Medicine College
Answers
Answer 1
Metacarpophalangeal joint may be involved in the most severe cases. Option 3 is correct.
Rheumatoid arthritis (RA) is a chronic autoimmune condition that mostly affects the joints. It frequently results in hot, swollen, and painful joints. Pain and stiffness often worsen after rest. The wrist and hands are the most usually affected joints, with the same joints typically implicated on both sides of the body.
Other areas of the body, including as the skin, eyes, lungs, heart, nerves, and blood, may be affected by the condition. This can cause a decreased red blood cell count, pulmonary inflammation, and cardiac inflammation. Fever and fatigue may also be present. Symptoms usually arise gradually over a period of weeks to months. While the exact etiology of rheumatoid arthritis is unknown, it is thought to be a mix of hereditary and environmental factors.
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Related Questions
a client has a pressure ulcer with a shallow, partial skin thickness, eroded area but no necrotic areas. the nurse would treat the area with which dressing?
Answers
A tiny crater is created as the sore deteriorates and penetrates tissue beneath the skin. Muscle and tendon, will not be visible in a sore, A dressing is a clean pad or compress wound to speed healing infection.
What is a pressure ulcer in Stage 4?
The most serious kind of bedsore, also known as a pressure injury, pressure sores, or decubitus ulcer, is stage 4. A stage 4 bedsore is, more particularly, a deep wound that extends to the muscles, ligaments, and bones. These frequently result in excruciating pain, infection, invasive procedures, or even death.
Why does stage two pressure damage occur?
Long periods of time spent sitting or lying still impede blood flow and harm the skin nearby. Stage 1 bedsores need not rupture the skin, but continuing to lie in the same posture might cause your skin to rip open, indicating the development of a stage 2 bedsore.
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Postoperative day 2, a patient requires wound care for a surgical wound using second-intention healing. What type of dressing change should the nurse anticipate doing?
a. Cleaning the wound with sterile saline and applying cyanoacrylate tissue adhesive
b. Packing the wound bed with sterile saline-soaked dressing and covering with dry dressing
c. Cleaning the wound with soap and water, then leaving open to air
d. Covering the well approximated wound edges with a dry dressing
Answers
The nurse should prepare for B) Packing the wound bed with sterile saline-soaked dressing and covering with dry dressing, if a patient needs wound care for a surgical wound using second-intention healing.
What is second-intention healing?
Second-intention healing is a type of wound healing in which the wound's margins are not surgically approximated or closed; instead, granulation tissue forms, the wound edges constrict, and the skin re epithelializes to complete the healing process. To keep the wound bed wet and shield it from contamination, dressing changes are made.
The wound bed is frequently packed with saline-soaked gauze during the dressing change for a surgical wound with second-intention healing in order to maintain the wound wet and encourage granulation tissue growth. After that, a dry dressing is placed over the wound to keep it clean and enable air to flow.
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What is the ICD-10 for thrombocytopenia and anemia?
Answers
Thrombocytopenia, unspecified · D69.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What happens if you have thrombocytopenia?
Bleeding can happen inside your body, underneath your skin, or from the surface of your skin. You may not have serious bleeding until your platelet count is very low. Thrombocytopenia can be life-threatening, especially if you have serious bleeding or bleeding in your brain.
Does thrombocytopenia can be cured?
People with mild thrombocytopenia might not need treatment. For people who do need treatment for thrombocytopenia, treatment depends on its cause and how severe it is. If your thrombocytopenia is caused by an underlying condition or a medication, addressing that cause might cure it.
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he nurse is assisting in providing surgical instructions to a preoperative client who will have abdominal surgery. Which instructions would be appropriate to include in the preoperative plan of care? Select all that apply.
1.Wound care 2.Personal hygiene 3.Activity restrictions 4.Frequent assessment of vital signs 5.Coughing and deep breathing exercises 6.Pain monitoring and medications to relieve pain
Answers
To help the patient's pre-operative pain management plan be as effective as possible, the surgeon recommends the patient to the perioperative pain clinic.
What does a patient undergoing abdominal surgery need to do in order to prepare for surgery?
