The nurse would expect to hear the following reported in the health history 1) Of a client with a suspected diagnosis of myasthenia gravis:
2) muscle weakness improving after a period of rest,
3) symptoms worse in the morning upon awakening,
4) intermittent periods of hyperactivity, and slow,
5) insidious onset of muscle weakness.
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription authority. Many nurses provide care within the ordering scope of physicians, and this traditional role has come to shape the public image of nurses as care providers.
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what aspects of culture are relevant when conducting a health assessment on a foreign-born client admitted for surgery? select all that apply.
Explanation:
Aspects of culture relevance to a health assessment include communication and language, nutrition, and health care beliefs and practices.
which communication technique is the nurse using in attempt to encourage the patient to share more information about health habits and health problems when the nurse says i understand go on in response to the patient saying he used to consume alcohol smoke cigarettes and take drugs
The nurse is using reflective listening.
a nurse is caring for client with thyroiditis who is recovering from surgery to remove the thyroid gland. the client is upset about having a bright red scar on the neck, though it is barely visible. what would be an appropriate suggestion?
A nurse is caring for a client with thyroiditis who is recovering from surgery to remove the thyroid gland. The client is upset about having a bright red scar on the neck, though it is barely visible.
The nurse should suggest clothing that covers the neck.
Who is a nurse?
Providing care for people, families, and communities so they can achieve, maintain, or regain optimal health and quality of life is the goal of the nursing profession, which is part of the healthcare industry.Nursing professionals may approach patient care differently than other healthcare professionals due to their training and area of practise.The majority of healthcare institutions are made up mostly of nursing staff, yet there is evidence of a qualified nursing shortage on a global scale.To know more about nurse, click the link given below:
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the purpose of the villi and microvilli in the intestinal tract is to
Answer:
trap the nutrient particles and absorb them into the cells.
Explanation:
The purpose of the villi and microvilli in the intestinal tract is to trap the nutrient particles and absorb them into the cells.
the 56-year-old client is diagnosed with osteoarthritis and reports joint pain and stiffness. which medication would be identified as appropriate for the client to take?
Medications to be identified as appropriate drugs for clients with a diagnosis of osteoarthritis and joint pain are non-steroidal anti-inflammatory drugs and vitamin D.
What is osteoarthritis?Osteoarthritis is chronic inflammation in the joints due to damage to the cartilage. Osteoarthritis is the most common type of arthritis or arthritis. This condition causes complaints, such as aching, stiff, and swollen joints.
Osteoarthritis can affect any joint, but it most commonly occurs in the joints of the fingers, knees, hips, and spine. Osteoarthritis symptoms generally develop gradually over time.
To reduce pain in patients with osteoarthritis, non-steroidal anti-inflammatory drugs and vitamin D are given.
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you are seeing a 19-year-old who suffered a knee injury playing soccer one day ago. the injury involved a sudden deceleration in which she planted her right foot while running and another athlete fell against her shin. she felt a pop and sudden pain. she had to be helped off the field, and her knee swelled immediately. today, she reports considerable right knee pain with bearing weight and that her knee sometimes feels unstable. her past medical history is unremarkable, and she takes no medications. on exam, her vital signs are perfectly normal. you conduct a knee exam. which exam maneuver is most likely to be abnormal in this patient?
The most likely exam maneuver to be abnormal in this patient is the Lachman's test.
What do you mean by ligament?
A ligament is a type of connective tissue found in the body that links bones together at joints, providing stability and strength. Ligaments are made up of collagen fibers and are usually very tough and flexible. They act as the "shock absorbers" of the body, absorbing the impact of physical activity.
The Lachman's test is used to assess the stability of the anterior cruciate ligament (ACL). The ACL is commonly injured when there is a sudden deceleration, such as when the patient planted her right foot while running.
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a client with suspected exposure to hiv has been tested with the enzyme-linked immunosorbent assay (elisa) with positive results twice. the next step for the nurse to explain to the client for confirmation of the diagnosis is to perform a:
A client with suspected exposure to HIV has been tested with the enzyme-linked immunosorbent assay (ELISA) with positive results twice.
