The home health nurse should advise the homebound cancer patient to discuss their use of marijuana for nausea control with their oncologist or healthcare provider.
It's essential to ensure the marijuana use is safe and appropriate for their specific situation, and the healthcare provider may also suggest alternative anti-nausea medications if necessary. Remember, open communication with the healthcare team is key for the best possible care. The home health nurse should advise the cancer patient to discuss their use of marijuana with their healthcare provider. While marijuana may help control nausea, it can also interact with other medications and may have other negative side effects. The healthcare provider can work with the patient to determine the best treatment plan for managing their nausea and other symptoms. Additionally, the nurse should inform the patient that marijuana use may not be legal in their state and they should take caution when obtaining and using it. The nurse can also provide resources for the patient to learn more about alternative nausea management techniques, such as acupuncture or herbal remedies.
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which characterisitic of clients with antisocial personalty disorder would the nurse consider when planning care
When planning care for clients with antisocial personality disorder, the nurse would consider their lack of empathy and disregard for the rights of others as a key characteristic.
This may require the nurse to implement boundaries and rules for behavior to ensure the safety and well-being of both the client and those around them. Additionally, the nurse may need to address any destructive or harmful behaviors exhibited by the client through therapy and medication management. It is important for the nurse to remain patient and non-judgmental while working with clients with antisocial personality disorder.
When planning care for clients with antisocial personality disorder, the nurse should consider the characteristic of manipulative and deceitful behavior. This will help the nurse develop appropriate strategies and interventions to effectively manage and support the client during their treatment.
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Complete Question .
Which characteristics will the nurse assess in the patient diagnosed with antisocial personality disorder?
in what order should the nurse assess these children? (place in order from first action through last action.)
When a nurse needs to assess children, the order of assessment should be based on the urgency of their medical needs and any relevant information from their parents or guardians. Here's a general guideline:
1. Assess child's overall appearance and behavior, including vital signs such as heart rate, blood pressure, and temperature
2. Examine children with life-threatening conditions or those in critical condition first.
3. After this, the nurse would perform a physical examination, starting with the head and moving down to the feet.
4. Address children with non-urgent conditions or those requiring routine care last.
Remember, a nurse must constantly adapt and prioritize the assessment of children based on their medical needs and any changes in their condition.
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A client prescribed omeprazole for gastroesophageal reflux disease reports a new occurrence of significant diarrhea. Which response by the nurse is most appropriate?
'Stop taking your omeprazole.'
'This is a normal side effect of omeprazole.'
'We are going to collect a stool sample for testing.'
Correct answer
'Antidiarrheal medication can be used to decrease this.'
The most appropriate response by the nurse is "Antidiarrheal medication can be used to decrease this." Diarrhea is a potential side effect of omeprazole, but it is not a normal or expected side effect.
What is diarrhea?Diarrhea is a condition characterized by loose, watery stools that occur more frequently than usual. It is a common digestive disorder that can be caused by a variety of factors such as viral or bacterial infections, food intolerances, medications, or certain medical conditions.
The most appropriate response by the nurse is "Antidiarrheal medication can be used to decrease this." Diarrhea is a potential side effect of omeprazole, but it is not a normal or expected side effect. Stopping the medication abruptly without consulting the healthcare provider can worsen the symptoms of gastroesophageal reflux disease. Collecting a stool sample for testing may be necessary if the diarrhea persists or is accompanied by other symptoms such as fever or abdominal pain.
However, the initial approach would be to provide symptomatic relief using antidiarrheal medication such as loperamide, under the guidance of a healthcare provider. The nurse should also advise the client to contact their healthcare provider for further evaluation and management of the diarrhea.
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hallmark finding associated with b12 and folate deficiencies
Megaloblastic anemia is the most common symptom of B12 and folate deficiency.
When the presence of the extra large blood cells in the body increases, we call it the condition of Megaloblastic anemia. When there is a deficiency of B12 vitamin and folate in the body we observe this condition as the hallmark in the body as both of these are very important for cell division and DNA synthesis.
