The clinical finding that can the nurse expect to document for a patient with suspected hypocalcemia is positive chvosteks sign, positive trousseaus sign, muscle twitching, and cramping.
what is chvosteks sign?
The Chvostek sign aims to elicit an atypical reaction of the facial nerve, the nerve that innervates many of the muscles of the face. The pressure caused by the tapping acts as a triggering stimulus for involuntary contractions of the facial muscles ipsilaterally, or on the side where the clinical sign is performed.
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The nurse is developing a plan of care for a client with chronic obstructive pulmonary disease (copd). which interventions should the nurse include in the plan?
Option (B), (C), (D) and (E) are the correct options.
The nurse should include the following interventions for a client with COPD:
Schedule the client for an annual influenza vaccination.Instruct the client on the pursed-lip breathing technique to reduce carbon dioxide (CO2) retention.Provide high-protein, high-calorie meals to help maintain adequate nutrition.Educate the client about relaxation techniques to help with their anxiety.What is COPD and what are it's symptoms?Airflow from the lungs is restricted by the chronic inflammatory lung disease known as chronic obstructive pulmonary disease (COPD). The warning signs and symptoms include wheezing, coughing up mucus (sputum), and breathing problems. The reason is generally prolonged exposure to irritant chemicals or particles, most frequently from cigarette smoke. People with COPD are more likely to develop heart disease, lung cancer, as well as a variety of other illnesses and ailments.
The most common illnesses that result in COPD are emphysema and chronic bronchitis. These two disorders frequently coexist and can affect people with COPD in varied degrees of severity.
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The correct question is: "The nurse is developing a plan of care for a client with chronic obstructive pulmonary disease (COPD). Which interventions should the nurse include in the plan? (Select all that apply.)
A. Instruct the client to engage in high-intensity aerobic exercise to increase activity tolerance.
B. Schedule the client for an annual influenza vaccination.
C. Instruct the client on the pursed-lip breathing technique to reduce carbon dioxide (CO2) retention.
D. Provide high-protein, high-calorie meals to help maintain adequate nutrition.
E. Educate the client about relaxation techniques to help with their anxiety."
A patient who is taking furosimode for treatment of hypertension complains of generalized weakness. which action is appropriate for the nurse to take?
The nurse should report to the doctor and work on giving a replacement drug of furosemide for hypertension.
What is furosemide?
Strong diuretics like furosemide, sometimes known as "water pills," can dehydrate people and mess with their electrolytes. It is crucial that you follow your doctor's instructions in the letter. Call your doctor right away if you have any of the following symptoms: reduced urination, dry mouth, thirst, a pounding heartbeat, nausea, vomiting, weakness, sleepiness, disorientation, muscular discomfort, or cramping.
To treat high blood pressure, furosemide is used either on its own or in conjunction with other drugs. Furosemide is used to treat edema, which is excess fluid retained in bodily tissues as a result of a variety of illnesses, such as liver, kidney, and heart disease.
Therefore, if side effects are resulting from this drug, it should be replaced.
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After teaching a woman how to perform kegel exercises, the woman states the steps. which steps would the nurse determine as reflecting the correct components of kegel exercises? select all that apply.
Squeeze the rectal muscles as though you're attempting to stop the flatus from passing. To find the pubococcygeus muscle, stop and start the flow of urine, are the steps involved in kegel exercises.
What are Kegel exercises?
You may strengthen the muscles in your pelvic floor by performing kegel exercises, commonly known as pelvic floor exercises. Kegel exercises can not only help you stop pee leakage, but they can also help you stop unintentionally releasing gas or stool, and they might even aid your orgasms.
Maintaining the "fitness" of these muscles prevents your uterus, bladder, and intestines from drooping into the vagina. Pelvic organ prolapse is the disorder that results from this.
Therefore, squeezing the rectal muscles like attempting to stop the flatus from passing and finding the pubococcygeus muscle, stop and starting the flow of urine are the steps in kegel exercises.
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A child, who has bone cancer, is terminally ill and in severe pain. nursing interventions should be based on which information?
A child, who has bone cancer, is terminally ill and in severe pain so the nursing interventions should be based on the information that large doses of opioids are justified when there are no other treatment options.
