question 16. the patient comes to the office with a broken arm that happened 6 weeks ago after a skateboarding accident. he was sent to the emergency department, where his arm was casted, and he was given opioid pain relievers. about 2 weeks ago, the patient had the cast removed. this week, the patient returns to see the apn complaining that he needs more pain medication. upon careful assessment, the apn notes that his arm has full range of motion. however, he states his pain is a 9 out of 10. which assessment and action regarding prescribing pain medication would be most appropriate?

Answers

Answer 1

Tell the patient that his pain from the break should be resolved at this time and that you will send him to physical therapy for further evaluation.

How do I know if I need therapy?

The American Psychological Association suggests you consider a time to see a therapist when something causes distress and interferes with some part of life, particularly when: Thinking about or coping with the issue takes up at least an hour each day.

Is therapy like dating?

Dating a therapist is mostly like dating any other person. It may shock you that therapists don't have all the answers  know everything about the human mind. Just because you are in love with  therapist doesn't mean they will help you solve your life's issues.

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Answer 2

Tell the patient that his pain from the break should be resolved at this time and that you will send him to physical therapy for further evaluation.

In addition, recommend Tylenol extra strength three times a day as needed for the remaining pain.

Option 2 is correct.

The Centers for Disease Control and Prevention (CDC) recommends that whenever a pain medication is ordered or prescribed, the provider provides an explicit indication of the patient's need for it. In this instance, there is no longer a need for pain medication because the acute phase of the pain has passed.

How can I tell if I require therapy?

When something causes distress and interferes with some aspect of life, the American Psychological Association recommends seeing a therapist, particularly when: Every day, at least an hour is spent thinking about or dealing with the problem.

Question incomplete:

The patient comes to the office with a broken arm that happened 6 weeks ago after a skateboarding accident. He was sent to the emergency department, where his arm was casted, and he was given opioid pain relievers. About 2 weeks ago, the patient had the cast removed. This week, the patient returns to see the APN complaining that he needs more pain medication. Upon careful assessment, the APN notes that his arm has full range of motion. However, he states his pain is a 9 out of 10. Which assessment and action regarding prescribing pain medication would be most appropriate?

1.Tell the patient that he is obviously not in pain and no more medication will be prescribed.

2.Tell the patient that his pain from the break should be resolved at this time and that you will send him to physical therapy for further evaluation. In addition, recommend Tylenol extra strength three times a day as needed for the remaining pain.

3.Provide the patient with a prescription for another 6 weeks of pain medication.

4.Refer the patient to a pain management clinic.

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Related Questions

you have just arrived for a 12-hour day shift in the coronary care unit (ccu) in the small hospital where you work. you take report on mr. whiting. mr. whiting is a new admission, transferred from the emergency department (ed) a short time ago. at 3:00 am this morning, mr. whiting awoke from sleep with chest pain. pain was accompanied by diaphoresis and nausea. he took maalox without relief, then two of his wife's sublingual nitroglycerin tablets without relief (turns out they had expired). mrs. whiting finally called 911.

Answers

Mr. Whiting's SpO2 increased to 98% after 2 liters of oxygen per minute were administered through a nasal cannula. Mr. Whiting's chest trouble returned during the journey. Then, for pain treatment, the paramedics gave patients IV morphine.

At 5:30 AM, Mr. Whiting was brought in by paramedics with a 106/70 blood pressure and sinus tachycardia. With a pain score of 10, Mr. Whiting felt awake, nervous, and dizzy. After administering two translingual sprays of nitroglycerin, paramedics started an IV of normal saline at the right antecubital fossa, which completely relieved the patient's agony. On room air, the SpO2 was 94%. By using a nasal cannula to deliver oxygen at a rate of 2 liters per minute, Mr. Whiting's SpO2 was increased to 98%. Mr. Whiting's chest problems came again throughout the trip. The discomfort was not lessened this time despite the use of another nitroglycerin spray. Then, paramedics gave a patient an IV morphine for pain treatment.