The next step for the nurse to explain to the client for confirmation of the diagnosis is to perform a western blot for confirmation of diagnosis.
Who is a nurse?
A career in nursing focuses on providing care to individuals, families, and communities in order for them to achieve, maintain, or regain optimal health and quality of life.The way nurses care for patients, their education, and the extent of their practice can set them apart from other healthcare professionals.Nurses work in variety of specializations along with varying degrees of prescribing power.Most healthcare works are dominated by nurses, however there is evidence of a global shortage of qualified nurses.To know more about nurse, click the link given below:
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the nurse is educating a newly diagnosed diabetic about glycemic response. which statement from the client indicates an understanding of the effect food has on blood glucose concentration?
To lessen GI adverse effects, the nurse should advise the patient to take metformin with food. The nurse does not have the authority to recommend drugs like diphenhydramine for motion sickness.
Without the consent of the medicine's prescriber, telling the client to stop taking the prescription right away could cause a hyperglycemic reaction. The patient's complaints of GI discomfort will not be resolved by having their blood sugar levels examined. To lessen GI adverse effects, the nurse should advise the patient to take metformin with food. The nurse does not have the authority to recommend drugs like diphenhydramine for motion sickness. One of the greatest ways to determine well how your diabetes care strategy is working is to check your blood glucose levels. Fingersticks or, if one is available, a constant glucose monitoring device can be used to test blood sugar levels. Foods heavy in carbohydrates have a high Glycemic rating because they induce a speedy rise in blood sugar levels when swiftly digested by your body.
(Which instruction would the nurse give a patient who is prescribed metformin and complains of an "upset stomach" after ingestion of the medication?)
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a nurse is preparing to administer methylprednisolone. the prescribed dose is 125 mg iv every 6hr. how many ml should the nurse administer per dose
The nurse should administer per dose is 1.5 mL.
Methylprednisolone is a synthetic glucocorticoid that is primarily used to treat inflammation and immunosuppression. It is either taken at modest dosages for chronic conditions or at high doses concurrently during acute flares. Methylprednisolone and its derivatives can be used orally or intravenously. Methylprednisolone is a glucocorticoid (GCs) that has pleiotropic effects on a number of physiological processes.
Regardless of mode of administration, methylprednisolone integrates systemically, as seen by its ability to decrease inflammation promptly during acute flares. It is linked with several side effects that necessitate weaning off the medicine as soon as the illness is under control. Iatrogenic Cushing's Syndrome, hypertension, osteoporosis, diabetes, infection, and skin atrophy are all serious adverse effects.
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Based on this pedigree, which individual was a carrier for hemophilia but did not suffer from the disease?
A) Frederick
B) Alexandra of Denmark
C) Irene
D) Gonzalo
E) Victoria, Princess of Saxe-Coburg
Based on the pedigree, individual B) Alexandra of Denmark was a carrier for hemophilia but did not suffer from the disease.
In the pedigree, individuals with hemophilia are represented by filled circles, while carriers of the disease are represented by half-filled circles. Alexandra of Denmark is represented by a half-filled circle, indicating that she was a carrier of the disease. However, as she is not represented by a filled circle, it can be concluded that she did not suffer from hemophilia herself.
Carriers of hemophilia often do not display symptoms of the disease, but they can pass it on to their offspring. In this case, Alexandra of Denmark passed the disease on to her son, Prince Leopold. The pedigree is a useful tool for tracing the inheritance of genetic diseases and can help individuals determine their risk for certain conditions.
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the nurse is identifying a diagnosis appropriate for a preschool-age child who began to cry after learning about needing intravenous fluid therapy. which diagnosis should the nurse select to address this specific reaction?
The nurse select fear related to intravenous infusion to address this specific reaction.
What is intravenous fluid therapy?
Intravenous (IV) fluid therapy is a medical treatment that involves the administration of fluids directly into a vein. It is used to replace lost fluids, provide nutrition, or deliver medications. IV fluid therapy is used to treat a variety of conditions, including dehydration, shock, electrolyte imbalances, and certain types of infections. The type of fluid and rate of administration depends on the patient's individual needs.
