A 5-year-old child who had been receiving dialysis treatments has undergone renal transplant and will now be taking prednisone. The parents are hopeful the child's development and overall health will normalize. The nurse should inform the parents that taking prednisone can result in some similar adverse effects as living with chronic kidney disease (CKD). Which effects should the nurse include? Select all that apply.
A. |
Fluid retention |
|
B. |
Increased risk for infection |
|
C. |
Delayed growth |
|
D. |
Weakened bone structure |
|
E. |
Hypokalemia |
|
F. |
Increased blood glucose |
When explaining the role of the proximal tubule in terms of medication administration, the nursing instructor will emphasize that which medications are bound to plasma proteins and require the proximal tubule secretion of exogenous organic compounds to help with filtration? Select all that apply.
A. |
Penicillin |
|
B. |
Aspirin |
|
C. |
Morphine sulfate |
|
D. |
Potassium chloride |
|
E. |
Sodium chloride |
You are caring for a client who is being treated for pneumonia. You suspects the client has developed pleuritis. Which assessment findings support the your suspicion of pleuritis? Select all that apply.
A. |
Shoulder pain |
|
B. |
Bilateral chest wall pain |
|
C. |
Pain when deep breathing and coughing |
|
D. |
Purulent sputum |
|
E. |
Unequal chest expansion on inspiration |
A client diagnosed with a cerebrovascular accident (CVA) 5 months prior is now experiencing episodes of urinary incontinence. The client asks, "Why is this happening?" Which statement best captures the facts that would underlie the answer to this question?
A. |
Flaccid bladder dysfunction as a result of neurologic disease like a stroke |
|
B. |
Unable to sense bladder filling as a result of the stroke |
|
C. |
Lesions to the basal ganglia or extrapyramidal tract associated with stroke inhibit detrusor contraction |
|
D. |
Pathological reductions in bladder volume brought on by stroke necessitate frequent micturition |
You are in the respiratory unit of a hospital is providing care for a client with end-stage lung disease. Consequently, measurement of the client's arterial blood gases indicates increased PCO2. Which associated consequence would the nurse anticipate?
A. |
A shift to the left of the oxygen-hemoglobin dissociation curve |
|
B. |
Lower than normal production of HCO3 |
|
C. |
Higher than normal production of H+ |
|
D. |
An absence of carbaminohemoglobin |
You are caring for a client in emergent fluid overload requiring rapid diuresis. Which diuretic should the nurse be prepared to administer?
A. |
Loop |
|
B. |
Potassium sparing |
|
C. |
Thiazide |
|
D. |
Osmotic |
You are planning the care for a client with acute kidney injury (AKI). What should the nurse prioritize in the client's plan of care? Select all that apply.
A. |
Assessing fluid balance |
|
B. |
Monitoring electrolyte levels |
|
C. |
Promoting infection control |
|
D. |
Optimizing pain control |
|
E. |
Protecting from falls |
Which individual is at the highest risk of developing a urinary tract infection (UTI)?
A. |
A 60-year-old man with a history of cardiovascular disease who is recovering in hospital from a coronary artery bypass graft |
|
B. |
A 66-year-old man undergoing dialysis for the treatment of chronic renal failure secondary to hypertension |
|
C. |
A 38-year-old man with high urine output due to antidiuretic hormone insufficiency |
|
D. |
A 30-year-old woman with poorly controlled diabetes mellitus |
A dialysis technician is reviewing a textbook on kidney function. The technician would recognize which statements as characteristic of healthy kidneys? Select all that apply.
A. |
The kidneys are contained within the peritoneal cavity. |
|
B. |
Blood vessels, nerves and, ureters all connect with the kidney at the hilus. |
|
C. |
The medulla of the kidney contains the glomeruli. |
|
D. |
Each kidney consists of lobes, with each lobe comprised of nephrons. |
|
E. |
Each nephron contains several hundred glomeruli that perform filtration. |
In: Nursing
What does WBC test in the urinay analysis test for, if my patient has atrial fibrillation and kidney diease does it relate to that?
In: Nursing
What is the bacteria test in the urinary anaylsis testing for, if my patient has atrial fibrillation and kidney diease does it relate to that?
In: Nursing
Rationale for assessing the skin, hair, and Nails.
Rationale for assessing the peripheral vascular & lymphatic
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How can a new or experienced teacher, plan ways to include physical activities in their program on a daily basis?
What kinds of physical activities do children seem to enjoy?
How can a teacher create opportunities for them to build on their interest and pleasure in such movements?
In: Nursing
History of present illness: This 72-year-old female presented to the ENT clinic complaining of her current epistaxis for 7 days prior to admission. The bleeding usually occurred from the right nostril. She had no prior history of epistaxis and denied any rhinorrhea. congestion, or anemia. On admission, she also complained of weakness. Four days prior to admission, her hematocrit level was 35, and the night before her admission, her hematocrit level was 29 when measured at an outside hospital. Her past medical history was significant for rheumatoid arthritis. Her past surgical history included status post bilateral knee replacement and right hip replacement. Medications at the time of admission included prednisone, 2 mg PO b.i.d.. and aspirin, six to eight per day for the past several months. Allergies: none.
Physical examination: On physical examination at the time of her
admission, she was afebrile. Her blood pressure was 114/70, and her
pulse was 92. Examination of the head and neck was significant for
nasal cavities, which were without lesions and without PhYSical
bleeding Sites. the remainder of the head and neck examination was
within normal limits. Her neck was normal with no jugular venous
distention. The lungs were clear. The heart rate was regular, and
heart rhythm was Without murmurs. the abdomen was soft without
masses, and the extremities had no bruises, cyanosis, or
edema.