In order to assess your risk factors and potential consequences, your doctor will conduct a pre-operative physical examination a week before your operation. Furthermore, they will teach you how to clear your colon (bowel). Your heart rate, blood pressure, body temperature, and pulse rate will all be checked.
What evaluations should the preoperative nurse obtain before the procedure?
Any preoperative evaluation is incomplete without a thorough history and physical examination that focuses on the patient's risk factors for cardiac and pulmonary problems and assesses their functional level.
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a nurse is caring for a client who is hospitalized for a mental disorder. the nurse is legally obligated to breach the client's confidentiality when the client makes which statement?
Answers
There are certain situations in which a nurse may be required by law to breach a patient's confidentiality, such as when there is a threat of harm to the patient or others.
What does patient's confidentiality?
Patient confidentiality is the principle that any information a patient shares with their healthcare provider should be kept private and confidential and should only be disclosed to those who need to know the information in order to provide appropriate medical care or treatment.
This means that healthcare providers must take steps to ensure that a patient's personal health information (PHI) is kept confidential and is not shared with anyone who is not authorised to access it.
Examples of PHI may include a patient's medical history, test results, diagnoses, treatment plans, and any other information related to their health.
In addition to legal and ethical considerations, maintaining patient confidentiality is important for building trust between patients and their healthcare providers. Patients are more likely to share sensitive information about their health when they believe that their information will be kept confidential.
In the context of mental health, this may include situations where a patient expresses a clear intent to harm themselves or others, or when a patient's condition poses a significant risk of harm to themselves or others.
If a patient makes such a statement, the nurse may be obligated to report the statement to the appropriate authorities, such as the patient's physician, a mental health professional, or law enforcement, in order to protect the patient and others from harm. The specific laws and regulations governing confidentiality and mandatory reporting can vary depending on the jurisdiction and the specific circumstances of the situation.
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the man featured in the video states that his treatment and management of social anxiety disorder includes each of the following, except:
Answers
Social anxiety disorder includes each of the following, except dialectal behavior therapy (DBT). Therefore, the correct option is option A.
What is social anxiety disorder?
Social phobia is another name for social anxiety disorder. A phobia is an unreasonable dread of a particular thing or circumstance, whereas anxiety is a worry that develops in expectation of an event.
According to the National Institute of Mental Health, 12.1% of American adults have social anxiety disorders at some point in their lives. The man featured in the video states that his treatment and management of social anxiety disorder includes each of the following, except dialectal behavior therapy (DBT).
Therefore, the correct option is option A.
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Your question is incomplete but most probably your full question was,
The man featured in the video states that his treatment and management of social anxiety disorder includes each of the following, except:
a. dialectical behavior therapy (DBT).
b. being mindful of his anxiety when he experiences it.
c. cognitive-behavioral therapy.
d. medication.
What causes koilonychia cardiac?
Answers
Koilonychia is a condition in which your fingernails have an indentation spoon-like form. Spoon nails are frequently a symptom of an iron shortage. Also, when you suffer from an auto immune disease,
What does a biological disease mean?
A abnormality of function or structure in a living entity, such as a person, animal, or plant, is referred to as a disease. It results in certain symptoms that could impact a particular area of the body and causes anomalies in the cells and tissues within the body. It is not possible for the disease to arise from a physical damage alone.
What are the different categories for diseases?
Types of Disorders and Disease Classification. A pathogen is any organism or germ that causes disease. A particular pathogen is the cause of a particular disease. Pathogens frequently transmit infectious diseases. Infectious illnesses can spread via closeness or contact, whether through air, water,
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which instruction is important for the nurse to provide to the client after cataract surgery?
1. remain flat for three hours
2. eat a soft diet for two days
3. breathe and cough deeply
4. avoid bending from the waist
Answers
Avoid bending from the waist is the instruction is important for the nurse to provide to the client after cataract surgery.
What is health data?
Data support for an organization's business goals is referred to as the data health of that organization. When individuals who need to use it can find, understand, and value the data quickly and consistently throughout its existence, the data is said to be healthy.
What is health care ?