Inadequate availability of these vitamins impairs DNA synthesis and red blood cell maturation in bone marrow, leading in the development of big and immature cells. Fatigue and the shortening of the breath are some symptoms related to megaloblastic anemia. Treatment usually entails vitamin supplementation as well as addressing the underlying problem.
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Complete question - What are the hallmark finding associated with b12 and folate deficiencies?
The hallmark finding associated with vitamin B12 and folate deficiencies is megaloblastic anemia, which is characterized by the production of abnormally large and immature red blood cells in the bone marrow.
Megaloblastic anemia occurs because both vitamin B12 and folate play important roles in DNA synthesis, and a deficiency in either nutrient can lead to impaired DNA replication and cell division
In addition to megaloblastic anemia, other signs and symptoms of B12 and folate deficiencies may include fatigue, weakness, pale skin, shortness of breath, numbness or tingling in the hands and feet, difficulty walking, loss of balance, depression, confusion, and dementia.
It is important to note that vitamin B12 and folate deficiencies can have similar symptoms but different causes. Vitamin B12 is found naturally in animal products, such as meat, fish, and dairy, and can also be obtained through supplements and fortified foods. Folate, on the other hand, is found naturally in leafy green vegetables, citrus fruits, and beans, and is also added to many fortified foods.
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the view referred to when differenctiating left from right bbb is
The view referred to when differentiating left from right BBB is V1 .
Anatomical View: In anatomy, the view referred to when differentiating left from right is typically from the perspective of the person or object being observed. For example, when looking at a human body, the left side is typically the left-hand side of the body as seen from the person's own point of view, while the right side is the opposite side.
External Observer's View: the view referred to when differentiating left from right could be from an external observer's perspective. For example, when giving directions or describing the position of objects in a room, left and right may be determined based on the observer's point of view, facing the same direction as the observer.
Relative View: In some situations, left and right may be defined relative to another reference point or object. For example, when navigating on a map, left and right could be determined based on the orientation of the map or a compass direction.
Contextual View: The view referred to when differentiating left from right can also depend on the specific context or domain being discussed. For instance, in a political or ideological context, left and right may refer to different political ideologies or positions.
Therefore, the view referred to when differentiating left from right can vary depending on the context, perspective, and reference points being used. It's important to consider the specific context in which left and right are being referenced in order to determine the appropriate interpretation.
The complete questions is,
The view referred to when differentiating left from right BBB is _______.
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while assessing a client 2 hours after a transurethral prostatectomy (turp), the nurse notes the catheter drainage is bright red in color and contains many clots. the priority nursing intervention would be:
The nurse should also assess the client's urine output and ensure that the catheter is draining properly. If the catheter is blocked or not draining properly, this can cause blood and clots to accumulate in the bladder and increase the risk of hemorrhage.
The nurse should encourage the client to increase their fluid intake and monitor their intake and output closely. The nurse should also provide education to the client and their family about the signs and symptoms of hemorrhage, and encourage them to report any changes immediately.
If the client's condition continues to deteriorate, the nurse should be prepared to assist with emergent interventions, such as blood transfusions or surgical interventions to control bleeding.
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a nurse is caring for an older adult client following a hip fracture. the fracture was repaired by open reduction/internal fixation (orif). what postoperative complications should the nurse anticipate? how can these be prevented?
Following ORIF, potential side effects can include post-operative infection, malunion, nonunion, knee discomfort, malrotation, compartment syndrome, and nerve damage.
