a client in an ambulatory clinic describes awaking in the middle of the night with difficulty breathing and shortness of breath related to paroxysmal nocturnal dyspnea. which underlying condition should the registered nurse (rn) identify in the client's history?

Answers

Answer 1

The underlying condition should the registered nurse (rn) identifies in the client's history is Heart failure (HF).

Paroxysmal nocturnal dyspnea (PND), a sensation of shortness of breath that wakes the patient up, generally after one or two hours of sleep, usually goes away when the patient is upright. Two rare types of dyspnea are trepopnea and platypnea.

Ambulatory care refers to medical services delivered on an outpatient basis without admission to a hospital or other facility (MedPAC). It is available in places like doctor's offices and other facilities where healthcare workers are employed. Facilities for ambulatory surgery, hospital outpatient clinics.

Heart failure happens when the heart muscle is unable to pump blood as efficiently as it should. Fluid builds up in the legs and lungs as a result of blood often pooling (congestion).

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Related Questions

How would pelvic inflammatory disease affect the Pap smear report?

Answers

Can cause an infection if not preform correct

Create injury 10-12 response cards, simple electronic index cards that describe the symptoms of common injuries and basic first aid procedures.

Answers

Answer:

Ouch! I Just Tripped and Rolled Over My Ankle

If you’re still able to walk, albeit a bit uncomfortably, then relax: It’s not a fracture but simply a sprain. That means a ligament has been stretched or, in more severe cases, torn. About 65 to 75 percent of ankle injuries fall into this category, says David A. Porter, M.D., Ph.D., an orthopedic foot and ankle surgeon at Methodist Sports Medicine, in Indianapolis. Reduce any swelling as soon as possible with RICE: rest, ice, compression, and elevation (recline on a chair and raise your ankle to above hip level). Ice in 10- to 20-minute intervals, with 10-minute breaks in between, for a few hours. Continue RICE intermittently (or whenever you feel pain) for the next few days, and wear only sneakers. The soreness and swelling should go away within a week or at most four weeks. (During this time, the doctor may send you for physical therapy.) If your ankle swells dramatically within the first hour after the injury (for instance, it may look as if a golf ball—size lump is lodged under your skin, or the entire ankle area may be puffy and purple) and you find it almost impossible to walk, you may have a more serious sprain or fracture. See your doctor within 48 hours. He may prescribe physical therapy and outfit you with a walking boot or a brace or, in the case of a broken bone, recommend surgery or a cast.

the diet planning principle that provides all the nutrients fiber and energy in amounts sufficient to maintain health is called

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The diet planning principle that provides all the nutrients, fiber, and energy in amounts sufficient to maintain health is called the "adequacy" principle of diet planning. Adequacy is the diet planning principle that provides all the nutrients, fiber, and energy in amounts sufficient to maintain health.

Adequate diets are nutritionally balanced diets that provide all of the necessary nutrients in the appropriate amounts to ensure optimum health. An adequate diet must contain an appropriate amount of each nutrient to ensure that the body functions correctly. The goal of an adequate diet is to meet the body's nutrient requirements without overeating or under-eating any particular nutrient.

Most people require a balanced diet consisting of fruits, vegetables, whole grains, lean proteins, and healthy fats to meet their daily nutritional needs. A balanced diet must include a variety of foods to ensure that all the required nutrients are obtained in the necessary amounts. The diet planning principle that provides all the nutrients, fiber, and energy in amounts sufficient to maintain health is called the "adequacy" principle of diet planning. Adequacy is the diet planning principle that provides all the nutrients, fiber, and energy in amounts sufficient to maintain health. Adequate diets are nutritionally balanced diets that provide all of the necessary nutrients in the appropriate amounts to ensure optimum health. Most people require a balanced diet consisting of fruits, vegetables, whole grains, lean proteins, and healthy fats to meet their daily nutritional needs. A balanced diet must include a variety of foods to ensure that all the required nutrients are obtained in the necessary amounts. The goal of an adequate diet is to meet the body's nutrient requirements without overeating or under-eating any particular nutrient. An adequate diet must contain an appropriate amount of each nutrient to ensure that the body functions correctly. Nutrient deficiencies can lead to a range of health problems, including stunted growth, weakened immune systems, and even death. However, consuming too much of any nutrient can also have negative consequences for your health. Consuming excessive amounts of fat or calories, for example, can lead to obesity and other related health problems. In short, an adequate diet is essential for maintaining overall health and well-being.

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Which of the following is not a symptom of depression

Answers

Answer:

There are no answer choices or pictures...how am I supposed to answer this question?

Explanation:

we can’t see any answer choices

How well do you predict that Nell will tolerate treatment with azathioprine?