Primary bone cancer is the cancer which forms inside the cells of the bone. Some sorts of primary bone cancer are osteosarcoma, Ewing cancer, malignant fibrous histiocytoma, and chondrosarcoma.
Large doses of opioids is additionally needed as a results of the child has become physiologically tolerant to the drug, requiring higher doses to achieve an analogous degree of pain management. Pain is taken into account the fifth sign, and management of pain is crucial to treatment of a child with bone cancer.
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A patient with diabetic ketoacidosis (dka) has had a large volume of fluid infused for rehydration. what potential complication from rehydration should the nurse monitor for?
A patient with diabetic ketoacidosis (DKA) has had a large volume of fluid infused for rehydration and the potential complication from rehydration should the nurse monitor for is hypokalemia.
Diabetic ketoacidosis (DKA) is a serious complication of diabetes which will be grievous. DKA is commonest among folks with type 1 diabetes. Folks with type 2 diabetes may develop DKA. DKA develops once your body does not have enough insulin to permit blood sugar into your cells to be used as energy.
Rehydration therapy is a treatment for dehydration. It involves drinking a beverage from water, sugar, and electrolytes, specifically potassium and sodium. The beverage is termed as oral rehydration solution (ORS). The goal of oral rehydration is to fill again the body's fluid levels,
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A client is scheduled to receive total parenteral nutrition (tpn). to administer tpn, which piece of equipment is important for the nurse to obtain?
For a client that is scheduled to receive total parenteral nutrition (tpn). to administer tpn, the piece of equipment that is important for the nurse to obtain is infusion pump.
What is infusion pump?An external infusion pump is a medical device used to deliver fluids into a patient's body in a controlled manner.
Hypertonic solution should be administered in an infusion pump for continuous and uniform infusion to prevent hyperosmolar diuresis or fluctuations in glucose.
Thus, for a client that is scheduled to receive total parenteral nutrition (tpn). to administer tpn, the piece of equipment that is important for the nurse to obtain is infusion pump.
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You don't need to perform a warm-up prior to a workout of low to moderate intensity (such as walking or slow jogging).
A. True
B. False
One doesn't need to perform a warm-up prior to a workout of low to moderate intensity (such as walking or slow jogging), which is false. Hence, the correct answer is option b.
It is generally recommended to perform a warm-up prior to any workout, even if it is of low to moderate intensity, such as walking or slow jogging. A warm-up helps prepare your body for exercise by increasing blood flow to the muscles, raising your core body temperature, and loosening up your joints. It also helps reduce the risk of injury and improves overall performance during the workout. A warm-up can consist of light aerobic activities, dynamic stretches, or movements that mimic the exercises you'll be doing in your main workout. Hence, the correct answer is option b.
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A patient is receiving a beta-1 selective blocker after a myocardial infarction to prevent reinfarction. the nurse understands that the rationale for using the drug would be to:_________
A patient is receiving a beta-1 selective blocker after a myocardial infarction to prevent reinfarction. the nurse understands that the rationale for using the drug would be to: decrease cardiac workload.
What is myocardial infarction?
Myocardial infarction, the technical term for a heart attack, is a life-threatening medical emergency in which your heart muscle starts to deteriorate due to inadequate blood flow. A blockage in the arteries that feed blood to your heart is typically the cause of this.
What is beta-1 selective blocker ?
A subclass of beta blockers called beta-1 selective blockers is frequently prescribed to treat high blood pressure. Atenolol (Tenormin), metoprolol (Lopressor), nebivolol (Bystolic), and bisoprolol are medications in this class (Zebeta, Monocor).
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If this patient had refused cesarean delivery and proceeded with labor despite an abnormal pattern, what maternal and fetal complications could have occurred?
Chorioamnionitis and Tachycardia could have occured.
The most typical side effect is chorioamnionitis. The amount of typical vaginal bacteria that the fetus is exposed to rises during prolonged labor, especially during prolonged membrane rupture. Elevated body temperature, a painful uterus, a high white blood cell count, and, in severe cases, purulent amniotic fluid are warning signs and symptoms of this. Tachycardia and a reduction in fetal heart rate variability are the fetal reaction to infection and the resulting rise in body temperature. The newborn may experience a dangerous infection like sepsis after delivery. Therefore, it's crucial to identify and handle chorioamnionitis as soon as possible.
