Patient had a kidney transplant eight years ago and is receiving the immunosuppressants tacrolimus (prograf), cyclosporine (sandimmune), and prednisone so the nurse is concerned about a nontender axillary lump.
A nontender axillary lump suggests a malignancy like a cancer, that may occur as a results of chronic immunological disorder medical aid. The elevated aldohexose, skin modification, and high blood pressure are potential aspect effects of the Orasone and will be addressed , however they're not as nice a priority because the risk of a malignancy.
Tacrolimus (Prograf ®) is a medicinal drug drug accustomed forestall and treat organ rejection in kids who have had liver transplants. it's used for long immunological disorder.
Sandimmune (cyclosporine) is a cyclic peptide medicinal drug agent accustomed forestall organ rejection once a urinary organ, liver, or heart transplant.
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the nurse formulates a nursing diagnosis of impaired social interaction related to disorganized thinking for a client with schizotypal personality disorder. what is the priority nursing intervention for this nursing diagnosis?
For a client with schizotypal personality disorder, the nurse develops a nursing diagnostic of Impaired social interaction due to disordered thinking.
Grandiosity, the desire for praise, and a lack of empathy are traits that define narcissistic personality disorder. The hallmark of histrionic personality disorder is a chronic pattern of exaggerated emotionalism and attention seeking. A nurse persistent and overwhelming desire to be cared for, which results in submissive and clingy behavior as well as separation anxiety, is a hallmark of dependent personality disorder.
An nurse obsession with orderliness, perfectionism, and controversy are characteristics of obsessive-compulsive personality disorder.
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the nurse is educating a pregnant client about the importance of dietary folic acid to prevent anemia. which food source will the nurse encourage because it is high in folic acid?
The food sources nurse would encourage the pregnant client to eat foods high in folic acids such as dark green leafy vegetables (like spinach), wheat germ, dried beans, and orange juice.
During pregnancy, the body makes more red blood cells to supply enough for both the mother's body and the baby's body. Since every red blood cell needs iron to be made, the mother must make sure that she eats enough foods that contain iron or folic acid.
There are lots of food that can provide iron/folic acid for a pregnant mom, such as chicken, green peas, broccoli, tomato juice, raspberries, roast beef, whole wheat bread, kidney beans, sirloin steak, raisins, liver, beets.
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john has been an active member of his church for the past 35 years. his good health may be attributed to: please choose the correct answer from the following choices, and then select the submit answer button. answer choices increased practice using stress management skills. a consistent routine. access to a support network. the decreased likelihood that he engages in a healthy lifestyle.
John has been an active member of his church for the past 35 years and his good health may be attributed to access to a support network.
Good health is that the body's practical and metabolic potency, and its ability to adapt to the physical, mental, and social changes that it's exposed to. Good health is that the opposite of illness, and additionally suggests that the security of the body from physical, social, and mental disorders.
A support network refers to the individuals in your life that assist you deliver the goods your personal and skilled goals. These individuals will assist you transition to varsity and study careers, incapacity problems, and self-advocacy. In highschool, this cluster could embrace relations, friends, and academics.
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a 165-lb woman with type 2 diabetes undertakes a weight-loss program. as her weight reduces, her blood glucose levels also decrease. what is the fasting blood glucose level that she should target for a healthy life?
The fasting blood glucose level that she should target for a healthy life is between 70 mg/dL and 100 mg/dL.
Diabetes is a metabolic disorder characterized by high blood glucose levels caused by defects in insulin production, insulin action, or both. Type 1 diabetes and Type 2 diabetes usually begin with insulin resistance, a condition in which the cells do not properly use insulin. The pancreas gradually loses its ability to produce insulin as the need for it increases. The risk of type 2 diabetes rises with increasing body weight at all ages. Type 2 diabetes is three to seven times more common in obese adults than in normal weight adults, and it is 20 times more likely in those with a BMI [body mass index] of more than 35Kg/m2. Insulin resistance and the prevalence of type 2 diabetes are highest in people with a "apple" shape. These people carry the majority of their excess body weight around their abdomen. In contrast, the "pear" shaped person carries the majority of their weight in the hips and thighs, which is less likely to be associated with insulin resistance. 5% to 10% of reducing body weight enhance insulin activity and lower fasting glucose concentrations.
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a client being treated for hypokalemia has a medication history that includes propranolol, digoxin, and warfarin. when the client reports nausea, abdominal discomfort, and visual changes, the nurse suspects what as the causative factor?
If a patient being treated acute hypokalemia has a drug history that include propranolol, digoxin, and warfarin, the nurse suspects what could be the causal factor of digitalis poisoning.
What is the remedy for a digitalis overdose?Digoxin immune fab, an anti-digoxin immunoglobulin antibody, is the main treatment for digoxin toxicity. Digoxin toxicity symptoms such hyperkalemia, hemodynamic instability, and arrhythmias have been demonstrated to be extremely responsive to treatment with this antidote.
