappeared, and then come again.
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The nurse is testing the peripheral vision of a client. which actions are recommended guidelines for this test? select all that apply.
The nurse is testing the peripheral vision of a client.
The following actions are recommended guidelines for this test:-
Provide the customer with a palm or index card to cover one eye.When a client closes one eye, the nurse should cover the eye across from it.Move fingers into the visual fields from different peripheral spots while holding one arm outstretched to the side, equally spaced from the nurse and the client.Our capacity to look out of the corner of our eyes is known as peripheral vision. This entails that we can perceive objects that are not in our field of sight without turning our heads, an ability that, even if we may not be aware of it, is useful during the course of a typical day. Peripheral vision issues make it harder for us to see what's around us, which increases the risk of accidents like falling or tripping.
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Which finding should a nurse recognize as normal when assessing the ears of an elderly client?
Finding a nurse should recognize as normal when assessing the ears of an elderly client:
High-tone frequency loss
Among the Elderly, High-Frequency Hearing Loss is Common
High-frequency hearing loss in older persons is very typical. Higher pitches are affected by this hearing loss. High-frequency hearing loss is a symptom of the two most prevalent types of hearing loss: noise-induced hearing loss and age-related hearing loss. A recent study examines the prevalence of this type of hearing loss among seniors.
What is High-Frequency Hearing Loss?
High-pitched sounds are challenging to hear if you have high-frequency hearing loss. The voices of women and children as well as higher-pitched noises like the doorbell become more difficult to hear as a result. Speech understanding is also impacted by high-frequency hearing loss. Consonant noises typically occur at higher frequencies. It's nearly impossible to grasp what is being said without being able to hear all of the consonant sounds clearly.
The nurse uses an otoscope to examine an elderly client's ears and notices that the tympanic membranes have a hazy appearance with distinct landmarks. Before deciding that this is a normal result, an ear infection should be ruled out and balance and hearing issues should be evaluated.To learn more about Hearing loss, visit
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The nurse includes what information when educating a client concerning a first-degree heart block? (select all that apply.)
The nurse includes information of an electrocardiogram, congenital heart defects, and the condition is monitored when educating a client concerning a first-degree heart block.
First-degree heart block is a condition of abnormally slow physical phenomenon through the atrioventricular(AV) node. it's outlined by ECG changes that embrace a PR interval of larger than 0.20 without disruption of atrial to ventricular conduction. This condition is mostly symptom-less and discovered solely on routine ECG.
An electrocardiogram is used to identify this conduction disorder. Congenital heart defects are often the cause of the disorder and the condition is monitored, but not actively managed.
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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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Which cervical changes are observed during pregnancy? select all that apply. one, some, or all responses may be correct.
according to the given alternatives, the correct answers are 1, 3, 5
1 The cervical tip becomes soft.
3 The volume of cervical muscles increases.
5 The elasticity of cervical collagen-rich connective tissue increases.
By the beginning of the sixth week of pregnancy, the cervical tip softens. During pregnancy, the cervical muscles and its collagen-rich connective tissues increase in volume and become loose and highly elastic. Cervical tissue fragility also increases. The external cervical os appears as a jagged slit postpartum; however, not during pregnancy.
What cervical changes are observed during pregnancy?The cervix undergoes dramatic changes during labour in a process known as 'effacement' or 'ripening'. It starts out long and firm, and as labour progresses, it softens, widens and becomes more elastic. Changes to the cervix are partly triggered by contractions of the muscles of the uterus, which help open the cervix.
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Which cervical changes are observed during pregnancy? Select all that apply.
1
The cervical tip becomes soft.
2
The fragility of cervical tissues decreases.
3
The volume of cervical muscles increases.
4
The external cervical os appears as a jagged slit.
5
The elasticity of cervical collagen-rich connective tissue increases.
The nurse is teaching a client about medications prescribed for severe volume overload from heart failure. what diuretic is the first-line treatment for clients diagnosed with heart failure?
The first-line diuretic treatment for clients diagnosed with heart failure and prescribed for severe volume overload from heart failure is the furosemide drug.
What is the furosemide drug?The furosemide drug is a very useful diuretic used for testing high blood pressure, which always needs to be described because it may lead to electrolyte imbalance, and it may be harmful in case of heart failure.
In conclusion, The first-line diuretic treatment for clients diagnosed with heart failure and prescribed for severe volume overload from heart failure is the furosemide drug.
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A patient with infective endocarditis is being discharged from the health care facility. which information would the nurse teach the patient and caregiver about home care? select all that apply.
To facilitate the body in cooling down and to provide comfort. Elevate the head of the bed.
Cardiac disorders affect the structure and/or function of the heart.
These disorders interfere with the heart’s primary purpose: to
pump enough blood to meet the body’s demand for oxygen and
nutrients.
Disruptions in cardiac function affect the functioning
of other organs and tissues, potentially leading to organ system
failure and death.
The emergence of symptoms (fatigue, dyspnea, chest
pain) is common with the progression of cardiac disorders.
Head elevation helps improve the expansion of the lungs, enabling the patient to breathe more effectively.
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What is TRUE about Newton’s first law of motion?
A. It explains how the SAID principle works.
B. It cannot be applied to personal fitness routines.
C. It has been widely disproven over centuries of testing.
D. It says that moving objects will keep moving if possible.
Answer:
D. It says that moving objects will keep moving if possible.
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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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 ambulating a client wearing a gait belt in the hallway one day after surgery. the client reports complaints of feeling dizzy what is the nurse's best action?
