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Answer updated on: 12 Feb 2020
Measure intake and output.It is important to measure intake and output, which should equal. Enteral feeding are hyperosmotic agents pulling fluid from cells into vascular bed. Water given before feeding will present a hyperosmotic diuresis. I and O measures assess fluid balance.
Answer updated on: 12 Feb 2020
EmphysemaThe client with emphysema has hyperinflation of the alveoli and flattening of the diaphragm. These lead to increased anteroposterior diameter, referred to as barrel chest. The client also has dyspnea with prolonged expiration and has hyperresonant lungs to percussion.
Answer updated on: 12 Feb 2020
Preventing infectionPreventing infection in the infant with eczema is the nurses most important goal. The infant with eczema is at high risk for infection due to numerous breaks in the skins integrity. Intact skin is always the infants first line of defense against infection.
Answer updated on: 12 Feb 2020
Progression from restlessness to confusion and disorientation to lethargy He first major effect of increasing ICP is a decrease in cerebral perfusion causing hypoxia that produces a progressive alteration in the LOC. This is initially manifested by restlessness.
Answer updated on: 12 Feb 2020
Risk for deficient fluid volume related to hemorrhage Hemorrhage jeopardizes the clients oxygen supply the first priority among human physiologic needs. Therefore, the nursing diagnosis of Risk for deficient fluid volume related to hemorrhage takes priority over diagnoses of Risk for infection, Pain, and Urinary retention.
Answer updated on: 12 Feb 2020
Preparation of the patient
Answer updated on: 12 Feb 2020
Risk for Disuse SyndromeDuring the emergent phase, fluid shifts into interstitial tissue in burned areas. When the burn is circumferential on an extremity, the swelling can compress blood vessels to such an extent that circulation is impaired distal to the injury, necessitating the intervention of an escharotomy. Chemical burns do not cause inhalation injury.
DIF: Cognitive Level: Application ...
Answer updated on: 12 Feb 2020
Inability to make choices and decision without adviseIndividual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them.
Answer updated on: 12 Feb 2020
Monitor client continuouslyThese clients often hide food or force vomiting; therefore they must be carefully monitored.
Answer updated on: 12 Feb 2020
Ensure the accessibility and quality of health careEnsuring the accessibility and quality of health care is the primary mission of DOH.
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