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The above question is incomplete. Check below the complete question -

You have just arrived for a 12-hour day shift in the Coronary Care Unit (CCU) in the small hospital where you work. You take report on Mr. Whiting. Mr. Whiting is a new admission, transferred from the Emergency Department (ED) a short time ago.At 3:00 AM this morning, Mr. Whiting awoke from sleep with chest pain. Pain was accompanied by diaphoresis and nausea. He took Maalox without relief, then two of his wife's sublingual nitroglycerin tablets without relief (turns out they had expired). Mrs. Whiting finally called 911.

Give the further course of action taken during the case ?

which outcome indicates effective nursing care when a nurse assists an older adult client in squirting warm water over the perineum?

Answers

Helping the client splash warm water over their perineum will help them start voiding. It follows that this conclusion is a successful one if the client does not have a propensity to retain urine.

Elderly patients experience age-related alterations to their renal systems. Urine stasis may be caused by a physiologic shift called a propensity to hold urine. Helping the client spray warm water over the perineum will aid in starting the client to urinate. This finding is a good result when the customer does not have a propensity to retain urine. Reduced nocturia is achieved by forbidding excessive fluid consumption for two to four hours prior to client bedtime. Urinary tract infections can be avoided by giving comprehensive post-void care. Urinary stress incontinence can be decreased by promptly responding to the client's cues to void.

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name at least two medications that may be used to treat uterine hemorrhage following childbirth.

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two medications that may be used to treat uterine hemorrhage following childbirth.-Oxytocin (Pitocin) and Carboprost (Hemabate).

Yes, Oxytocin (brand name Pitocin) and Carboprost (brand name Hemabate) are two medications that may be used to treat uterine hemorrhage following childbirth. Oxytocin is a hormone that can cause the uterus to contract and help control bleeding, while Carboprost is a synthetic prostaglandin that can also cause the uterus to contract and help control bleeding. Both medications can be administered via injection or intramuscular.Childbirth, also known as labor and delivery, is the process by which a baby is born. It typically involves three stages: the shortening and opening of the cervix during the first stage, descent and birth of the baby during the second stage, and the delivery of the placenta during the third stage. Childbirth can be managed through various methods such as vaginal delivery, caesarean section (C-section) or assisted vaginal delivery using vacuum or forceps. Uterine hemorrhage is one of the possible complication that can occur during or after childbirth.

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the complete question is :

enumerate at least two drugs that could be used to treat uterine bleeding after childbirth.

the nurse is working with a client who has been diagnosed with urge incontinence related to detrusor muscle contractions. part of the educational material suggesting lifestyle changes should include information that which situation increases muscular contractions?

Answers

Lifestyle changes that include situational information that increases muscle contractions for people with urge incontinence are exercises such as pelvic floor muscle exercises.

What is incontinence?

Urinary incontinence is a condition of involuntary leakage of urine.

The majority of urinary incontinence is based on a medical disorder, such as delirium, infection, atrophic vaginitis, certain drugs, psychological disorders, and neurological disorders. There are several types of urinary incontinence, namely:

Stress incontinenceUrge incontinenceOverflow incontinenceMixed incontinenceFunctional incontinence due to physical or cognitive impairment unrelated to a genitourinary disorder

How to overcome Urinary Incontinence, namely:

Pelvic Floor Muscle Exercises.Urination Exercise.Drugs.Installation of Medical Devices.Operation.

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the community health nurse is caring for a farm migrant worker client who reports difficulty in paying for medications. which action would the nurse take next to assist the client with acquiring the medication?

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The community health nurse is caring for a farm migrant worker client who is having trouble affording his prescriptions. The nurse would next take the following measures to help the client in obtaining their medication : Ask the health care provider to prescribe a less expensive medication on behalf of the client.

The biggest barrier to the use of essential medicines in India is their low availability in healthcare facilities. In India, which has a higher proportion of the poorer population, economic constraints related to the ability to purchase medicines are the main reason for the lack of access to essential medicines.

