Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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The information that the nurse should include in the teaching is: D. The risk for developing DKA may be increased with the use of an insulin pump
Diabetes mellitus occur when a patient body does not produce insulin that is needed by the body leading to increase in the patient blood sugar level.
Insulin pump is a pump which are use when treating diabetes patients as it help to administer Insulin into the patient body when performing insulin therapy.
DKA which fully meaning is Diabetic ketoacidosis occur when a patient body does not have enough insulin leading to what is called ketones.
The risk for developing Diabetic ketoacidosis can be increased when a patient make use of insulin pump due to the following:
•When the pump fails to function normally due to low battery.
•When their is no longer insulin in the pump.
Inconclusion the information that the nurse should include in the teaching is: D. The risk for developing DKA may be increased with the use of an insulin pump.
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The correct option is (c) 70%.
The nurse would document 70% blood oxygen saturation as normal for the patient.
What is Venous oxygen saturation?
- The amount of oxygen in the blood that returns to the right side of the heart after perfusing the entire body is known as venous oxygen saturation (SvO2).
- An abnormal SvO2 results from insufficient systemic oxygenation when the oxygen supply is insufficient to meet the metabolic demands of the tissues.
- To assess the severity of tissue hypoperfusion situations and the mixed venous blood oxygen saturation levels, continuous central venous oximetry (ScvO2) monitoring may be performed.
- As blood returns to the heart and pulmonary system to be re-oxygenated, a central catheter is inserted into the superior vena cava (SVC), and a sensor on the catheter monitors the oxygen saturation of the blood in the SVC. 70% is the average ScvO2 value.
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I understand that the question you are looking for is "The nurse is using continuous central venous oximetry (ScvO2) to monitor the blood oxygen saturation of a patient in shock. What value would the nurse document as normal for the patient?
(a)60%
(b)50%
(c)70%
(d)40%"