What nursing care is given to a patient with ORIF?Maintain your dressing or splint until 72 hours after surgery. For the first three days, you can cover the dressing or splint when taking a shower using saran wrap or a large plastic bag and tape. After that, you can bathe the knee but you can still use the shower with it wet.Nursing care for a patient after internal fixation entails monitoring neurovascular state, giving medications, managing the patient's discomfort, preventing infection, and helping the patient with ambulation and exercises.Keep the wound dry and clean after surgery. In order to properly treat wounds, the dressing should be removed.For more information on open reduction/internal fixation (orif) kindly visit to
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the nurse is caring for clients who are experiencing subfertility. when providing instruction on how to aid conception, which instruction will the nurse include in the teaching session? select all that apply.
Maintain a healthy weight: The nurse should instruct clients to maintain a healthy weight as being underweight or overweight can affect fertility.
Reduce stress: The nurse should instruct clients to reduce stress levels as stress can interfere with ovulation and fertility.
Avoid smoking, alcohol, and drugs: The nurse should instruct clients to avoid smoking, alcohol, and drugs as these substances can reduce fertility.
Address underlying medical conditions: The nurse should encourage clients to address any underlying medical conditions that may affect fertility, such as thyroid disorders or polycystic ovary syndrome.
Consider assisted reproductive technologies: The nurse should inform clients about assisted reproductive technologies such as intrauterine insemination (IUI) or in vitro fertilization (IVF) if other methods are unsuccessful.
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a nurse is caring for a postoperative client who has a chest tube connected to suction
The indication of the chest tube functioning properly when the nurse has connected a chest tube to suction and a water seal drainage system is: (a) Fluctuation of the fluid level within the water seal chamber.
Chest tube is plastic tube, acting as a surgical drain through which fluid or air drained out of the chest. The tube is inserted into the body through the chest wall and into the pleural space. When the system where the drained fluid is being stored shows fluctuations, it indicates correct functioning of the chest tube.
Water seal chamber is the part of the chest tube system through which air exits from the pleural space upon exhalation. It also prevents the entering of air into the pleural cavity.
Therefore, the correct answer is option a.
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The given question is incomplete, the complete question is:
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
a. Fluctuation of the fluid level within the water seal chamber
b. Absence of fluid in the drainage tubing
c. Continuous bubbling within the water seal chamber
d. Equal amounts of fluid drainage in each collection chamber
the nurse received a patient from a motor vehicle accident who is hemorrhaging from a femoral wound. what is the initial nursing action for the control of the hemorrhage?
The initial nursing action for controlling the haemorrhage from a femoral wound is to apply direct pressure to the wound.
Apply pressure with both hands while holding a clean cloth or sterile dressing over the wound to do this. The nurse should monitor the patient's pulse to make sure the pressure is not too tight and make sure the dressing is firmly in place.
After several minutes, the nurse should keep applying pressure and calling for help if the bleeding has not stopped. In order to lower the blood pressure in the wound, the nurse should additionally elevate the affected limb if the patient is aware.
Additionally, the nurse should get the patient ready for additional medical procedures such suturing, debridement, and wound dressing.
The nurse should also start an IV line and keep an eye on the patient's vital signs if the bleeding is significant.
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a nurse is caring for a client who is receiving cyclobenzaprine. the nurse would expect to assess which finding as indicating the therapeutic effect of the drug?
Cyclobenzaprine is a muscle relaxant that is used to treat muscle spasms and pain.
The therapeutic effect of the drug is to reduce muscle spasms and improve muscle function. Therefore, the nurse would expect to assess a decrease in muscle spasms and an improvement in muscle function as indicating the therapeutic effect of the drug. The client may report less pain, increased range of motion, and improved ability to perform activities of daily living. Additionally, the nurse may observe a decrease in muscle tension, rigidity, and stiffness. It is important for the nurse to monitor the client's response to the medication and assess for any adverse effects, such as dizziness, drowsiness, dry mouth, or blurred vision.
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after an assessment of a male newborn, the nurse suspects postmaturity. which observations help confirm this conclusion
After an assessment of a male newborn, there are several observations that can help confirm the suspicion of postmaturity.
