The nursing intervention that should be a priority when an older adult client gets diagnosed with end-stage renal disease (ESRD) and has fluid volume excess is: assessing the client's lung sounds.
ESRD is a chronic kidney disease resulting in kidney failure. This is a gradual loss of the functioning of kidney that cannot be restored. The only solution to this disease is long-term dialysis on a regular basis or kidney transplant.
Lung sounds are of different types depending upon the condition of a person lungs. Listening to this sound, also called auscultation is necessary to assess the right medical condition. The sounds related to fluid overload in lungs are grunting, gurgling, or wheezing.
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Medically vulnerable means that the patient is not able to take care of themself.
For adults, the most common treatment for bacterial pneumonia is macrolides antibiotics. For example azithromycin or erythromycin. For children however, amoxicillin would be used.
Answer:
The medication can be safely used.
47.8 Celsius in Farenheit is 118.04.
The nurse provides care for a term neonate born to a client diagnosed with diabetes mellitus. When conducting the physical examination she manifests for Hypoglycemia in the newborn.
What is Neonatal Hypoglycemia?
- As part of the natural physiological shift from intrauterine life to extrauterine life, healthy newborns undergo an expected reduction in blood glucose concentrations right after birth.
- The baby's connection to the placenta, which it relied on to provide glucose and other metabolites necessary to sustain its energy needs in gestation, is broken if the umbilical chord is abruptly clamped during birth.
- In the first few hours after birth, the infant's blood glucose concentration starts to fall when the placenta's steady supply of exogenous intravenous glucose abruptly stops.
What can cause Neonatal Hypoglycemia?
Due to one or a combination of the following underlying mechanisms, infants are more likely to experience more severe or prolonged hypoglycemia:
- Inadequate glucose supply caused by low glycogen or fat stores or inadequate mechanisms of glucose production; or
- Increased glucose utilization brought on by excessive insulin production or increased metabolic demand; or malfunctioning counter-regulatory mechanisms.
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