Postpartum hemorrhage caused by uterine atony might also be linked to prolonged labor. Both successful vaginal and cesarean deliveries can result in this.
Discussions on obstructed labor complications are necessary.
What is Tachycardia ?
A heart rate of more than 100 beats per minute is referred to in medicine as tachycardia. Tachycardia can be brought on by a wide variety of heart rhythm abnormalities (arrhythmias). Not all cases of a rapid heartbeat warrant worry. For example, the heart rate frequently increases during physical activity or in response to stress.
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What causes the disease tuberculosis? a particular type of virus a particular type of bacteria exposure to polluted air genetics
A particular bacterial species. A certain sort of virus is caused by genetics and air pollution exposure.
Mycobacterium tuberculosis is a type of bacteria that causes tuberculosis (TB). When a person with active tuberculosis disease in the lungs coughs or sneezes, other people inhale droplets containing the tubercle bacillus. Tuberculosis spreads like the flu or the common cold, but it's not so contagious that you have to be in contact with an infected person for hours at a time. For example, tuberculosis infections usually spread in homes where family members live. It is extremely rare to be infected while sitting with an infected person. B. By bus or train.Mycobacterium tuberculosis is a type of bacteria that causes tuberculosis.
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After completing the health history, the nurse assessing the musculoskeletal system will begin by:__________
After completing the health history, the nurse assessing the musculoskeletal system will begin by observing the patient's body build and muscle configuration.
What is musculoskeletal system ?
Your bones, cartilage, ligaments, tendons, and connective tissues all make up your musculoskeletal system. Your muscles and other soft tissues are supported by your bones. They assist you in moving, support the weight of your body, and keep your posture.
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A client's patellar reflex is normal for the right side but diminished on the left. using the scale for grading reflexes, how should the nurse document this finding?
Right knee +2; left knee +1.
The patellar reflex occurs when there is a sudden change in muscle length. In this situation, apply a hammer blow to stretch the tendon [3, 4]. A quick leg extension should be the expected response. A decrease or increase in response is a sign of damage or disruption in the quadriceps innervation. Her L2, L3, and L4 levels of the spinal cord, spinal neurons located primarily in the L4 root, mediate the patellar reflex, a deep tendon reflex. A patellar reflex test is performed by striking the patellar tendon under the patella with a test hammer to determine the neurological functional integrity of the peripheral nervous system and may alter the patellar reflex response. Other variables, such as stroke severity, the patient's level of anxiety during the test, and the patient's age, can also affect the outcome of the test.Right knee +2; left knee +1 is the right way to document.
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In which circumstance would the nursing assistant
A. The nurse tells the nursing assistant to see if a pain
pill relieved the patient's pain.
B. The nurse tells the nursing assistant that hygiene is
deferred because of patient's condition.
55. In which
be liable?
C. The nursing assistant is correctly assisting a
resident to eat, but he chokes and coughs.
D. The nursing assistant records the vital signs and
weight on the wrong chart.
Answer:
the answer is A because the nurse assistant helps the other nurses
Which situation is a common area of conflict with the ethical prinicple of beneficence seen in nursing profession?
The situation that is a common area of conflict with the ethical prinicple of beneficence seen in nursing profession is Refusing to follow through on a patient's advance directive.
What is the ethical prinicple of beneficence?The ethical prinicple of beneficence is defined as the rule that demands a health care provider (a nurse) to act according to a way that will benefit the health of their patient.
An advance directive is a legal document that states a person's wishes about receiving medical care if that person is no longer able to make medical decisions because of a serious illness or injury.
Some of this wishes may include to remove life support of the patient when all hope is lost.
This is indeed a conflict against the ethical prinicple of beneficence as it actually harms the patient instead of doing no harm.
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The nurse is developing teen health intiatives for the community. which intervention would be consisten wiht the intiatives of healthy people?