A major reason for the surge in healthcare costs in India is the huge amount of money being poured into developing new treatments for people with life-threatening illnesses. Development of cutting-edge drugs and treatments for diseases such as cancer and transplantation

A generic is a drug that replaces the original drug. imitated. Strength, efficacy, usage/dosage, usage, quality, safety. Generic drugs must be FDA approved for prescription and consumption. Generic drugs are less expensive medication, easily available online or at your local pharmacy.

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Complete question :

The community health nurse is caring for a farm migrant worker client who reports difficulty in paying for his medications. Which action would the nurse take next to assist the client with acquiring their medication?

Contact the pharmaceutical sales representative for sample packs of medications.

Ask the client if his cultural health practices have a remedy he could use instead.

Ask the health care provider which medications the client could have discontinued.

Ask the health care provider to prescribe a less expensive medication on behalf of the client.

an experienced medical-surgical nurse has identified critical thinking as an integral component of clinical judgment. how can the relationship between these two concepts be best described?

Answers

Critical thinking and clinical judgment are  nearly affiliated  generalities. Critical thinking is the capability to  dissect and  estimate information, arguments, and ideas.

This requires the  nurse to understand and interpret  substantiation and draw logical conclusions. Clinical judgment is the capability to use this  substantiation to make  opinions about case care. Clinical judgment also involves applying problem-  working chops and  remedial interventions to ameliorate patient issues. The relationship between critical thinking and clinical judgment is that the  nanny  must first apply critical thinking chops in order to make sound clinical judgments.

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how to make my dog vomit without hydrogen peroxide

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Another option is to use half a cup of water and a teaspoon of baking soda in place of the hydrogen peroxide.

Due to its anti-spasmodic properties, ginger is one of the best natural treatments for your dog's vomiting and upset stomach. It is thought to ameliorate nausea and upset stomach, making your dog feel better. It also functions as a simple-to-digest antacid for your dog. This substance can be replaced with a teaspoon of mustard. Apply the same procedure as with hydrogen peroxide. A dog who drinks salt water will experience diarrhoea, vomiting, and dehydration because the extra salt will draw water from the blood into the intestines.

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according to icd-10-cm/pcs coding clinic, first quarter icd-10 2021, page 13, when a patient with a history of nonalcoholic steatohepatitis (nash) cirrhosis complicated by hepatic encephalopathy and diabetes secondary to altered mental status is evaluated and diagnosed with toxic metabolic encephalopathy secondary to acute on chronic hepatic encephalopathy, how is the encounter coded? group of answer choices

Answers

A patient with a history of nonalcoholic steatohepatitis (NASH) cirrhosis complicated by hepatic encephalopathy and diabetes, secondary to altered mental status is encountered and his diagnosis is coded by three ways.

What are the three codes that are needed to capture the patient's diagnoses?

Code K72.00 captures the hepatic failure without coma; Code K72.10 captures the chronic hepatic failure without coma; and Code G92 captures the toxic encephalopathy in the patient.

What is Hepatic encephalopathy?

The liver condition causes hepatic encephalopathy. When your liver isn't working perfectly, the toxins that it normally eliminates from your body are permitted to accumulate in your blood and soon reach your brain. The symptoms of Hepatic encephalopathy includes diminished brain function, including decreased attention and anxiety. The patient's mood may shift; his or her judgement may be compromised and the sleeping patterns may be disrupted.

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the nurse is caring for a client who experienced a severe headache. when the prescribed dose of analgesics did not cause relief the client took double the dosage one hour later. the nurse should assess the client for what adverse effect?

Answers

The nurse should assess the client for an adverse effect such as nausea, vomiting, dizziness, or drowsiness. Additionally, they should monitor for signs of an overdose such as confusion, difficulty breathing, or altered heart rate.

What are analgesics?

Analgesics are medications used to relieve pain. They include both over-the-counter medications, such as ibuprofen, aspirin, and acetaminophen, as well as prescription opioids, such as codeine and morphine.