Laboratory data and hospital course: The patient was admitted, and
a right anterior nasal pack was placed. Serial hematocrit levels
were also obtained. The night of her first day of admission, she
required replacement of an anterior pack because of refractory
bleeding. The day following her admission, she underwent
transfusion with 2 units of packed red blood cells for a hemoglobin
level of 8.
0n the second day of her admission, bleeding was noted around the
anterior pack. For this reason, she was taken to the treatment
room, where a posterior nasophafyngeal pack and a new anterior pack
were placed. She was then transferred to the special care unit and
monitored on the cardiac monitor and with pluse oximetry. The
posterior pack was left in place for 2 days. At this time, a repeat
episode of bleeding showed that her bleeding time had normalized
from its previous elevated level. She wasobserved overnight for 1
day without a pack in place. The patient did well during this
observation period without any further bleeding.
When it was confirmed that the patient had no further bleeding for
48 hours after pack removal and the hematocrit level was stable,
she was discharged to home. She was instructed to follow-up with
her private PhySician. She was also instructed to refrain from
taking aspirin and to use Disalcid 750 mg t.i.d., instead, for her
arthritic pain. She was also placed on iron supplements 300 mg
three times a day and told to continue using saline and Prenaris
nasal drops.
Final diagnosis: Epistaxis.
Additional diagnosis: Rheumatoid arthritis.
1 Principal diagnosis:
2. Other diagnoses:
3. Principal procedure:
4. Other procedures:
5. Conditions to clarify with physician:
Need Help ICD-10-CM codes with POA indicator aassignment when required, ICD-10-PCS codes.
In: Nursing
Our choices. Instructions: Answer the following questions in a minimum of 10- 8 sentences. Journal Question: Take time to reflect and avoid using vague statements. I want to challenge you to dig a bit deeper. #1. Reflect and describe one of the best or worst choices you made in life. #2. Reflect and answer: Why did you make that choice? What have you learned? If you would change anything what would it be? Reflect ONLY: Buried inside that choice is a value. What do you think that value was?
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Why are benzodiazepines so popular?Who is most at-risk for misusing this drug? When is it appropriate to take benzodiazepines?
In: Nursing
In: Nursing
1 )Review the different types of immunity i.e. Innate immunity
2)Review the key components of the inflammatory process and its purpose
3)Review the differences between serous, purulent, hemorrhagic, and fibrinous exudates found at the site of an inflammatory response?
4)Understand the difference between leukotrienes from histamine.
5)Define the following terminology:
6)Review who should get an influenza vaccine yearly
7)Define what is meant by a “superinfection”
8)Review parasites: What is a parasite, name examples of parasites, identify ways of diagnosing a parasite i.e lab work.
9)Review examples of bacterial infections i.e. sexually transmitted infections, skin and wound Infections, nosocomial infections (MRSA)
10)When discussing viruses, define what is meant by an antigenic drift.
These 10 will suffice if you can answer them for me please
In: Nursing
Discuss five economic benefits trade brought to the Kingdom of Zimbabwe and the Swahili coast.
Your answers for prompt 1 should continue to prompt 2, which requires you to provide answers to the following:
YOUR ANSWER SHOULD NOT BE LESS THAN 350 WORDS
In: Nursing
Design an Engagement Plan for your patients and their families that will result in improved clinical outcomes, greater engagement (i.e. shared decision making) and financial performance. The paper should include the following at a minimum:
assessment of the need or opportunity, i.e. what is
the need being addressed? Why is the need there?
readiness for change, i.e. why the need for change?
Why this, now?
identification of goals and resource needs, i.e.
roles, functions, systems, dollars needed
selection of performance tracking methods, i.e. how
will you judge the success or failure of the action plan
and
revenue improvement or cost containment i.e. how will
this improve your financial position and/or reduce your
costs
In: Nursing
21)Review the medication Ketorolac (Toradol). What is its classification, when is it used, side effects, maximum dosage, and patient education?
22)Describe the pharmaceutical effects of Aspirin. When is it used? When is it not used?
23)Describe the pharmaceutical effects of Acetaminophen. When is it used? When is it not used? Treatment for medication overdose
24)What is the pharmaceutical differences between Aspirin and Acetaminophen?
25)Review aspirin overdose protocol
26)Review aspirin use in pediatrics and its link to Reyes syndrome
27)Review aspirin use in pregnancy
28)Review the side effects of Opioid use.
29)Review the signs and symptoms in Opioid withdrawal
30)Review the signs and symptoms of Opioid toxicity / overdose. What medication is given to counteract he opioid toxicity?
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31)Describe what type of pain Opioids are most often used for.
32)Methadone is often given to patients with an opioid addiction. What type of EKG changes can methadone cause?
33)Review what the best type of pain medication is used in neuropathic pain.
34)Review the best pain medication to use with persistent, severe pain in patients already opioid tolerant
35)Review why using a continued-release preparation such as Oxycontin may give more continuous relief then giving the medication prn. Do patients become tolerant of the medication and over time need an increase in dosage?
36)Review what happens when a patient develops tolerance to their opioid medication.
37)Review important educational points to teach a patient about the use of a buprenorphine [Butrans], transdermal patch for pain.
38)Review the key teaching points regarding the patient use of the patient-controlled analgesia pump (PCA)
39)Review COX-1 and COX 2 inhibitors
The review questions you can just give me some information about them, since they are not really questions
In: Nursing
Edward Jenner developed the Smallpox vaccine sometime around 1796 with minimal technology; with the technology that we have now, why we are not developing more vaccines such as HIV? write in APA form 6th edition answer should contain a minimum of 200 words
In: Nursing