When examining this child for congestive heart failure , the nurse expects to see the following clinical manifestations: A) Excessive sweating D) Difficulty breathing.
Heart failure symptoms in children are typically different from those in adults. Children with this condition may experience breathing difficulties, excessive perspiration, low blood pressure (not hypertension), and poor feeding or growth (not increased appetite). Bradycardia is an uncommon observation in kids with heart failure. Dyspnea, fatigue, and exercise intolerance — As HF worsens, patients frequently experience symptoms that restrict their ability to exercise, such as dyspnea, lightheadedness, or fatigue at rest or after light exertion.
Breathlessness, a racing heartbeat, low blood pressure, difficulty sleeping, extreme fatigue, and weakness are some of the early symptoms. Heart failure occasionally manifests as an abrupt onset of severe shortness of breath, rapid or irregular heartbeat, and foamy, pink mucus-producing cough.
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isotretinoin is prescribed for a client to treat severe cystic acne. the nurse tells the client that the length of the usual prescribed course of treatment is which?
For a patient with severe acne, tetracycline is administered. The nurse informs the patient of the significance of reporting any findings if they are brought on by persistent diarrhea.
As well as a number of other bacterial illnesses carried through ticks, lice, mites, infected animals, and the lymphatic, intestinal, vaginal, and urinary systems, tetracycline is used to treat them. Pneumonia and other respiratory tract infections are among these illnesses. Negative side effects frequently include nausea, diarrhea, rash, and lack of appetite. Your body is made up of your skin, hair, nails, and the glands and nerves that are found directly beneath your surface. The integumentary system of your body acts as a physical barrier to ward off pathogens, infections, damage, and sunlight.
This system not only acts as a barrier, but also manages the body's temperature and keeps cell fluid at a certain level.
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which of the four perceptions of the health belief model ties individual health choices to whether the person thinks he or she is at risk for a problem?
The Health Belief Model's perceived susceptibility links personal health decisions to whether a person believes they are at risk for a problem.
Perceived severity, perceived susceptibility, perceived benefits, perceived barriers, cues to action, and self-efficacy are the five beliefs that make up the health belief model.
A person's perception of their susceptibility to developing a particular condition is referred to as perceived susceptibility. A person must feel they are at risk for disease, illness, or unfavourable health outcomes in order to take action.
The idea that one can direct one's own internal states and behaviour, shape one's surroundings, and/or produce desired results is known as perceived control (PC). The HBM, which holds that barriers, benefits, efficacy, and threat are the four key constructs that public health practitioners should focus on when trying to change behaviour, was used to create the campaign.
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The above question is incomplete. Check below the complete question -
Which of the four perceptions of the Health Belief Model ties individual health choices to whether the person thinks he or she is at risk for a problem?
which food would the nurse determine is appropriate for an 8-month-old infant? select all that apply. one, some, or all responses may be correct.
Formula or breast milk (as the primary source of nutrition).
Iron. Enriched cereals, purified veggies and fruits.
Puréed poultry or meats like turkey or lentils Puréed legumes like peas or lentils.
Blended avocado.
Simple yogurt.
Miniscule quantities of pasteurized cheese.
It's crucial to remember that 8-month-old babies are still nursing or receiving formula as their primary source of nourishment, so the quantity of solid food they ingest should start off small and be progressively increased as they become bigger and learn to chew and swallow. The meal should be suitable for their developmental stage, soft, simple to swallow, and free of salt, sugar, or honey additions. For individualized treatment, the parents ought to speak with a pediatrician or a dietician.
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The given question is incorrect, the correct question is:
A nurse is discussing the diet of an 8-month-old infant with the parents. Which foods can an infant of this age on a regular diet safely be fed? Select all that apply.
1 Whole milk
2 Pureed pears
3 Pureed carrots
4 Soft-boiled eggs
5 Mashed sweet potatoes
how would you administer a drug if you wanted to avoid all natural barriers that can slow absorption?
To avoid all the natural barriers that slow down the absorption, drug should be administered intravenously.
Drug refers to the chemical substances that are used as medication to treat several body conditions and diseases. Although drugs are broadly used as medication, however they have the potential to overpower the body and mind when consumed in more quantities.
Intravenous refers to the administration of drugs, medicines or fluids into the body by the means of veins. A needle or tube is inserted inside the vein for the administration. Intravenous in literal meaning is into or within the veins. Intravenous is abbreviated as IV.