The correct option is A - "Reduce the obesity rate among adolescents".
What is obesity ?
Obesity is a medical condition, occasionally referred to as a disease, in which excessive or excess body fat has built up to the point where it may be harmful to one's health. When a person's body mass index (BMI), which is calculated by dividing their weight by their height squared (despite known allometric flaws), exceeds 30 kg/m2, they are considered obese; a BMI in the range of 25–30 kg/m2 is considered overweight. Lower numbers are used in several East Asian nations when calculating obesity.
Interventions to reduce obesity rate:
Eat more "healthy" fat and less "bad" fat.
Reduce your intake of processed and sugary foods.
Increase your intake of fruits and vegetables.
Consume a lot of dietary fiber.
Eat foods with a low GI as your primary focus.
Include your family on your trip.
Exercise aerobically frequently.
Question:
The nurse is developing teen health initiatives for the community. Which intervention would be consistent with the initiatives of Healthy People 2020?
A. Reduce the obesity rate among adolescents
B. Increase adolescent communication with a trusted adult
C. Encourage all adolescents to have a wellness checkup every 18 months
D. Increase the proportion of adolescents who receive reproductive health instruction before age 14.
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The nurse is caring for a client with severe chronic obstructive pulmonary disease (copd). The nurse anticipates which laboratory results for this client?
The nurse anticipates that the laboratory results for Polycythemia.
What is COPD and what are it's symptoms?The chronic inflammatory lung illness known as chronic obstructive pulmonary disease limits airflow from the lungs (COPD). Wheezing, producing sputum while coughing, and breathing issues are among the warning signs and symptoms. In most cases, cigarette smoke, which is a common source of irritating chemicals or particles, is to blame for extended exposure. Heart disease, lung cancer, as well as a number of other diseases and conditions, are more common in people with COPD.
Emphysema and chronic bronchitis are the conditions that cause COPD most frequently. These two conditions frequently overlap and can have varying degrees of severity in COPD patients.
Explain polycythemia.In polycythemia, the amount of hemoglobin in the blood is overly increased, either by a reduction in plasma volume or an increase in the number of red blood cells. It could be a secondary condition brought on by a malignant tumor, circulatory or pulmonary problem, or both, or it might be an undiagnosed underlying sickness.
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The correct question is: "The nurse is caring for a client with severe chronic obstructive pulmonary disease (COPD). The nurse anticipates which laboratory results for this client?
1) Anemia
2) Neutropenia
3) Polycythemia
4) Thrombocytopenia"
When too little carbohydrate is consumed in a person’s diet, ______ are used to make glucose.
Answer:
amino acids
Explanation:
The most effective means of reducing friction to the patient's skin when moving a patient is by?
The most effective means of reducing friction to the patient's skin when moving a patient is by asking the patient to cooperate.
Why is patient cooperation crucial?Patients and doctors work together more and more to fulfill the task at hand, so patient cooperation is very crucial Collaboration can be facilitated by: Considering the care recipient's ability; Participating in the decision-making process with the individual; Allowing your loved one to complete the chores they are capable of accomplishing with patience; Knowing what obstacles you can remove to maintain your freedom. Such collaboration is crucial in today's healthcare environment. It is almost as important as two newlyweds figuring out how to get along and deal with one another's quirks and quirkiness.To learn more about patient cooperation, refer to the following link:
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The nurse is caring for a client who is prescribed medication for the treatment of hypertension. the nurse recognizes that which medication conserves potassium?
I am not sure about thi answer
What is usually the strongest beat in any meter and conducted with a downward stroke?
The strongest beat in any meter and conducted with a downward stroke is beat 1.
A downward stroke, also known as a downstroke or downpicking, is a stroke applied in opposition to one or more strings with a downward motion relative to the place of the instrument so as to cause them to vibrate.
within every cylinder, the two piston strokes that move upward are the compression and exhaust strokes, while the 2 piston strokes that flow downward are the consumption and power strokes..
there will constantly be some beats which can be glaringly extra tremendous than others for your music whenever it has a time signature, that is pretty lots continually. these beats are referred to as sturdy and vulnerable beats.
