Blurring vision is the serious symptom shown by the a client is admitted to the hospital for the treatment of malaria. the health care provider has ordered chloroquine.
A parasite that frequently infects a particular species of mosquito that feeds on people can result in the serious and occasionally fatal disease known as malaria. Malaria often causes severe disease, including high fevers, shivering chills, and flu-like symptoms. Malaria can be fatal, although most cases of illness and death from malaria can be avoided.
Each year, the United States diagnoses about 2,000 cases of malaria. The majority of cases in the United States are found among visitors and immigrants who have just left malaria-endemic nations, many of whom are from sub-Saharan Africa and South Asia.
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Which medications have the potential to increase a patient's susceptibility to infection?
Select one or more:
a.
Immunosuppresants
b.
Antihypertensives
c.
corticosteroids
d.
Insulin
True or false A vial of 500,000 units of a medication that has been reconstituted with 4 mL will yield 125,000 units/mL.
False.
If a vial of 500,000 units of a medication is reconstituted with 4 mL, it will yield a concentration of 125,000 units/mL.
Concentration of a substance is calculated by dividing the number of units by the volume it occupies. In this case, the concentration of the medication would be 500,000 units / 4 mL = 125,000 units/mL.
1. Explain why you agree or disagree that HPV vaccines should be mandatory for both male and female teenagers.
2. Why do you think some parents are hesitant to get their children vaccinated?
3. Provide two reliable resources that you would recommend to parents to educate themselves about the vaccine.
Explanation:
because on social media it is spreading that vaccine can kill you in 2 years I'm not sure if it's wrong or right
The nurse is working with a client who is taking oxybutynin. What assessments should the nurse perform to identify likely adverse effects? Select all that apply. Select one or more: a. Sodium and pota
Oxybutynin is an antispasmodic medication that is used to treat frequent urination and urge incontinence. Some adverse effects of oxybutynin that a nurse should assess are listed below:Urinary retention - When administering oxybutynin, the nurse should observe the client for urinary retention, which may result from decreased bladder contractions and/or an increase in sphincter tone.
If the client is unable to void, assess for bladder distension and obtain a bladder scan to check for urinary retention.Dizziness - When a client takes oxybutynin, the nurse should assess for dizziness or light-headedness, which may cause a fall in older adults.Constipation - When taking oxybutynin, the nurse should assess for constipation or other gastrointestinal (GI) symptoms, such as abdominal pain or bloating. Urinary retention and constipation are two of the most common adverse effects of oxybutynin, and the client should be informed about these risks. Sodium and potassium levels are not affected by oxybutynin administration.
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How much Dextrose 70% must be mixed with Dextrose 5% to prepare 1,000mL of Dextrose 20%? *
Answer:
231 ml
Explanation:
Let x represent the amo unt of Dextrose 70% in ml and y represent the amount of Dextrose 5% in ml needed to prepare 1,000mL of Dextrose 20%.
Since 1000 ml of Dextrose 20% is needed, hence:
x + y = 1000 (1)
Also 70% Dextrose is mixed with 5% dextrose to produce 20% dextrose. i.e.:
70% of x + 5% of y = 20% of 1000
0.7x + 0.05y = 200 (2)
We have to solve equations 1 and 2 simultaneously.
Let us multiply equation 2 by 20:
14x + y = 4000 (3)
subtract equation 1 from 3:
13x = 3000
x = 231 ml
Put x = 231 in equation 1 to find y:
231 + y = 1000
y = 769 ml
Therefore 231 ml of Dextrose 70% must be mixed with 769 ml of Dextrose 5% to prepare 1,000mL of Dextrose 20%? *
hyponatremia _____ the secretion of adh/vasopressin and _____ the secretion of aldosterone.
Hyponatremia increases the secretion of ADH/vasopressin and decreases the secretion of aldosterone.
Antidiuretic hormone (ADH) and aldosterone play important roles in the water and electrolyte balance of the human body. ADH along with oxytocin is produced in the supra-optic and paraventricular nuclei of the hypothalamus. These hormones are stored in the posterior pituitary and released in response to appropriate stimuli. For ADH, secretion is regulated by plasma osmolality. If plasma osmolality increases, it stimulates the secretion of ADH, which acts at the collecting duct of the nephron where it causes reabsorption of only water and produces concentrated urine.
