An elderly client with diabetes comes to the clinic in winter reporting numbness of the feet. After removing the client's shoes and socks, the nurse notes that the feet are ice cold to the touch and appear waxy and pale. What is the appropriate nursing action

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Answer 1

Appropriate nursing action for diabetic feet is to Wash the client's lower legs in a warm water bath.

Throughout the body, damaged nerves can result from high blood sugar (glucose). The nerves in the legs and feet are most frequently damaged by diabetic neuropathy. Diabetic neuropathy symptoms can range from numbness to discomfort in the hands, feet, and legs, depending on which nerves are impacted.Diabetes and peripheral neuropathy are conditions that cause nerve damage. It causes numbness, loss of feeling, and occasionally discomfort in your hands, legs, or feet. It is the most frequent side effect of diabetes.Every day, wash your feet in warm water—not hot water. Don't let your feet soak. Apply moisturizer to the top and bottom of your dry feet, but avoid the space between your toes as this could cause an infection. Avoid walking barefoot.

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Related Questions

Even though we all know that junk food is not healthy, it can be difficult to resist it, especially when we are busy. Do you think a person should never eat junk food? How might a person’s health be affected by the amount of junk food they eat? What is the relationship between nutrition and wellness?

Answers

It is not unhealthy for us to take junk food as we usually, frequently and most of the times need them especially when we are very busy at work or busy to prepare normal dietary food

However the quality of the food we eat determines how well and healthy we would be.

What are nutrition?

Nutrition is simply means obtaining food substances

There are different types of nutrition

Heterotrophic nutritionAutotrophic nutrition

Examples of junk foods include the following

BiscuitsSnacksChocolatesSweets

So therefore, it is not unhealthy for us to take junk food as we usually, frequently and most of the times need them especially when we are very busy at work or busy to prepare normal dietary food but at the same time we should always find time to take mucj more healthy and nutritional food

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a client with burns develops a wound infrection. The nurse plans to teach the client that local wound infections

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Topical antibiotics are used.

What are topical antibiotics used for?

It is utilized to assist prevent or treat minor skin infections as well as treats minor wounds (such as cuts, scrapes, and burns). Minor skin infections and wounds typically heal without medical intervention, although in certain cases, applying an antibiotic directly to the wound site may hasten healing. These antibiotics function by reducing or preventing bacterial growth.

Working of topical antibiotics:

The human body's largest organ, the skin, performs a number of vital tasks. Your skin acts as a barrier to stop harmful microorganisms from penetrating the interior of your body. Due to bacteria's ability to enter an open wound when the skin has been injured, as is the case with a cut or burn, the risk of infection is enhanced. The skin damage's immediate vicinity may then develop a local infection. In addition to difficulties, an untreated skin infection increases the risk of sepsis, an infection that enters the bloodstream.

Locally applied topical antibiotics are used to treat the diseased area so that germs won't develop or spread there.

I understand the question you are looking for is this:

A client with burns develops a wound infection. The nurse plans to teach the client that local wound infections primarily are treated with what type of antibiotics?

1. Oral

2. Topical

3. Intravenous

4. Intramuscular

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A client has gained 55 lb in the last 3 years and is concerned about developing type 2 diabetes mellitus. Additionally, the client's healthcare provider has diagnosed metabolic syndrome. What are the conditions contributing to the development of metabolic syndrome

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Explanation:

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The nurse is caring for a client diagnosed with acute pericarditis. Which assessment finding would cause the nurse to immediately contact the health care provider

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Jugular venous distention (JVD) to jaw level would cause the nurse to immediately contact the health care provider for a client diagnosed with acute pericarditis.

The fluid-filled bag surrounding your heart becomes inflamed when you have acute pericarditis, a painful illness. Infections, cancer, or cardiac surgery can all cause this. It normally doesn't pose a threat on its own, but it exhibits heart attack-like symptoms.The JVD suggests that the patient may have experienced cardiac tamponade and may require quick care to keep their cardiac output at a healthy level. The problems of pericarditis would not be associated with hypertension, and the patient's blood pressure is not high enough to warrant contacting a medical professional right away. 8 mm Hg of pulsus paradoxus is considered typical. Level 6–10 chest pain that requires medical attention yet is common in cases of pericarditis.