These may include dry, cracked, or peeling skin, long fingernails, abundant scalp hair, a meconium-stained amniotic fluid, reduced subcutaneous fat, and a small amount of vernix caseosa. Additionally, the newborn baby may appear thin and have a wrinkled appearance. These signs suggest that the baby has been in the womb for a longer period than expected and may be postmature. Further diagnostic tests may be required to confirm this conclusion. Postmature babies may still have this hair present at birth. The baby is large for gestational age. Postmature babies are often larger than average due to the extra time spent in the womb.
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Postmaturity refers to a newborn who is born after 42 weeks of gestation, which is considered beyond the expected due date. The nurse can suspect postmaturity based on certain observations during the newborn assessment, such as:
SkinHair and NailsVernixMeconiumSizeDecreased muscle toneHypoglycemiaSkin: Postmature newborns may have loose and peeling skin, giving them a wrinkled appearance.
Hair and Nails: Their hair and nails may be longer than usual, and their nails may be hard and overgrown.
Vernix: Vernix, the white, cheesy substance that covers a newborn's skin at birth, may be absent or reduced in post-mature newborns.
Meconium: Postmature newborns may have an increased amount of meconium (the newborn's first stool) in their intestines, which may cause bowel obstruction and other complications.
Size: Postmature newborns may be larger than average, with a thin, frail appearance.
Decreased muscle tone: They may have decreased muscle tone or appear lethargic.
Hypoglycemia: Postmature newborns are at increased risk for hypoglycemia due to decreased glycogen stores.
These observations, along with the newborn's gestational age, can help the nurse confirm the suspicion of postmaturity.
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The nurse working with oncology clients understands that interacting factors affect cancer development. Which factors does this include? (Select all that apply.) a. Exposure to carcinogens b. Genetic predisposition c. Immune function d. Normal doubling time e. State of euploidy
The factors that affect cancer development include exposure to carcinogens, genetic predisposition, immune function, and state of euploidy. The correct options are a, b, c and e.
Carcinogens are agents that can cause cancer, such as tobacco smoke, chemicals, radiation, and viruses. Genetic predisposition refers to inherited genetic mutations that increase the risk of cancer, such as mutations in the BRCA genes.
Immune function plays a role in cancer development, as the immune system can recognize and destroy cancer cells. Normal doubling time is the rate at which cells divide and can affect cancer development, as cancer cells divide more rapidly than normal cells.
Euploidy refers to the normal number of chromosomes in a cell, and aneuploidy, which is an abnormal number of chromosomes, can lead to cancer development. Understanding these factors is important for nurses in caring for oncology clients, as they can help identify potential risk factors and provide education and support.
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The nurse working with oncology clients, who are patients dealing with cancer, understands that multiple interacting factors affect cancer development.The factors that apply are:a. Exposure to carcinogens,b. Genetic predisposition,c. Immune function
These factors play a significant role in the development of cancer, and understanding them can help the oncology nurse to better support and care for their clients.a. Exposure to carcinogens - Exposure to certain substances, such as tobacco smoke, radiation, and certain industrial chemicals, can increase a person's risk of developing cancer.b. Genetic predisposition - Certain genetic conditions can increase a person's risk of developing certain types of cancer.c. Immune function - The immune system helps protect the body from cancer by recognizing and destroying abnormal cells that could develop into cancer.
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all of the following indicate a healthy body weight except multiple choice a weight within the common range for one's age group. a weight within an acceptable range for one's height. a fat distribution that is not a risk factor for illness. the absence of medical conditions that suggest a need for weight loss.
A weight within an acceptable range for one's height generally indicates that the individual is not underweight or overweight, and is maintaining a healthy balance between body mass and height.
The correct answer is b) A weight within an acceptable range for one's height.
A healthy body weight is typically determined by considering an individual's height and weight in relation to each other. It is important to note that body weight alone is not always a comprehensive indicator of overall health, as other factors such as muscle mass, body composition, and individual health conditions should also be taken into consideration. It is always recommended to consult with a qualified healthcare professional for a comprehensive evaluation of an individual's body weight and overall health status.