Health care of the highest caliber enhances life quality and aids in disease prevention.
rationale:
Bending increases intraocular pressure and must be avoided. Remaining flat for three hours and eating a soft diet for two days are not necessary. Coughing deeply increases intraocular pressure and is contraindicated.
Therefore, Avoid bending from the waist is the instruction is important for the nurse to provide to the client after cataract surgery.
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To promote bonding and attachment immediately after birth, which action should the nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her newborn.
Answers
The nurse should (d) Assist the mother in assuming an en face position with her newborn.
What is the en face position, and how does it promote bonding and attachment?
The en face position involves the mother and newborn facing each other, with the baby's face at the same level as the mother's face. This position allows the mother and infant to make eye contact and interact, which can promote bonding and attachment.
What are some other ways that nurses can promote bonding and attachment between mothers and their infants?
In addition to the en face position, nurses can promote bonding and attachment by encouraging skin-to-skin contact, assisting with breastfeeding, providing education and emotional support, and promoting positive interactions between the mother and infant.
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what are signs of shock syndrome
Answers
A sudden rise in temperature lowered blood pressure. a stroke rash, especially on the hands and feet, along with diarrhoea or vomiting
What blood is the oldest?
According to the most recent studies on the 5,300-year-old mummy, Tzi the Iceman has the oldest blood cells ever discovered.the blood group AB is rare and least prevalent in India. As per records, only 7% of people in India have the blood type AB.
How come blood is blue?
Bright red blood that is oxygen-rich leaves the heart. Less oxygen is present in the blood when it returns to the heart. Though it will be darker, it is still red. Due of the way light passes through skin, this darker red seems blue.
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Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?
A
Decreased blood pressure.
B
Decreased attention span.
C
Decreased urinary output.
D
Decreased blood sugar.
Answers
C. A decrease in urine output. Because this medicine encourages renal water conservation, the treatment response is a reduction in urine production.
What effects does DDAVP have on diabetic insipidus?
Generally, desmopressin, a synthetic hormone, is used to treat this kind (DDAVP, Nocdurna). Anti-diuretic hormone (ADH) is replaced by this medicine, which also reduces urination. Desmopressin comes as a pill, a nasal spray, or an injection.
When should someone with diabetes insipidus administer DDAVP?
Most people take a dosage before bed to ensure a comfortable night's sleep. While you're sick, especially if you have a stuffy nose, you could discover that you occasionally need to take a dose during the day to regulate your symptoms or that your needs vary.
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Danielle was born at 40 weeks gestation and weight 4 pounds. Danielle would be considered:
Answers
Today's newborns frequently have low birth weights, which is the norm. Lower birth weights can be caused by a mother's use of alcohol, illegal drugs, smoking, high blood pressure, or cardiac difficulties while she is pregnant.
If the mother has diabetes or is obese, the baby can be born weighing more. Newborns can choose from a variety of wholesome sizes. When a baby is born between 37 and 40 weeks, it typically weighs between 5 pounds, 8 ounces (2,500 grammes) and 8 pounds, 13 ounces (4,000 grams).
Newborns who weigh more or less than the average infant are normally well. Nonetheless, they could have additional attention from the medical professionals following delivery to make sure that no issues may arise.
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which occupational therapy intervention is contraindicated for infants in the nicu
Answers
Occupational therapy interventions for infants in the neonatal intensive care unit (NICU) are highly specialized and require specific training and expertise.
Kangaroo care, which entails the infant and parent or caregiver having skin-to-skin contact, is one strategy that may not be advised for all infants in the NICU. Even though kangaroo care has been shown to help premature infants gain weight more quickly, experience less stress, and form stronger bonds with their caregivers, it might not be suitable for all newborns in the NICU.
For instance, some newborns may have medical issues or devices, like as chest tubes or central lines, that make providing kangaroo care challenging or dangerous. The stimulation of skin-to-skin contact may also be too overwhelming for certain infants, who may also be too unstable or medically frail, to handle.
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there is very little variation in the services and resources consumed by different medicare beneficiary populations. group of answer choices true false
Answers
False. There can be significant variation in the services and resources consumed by different Medicare beneficiary populations, depending on factors such as age, health status, and geographic location
What is Resources?