DISCLAIMER

Which assessment finding obtained by the nurse when assessing a patient with acute pericarditis should be reported immediately to the health care provider?

a. Pulsus paradoxus 8 mm Hg

b. Blood pressure (BP) of 168/94

c. Jugular venous distention (JVD) to jaw level

d. Level 6 (0 to 10 scale) chest pain with a deep breath

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The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased

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Blood pressure vital sign is most likely increased.

What is blood pressure?Blood pressure is a measurement of the force of the blood against the artery walls. With each beating, the heart pumps blood into the arteries.If heart is beating and pumping blood, your blood pressure will be at its highest.A diet heavy in salt, fat, and/or cholesterol are common causes of high blood pressure. Chronic diseases include conditions including kidney and hormone problems, diabetes, and high cholesterol.Especially if your parents or other near relatives have high blood pressure, family history.The force that propels blood through the circulatory system is blood pressure. Without blood pressure, the circulatory system would not be able to transport nutrients and oxygen to nourish tissues and organs.

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A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self-administer insulin

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Observe the client drawing up and administering the insulin. s the best way to assess the client's ability to prepare and self-administer insulin.

Patients with type 1 diabetes typically start out with two daily injections of two distinct types of insulin and work their way up to three or four daily injections of various types of insulin. Their blood glucose levels determine the kind of insulin utilized. Studies have indicated that three or four insulin injections per day provide the best blood glucose control and can halt or delay the diabetic damage to the eyes, kidneys, and nerves.Pinch the skin and insert the needle 45 degrees apart.You might be able to inject 90 degrees up and down if your skin tissues are thicker.Incorporate the needle completely into the skin. keep the syringe in position for five seconds before removing.

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Which of the following is a risk factor for developing diabetes? Ethnicity Gender Dehydration Height

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According to the research, ethnicity is a risk factor for developing diabetes.

What is diabetes?

It is a serious metabolic disorder that is caused by a disorder in insulin, either a deficiency in the amount that generates an excess of glucose in the blood of the affected subject.

Its development can be significantly influenced by both maternal and paternal race/ethnicity and have different rates of complications.

Therefore, we can conclude that according to the research, ethnicity is a risk factor for developing diabetes.

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The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care

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The nurse's intervention should include in the care plan the possible leakage of stomach (or tube) contents around the tube orifice, displacement or dysfunction of the tube. Other complications inherent to the procedure are infection of the skin around the tube, aspiration, bleeding and perforation of other viscera.

What is Percutaneous Endoscopic and Gastrostomy?

Percutaneous Endoscopic Gastrostomy (PEG) is a procedure in which a flexible feeding tube is passed into the stomach through the abdominal wall. A gastrostomy allows nutrition, fluids and medication to be placed directly into the stomach, without passing through the mouth and esophagus.

With this information, we can conclude that Endoscopic Gastrostomy is a procedure that combines endoscopy techniques to introduce a tube that passes through the wall of the abdomen and goes straight to the digestive tract.

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Which of the following perspectives is concerned primarily with the meaning that people place on their own and one another's behavior?

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Symbolic interactionism is concerned primarily with the meaning that people place on their own and one another's behavior

Symbolic interaction theory is a sociological theory that develops from practical considerations and alludes to specific effects of human communication and interaction, making images and ordinary connotations, inferences, and correspondences with others.

Symbolic interaction theory is an approach used to analyze human interaction by focusing on the meanings that individuals behaviour assign to things in the world around them, such as words and objects.

It may look like a big name, but symbolic interaction is how your experience adds subjective meaning to symbols and letters. For example, the word "dog" is just a string. Through interaction with the word "dog", this is considered a furry four-legged dog.