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which characteristics of the nursing process allow the nurse to effectively apply critical thinking to patient care?
The characteristics of the nursing process that allow the nurse to effectively apply critical thinking to patient care are:
Think analyticallyFlexibleOpen mindedApply the knowledgeOrganizedWhy the nurse has to have critical thinking to patient care?Nurse is autonomous and collaborative care for individuals of all ages, groups, families and communities, well or sick and in all settings. When facing a patient in patient care, nurse has to think that patient has no knowledge in their health condition so that they has to start explain and question them in a way that they could understand. Because this process is critical to determine their sickness and their healing process, the nurse is demand to have critical thinking to avoid wrong diagnosis.
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a hospitalized client with heart disease who is taking digoxin has a digoxin level prescribed. the level is elevated above normal. based on this finding the nurse plans to notify the registered nurse and primary health care provider (phcp) and anticipates which additional interventions will be prescribed? select all that apply.
keep an eye on the potassium level, put the patient on a heart monitor, Keep an eye on your creatinine and blood urea nitrogen (BUN).
A high creatinine level: what does it mean?Poor renal function may be indicated by an elevated amount of creatinine. The measurement units for serum creatinine are milligrams per deciliter (mg/dL) or micromoles per liter (micromol/L).
How concerning is a high creatinine level?It may be a sign that there is a problem with the kidneys if a person's creatinine level is greater than 1.4 for men and greater than 1.2 for women. An expert in medicine might advise additional tests to diagnose the issue if creatinine is elevated. When there is a kidney issue, measuring GFR can assist confirm it.
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the nurse is caring for a client at the end of life. which skin changes would the nurse expect to note? select all that appl
The skin changes that the nurse would expect to note are:
wax-like texturemottling of arms, legs, hands, and feetcyanosis of the nose, nail beds, and kneesA variety of important organs may become damaged when the dying process impairs the body's homeostatic processes. The body may respond by diverting blood away from the skin and toward these essential organs, resulting in diminished skin and soft tissue perfusion and a decline in normal cutaneous metabolic activities.
Mottling is blotchy, red-purplish skin marbling. Mottling usually starts on the foot and progresses up the legs. Mottling of the skin before death is frequent and generally happens during the final week of life, but it can occur sooner in certain circumstances. Coughing or loud breathing, or more shallow respirations, especially in the latter hours or days of life.
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regional anesthesia is accomplished through nerve, or field, blocking. question 3 options: true false
The given statement, "regional anesthesia is accomplished by nerve or field blocking," is true because it stops the signal transmission from reaching the brain.
Anesthesia is the use of medication to achieve a state of temporary loss of sensation. The process is used during surgeries to prevent the feeling of pain in the patients. There are three types of anesthesia administered into the patients: local, regional and general.
Nerve refers to the nerve cell or neuron present inside the body that functions in transmission of signals to and from the brain. Nerve block is an important action during regional anesthesia to prevent the feeling of pain. A very small sized needle is inserted into the target nerves during nerve block that hinders the signal transmission.
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the nurse is providing hygiene education for a family who will soon take an older adult client home from the hospital. which statement by a family member requires further nursing instruction?
Bathing modifications should be made for a patient who is incontinent if the nurse is teaching a family about hygiene Utilize specific moisturizing barriers and cleaners for perineal skin.
Which nursing procedure is suitable when giving a client foot care?Nursing procedure is suitable when giving a client foot care After completely drying the feet, moisturize both the top and bottoms. Preventing excessive dryness and skin cracking on the feet by completely rinsing, drying them off, and applying moisturizer to a tops and bottoms of the feet.
What should a nurse do initially when treating a patient who has symptoms of tuberculosis?Patients who are originally thought to have active TB should indeed be given an airborne TB prevention isolation room for safety. A private area and a negative air air distribution system that burns up to the outside are necessary for airborne precautions. The door must be kept shut.
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which actions will the nurse take when preparing a client before thoracentesis? select all that apply. one, some, or all responses may be correct.
First she will inform the client that consent is needed before thoracentesis is the actions will the nurse take when preparing a client before thoracentesis.
What do you know about Thoracentesis ?Thoracentesis is a technique that is generally used in draining air or fluid from the area around the lungs in our body. The pleural space is the little opening between the inner chest wall and the pleura of the lung.
