a patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. the nurse recognizes that the patient is exhibiting symptoms of which type of stress?
The patient is showing Signs and symptoms of behavioral stress including smoking, overeating, and substance abuse.
Excessive smoking, substance abuse, and sleep issues are considered to be behavioral indicators of stress.
The following behavior-related stress symptoms should be mentioned: increased drinking, smoking, employment turnover, modifications to productivity, and alterations to eating habits.
When someone who doesn't regularly drink alcohol or smokes before taking alcohol begins to do so, it is referred to as behavioral symptoms of stress. This situation's stress results in a change in conduct.
The complete question is:
A patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. the nurse recognizes that the patient is exhibiting symptoms of which type of stress?
a) Psychological
b) Emotional
c) Physiological
d) Behavioral
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a nurse is teaching a client about the use of a pca infusion pump. the nurse determines the teaching is successful when the client correctly indicates which factor about the system?
The control button of pca infusion pump activates administration of the drug. By pushing a portable button, a computerized pump linked to the IV allows you to release pain medication.
After surgery, PCA infusion pump can be used in hospitals to reduce pain. Or it can be used to treat agonizing conditions like pancreatitis and sickle cell disease. Additionally, it is effective for those who are unable to swallow pills. Anytime the patient feels discomfort, they can utilize the pump. Patients who feel too tired should refrain from pressing the machine's button. The likelihood that a patient would participate in a therapy program to speed up and maybe shorten healing depends on how vigilant they are.
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a nurse is teaching her client about cyclosporine therapy following a recent liver transplant. what statement by the client indicates further teaching is needed?
A nurse is teaching her client about cyclosporine therapy following a recent liver transplant. This statement nurse use, I can take this drug with any fluid as long as it is at the same time every day.
Cyclosporine is used together with other medicines to prevent the body from rejecting a transplanted organ, eg, kidney, liver, or heart. It belongs to a group of medicines known as immunosuppressive agents.
Some cancers become resistant to chemotherapy drugs. Combining cyclosporine with chemotherapy may prevent resistance to the drugs and allow the cancer cells to be killed.
Cyclosporine is an immunosuppressive agent used to treat organ rejection post-transplant. It also has use in certain other autoimmune diseases, treatment of organ rejection in kidney, liver, and heart allogeneic transplants, rheumatoid arthritis when the condition has not adequately responded to methotrexate.
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a patient has a colles fracture reduced, a large plaster cast is placed on the upper limb. the orthopedic surgeon orders a post reduction study. the original technique, used before the cast placement, involved 60 kvp and 5 mas. how should the exposure factors be altered with a large plaster cast?
Increase to 68-70 kV exposure factors be altered with a large plaster cast
Your musculoskeletal system is made up of your muscles, joints, ligaments, tendons, and bones. These bodily components are so crucial to daily activity that it is typical to have discomfort in them.
The medical specialty that focuses on addressing these conditions is orthopedics. A physician who specializes in this area is known as an orthopedist, orthopedic surgeon, or orthopedic physician. They are qualified to detect and treat problems utilizing different methods in addition to doing surgery.
A trained orthopedic surgeon can identify orthopedic issues, provide or recommend treatments, and help with rehabilitation. They can also assist you in creating long-term plans for treating conditions affecting your bones, joints, ligaments, tendons, and muscles.
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a nurse arriving for duty notes that an unlicensed assistive personnel (uap) has been assigned to a complex client with treatments involving sterile technique. what is the responsibility of the nurse regarding the assignment of the uap?
The responsibility of the nurse regarding the assignment of the unlicensed assistive personnel, or UAP, that has been assigned to a complex patient's needs is to reassign the unlicensed assistive personnel to a patient who needs basic tasks that the UAP already mastered.
The nurse is responsible for delegating assignments to UAPs. The nurse gives tasks to UAPs based on their degree of competence and education, job role, agency policy, regulation, and personal need. UAPs shouldn't be assigned to patients who are complex or require expertise at a higher level.