False. There can be significant variation in the services and resources consumed by different Medicare beneficiary populations, depending on factors such as age, health status, and geographic location. For example, beneficiaries with chronic conditions or disabilities may require more services and resources than those who are relatively healthy, and beneficiaries in certain regions may have limited access to certain types of healthcare providers or facilities.
Resources refer to the various means or assets that can be used to achieve a particular goal or objective. In general, resources can be tangible, such as materials, equipment, or money, or intangible, such as knowledge, expertise, or reputation. In different contexts, resources can refer to specific types of assets, such as natural resources (e.g., water, land, minerals), human resources (e.g., labor, skills, talent), or financial resources (e.g., capital, investment, funding).
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list several reasons why a surgical technologist might need to communicate with the diagnostic imaging department, medical laboratory department, or a medical-surgical floor nurse.
Answers
To ensure that everyone in the operating room is using sterile equipment during surgical procedures. In the event that the sterile field is violated, and to guarantee that everyone is in agreement.
In order to avoid errors connected to drugs, it is crucial for the surgical technologist to keep up-to-date knowledge of common medications and treatments. A crucial part in preventing surgical errors is played by the surgical technologist.
In the operation room, precision is given great attention. Each surgical procedure calls for hundreds of distinct pieces of equipment, as well as dozens of various talents and technology. Before, during, and after surgery, every item needs to be prepared for usage and placed where it belongs.
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How often can alprazolam be refilled?
Answers
ig is how the miligrams are. You gotta ask your doctor
before you start report at shift change you ask a nursing assistant to help one of your patients off a bedpan. what are you responsible for before you leave?
Answers
The nurse is responsible before leaving is to help the patient with the use of bedpan.
What is Nursing assistant?
Nursing is a profession within which the health care sector focused on the care of the individual patients, families, and the whole communities so that they may attain, maintain, or recover the optimal health and quality of life in the community.
A Nursing Assistant usually work directly with the patients, and they support nurses and other medical staff to ensure the residents in the hospital or organization to receive the care and attention they need.
Before the nurse start report at shift change a person ask a nursing assistant to help one of their patients off a bedpan. The responsibility of the nurse is to help the patients with the use of bedpan.
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What characteristic of the x-ray beam is influenced by changes to the source-to-image distance (SID)?
A. Average energy
B. Penetrability
C. Quality
D. Intensity
Answers
Changes to a source-to-image distance have an impact on the x-ray beam's intensity (SID).
The distance between both the x-ray tube as well as the exposed region has an impact on the beam intensity as well. According to the inverse square law, the beam intensity diminishes as the distance is increased. A wide variety of commercial, medical, and scientific uses are made possible by the distinctive properties of X-rays, including their capacity to penetrate optically file, their atomic-scale wavelengths, and the highly energetic of individual X-ray photons. The following variables affect x-ray quality: peak voltage (kVp) voltage waveform: decreasing ripple improves quality Beam filtration: By hardening the beam, boosting filtration improves quality. An air kerma, which measures the kinetic energy produced per unit mass when x-rays contact with air, quantifies the intensity of an x-ray beam.
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What is the term for the tension among roles aonnected to a single status?
Answers
Role strain is the tension among roles connected to a single status. Role strain occurs when an individual experiences difficulties in fulfilling the expectations associated with a particular role or status.
What can cause role strain?
Several factors like Overload, Ambiguity, Personal factors, Inadequate resources, and Conflicting demands can cause role strain.
Give some examples of role strain.
Examples of role strain can include a teacher who struggles to balance the demands of teaching, grading papers, and attending to student needs or a healthcare provider who feels overwhelmed by the competing demands of providing patient care and completing administrative tasks.
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Why are the 5 rights of medication administration important?
Answers
Nurses are instructed in the "Five Rights of Medication Administration" to assist lower the possibility of medication errors.
Why is it crucial to take the correct dosage of medication?
It's critical to take your medications exactly as directed by your doctor in order to get the most benefit possible from them. In fact, when you take your drugs as prescribed, your chances of having a better health outcome increase.
What are the top 5 things to consider when administering medications?
