The standards for seclusion and behavioral constraint of adults. For the first hour of constraint or seclusion, make sure the subject is under constant face-to-face surveillance. (Option A)
What does it mean to be patient?Able to keep their cool and refrain from losing their temper when speaking with or waiting on difficult people. I hate standing in line for a long time. Simply put, I'm not a patient person. The instructor treated her students with kindness and patience.
What does patience mean to you?If you're patient, you might be able to manage setbacks better and enjoy life more. There is truth to the adage "Good things come to those who wait." Your ability to move forward and make better informed decisions, which typically leads to more performance, is enhanced by patience.
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which strategies would the nurse use when communicating with a child with a hearing deficit when the child's hearing aids were forgotten at home? select all that apply. one, some, or all responses may be correct.
When conversing with a child, face them directly.
What is communication therapy for hearing impaired children?
Hearing loss and communication are intricate issues. This is understood in communication treatment for children with hearing impairment, which use tried-and-true methods to enhance communication. I can assist you in comprehending these therapeutic alternatives as your audiologist. 3. Speaking and listening skills (LSL)Even if hearing has partially returned, a youngster may have trouble verbally communicating. Thankfully, there are a number of strategies we may investigate to promote and support communication.1. Hearing evaluation I must first determine whether verbal communication difficulties are linked to hearing loss.Children with hearing loss can use hearing aids and devices that are battery-operated and worn on or in the ear(s).To learn more about hearing aids refer to:
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A circumcision was performed on a newborn using a dorsal penile nerve block for anesthesia. The provider used a Plastibell for this circumcision. What CPT® code is reported?
The CPT code for a circumcision performed on a newborn using a dorsal penile nerve block for anesthesia and a Plastibell device is 54150.
A CPT code is a numeric code used by healthcare providers to bill insurance companies for medical procedures and services. CPT codes are maintained by the American Medical Association (AMA).
In this case, the code 54150 describes a circumcision, which is the surgical removal of the foreskin. The use of a dorsal penile nerve block for anesthesia and a Plastibell device are considered to be additional components of the procedure, which would be reported separately.
The provider would use this code to bill the insurance company for the procedure. However, it's worth noting that CPT codes are not universal and may vary depending on the country or region.
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which assessment would the nurse include during routine visits for an infant being treated for talipes equinovarus (clubfoot) who has a cast change every 2 to 3 weeks? select all that apply. one, some, or all responses may be correct.
By merely using the hands to handle the cast. The infant's body and the cast extremities are supported by a broad base in the palm.
What is the preferred course of treatment for a patient with clubfoot or Talipes Equinovarus at birth?Casting and stretching (Ponseti technique): The most typical course of action for clubfoot is this. The foot of your infant will be moved into the proper position by your doctor, who will then cast it to keep it there.
Which intervention would Talipes Equinovarus be a candidate for treatment with?Short-Term Care and Results: Treatment options for clubfoot include surgical correction to extend tendons and ligaments in the foot and ankle, placing the foot into the proper orientation using immobilization and physical therapy, or a combination of the two.
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The given question is incomplete. The question is: which assessment would the nurse include during routine visits for an infant being treated for talipes equinovarus (clubfoot) who has a cast change every 2 to 3 weeks? select all that apply. one, some, or all responses may be correct.
A) Pulse assessment
B) Handling the cast with palm
C) Handling the cast with fingers
D) All of the above
the nurse is monitoring a client who is receiving oxytocin to augment labor. the nurse determines that the dosage would be decreased and notifies the registered nurse if which is noted?
A client who is receiving oxytocin to speed up labor is being watched by the nurse. If fetal tachycardia is detected, the nurse decides that the dosage should be reduced and alerts the registered nurse.
Oxytocin is a peptide birth control method and neuropeptide usually created in the hypothalamus and freed for one posterior pituitary. It plays a part in public bonding, duplication, labor, and the ending of later labor. Oxytocin is a birth control method and a neurotransmitter namely complicated in reproduction and feelings-augmenting. It is frequently referred to as the “love hormone,” causing levels of oxytocin to increase all along cherishing.
In the hospital, a healthcare provider ability introduce a form of oxytocin (Pitocin) — a hormone that causes the uterus to contract — into a tone. Oxytocin is more direct at speed labor that has before begun than it is as at cervical ripening. The wage earner monitors shortenings and the baby's essence rate.
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a patient is returning from ct scna after havcing iv contrast. you should monitor for which 2 potential complications?
