Yoga is similar to tai chi in that yoga also employs a combination of breathing, movement and meditation. There are a number of parasomnias including sleep walking, sleep talking, grinding of the teeth that is referred to as bruxism, nocturnal enuresis and restless leg syndrome. There is no scientific data that indicates that 10% or 20% of the population has an allergy to both penicillin and latex. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. Which nursing action is most appropriate? Throughout the last several decades performance improvement activities have evolved from a focus on structures to a focus on process and now, to a focus on outcomes. Psychomotor domain: The client will rest their weight on the padded areas on the top of the crutches. The type of legal consent that is indirectly given by the client by the very nature of their voluntary acute care hospitalization is an implicit consent indirectly given by the client by the very nature of their voluntary acute care hospitalization is an implicit consent. Other risk factors that impede wound healing are: You should respond to this student nurse by stating, “This often happens during stage 2 of general anesthesia.”. Some of the techniques that are used with behavioral therapy include operant conditioning as put forth by Skinner, aversion therapy, desensitization therapy, modeling and complementary and alternative stress management techniques. Pelvic inflammatory disease is most often caused by the Neisseria gonorrhoeae and Chlamydia trachomatis pathogens; and it most often occurs as the result of untreated salpingitis, pelvic peritonitis, a tubo ovarian abscess and/or endometritis. Infection would not be evident during the immediate post-operative period; and, aspiration is not a complication of a thoracentesis. Unlike Neisseria gonorrhoeae, trichomoniasis and infections caused by E. coli and Staphylococcus aureus are not associated with the onset of pelvic inflammatory disease which can lead to infertility, increased risk for ectopic pregnancies, sepsis, septic shock and death when left untreated. Avoidance of the conflict, withdrawing in addition to other passivity, competition, and accommodating others are not effective and healthy conflict resolution techniques. Fully answering the client’s questions without any withholding of information is an example of the application of veracity into nursing practice. Intramuscular injection sites are determined by using boney landmarks and not by palpating the muscle. Decreasing financial liability and performance improvement activities focus on process improvements. Substance abuse does not include prescribed medications, such as narcotic pain medications, that are being used for medical reasons; however, these same medications when used after there is no longer a medical need to use them is considered substance abuse. For example, a ppositive correlation exists when the two variables both increase or decrease; and a negative occurs when one variable increases and the other decreases. Lastly, biomedical models address pathology, impairments and the manifestations of impairments that can be cured or lead to death. Diarrhea: Maintaining a slow rate of infusion whenever possible, changing the ordered rate and formula when necessary, Abdominal pain: Maintaining a slow rate of infusion whenever possible, Dehydration: Monitor the client for any signs and symptoms of dehydration, measure intake and output and notify the doctor of any abnormalities, Nausea and Vomiting: Slowing the rate down, changing the formula and antiemetic medications to stop the vomiting and to prevent any aspiration, Tube Dislodgment: Secure and monitor the tube. Lastly, notifications to the doctor and the nurse manager are only done after the client is assessed and emergency care, if any, is rendered. Lastly, scopes of practice are within the legal domain of the states and not the federal government. Non REM sleep is sleep that is not accompanied with rapid eye movements (REM). Other disorders and diseases and the ethnicities associated with them are listed below. Impaired tissue perfusion is an intrinsic, or internal, risk factor that places the client at risk for pressure ulcers. Active immunity occurs as the result of our bodily response to the presence of an antigen, with the development of antibodies. The normal respiratory rate for this client should be from 22 to 30 per minute. Referrals simply allow the client to be discharged into the community with the additional care they need. Primary intention healing is facilitated with wounds without infection. Social networks and cell phone cameras pose low risk in terms of information technology security and confidentiality. Some examples of risk management activities include preventing hazards and adverse events such as patient falls and infant abduction and the legal liabilities associated with these events. TTT 67777 Med Surg 2 Exam_2020 _ California State University 1. Although, at times, incompatibility can be evidenced with changes such as those related to color changes and the formation of a cloudy solution or obvious precipitate, at other times incompatibility may not be noticeable. Course Hero, Inc. Although the locus of control, bodily surface area and diaphoresis in addition to other factors such as economic constraints, the client’s level of energy, the client’s level of cognition, and environmental factors can impact on hygiene, these are not factors that impact on the client’s hygiene and hygiene practices; they do not typically impact on the lifelong developed hygiene and hygiene practices. c Administer liquids to the client using a syringe. Dieticians assess, plan, implement and evaluate interventions including those relating to dietary needs of those