Digoxin toxicity: what causes it?Hypokalemia, which can happen as a result of diuretic medication, is the most typical cause of digoxin poisoning. Dosing mistakes are another frequent reason for toxicity in younger people. The risk of digoxin toxicity is affected by a number of factors, such as:
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3. an rn with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a bsn. the nurse enrolls in a nursing program offering self-scheduling and self-paced curriculum. this nurse is taking advantage of
Nurse is taking advantage of educational mobility.
Healthcare is the development of health via the prevention, diagnosis, treatment, amelioration or remedy of sickness, infection, injury, and other bodily and intellectual impairments in human beings. Fitness care is delivered with the aid of fitness professionals and allied health fields.
Health care facilitates save you diseases and improve nice of existence. Wholesome people 2030 focuses on improving fitness care best and making sure every body get the fitness care offerings they need. Helping fitness care companies communicate extra effectively can help improve fitness and properly-being.
Health care is defined as specific tiers of care: primary , secondary, tertiary, and quaternary.
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a client is experiencing an acute asthmatic attack. the client is noted to have respirations of 40 breaths/min, pulse 132 beats/min, oxygen saturation 86% on room air, and lung sounds with audible wheezing. which findings indicate achievement of the desired outcome of treatment with levalbuterol?
A client is experiencing an acute asthmatic attack. the client is noted to have respirations of 40 breaths/min, a pulse of 132 beats/min, oxygen saturation of 86% on room air, and lung sounds with audible wheezing Adequate understanding of required lifestyle changes.
Asthmatic attack. patients need to visit the emergency department if they have severe allergy signs and symptoms, mainly if those signs are observed by using excessive sweating, faintness, nausea, panting, rapid pulse price, and faded, cold, moist pores and skin. (those may be symptoms of surprise or a potentially existence-threatening drop in blood pressure.)
Strive for the usage of asthmatic attacks. reaction bedding covers and preserves pets away from the bedroom. attempt using an air cleanser to assist with hypersensitive reaction signs that trigger your allergies. keep away from any meals or drink asthma triggers close to bedtime, which include caffeine and alcohol. loosen up and de-stress before bed the usage of respiration sporting activities and yoga.
In a few cases, a severe asthmatic attack. the assault might also require clinic admission. when you have chronic signs and signs of a severe asthma assault after 2 to a few hours of ongoing remedy in the emergency branch, it's in all likelihood you will be admitted to the medical institution for added remedy and monitoring.
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a nurse is caring for a client who has suffered a hip fracture and who will require an extended hospital stay. the nurse should ensure that the client does what action to prevent common complications associated with a hip fracture?
Deep vein thrombosis (DVT), one of the most frequent side effects associated with a hip fracture, should be prevented by increasing fluid intake and performing the recommended foot exercises.
How should I workout every day?Exercises that fall under the category of moderate aerobic activity include brisk walking, biking, swimming, and lawn mowing. Running, strenuous yard labor, and aerobic dancing are examples of activities that qualify as vigorous aerobic exercise.
What exactly is easy exercise?Pick four to five exercises to begin with, such as bodyweight squats, jumping jacks, pushups, jump squats (squats with a jump at the top), burpees, dips, lunges, side lunges, and wall climbers.
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kyla is performing a swedish massage, and is working on her client's back. she places her hands palm-side down on the client's lower back, and then smoothly slides them upward, leaning into the movement while maintaining a straight back. as she nears the end of the stroke, she spreads her fingers wide on both sides and slowly releases pressure. which massage movement is kyla using?
Kyla is performing a Swedish massage and is working on her client's back. she places her hands palm-side down on the client's lower back, and then smoothly slides them upward, leaning into the movement while maintaining a straight back inserted as a suppository.
Swedish rub down allows to clean the body and thoughts of unwanted responses to pressure. growth Flexibility. Swedish rub-down will elongate the muscle tissues, open the joints and decrease swelling, all if you want to ease movement and growth flexibility. enhance Posture.
On every of the largest variations between Swedish and normal massages are the techniques used. Swedish massages involve the use of mild, gentle strokes. This is supposed to be enjoyable and calming. Deep tissue massages, alternatively, use extra pressure and can be more severe.
The Swedish massages down are one of the most common sorts of massages you can get. it's miles achieved to energize the body and improve basic health. This sort of rubdown entails actions like percussion, kneading, vibration, tapping, and rolling. rub down oil or lotion is used to guard the pores and skin against friction.
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a client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. the nurse should recognize these findings as signs and symptoms of
The nurse should identify these findings as symptoms and signs of acute pulmonary edema.