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Complete Question
Which of the following indicates a healthy body weight? (Multiple choice)
a) A weight within the common range for one's age group.
b) A weight within an acceptable range for one's height.
c) A fat distribution that is not a risk factor for illness.
d) The absence of medical conditions that suggest a need for weight loss.
Having a fat distribution that is not a risk factor for illness does not necessarily indicate a healthy body weight.
Explanation:In order to determine a healthy body weight, we need to consider factors such as age, height, and fat distribution.
However, all of the given options indicate a healthy body weight except for 'a fat distribution that is not a risk factor for illness.' This means that having a fat distribution that is not a risk factor for illness does not necessarily indicate a healthy body weight.Learn more about Healthy Body Weight here:https://brainly.com/question/32111909
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how much isotonic crystalloid solution should you administer to a patient who weighs 65 kg and who has signs and symptoms of internal bleeding?
The appropriate amount of isotonic crystalloid solution for a patient with internal bleeding depends on several factors and should be tailored to the individual patient's response to therapy with close monitoring by a healthcare provider.
The amount of isotonic crystalloid solution that should be administered to a patient who weighs 65 kg and has signs and symptoms of internal bleeding depends on the severity of the bleeding, the patient's fluid status, and any underlying medical conditions they may have.
In general, the initial goal of fluid resuscitation in a patient with internal bleeding is to restore intravascular volume and perfusion. The recommended starting point for fluid resuscitation is typically 1-2 liters of isotonic crystalloid solution, such as normal saline or lactated Ringer's solution, given rapidly through an intravenous line. This should be followed by ongoing monitoring of the patient's response to fluid therapy, including vital signs, urine output, and laboratory values.
It's important to note that fluid resuscitation should be tailored to the individual patient, and the amount and rate of fluid administration should be adjusted based on the patient's response to therapy. In some cases, additional fluids may be required to maintain adequate perfusion and oxygenation, while in others, excessive fluid administration may lead to fluid overload and other complications. As such, it is important to work closely with a healthcare provider to determine the appropriate fluid management plan for each patient.
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a client has been diagnosed with candidemia and has just been prescribed anidulafungin. what is the nurse's best action?
The nurse's best action when a client has been diagnosed with candidemia and has just been prescribed anidulafungin is to ensure that the medication is administered correctly and monitor the client for any adverse reactions.
Firstly, the nurse should review the client's medication orders and confirm the dose, frequency, and route of administration of anidulafungin. The medication is typically administered intravenously, and the nurse should ensure that the medication is prepared and administered according to the manufacturer's instructions.
The nurse should also monitor the client for any adverse reactions, such as allergic reactions, fever, chills, nausea, vomiting, or changes in liver function tests. The nurse should report any adverse reactions to the healthcare provider immediately and take appropriate measures to manage the client's symptoms.
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if the patient is a minor, informed consent group of answer choices must be obtained from the babysitter. may still be obtained from the patient. is waived. must be obtained from a parent/legal guardian.
If the patient is a minor, informed consent must be obtained from a parent/legal guardian.
The babysitter does not have the legal authority to provide consent on behalf of the minor. However, if the parent/legal guardian is not present, the babysitter may still assist in obtaining the patient's medical history and providing information to the healthcare provider. Informed consent is the process of providing an individual with the information they need to make an informed decision about their treatment. When a patient is a minor, it is important that informed consent be obtained from their parent or legal guardian. This ensures that the minor's health care decisions are made with the best interest of the patient in mind.
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a client arrives in the emergency department reporting severe pain in the left leg that is not relieved by rest or medication. On physical examination, the nurse is most likely to assess which symptom?
Based on the client's presenting complaint of severe pain in the left leg that is not relieved by rest or medication, the nurse is most likely to assess for signs of swelling, redness, warmth, or tenderness in the affected leg.