Hyponatremia is a condition where sodium levels in your blood are lower than normal. Hyponatremia is caused by appropriate ADH release (from the kidneys' perspective) in both CHF and cirrhosis. And also caused by insufficiency of both aldosterone and cortisol. Aldosterone insufficiency decreases sodium reabsorption in the collecting ducts of the kidney.
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an 89-year-old client is confused and disoriented. which of these interventions promotes reminiscence? Showing the client a picture of when they baked cookies with their grandchildren. Questions 1.- The nurse is planning client education for an older adult being prepared for discharge home after hospitalization with a new cardiac diagnosis. Which nursing action addresses a priority need for this client?
The nursing action that addresses a priority need for an older adult being prepared for discharge home after hospitalization with a new cardiac diagnosis is to review the medications with the client to identify possible interactions with over-the-counter drugs, dietary supplements, or foods. Showing the client a picture of when they baked cookies with their grandchildren is likely to promote reminiscence and evoke positive memories of the client's relationship with their grandchildren.
Question 1. The nurse is planning client education for an older adult being prepared for discharge home after hospitalization with a new cardiac diagnosis. Which nursing action addresses a priority need for this client?
The nursing action that addresses a priority need for an older adult being prepared for discharge home after hospitalization with a new cardiac diagnosis is to review the medications with the client to identify possible interactions with over-the-counter drugs, dietary supplements, or foods. The nurse should also explain the proper administration and dosages of all prescribed medications and their side effects.Another priority nursing action for the older adult client is to conduct an assessment of the client's health literacy to ensure that the client understands the information provided. The nurse should also assess the client's support system and ensure that the client has access to appropriate resources for follow-up care.
Question 2. An 89-year-old client is confused and disoriented. Which of these interventions promotes reminiscence?The intervention that promotes reminiscence in an 89-year-old client who is confused and disoriented is showing the client a picture of when they baked cookies with their grandchildren.Reminiscence is a cognitive exercise that helps clients remember past experiences and develop a sense of self. It promotes self-esteem, emotional well-being, and a sense of connectedness to others. In this case, showing the client a picture of when they baked cookies with their grandchildren is likely to promote reminiscence and evoke positive memories of the client's relationship with their grandchildren.
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Explain the difference between a genotype and phenotype.
Mrs. Dee Mark complains of fatigue, increased appetite, weight loss, and night sweats. She has protruding eyeballs (exophthalmos) and increased reflexes. These signs and symptoms are characteristic of:
Answer:
diabetes or hyperthyroidism
Explanation:
Medical causes – unrelenting exhaustion may be a sign of an underlying illness, such as a thyroid disorder, heart disease or diabetes. Lifestyle-related causes – alcohol or drugs or lack of regular exercise can lead to feelings of fatigue. Workplace-related causes – workplace stress can lead to feelings of fatigue. But if your appetite is significantly increased over a prolonged period of time, it could be a symptom of a serious illness, such as diabetes or hyperthyroidism. Mental health conditions, such as depression and stress, can also lead to appetite changes and overeating.
which are the early (prodromal) clinical manifestations of hepatitis?
The early (prodromal) clinical manifestations of hepatitis is Fatigue, fever, hyperalgia, and vomiting
What is meant by prodromal ?Prodrome is a term used in medicine to describe the initial warning signs or symptoms of a disease or health issue that develop before the more noticeable ones do. One sickness with a distinctive prodrome is psychosis, a collection of symptoms present in illnesses like schizophrenia.
The prodromal stage is the time following incubation but prior to the onset of an infection's signature symptoms. Infections can still spread between people while in the prodromal stage. The infectious agent is still reproducing at this stage, which prompts the body's immunological response and moderate, vague symptoms.
The complete question is : Which are early (prodromal) clinical manifestations of hepatitis?
Fatigue, fever, hyperalgia, and vomiting
Light-colored stools, dark-colored urine
Large, tender liver; itching; jaundice
Pain in the left upper quadrant, splenomegaly
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Which situation places the client at the highest risk of lack of oxygen
Answer:
The nurse caring for a client with a chest tube turns the client to the side and the chest tube accidentally disconnects from the water seal chamber.
Explanation:
can a consumer who qualifies for low income subsidy receive financial assistance for their part of medicare part d cost?