The nurse is ambulating a client wearing a gait belt in the hallway one day after surgery. When client reports complaints of feeling dizzy the nurse's best action should be slowly lower the patient to the floor.
A gait belt: what is it?A gait belt is an aid that can be used to assist with sitting and standing as well as walking around. It can also be used to help safely transition a person from a bed to a wheelchair. It is fastened around the waist so that a caregiver can grab the belt and help raise or move the patient. When worn appropriately, the belt prevents both the care recipient from falling and the caregiver's back from getting hurt while lifting or moving the care recipient.
If the care recipient can bear some weight and is only partially dependent, a gait belt should be worn. One advantage of using a gait is that it helps the caregiver move the patient from one location to another. Additionally, gait belts can be utilized to lift a care receiver without putting undue strain on the back. A gait belt can be used to lift or move a person from one location to another.
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Suppose medical schools double their graduation rates, thereby doubling the annual entry rate of new physicians. how will this affect the market for medical visits?
The market for medical visits will shift toward higher price ranges if medical schools double their graduation rates, doubling the annual entrance rate of new physicians in the process.
Who are physicians?
A physician, also known medical practitioner, or simply a doctor, is a person who works in the medical field. Medicine is the study of illness, injury, and other physical and mental limitations as well as the diagnosis, prognosis, and treatment of those conditions with the aim of promoting, maintaining, or restoring health.
A doctor with a medical degree is referred to in general as a "physician." By researching, diagnosing, and treating illnesses and injuries, doctors aim to uphold, promote, and restore health.
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A factor that increases susceptibility or has a strong association with the occurrence, onset, or progression of a disease or injury is?
A factor that increases susceptibility or has a strong association with the occurrence, onset, or progression of a disease or injury is a genetic predisposition.
A genetic predisposition (sometimes conjointly referred to as genetic susceptibility) is an increased chance of developing a specific disease supported an individual's genetic makeup.
There are a spread of conditions and sicknesses coupled to a genetic predisposition. These embody some cancers, diabetes, obesity, heart condition, asthma, celiac diseas, and injury. Researchers have conjointly coupled mental sicknesses, autism, and even addiction to biology.
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A nursing instructor informs a class that the trend in the united states today is to receive treatment without institutional-based intervention. what else is true concerning mental health care today?
The true talk concerning mental health care today is that the Criteria for admission of any person to an inpatient care is onw that have become legally regulated.
What is the meaning of mental health care?The term mental health care is known to be any form of services rendered that is known to be devoted to the healing, treatment of mental illnesses as well as the improvement of mental health in regards to people that has mental disorders or problems.
Therefore, based on the above, one can say that The true talk concerning mental health care today is that the Criteria for admission of any person to an inpatient care is onw that have become legally regulated.
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The nurse assists with medication reconciliation for a client visiting the clinic for a follow-up appointment. which medication reported by the client requires further investigation?
The medication, 200 mg of celecoxib taken once daily would require further investigation.
What is celecoxib?
NSAIDs, such as celecoxib, are used to treat inflammation (NSAID). It works by lowering hormones in the body that promote inflammation and discomfort.Ankylosing spondylitis, arthritis, and menstruation cramps are just a few of the ailments that celecoxib is used to treat.
Celecoxib is used for the treatment of juvenile rheumatoid arthritis for children if they are atleast 2 years of age.. It's also utilised to treat hereditary polyps in the colon.
Therefore, the medication, 200 mg of celecoxib taken once daily would require further investigation.
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A physician basing clinical decisions on primary research published in biomedical literature is doing ________ medicine.
A physician basing clinical decisions on primary research published in biomedical literature is doing evidence-based medicine.
In the field of medicine, evidence-based medicine can be described as the method by which a person sources the best evidence-related studies in order to treat a patient.
Evidence-based research when sorted from authentic sources that have legitimate references is used by physicians in helping to make decisions about the best treatment plans for particular patients.
Evidence-based research helps a physician in treating patients with special cases. However, the physician has to keep in check the sources from where he is studying data.
Hence, a physician who is using research published in biomedical literature for clinical decisions is using an evidence-based medicine approach.
Although a part of your question is missing, you might be referring to this question:
A physician basing clinical decisions on primary research published in biomedical literature is doing ________ medicine.
A) alternative
B) holistic
C) traditional
D) whimsical
E) evidence-based
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After attending a preconception workshop, a young woman asks the educator to explain neural tube defects (ntd). which conditions are examples of neural tube defects? select all that apply
The correct answer is encephalocele, anencephaly, spina bifida.
Several issues are linked to neural tube defects. Encephalocele can cause seizures, variable degrees of motor impairment, and visual problems; spina bifida can cause varying degrees of paralysis and developmental delays; and anencephaly is deadly.
The term "encephalocele" refers to the extension of the brain through a hole in the skull, like a sac. When the neural tube does not completely shut during pregnancy, encephalocele results.
When a baby is born missing sections of the brain or skull, it is known as anencephaly, a devastating birth abnormality. Such a defect affects the neural tube (NTD). The baby's brain, skull (upper portion of the neural tube), spinal cord, and back bones are all formed when the neural tube develops and shuts (lower part of the neural tube).
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