Answer:
Nursing Experience and expertise and evidence from the community in case you are working with a community rather than an individual.
Explanation:
Evidence-based sources includes research studies, evidence from nursing experience and expertise, and evidence from community leaders. When working with communities, Culturally and financially appropriate best practices should be identified and used.
Again, the use of evidence to determine the appropriate use of interventions that are culturally sensitive and cost effective is very important.
Answer:
Arterial blood gas (ABG) results from a 68-year-old woman with difficulty breathing show:
- Oxygenation (PaO₂): hypoxemia
- pH: acidosis
- PaCO₂: Hypercapnia
- HCO₃⁻: normal
whose interpretation is: <u>respiratory acidosis</u>.
Hypercapnia can produce symptoms such as confusion, drowsiness or lethargy, headache, nausea and vomiting and, in severe states, can cause severe unconsciousness and coma.
Explanation:
Respiratory acidosis is due to a failure in the breathing process that produces <u>hypoventilation</u>, decreasing the partial pressure of oxygen (PaO₂) —hypoxemia— and increasing the partial pressure of CO₂ (PaCO₂), called hypercapnia.
- <u><em>Acidosis</em></u><em> is the result of the accumulation of CO₂ in the body, which is reflected as a decrease in </em><em>pH</em><em> below 7.35, with no change in bicarbonate content.</em>
- <u><em>Hypoxemia</em></u><em> is the decrease of PaO₂ below 60 mmHg.</em>
- <u><em>Hypercapnia</em></u><em> is the increase of PaCO₂ in ABG above 45 mmHg.</em>
- <em>Normal </em><em>bicarbonate</em><em> </em><em>(HCO₃⁻) </em><em>values range from 22 to 28 mEq/L in ABG. This compound can be altered in metabolic acidosis.</em>
<u>Hypercapnia mainly affects the nervous system</u>, producing symptoms that alter the state of consciousness of the affected, also producing headache and even nausea and vomiting.
If the patients cannot or will not follow through on treatment recommendations, it does little good to diagnose a disorder correctly and prescribe appropriate treatment.
For the proper diagnosis and treatment of a disease, it is important that a patient cooperates with the doctors and nurses. If a person does not cooperate, then the diagnosis of the treatment and its management cannot be planned correctly. A patient needs to understand that the healthcare workers advise everything for the betterment of the patient.
It is the responsibility of a patient to follow the instructions and recommendations at the time of diagnosis, he should also follow the treatment plan accordingly. Otherwise, there will be no improvement in his condition.
If a person makes a mistake in following up on a plan, he should also inform the doctor or nurse so that they can suggest an alternative.
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# SPJ4
We can confirm that a client taking phenytoin (Dilantin) should be encouraged to maintain good oral health in order to avoid gingival hyperplasia.
<h3>What is gingival hyperplasia?</h3>
This is the overgrowing of the gums around the teeth. This can cause irritation and pain within the mouth area. It is important to maintain good oral health as this can be the main cause of gingival hyperplasia, which is only exacerbated by the side effects of phenytoin (Dilantin), which can also lead to gingival hyperplasia.
Therefore, we can confirm that a client taking phenytoin (Dilantin) should be encouraged to maintain good oral health in order to avoid gingival hyperplasia.
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Answer:
The correct answer is B.
Explanation:
During the follicular phase (first half of female cycle), follicles in the ovary begin developing under the<u> influence of </u><u>FSH.</u> <em>The follicle that acquires more FSH receptors will become </em><em>dominant</em> and will produce more estrogen and inhibin hormone than the others. Inhibin will reduce FSH level and as a result the other follicles will fail to keep growing. At this stage the dominant follicle will become FSH independent.
Estrogen produced by the dominant follicle will stimulate LH secretion. After approximately 24-36 hours from when LH reaches its peak level, the dominant follicle releases an ovocyte. <em>This event is called ovulation.</em>