Answers

Answer:

there are many different reactions a person can have to medicine. more information is needed to analyze the person's reaction

9. What is the best treatment for diabetic coma?

Answers

Answer:

According to Mayo Clinic (n.d) Diabetic coma requires emergency medical treatment. The type of treatment depends on whether your blood sugar level is too high or too low.

High blood sugar

If your blood sugar level is too high, you may need:

Intravenous fluids to restore water to your tissues

Potassium, sodium or phosphate supplements to help your cells function correctly

Insulin to help your tissues absorb the glucose in your blood

Treatment for any underlying infections

Low blood sugar

If your blood sugar level is too low, you may be given a glucagon injection, which will cause your blood sugar level to quickly rise. Intravenous dextrose also may be given to raise blood glucose levels.

Test
Record Observations/Results
Against Resistance
Feel for Muscle
Contraction
Cranial nerve(s) tested
Name and Roman Numeral
Elevate and depress shoulders
against resistance. Turn head left
and right against resistance.
Stand on one leg, with eyes
closed and arms out for several
seconds.
Follow a moving target with eyes
only.
Identify a substance by scent
with eyes closed.
Open and close the jaw with
resistance.
Smile, frown, raise eyebrows,
and puff cheeks.
Stick tongue straight out. Retract
tongue back into mouth.
Pupils constrict when pen light is
shined into eye.
Identify a substance by taste
using tasting paper.
Swallow and say 'ahh' against
resistance.
Test hearing with a tuning fork.
(Ideally with Webber test)
Identify a substance by touching
it to the face with eyes closed.

Answers

Answer:

Tuhiuo is an excellent resource for all of your own message boards from the movie and all of the latest features in the world of cinema and to be in

The surgical removal of the larynx is called a

Answers

Laryngectomy is the removal of part or all of the larynx (voice box)

5. What is one way that you can use one of the learning theories to influence another human or animal in your life? What theory of learning would you use? Why?

Answers

Learning theories give teachers models for creating lessons that promote better learning by describing the circumstances and procedures through which learning takes place.

What is learning theories?

Learning theories are defined as the theory based on the behaviorism, cognitivism, and constructivism psychological perspectives.

The biological processes of learning start in neurons, which are electrically stimulated brain cells.

Synaptic plasticity, which involves modifying the number and strength of neuronal connections, is the mechanism by which learning occurs.

Thus, learning theories give teachers models for creating lessons that promote better learning by describing the circumstances and procedures through which learning takes place.

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during tubular reabsorption, components of the filtrate move from the bloodstream into the tubule.T/F

Answers

False During tubular reabsorption, components of the filtrate move from the tubule into the bloodstream.

Tubular reabsorption is the process by which substances in the filtrate, such as water, glucose, amino acids, and ions, are transported from the tubule back into the bloodstream. This occurs across the walls of the renal tubules and collecting ducts, which are lined with specialized transport proteins that selectively reabsorb these substances.

As the filtrate moves through the tubules, its composition changes as more and more of the filtered substances are reabsorbed. Ultimately, the remaining fluid that exits the collecting ducts and enters the renal pelvis is urine.

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Which of the four tissue types have intercellular junctions?

Answers

The four tissue types that have intercellular junctions are;epithelial tissue, connective tissue, muscle tissue andnervous tissue.

Acetaminophen, in amounts greater than 4 g per day, has been associated with livertoxicity. What is the maximum number of 500-mg tablets of acetaminophen that a person may take daily and not reach the toxic level?

Answers

The maximum number of 500-mg tablets of acetaminophen that a person may take daily is 8:)

What are the 11 essential proteins

Answers

Answer:

These are histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan and valine. Unlike nonessential amino acids, essential amino acids can't be made by your body and must be obtained through your diet.

how do you cure amnesia

Answers

Answer: By going to sleep

Those who suffer from "voodoo death," or sudden death syndrome, may experience a rebound of the __________ nervous system in response to a terrifying stimulus.

Answers

Answer:

What is the Sympathetic nervous system

Explanation:

Those who suffer from "voodoo death," or sudden death syndrome, may experience a rebound of the Sympathetic nervous system in response to a terrifying stimulus.

A client with Alzheimer's wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by:

Answers

After observing a client with Alzheimer's waking up more confused than usual, it is important for the nursing assistant to support normal gastrointestinal tract function by promoting regular bowel movements.

Here are the various strategies including:

Encouraging fluid intake: Adequate hydration is essential for maintaining regular bowel movements. The nursing assistant should encourage the client to drink plenty of fluids throughout the day, such as water, herbal tea, or clear soups, to prevent dehydration and promote gastrointestinal health.