If contrasting media was used during your procedure, you could be kept under observation for a while to look out for any adverse effects or reactions, like itchiness, swelling, rash, or breathing problems.
An example of a procedure is what?A collection of ability to construct as a process is used to carry out a certain activity or activities. Another name for it is a function. An illustration of a technique might be a banana bread recipe. To make the bread, the baker must carefully adhere to the directions.
What does a process mean in terms of medicine?A medical procedure is a method of treatment used to offer healthcare and is meant to produce a result. A medical technique that aims to identify, quantify, or evaluate a patient's condition or another metric is also known as an inspection.
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a client will be undergoing a colonoscopy in the morning. which task is appropriate to delegate to the assistive personnel (ap)?
It is appropriate to use Assisting with transportation to and from the procedure to delegate the task of preparing the client for the colonoscopy to the assistive personnel.
It is appropriate to delegate the task of preparing the client for the colonoscopy to the assistive personnel. This includes making sure the client is properly hydrated, taking vital signs and running pre-procedure lab tests, administering medications, and ensuring the client is aware of the risks and benefits of the procedure. The assistive personnel should also review the patient's medical history and make sure the client is aware of any preparations they might need to make prior to the procedure. Additionally, they should be responsible for ensuring the procedure is performed according to safety protocols and provide support to the client during the colonoscopy.
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It is acceptable to assign the responsibility of getting the patient ready for the colonoscopy to the assistive staff using the transportation to and from the procedure assistance.
The assistive staff should be given the responsibility of getting the client ready for the colonoscopy. This entails ensuring the patient is well hydrated, collecting vital signs and performing pre-procedure lab tests, giving medications, and making sure the patient is aware of the procedure's risks and advantages.
Additionally, the assistance staff should go over the patient's medical background and make sure the patient is informed of any necessary pre-procedure preparations. They should also be in charge of making sure the procedure is carried out in accordance with safety guidelines and supporting the client throughout the colonoscopy.
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which reason would the nurse teach the parent is the most important influence on the eating habits of early school-aged children?
The reason which the nurse would teach the parent as the most important influence on the eating habits of early school-aged children is early-school-age children are obedient members of the family who readily imitate their parents' behaviors and eating routines.
In reaction to societal and cultural forces, eating habits are described as "intentional, communal, and persistent behaviours, which cause people to choose, eat, and then use particular meals or patterns."
Foods across all five healthy dietary groups—vegetables, fruit, grains, dairy, and protein—must be consumed by early school-age children. Nutrients found in healthy foods are crucial for knowledge, maintenance, and growing. Limit your intake of high-sodium, high-fat, and high-sugar foods as well as low-fiber foods and beverages.
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the nurse is teaching the client about dietary control of gout. which statement made by the client indicates successful learning?
The nurse is teaching the client about dietary control of gout and the statement made by the client indicates successful learning is "I will avoid eating shellfish."
Anyone can develop gout, a frequent and complicated type of arthritis. It is characterised by frequent big toe ache and abrupt, acute bouts of swelling, redness, and soreness in one or more joints. it is a type of arthritis characterised by excruciating pain, and joint soreness.
Anchovies, shellfish, and tuna are a few examples of seafood varieties that contain more purines than others. However, the total health advantages of fish consumption might exceed the hazards for gout sufferers. A gout meal could include fish in moderation.
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if 6 oz of medication must be mixed with 15 oz of water, how many oz of water is needed for four (4) oz of medication
The amount of water needed is 10 oz.
What is the rule of ratio proportion?When the ordered pair's second integer, b, is not equal to 0, the ratio is written as a/b. The term "percentage" refers to an equation that makes two ratios equal. In the case of 1 guy and 3 girls, for instance, you may write the ratio as 1: 3. (for every one boy there are 3 girls)
The given data is
If we combine 6oz of medication must be mixed with 15 oz of water.
The oz of water is needed for 4 oz of medication
suppose that x oz of water is needed for 4oz of medication.
Hence,
4oz:x oz=6oz:15 oz
use the ratio proportion rule to solve the above value show as below
4oz/xoz =6oz /15 oz
cross multiply with above value
x=4 oz x 15 oz /6 oz
x=(4×15)oz/6 oz
x=(4×15/6)oz
x= 60/6 oz
X=10 oz
Therefore the amount of water needed is 10 oz
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denis burkitt's research seemed to suggest a link between high-fiber diets and low rates of colon cancer. what did armstrong and doll find a few years later?
In the research by Armstrong and Doll, They found a dietary link, but it was to eating too much meat, rather than too little fiber.