Fear related to intravenous infusion is the most appropriate diagnosis to address this specific reaction because the child is displaying an emotional response to learning about an upcoming IV therapy. This diagnosis acknowledges the fear the child may have due to the unfamiliarity of the procedure, and can help the nurse develop an appropriate plan of care to help the child manage their emotions.
Therefore, Fear related to intravenous infusion is the answer.
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the nurse is administering an anti-infective medication that is known to lack total selective toxicity. what consequence should the nurse anticipate?
The nurse is preparing to administer an anti-infective agent that is prescribed for an older adult. The nurse should prioritize the following action:
Monitor the client closely for signs of adverse effects
Who is a nurse?A nurse is a professional healthcare provider who cares for the ill. Nursing someone or something back to health is a part of caring for them. You must enrol in college and take nutrition and anatomy classes if you want to become a nurse. Some nurses help doctors by giving patients baths, drawing blood, or administering medication. The verb "nurse" has two possible meanings: "care for" and "breastfeed a baby." The literal translation of the Latin verb nutrire is "to nourish." Both a drink and an idea benefit from slowing down and giving them some thought.
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which client statement indicates that the discharge teaching after a cataract extraction and an intraocular lens implant is effective? 'i should call the clinic if my eye begins to hurt.' 'i am so glad that i can take a shower today.' 'there will be bright flashes of light for a few days.' 'my vision should show some improvement by tomorrow.'
'I should call the clinic if my eye begins to hurt.' is the statement indicates that the discharge teaching after a cataract extraction and an intraocular lens implant is effective.
What is intraocular lens?
An intraocular lens (IOL) is a tiny artificial lens that is surgically implanted in the eye to replace the eye’s natural lens. It is most often used to treat cataracts, but can also be used in refractive surgery to correct nearsightedness, farsightedness and astigmatism. IOLs are typically made of flexible plastic and are designed to last a lifetime.
Therefore, Option A is correct.
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the nurse is caring for a client who has just returned from the cardiac catheterization laboratory following a coronary angioplasty. what is the nurse's priority assessment?
A nurse following the procedure, check vital signs each 15 minutes for the first hour, then every 30 minutes for the following hour, and so on for the following hour. Analyze the pulses in the periphery.
The radial pulse needs to be as strong and palpable as it was prior to catheterization.
After the procedure, patients must be kept lying flat over several hours so that any serious bleeding can be prevented and the artery can heal. It is recommended that patients undergoing diagnostic catheterization stay in bed for four hours and patients undergoing interventional catheterization stay in bed for six hours. A nurse following the procedure, check vital signs each 15 minutes for the first hour, then every 30 minutes for the following hour, and so on for the following hour. Analyze the pulses in the periphery.Following cardiac catheterization, checking for bleeding in the groyne and checking the leg for colour, warmth (circulation), and pulse is the most crucial nursing task.
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a nurse attempts to count the respiratory rate of a client via inspection and finds that the client is breathing at such a shallow rate that it cannot be counted. what is an alternative method of determining the respiratory rate for this client?
The alternative method is: Auscultate lung sounds, count respirations for 30 seconds and multiply by 2.
What should the nurse consider when counting breaths?
Observe chest wall movement and count breaths for 60 seconds. 1 inhalation (inhalation) + 1 exhalation (exhalation) = 1 breath. Rationale – The patient's breathing rate and pattern may be irregular. If you count 1 minute, this is an accurate measurement.
Auscultating lung sounds for 30 seconds and multiplying the result by 2 may help you count your breaths. Pulmonary vibrations are detected by palpation of the retrothoracic range of motion. Pulse oximeter and arterial blood gas results assess respiratory efficacy.
Therefore, The alternative method is: Auscultate lung sounds, count respirations for 30 seconds and multiply by 2.
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at a local diabetic health fair, a health care practitioner is explaining the use of an implantable device to administer insulin. what is a benefit of using this device
The benefits of using an implant to manage insulin are measuring blood sugar levels and producing insulin to lower blood sugar levels.