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Doctors have injected a patient with a freely filtered substance that can be neither reabsorbed nor secreted. What is an example of such a substance

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Inulin is an illustration of material of this type that cannot be reabsorbed or secreted.

How does inulin avoid being both reabsorbed and secreted?

Due to its special characteristics, inulin is the only chemical whose clearance is precisely equal to the glomerular filtration rate (GFR).Although inulin is readily passed across the glomerular capillaries, neither is absorbed into the body nor released after filtering. As a result, the volume of inulin filtered and excreted will be the same. Because of these factors, inulin is referred to as a glomerular marker.The clearance ratio, which is the comparison between the clearance of any drug (x) and the clearance of inulin, is used to express this comparison. Thus,

                           Clearance ratio = [tex]C_{X} / C_{inulin}[/tex]

Therefore it can be concluded that inulin cannot be released or reabsorbed after being injected into a patient.

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Michael was recently diagnosed with a tumor of the pituitary gland and underwent surgery to remove the entire mass. After surgery the nurse noted that michael was producing an extremely large volume of urine. What might be causing michael to do this?.

Answers

Micheal might be suffering from diabetes insipidus.

Diabetes insipidus

Diabetes insipidus is a condition in which the affected person has the urge to pee a lot and feels thirsty all the time. Even though it is not directly related to diabetes, it is named as such because the affected person has symptoms similar to diabetes. The two main symptoms are polydipsia and polyuria.

Cause of Diabetes insipidus

Diabetes insipidus is caused by the lack of production of antidiuretic hormone (ADH). ADH is produced by the hypothalamus which then gets stored in the pituitary gland. When the person was subjected to surgery to remove the entire mass of cancer cells in the pituitary gland, the ability of the gland to store ADH could have been lost.

The ADH allows the retention of water by concentrating the urine. In a person with diabetes insipidus, the production of AHD is affected, and in very rare cases the response by the kidneys to ADH is reduced which also reduces the water reabsorption and increases urine volume.

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The medical term ____________________ describes a chronic condition that produces redness, tiny pimples, and broken blood vessels.

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The medical term Rosacea describes a chronic condition that produces redness, tiny pimples, and broken blood vessels.

Skin disorders:

When any pathogen like bacteria, viruses, fungi, etc. invades the body it causes infection or disease. The infection can be of any part of the body. The infections that occur on the dermal surface of the body like on the skin are known as skin disorders or skin diseases. These may be painful, painless, temporary, or lethal. Some of the skin disorders are Acne, blisters, etc.,

Rosacea is a chronic skin disorder, caused by the intestinal bacteria Helicobacter pyroli. Rosacea are of four types-

Vascular Rosacea,Inflammatory Rosacea,Phymatous Rosacea,Ocular Rosacea.

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Which employee of a health-care organization would likely be considered a middle-level manager?
A. The hospital's nursing supervisor.
B. An experienced primary care nurse who mentors other nurses.
C. The team leader of the hospital's wound care specialists.
D. The charge nurse who oversees day shifts on a medical unit.

Answers

A) The hospital's nursing supervisor of a health-care organization would likely be considered a middle-level manager.

With their oversight of patient-care operations, assignment and supervision of staff nurses, and identification and implementation of quality improvements, nursing supervisors serve as a vital connection between hospital management and clinical care.Clinical experience, leadership, communication and cooperation skills, as well as emotional intelligence, are qualities that an effective nurse manager must have to satisfy the demands of the position. These traits build stronger teams, which leads to better nursing care on the floor.All nurse managers supervise, however not all supervisors are in charge of running individual units. The people who used to be known as "head nurses" who were in charge of managing a floor over three shifts are now frequently referred to as "nurse managers."

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A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider

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The nurse should report hypertension to the provider about the client who has grave's disease.

what is Grave's disease ?

An autoimmune condition called Graves' disease can lead in hyperthyroidism, or an overactive thyroid. The thyroid is a tiny gland at front of your throat that resemble a butterfly.

what causes grave's disease ?