The nurse should evaluate the patient for any potential side effects of taking two doses of analgesics, such as a higher risk of toxicity or overdose. Indicators and symptoms include disorientation, sleepiness, dizziness, nausea, vomiting, impaired vision, narrowed pupils, shallow breathing, and seizures should be watched out for by the nurse. The client's vital indicators, such as heart rate, blood pressure, and breathing rate, should also be observed by the nurse. Any of these warning signs or symptoms should be immediately reported to the doctor by the patient. The client should be urged by the nurse to refrain from exceeding the recommended dosage going forward.

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the physician orders daptomycin 220mg to be given every 6 hours for a patient with a bacterial skin infection. pharmacy prepares a solution of 220mg/50ml 0.9% sodium chloride. the medication should be infused over 30 minutes using a volumetric infusion pump. the tubing drop factor is 10 gtt/ml. the nurse should set the pump at what rate in ml per hour? round your answer to the nearest one tenth of a ml/hour.

Answers

Pharmacy prepares a solution of 220mg/50mL 0.9% Sodium Chloride. The medication should be infused over 30 minutes.

what is bacterial skin infection?

Certain bacteria commonly live on the skin of many people without causing harm. However, these bacteria can cause skin infections if they enter the body through cuts, open wounds, or other breaks in the skin. Symptoms may include redness, swelling, pain, or pus.

Certain bacteria commonly live on the skin of many people without causing harm. However, these bacteria can cause skin infections if they enter the body through cuts, open wounds, or other breaks in the skin. Symptoms may include redness, swelling, pain, or pus.

Staph bacteria are one of the most common causes of skin infections in the U.S. Most of these skin infections are minor (such as pimples and boils), are not spread to others (not infectious), and usually can be treated without antibiotics.

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a patient receiving a nebulizer treatment should be in a ________ position.

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A patient using a nebulizer should be in a specific position.

Ensure that the nebulizer is held upright. This discourages spills and encourages nebulization. Maintain deep breathing while receiving treatment. This provides the medication with enough time to enter the airway. Peak expiratory flow should be measured with the patient standing up straight, but in hospitalised patients, it is frequently measured with the patient semi-recumbent. Place the patient at a greater than 45-degree angle while seated upright or in bed. Lung expansion and medication absorption are enhanced in this position. 8. Before starting treatment, check the patient's pulse, respiratory rate, breath sounds, pulse oximetry, and peak flow measurement (if prescribed).

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for an older adult client with dementia who developed dehydration as a result of vomiting and diarrhea, which assessment information best reflects the client's fluid balance?

Answers

The assessment information that will reflect the client's fluid balance suffering with dementia and developed dehydration due to vomiting and diarrhea is: blood lab results.

Dehydration is the loss of excessive fluid from the body than normal. It can occur normally due to less fluid intake or can occur due to some underlying disease. The symptoms of dehydration are dry ,mouth, lips and eyes; passing less amounts of urine in very less quantities, etc.

Diarrhea is the bowel movement which is loose, watery and very frequent. Diarrhea is usually accompanied with few other symptoms like nausea, weight loss, abdominal pain, lethargy, etc.

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the nurse assists a primary health care provider (phcp) with the insertion of a nasogastric tube. which positions would the nurse place the client in to prepare for the procedure? select all that apply.

Answers

When preparing for the insertion of a nasogastric tube, the nurse would place the patients in the High-Fowler position.

 

The High-Fowler's position is the most commonly used position for nasogastric tube insertion. In this position, the client is sitting up in bed with the head of the bed elevated to at least a 45-degree angle. This position allows for the easiest access to the nose and pharynx, which is important for the insertion of the tube. Additionally, the High-Fowler's position helps to align the patient's head and neck with the stomach, which can aid in the proper placement of the tube. The nurse will also ensure that the client is comfortable and supported during the procedure to minimize discomfort and anxiety.

The answer is general because no options are provided and a similar question is nowhere to be found.

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what are the aed pad placement options in the anteroposterior placement

Answers

Placement: front-and-back (or "front-and-back"): one on the front and one on the back. One on the lower left chest wall and one on the right side of the chest, anteroposterior location

Where should AED pads be positioned for patients 8 years of age and older in the anteroposterior placement?

