Institute of Medicine is the organization has been the national leader in promoting electronic health records to decrease medical errors and improve patient safety.
The Institute of Medicine (IOM) study "To Err is Human" issued in 1999 urged for a national initiative to make health care safer. Even though the report has indeed been generally credited with sparking initiatives to research and improve health-care safety, there has been no independent evaluation of its impact.
Following the release of the IOM report, the rate of patient safety publications jumped from 59 to 164 articles per 100,000 MEDLINE publications. All sorts of patient safety papers saw an increase in publication rates.
After the publication of the study, original research publications climbed from an average of 24 to 41 articles per 100,000 MEDLINE publications, while patient safety research grants jumped from 5 to 141 awards per 100,000 federally supported biomedical research awards. Prior to the IOM report, the most common topic of patient safety publications was malpractice, but organizational culture was the most common subject after the study's publication.
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For a medication to work properly, the person taking the medication needs to take 1/2 oz. of this medication for every 40 lbs. per day. of body weight. How much medication should a person that weighs 180 lbs. take per day?
(i need a step-by-step answer)
180 divided by 40 gives 4.5
Convert 4.5 to a fraction and get 9/2
1/2 x 9/2 = 5
So 5 oz per day
Describe one of the current issues identified by State Boards of Nursing in the state you will be applying for your nursing license. Discuss how the nurse leaders and managers would educate the unit within the organization.
The current issues identified by State Boards of Nursing in the state you will be applying for your nursing license is nurse burnout.
Nursing license do further than profit the individual nursers who attain them — they can also ameliorate the healthcare installations in which these nursers work. The further chops and specialties a nanny has, the better equipped they're to give their cases with advanced quality care.
Nurse burnout is a wide miracle characterized by a reduction in nursers' energy that manifests in emotional prostration, lack of provocation, and passions of frustration and may lead to reductions in work efficacity. Demanding workloads and aspects of the work terrain is known to be associated with Nurse burnout.
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A nurse is caring for a cognitively impaired nonverbal patient on a medical-surgical unit. In what ways should the nurse assess the patient's pain
The ways by which the nurse can assess the pain of the cognitively impaired nonverbal patient are: (1) The behavioral pain scale, (2) Nonverbal pain assessment tool, and (3) A pain estimate made by a family member.
Cognitive impairment refers to the condition where the person is unable to perform the cognitive functions of the brain like learning, remembering, concentrating or making simple decisions of everyday life. Hence it is a decline in the mental abilities of a person.
A pain scale is a medical tool used by the doctors to estimate the pain of the patient. These range from the numbers 0 to 10, where 0 indicates no pain while 10 indicates intense pain.
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the abbreviation given to an infant who was born to a woman who drank heavily during pregnancy
The abbreviation given to an infant who was born to a woman who drank heavily during pregnancy is Fetal alcohol spectrum disorders (FASDs).
Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can do in a person who was exposed to alcohol before birth. These goods can include physical problems and problems with geste and literacy.
Pregnancy is the time during which one or further seed develops( gestates) inside a woman's uterus( womb). A multiple gestation involves further than one seed, similar as with halves. gestation generally occurs by sexual intercourse, but can also do through supported reproductive technology procedures. gestation is" the presence of an implanted mortal embryo or fetus in the uterus"; implantation occurs on average 8 – 9 days after fertilization.
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A nurse reviews the medication charts of four clients. Which medication prescription will cause the nurse to notify the primary health care provider
Diabetes insipidus symptoms and signs include severe thirst. producing a lot of light urine. having frequent nighttime urination needs that require getting up.
facial weight gain (moon face) Putting on weight above the collarbone (supraclavicular fat pad) gaining weight on the back of the neck (buffalo hump) Skin changes, notably over the abdomen or axillary region, with easy bruising in the extremities and the appearance of reddish stretch marks (striae). The preferred method for evaluating suspected thyroid nodules is ultrasound-guided fine-needle aspiration (FNA), and the Bethesda System for Reporting Thyroid Cytopathology stratifies the malignancy risk based on FNA results.