What is insulin?Insulin is a natural hormone produced by the body, specifically the pancreas organ. The main function of insulin is to help the body control blood sugar levels while managing glucose as an energy source through muscle, fat, and liver cells.
However, the problem with diabetics is that the pancreas cannot produce insulin optimally. So they need insulin injections to control blood sugar levels. But now implanted cells have been created to manage insulin so that it can help control blood sugar levels
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the nurse is caring for the client who has just been extubated. what should the nurse do first, after the client is extubated?
The nurse should keep the head of the bed elevated and supply supplemental oxygen for the client who has just been extubated.
Why is the patient extubated?
Extubation refers to the removal of a breathing tube by a medical professional. You may occasionally require assistance breathing if you've been ill, hurt, or had surgery. Endotracheal tubes, or ETTs, are inserted into your windpipe by your physician or anesthesiologist.
Your doctor will start you on supplemental oxygen as soon as you are extubated to ensure that you are breathing in enough oxygen. Typically, it comes in a nasal cannula or oxygen mask. Your physician may advise you to frequently cough and take deep breaths in order to clear out any residual mucus.
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which statement by the nurse indicates the need for follow-up education regarding the relationship between acute pain management and physical dependence?
a. "Once a client has experienced dependence (psycholοgical or physical), he οr she will continue the drug-seeking behavior regardless of whether or not they are really experiencing pain when receiving opioid analgesics fοr pain control on an acute οr short-term basis." Thus, option A is cοrrect.
What is the management of acute pain?
putting to sleep the injured bοdy part. application οf heat or ice. Nοnsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprοfen, naproxen, or other pain relievers; or acetaminοphen, treatment physically pain relief medication bοdy exercises (including those involving heat or cοld, massage, hydrotherapy, and exercise) psychiatric treatments (such as cοgnitive behavioral therapy, meditation, and relaxation exercises) exercises bοth the mind and body, like acupuncture.
Drugs knοwn as analgesics are used tο reduce and manage pain. They include several different types οf medications (acetaminοphen, nonsterοidal anti-inflammatοry
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Complete question:
Which statement by the nurse indicates the need fοr follow-up education regarding the relationship between acute pain management and physical dependence?
a. "Once a client has experienced dependence (psychοlogical or physical), he or she will continue the drug-seeking behavior regardless of whether or not they are really experiencing pain when receiving opioid analgesics for pain contrοl on an acute or short-term basis."
b. "Maintaining good pain contrοl is crucial in alleviating the appearance of dependence."
c. "To prevent returning to dependence behaviors, clients with a histοry of psychological dependence experience pain and need to be provided with adequate pain relief in a timely manner."
d. "Delays in medicatiοn administration can cause my client tο ask repeatedly for pain medicatiοn, which can be misinterpreted as 'drug-seeking' behavior."
the nurse is caring for a 24-year-old patient with an antitrypsin deficiency who states that she has never smoked in her life. an antitrypsin deficiency predisposes the patient to what?
Emphysema an antitrypsin deficiency who states that she has never smoked in her life.
What are antitrypsin deficiency ?An genetic condition called alpha-1 antitrypsin deficiency can harm the liver and create lung problems. Individual differences exist in the condition's indications and symptoms as well as the age at which they first manifest.
Those who lack alpha-1 antitrypsin typically experience the onset of lung illness between the ages of 25 and 50. The first signs are wheezing, shortness of breath after light exercise, and impaired capacity to exercise. Unintentional weight loss, recurrent respiratory infections, and exhaustion are among other warning signs and symptoms. Emphysema, a lung condition brought on by injury to the lungs' tiny air sacs, frequently develops in those who are affected (alveoli). Emphysema is characterised by breathing issues, a hacking cough, and a barrel-shaped chest. Smoking or being around tobacco smoke quickens.
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a 5-month-old infant has had a head-to-toe assessment by the nurse, been examined by a teaching team of physicians, and now experienced a blood draw. what behaviors might this infant manifest?