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The nurse is preparing to teach a class on the benefits of breastfeeding for infants. which benefits will the nurse include in the presentation? select all that apply.
The benefits of breastfeeding for Infants:
Nutritional benefitspreventing infectionsshielded from infectionsprotects from respiratory problems enhances the immune system-Nutritional benefits, Breast milk contains a variety of nutrients that defend newborns against illness and infection. It has the ideal ratio of carbohydrates, fats, proteins, and vitamins. Additionally, it contains leukocytes, living cells that can only be found in breast milk. They aid in preventing infections. Breast milk is the ideal option because it contains living cells, enzymes, and hormones, as well as antibodies.
-They can be shielded from infections and deadly illnesses by human -milk. Infants are shielded from dangerous illnesses including Haemophilus influenza and diarrhoea. Infants who are breastfed have a lower incidence of severe diarrhea.
-The newborn's respiratory tract may receive specific or general immunizations through breast milk, which is crucial in the early postpartum period when the infant's immune system is still developing.
-Mother's milk protects newborns from respiratory problems like dyspnea, wheezing, and other infections connected to the respiratory system throughout the first four months of life.
-It was also proven that breastfed infants had a lower risk of dying from SIDS (Sudden Infant Death Syndrome), with their robust immunity from breast milk protecting them from respiratory and gastrointestinal diseases.
To sum up, all these findings of different studies strongly indicate that mother’s milk develops and enhances the immune system of the new born babies especially in the very initial years of their life.
Cognitive advantages:
Breastfeeding may aid preemies in their cerebral development in addition to the nutritional and immunological advantages. Increases in a child's cognitive abilities and academic success are linked to breastfeeding. With breastfeeding use and duration, cognitive development of social and psychomotor skill gains rises.
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A client asks the nurse how long to wait after taking nitroglycerin before experiencing pain relief. what is the best answer by the nurse?
Answer:
You must wait 5 minutes after the first 1 or 2 sprays before the 3rd spray of nitroglycerin.
The elderly client has been noncompliant with taking a prescribed medication. the nurse asks the client?
the question the nurse should ask the patient in such situation is what is the reason you have not taken the medication?"
What is noncompliant with taking a prescribed medication?Noncompliant with taking a prescribed medication refers both to the failure to follow a drug regimen and to the failure to adopt other measures that contribute to improvement in health such as changes in lifestyle or diet.
Thus, the question the nurse should ask the patient in such situation is what is the reason you have not taken the medication?"
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Pain, hunger, and anger can create barriers to all aspects of the patient's visit and are considered to be:_____.
The correct answer is internal distractors.
Internal distractions such as hunger, rage, and pain might hinder all facets of the patient's visit.
Distractors are things that cause you to lose focus. Your physical surroundings might be a source of external distractions, including sounds, people, television, alluring weather, clutter, and illumination. Internal disturbances are disturbances that take place inside of you. Internal distractions include things like worries, stress, worry, despair, illness, hunger, pain, daydreams, and anticipation of impending events. The first thing to do when you are having trouble concentrating is to assess the scenario to identify the cause of your distraction. Once you identify the cause, consider applying one or more distraction-reduction tactics regularly.
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The nurse wants to increase physical activity but lives alone in a major metropolitan area. what should the nurse do to enhance this self-care practice?
The nurse should find a coworker who lives nearby and is willing to be your exercise partner.
What is a physical activity ?
All movement is referred to as physical activity. Walking, cycling, wheeling, sports, active recreation, and play are all common methods to be active that anyone may do for fun and at any ability level.
Regular exercise helps lessen the symptoms of mild depression and anxiety as well as boost confidence, mood, and relaxation. Your sleep, which is frequently disturbed by stress, depression, and worry, can also be improved by exercise.
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Specific amounts of each nutrient that one needs to consume to maintain good health are?
Specific amounts of each nutrient are required to maintain a good health, not more nor less.
Amount of nutrient consumption that is goodA person’s body cannot create everything it needs to function. Humans must consume the six essential components through their meals in order to maintain optimum health.
Essential nutrients are necessary for a person’s development, health, and capacity for reproduction.
This list of essential nutrients includes both macronutrients and micronutrients.