For adults (including kids above the age of 8 or who weigh more than 55 pounds): Peel the backing from the pads. Put one pad just below the collarbone on the right side of the chest.

In the anteroposterior positioning, where should AED pads be placed?

When using the anteroposterior placement, one pad will be applied to the victim's bare chest (in the anterior position) and the other will be applied to the victim's back (posterior).

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a client is suspected of having endometrial cancer. the nurse would most likely prepare the client for which procedure to confirm the diagnosis?

Answers

The most often used method to check for endometrial cancer is endometrial biopsy.

One of the most popular methods for detecting endometrial cancer is endometrial biopsy, which is particularly reliable in postmenopausal women. The clinic is where it can be done. Through the cervix and into the uterus is introduced a very small, flexible tube. The endometrium is then partially aspirated out of the body using the tube.

Abnormal vaginal bleeding occurs in 90% of endometrial cancer patients. Menstrual changes, intermenstrual bleeding, or post-menopausal bleeding could be the cause of this. Uneven bleeding can also result from non-cancerous issues. If you exhibit symptoms, your doctor might do a transvaginal ultrasound or an endometrial biopsy. Your doctor may do this test in his office or suggest that you see another physician.

Endometrial biopsies are frequently performed on women who are older than 35. Women who are expecting are ineligible. Sometimes, a woman will get a biopsy to evaluate if her infertility is due to a problem with her endometrium.

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The word part that contains the fundamental meaning of the word is the:

Answers

The word part that contains the fundamental meaning of the word is the word root. Thus option 1 is correct.

A prefix in medicine is what?

A prefix is a letter that appears at the start of a medical word. The prefix alters the word's meaning in medical terminology. Correct prefix spelling and pronunciation are crucial. Many of the prefixes found in medical words are also found in the English language.

What is a word's base or root?

Base words, also referred to as root words, are the parts of a word that can't be decomposed. The word's fundamental meaning derives from the foundation word. Base words can occasionally have a prefixed, which is a character or group of letters. adds a letter or initials to the start, or a suffix adds a letter or consonants to the end.

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Complete question

The word part that contains the fundamental meaning of the word is the:

Word root. Word root and a combining vowel.Combining vowel.Ease word pronunciation.

arthroscopic surgery is a minimally invasive procedure for the treatment of the interior of a joint. true false

Answers

It is true that arthroscopic surgery is a minimally invasive procedure for the treatment of the interior of a joint.

Arthroscopy is conducted with an arthroscope, a small tool about the size of such a drinking straw and pencil. The arthroscope is a narrow fiberoptic scope with a light source or a miniature camera that is linked to a television screen. Precision instruments at the ends of flexible tubes are utilized to execute operations in the joint while seeing the joint through the scope. The arthroscope can be utilized for both diagnostic procedures & a variety of surgical operations. High-definitiondefinition monitors & high resolution cameras are two examples of ongoing technology improvements that are making arthroscopy a more effective tool for treating a wide range of joint ailments.

Although uncommon, problems might develop during or after arthroscopy. Infection, phlebitis (blood clots in a vein) or DVT (deep vein thrombosis), severe swelling or bleeding, injury to blood vessels or nerves, or instrument breakage are the most prevalent, but they occur in significantly fewer than 1% of all arthroscopic procedures.

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which diagnostic or nuclear medicine procedure matches the following definition: the removal of fluid for diagnostic purposes

Answers

Fluid removal for diagnostic purposes is known as centesis.

Any centesis procedure involves inserting a hollow needle into a body cavity, joint, organ, or space in order to remove fluid. All centesis studies are invasive procedures that are frequently carried out for either therapeutic or diagnostic reasons. Examples include paracentesis (Greek para, beside), which involves puncturing a body cavity, often with a hollow needle, to remove fluid or gas. Amniocentesis (Greek amnion, caul) is a procedure in which amniotic fluid is sampled to check for abnormalities in the developing foetus. In order to remove extra fluid, an abdominal paracentesis entails surgically puncturing the abdominal cavity with a needle and inserting a catheter line. The fluid will need to be removed through a procedure called thoracentesis for large pleural effusions or those with an unknown cause. In order to do this, a needle must be inserted between the lung and the chest wall, where the liquid will then be drained using thoracentesis.