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what does a patient involve in an auto crash who has maor internal abdominal bleeding require oxygen to maintain internal respiration
A lack of circulating volume decreases the oxygen and carbon dioxide transport capability. In order to preserve internal respiration, the patient who has lost a lot of blood owing to internal bleeding needs to be put on oxygen support.
Respiration is the process by which oxygen is transported from the outside environment to cells within tissues and carbon dioxide is exhaled in the opposite direction. Internal respiration is the process through which gases, such as oxygen and carbon dioxide, move from the body's cells to the blood through the fluid that surrounds them.
The circulatory system transports nutrition and oxygen to various bodily parts while also removing waste products and carbon dioxide from them. The blood, blood vessels, and heart make up this system. Blood is pumped by the heart and it flows throughout the body, carrying gases, nutrition, and wastes.
Why does a patient involved in an auto crash who has major internal abdominal bleeding require oxygen to maintain internal respiration?
A) The red blood cells have a reduction of hemoglobin that reduces the amount of oxygen that can be transported.
B) The swelling of the abdominal space causes the diaphragm to be restricted, which will reduce the thorax space.
C) A lack of oxygen in the air decreases the oxygen diffused into the bloodstream, which creates an increase of carbon dioxide.
D) A lack of circulating volume decreases the oxygen and carbon dioxide transport capability.
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A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests:
a.
Asthma.
c.
Bronchiolitis.
b.
Pneumonia.
d.
Foreign body in the trachea.
A child who has a chronic nonproductive cough and diffuse wheezing during the expiratory phase of breathing. It is possible that the child has A. Asthma
What is wheezing?Wheezing is a breath sound that sounds like a whistling sound, and is a symptom of a respiratory tract disorder. The most common causes of wheezing are asthma and chronic obstructive pulmonary disease.
Wheezing will generally be heard more clearly when the sufferer exhales, although it can also be heard when inhaling. In some cases, it can be heard when the doctor examines the patient using a stethoscope. Apart from respiratory problems, wheezing can also be caused by allergic reactions or heart disease.
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Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of:
Based on the results of the physical examination, the client has hyperthyroidism. If the thyroid gland is enlarged, use the bell to listen for vascular sounds. The blood supply is dramatically increased in a hypermetabolic state, and a vascular bruit, a soft rushing sound, may be heard.
The thyroid gland is an important hormone gland that regulates metabolism, growth, and development in the human body. It aids in the regulation of many body functions by continuously releasing a consistent amount of thyroid hormones into the bloodstream.
Hyperthyroidism occurs when the thyroid gland produces an excessive amount of thyroid hormone. This condition is also known as overactive thyroid. Hyperthyroidism causes the body's metabolism to accelerate. This can result in a variety of symptoms, including weight loss and hand tremors.
Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of:
A. hypothyroidism.
B. hyperthyroidism.
C. thyroid cancer.
D. thyroid cyst.
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adaptive equipment are mobility aids or mobility-assistive devices that are designed to enable a patient to _______________.
Adaptive equipment are mobility aids or mobility-assistive devices that are designed to enable a patient to bathing, dressing, grooming, toileting, and feeding.
Adaptive equipment are gadgets that aid with washing, clothing, grooming, toileting, and eating, which are self-care tasks included in the spectrum of daily living activities (ADLs). Mobility vans are a rising market for adaptable equipment. In this scenario, adapted equipment, also known as assistive technology, can aid a person with a handicap in operating a motor vehicle when they would otherwise be unable to do so.
Mobility adaptive equipment is utilised when an illness or injury impairs or renders an individual's motor functions inoperable. If a person has limited motor functions, there is equipment and technology that can help them restore part or all of their movement.
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A nurse is caring for a client who has a chest tube following a lobectomy. Which of the following items should the nurse keep easily accessible for the client?
A. Extra drainage system
B. Suture removal kit
C. Container of sterile water
D. Nonadherent pads
The nurse should keep option C: container of sterile water easily accessible for the client who has a chest tube following a lobectomy.