What caused the unexpected pulmonary edema?Heart disease is the leading cause of pulmonary edema. However, fluid can build up in the muscles for a variety of reasons. Pneumonia, exposure to specific toxins, medications, chest wall trauma, and travel to or exercise at high altitudes are also all examples.
Can acute pulmonary edema be reversed?Pulmonary edema is fatal, but even the cause determines your prognosis. One year after being set free, roughly half of patients with cardiac hyperemia survive. Heart failure is a long-term disease that can be treated and is a leading cause of left ventricular hypertrophy respiratory failure.
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a firefighter is being treated for smoke inhalation after putting out a fire in an apartment building. what choice of therapy would benefit this client?
The therapy that would benefit a firefighter that is being treated for smoke inhalation is giving 100% oxygen.
Smoke inhalation is a major cause of death related to fire. It occurs when someone breathes in the products of combustion, which is smoke. Smoke is a mixture of gases and particles that are heated. Inhaling smoke damages the body through asphyxiation or lack of oxygen.
Some symptoms of smoke inhalation are:
CoughShortness of breath or difficulty breathingSoot in the nostrils or throatHeadacheMental confusion, fainting, seizuresNoisy breathingChange of skin colorWhen someone is experiencing smoke inhalation, their condition can get worse very quickly. Make sure that they get treated correctly as soon as possible.
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a patient with cardiovascular disease is being treated with norvasc, a calcium channel blocking agent. the nurse is aware that calcium channel blockers have a variety of effects. what is one of the therapeutic effects?
Answer:By blocking calcium, calcium channel blockers allow blood vessels to relax and open. Some calcium channel blockers can also slow the heart rate, which can further lower blood pressure. The medications may also be prescribed to relieve chest pain (angina) and control an irregular heartbeat.
Explanation:
Credits to Mayo Hospital
four-year-old kitimbu has been tired, irritable, and inattentive for the last few months. because his diet lacks , he is likely suffering from .
Children who are easily tired, irritable, and neglectful during the last few months because of their diet are less likely to suffer from malnutrition.
Malnutrition is a condition when a child does not receive enough nutrients, minerals, and calories to help develop vital organs. Malnutrition will have an impact on the growth and health of children.
There are 4 factors underlying malnutrition, namely: the economy, sanitation, parental education, and parental behavior. Poverty is one of the socio-economic determinants, which is the root of the lack of food, crowded and unhealthy living quarters, and the inability to access health facilities.
The hallmark of malnutrition is weight loss, a risk of malnutrition with a body mass index below 18.5 kg/m2, decreased appetite and drinking and feeling tired and weak all the time.
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a 71-year-old woman with a longstanding diagnosis of emphysema developed community-acquired pneumonia 3 weeks ago and was admitted to the hospital for treatment. a combination of respiratory therapy and iv antibiotics has resolved the woman's infection and she is now preparing to return to the home she shares with her husband. what phase in the trajectory model of chronic illness is this patient currently experiencing?
This patient is currently in the phase of the trajectory model for chronic illness known as "comeback," which stands for "recovery after acute episode."
What are chronic illnesses?Generally speaking, chronic diseases are problems that last for a year or longer, necessitate continuous medical care, restrict everyday activities, or both. In the US, the most common causes of death or disability are chronic illnesses like diabetes, cancer, and heart disease.
Is it possible to heal a chronic disease?Chronic diseases are debilitating ailments that can typically be managed but not cured. People with chronic illnesses frequently have to deal with daily symptoms that reduce their quality of life and encounter acute health issues or complications that can reduce their life expectancy.
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when performing a health history on a client, the client states that they have been living in a shelter for 2 months. what should the nurse determine the client is experiencing?
With a client that has been living in a shelter for two months, the nurse should determine that the client is experiencing homelessness but coping by living in a shelter.
People experiencing homelessness are often marginalized by society. They tend to have a hard time accessing acceptable and respectful healthcare services. That, of course, is not a good thing, since healthcare should be accessible to everyone without being stigmatized and shamed.
Nowadays, they can start getting the healthcare they needed. When getting their health checked, a nurse should perform a health history on them. When a client says that they have been living in a shelter, that basically means that they're homeless, but the nurse should also note that they are coping (by living in a shelter).
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if the oral dosing rate of a drug is held constant, what will be the effect of increasing the bioavailability of the preparation?
The oral dosing rate of a drug is held constant. Hence, the effect of increasing the bioavailability of the preparation will be: the steady-state plasma drug concentration that will be increased.
What is the steady-state plasma drug concentration?The steady-state concentration is a dynamic equilibrium in drugs that consistently stay for long and indefinite periods. The steady-state plasma drug concentration is consistent and has built up to a concentration level that effective for the treatment.
To calculate the steady-state plasma of the drugs, we can use this equation: the total exposure over 1 doing internal / the time of the dosing interval.
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