The main observational study types that have been used to support the link between diet and cancer are ecologic, case-control, and cohort studies. Populations are the units of analysis in ecological studies.
Studies that look at how cancer incidence and mortality rates evolve over time, international comparisons of cancer incidence or mortality rates, and connections between dietary elements and cancer incidence or mortality based on population intake levels are a few examples.
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the nurse in the oncology unit has just admitted a client with metastatic cancer. the client asks how cancer moves from one place to another in the body. what would the nurse answer?
C. Cancer cells have the capacity to enter lymphatic and blood vessels, travel through the bloodstream, and then infiltrate healthy tissues in other parts of the body. This process is known as metastasis.
Cancerous cells infiltrate the lymphatic system of the body and then spread to other organs. There are two ways that cancer can spread throughout the body: invasion and metastasis. Epidermal growth factor receptor (EGFR) signalling is also activated by signalling elements mediated by exosomes to encourage cancer spread. Cancer cell invasion is significantly increased by exosomes that express EGFR ligands such amphiregulin, tissue-type plasminogen activator, and/or annexin II. Metastatic cancer refers to cancer that spreads from the site of origin to a different area of the body.
The complete question is:
the nurse in the oncology unit has just admitted a client with metastatic cancer. the client asks how cancer moves from one place to another in the body. what would the nurse answer?
A. Cancer cells enter the body's blood system and thereby spread to other parts of the body.
B. Cancer cells enter the body's digestive system and thereby spread to other parts of the body.
C. Cancer cells enter the body's lymph system and thereby spread to other parts of the body.
D. Cancer cells enter the body's Excretion system and thereby spread to other parts of the body.
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which statement made by an older adult most strongly supports the nurse's conclusion that the client has impacted stool?
"I feel like I have to go and just can't." the following statement made by an older adult most strongly supports the nurse's conclusion that the client has impacted stool.
An enema, which is a specific fluid your doctor inserts into your rectum to soften your stool, is the most typical therapy for a faecal impaction. Since an enema frequently induces bowel movements, it's conceivable that after the enema has softened the lump of faeces, you'll be able to push it out on your own.
The nurse educates the patient on the risk factors for pancreatitis as well as the need to stay away from alcohol, large meals, and foods high in fat.
Following a regular eating schedule and avoiding things that might be dietary triggers, such as alcohol, caffeine, spicy meals, and fat, are usually advised.
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Which of the following is not one of the stages of the general adaptation syndrome?
a. alarm reaction
b. stage of resolution
c. stage of exhaustion
d. stage of resistance
Answer:
b. stage of resolution
Explanation:
The three stages of the general adaptation syndrome are alarm, exhaustion, and resistance, so the only answer is resolution as it is not of the general adaptation syndrome stages.
a nurse is instructing a client who has a new diagnosis of raynaud's disease about preventing the onset of manifestations. which of the following client statements should indicate to the nurse the need for additional teaching
The client statement that indicate the nurse the need for additional teaching is "I should not smoke".
Raynaud's illness is a blood vessel ailment that causes the distal extremities to feel numb and chilled in reaction to cold temperatures or stress. These arteries constrict during a Raynaud's attack, reducing blood circulation to the afflicted locations. Strong emotions or cold exposure cause these spots to become white owing to a lack of blood flow in the area. They then become blue as small blood arteries widen, allowing more blood to stay in the tissues.
When the blood flow recovers, the region gets red and then returns to normal hue. Tingling, swelling, and severe throbbing might result from this. The assaults might last anywhere from a few minutes to many hours. If the problem worsens, blood supply to the region may be permanently reduced, resulting in thin, tapering fingers with smooth, glossy skin and slow-growing nails. Gangrene or skin ulceration can develop if an artery becomes fully stopped. Smoking cessation, not simply decrease, is an activity the client should take to prevent the emergence of Raynaud's disease signs.
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During a splenectomy, a surgeon carefully dissects the peritoneal ligament containing the splenic vessels at the hilum of the spleen. Which of the following peritoneal ligaments is being dissected by the surgeon?
- hepatoduodenal ligament
- lienorenal ligament
- transverse mesocon
- gastrolienal ligament
During a splenectomy, a surgeon carefully dissects the peritoneal ligament containing the splenic vessels at the hilum of the spleen. The lienorenal ligament is the peritoneal ligament that is being dissected by the surgeon during a splenectomy.
The lienorenal or splenorenal ligaments are peritoneal ligaments that serve as the most dorsal part of the dorsal mesentery. It is formed from the anterior and posterior peritoneal layers.