A person requires little levels of micronutrients. Micronutrients are made up of minerals and vitamins. Even though the body only needs traces of them, a deficiency could have harmful effects on health.
Macronutrients are nutrients that a person needs in higher proportions. Water, protein, carbs, and lipids are examples of macronutrients.
Find out more about these nutrients’ sources and their importance by reading on.
Vitamins, minerals, protein, lipids, water, and carbs are the six basic nutrients.
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The nurse is assigned to care for four clients. which client should the nurse assess first?
The nurse should assess with airway difficulty: A client with asthma who requested a breathing treatment during the previous shift.
What is the rationale to be chosen by a nurse when administering care?The care to be given to patients by a nurse depends on the severity or urgency level of each case.
A nurse should make well-informed decisions on which patient to care for based on the level risk to health on each case.
Based on the given case, the nurse should prioritize the patient with the air problem first because the airway is always the highest priority
In conclusion, the nurse should assess the patient with most urgent need.
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Note that the complete question is given below:
The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse
assess first?
1. A postoperative client preparing for discharge
with a new medication
2. A client requiring daily dressing changes of a
recent surgical incision
3. A client scheduled for a chest x-ray after insertion
of a nasogastric tube
4. A client with asthma who requested a breathing
treatment during the previous shift
Health care professionals are considered to be at high risk for development of substance abuse disorders, at least partly because of what factor?
Health Care Professionals shows high risk factors, including higher prescription drugs, high levels of workplace stress, and sleep deprivation that make them very susceptible to substance abuse and relapse.
What are the roles of health care professional ?Health care professionals are main players for quality of healthcare and access globally, they are trained for personnel working in healthcare and health-related field.
Many types of healthcare professionals focuses on a specific sector in the healthcare industry, pandemic struck, they work continuously to give service to others.
healthcare workers have the qualities like technical skills and knowledge Emotional stability, Attention to detail, Empathy, Problem-solving skills, Communication and interpersonal skills.
Healthcare professionals may work in Hospitals, Offices for physicians, dentists, general practitioners, and others, Home healthcare services, Nursing and residential aged care facilities, Ambulatory services.
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The nurse is going to take a blood pressure on a client who has had a previous left mastectomy with lymph node dissection. what would be an appropriate action by the nurse?
The correct option is "B" i.e take the blood pressure in the right thigh.
What is left mastectomy?
The breast tissue, nipple, areola, and skin are all removed during a standard mastectomy (left), but not all of the lymph nodes. The entire breast, including the breast tissue, skin, areola, and nipple, as well as the majority of the underarm (axillary) lymph nodes, are removed during a modified radical mastectomy (right).
What is lymph node?
An immune system component with the form of a tiny bean. The lymph nodes in the body include lymphocytes, which are white blood cells that aid in the body's defense against disease and infection. They filter chemicals that pass through the lymphatic fluid. All over the body, lymph nodes number in the thousands.
Questions:
The nurse is going to take a blood pressure on a patient who has had a previous left mastectomy with lymph node dissection. What would be an appropriate action by the nurse?
A) take the blood pressure in the left arm
B) take the blood pressure in the right thigh
C) take the blood pressure in the right arm
D) take the blood pressure in the left thigh
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A low purge pressure alarm, caused by a purge pressure less than 300 mmhg and a purge flow rate of 30 ml/hr may be due to?
The purge procedure is performed to get rid of any possibly dangerous gas from the enclosure's interior before pressurizing it. During the purge cycle, "air-exchanges" are carried out to replace any explosive (hazardous) gas with an inert, protective gas.
The three most common causes of Impella® heart pump alarms are suction, poor pulsation, and blocked indwelling signals. Purge and pressurize systems have several advantages over specialized explosion-proof or intrinsically safe approaches. Flushing and pressurizing use generic enclosures and extensive electrical equipment, making system design, construction, and commissioning faster than other techniques. This is to make it easier to modify general purpose housings without the use of special drilling/tapping techniques. It also uses less "systems" engineering than intrinsically safe machines.The purge procedure is performed to get rid of any possibly dangerous gas from the enclosure's interior before pressurizing it.
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