Pleural effusion, or extra fluid in the space between your lungs and your chest wall, is treated with thoracentesis. It aids in symptom relief and helps identify potential causes of the fluid so that your healthcare professional can administer the proper treatment. Pleural effusion can result from a variety of underlying diseases, such as congestive heart failure.
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which approach would the nurse use for a client diagnosed with cyclothymic disorder and hypomanic symptoms who has progressively lost weight and does not take the time to eat the provided food?
By ordering food that the client can hold and eat while moving around: approach would the nurse use for a client diagnosed with cyclothymic disorder and hypo-manic symptoms who has progressively lost weight and does not take the time to eat the provided food.
What is cyclothymic disorder?A very minor mood illness is cyclothymia, often known as cyclothymic disorder. Moods fluctuate between brief bursts of moderate melancholy and hypomania, a heightened mood, in cyclothymic disorder. The high and low mood fluctuations seldom equal serious depressed or complete mania in terms of severity or length. Periods of time when your mood noticeably fluctuates from your baseline are common with cyclothymia. You could have periods of feeling on top of the world and then a slump in which you feel a little down. You could feel steady and okay in between these cyclothymic highs and lows.
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The complete question is as follows:
which approach would the nurse use for a client diagnosed with cyclothymic disorder and hypomanic symptoms who has progressively lost weight and does not take the time to eat the provided food?
By providing a tray in the client's room
By assuring the client that food is deserved
By ordering food that the client can hold and eat while moving around
By pointing out that the client must replace the energy burned by eating
a client is being seen by the health care provider and reports challenges with weight gain. the patient admits to eating more carbohydrates and drinking more alcohol due to the holidays. which lab value would the nurse expect to see elevated related to the client's recent weight gain?
Client is seen by healthcare provider reporting weight gain. Patient admits to eating more carbohydrates and drinking more alcohol because of holidays. In relation to patient's recent weight gain, the nurse expects laboratory values to rise in cholesterol
What are main signs of high cholesterol?Subtle signs your body shows when your cholesterol is too high: Heart attack; cholesterol problems lead to heart problems. Hypertension. High blood pressure is another warning sign. Diabetes. Chest pain or angina. Stroke. Pain when walking.
What Causes High Cholesterol?High cholesterol is when there is too much of a fatty substance called cholesterol in the blood. It is mainly caused by a fatty diet, lack of exercise, obesity, smoking and drinking alcohol. Family treatments are also possible. You can lower your cholesterol levels by eating a healthy diet and exercising more.
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which qualitative tool is not used to improve quality in healthcare, including generating ideas, setting priorities, maintaining direction, determining causes of problems, and clarifying processes?
To improve efficiency, the hospital employs quality in healthcare techniques to assess the effectiveness of its management practices. The parameters for the majority of these instruments are determined using conventional statistical calculations and techniques.
What are some of the most important instruments and initiatives for monitoring and enhancing healthcare quality?FMEA, SBAR, root cause analysis, daily huddles, and more are examples of tools. Whether you choose the Model for Improvement, Lean, or Six Sigma, you should practice continuous improvement and quality management.
What are the four primary groups of factors that have an impact on health?Numerous factors affect health, however they can generally be divided into five groups known as health determinants: genetics, behavior, environmental and physical impacts, medical treatment, and social factors.
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when would the nurse begin range-of-motion (rom) exercises when planning care to prevent deformities and contractures in a client with burns?
The nurse would use anti-contracture positioning & splinting to avoid deformities or contractures in such a client with burns.
Burns rehabilitation should not be accomplished by one or two persons, but rather by a team approach that includes the patient and, where appropriate, their family. Burns Rehabilitation encompasses the physical, psychological, and social components of treatment, and it is normal for burn patients to struggle in one or more of these two connections a burn injury.
When left untreated, burns can leave a patient with highly debilitating and deforming contractures, that can lead to substantial disability. The goals of burn rehabilitation are also to minimize the negative effects of the injury in terms of preserving range of motion, minimizing contracture formation and scarring, maximizing functional capacity, maximizing psychological well-being, and maximizing social integration.
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the primary health care provider observes the presence of multiple lumps on the right breast that can be easily palpated. what interventions may prevent complications in the patient
Telling the client to stay away from caffeine. Giving ibuprofen (Motrin) as directed. Giving tamoxifen (Nolvadex) as directed.