A container of sterile water from the nurse should be nearby and in the client's line of sight who has had a chest tube followed by lobectomy. If the tubing separates, the nurse should prepare to put the open end of the tube into the sterile water to avoid a pneumothorax. An operation to remove one of the lungs' lobes is known as a lobectomy. The lungs are divided into lobes. Three lobes make up the right lung. Two lobes make up the left lung. If a problem is only identified in a portion of the lung, a lobectomy may be performed. Thus, option C is the right choice.
A drainage system with three chambers, including a water seal, suction control, and drainage collection chamber, is a chest drain, often referred to as an under water sealed drain (UWSD). The purpose of UWSD is to prevent the backflow of air or fluid into the pleural space while still allowing air or fluid to be evacuated from the pleural cavity.
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Which assessment finding for a client with Cushing disease would the nurse need to report immediately to the Health care provider
The nurse should immediately report signs and symptoms of hypokalemia, such as an irregular apical pulse, to the physician.
Cushing's syndrome is caused by an increase in the release of adrenocorticotropic hormone (ACTH) from the anterior pituitary gland (secondary hypercortisolism). This is most commonly caused by a pituitary adenoma (particularly pituitary basophilism) or by an excess of hypothalamic CRH (corticotropin releasing hormone) (tertiary hypercortisolism/hypercorticism) that increases the adrenal glands' manufacture of cortisol. Pituitary adenomas are responsible for 80% of endogenous Cushing's syndrome when exogenously supplied corticosteroids are excluded. Pituitary pars intermedia dysfunction is the horse variant of this condition.
Cushing's disease symptoms are similar to those observed in other types of Cushing's syndrome. Patients with Cushing's disease often exhibit one or more signs and symptoms as a result of elevated cortisol or ACTH levels. Although it is unusual, some Cushing's disease patients have massive pituitary tumours (macroadenomas). Aside from the significant hormonal impact of increasing blood cortisol levels, the big tumour might compress nearby tissues. These tumours have the potential to compress the nerves that transmit information from the eyes, resulting in a loss of peripheral vision. Cushing's condition can potentially cause glaucoma and cataracts. Obesity and impaired linear growth are the two most common symptoms in children.
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the nurse is caring for a native american client during labor. What does the nurse keep in mind about the client's cultural approach to pain
The nurse remembers the client's cultural approach to pain and that the client may use 383 indigenous plant medicines.
Pain management is sometimes difficult for medical practitioners. This is exacerbated while the patient is dying. Health practitioners and teams that understand cultural differences are rewarded with both the knowledge that they are more effective in controlling their patients' pain. They are also better equipped to assist their patients' families and friends in adjusting towards the dying process. Considering the patients' and their families' views, experiences, and values increases the quality of medical treatment offered. Only the patient perceives pain, and only the patient may report it.
Palliative care, focusing on symptom control and comfort measures, relieves suffering in patients with life-threatening illnesses and maximizes their quality of life. Palliative care may be necessary for patients diagnosed with cancer, degenerative neurologic diseases, painful neurologic diseases, and those diagnosed with chronic obstructive pulmonary disease to relieve symptoms of breathlessness.
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Mrs. Patel arrives at the imaging department as a trauma patient and has multiple fractures. The patient was medicated for pain in the emergency room before arriving at the imaging department. Halfway through the exams, Mrs. Patel begins to show signs of pain and is unable to hold still. You speak with the patient to inform her how much longer it will be before you are done and to assess the level of pain. The patient informs you that her pain is becoming unbearable and does not know if she will be able to hold still for the remainder of the procedures. What is the best action to handle this situation
Stop the procedure immediately and notify the patients physician that she is unable to take an exam due to pain.
Who may become a trauma patient?A person who has sustained a bodily injury, whether slight, major, life-threatening or possibly life-threatening, is referred to as a trauma patient. Typically, traumatic wounds are categorized as blunt or penetrating wounds.
How should a trauma sufferer be cared for?keep doing what they normally do. Help find relaxing activities. They should not avoid the events, people, or locations that bring up the traumatic experience in their minds. Spend time resolving daily disputes to prevent them from festering and raising their stress levels.