Answer:
Individuals with incomes up to 150 percent of the federal poverty level can receive help with their Part D costs for premiums, deductibles and co-pays through the Part D Low Income Subsidy (known as “LIS” or “Extra Help”), which is administered by the Social Security Administration.
Explanation:
Answer:
Explanation:Through subsidies that offer lower or no cost monthly premiums and lower or no cost copays
drugs that are used mainly to control pain are called
The drugs that are primarily used to control pain are called analgesics. They're also known as painkillers or pain relievers. Pain can be classified into three categories based on the duration of the pain: acute, chronic, and neuropathic.
Acute pain is short-term pain, whereas chronic pain is long-term pain. Neuropathic pain is a type of pain that occurs when there is damage to the nerves that are responsible for transmitting signals from the body to the brain.Painkillers function by blocking the pain signals that are sent to the brain.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common painkillers used to treat mild to moderate pain. They relieve pain by inhibiting the cyclooxygenase (COX) enzyme,
which produces prostaglandins that cause pain and inflammation.Opioids are another category of painkillers that are used to treat moderate to severe pain.
They work by binding to opioid receptors in the brain and spinal cord, preventing pain signals from reaching the brain. Opioids can be addictive and have negative side effects, so they are prescribed with caution.
The drugs that are primarily used to control pain are called analgesics.
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In what respects does epidemiology differ from clinical medicine?
Answer:
Epidemiology and clinical medicine are both fields of study related to health and disease, but they differ in several key respects:
Scope and Population-level Focus: Epidemiology is the study of health and disease patterns in populations, typically at the community, regional, national, or global level. It focuses on understanding the distribution, determinants, and patterns of health and disease in populations, including factors such as risk factors, prevalence, incidence, and outcomes. Clinical medicine, on the other hand, focuses on the diagnosis, treatment, and management of individual patients at the level of the individual or small groups of patients.
Study Design and Methods: Epidemiology typically employs observational study designs, such as cohort studies, case-control studies, and cross-sectional studies, to investigate the relationships between exposures (such as risk factors) and health outcomes in populations. Clinical medicine, on the other hand, often involves randomized controlled trials (RCTs), systematic reviews, and other experimental designs to evaluate the effectiveness of interventions or treatments in individual patients.
Emphasis on Population Health and Prevention: Epidemiology places a strong emphasis on population health and disease prevention. Epidemiologists study patterns of disease occurrence and work to identify and understand risk factors and determinants of health in populations, with the goal of informing public health policies and interventions to prevent disease and promote health at the population level. Clinical medicine, on the other hand, focuses on diagnosing, treating, and managing diseases in individual patients, with the goal of improving the health outcomes of individual patients.
Role in Public Health and Policy: Epidemiology plays a critical role in public health practice, as it provides evidence for the development of public health policies and interventions to improve population health. Epidemiologists work closely with public health agencies and policymakers to identify and mitigate health risks, monitor disease trends, and develop strategies for disease prevention and control. Clinical medicine, on the other hand, is primarily concerned with providing individual patient care and is typically not directly involved in the development of public health policies.
Data and Analysis: Epidemiology often involves the analysis of large datasets, such as population-based surveys, health records, and other epidemiological databases, to identify patterns and trends in health and disease at the population level. Clinical medicine, on the other hand, primarily relies on individual patient data, including medical history, physical examinations, and laboratory tests, to diagnose and treat diseases in individual patients.
Overall, while both epidemiology and clinical medicine are important fields of study related to health and disease, they differ in their scope, study designs, methods, emphasis on population health, role in public health and policy, and data analysis approaches. Understanding these differences is crucial for accurately interpreting and applying findings from both fields in healthcare practice and public health interventions.
Explanation:
1. A 70-year-old woman comes to you complaining of worsening low back pain. She can no
longer work in her garden because it hurts to bend over and pick out all of the weeds. She has a
history of multiple fractures and she swears that she is shrinking!
a. Differential diagnosis:
b. Diagnostic tool(s):
Answer: i think its b diagnostic tools
What should the nurse include in a teaching plan to help reduce the side effects associated with diltiazem (Cardizem)?
To lessen the adverse effects of diltiazem, the nurse includes a training strategy. Shift positions gradually.