Providing a fiber-rich diet: A diet high in fiber can help regulate bowel movements and prevent constipation. The nursing assistant should offer the client foods that are rich in dietary fiber, including fruits, vegetables, whole grains, and legumes. These foods can promote healthy digestion and regular bowel movements.

Assisting with physical activity: Regular physical activity can help stimulate bowel function. The nursing assistant should engage the client in light exercises or activities as tolerated, such as gentle walking or stretching, to promote gastrointestinal motility.

Establishing a regular toileting routine: Creating a consistent toileting routine can help regulate bowel movements for clients with Alzheimer's. The nursing assistant should encourage the client to use the toilet at regular intervals, such as after meals or at specific times during the day, to promote regularity.

Monitoring medication side effects: Some medications commonly prescribed for individuals with Alzheimer's disease can contribute to gastrointestinal issues, such as constipation. The nursing assistant should communicate any concerns about medication side effects to the healthcare team for appropriate management.

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How often can I use 50 mcg fluticasone propionate?

Answers

Answer:

The recommended starting dosage in adults is 2 sprays (50 mcg of fluticasone propionate each) in each nostril once daily (total daily dose, 200 mcg). The same total daily dose, 1 spray in each nostril administered twice daily (e.g., 8 a.m. and 8 p.m.) is also effective.

Explanation:

Fluticasone Propionate Nasal Spray, USP, 50 mcg is an aqueous suspension of microfine fluticasone propionate for topical administration to the nasal mucosa by means of a metering, atomizing spray pump. Fluticasone Propionate Nasal Spray, USP, also contains benzalkonium chloride (0.02% w/w), carboxymethylcellulose sodium,dextrose, microcrystalline cellulose, phenylethyl alchol (0.25% w/w), polysorbate 80, and purified water and has a pH between 5.8 and 6.8.

It is necessary to prime the pump before first use or after a period of non-use (1 week or more). After initial priming (6 actuations), each actuation delivers 50 mcg of fluticasone propionate in 100 mg of formulation through the nasal adapter. Each 16-g bottle of Fluticasone Propionate Nasal Spray, USP, provides 120 metered sprays. After 120 metered sprays, the amount of fluticasone propionate delivered per actuation may not be consistent and the unit should be discarded.

During shift report, the nurse states that a patient is receiving an oxytocin drip at 6 milliunits/min. The oxytocin concentration is 30 units in 1,000 mL of lactated Ringer’s solution. The IV pump should be set for how many milliliters per hour? _________mL/h

Answers

Answer:

... i think it should be 15

Explanation:

What is usually the best recommendation a coach should make for an athlete with a nutrient deficiency

Answers

c. Improve your normal diet without adding nutrient supplements.

Which of the following is a characteristic of fish consumption?
A. Fish is a good source of iron
B. Fatty fish contain the highest amounts of omega-3 fatty acids
C. The minimum intake to gain any benefit is 3 servings per week
D. Even fried fish from fast food restaurants provide a favorable balance of omega-6 and omega -3 fats
B. Fatty fish contain the highest amounts of

Answers

The characteristic of fish consumption that is mentioned is that fatty fish contain the highest amounts of omega-3 fatty acids.

Omega-3 fatty acids are a type of unsaturated fatty acid that may reduce inflammation throughout the body. Inflammation in the body can damage the blood vessels and lead to heart disease and strokes.

Omega-3 fatty acids may benefit heart health by:

Decreasing triglycerides

Lowering blood pressure slightly

Reducing blood clotting

Decreasing the risk of strokes and heart failure

Reducing irregular heartbeats

Try to eat at least two servings a week of fish, particularly fish that's rich in omega-3 fatty acids. Doing so appears to reduce the risk of heart disease, particularly sudden cardiac death.

Hence option B is correct.

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Possessing a vape with thc on school property is a:_______

Answers

A. Juvenile drug charges. A student may be charged with juvenile drug offences if marijuana or another form of THC is discovered in their possession, or if they are found to have traces of it in a vape pen.

The majority of school vaping incidents will take place there. State law mandates that a student be expelled from school if they are discovered using, possessing, or selling a controlled substance like marijuana (or THC in other forms). The student can end up in a juvenile court system school with strict discipline. Even if the school lacks the means to establish that a vape pen was utilised for drug usage, students who possess one risk suspension or expulsion.

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Possessing a vape with thc on school property is a:

a. Juvenile drug charges.

b. Fines upto $500.

c. punishment by faculty.

d. no action.