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The above question is incomplete. Check below the complete question -

which diagnostic or nuclear medicine procedure matches the following definition:

The removal of fluid for diagnostic purposes _______

A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. The patient is intubated. Which best describe the recommended second does of amiodarone for this patient?

Answers

150 mg intravenously is the second dose of amiodarone that is most appropriate for this patient, who has refractory ventricular fibrillation.

Option A is correct.

What causes refractory ventricular fibrillation?

Refractory VF refers to ventricular fibrillation that is thought to be "shock resistant" to routine cardioversion. This is because ongoing electrical instability is facilitated by myocardial ischemia. This is the concept of a cardiac "Electrical Storm," in which maintaining the myocardium stability is extremely challenging.

A rhythm that resists: What is that implying?

A rhythm was considered to be resistant to shock if return of spontaneous circulation (ROSC) was not achieved after three defibrillation cycles and ten minutes of CPR.

Question incomplete:

A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. The patient is intubated. Which best describe the recommended second does of amiodarone for this patient?

A. 150 mg IV amiodarone

B. Adenosine 6 mg

C. Give aspirin 160 to 325 mg

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which goal would the nurse establish when providing care for a client recovering from a transurethral resection of the prostate (turp)?

Answers

Continuous flow of an irrigant avoids distention and improves hemostasis, whereas indwelling catheter patency encourages bladder decompression, which reduces the risk of distention and bleeding.

A cystostomy tube is a catheter that is inserted directly into the bladder by a suprapubic incision; maintaining the patency of the cystostomy tube is not related with a TURP. Because the resection is carried out through the urethra, there is no need for an abdominal incision. Despite the possibility of bleeding and infection, there is no visible wound because the procedure was done through the urethra. A drainage tube is inserted into the urine bladder slightly above the pubic symphysis during a procedure known as suprapubic catheterisation. People who can't urinate through the urethra often have this procedure done. When other treatments are not clinically practical, unpleasant, or impossible, suprapubic catheterization provides an alternate way to drain the urine bladder.

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the nurse is educating a pregnant client who is admitted with deep vein thrombosis in her left lower extremity. the client is at 24 weeks of gestation. the client is placed on low molecular weight heparin (lmwh). which of the following statements by the client indicate that she understands the education regarding lmwh?

Answers

The development or presence of a thrombosis in the deep veins is known as deep vein thrombosis (DVT).

What brings about DVT (deep vein thrombosis)?

A blood clot can result from anything that hinders the blood from clotting properly or flowing normally. Deep vein thrombosis (DVT) is primarily brought on by injury, infection, or damage to a vein as a result of surgery or inflammation.

How is DVT treated, and what causes it?

A blood clot in a deep bodily vein, typically in your leg, is referred to as a deep vein thrombosis. Get help quickly away to avoid more serious issues. Medicines, compression stockings, and surgery are all forms of treatment.

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the doctor writes an order for a liquid oral medication. the order says to administer 15 mg by mouth every 4 hours as needed for sore throat. pharmacy dispenses 30 mg/3ml. how many ml will you administer per dose? round to the nearest tenth.

Answers

you administer 1.5 ml/dose if the doctor writes an order for a liquid oral medication to administer 15 mg by mouth every 4 hours as needed for sore throat.

The most common cause of a sore throat (pharyngitis) is a viral infection, such as a cold or flu. A sore throat caused by a virus will heal naturally. Streptococcal pharyngitis (streptococcal pharyngitis) is a rare type of sore throat caused by bacteria and requires treatment with antibiotics to prevent complications.

liquid oral medication are most often used by people who have difficulty swallowing tablets and capsules, such as: B. Children and the Elderly. Liquid formulations come in many forms, including solutions, suspensions, and syrups.

Viral pharyngitis usually clears itself in 5 to 7 days. For bacterial pharyngitis, taking antibiotics for a few days will make you feel better. You should take antibiotics even if you feel better.