Most benign cysts have a rubber-like texture and are movable inside the epidermis, chest wall, and glandular breast tissue. Except for inflammatory type cysts, the patient's pain and soreness are either nonexistent or minimal. Upon additional clinical and diagnostic investigation, the majority of patients exhibit numerous cysts.
Cysts can come in a variety of subtypes, such as hyperplastic fibrous cysts, adenosis, and papillomatosis. Common locations for these cysts on the breast include the centre borders and upper outer quadrants. A hard texture to many cysts measuring less than one centimetre are all possible textures.
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which instructions are given to a patient with genital herpes simplex virus infection? select all that apply
The following instructions are given to a patient with genital herpes simplex virus: infection antiviral medications can reduce the frequency, duration, and severity of outbreaks. Ibuprofen and other pain relievers can help reduce pain and fever. Antiviral medications such as acyclovir, valacyclovir, famciclovir, and penciclovir.
Antiviral medications, such as acyclovir, famciclovir, and valacyclovir, are the most effective treatments for HSV (herpes simplex virus) infection. These medications can help to reduce the severity and frequency of symptoms, but they cannot cure the infection.
Acyclovir, famciclovir, and valacyclovir appear to be equally effective for episodic genital herpes treatment (466–470). * Acyclovir 400 mg orally three times per day is also effective, but it is not recommended due to the frequency of dosing.
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a 6-year-old girl was playing near her family's campfire when she fell into the fire, suffering significant burns. she was taken by air ambulance to the burn unit where you practice nursing. what physiologic process furthers her burn injury?
Inflammatory is the physiologic process. It is a process through which your body's white blood cells and the substances they produce guard you against infection from external invaders like bacteria and viruses.
What is a rapid method to evaluate the severity of a burn injury?The "rule of nines" can be used to rapidly determine the size of a burn. The surface area of the body is divided using this method into percentages. 9% of the surface area of the body is made up of the front and back of the head and neck. Each arm and hand's front and back together make up 9% of the body's surface area.
What are the four most important evaluations for burn patients?In order to prevent hypothermia, evaluate the patient's airway, breathing, circulation, disability, exposure, and the need for fluid resuscitation.
What constitutes a critical burn intervention?Immediate cooling of burns after damage is a crucial intervention to lower the likelihood of needing skin grafts, long-term scarring, chronic discomfort, and sensory abnormalities. Another crucial analgesic technique for these patients is cooling.
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Which of the following terms best describes the side chain of valine?
(a) Acidic
(b) Basic
(c) Charged, polar
(d) Uncharged, polar
(e) Non-polar.
The side chain of valine is non-polar.
A branched-chain necessary amino acid is valine. This indicates that since your body cannot produce it, you must obtain it through your diet. Your body uses branched-chain amino acids to help create energy. Valine is mostly present in protein-rich foods such meat, fish, soy, and dairy.
Alkane branches and benzene rings, which contain just pure hydrocarbon alkyl groups, are examples of non-polar side chains. Leucine, isoleucine, valine, alanine, and phenylalanine are among examples.
According to the characteristics of their side chains, amino acids are categorized. Glycine (Gly), alanine (Ala), valine (Val), leucine (Leu), isoleucine (Ile), proline (Pro), phenylalanine (Phe), methionine (Met), and tryptophan are the nine amino acids with hydrophobic side chains (Trp).
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in nutrition science, to understand the various types of serving sizes, it is important to understand the differences between the english system (pounds, feet, cups) and the metric system (grams, meters, liters) and to be able to convert measurements within and between these systems. for example, there are multiple ways to measure one gallon. complete the following statements.
16 cups equal one gallon; 4 quarts equal one gallon; 8 pints equal one gallon; 128 fluid ounces equal one gallon; 256 tablespoons equal one gallon.
What does "serving size" mean?A portion is the decision about how much food to eat at a meal or snack. It's up to you to decide whether it's big or small. A predetermined amount of food or drink, like one slice of bread or one cup (8 ounces) of milk, is called a serving. Numerous meals that are sold in single portions actually contain multiple servings.
In order to achieve or maintain a healthy weight, maintain an energy level throughout the day, and maintain healthy blood sugar levels, portion control is essential. Food waste is one of the negative effects of large portion sizes.
