Podcast
Questions and Answers
What is the potential issue with incorporating calcium gluconate in sodium bicarbonate?
What is the potential issue with incorporating calcium gluconate in sodium bicarbonate?
What is part of the school nurse's responsibility?
What is part of the school nurse's responsibility?
What information does the nurse need to determine if Aquaria is overweight or not?
What information does the nurse need to determine if Aquaria is overweight or not?
What is Aquaria's BMI classification based on the given information?
What is Aquaria's BMI classification based on the given information?
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What is a risk factor for obesity, according to Jade?
What is a risk factor for obesity, according to Jade?
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What is the conversion for 1 kilogram in pounds?
What is the conversion for 1 kilogram in pounds?
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What type of blood is associated with a higher incidence of duodenal ulcer?
What type of blood is associated with a higher incidence of duodenal ulcer?
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What is the priority nursing intervention for a patient who develops high-grade fever and acute abdominal pain after a gastrointestinal endoscopy?
What is the priority nursing intervention for a patient who develops high-grade fever and acute abdominal pain after a gastrointestinal endoscopy?
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Which patient is a contraindication for nasogastric tube insertion?
Which patient is a contraindication for nasogastric tube insertion?
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What is an expected outcome for a patient with duodenal ulcer?
What is an expected outcome for a patient with duodenal ulcer?
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What is the initial action for a patient with emphysema who presents with dyspnea, tachypnea, and dusky-colored skin?
What is the initial action for a patient with emphysema who presents with dyspnea, tachypnea, and dusky-colored skin?
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What is the recommended position for patients with varying diseases during meals?
What is the recommended position for patients with varying diseases during meals?
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What is a complication that may occur after a gastrointestinal endoscopy?
What is a complication that may occur after a gastrointestinal endoscopy?
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What is the therapeutic level of phenytoin (Dilantin) in the blood?
What is the therapeutic level of phenytoin (Dilantin) in the blood?
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What is the intended effect of therapy for Client Mark taking Betaxolol (Kerlone)?
What is the intended effect of therapy for Client Mark taking Betaxolol (Kerlone)?
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What beverage should Client Darl with asthma, who is taking a xanthine bronchodilator, avoid?
What beverage should Client Darl with asthma, who is taking a xanthine bronchodilator, avoid?
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What is an essential competency for a nurse in relation to pharmacology?
What is an essential competency for a nurse in relation to pharmacology?
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Why is it important for a nurse to know the therapeutic level of a drug?
Why is it important for a nurse to know the therapeutic level of a drug?
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What is the primary goal in treating HIV?
What is the primary goal in treating HIV?
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Why can an infected person still transmit HIV to their sexual partner?
Why can an infected person still transmit HIV to their sexual partner?
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What is the most likely cause of Mr. Joe's symptoms?
What is the most likely cause of Mr. Joe's symptoms?
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What is the most likely route of transmission of HIV in Mr. Joe's case?
What is the most likely route of transmission of HIV in Mr. Joe's case?
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What is not a risk factor for HIV transmission?
What is not a risk factor for HIV transmission?
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How long after infection can a person safely donate blood?
How long after infection can a person safely donate blood?
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At what gestational age did Khristine gain 1 lb in 2 weeks?
At what gestational age did Khristine gain 1 lb in 2 weeks?
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What is a risk factor for preeclampsia in Khristine?
What is a risk factor for preeclampsia in Khristine?
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What is a complication of preeclampsia that the nurse should educate Khristine about?
What is a complication of preeclampsia that the nurse should educate Khristine about?
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What is the definition of pre-term labor?
What is the definition of pre-term labor?
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What is the result of Khristine's urinalysis?
What is the result of Khristine's urinalysis?
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Where is Nurse Nenita employed?
Where is Nurse Nenita employed?
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Study Notes
Nursing Responsibilities and Health Education
- School nurse plays a critical role as a health educator, providing health promotion through education.
- Nutrition program topics include "Nutrition and Body Image," vital for addressing students' health and self-perception.
Body Image Assessment
- To determine if a student is overweight, key information required includes height and weight for Body Mass Index (BMI) calculation.
- BMI classification:
- Underweight: Less than 23
- At risk: 23 to 24.9
- Obese I: 25 to 29.9
- Obese II: 30 and above
- Example: A 16-year-old girl weighing 176 lbs and 5 ft 4 in tall is classified as obese (BMI calculation: 30.4).
Mental Health and Eating Disorders
- Binge eating disorder is a significant concern for high school students, highlighting the need for education on risks associated with obesity and health.
HIV Knowledge and Risk Factors
- Understanding seropositivity indicates potential for viral transmission to others; goal is to decrease viral load for lower transmission risk.
- HIV can be transmitted through unprotected sex and shared needles, emphasizing the need for safe practices.
Nursing Interventions for Complications
- Cough, shortness of breath, and tachypnea in patients may indicate opportunistic infections like Pneumocystis jirovecii in immunocompromised individuals.
- Following gastrointestinal endoscopy, high fever and acute abdominal pain warrant immediate assessment for possible perforation.
Nasogastric Tube Considerations
- Patients post-craniofacial surgery or recovering from gastric surgery may be at risk for complications, thus may not be suitable for nasogastric tube insertion.
Patient Education in Chronic Conditions
- Emphasizing smoking cessation in patients with duodenal ulcers, as smoking is a major risk factor.
- Expected outcomes include lifestyle changes like engaging in social activities properly or pain management strategies.
Pharmacology in Nursing
- Key understanding of therapeutic drug levels, such as phenytoin (Dilantin) levels should be monitored; therapeutic range is 10-20 mcg/mL.
- With Betaxolol therapy, intended outcomes include lower blood pressure rather than increased heart rate.
Pregnancy and Preeclampsia Awareness
- Factors increasing risk for preeclampsia include short stature and adolescent age; monitoring weight gain is critical.
- Pre-term labor defined as labor beginning after 20 weeks but before 37 weeks of gestation, essential for understanding maternal care.
General Patient Care Protocols
- Immediate interventions and assessments are vital in nursing, especially with patients demonstrating signs of distress or complications.
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Description
A patient undergoes a gastrointestinal endoscopy and develops high fever and abdominal pain afterwards. What should be the nurse's priority action? Assess the patient for possible perforation and suspect peritonitis. Test your knowledge of nursing interventions in this scenario.