An autoimmune disorder called Graves' disease arises when your immune system erroneously attacking your thyroid, which makes it hyperactive. Even though there is no known cause for Graves' disease, it mostly affects young to middle-aged women and commonly runs in families. Additionally, smoking can make a person more likely to acquire it.

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Which instructions would the nurse provide when teaching nutritional therapy to a patient recovering from renal stones composed of calcium oxalate

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Reduced dietary protein and sodium intake liberal fluid intake medications to acidify urine, such as ammonium chloride and thiazide diuretics if parathormone production is increased.

limited oxalate intake (spinach, strawberries, rhubarb, chocolate, tea, peanuts, and wheat bran)

What is Renal stones ?

Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute.

At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form.

Adding calcium-rich foods to meals helps reduce oxalate levels.

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How do you respond to a health care workers statement that sharp injuries are only caused by needle stick injuries

Answers

I will explain to the health care worker that it could also be caused by other sharp medical equipment.

What are sharp injuries?

The term sharp injuries refers to any kind of injury that is caused by  a needle, a blade or any other kind of medical instrument which has the ability to enter into the skin. This is common in the hospitals.

If a health worker says that sharp injuries are only caused by needle stick injuries, I will explain to the health care worker that it could also be caused by other sharp medical equipment.

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A child with diabetes insipidus will be receiving injectable vasopressin when discharged from the hospital. What is the most important step when teaching injection techniques

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The primary step is to train the health care professionals about the injection techniques and to determine if the child is of the appropriate age to receive the injection.

Good injection practice deals with selecting the appropriate site for administration. The route of administration of injection is mostly intramuscular in a child. The drug is delivered to the vascular muscle tissue and is rapidly absorbed into the circulation of the child. Diabetes insipidus is a disorder that leads to imbalanced fluid in the body. This causes frequent urination, a condition referred to as polyuria. Vasopressin is the anti-diuretic hormone, the lack of which causes diabetes insipidus. Administration of vasopressin externally helps the kidneys to retain water and prevent dehydration.

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The nurse is suctioning a client's tracheostomy using an open system. For which action should the nurse use the gloved, dominant hand

Answers

The action that the nurse should use globed dominant hand is when manipulating the suction catheter.

What is tracheostomy?

Tracheostomy is defined as the medical procedure that involves the incision of the anterior part of the trachea through with a pipe is being passed thereby allowing the patient to breath.

The patient's that are in need of a tracheostomy are those patients that:

Finds it difficult to breathe normally after an injury or accident, and

Patients that are suffering from severe muscle weakness.

Medical conditions that make it necessary to use a breathing machine (ventilator) for an extended period.

Medical conditions that block or narrow your airway, such as vocal cord paralysis or throat cancer.

The dominant hand is the hand that is not always being used while carrying out a procedure.

During tracheostomy, manipulating the suction catheter should be done with the both hands therefore the nurse should use the gloves dominant hand too.

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A hockey player is elbowed in the mouth, and one of his front teeth is dislocated. he has no other ill effects. What can you do to provide the best chance of successfully reimplanted the tooth?

Answers

The action that need to be provided as the best chance of successfully replanted the tooth is option A: Rinse the tooth with saline solution, then place it in a tooth saver container.

How do you clean and save your teeth?

In all, a person can preserve a tooth and also kill any bacteria on it with the use of applying alcohol or a special disinfectant.

Note that as it is said to be clean, one can save the tooth in an airtight container.

In the case above, The action that need to be provided as the best chance of successfully replanted the tooth is option A: Rinse the tooth with saline solution, then place it in a tooth saver container.

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See full question below

A hockey player is elbowed in the mouth, and one of his front teeth is dislocated. He has no other ill effects. What can you do to provide the best chance of successfully reimplanting the tooth? a. Rinse the tooth with saline solution, then place it in a tooth saver container. b. Wrap the tooth in sterile gauze. C. Rinse the tooth with water, then put it into a container with milk. d. Place the tooth in a container of ice-cold water. e. Call for emergency medical assistance.