When you purchase a large quantity of materials to prepare portions in the manner of a restaurant, food waste issues can quickly arise. Quality is sacrificed, and not all visitors will find it appealing.
The average person eats more food in large portions than in small ones. The idea that the size of the serving serves as a social norm and conveys the appropriate amount of food to consume has frequently been used to explain the so-called "portion size effect."
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Fetal alcohol syndrome is characterized by
A low birth weight,a small head, and bodily effects
B an increase risk of developing albinism
C genetic defects
D fluid on the brain and a slight paralysis of the muscles of the extremities
a child is crying when the nurse enters the examination room. what response should the nurse make in order to minimize the child's distress related to the physical examination?
When the nurse walks into the examining room, a young child is sobbing. To reduce the child's anxiety during the physical examination, the nurse should begin by listening to the heart and lung sounds.
Within 4 hours of the patient's arrival at an inpatient ward or day treatment facility, the nurse assigned to the patient's care must perform an entrance assessment. The patient, a parent, or a carer may be able to provide the information. It could also be gathered as a part of the admissions process beforehand. The entrance exam includes components that meet national standards and the EMR's "required nursing admission documentation." The Nurse Admission Navigator in the EMR is used to complete/document this, and when using the navigator, the information is automatically put into a nursing admission note.
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now it's time to consider the heart! we know by now that the first cavity is ventral. and we also know that the second cavity is thoracic. but, what's tricky here is that the pericardial cavity is actually within the mediastinum! so, finish the following:
The human heart is located within the thoracic cavity, medially between the lungs in the space known as the mediastinum.
Define cavity?
A cavity is a hole in a tooth that develops from tooth decay. Cavities form when acids in the mouth wear down, or erode, a tooth's hard outer layer (enamel). Anyone can get a cavity. Proper brushing, flossing and dental cleanings can prevent cavities (sometimes called dental caries).The acids in plaque remove minerals in your tooth's hard, outer enamel. This erosion causes tiny openings or holes in the enamel — the first stage of cavities. Once areas of enamel are worn away, the bacteria and acid can reach the next layer of your teeth, called dentin.A hollow area or hole. It may describe a body cavity (such as the space within the abdomen) or a hole in a tooth caused by decay.To learn more about cavity refers to:
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the term refers to a health care system in which the government owns the medical health care facilities and employs the physicians. group of answer choices universal health care fee-for-service system health maintenance organization socialized medicine
The term refers to a health care system in which the government owns the medical health care facilities and employs the physicians is socialized medicine. The correct answer is D.
By definition, socialized medicine is a healthcare system in which the government pays for all healthcare services as well as the upkeep and operation of all medical facilities and staff members.
Single-payer healthcare and universal healthcare are frequently confused with socialized medicine, although they are two distinct ideas. Even while single-payer systems and universal coverage are widespread worldwide, completely socialized healthcare for an entire nation is actually relatively uncommon. A good example is the British National Health Service, which is supported by tax dollars and employs medical professionals from the nation (people can opt-out of the NHS and obtain medical care privately, but this is rare).
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a client with a methicillin-resistant staphylococcus aureus (mrsa) infected wound is scheduled for a computed tomography (ct) scan. to ensure client and visitor safety during transport, the nurse would implement which precaution?
Put a dressing over the affected area. A computed tomography (ct) scan is arranged for a patient who has a wound infection caused by methicillin-resistant staphylococcus aureus (mrsa).
How can one get MRSA?MRSA often spreads throughout a community through contact with infected individuals or objects. This includes coming into contact with an infected wound or sharing private things like towels or razors that have come into contact with diseased skin.
Can MRSA spread quickly?MRSA may infect anyone. The severity of infections can range from minor to extremely serious or even fatal. Skin-to-skin contact is how MRSA gets transmitted to other people since it is infectious. A family may get MRSA if one member of the group has the disease.
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the client is a 20-year-old college student attending school away from home. he is playing football with some of his friends in the park. he jumps up in the air to catch the football and is tackled by another player. the client flips in midair and feels something pop in his neck as he lands hard on the ground. he does not have any pain, but when he tries to get up, he cannot move his legs or arms. the client is alert and is talking to his friends.
Patients with suspected cervical spine injuries or cervical neck disorders frequently undergo the jaw-thrust technique.
How do you stabilize using the jaw thrust technique?
