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Answer updated on: 12 Feb 2020
Separates the health record according to disciplineIn source-oriented charting. each discipline documents findings in a separately labeled section of the chart. Problem-oriented charting organizes notes around the patients problems. Focus charting highlights the patients concerns. problems. and strengths. Charting by exception is a unique charting system designed to streamline documentation.
Answer updated on: 12 Feb 2020
The client’s perception of the triggering event and availability of situational supportsThe most important factors to determine in this situations are the clients perception of the crisis event and the availability of support (including family and friends) to provide basic needs.Options A. B. and D: Although the nurse should assess the other factors. they are not as essential as determining ...
Answer updated on: 12 Feb 2020
Visual disturbance Headache Orthopnea GoutPolycythemia vera, a condition in which too many RBCs are produced in the blood serum, can lead to an increase in the hematocrit and hypervolemia, hyperviscosity, and hypertension. Subsequently, the client can experience dizziness, tinnitus, visual disturbances, headaches, or a feeling of fullness in the head. The client may also experience ...
Answer updated on: 12 Feb 2020
Passive and dependantDuring the taking in phase. which usually lasts 1-3 days. the mother is passive and dependent and expresses her own needs rather than the neonates needs.Options B. C. and D: The taking hold phase usually lasts from days 3-10 PP. During this stage. the mother strives for independence and autonomy; she also becomes curious and interested in the care of the baby and is most ...
Answer updated on: 12 Feb 2020
Breast-feeding the neonate at frequent intervalsPrevention of breast engorgement is key. The best technique is to empty the breast regularly with feeding. Engorgement is less likely when the mother and neonate are together. as in single room maternity care continuous rooming-in. because nursing can be done conveniently to meet the neonates and mothers needs.
Answer updated on: 12 Feb 2020
Applying knee splintsApplying knee splints prevents leg contractures by holding the joints in a position of function. Elevating the foot of the bed cant prevent contractures because this action doesnt hold the joints in a position of function. Hyperextending a body part for an extended time is inappropriate because it can cause contractures. Performing shoulder range-of-motion exercises can ...
Answer updated on: 12 Feb 2020
If possible. keep the other bed in the room unassigned to provide privacy and comfort to the family.When a family member is dying. it is most helpful for nursing staff to provide a culturally sensitive environment to the degree possible within the hospital routine. In the Vietnamese culture. it is important that the dying be surrounded by loved ones and not left alone. Traditional rituals and ...
Answer updated on: 12 Feb 2020
Early onset cough Purulent mucus production Mild episodes of dyspneaKey features of pulmonary emphysema include dyspnea that is often marked. late cough (after onset of dyspnea). scant mucus production. and marked weight loss. By contrast. chronic bronchitis is characterized by an early onset of cough (before dyspnea). copious purulent mucus production. minimal weight loss. and milder severity ...
Answer updated on: 12 Feb 2020
Have the client turn the head from side to side.The function that would be disrupted by a contracture to the posterior neck is flexion. Moving the head from side to side prevents such a loss of flexion. The other distractors listed do not call for moving of the head from side to side. This movement is what would prevent contractures from occurring.
Answer updated on: 12 Feb 2020
Continue to monitor the clientThe presence of fluctuation of the fluid level in the water seal chamber indicates a patent drainage system. With normal breathing. the water level rises with inspiration and falls with expiration. Fluctuation stops if the tube is obstructed. if a dependent loop exists. if the suction is not working properly. or if the lung has reexpanded. Options A. C. and D are ...
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