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While assessing the airway patency of a client after a bomb blast, the nurse suspects severe brain injury and gives a score of 7 using the Glasgow Coma Scale (GCS). Which intervention is most appropriate for the client
The intervention most appropriate for the client is Preparing for endotracheal intubation and mechanical ventilation.
The Glasgow Coma Scale (GCS) is a clinical scale that is used to accurately assess a person's degree of consciousness following a brain injury. The GCS evaluates a person's ability to execute eye movements, communicate, and move their body. These three behaviours comprise the scale's three elements: visual, verbal, and motor.
The GCS score of an individual can range from 3 (totally unresponsive) to 15. (responsive). This score is used to direct urgent medical care following a brain injury (such as a car accident), as well as to monitor and track the degree of awareness of hospitalised patients.
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A client with sickle cell crisis reports severe generalized pain. Which intervention is a priority for correcting vaso occlusion
The intervention which is a priority for correcting vasocclusion is administer high-low IV fluids.
Sickle cell disease (SCD) is a set of hereditary blood diseases. The most frequent kind is sickle cell anaemia. It causes a change in the oxygen-carrying protein haemoglobin, which is present in red blood cells. Under some conditions, this results in a hard, sickle-like form. The symptoms of sickle cell disease usually appear between the ages of 5 and 6 months.
A variety of health issues may arise, including pain episodes (known as a sickle cell crisis), anaemia, swelling in the hands and feet, bacterial infections, and stroke. Long-term discomfort can develop as people age. In the industrialised world, the average life expectancy ranges from 40 to 60 years.
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The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of
The nurse understands that a child of this age is at increased risk of accidental ingestion due to a less discriminating sense of taste.
Caustic ingestion happens when a person inadvertently or intentionally consumes a caustic or corrosive material. Depending on the type of the material, the length of exposure, and other conditions, it can cause varied degrees of damage to the oral mucosa, oesophagus, and stomach lining.
Endoscopy of the upper digestive system can identify the degree of the damage, but CT scanning may be more beneficial in determining whether surgery is necessary. During the healing phase, oesophageal strictures may occur, necessitating therapeutic dilatation and the insertion of a stent. Ingestions of acids with pH less than 2 or alkalis with pH greater than 12 can result in the most severe damage.
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enroute to the hospital with a woman who is 9-months pregnant and in active labor, you notice that the umbilical cord is prolapsed
En-route to the hospital with a woman who is 9-months pregnant and in active labor, you notice that the umbilical cord is prolapsed than you should position the mother with her head down and/or hips raised.
Active labor Generally lasts about 4 to 8 hours. It starts when your condensation are regular and your cervix has dilated to 6 centimeters. In active labor Your condensation get stronger, longer and more painful.
Umbilical cord prolapse is an acute obstetric exigency that requires immediate delivery of the baby. The route of delivery is generally by cesarean section. The croaker will relieve cord contraction by manually elevating the fetal donation part until cesarean section is performed.
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two different subatomic particles are describe below : Particle Y carries a positive charge. Particles C orbits the nucleos which stament is true
Answer:
It is not clear from the information provided which statement is true. Could you please provide more context or clarify the question?
what is the priority nursing intervention when adminstering intravenous potassium replacement to a patient
The priority nursing intervention when administering intravenous potassium replacement to a patient. Administer the medication using an infusion device.
It is important to administer potassium replacement medication with an infusion device, such as a volumetric pump, to allow for precise and regulated administration. This will help to prevent over-administration or under-administration of potassium, which can cause adverse reactions such as cardiac dysrhythmias.
Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training. Nancy is exhibiting which trait of a follower?
Nancy demonstrates the follower nature of assuming responsibility for identifying a safety concern and concedes authority for the solution to you.
Nursing management includes the effective use of time because management is effective time, the success of clinical manager nurse plans, who have the theory or systematic use of principles and methods related to major institutions and organizations within them, including each unit.
Management skills can be classified into three levels, namely.