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Select the disorder in which concurrent substance abuse occurs in 5% to 10% of patients.A.Bipolar IB.Bipolar IIC.Major depressionD.Cyclothymia.
People also ask

Answers

Extreme depression It affects 5% to 10% of individuals and is characterized by comorbid substance misuse.

What proportion of people with bipolar disorder use drugs?

According to the Substance Abuse and Mental Health Services Administration (SAMSHA), research indicates that as many as 30 to 50% of people with bipolar disorder may experience comorbid substance abuse disorder at some point in their lives.

The definition of bipolar I disorder

Manic episodes that persist at least seven days (most of the day, virtually every day) or manic symptoms that are so severe that a person needs emergency hospital care are both indications of bipolar I disorder. Depressive episodes often last at least two weeks and also happen frequently.

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lower left side pain during pregnancy third trimester

Answers

Left side pain is a common pregnancy symptom for women. The first trimester of pregnancy might be painful because of digestive problems or your body shifting to accommodate the growing baby. A kidney infection, urinary tract infection, or stretched abdominal ligaments could be the sources of later pregnancy pain (UTI).

Why is my left side hurting while pregnant?Left side pain is a common pregnancy symptom for women. When you are first pregnant, it may be a sign that your body is adjusting to accommodate your growing baby, or it may be the result of digestive problems like constipation or gastroesophageal reflux disease (GERD).It can be a result of your abdominal ligaments extending later on in your pregnancy. It might also be a symptom of symphysis pubis dysfunction (SPD) or pelvic girdle pain IQ (PGP), conditions that develop when the ligaments that support the pelvic bones loosen up as a result of the pregnancy hormone relaxing.Your left side may hurt at any time during your pregnancy as a result of kidney or urinary tract infections (UTI). The hormonal and anatomical changes that occur during pregnancy make pregnant women more susceptible to developing urinary tract infections.

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a client with atrial fibrillation who is receiving maintenance therapy of warfarin sodium has a prothrombin time (pt) of 35 seconds and an international normalized ratio (inr) of 3.5. on the basis of these laboratory values, the nurse anticipates which prescription?

Answers

Based on these basic laboratory values, the nurse anticipates a prescription withholding the next dose of warfarin.

The indications and dosage of warfarin vary depending on the patient's condition, for example for stroke with an initial dose of 2-5 mg, orally, once a day, for 2 days. Continue with maintenance dose based on the target international normalized ratio (INR).

Atrial fibrillation can cause complications in the form of thromboembolic events and strokes. This can be prevented by administering warfarin. The initial dose is 2-5 mg, orally, once a day, for 2 days. The maintenance dose is adjusted according to the target INR (2.0-3.0), and the dose ranges from 2-10 mg/day PO. Until the target INR is reached (>2.0) for 2, discontinue warfarin.

So, the client's INR examination has reached 3.5, withholding the next dose of warfarin.

This question is the option:

Adding a dose of heparin sodiumHolding the next dose of warfarinIncreasing the next dose of warfarinAdministering the next dose of warfarin

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which modification in the plan of care would the nurse make because of the clietns age when caring for an older adult with cad

Answers

The  nurse  should modify the plan of care to include  further frequent monitoring of the  customer's with vital signs of CAD,  

Similar as blood pressure, heart rate, and oxygen achromatism, as aged grown-ups are more susceptible to changes in their health. The  nanny  should also add  further  nutritive support,  similar as  icing acceptable hydration and offering  nutritive supplements, as aged grown-ups are more likely to be glutted. Eventually, the  nanny  should also  insure that the  customer has access to applicable assistive  bias,  similar as a  perambulator or  club, as aged grown-ups may be more prone to cascade.

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which clinical finding will help the nurse deterine that the ulcer is arterial when a clietn is seenin the outpatient clinic with a large leg ulcer

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A client comes to the outpatient clinic with a large leg ulcer. The clinical finding that will help the nurse determine that the ulcer is arterial are painful arterial ulcers due to its depth and blood supply.