These symptoms may indicate a condition called deep vein thrombosis (DVT), which is a blood clot that forms in a vein deep inside the body, usually in the legs.
Other signs and symptoms that the nurse may assess for include cramping or soreness in the calf muscle, skin discoloration or changes, and visible veins.
It is important for the nurse to assess these symptoms promptly and thoroughly, as DVT is a serious condition that can lead to complications such as pulmonary embolism if left untreated.
In addition to the physical assessment, the nurse may also gather more information about the client's medical history, medications, and recent travel history, as these factors can increase the risk of developing DVT.
The nurse may also collaborate with the healthcare provider to order diagnostic tests such as a Doppler ultrasound or blood tests to confirm the diagnosis of DVT.
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she took a drink of water from the fountain and the next day she was sick. the public drinking fountain made her sick.
Based on the information provided, it is possible that the woman became sick due to drinking water from the public drinking fountain.
It is important to note that public drinking fountains can harbor germs and bacteria, especially if they are not properly cleaned and maintained. It is recommended to use caution when drinking from public drinking fountains and to consider bringing your own water bottle or using a filtered water dispenser instead. Based on the given information, it seems that after she took a drink of water from the public drinking fountain, she fell sick the following day. It is possible that the public drinking fountain was contaminated, which led to her illness. It's important to practice good hygiene and be cautious when using public facilities to minimize the risk of getting sick.
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An infant client is able to stand holding onto objects, plays peekaboo, and is starting to say mama and dada. the nurse identifies these behaviors are characteristic of which age?
The behaviors described are characteristic of an infant who is around 9-12 months old. At this age, infants are developing their gross motor skills, such as standing with support and cruising along furniture.
Infants go through rapid growth and development in the first year of life. During this time, they develop a range of physical, social, and cognitive skills that form the foundation for later learning and development.
Some of the key developmental milestones for infants include:
Motor skills: Infants typically develop the ability to roll over, sit up, crawl, stand, and walk during their first year of life. They may also develop fine motor skills, such as grasping objects and feeding themselves.Social and emotional skills: Infants begin to develop social and emotional skills early on, such as recognizing familiar faces and expressing joy, sadness, and frustration. They may also engage in early forms of social interaction, such as smiling and babbling.Language skills: Infants start to develop language skills through listening and imitating sounds and words. They may begin to say simple words like "mama" and "dada" around 9-12 months, and they will continue to develop their language skills throughout childhood.It is important for healthcare providers to monitor infants' developmental milestones and provide appropriate support and interventions if delays or concerns arise. This may include referrals to early intervention services or further diagnostic testing to identify underlying health concerns.
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dr. taylor reviewed the x-ray report on her patient and then discussed the results with him by telephone. which e/m subsection would be referenced to assign the appropriate code?
The appropriate e/m subsection to reference in order to assign the appropriate code for the scenario of Dr. Taylor reviewing the x-ray report on her patient and discussing the results with him by telephone would be the "Telephone/Internet/Electronic Health Record" subsection.
This is because the service provided by Dr. Taylor involves communication that occurs over the telephone, which falls under this particular subsection.
The code to be assigned will depend on the level of complexity of the service provided, as well as the time spent on the call and the documentation requirements.
It is important to note that documentation of the communication is necessary to support the assignment of the appropriate code.
This documentation should include the date and time of the call, the duration of the call, and the content of the discussion, including any advice or treatment provided to the patient.
Overall, assigning the correct code is essential to ensure accurate reimbursement for the services provided by healthcare providers.
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true or false? norman cousins put humor therapy on the national health care map as an effective coping technique.
True. Norman Cousins put humor therapy on the National Health Care Map as an effective coping technique.
Norman Cousins was a political writer, author, and proponent of holistic medicine in the United States. In 1964, he was diagnosed with ankylosing spondylitis, a degenerative condition that caused him excruciating agony and rendered him bedridden. He discovered that watching comedies like the Marx Brothers and Candid Camera helped him manage his discomfort and raise his spirits.