The majority of healthcare professionals, especially nurses, are familiar with the "five rights" of medicine use: the appropriate patient, the correct substance, the right time, the right amount, and the right route. These standards are widely acknowledged as benchmarks for safe pharmaceutical practices.
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What are the 3 types of dense connective tissue proper?
Answers
There are two forms of connective tissue in general: dense connective tissue and loose connective tissue.
Which connective tissue is proper, and which is special?
Loose connective tissue, also known as areolar tissue, and dense (irregular) connective tissue make up connective tissue proper. Dense regular connective tissue, cartilage, bone, adipose tissue, blood, and hematopoietic tissue are examples of specialized connective tissue types.
Where is the actual dense connective tissue located?
Collagen fibers are parallel and closely spaced out in this form of tissue. Ligaments and tendons, which connect bones at joints, contain this type of tissue (connections between bones or cartilage and muscle). Because they attach muscles to bones, hold joints together, and connect epithelia to underlying bodily structures, connective tissues are well termed.
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what is amlodipine used for
Answers
High blood pressure is treated with the calcium channel blocker amlodipine (hypertension). Amlodipine can aid in preventing future heart problems, heart attacks, and strokes when you have high cholesterol.
Is the blood pressure medication amlodipine effective?
A frequent drug used to treat high cholesterol levels is amlodipine. It is trustworthy and safe. Amlodipine is subject to a number of misconceptions, including the claims that it has recently been recalled and outlawed. Yet that is untrue.
When using amlodipine, what should you avoid?
Consuming a lot of grapefruit nor grapefruit juice can raise the body's amlodipine concentration and exacerbate negative effects. You might need to refrain from eating grapefruit or consuming grapefruit while taking amlodipine if you are affected.
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What is the ICD-10 for advanced Alzheimer's?
Answers
The Alzheimer's disease is classified by the WHO as having the CD-10 code G30, which falls under the heading "Diseases affecting the nervous system."
What ICD-10 code applies to advanced dementia?
According to the WHO's categorization of mental, behavioral, and neurodevelopmental diseases, ICD-10 code F03. C0 for Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety falls within this category.
What stage of Alzheimer's is the most advanced?
Preclinical Alzheimer's disease, mild cognitive impairment brought on by the condition, mild dementia brought on by the condition, moderate dementia brought on by the condition, and severe dementia brought on by the condition are the five phases of the disease.
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how would the nurse prevent footdrop in a client with a leg dressing?
Answers
To prevent footdrop in a client with a leg dressing, the nurse can take the following measures: Frequent repositioning, Range of motion exercises, Proper positioning.
Frequent repositioning: The nurse should reposition the client's leg frequently to prevent pressure ulcers and to maintain the normal range of motion of the ankle joint. The client's leg should be moved in a way that mimics normal walking movement, such as flexing the ankle and toes, or having the client stand and put weight on the affected leg for a short period.
Range of motion exercises: The nurse should encourage the client to perform range of motion exercises on the affected foot and ankle to prevent muscle atrophy and joint stiffness. These exercises can include ankle pumps, toe curls, and ankle rotations.
Proper positioning: The client's leg should be positioned in a way that maintains the normal alignment of the foot and ankle. The foot should be kept at a 90-degree angle to the leg, or in a neutral position, to prevent plantar flexion or inversion of the foot.
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which health conditions are associated with lead poisoning in a preschooler? select all that apply hesi
Answers
Damage to the brain and nervous system. Slowed growth and development. Learning and behavior problems. Hearing and speech problems.
...
This can cause:
Lower IQ.
Decreased ability to pay attention.
Underperformance in school.
a nurse is preparing to administer acetylcysteine. what are the indications for therapy
Answers
When certain lung disorders are present, acetylcysteine is utilized to assist thin and release mucus in the airways such as emphysema, bronchitis, cystic fibrosis, pneumonia.
Acetylcysteine, a naturally occurring amino acid solution, is used to assist remove mucus acts as a mucolytic agent and material trapped in mucus in individuals with mucus that may obstruct breathing or other activities.
Acetylcysteine solution, for instance, may be used in the treatment of pneumonia, cystic fibrosis, chronic obstructive pulmonary disease, and tracheostomy care to assist remove mucus. Acetaminophen toxicity may also be treated with acetylcysteine solution. Acetylcysteine must be given within a few hours after the initial consumption for it to be effective.