What are diltiazem's long-term adverse effects?The most harmful adverse effects of diltiazem are as follows:
diminished heart rate (bradycardia)blocked heart (AV block)cardiac rhythm issues (arrhythmias)extreme hypotension.a heart attack.significant allergic responses.What things should you stay away from when taking diltiazem?While receiving therapy with dilTIAZem, you may wish to restrict your alcohol intake and stay away from excessive grapefruit and grapefruit juice consumption.
Diltiazem use can be abruptly stopped.Don't stop taking diltiazem abruptly without first consulting your doctor. If you suddenly stop taking this medication, your blood pressure may increase. You might get a heart attack or stroke as a result of this.
What should I watch out for when using diltiazem?Before giving diltiazem, check your heart rate, blood pressure, and cardiac monitor. Analyze the results of your initial lab tests for the liver (AST, ALT) and kidney (BUN, Cr). observe for heart failure symptoms (e.g., pulmonary edema, weakness, dyspnea).learn more about diltiazem here
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What body landmark does the ACL start from?
O Intercondylar notch
0 Tibial tuberosity
O Medial condyle
0 Fibular head
Answer:
The ACL originates from deep within the notch of the distal femur. Its proximal fibers fan out along the medial wall of the lateral femoral condyle. There are two bundles of the ACL: the anteromedial and the posterolateral, named according to where the bundles insert into the tibial plateau.
What information is entered into Block 4 on the CMS-1500 claim for a workers' compensation case?
Answer:
Enter the insured's address and telephone number. If Block 4 is completed, this field should be completed. The first line is for the street address; the second line is for the city and state; the third line is for the zip code and phone number.
Answer:
Enter the insured's address and telephone number. If Block 4 is completed, this field should be completed. The first line is for the street address; the second line is for the city and state; the third line is for the zip code and phone number.
Explanation:
the nurse is assessing a 35-year-old woman at 22 weeks' gestation who has had recent laboratory work. the nurse notes fasting blood glucose 146 mg/dl (8.10 mmol/l), hemoglobin 13 g/dl (130 g/l), and hematocrit 37% (0.37). based on these results, which instruction should the nurse prioritize?
Based on the laboratory results of a 35-year-old woman at 22 weeks' gestation with fasting blood glucose of 146 mg/dl (8.10 mmol/l), hemoglobin 13 g/dl (130 g/l), and hematocrit 37% (0.37), the nurse should prioritize addressing the elevated fasting blood glucose level.
A level above 126 mg/dl (7.0 mmol/l) may indicate gestational diabetes, which requires further evaluation and management to ensure a healthy pregnancy for both the mother and the baby. The nurse should educate the patient on the importance of monitoring blood glucose levels, following a balanced diet, engaging in regular exercise, and taking any prescribed medication to manage gestational diabetes. The hemoglobin and hematocrit levels are within normal range and may not require immediate intervention, but the nurse should monitor these levels throughout the pregnancy.
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If a nurse accidently sticks herself while giving a patient an im injection what is the first action?.
Answer:
The first course of action is to have your blood drawn to check for any viruses/diseases. As well as telling your charge nurse, manager, or house supervisor. You notify your employee health department.
Explanation:
If a nurse accidentally sticks herself while giving a patient an IM injection, the first action of the nurse would be to scrub the area vigorously for 5 minutes with soap and water. The correct option is D.
Who is a nurse?A post-acute registered nurse provides patients with direct care the majority of the time. They oversee safety, oversee patients' everyday activities, and give basic care.
Helping people with a disability and/or chronic illness achieve and retain their maximal function is the aim of rehabilitation nursing. In a variety of settings, including long-term care facilities, nursing homes, jails, homes, and other places, a registered nurse (RN) offers direct patient care.
Therefore, the correct option is D. Scrub the area vigorously for 5 minutes with soap and water.
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The question is incomplete. Your most probably complete question is given below:
A) Report the incident to the supervisor/charge nurse.
B) Cleanse the area with Betadine.
C) Irrigate the area with sterile water.
D) Scrub the area vigorously for 5 minutes with soap and water.
The nurse notices the Filipino client has not been eating. The client moves food
around the plate. Which nursing diagnosis would be appropriate for this client?