Venous ulcers are characterized by stasis dermatitis on the affected extremity, dependent edoema of the extremities, and bleeding around the ulcer location. Over 90% of lower leg ulcers are brought on by neuropathy, arterial disease, or venous illness. Leg ulcers can be separated into those that develop in the gaiter area and those that develop in the forefoot because the aetiologies at these two sites differ. One-third of all lower limb ulcers can be attributed to at least two aetiological reasons. Most frequently, venous ulcers develop above the medial or lateral malleoli. Arterial ulcers frequently develop over pressure areas, such the toes or the shin. On the bottom of the foot or over pressure sites, neuropathic ulcers frequently develop. Diabetes does not cause ulcers in and of itself, with the exception of necrobiosis lipoidica, although it frequently results in them due to neuropathy, ischaemia, or both.


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The complete question is:

A client comes to the outpatient clinic with a large leg ulcer. Which clinical finding will help the nurse determine that the ulcer is arterial?

A. Pain at ulcer site

B. Bleeding around ulcer area

C. Dependent edema of extremities

D. Statis dermatitis on affected extremity

Answer:

dry area, light pink in

Explanation:

a client is admitted to the hospital with a fever and extreme weakness. which laboratory studies are likely to be elevated if the client is experiencing an infection?

Answers

Complete blood count A bacterial infection frequently increases the neutrophil's white cell count. In severe bacterial infections, C-reactive protein (CRP) is raised above 50.

A sign of generalised sepsis brought on by bacterial infection is procalcitonin. The CSF is typically examined in a lab as the initial step in determining whether bacterial meningitis is present. Remember that centrifuging and boiling the CSF should come before cytological analysis. To diagnose infections and determine whether bacteria have entered the bloodstream, blood cultures are commonly performed. An infection causing germ is specifically identified by a blood culture test, which also allows for further investigation to ascertain the most suitable form of treatment.

The complete question is:

client is admitted to the hospital with a fever and extreme weakness. Which laboratory studies are likely to be elevated if the client is experiencing an infection? Select all that apply.

White blood cell count (WBC)

Red blood cell count(RBC)

Erythrocyte sedimentation rate (ESR)

platelets count

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the nurse has just finished administering two units of packed red blood cells (prbcs) to a client with anemia. before the blood transfusion, the client's hemoglobin was 5.5 g/dl and hematocrit was 26%. the nurse would expect which laboratory values upon the next blood count?

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The client must give permission to receive blood or blood products because of the nature of potential complications.

Why a Nursing Protocol?

For many patients, the transfusion of blood components is a life-saving procedure. Throughout their careers, RNs provide many units of blood products; as a result, it frequently becomes a routine process. However, RNs should exercise vigilance when giving blood to prevent becoming complacent. When receiving a blood transfusion, patients run the risk of having an adverse reaction. Symptoms of an acute reaction usually appear during the first 15 minutes following transfusion in patients who experience them. A delayed reaction can show signs hours to days after the transfusion is finished. In order to guarantee that important safety precautions are observed both before and during a blood transfusion, many hospitals have a blood transfusion protocol, or a predetermined framework of care that a patient would get during blood delivery.

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What is the difference of CPR in adult and in child or infant ?

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Use only one hand, rather than the two you would with an adult, and breathe more gently while giving a infant a chest compression. Use only two fingers and not your entire hand when holding a baby.

Pinch the child's nose shut while providing rescue breathing, and then create a seal with your mouth over the child's mouth. Make a seal with your mouth over the infant's mouth and nose when holding an infant. Use only one hand, rather than the two you would with an adult, and breathe more gently while giving a youngster a chest compression. Use only two fingers and not your entire hand when holding a baby. Call 911 if you execute five cycles without getting a response from the child. If an automatic external defibrillator (AED) is available, the operator may instruct you on how to use it.

You may have heard of a form of CPR where the victim only receives chest compressions and no rescue breathing. This is for instances in which a grown person passes out and requests assistance from a stranger in public. Use standard CPR, which involves alternating 30 compressions with two breaths, rather than compression-only CPR, on children.

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