If the nurse is convinced that the UAP has the necessary expertise for the fundamental activities based on the options presented, the responsibilities can be delegated. The other alternatives are inappropriate because they do not verify that the UAP has the necessary skills and knowledge to provide care or do the assignment.
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a nurse manager is faced with a conflict situation. one of the nurse manager's team members is confused about their hospital responsibilities. this team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. what questions should the nurse manager ask to analyze the situation? (select all that apply.)
Are the people involved and what individual factors are involved and what environmental factors are involved.
What do does a nurse do?From the time of infancy to old age of life, nurses are present in every community, big and small. Nurses do a variety of duties, from providing direct patient care and managing cases to setting nursing practice standards, creating quality control processes, and managing intricate nursing care systems.
When do nurses stop working?When nurses reach the normal full retirement age of roughly 67 years old, or even earlier at 62 years old, the possibility of an early but timely retirement with a suitable financial portfolio and advantages from social security appeals to them (without full social security benefits).
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which education would the nurse provide about the occurrence of febrile seizures they may occur in minor illnesses the cause is
They may occur in minor illnesses.
When a child has a fever, he or she may experience febrile seizures (febrile convulsions). They are most common between the ages of 6 months and 3 years. It can be terrifying and upsetting to witness your child having a seizure, especially if it is their first seizure.
There is nothing that can be done to prevent a febrile seizure. Keep calm and try not to panic during a seizure. Do not bathe, restrain, or place anything in your child's mouth. Febrile seizures are not dangerous to your child's health and will not result in brain damage.
The priority is a patent airway; the equipment required to ensure a patent airway must be available immediately. Although padding the crib rails is beneficial, it is not a top priority. It is not necessary to arrange for a quiet, cool room; however, it may be done if the child has a high fever or a history of febrile seizures. Although obtaining a recliner to allow a parent to stay is appropriate, it is not the priority.
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which prescribed therapy will the nurse clarify with the healthcare provider for a patient who is scheduled for a radioactive iodine isotope study?
The prescribed therapy that the nurse will clarify with the healthcare provider for a patient who is scheduled for a radioactive iodine isotope study is for hyperthyroidism and thyroid cancer.
It is used in medicine to produce radioactive iodine (I-131), an isotope of iodine that emits radiation. I-131 enters the bloodstream in the gastrointestinal (GI) tract after being ingested in a tiny quantity. It is drawn out of the circulation by the thyroid gland, where it starts to obliterate the gland's cells.
At the moment, only a few forms of thyroid cancer and hyperthyroidism are treated with radioactive iodine therapy. It is also used to check for the spread of some thyroid malignancies to other body areas and to help identify the underlying reasons for hyperthyroidism.
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which would be most important for the nurse to do when administering a phenothiazine antiemetic to a patient?
Institute safety precautions would be most important for the nurse to do when administering a phenothiazine antiemetic to a patient.
Phenothiazines, which are commonly used as antipsychotic medications, also have antiemetic properties, and a number of minor phenothiazines are used to treat transient nausea and vomiting caused by viral infections, surgery, or gastrointestinal illnesses. Phenothiazine antiemetics are medications that can be used to treat nausea and vomiting. They work by blocking dopamine, muscarinic, and histamine (H1) receptors in the vomiting center and chemoreceptor trigger zone, respectively.
An antiemetic is a medication that relieves nausea and vomiting. Antiemetics are typically used to treat motion sickness as well as the side effects of opioid analgesics, general anaesthesia, and cancer chemotherapy.
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a new client arrived on the unit while the nurse was obtaining the end-of-shift report from the night nurse. this client is admitted walking and is here for a cardiac workup; the client is assigned to the nurse. the nursing assistant has settled the client in the room and oriented the client to the surroundings, call system, bathroom, bedside supplies, and where to place clothes. the priority nursing action is to:
Information gathering and finishing the admission database are the top nursing priorities of the nurse.
Before putting any of the life-saving actions for which nursing school trains us into action, the nurse's first duty is to assess, diagnose, and then plan how to manage their patients, according to the nursing process. The first three stages are essential to everyday nursing success, especially given that the average medical-surgical nurse is expected to manage six or more patients on a daily basis. Even a new nurse can determine which issues require nursing priority care by methodically and rationally examining the patient and their diagnosis while taking into account numerous perspectives. Getting all the necessary data is the initial stage in the prioritizing process.