An osmotic diuretic such as mannitol is given to the client with increased intracranial pressure (ICP) to

Answers

An osmotic diuretic such as mannitol is given to the client with increased intracranial pressure (ICP) to dehydrate the brain and reduce cerebral edema.

One's skull may experience increasing pressure as a result of a brain injury or another medical issue. Increased intracranial pressure, or ICP for short, is a risky condition that can cause headaches. One's brain or spinal cord may possibly suffer additional damage from the pressure. The amount of brain and extracellular fluid is decreased by osmotic diuretics by drawing water across intact membranes. The patient with IICP is given antipyretics and a cooling blanket to reduce fever. Mannitol is a form of diuretic, but its purpose is not to make you pee more. To lessen the demands on cellular metabolism, medications such as barbiturates are administered to patients with IICP.

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After the shock is delivered (if advised), you should continue giving CPR until which of the following

Answers

All the above.

The person shows an obvious sign of life, another trained responder or EMS personnel take over and you are too exhausted to continue.

What is CPR?When someone's breathing or heartbeat have stopped due to an emergency, such as a heart attack or a near-drowning, cardiopulmonary resuscitation (CPR) can help save their life. The American Heart Association advises performing quick, forceful chest compressions to begin CPR.In an emergency, cardiopulmonary resuscitation (CPR) can help save a person's life if their breathing or heart stops. A person is in cardiac arrest when their heart stops beating. The heart is unable to pump blood to the rest of the body during cardiac arrest, including the brain and lungs.The acronym "CAB" makes it simple to remember the three essential components of CPR: compressions, airway, and breathing. "C" stands for compressions. Compressing your chest can improve blood flow to your heart, brain, and other organs. Before giving two rescue breaths during CPR, 30 chest compressions are given.

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Disclaimer: The question given in the portal is incomplete. Here the complete question.

Question: You should continue CPR until:

a. the person shows an obvious sign of life.

b. another trained responder or EMS personnel take over

c. you are too exhausted to continue

d. all of the above

Emphysema, chronic bronchitis, and related lung diseases are all grouped under the broad term of:

Answers

Emphysema, chronic bronchitis and related lung diseases are all grouped under Chronic Obstructive Pulmonary Disease (COPD).

What is COPD?COPD refers to a group of diseases that block the airflow and cause breathing-related problems. It is a term for a range of lung diseases like emphysema and chronic bronchitis.These diseases progress gradually, making it harder to breathe over time.Main cause of COPD is smoking.Lung diseases cannot be reversed but can be managed by lifestyle changes.Chronic bronchitis irritates your bronchial tubes, which carry air to and from your lungs.Emphysema is the breakdown of the walls of the tiny air sacs (alveoli) at the end of the bronchial tubes, in the bottom of your lung.

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Which procedure involves reconstruction of the urethra to relieve pain when voiding that is caused by a urethral stricture

Answers

Answer: PERINEAL URETHROSTOMY

Explanation:

SURGICAL PROCEDURE

The nurse prepares to administer the inactivated polio vaccine to a 4 month old infant. Which assessment finding does the nurse delay administering the vaccine

Answers

The assessment finding which delays the nurse in administering the vaccine is allergy.

What is Allergy?

This is referred to the abnormal manner the immune system of an individual reacts to a medication.

The allergies of polio vaccine, although rare include weakness, pain etc which is why allergy test must be done.

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Dozens of clients arrive in the emergency department with chemical burns and inhalation injuries from exposure to anhydrous ammonia gas released from a tanker truck on a highway. What is the priority action by the nurse

Answers

For chemical burns, the priority action by the nurse should be to Assist clients to remove contaminated clothing and shower with copious amounts of water.