Which health problem occurs in premature infants born before the transfer of vitamin E from the mother to the infant in the last weeks of pregnancy?
a. Aplastic anemia
b. Hemochromatosis
c. Thalassemia
d. Erythrocyte hemolysis

Answers

The health problem  that happens in premature infants born before the exchange of vitamin E from the mother to the newborn child within the final weeks of pregnancy is "Erythrocyte hemolysis". Option D

What is Erythrocyte hemolysis about?

Erythrocyte hemolysis alludes to the breakdown of red blood cells, which can lead to iron deficiency and other complications. Vitamin E plays a pivotal part in ensuring red blood cells from oxidative harm, and untimely newborn children who are lacking in vitamin E may encounter erythrocyte hemolysis.

Therefore, Hemolysis is the pulverization of red blood cells (erythrocytes). The  red blood cells are fundamental portion of the blood. They carry oxygen from your lungs to tissues all through the  body.

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Answer:

The health problem that occurs in premature infants born before the transfer of vitamin E from the mother to the infant in the last weeks of pregnancy is option d. Erythrocyte hemolysis.

Vitamin E is important for the protection of red blood cells (erythrocytes) against oxidative damage. In the last weeks of pregnancy, there is a transfer of vitamin E from the mother to the infant, which helps in the development of the baby's immune system and protects against certain health issues.

Premature infants are born before this transfer occurs, and as a result, they can be deficient in vitamin E. Without adequate levels of vitamin E, the erythrocytes of premature infants can be more susceptible to oxidative damage, leading to their destruction or hemolysis. This condition is known as erythrocyte hemolysis, where the premature infant's red blood cells are destroyed at a faster rate than they can be replaced. This can result in anemia and other complications.

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what are some of the purposes of a post-mortem? check all that apply.
a. To learn from and adapt processes for higher efficiency
b. to understand the cause of mistakes and how to prevent them
c. to foster a culture where it's ok to make mistakes

Answers

The purpose of post-moterm is to understand the cause of mistakes and how to prevent them.

A post-moterm, which is also called an autopsy  an examination of the body done after the passing of the individual.

When the post-moterm of a body is done, it gives us a brief understanding of what went wrong in the body and what was the cause of the death or how did the death caused.

By learning about how and what happened, we can understand the causes of the mistakes and  we can prevent them in future.

A major experiments and crucial information is obtained from the post-moterm report of the body. This useful information is used in future to make medicines and surgical methods.

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Judy had cared for her debilitated husband for several years. After his peaceful death under hospice care, she remarries within 6 weeks of his passing what type of grief may she have experienced?

Answers

Answer:

bargaining

Explanation:

denial, anger, bargaining, depression and acceptance.

1. Discuss the process of the production of T lymphocytes.​

Answers

T lymphocytes originate from haematopoietic stem cells within the bone marrow. T lymphocytes that survive thymic selection will mature and leave the thymus. After that, They circulate through peripheral lymphoid organs, ready to encounter their cognate antigens and become activated.

3. What advice would you give to a friend with tennis elbow about how she should
lift a frying pan onto the stove?

Answers

Answer:

She should lift the pan with her palm facing up (underhand grip). This will use the flexor muscles. Injured tendons (as in tennis elbow) are best healed with rest.

Explanation:

3. Which abbreviation stands for a type of blood collection vacuum tube?​

Answers

The abbreviation EDTA stands for a type of blood collection vacuum tube.

What is EDTA?

EDTA is a chelating agent that binds to calcium ions, which prevents the blood from clotting. This allows the blood to be collected and transported without clotting, which is important for many laboratory tests.

EDTA is the most common type of blood collection tube used in clinical laboratories. It is used to collect blood for a variety of tests, including complete blood counts, chemistry tests, and blood cultures.

EDTA blood collection tubes are typically lavender in color. They are labeled with the abbreviation "EDTA" and the volume of blood that is required for the test.

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Which of the following positions reports directly to the deputy chief

A) lieutenant

B) division chief

C) fire captain

D) paramedic

Answers

Answer:

fire Captin

Explanation:

I got 100%

Answer:

its division chief, the person above wrong

Explanation:

edge 2022

A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to administer?

Answers

Answer:

The first drug to administer is epinephrine in a dose of 1 mg or vasopressin in a dose of 40 units IV or IO.

Explanation:

Epinephrine, also known as adrenaline, is a hormone that increases the blood flow to the heart. Vasopressin, also known as antidiuretic hormone, increases blood pressure since it constricts the arteries. As a result, the blood flow to the heart increases, and the chances to save the person too. The dosages of these two drugs are the same for every person, height and weight do not affect it, and it was established after studies to be the most effective dose.

2. You can counteract the depressant effects of alcohol by taking a stimulant.
A. • True
B. • False

Answers

Answer:

A: false

Explanation:

false, it won’t do anything
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