Cousins went on to study and describe the impact of humor on health, and he authored a book about it called "Anatomy of an Illness as Perceived by the Patient: Reflections on Healing and Regeneration."
Cousins' support for humor therapy helped to raise awareness of the significance of combining psychological and emotional components into medical treatment. He illustrated how comedy may help with physical discomfort, stress reduction, and overall well-being.
Humor therapy is now regarded as a useful coping tool and is occasionally used in conjunction with traditional medical therapies.
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helppp!!
Maria is undergoing a lot of stress. She just lost her job of 5 years, and she is attempting to learn how to do her own taxes since she doesn't currently have the financial means of paying someone to do it. On top of this, she needs to find an affordable babysitter to watch her 3 year-old while she searches for a new job and goes on interviews.
What type of stressor is the loss of Maria's job?
Catastrophe
Daily Hassle
Major life change
Pressure
The type of stressor that the loss of Maria's job represents is a Major life change.
What are stressors?Major life changes refer to significant events that cause disruption and require adjustment to new circumstances, such as the loss of a job or a divorce.
Losing a job can be a significant source of stress as it can have financial implications and affect one's self-esteem and sense of purpose. Additionally, the stress of losing a job can be compounded by the need to find a new job, pay bills, and support oneself and any dependents. This can make it challenging for individuals to cope with the stressor and adapt to the changes that it brings.
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The loss of Maria's job is a major C, life change stressor.
What is stress?Stress is a psychological and physiological response to a perceived threat or demand that challenges an individual's ability to cope. It is a natural and normal part of life and can arise from various sources such as work, relationships, financial difficulties, and health concerns. When stress is perceived, the body releases a complex mix of hormones and chemicals that prepare the body for the "fight or flight" response.
While this response can be beneficial in certain situations, prolonged or chronic stress can have negative effects on physical and mental health. Therefore, it is important to learn healthy coping strategies to manage stress.
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Patient satisfaction scores are down in your 44-bed medical-surgical unit from last year's scores. Current scores are at 44% this year. Patients felt the nursing staff does not have time to care or listen and the nurses are unprofessional. The Quality Improvement Committee wants to bring the patient satisfaction scores back up to 88% or higher. The unit has limited finances and many new staff members.
a client reports pain with iv insertion what should the nurse do
If a client reports pain with IV insertion, the nurse should immediately assess the IV site for any signs of inflammation or infection.
The nurse should also check to make sure that the IV is properly secured and not causing any undue pressure on the surrounding tissues. If the pain is severe, the nurse may need to remove the IV and try to insert it in a different location. The nurse should also assess the client's pain level and administer pain medication if necessary.
Additionally, the nurse should provide emotional support to the client and explain what is happening and why the IV is necessary. The nurse should also document the incident in the client's medical record and report it to the healthcare provider. It is important for the nurse to act quickly and effectively to address the client's pain and prevent any complications from the IV insertion.
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for a stroke patient with hypertension who is a candidate for recombinant tissue plasminogen activator (rt-pa), which blood pressure control strategy is appropriate?
For a stroke patient with hypertension who is a candidate for recombinant tissue plasminogen activator (rt-PA), the appropriate blood pressure control strategy depends on several factors, including the severity of hypertension, the patient's age, and the time elapsed since the onset of stroke symptoms.
Current guidelines recommend that for patients with a blood pressure greater than 185/110 mmHg, antihypertensive medication should be initiated and the blood pressure should be lowered to below 180/105 mmHg before administering rt-PA. In patients with a blood pressure between 180/105 mmHg and 185/110 mmHg, careful consideration should be given to lowering the blood pressure before administering rt-PA, depending on the patient's individual clinical situation.
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the nurse is assessing a client who sustained a blast injury. the client is exhibiting signs and symptoms of an air embolus. the nurse would place the client in which position?