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a patient appears restless, and is grimacing and moaning after surgery. the patient denies the need for pain medication at this time. what is the best response by the nurse?
Inform the patient of the value of efficient pain control.
What information about a patient's suffering should the nurse record?It is crucial to record the following: understanding of the pain scale by the patient. Describe the patient's capacity to evaluate pain on a scale of 0 to 10. The contentment of the patient with the amount of pain under the current treatment method.
What role do nurses have in relieving patients' pain?No matter the patient's distinctive traits, beliefs, or values, all nurses have an ethical duty to treat every patient in pain with respect and individuality.
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a patient who has experienced previous jaw and face trauma now reports difficulty tasting with the tip of her tongue. which cranial nerve was likely damaged in that injury?
A patient who has experienced previous jaw and face trauma now reports difficulty tasting with the tip of her tongue. the cranial nerve was likely damaged in that injury: Facial (VII)
The word 'persistence' as a noun, refers to wait calmly or bearing worry for a long time without becoming irritated or eager. The phrase 'patients' even though is the plural shape of the phrase 'patient' refers to someone who gets hospital treatment.
The phrases "endurance" and "patients" are homophones: They sound equal but have very specific meanings. The noun "endurance" refers to the potential to attend to or endure complications for a long time without becoming disenchanted. The noun "patients" is the plural form of "affected person"—someone who gets hospital treatment.
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a client needs to be administered topical anesthesia. the nurse would administer the anesthetic at which location?
The nurse would administer the anesthetic on the surface of the skin.
Anesthesia is a controlled, temporary loss of sensation or awareness used for medical or veterinary purposes. It may include some or all of the following symptoms: analgesia, paralysis, amnesia, and unconsciousness. An individual who is under the influence of anesthetic drugs is said to be anesthetized.
Anesthetic medications can remain in your system for up to 24 hours. If you've had sedation, regional or general anesthesia, you shouldn't drive or return to work until the drugs have cleared your system. You should be able to resume normal activities after local anesthesia, as long as your healthcare provider says so.
Using either injected or inhaled drugs, general anesthesia suppresses central nervous system activity, resulting in unconsciousness and total loss of sensation.
Sedation suppresses the central nervous system to a lesser extent, inhibiting anxiety and the formation of long-term memories without causing unconsciousness.
Regional and local anesthesia, which prevents nerve impulses from leaving a specific part of the body. Depending on the circumstances, this may be used alone (in which case the patient remains fully conscious) or in conjunction with general anesthesia or sedation. Drugs can be directed at peripheral nerves in order to anesthetize a specific part of the body, such as numbing a tooth for dental work or using a nerve block to block sensation in an entire limb.
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the nurse is a member of a panel discussing the optimal type of weight loss. when the panel members ask the audience to identify the most important factor affecting weight loss, which response indicates the discussion was effective?
The nurse is a participant on a panel debating the best method of weight loss, name the most crucial aspect influencing weight reduction, the panel members reply, "Weight loss is depending on the quantity of calories ingested."
The most efficient way to lose fat and develop lean muscle is through moderate activity weight loss and a nutritious diet calories . You should eat more modest, balanced meals with lots of fruit and vegetables and exercise every day in accordance with ACSM recommendations. Describe common misunderstandings regarding programs for quick weight loss and spot reduction. Regular exercise is the best indicator of maintaining weight reduction following a commercial weight-loss program.
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which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (select all that apply.)
Acute stress disorder is a severe, unpleasant, and dysfunctional reaction that occurs shortly after a traumatic event and lasts less than a month. Many people have experienced acute stress, a dramatic physiological and psychological reaction to a specific event, at some point in their lives. Chronic stress, on the other hand, is a long-term feeling of being pressured and overwhelmed.
The autonomic nervous system is activated during an acute stress response, and the body experiences increased levels of cortisol, adrenaline, and other hormones, resulting in an increased heart rate, faster breathing rate, and higher blood pressure.