In the anterior layer, it moves upward to the hilum of the spleen where it is continuous with the gastrosplenic ligament. And continues as the posterior wall of the small sac that lines the anterior surface of the left kidney.
Whereas the posterior layer is connected laterally with the peritoneum covering the inferior surface of the diaphragm and passes over the surface of the spleen above the indentation of the kidney.
The splenorenal ligament contains the splenic artery, pancreatic tail, and splenic vein.
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a hospitalized client newly diagnosed with rheumatoid arthritis complains of bilaterally painful knee and wrist joints. which intervention would the nurse teach the client to do during the acute phase of the disease?
swelling and soreness, which could get worse after naps. ache that becomes worse when you exercise hard. abrupt locking or sticking of joints while moving. creaking
Swelling is what?
Those who are learning English Inflammation is defined as: a part of the body that really is bigger than usual due to a disease or injury: a state of being greater than average: an enlarged lump or piece: a localized growth or protuberance on the body that is abnormal Is a swelling that is caused by
Nflammation serious?
the causes, signs, and remedies What triggers swelling, and how harmful is it? When a physical part enlarges, it is said to be swelling. This usually happens as a result of an injury, irritation, or fluid retention. Edema is the clinical term for swelling. Swelling could happen in the
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which interventions would the nurse include in the plan of care for a client with gastroesophageal reflux disease (gerd)? select all that apply. one, some, or all responses may be correct.
Promote frequent little meals of high-calorie, high-protein foods.Multiple little meals spread out throughout the day make digestion easier. Inform patients to remain upright for at minimum two hours after meals.
What fruit is abundant in protein?Guava. One of the fruits that is highest in protein is guava. In each cup, you'll get a massive 4.2 g of the substance. Additionally rich in fiber and vitamin C, this tropical fruit.
Which plant-based foods are high in protein?The vegetables with the most protein are Brussels sprouts, broccoli, lettuce, asparagus, artichokes, potato, sweet potatoes, and, on average, 4-5 grams of proteins per heated cup ( 96 , 97 , 98 , 99 , 100 , 101 , 102 ).
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you realize that you administered the wrong dose of a medication. in addition to speaking to your manager and completing an incident report, you should speak with:
You realize that you administered the wrong dose of a medication and in addition to speaking to your manager and completing an incident report, you should speak with your doctor.
Since Bates and colleagues' research in the 1990s described the prevalence of adverse drug events (ADEs) and the association between medication errors and ADEs in hospitalised patients, medication errors have been a prominent focus for increasing safety.
Medication errors are not frequently significant and are frequently inconsequential, however they can occasionally be. However, it is crucial to spot them since system faults that initially cause trivial errors can sometimes result in catastrophic issues. By fostering a blame-free, non-punitive environment, errors should be reported to doctors should be encouraged.
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the nurse is assessing a child who is accompanied by a parent and a stepbrother. which kind of a family does this child belong to?
Answer:
This child belongs to a blended family or a stepfamily. A blended family or stepfamily is a family where one or both parents have children from a previous relationship and have combined them into one household. In this case, the child has a parent and a stepbrother, indicating that the parent has a child from a previous relationship, and the child's parent and stepbrother are now living together in the same household. It's worth noting that blended families can take many forms and can include step-parents, step-siblings, and half-siblings, among others.
Explanation:
A blended family is a type of family structure in which one or both parents have children from a previous relationship, and these children come together to form a new household. In other words, it is a family that is created through the merging of two or more previously separate families. This often occurs when a divorced or widowed parent remarries and combines their household with their new spouse and their children.
Blended families can take many forms and can include step-parents, step-siblings, half-siblings, and other relatives. They can present unique challenges in terms of family dynamics and communication, but can also provide opportunities for growth and expanded support networks. It's important for members of blended families to work together to establish clear boundaries and communication to build a positive and healthy environment for everyone in the family.
he nurse provides care for a client who has had a stroke and is at high risk for aspiration. in which position(s) does the nurse place the client to maintain an open airway? select all that apply.
Nurses care for patients who have had a stroke and are at high risk of aspiration. the caregiver should position the patient to keep the airway open include: Fowler, Semi-Fowler and Upright
What does Aspiration mean?Aspiration means draw in or out with the action of sucking. Aspirate foreign objects (breathe food into the airways). A medical procedure in which something is removed from some part of the body. These substances can be air, body fluids, or bone fragments.