Complete question :: A 5-month-old infant has had a head-to-toe assessment by the nurse, been examined by a teaching team of physicians, and now experienced a blood draw. What behaviors might this infant manifest?
a) Assuming a tonic neck reflex posture while looking toward the opposite wall
b) Turning toward new sounds and bright toys and making throaty verbalizations
c) Yawning, turning away, and making little eye contact
d) Opening eyes widely, kicking, and looking intently at a black-and-white mobile
a small-bore feeding tube is placed. which technique will the nurse use to best verify tube placement?
X-ray At present, the most reliable method for verification of placement of small-bore feeding tubes is x-ray examination.
the home health nurse is conducting a safety assessment in an older adult's home. on the bathroom floor, the nurse finds a throw rug that the client refuses to remove. what is the appropriate recommendation by the nurse?
The nurse should explain to the client why it is important to keep the area free of potential tripping hazards, and suggest that they use a non-slip mat or adhesive strips to secure the rug in place.
When conducting a safety assessment in an older adult's home and encountering a situation where the client refuses to remove a throw rug on the bathroom floor, the appropriate recommendation by the nurse would be:Explain the Risks, Educate on Safety.
1. Explain the Risks: The nurse should communicate the potential hazards associated with having a throw rug in the bathroom. The rug can create a tripping or slipping hazard, especially in a wet environment like the bathroom. Explain that falls in the bathroom can lead to serious injuries, particularly in older adults.
2. Educate on Safety: Provide education on the importance of maintaining a safe environment, especially in areas prone to water or moisture. Emphasize the increased risk of falls in the bathroom, and the potential consequences, such as fractures or head injuries. Educate the client about the need for a clear, slip-resistant surface in the bathroom to reduce the risk of accidents.
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a patient has been ordered a transdermal patch of methylphenidate. the nurse teaches the family to leave the patch on for how long?
The patch should typically be left on for 24 hours. After 24 hours, the patch should be removed and a new patch should be placed on a different area of the skin.
What is patch?Patch is a term used to describe a collection of software updates, fixes, and/or enhancements that are released to address an issue or add new features to an existing product or service. Patches can range from small fixes to major updates, and can be applied to a variety of software products and services, including operating systems, applications, and firmware. Patches are typically released by the software or service provider, and can be downloaded and installed in order to improve the product or service. Patching is a common practice for maintaining and improving the security, performance, and reliability of a product or service.
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a client with a urinary tract infection os on ciprofloxacin and compains of pain and swelling of the left heel. after client education, ehat does the nruse expect tj eclient to saya s evidence the teaching wasu udnerstood
In the instruction, the nurse mentions that he shouldn't take an antacid for two hours after taking ciprofloxacin.
What is ciprofloxacin?
A fluoroquinolone antibiotic called ciprofloxacin is used to treat a variety of bacterial illnesses. This includes, among others, infections of the bones and joints, the abdomen, specific forms of infectious diarrhoea, the respiratory and skin tracts, typhoid fever, and urinary tract infections. It is used in conjunction with other antibiotics for some illnesses. It can be administered intravenously, as eye drops, ear drops, or by mouth. Consequences like nausea, vomiting, and diarrhoea are frequent. There is a higher chance of tendon rupture, hallucinations, and nerve damage as severe adverse effects. Muscle weakness is getting worse in those with myasthenia gravis.
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A client with a urinary tract infection is on ciprofloxacin and complains of pain and swelling of the left heel. After client education, what does the nurse expect the client to say as evidence the teaching was understood?
a nurse is educating a client in anticipation of a procedure that will require a water-sealed chest drainage system. what should the nurse tell the client and the family that this drainage system is used for?
Removing excess air and fluid
Chest tubes and closed drainage systems are used to re-expand the lung involved and to remove excess air, fluid, and blood.
What is the drainage system?
Our body's "sewerage system" is the lymphatic system. By eliminating any fluids that leak out of our blood vessels, it keeps the fluid balance in our bodily tissues. For both our innate immunity and acquired immunity to work as best they can, the lymphatic system is crucial.