If a client who sustained a blast injury is exhibiting signs and symptoms of an air embolus, the nurse would place the client in a left lateral decubitus position. This means the client would lie on their left side with their head slightly elevated.
Placing the client in a left lateral decubitus position helps to prevent the air embolus from traveling to the right side of the heart and blocking blood flow to the lungs. This position allows the embolus to rise to the highest point in the heart, which is the pulmonary artery, and become trapped there.
Additionally, the nurse would administer high-flow oxygen to the client to help dissolve the air embolus, and monitor the client's vital signs and oxygen saturation closely.
It's important to note that air emboli are rare but potentially life-threatening complications of blast injuries, and prompt recognition and management are essential for a positive outcome.
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a client who takes a beta blocker and loop diuretic for hypertension has been diagnosed with candidiasis. the client's provider has prescribed fluconazole 400 mg po. what is the nurse's best action?
The nurse's best action when a client who takes a beta blocker and loop diuretic for hypertension has been diagnosed with candidiasis and prescribed fluconazole 400 mg po is to assess the client for potential drug interactions and monitor for adverse reactions.
Beta blockers and loop diuretics can interact with fluconazole, increasing the risk of adverse reactions such as hypotension and electrolyte imbalances. Therefore, the nurse should assess the client's blood pressure, heart rate, and electrolyte levels before and after administering fluconazole.
The nurse should also monitor the client for potential adverse reactions, such as allergic reactions, liver toxicity, or changes in cardiac function. The nurse should report any adverse reactions to the healthcare provider immediately and take appropriate measures to manage the client's symptoms.
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.A patient has been taking senna [Senokot] for several days, and the nurse notes that the urine is yellowish-brown. What does the nurse know about this symptom?
a.
It indicates that renal failure has occurred.
b.
It is caused by dehydration, which is a laxative side effect.
c.
It is a sign of toxicity, indicating immediate withdrawal of the drug.
d.
It is an expected, harmless effect of senna.
The nurse know about this symptom is option d. It is an expected, harmless effect of senna
Senna is a natural laxative that is commonly used to treat constipation. One of the side effects of senna is that it can cause the urine to turn a yellowish-brown color. This discoloration is due to the presence of compounds called anthraquinones, which are found in senna and are excreted in the urine.
The yellowish-brown color is not an indication of renal failure, dehydration, or toxicity. It is a harmless effect of the medication and does not require immediate withdrawal of the drug. However, if the patient experiences any other symptoms or if their condition worsens, they should contact their healthcare provider.
Senna is a type of stimulant laxative that works by irritating the lining of the intestines, which causes them to contract and push stool through the colon. Senna is available in many forms, including tablets, capsules, and liquid extracts.
It is important to follow the recommended dosage and duration of use, as overuse of senna can lead to dependence, electrolyte imbalances, and other complications.
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A nurse is caring for a client in addisonian crisis. Which medication order should the nurse question? a) normal saline b) potassium chloride c) hydrocortisone
The nurse should question the medication order for potassium chloride and consult with the healthcare provider before administering it to a client in Addisonian crisis. So option b) is the correct answer.
In Addisonian crisis, the adrenal gland is not producing enough hormones which can cause a drop in blood pressure and a decrease in sodium levels. The nurse's priority in this situation is to administer medications that will help to increase blood pressure and sodium levels while also replacing the deficient hormones.
The medication order that the nurse should question in this scenario is the potassium chloride. While potassium is an essential electrolyte, it should be used with caution in Addisonian crisis as it can cause further electrolyte imbalances and may exacerbate the client's symptoms. The nurse should consult with the healthcare provider and determine if potassium supplementation is necessary or if it can be withheld until the client's condition stabilizes.
The other two medication orders, normal saline and hydrocortisone, are appropriate for a client in Addisonian crisis. Normal saline is used to increase fluid volume and blood pressure, while hydrocortisone is a steroid hormone replacement therapy that helps to restore cortisol levels. The nurse should administer these medications as ordered and monitor the client's response closely.
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