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pam was admitted to the hospital today due to severe pre-eclampsia in her 29th week of pregnancy. dr. smith, her ob/gyn, visits her in the hospital on the day of admission. the diagnostic codes reported for this visit are
Pam, who is 29 weeks pregnant, was brought to the hospital today owing to severe pre-eclampsia. The day of admittance, her OB/GYN, Dr. Smith, pays her a visit in the hospital. O14.13 and Z3A.29 are the diagnostic code(s) recorded for this visit.
Severe pre-eclampsia is medically categorized as ICD-10 code O14. 1 and is included in the spectrum of Pregnancy, delivery, and the puerperium as defined by the WHO. When reading Chapter 15, you will often notice the following changes: Pregnancy trimester now serves as the supplementary axis of categorization for this chapter, in hospital place of the care episode (antepartum, postpartum, or delivery). Newborns are impacted by maternal characteristics as well as pregnancy, labor, & delivery difficulties. The P00–P04 ICD-10-CM code range. The World Health Organization's medical categorization list for the ICD-10 code range for Newborn Damaged by Maternal Factors and by Complications during Pregnancy, Labor, and Delivery P00-P04 (WHO).
(The nurse is caring for a client who is prescribed biologic response modifiers to boost the immune response for renal cell carcinoma. Which medication does the nurse expect to find on the medication administration record (MAR)?
1. Aldesleukin (Proleukin)
2. Anakinra (Kineret)
3. Azathioprine (Azasan)
4. Basiliximab (Simulect))
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a soft toric lens is orienting nasally in the patient's left eye. to calculate lens rotation correctly, what should the fitter do?
In order to calculate lens rotation correctly, the fitter should add the number of degrees of rotation to the patient's refractive axis.
Toric contact lenses correct astigmatism caused by a different curvature of your cornea or lens in your eye (referred to as regular astigmatism, corneal astigmatism or lenticular astigmatism).
The design of toric lenses differs significantly from regular lenses. In contrast to regular lenses, which have a single power throughout the lens, toric lenses have two different powers: one for astigmatism and one for trouble with distance vision.
Fitting a patient for toric contacts requires more expertise than fitting a patient for regular lenses. As a result, a toric lens fitting may be more expensive than a standard contact lens fitting. Because torics are more complex in design, they will cost more to replace than most regular contacts.
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abnormal crackle-like lung sounds heard through a stethoscope during inspiration.
Abnormal crackle-like lung sounds heard through a stethoscope during inspiration is called Rales or Crepitation
Crepitation is another term for rales or crackles. They come and go, and they are frequently sounds that are most noticeable when you inhale. The sounds, that have been explained as clunky, rattling, crackling, clinking, or popping, happen whenever the smaller airways open unexpectedly during inspiration.
Crepitations in the lungs is a sound and sensory perception affiliated with subcutaneous emphysema, a disorder in which air becomes trapped beneath the skin. When air is pushed through the soft tissue in the chest, it can cause a palpable or audible popping, crackling, grating, or crunching sensation. Crackles or crepitations are brief, explosive sounds heard on auscultation of the chest. They can be fine or coarse in texture, and they can be resolved by coughing
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if an indwelling catheter is necessary, which nursing intervention should be implemented to prevent infection? use a clean technique during insertion perform meticulous perineal care daily with soap and water use a sterile technique to disconnect the catheter from the tubing to obtain urine specimens place the catheter bag on the client's abdomen when moving the client
If an indwelling catheter is necessary, the nursing intervention which should be implemented to prevent infection is Perform meticulous perineal care daily with soap and water, which suggests that option B is the right answer.
A catheter is a tube like structure which is inserted into the urinary bladder to assist in free drain of urine out of the body. Cleanliness will definitely reduce the risk of infection. Strict aseptic techniques must be adopted while inserting a urinary bladder catheter. Special care must be taken while changing the catheter and it must never be placed on the patient's abdomen unless it is clamped because it may cause urine to flow back from the tubing into the bladder.