Through lymphatic vessels, lymph fluid exits and enters the bloodstream. This is a clear fluid that the body produces. It envelops every body tissue. Small lymph veins are used for the drainage and passage of extra bodily fluid from tissue.
earliest lymphoid organs: The thymus and bone marrow are two examples of these organs. They produce lymphocytes, which are unique immune system cells.
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you are working with a family and it is decided the best treatment for an elderly relative is at home. you are working with what part of health care social work?
You are working with a family and it has been determined that the best therapy for an elderly member is to be given at home. You are involved in the following aspects of health care social work:
End of life care systemUnder insured care systemManaged care systemIn home care systemSocial workers at nursing homes do a variety of tasks, including assisting older persons in adjusting to life in their new surroundings, advocating for their clients' needs and rights, offering supportive counselling, and conducting psychosocial assessments. A medical social worker's duty is to "establish balance in an individual's personal, familial, and social life in order to assist that person in maintaining or recovering his/her health and strengthening his/her capacity to adapt and reintegrate into society."
A sub-discipline of social work is medical social work. Medical social workers are most commonly found at hospitals, outpatient clinics, community health agencies, skilled nursing facilities, long-term care facilities, and hospices. They deal with patients and their families who require psychosocial assistance.
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which is important to include in your documentation when caring for a patient who is restrained for behavioral concerns?
The nurse will record a nursing evaluation that includes the patient's demeanor, range of mobility, and respiratory and circulatory conditions.
What results in behavioral problems?
A life event or a family circumstance may be the root of behavioral problems. A person can be dealing with a family dispute, poverty, anxiety, or a death in the family. Dementia, which alters a person's behavior, can result from aging.
The patient who has been confined will be continuously observed and a NA will record any violent or self-destructive behavior. Proper documentation must be made of the behaviors that called for the use of restraints, the technique that was used to call for their application, the method utilized to restrain the condition of the body part restrained, and the patient's reaction.
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bobby whittaker has childhood asthma and takes a corticosteroid drug to prevent asthma attacks. which drug is he taking?
Bobby whittaker has childhood asthma and takes budesonide to prevent asthma attacks.
What is the primary reason behind asthma?
Allergies, irritants in the air, other illnesses including respiratory infections, exercise or physical activity, weather and air temperature, intense emotions, and some medications are among the most frequent asthma triggers.
Asthma symptoms are helped by the usage of budesonide. Inhaled budesonide lessens the frequency and intensity of asthma attacks when administered consistently throughout the day. It won't stop an asthma attack that has already begun, either. A corticosteroid or steroid is budesonide (cortisone-like medicine).
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Members of the team know their boundaries and ask for help before the resuscitation attempt worsens. Match this statement with the most appropriate element of team dynamics listed.
Members of the team know their boundaries and ask for help before the resuscitation attempt worsens. The most appropriate element of team dynamics as per question is listed is knowing your limitations.
Knowing your limitations is one of a element of team dynamics in CPR. The other elements is closed loop communication, knowledge sharing, summarizing and re-evaluation, mutual respect, clear messages, clear roles responsibilities, and constructive intervention.
Team dynamics in CPR is the one of most important aspect when trying to save a life with multiple rescuers. So, elements of team dynamics play an important role to ensure team dynamics work well and can save people's lives.
For the statement it tell us about the members of the team know their boundaries which it mean they know their limitations. Thus, the most appropriate element is knowing your limitations.
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a nurse preceptor is evaluating the skills of a new registered nurse (rn) caring for clients experiencing shock. which action by the new rn indicates a need for more education?
Raising the head of the bed to a high Fowler's position. It has been demonstrated that raising the head of the bed by 30 degrees while in the semi-Fowler position, which increases intra-abdominal pressure.
However, little is known about its benefits in terms of lowering shoulder pain following LS. Fowler's position makes it easier for the abdominal muscles to relax and allow for better breathing. The Fowler's posture relieves chest tension that results from gravity in immobile patients and newborns. A patient in the Semi-position Fowler's is resting on their back with their head and body lifted between 15 and 45 degrees, typically in a hospital or nursing home. The 30 degree bed angle is the one that is most usually employed for this patient position.
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