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explain why the dna must condense into chromosomes during cell division.
Answers
Chromosomes must condense in order to proceed along the mitotic spindle without getting tangled or damaged when they are distributed to daughter cells.
Why is the condensed nature of chromosomes important?
Chromosome condensation is necessary for equitable division of the genetic material between the two daughter cells during mitosis. Spindle threads cling to the chromosomes during mitosis.
What function does the packing of chromatin into chromosomes serve?
Chromosomes are composed of the DNA-protein complex known as chromatin, which is subdivided into nucleosome-sized subunits. Eukaryotes compact and arrange their chromatin in a manner that not only permits a large amount of DNA to fit into a small space, but also aids in regulating gene expression.
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The nurse is assisting with client transfer. Which guidelines will the nurse consider prior to helping the client move from the bed to a chair? Select all that apply.
A. Lower the bed to the lowest position allowing the client's soles to contact the floor.
B Provide the client with nonskid slippers to put on prior to standing up.
C. Provide step by step instructions to the client before the transfer begins.
Answers
Lower the bed to the lowest position allowing the client's soles to contact the floor. Provide the client with nonskid slippers to put on prior to standing up, and provide step by step instructions to the client before the transfer begins. All options are correct.
What is nursing guidelines?
Clinical nursing guidelines are summaries of the most recent research and advice for nurses on how to treat patients with particular diseases.
Prior to assisting the client in transitioning from the bed to a chair, the nurse should take into account several crucial principles.
Lowering the bed until the client's soles can make contact with the floor.Another crucial tip to assist reduce slips and falls during the transfer is to provide the client nonskid slippers to put on before getting up.It is essential to provide the client detailed instructions before the transfer starts so that they are aware of what is expected of them and can cooperate with the nurse.
Thus, all the given options are correct.
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The nurse is collecting data on a 2-year-old child admitted with a diagnosis of urinary tract infection. When interviewing the caregivers, which of the following questions would be most important for the nurse to ask?
A) "Is your child potty trained?"
B) "Has your child complained of pain?"
C) "How often do you bathe your child?"
D) "Do any of your other children have a temperature?"
Answers
The most important question for the nurse to ask when collecting data on a 2-year-old child admitted with a urinary tract infection is "Has your child complained of pain?"
What are some other signs and symptoms of a urinary tract infection in a child?
Other signs and symptoms of a urinary tract infection in a child may include frequent urination, urgency, bedwetting or accidents in a previously toilet-trained child, foul-smelling urine, cloudy urine, blood in the urine, fever, and irritability.
How is a urinary tract infection in a child typically treated?
Treatment for a urinary tract infection in a child typically involves antibiotics to clear the infection. The healthcare provider may also recommend measures to help ease discomfort, such as drinking plenty of fluids, avoiding bladder irritants, and using pain relief medications. It is important to follow up with healthcare providers to ensure the infection has cleared and to monitor for any potential complications.
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The nurse is administering a medication intramuscularly to an assigned client. The nurse should include which actions in administering the medication? Select all that apply.
1.
Massage the site after injection.
2.
Use a Z-track method for administration.
3.
Wear sterile gloves to administer the medication.
4.
Hold the syringe as if it is a dart to insert the needle.
5.
Select an appropriate injection site such as the ventral gluteus.
6.
Cleanse the injection site using a back-and-forth motion with an antiseptic pad.
Answers
2. Implement a Z-track administration strategy. 4. To put the needle in the syringe, hold it like a dart, 5. Choose a suitable injection location, like the ventral gluteus.
What posture is ideal for giving injectable medication?
The patient may be standing, seated, or on their back. When the upper arm is exposed, locate the acromion process by palpating the bony protrusion to find the landmark for the deltoid muscle. A few millimeters (2.5–5 cm) below the acromion process, in the middle of the deltoid muscle, is where the injection will take place.
What procedures are followed when administering medication?
The method of taking medication involves five steps: ordering, prescribing, transcribing, checking, delivering, dispensing, administering,
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