What Causes Aspiration?Aspiration is when swallowed material "goes the wrong way" and enters the airways or lungs. It can also occur when something moves back into your throat from your stomach. However, unlike suffocation, the airway is not completely blocked. People who have difficulty swallowing are more likely to aspirate.
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The nurse provides care for a client who has had a stroke and is at high risk for aspiration. In which position(s) does the nurse place the client to maintain an open airway? Select all that apply.
Fowler
Semi-Fowler
Upright
a woman is admitted to the postpartum unit after delivering a 9 lb, 2 oz infant. which action by the nurse should receive the highest priority?
The first phase in the nursing process is assessment, which takes precedence over all subsequent processes.
Patient care is a primary concern for nursing staff, regardless of how long the patient is in their direct care. The tactics for safety nursing vary from fall prevention to teaching family members how to help patients recover at home safely. When sitting or lying down, elevate the client's feet or lower legs above heart level. Implement bed rest & elevation of the afflicted extremity for the DVT patient.
These acts aid in the reduction of interstitial edema and the promotion of venous return from such a leg. In the first few days after delivery, your body requires frequent and efficient suckling (at least 8 or 12 times per 24 hours). As stated below, excellent nursing technique is essential for your comfort and to prevent your breasts from rubbing and compression.
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which assessment findings for a client with a heart failure would prompt the nurse to contact health care provider
The assessment findings for a client with a heart failure would prompt the nurse to contact health care provider are:
FatigueOrthopneaPitting edemaDry hacking cough4-pound weight gainWhat is heart failure definition and cause?Heart failure define as the condition of the heart that unable to pump blood around the body properly. heart failure commonly happens because the heart is too weak or stiff. heart failure also called congestive heart failure even though this name is not commonly used now. As to reminder, Heart failure is not define as heart has stopped working.
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which treatment would the nurse suggest to an adolescent with type 1 diabetes if an | insulin reaction is experienced while the adolescent is at a basketball game?
If a teenager with Type 1 diabetes experiences an insulin response, commonly known as hypoglycemia or low blood sugar, while in the basketball game, the nurse may advise to "Buy a soda and hamburger to eat."
The teenager need long-lasting complex carbs and protein, which are provided by the bread and hamburger, as well as rapid and readily absorbed glucose, such as soda. After some glucose has been consumed, you might call your parents; otherwise, the teenager's hypoglycemia can worsen. Additional insulin will make the issue worse. It is dangerous to leave the arena and relax until the symptoms go away, proper attention is required.
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The above question is incomplete. Check the complete question below-
What treatment should the nurse suggest to an adolescent with type 1 diabetes if an insulin reaction is experienced while the adolescent is at a basketball game?
a) "Call your parents immediately."
b) "Buy a soda and hamburger to eat."
c) "Administer insulin as soon as possible."
d) "Leave the arena and rest until the symptoms subside."
the nurse is providing interventions to give support services for delivery of care. according to the nursing intervention classification (nic) taxonomy, which domain does this care belong to?
In accordance with the Treatment Planning Classification (NIC) taxonomy, care that promotes community health falls under domain 7. Therapies that enhance physical functioning are part of domain 1.
How so many classes are there in the regular medical classification model's second level?An organized taxonomy of nursing actions with three levels was created using hierarchical cluster analysis. Six domains make up the top level, 26 classes make up the second level, and 357 interventions make up the third level.
Which of the following describes the client's symptoms, indicating a need for nursing care to maintain homeostatic regulation?An blocked airway and damaged tissue suggest that the patient requires nursing care to promote homeostatic regulation. The client's poor nutritional state, limited range of motion, and irregular urine elimination patterns suggest this.
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while receiving an adrenergic beta2 agonist medication for asthma, the client complains of palpitations, chest pain, and a throbbing headache. which nursing action is the most appropriate?
The nursing action is the most appropriate Withhold the drug until additional orders are obtained.
What is an example of obtain?Obtain Sentence Examples I should like much to see it, and to obtain a few copies if possible. There is but one way to obtain it, yet few take that way. Obtain something from someone along with instructions on how to use it. They obtain their supply of air from the surface.
Are attain and obtain synonyms?“Attain” and “obtain” often get used incorrectly. Attain means to “reach, achieve, or accomplish” through the means of hard work. ○ After months of studying, I finally attained a passing grade on my final exam. Obtain means to “get or acquire something.”
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a neonate was born by vaginal birth and initial assessment revealed no distress. however, the infant soon developed dyspnea and then apnea. the care team in the room attempted to manage the infant's distress independently and neglected to call an emergency code, which was later determined to be necessary. root cause analysis of this event should begin by asking what question?