Intellectual skills, which include the ability or mastery of theory, and thinking skills.Technical skills include/methods, procedures, or techniques.Interpersonal skills, including leadership skills in interacting with individuals or groups.The skills that Nancy shows you are interpersonal skills, where she identifies problems but still gives authority to provide solutions to you.
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A registered nurse is teaching a nursing student about the components of the magnet model. What information should the registered nurse provide about exemplary professional practice according to the revised magnet model
Information which the registered nurse should provide is " Strong professional practice is established, and accomplishments of the practice are demonstrated."
The Magnet Recognition Program model designates associations worldwide where nursing leaders successfully align their nursing strategic pretensions to ameliorate the association's case issues. The Magnet Recognition Program provides a roadmap to nursing excellence, which benefits the total of an association.
Exemplary professional practice is grounded on Magnet nursers who are independent, exercising clinical and organizational judgment within the environment of the larger, interdependent healthcare platoon. Magnet nursers make substantiation- grounded care opinions according to each case's unique requirements.
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the nurse is teaching a client with advanced chronic obstructive pulmonary disease who was prescribed oral theophylline. which client statement
I take cimetidine instead of omeprazole for heartburn is the phrase indicating that further instruction is necessary.
Chronic obstructive pulmonary disease (COPD) is just a lung illness that produces blocked airflow from the lungs. Breathing difficulties, coughing, mucus (sputum) production, and wheezing are all symptoms. The most prevalent illnesses that comprise COPD are emphysema and chronic bronchitis. COPD damage to a lungs cannot be reversed.
Shortness of breath, wheezing, or a persistent cough are all symptoms. Rescue inhalers and oral or inhaled steroids can help reduce symptoms and prevent additional harm.
Bronchodilators are a class of medications that include theophylline. Bronchodilators are medications that relax the muscle in the lungs' bronchial tubes (air channels). They alleviate coughing, wheezing, shortness of breath, or difficulty breathing by improving air flow via the bronchial passages.
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A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client
The nurse's teaching strategies for the importance of contraception and safe-sex practices clients are planning effective teaching tactics influenced by the availability of materials, preferred learning styles, and literacy level.
The nurse should not give consideration to the client's work or family size when organizing this instruction session. They would only be taken into account if the nurse believed they might have an impact on how the lesson went. Information and services on contraception are essential for protecting everyone's health and human rights. Reduced maternal illness and the number of pregnancy-related fatalities are benefits of preventing unplanned pregnancies. Natural family planning can be used to conceive or prevent pregnancy. Chemicals or physical items are not involved. You can become more aware of potential infections by learning to distinguish between regular and atypical vaginal discharges.
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The "chain of infection," i.e., the transmission of infectious agents in healthcare settings requires a ________________.
A. Source or reservoir of infectious agents
B. Susceptible host with a portal of entry receptive of the agent
C. Mode of transmission for the agent
D. All of the above
The chain of infection in a healthcare setting requires: (A) Source or reservoir of infectious agents; (B) Susceptible host with a portal of entry receptive of the agent; and (C) Mode of transmission for the agent.
Infection is the invasion and the multiplication of small microorganisms inside the living body. These microorganisms may release toxic substances into the host body and they may interfere with the normal functioning of the host resulting in diseases,
Infectious agents are the small microorganisms that have the potential to enter the host body and cause diseases. The example of infectious agents is bacteria, virus, parasite, fungi, etc.
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Jasmine received a chemotherapy order for a patient. She calculated the dose needed to be 25 mL. Which syringe size should Jasmine choose to fill the order
Jasmine ought to select a syringe size greater than 25 mL. Chemotherapy's key benefit is that it can be used to treat a variety of cancers, even ones that have spread to other body parts.
What is mean by chemotherapy? What are chemotherapy's benefits and drawbacks?Drugs are used in chemotherapy, a type of cancer treatment, to kill cancer cells. Both methods of the medicines' options: either the medications can be taken directly into the bloodstream or the drugs can be taken directly into an injection into the blood. Both methods of the drugs can either Chemotherapy can be applied either on its own or in conjunction with other therapies like radiation or surgery.
In order to improve the likelihood of success, chemotherapy medications can also be used in conjunction with other therapies.