1. Anxiety (moderate to severe) related to entry into an unfamiliar health care system
and separation from support systems, evidenced by apprehension and suspicion,
restlessness, and trembling
2. Imbalanced nutrition, less than body requirements, related to refusal to eat unfamiliar
foods provided in the health care setting, evidenced by loss of weight
3. Impaired verbal communication related to cultural differences, evidenced by inability
to speak the predominant language
4. Spiritual distress related to inability to participate in usual religious practices because
of hospitalization, evidenced by alterations in mood (e.g., anger, crying, withdrawal,
preoccupation, anxiety, hostility, apathy)
Based on the given scenario, the appropriate nursing diagnosis for the Filipino client would be option 2: imbalanced nutrition, less than body requirements, related to refusal to eat unfamiliar foods provided in the health care setting, evidenced by loss of weight.
This is because the client is not eating and is only moving food around the plate, indicating a refusal to eat. The reason for this could be the unfamiliarity of the food provided in the health care setting, which can result in imbalanced nutrition and weight loss if not addressed promptly.
This diagnosis takes into account the client's refusal to eat, which is resulting in weight loss. The fact that the client is Filipino may indicate that the food being offered is unfamiliar and may not be to the client's liking, leading to the refusal to eat. The other options do not fully capture the client's current situation and symptoms.
Therefore, Option 2 is correct.
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abnormal for pregnant female third trimester
Answer:
Things that may occur for a pregnant female in their third trimester include gestational diabetes, pre-eclampsia, pre-term labour, P.R.O.M., placenta problems, I.U.G.R., post-term and malpresentation.
In a medical setting,what's done to whole numbers to minimize the chance of errors?
PCOS anovulation: what are FSH and LH levels?
In PCOS anovulation, the levels of FSH (follicle-stimulating hormone) and LH (luteinizing hormone) are typically abnormal. FSH levels may be lower than normal, while LH levels are often elevated.
This hormonal imbalance can interfere with ovulation and lead to irregular or absent menstrual periods. Women with PCOS may also experience other symptoms related to high levels of androgens, such as acne, hair growth, and weight gain. Treatment for PCOS may involve medications to regulate hormone levels and improve fertility, as well as lifestyle changes such as exercise and a healthy diet. Usually, the ratio of FSH and LH levels in the blood is about 1:1. However, in women with PCOS, the ratio is often higher than 2:1. This hormonal imbalance can lead to anovulation, which is the lack of ovulation. The hormonal imbalance can also cause other symptoms of PCOS, such as irregular periods, acne, and excess hair growth.
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A 74-year-old black female presents with a fever, recent weight loss, and a cough productive of bloody sputum. a chest x-ray and ct scan were performed, revealing cavities near the apices of both of her lungs. a sputum smear was positive for acid-fast bacilli. What statements is most accurate?
The clinical presentation and diagnostic findings in this case suggest a diagnosis of pulmonary tuberculosis (TB) in the 74-year-old black female patient.
The presence of fever, weight loss, productive cough with bloody sputum, and cavities on chest imaging are all characteristic of pulmonary TB. The positive sputum smear for acid-fast bacilli further supports this diagnosis.
Pulmonary TB is a serious infectious disease caused by the bacterium Mycobacterium tuberculosis, and it is spread through the air via respiratory droplets. Treatment for pulmonary TB typically involves a combination of antibiotics for several months to effectively kill the bacteria and prevent further spread of the disease.
It is important to note that TB is a highly contagious disease, and individuals who may have been in close contact with the patient should be tested and monitored for signs and symptoms of the disease. Additionally, public health authorities should be notified to ensure appropriate measures are taken to prevent further transmission of TB.
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Respond to the following three problems. Show your work for any calculations performed. Each accurate and complete response is worth 20 points.
Problem 1. Formulate your answer based on the below information. The intensity of care delivered dropped from a budgeted case mix of 0.90 to an actual case mix of 0.85. What dollar effect did this have on actual costs?
You have been asked by management to explain the variances in costs under your inpatient capitated contract. The following data is provided. Use the following data to calculate the variances.
Budget
Actual
Inpatient Costs
$12,568,500
$16,618,350
Members
42,000
42,000
Admission Rate
0.070
0.095
Case Mix Index
0.90
0.85
Cost per Case (CMI = 1.0)
$4,750
$4,900
Problem 2. Based on the information below, what rate must be set to generate the required $80,000 in profit in the preceding example?