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in which settings would the nurse prepare to administer developmental assessment for pediatric clients? select all that apply
Pediatric developmental assessments are performed in many settings, including the home, school, hospital, and daycare center environments. It is unlikely that a pediatric developmental assessment would be performed in an assisted living center.
A developmental assessment for children under the age of three aims to evaluate various aspects of the child's functioning, such as cognition, communication, behavior, social interaction, motor and sensory abilities, and adaptive skills.
For example, one could administer a test at the start of a class and then ask the same students to take the same test at the end. An instructor could determine students' developmental levels by comparing their performance on pre- and post-tests.
The process of mapping a child's performance in comparison to children of similar age is known as developmental assessment. The comparison group is drawn from a representative sample of the child's population. Several factors contribute to performance differences between population groups.
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the nurse is teaching an adolescent about the different methods of contraception. which statement made by the adolescent indicates a need for further teaching?
These statement made by the adolescent indicates a need to further his teaching:
"I will increase my food intake."
"I will perform weight training exercises."
Contraception comes in various forms, but not all are suitable for all circumstances. The best form of birth control relies on the person's age, overall health, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of specific diseases. It also depends on how many sexual partners they have.
A small, T-shaped device called an intrauterine device (IUD), often called an intrauterine system (IUS), is put into the uterus to prevent conception. The professional medical inserts the gadget.
An IUD can be left in place and continue to work well for a long time. A medical professional removes or replaces the contraceptive method after the advised period of time or when the lady no longer requires or wants contraception.
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a nurse encouraged a patient to write down how she would like her dying to proceed. this interaction between nurse and patient most likely took place in:
A nurse encouraged a patient to write down how she would like her dying to proceed. This interaction between nurse and patient most likely took place in 2011.
Express regard and love for the dying person. Allow the dying person to express guilt or anger. Make small talk to keep their mind off their situation. Encourage the dying person to reminisce.
Some efficient nursing interventions consist of providing basic care and medications to prevent terminal suffering, offering an attentive and reassuring presence, respecting the contemplative phases, listening for latent messages in conversations, understanding symbolic language, respecting family dynamics.
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arrive on scene of motor vehicle crash. walking toward you. complains of back pain. keeps asking what happened. what is initial action in caring for patient?
Initiate spine motion restriction precautions is the initial action to be taken in caring for patient with a spinal injury.
Do not move the person if you suspect a back or neck (spinal) injury. There may be major side effects, including permanent paralysis. If a person shows signs of a head injury and a persistent shift in their state of awareness, you should assume they have a spinal injury.
- The person expresses excruciating neck or back discomfort
- The person complains of weakness, numbness, or paralysis or lack of control over his or her limbs, bladder, or bowels - An injury has imposed significant stress on the back or head
- The body or neck is twisted or strangely positioned.
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when assessing a client's vital signs, a nursing student has explained to the client each of their next actions prior to assessing the client's temperature, pulse, and blood pressure. however, the nursing student did not announce their intention to assess the client's respiratory rate prior to measuring it. what is the rationale for the nursing student's decision to withhold this information?
The rationale for the nursing student's decision to withhold this information is that the process of respiration have both autonomic and voluntary control.
If the students conveys to the client about the respiratory rate measurement beforehand then the rate might get altered as person's psychological approach will cause the brain to think about breathing and so the breathing would become voluntarily controlled and the vital information will get changed. The Vital Signs of the body measured through Body Temperature, Pulse Rate, Respiration Rate and Blood Pressure. The main task of the nursing students is to analyze the vital signs of the clients with the normal signs observed in patients of their age and provide the data so obtained to the doctors so that appropriate medications could be provided.
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when documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder, the nurse can correctly use which terms?
When documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder, the nurse can correctly use Impulsive, self-destructive, unstable.
You may have an extreme fear of abandonment or instability if you have borderline personality disorder, and you may find it difficult to tolerate being alone. Even if you wish to have meaningful and lasting relationships, improper anger, impulsiveness, and frequent mood swings may drive others away.
Patients with BPD have high levels of emotional reactivity, impulsivity, repeating self-destructive behaviors, inappropriate amounts of rage, intense and unstable connections with others, and a sense of emptiness and bewilderment about their own identities.