Chemotherapy has drawbacks, including the possibility of side effects like nausea, hair loss, exhaustion, and an elevated risk of infection. Chemotherapy medications can also be costly and may not be covered by insurance.
Overall, chemotherapy can be a very effective cancer treatment, but it's crucial to balance the benefits and drawbacks before choosing a course of action.
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When assessing a patient who experienced a blast injury, it is important to remember that:
A. primary blast injuries are the most easily overlooked.
B. solid organs usually rupture from the pressure wave.
C. primary blast injuries are typically the most obvious.
D. secondary blast injuries are usually the least obvious.
When evaluating a patient with blast injury, it is important to remember that primary blast injury is most easily overlooked.
What is primary blast injury?The primary blast injury is caused by shock waves traveling through the body. Since only higher-order explosives generate shock waves, primary blast injuries are unique to higher-order explosions. The shock wave damages the air-filled organs more widely.
What is the most common type of primary blast injury?Lung damage: It is the most common fatal primary blast injury among early survivors. Signs of lung explosion are usually present at the time of initial assessment, but have been reported for up to 48 hours after the explosion.
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The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider. Which signs and symptoms would the nurse include
Headache with visual changes in the third trimester sudden leakage of fluid during the second trimester lower abdominal pain with shoulder pain in the first trimester.
Which advice should the nurse give to a pregnant client who is 26 weeks along and has constipation complaints?
In addition to improving dietary fiber and water intake, moderate daily exercise is the primary line of treatment for constipation. Laxatives are the second line of treatment if these are ineffective.
Which advice would the nurse give to a pregnant client to deal with morning sickness?
Regularly consume small meals because nausea is often brought on by an empty stomach. Avoiding meal preparation or cooking may be beneficial. Take in as much liquid as you can. It can be beneficial to sometimes sip on diluted fruit juice, cordial, weak tea, ginger tea, clear soup, or beverages containing beef extract.
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The nurse is caring for a postoperative client with a Hemovac. The Hemovac is expanded and contains approximately 25 cc of serosanguineous drainage. The best nursing action would be to:
The Hemovac of postoperative client is expanded and contains approximately 25 cc of serosanguineous drainage, so the best nursing action would be to empty and measure the drainage and compress the hemovac.
The wound drainage system that you have in place is called a Hemovac. Its purpose is to collect fluid from your surgical area by the use of suction. By removing this fluid, your surgical area will be suitable to heal briskly with lower threat of infection.
Serosanguineous drainage is the most common type of wound drainage buried by an open wound in response to towel damage. It's a thin and watery fluid that's pink in color due to the presence of small quantities of red blood cells.
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A medical assistant is administering an intramuscular immunization to a patient. Which one of the following actions should the medical assistant take
The actions that must be performed by medical assistants when administering intramuscular immunization are carried out on large muscled parts of the body.
What is intramuscular injection?The action of injection or administration of drugs intramuscularly is carried out for drug administration. The benefit of this type of injection is that the drug is absorbed by the body quickly.
The medicinal liquid is inserted directly into the muscles which have many blood vessels and is generally done on large muscular parts of the body so that there is no possibility of puncturing the nerves. This kind of drug administration allows the drug to be released periodically in the form of drug depots.
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which form of treatment is used to promote the healing process by dilating blood vessels which allows for more circulation to occur in the affected area.
Vasodilators are medications that cause blood vessels to dilate (dilate). They affect the artery and vein lining muscles, preventing tightening and constriction of the walls. As a result, blood may move through to the valves more easily.
How do vasodilators work?One condition that these medications serve to treat is excessive blood pressure. Vasodilators are medications that cause blood vessels to dilate (dilate). They affect the artery and vein lining muscles, preventing tightening and constriction of the walls. When the blood passing through the amygdala is warmer than usual, as it is when the system needs to lose heat, the heat-loss center becomes active. This region blocks the production of heat, which expands the skin blood vessels and boosts blood flow, often enough controlling the temperature. When the blood is also still warm, these afferents get to have a signal that stimulates the body's sweat receptors and causes perspiration.
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