Why didn't anyone in the room decide to call a code should be the first question in any root cause study of this incident.
A root cause instance is what?
A broken wrist, for instance, hurts a lot, but drugs won't fix my elbow; you'll need a particular kind of treatment to promote healthy bone healing. In this illustration, a fractured wrist is the issue, wrist discomfort is the symptom, and damaged bones are the underlying cause.
Is the phrase "root cause" accurate?
A root cause is described as "the underlying explanation for the occurrence of an issue" in the online Collins Dictionary. According to the dictionary, the term "root cause" was first used somewhere in the 1800s and is among the 1000 most commonly used terms in the Cambridge Dictionary.
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which of the following is not true concerning ems equipment on board an ambulance: a. all equipment must be clean and in working order. b. all equipment must be included on the list of medical equipment approved by the regional advisory council (rac). c. all equipment must have a battery back-up, if appropriate, or have an alternate source of power. d. the equipment list shall include equipment required for the transport and treatment of adult, pediatric and neonate patients
The Regional Advisory Council's approved list of medication equipment must include every piece of equipment (RAC). The best choice is B.
What is referred to as medicine?Medicines are substances or chemicals that treat, halt, or prevent illness, lessen symptoms, or aid in the detection of diseases. Doctors can now save and treat numerous diseases thanks to modern medicine. Medicines can be purchased in a variety of locations today.
What is a basic drug?Sample drugs are ones that manufacturers typically give to doctors directly. When patients begin taking a new drug, these sample doses are typically utilized as starter supplies.
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while suctioning a client who had a tracheostomy placed 4 days ago, the nurse notes particles of food in the tracheal secretions. which action by the nurse is most appropriate?
The nurse could temporarily remove the client from oral nutrition and hydration (NPO), but they shouldn't opt to raise the inflation pressure in the tracheostomy cuff on their own.
Which nursing procedure is suitable while suctioning a client with a tracheostomy's secretions?Suction should be started when the catheter is being withdrawn. For the administration of humidified oxygen, a client uses a tracheostomy tube and tracheostomy collar.
When suctioning the tracheostomy, what safety measures should be taken?Never put your thumb over the suction control vent when inserting the catheter into your tracheostomy tube. Before you begin to suction, pull the suction catheter out a little bit. To begin suctioning, cover the suction control vent with your thumb.
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a client is admitted to the health care facility with a diagnosis of pediculosis capitis. what would the nurse expect to find in the client?
The nurse expects to detect inflamed bites along the client's hairline.
Pediculosis is an infestation of lice eggs, larvae, or adults on the hairy portions of the body or clothes. This insect's crawling stages feed on human blood, causing intense itching. Head lice are often found on the scalp, crab lice in the pubic area, and body lice along clothing seams. Body lice feed on the skin before returning to the clothes. Its supporting evidence comes from of the oldest known fossils of head lice eggs, which are around 10,000 years old.
The itching and scratching in the region of the body in which the lice feed is the first sign of an infestation. Scratching at the back of the scalp or around the ears should prompt a check of the hair for head louse eggs (nits). Itching in the vaginal area should prompt a search for crab lice and their eggs. Scratching can be strong enough to cause secondary bacterial infection in certain regions.
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A 2-year-old girl, who had been treated with upper respiratory tract infection a few weeks ago, showed multiple bruises and had the following laboratory findings:
Hgb = 13.5 g/dLRBC = 3.9 x 1012/LWBC = 8.0 x 109/LPlatelets = 5 x 109/LBone marrow M:E ratio = 3:1Megakaryocytes = increased
These results are most suggestive of which condition?
The laboratory findings of a 2-year-old girl with multiple bruises, Hgb = 13.5 g/dL, RBC = 3.9 x 1012/L, WBC = 8.0 x 109/L, Platelets = 5 x 109/L, Bone marrow M:E ratio = 3:1, and increased megakaryocytes are most suggestive of a condition called idiopathic thrombocytopenic purpura (ITP).
In ITP, an autoimmune condition, platelets are wrongly attacked and destroyed by the immune system, which lowers the level of platelets in the blood. Due to a deficiency in platelets, which are essential for blood clotting, this illness can lead to bruise and petechiae (small red or purple spots on the skin). Megakaryocyte production in the bone marrow has increased, which may be the body's attempt to make up for the loss of platelets.
Children who experience nosebleeds, quick bruising, or tiny red or purple spots on their skin may also have ITP.
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