Grab the jaw bones on either side of the jaw using the index fingers of each hand. As if giving them an extremely nasty underbite, slide the jaw upward. While their top teeth stay in place, their bottom teeth will move forward. You run the risk of dislocating the jaw while you do this.
Bring your chin to your chest and raise your head about two inches off the floor. Maintain a downward chin and avoid elevating your stomach.Start with three sets of 10 repetitions and work your way up.Take your time because if you try to do too much too soon, these muscles, which are frequently undeveloped, can strain your neck.To learn more about jaw-thrust technique refer to:
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what sutures are used in a laparoscopic incisional hernia repair
Incisional ventral hernias review of the literature and recommendations regarding the grading and technique of repair.
What are the risks of using incisional ventral hernias?Regardless of the advances in the surgical technique and the prosthetic technologies, the danger for the recurrence as well as infection are the eminent following the repair of incisional ventral hernias.
High-quality data has been imply as the possibility that all the ventral hernia repairs should be the reinforced with prosthetic repair materials.The present as the standard for strengthened hernia repair has the synthetic mesh.
Therefore, Incisional ventral hernias review of the literature and recommendations regarding the grading and technique of repair.
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which information would the nurse provide to a client who reports the skin seems soft and has turned white where wet compresses have been applied to an irritated insect bite?
Apply an ice pack, wet compress, or ice wrapped in a cloth to the insect bite sting location for 10 minutes, then remove it for the next 10.
If the insect bite itches, take an antihistamine or apply an itching-relieving treatment like Calamine or Benadryl cream. You can also make a paste by combining three parts baking soda with one part water. For 10 to 20 minutes, apply a cloth that has been filled with ice or soaked with cold water to the bite or sting region. This lessens swelling and pain. Raise the arm or leg if the injury is there. Apply calamine lotion, baking soda paste, or 0.5% or 1% hydrocortisone cream to the afflicted region.
The complete question is:
which information would the nurse provide to a client who reports the skin seems soft and has turned white where wet compresses have been applied to an irritated insect bite?
Apply an ice pack
Apply a hot pack
Do a wet compress
Do a warm compress
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the primary health care provider instructs the nurse to manage fluid replacement therapy in a client with cancer. which type of care is the client receiving?
The client is receiving supportive care where the primary health care provider instructs the nurse to manage fluid replacement therapy in a client with cancer.
Care is taken to improve the quality of life for those who are afflicted with an illness or disease by preventing or treating the disease's symptoms and its side effects as early as feasible. For patients and their families, supportive care encompasses providing physical, psychological, social, and spiritual support.
Supportive care comes in various forms. Examples include palliative care, pain management, dietary assistance, counseling, exercise, music therapy, and exercise. From the moment of diagnosis until the patient's death, supportive care may be administered with other therapies.
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a client with stomach cancer expresses a lack of interest in food and consumes only small amounts. which nursing intervention is best for meeting the dietary needs for this client?
A client with a diagnosis of stomach cancer expresses a lack of interest in food and consumes only small amounts.
What's the difference between diagnosis and diagnoses?The plural form is diagnoses, pronounced [ dahy-uhg-noh-seez ]. The verb form is diagnose. A doctor can be said to diagnose an illness or a patient but the meaning is the same—to diagnose is to give a diagnosis of what specific condition is affecting the patient.
What are the two types of diagnosis?Clinical diagnosis. A diagnosis made on the basis of medical signs and reported symptoms, rather than diagnostic tests. Laboratory diagnosis. A diagnosis based significantly on laboratory reports or test results, rather than the physical examination of the patient.
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the nurse is assisting a primary health care provider (phcp) during an examination of an infant with hip dysplasia. the phcp performs the ortolani maneuver. which data would the nurse expect to note during the examination?
lasia is being examined by a nurse and a primary health care professional (PHCP). The PHCP implements the Ortolani maneuver. Which details ought the nurse
What does being healthy mean?
The extent to which a human can still control his or her environment on the a physiological, emotional, cognitive, and societal level is referred to as human health. There are other additional definitions that might be appropriate.
Explain one's health.
The objectives of the comprehensive, interdisciplinary approach called as "One Health" are a sustainable balance or improvement of the wellbeing of people, creatures, and ecosystems. It recognizes the tight relationships and interdependence between human health, the health of wild and domestic animals, flora, and the environment as a whole (including ecosystems).
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