You have been asked to establish a pricing structure for radiology on a per-procedure basis. Present budgetary data is presented below:
Budgeted Procedures
10,000
Budgeted Cost
$400,000
Desired Profit
$80,000
It is estimated that Medicare patients comprise 40 percent of total radiology volume and will pay on average $38.00 per procedure. Approximately 10 percent of the patients are cost payers. The remaining charge payers are summarized below:
Payer
Volume%
Discount%
Blue Cross
20
4
Unity PPO
15
10
Kaiser
10
10
Self Pay
5
40
50%
Problem 3. What is the amount of variance that is attributed to the difference between the budgeted and actual wage rate per hour?
Use the following data to calculate the variances.
The following information has been prepared for a home health agency.
Budget
Actual
Wage Rate per Hour
$16.00
$17.00
Fixed Hours
320
320
Variable Hours per Relative
Value Unit (RVU)
1.0
1.1
Relative Value Units (RVUs)
1,000
1,200
Total Labor Hours
1,320
1,640
Labor Costs
$21,120
$27,880
Cost per RVU
$21.12
$23.23
Budgeted costs at actual volume would be $25,344 ($21.12 × 1,200), and the total variance to be explained is $2,536 Unfavorable ($27,880 - $25,344). Be sure to specify whether the variance is favorable or unfavorable.
Answer:
youre question layout is vary confuseing i can't even figure the question thus, you need to change youre layout.
Explanation:
change it and you might get an actual answer
a surgeon is supervising two residents in two adjoining outpatient procedure rooms. one patient has the removal of a soft tissue tumor of the shoulder. the surgeon left after the removal while the resident performed the repair. the surgeon then supervised another resident. the resident had prepped the patient for surgery. the surgeon was present for the repair of an inguinal hernia and left before the closure was complete. what procedures are billed by the surgeon? a. nothing is billed, because the teaching surgeon left before the procedures were completed. b. the excision of the soft tissue tumor removal. c. the excision of the soft tissue tumor removal and the hernia repair. d. the hernia repair.
'The excision of the soft tissue tumor removal' was billed by the surgeon.
What exactly is tumor?
A tumor is basically an abnormal growth of cells. It can be either benign (non-cancerous) or malignant (cancerous). Benign tumors are common and do not spread to other parts of the body, while malignant tumors can spread to other parts of the body and cause serious health problems.
The surgeon is the one responsible for supervising the procedure, and their presence is required for the excision of the soft tissue tumor removal. Therefore, the surgeon bills for the excision of the soft tissue tumor removal. The surgeon does not bill for the repair of the inguinal hernia as they left before it was completed, so the resident performing the repair would be the one responsible for billing for it.
Hence, option B is correct.
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The __________ abuts the lumen of the alimentary canal and consists of epithelium, lamina propria, and muscularis mucosae.
Answer:
Mucosa
Explanation:
I hope I helped
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A nurse is working with an oncology patient and is preparing to administer ordered medications.
Which priority calculation should the nurse include in the plan of care?
Answer:
The nurse should work with the client to individualize the plan of care for managing pain. Donning two pairs of gloves tested against chemotherapy agents during all handling activities.
Wearing a disposable gown made from a low permeable fabric with back closure.
Using eye and face protection when splashing may be a risk. Take measures to prevent medication errors.
Explanation:
A 34 pound child with epilesy is prescribed tegretol (carbamazepine) 15 mg/kg/day, taken in four doses/ Tegretol suspension is 100 mg/5ml whats the vollume of one dose of medication?
Answer:
volume = 11.56ml
Explanation:
Composition of Tegretol Suspension = 100mg/5ml
This means that:
100mg = 5ml
1 mg = 5/100 ml
1 mg = 0.05ml
prescribed dosage = 15mg/kg/day
weight of child = 34 pounds
1 pound = 0.4535 kg
∴ 34 pounds = 0.4535 × 34 = 15.419 kg
∴ prescribed dose = 15mg/kg
1kg = 15mg
∴ 15.419kg = 15 × 15.419 = 231.285mg
composition = 100mg/5ml
100mg = 5ml
1 mg = 5/100 = 0.05ml
∴231.285mg = 0.05 × 231.285
= 11.56ml