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a resident of a long-term care facility with alzheimer disease is accusing several members of the care staff of stealing jewelry and other personal items. how will the nurse respond in this situation?
A person with Alzheimer's disease is accusing several members of the care staff of stealing jewelry and other personal items. Delusions are the actual reason which fixed false beliefs that have little or no basis in reality and cannot be corrected by appealing to reason.
Alzheimer's disease is an uncommon occurrence as people age. The majority of Alzheimer's patients are 65 years of age and older, which is the largest risk factor now recognized. Alzheimer's is known as younger-onset Alzheimer's when it affects someone under the age of 65. Younger-onset dementia is another name for early-onset Alzheimer's disease. Alzheimer's disease may occur in the early, middle, or late stages in younger patients. Alzheimer's disease worsens over time. Alzheimer's is a progressive disease, therefore the signs of dementia progressively worsen over a long period of time. When Alzheimer's disease is in its later stages, people lose their ability to speak and respond to their environment. Alzheimer's disease initially causes very little memory loss.
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the symptoms of neurodevelopmental disorders typically begin during which period of the lifespan?
Children with neurodevelopmental issues can revel in problems with language and speech, motor skills, behavior, memory, learning, or different neurological functions.
While the signs and behaviors of neurodevelopmental disabilities frequently extrude or evolve as a baby grows older, a few disabilities are permanent. The issues normally take place early in development, frequently earlier than the kid enters grade school, and are characterized with the aid of using developmental deficits that produce impairments of personal, social, academic, or occupational functioning. Generalized anxiety disorder has symptoms that are similar to panic disorder, obsessive-compulsive disorder and other types of anxiety, but they're all different conditions.
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he nurse is caring for a client who underwent a kidney transplant. what medication does the nurse expect to administer?
The nurse should expect to administer Cyclosporine (Sandimmune).
Kidney disease, also known as renal disease or nephropathy, is the damage or disease of the kidney. Nephritis is an inflammatory kidney disease that is classified into several types based on the location of the inflammation. Blood tests can be used to diagnose inflammation. Nephrosis is a type of kidney disease that is not inflammatory.
Nephritis and nephrosis can result in nephritic and nephrotic syndromes, respectively. Kidney disease usually results in some loss of kidney function and can lead to kidney failure, which is the complete loss of kidney function. Kidney failure is the final stage of kidney disease, and the only treatment options are dialysis or a kidney transplant.
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which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site? a. tinea capitis b. pediculosis c. rubeola d. scabies
Option (b) is correct i.e. pediculosis, contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site.
Most infections of head lice i.e. pediculosis are symptomless. When symptoms are present, there may be irritation, a tickling sensation as though something is moving in the hair, and itching due to an allergic reaction to louse saliva. One potential source of problems is secondary bacterial infection. The pathogens that cause Bartonella quintana, Rickettsia prowazekii, and Borrelia recurrentis body lice are a vector for (louse-borne relapsing fever). The most common way that head lice are transmitted is through contact with an infected person (i.e., head-to-head contact). During play (sports, playgrounds, summer camp, and sleepovers), at home, school, and in the community, there is frequently contact. Less frequently, it is possible for flies to transmit head lice (more common with body lice). Transmission can also occur if you use infected combs, brushes, towels, or if you lie on a bed, couch, pillow, carpet, or stuffed animal that has recently come into contact with an infected person.
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the charge nurse in a psychiatric facility is assigning morning tasks to an unlicensed assistive personnel (uap). what task should the nurse instruct the uap to complete first?
The charge nurse in a psychiatric facility assigns morning tasks to unlicensed assistive personnel (UAP). The nurse instructs the UAP to complete first to Obtain a morning weight on the anorexic client.
Every morning at the same time, on the same scale, and while wearing the same clothes, a precise daily weight is taken. For the anorexic client, accuracy of this operation is especially important, and it should be done before breakfast. The nurse will also caution the UAP to be especially watchful for any attempts by the client to change the scale reading, maybe by concealing anything in a bathrobe pocket.
Hence, nurse should carry out task in sequential order.
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