patients who need regular or therapeutic diets. Only BLS certified people in the community should use them. The client uses the FIFO method for insuring food safety. Validate the nurse’s competency in terms of the application of body mechanics principles during a transfer. Similarly, the height or length of the newborn increases an inch a month for the first 6 months and then 1/2 inch a month until the infant is 1 year of age. The lithotomy position is used for procedures involving the pelvis, including gynecological examinations; and the Trendelenburg position is used when the client is in shock and with significant hypotension. It is not necessary or appropriate to notify the doctor. Special assignments and training for a group of people so that this specially trained group can act when a security breach occurs is also a good idea but it is not necessary to train all nurses or clerical staff; it is sufficient to train a limited group of people, provided an ample number of these team members are assigned and available on all tours of duty around the clock, including on holidays. Febrile reactions are the most commonly occurring reaction to blood and blood products administration. provider as a possible indication of a skin malignancy. Nagi’s Model of disability model describes disabilities and its limitations are the result of a discrepancy between the client’s abilities and the limitations of the physical and social environment within which the client lives. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher. Finally, the number of drops per minute is calculated by using the intravenous infusion set’s drop factor  by using this rule. The acronym PASS is used to remember these sequential steps. You have failed to have another nurse witness the 0.8 mLs and the 0.2 mLs. As an advocate, the nurse would seek out resources and people, such as the facility’s ethicist or the ethics committee, to resolve this ethical dilemma. The rules of treatment for these three colors are: Melzack and Wall’s Gate Control Theory of pain supports the belief that some of the factors that open this “gate” to pain are low endorphins and anxiety and that some of the factors that close this “gate” to pain are decreased anxiety and fear. In fact, one of the primary goals of hospice and palliative care is to facilitate the client’s and family member’s acceptance. The member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation secondary to a terrorism blast explosion a month ago or more ago is a prosthetist. You have to determine how many mLs the patient will take if the doctor has ordered 10 mg twice a day and there are 12 mg in each mL. You should explain that fetal lie is where the fetus’ presenting part is within the birth canal during labor, among other information about the other assessments. These intravenous preparations can lead to infiltration but not extravasation. Registered nurse case managers have a primary case management responsibility associated with reimbursement because they are responsible for insuring that the client is being cared for at the appropriate level of care along the continuum of care that is consistent with medical necessity and the client’s current needs. For example, the social worker may assist the client in terms of their transportation and they can also teach the client about how to grocery shop, for example. The factors that impact on sleep, its duration and its quality are described below. Question the order because Benadryl is contraindicated when the client has a sleep inducement disorder. Hyperglycemia: High blood glucose levels, thirst, excessive urinary output, headache, nausea and fatigue. For these reasons, home carbon monoxide alarms are recommended. This action promotes postural drainage and also, allows maximal chest expansion, which makes it easier for the client to breath and, A nurse is reviewing evidence-based practice principle about administration of oxygen therapy with a. newly licensed nurse. Oculomotor Cranial Nerve: This motor and sensory nerve controls eye movements and visual acuity. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire. A client has refused to take a shower since being admitted 4 days earlier. Pedorthists modify and provide corrective footwear and employ supportive devices to address conditions which affect the feet and lower limbs. Some of the risk factors associated with falls are sedating medications, high glare, not low glare, floors and other environmental factors such as clutter and scatter rugs, not low glare floors, a history of prior falls, a fear of falling, incontinence, confusion, sensory deficits, a decreased level of consciousness, impaired reaction time, advancing age, poor muscular strength, balance, coordination, gait and range of motion and some physical disorders, particularly those that affect the musculoskeletal or neurological systems; falls are not associated with poor and impaired renal perfusion. The sleep cycle consists of both non REM sleep and REM sleep. Secondary intention healing, also referred to as healing by second intention, is done for contaminated wounds in order to prevent infections, to prevent the formation of abscesses and to promote healing from the bottom up to the outer surface of the skin so that any potential infection is not closed in at the bottom of the wound. Hypernatremia: Dehydration, renal failure, hyperglycemia and Cushing’s disease, Hypocalcemia: Vitamin D deficiency, Crohn’s disease, sepsis and pancreatitis, Hypermagnesemia: Addison’s disease, renal failure, diabetic ketoacidosis and dehydration. The need for a targeted assessment is based on the application of the nurse’s knowledge of pathophysiology and the presenting symptoms.

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