Strong acids, drain cleaners, paint thinner, gasoline, and many other substances can induce chemical burns, which are tissue injury.For patients who have been exposed to a hazardous chemical or radioactive agent, decontamination is a top nursing priority. Before offering care to patients in a disaster, the nurse should help them completely decontaminate. Decontamination reduces exposure to other clients and personnel as well as further client injuries.

If a shower is available, take off any contaminated clothing or jewelry and rinse the chemicals off for at least 20 minutes. Avoid getting chemicals in your eyes.Dress the burn. Apply a fresh bandage to the burn. On prevent applying pressure to the burned skin, wrap it loosely.Re-rinse if necessary. Rinse the area several more times if you experience more burning.

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Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side and adverse effects of this medication

Answers

Blood pressure monitoring is the most appropriate nursing action to monitor for side effects and adverse effects of this medicine when betaxolol hydrochloride eye drops are provided for a client with glaucoma.

What are Betaxolol hydrochloride eye drops?To treat elevated eye pressure brought on by open-angle glaucoma or a condition known as ocular hypertension, betaxolol eye drops may be administered alone or in combination with other medications.The drug in question is a beta-blocker.Only a prescription from your doctor is required to purchase this medication.Blood pressure monitoringThe medication's side effects and adverse reactions include hypotension, dizziness, nausea, diaphoresis, headache, lethargy, constipation, and diarrhea.Monitoring the blood pressure for hypotension and checking the pulse for strength, weakness, irregular heartbeat, and bradycardia are examples of nursing interventions.

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A nurse is discussing decontamination with a newly licensed nurse. The nurse identifies understanding if the newly licensed nurse identifies which of the following agents as needing decontamination

Answers

The keys to decontamination which must be understood by the newly licensed nurse are

pre-sterilisation cleaning.disinfectioninspectionsterilisationstorage

What is decontamination agents?

Decontamination simply refers to the process of removing the contamination of infectious agents or other contaminants

So therefore, the keys to decontamination which must be understood by the newly licensed nurse are: pre-sterilisation, cleaning, disinfection, inspection, sterilisation and storage.

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According to stephen blair’s research, how did the fat and fit men’s mortality rate compare to normal-weight men who were unfit?

Answers

Obese exercise enthusiasts, such as Steven Blair, PED, of the Cooper Institute in Dallas, who identifies as a small, fat guy who runs every day. According to cardiovascular measurements like stress testing, Blair claims that persons who are obese but fit have mortality rates or that are half as high as those who are average weight but unfit.

Exercise has several advantages beyond calorie reduction. Such as-

The prevention of heart diseaseType 2 diabetesDepressionSeveral types of cancerOsteoporosis is aided by regular physical activityAdditionally, it can raise self-esteem, lessen anxiety, and aid in stress managementAnd increasing your level of exercise typically leads to higher muscle mass, which means your body burns calories more frequently

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How do interruptions in chest compressions negatively impact survival after cardiac arrest?

Answers

Interruptions in chest compressions negatively impact survival after cardiac arrest as a result of a decrease in coronary perfusion pressure (CPP).

What is Coronary perfusion pressure?

This is referred to the pressure gradient that is responsible for the coronary blood pressure. This ensures that blood is adequately distributed to different parts of the body.

Interruptions in chest compressions leads to its decrease which results in blood not getting to vital parts of the body hence negatively impacting survival after cardiac arrest.

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After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented

Answers

The priority nursing action that should be implemented after checking the urinary drainage system for kinks in the tubing with a dark, concentrated urinary output of 54 ml for the last 2 hours is to report the findings to the surgeon.

When a patient is critically unwell, fluid resuscitation is sometimes guided by the amount of urine produced as a measure of acute renal impairment. In critically ill patients, neurohormonal variables and functional alterations may affect diuresis and natriuresis even though a decrease in urine production may be linked to a drop in glomerular filtration rate due to a reduction in renal blood flow or renal perfusion pressure. After examining the urinary drainage system for tube kinks with 54 ml of black, concentrated urine produced over the previous two hours, the main nursing step is to inform the surgeon of the results.

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