A surgeon performed a cataract extraction with an intraocular lens implant on the right eye of a medicare patient right modifier(s) would be reported.
Briefing :
Procedures performed on paired organs, such as the eyes, ears, breasts (except the skin), or sides of the body, are denoted by the modifiers RT and LT.
What is cataract extraction ?Surgery to remove the clouded lens from the eye is called a cataract extraction (ex-TRACK-shun). On the eye's surface, close to the cornea, the clear portion of the eye, the surgeon creates a small incision (cut). The material from the clouded lens is removed from the eye using a little device that is put via the incision.
Cataract surgery is a simple procedure that typically lasts between 30 and 45 minutes. You should be able to return home the same day because it is frequently performed as a day surgery under local anesthesia.
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27 year old g1p0 woman complains of modd swings and fatigue in the week prior to her menstrual period
Correct option is A, symptom diary for two months is the most appropriate next step in this patient's management who complains of mood swings and fatigue in the week prior to her menstrual period.
The premenstrual syndrome has a considerably more severe variant known as premenstrual dysphoric disorder (PMDD). Women who are childbearing age may be impacted. It's a serious, long-lasting medical problem that need attention and care.
In certain cases, medications and lifestyle modifications might help control symptoms. PMDD's precise etiology is unknown. It can be a strange response to the regular hormone fluctuations brought on by the menstrual cycle. Further history gathering using a menstrual calendar identifies the cyclical pattern of PMS or PMDD symptoms and aids in determining the best course of treatment.
While dietary modifications could be beneficial, it's first crucial to make the diagnosis. There is no need for a mental evaluation or an anxiolytic medication.
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Question correction:
A 27-year-old G1P0 woman complains of mood swings and fatigue in the week prior to her menstrual period. These symptoms have worsened over the past six months. Some months the symptoms are so severe she misses several days of work. Her medical history is otherwise unremarkable and a physical examination is normal. Which of the following is the most appropriate next step in this patient's management?
A. Symptom diary for two months
B. Dietary changes
C. Anxiolytic agent
D. Psychiatric consultation
E. Pelvic ultrasound
the nurse is assessing a postpartum client for signs of an impending hemorrhage resulting from laceration of the cervix. besides monitoring the client for a firm uterus, what other assessment finding is important?
The assessment finding that is important is Continuous trickling of blood.
What is hemorrhage?Hemorrhage is defined as the release of blood from a damaged blood vessels into a surrounding tissue.
A postpartum client is an individual that has just been delivered of a baby through the normal birth canal.
When there is a suspected cut at the cervix the nurse should find out if there is still trickling of blood as this is a symptom that there is still ongoing internal hemorrhage.
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1. janet m presents to the clinic with lower left quadrant pain. predict what organs and cavities might be involved in causing her pain. come up with one potential medical cause.
The lower left quadrant pain can involve organs like left kidney, left ureter, colon, bladder, blood vessels, and nerves. In females left fallopian tube and ovary are also included. The pain could be due to several reasons like: indigestion, inflammation or infection, menstrual cramp, etc.
The lower left quadrant pain is the pain present in the stomach region on the left side of the body, in the lower half portion. The reason for the pain can differ according to the organ involved in the pain. The general reasons can be inflammation, some injury, or lack of proper digestion.
Menstrual cramp is the severe pain experienced by females just before the or during the menstruation.
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Why are a patient’s vital signs checked when they enter a medical facility?
Answer:
B. to provide signs of disease or abnormality
tingen ms, burnett ah, murchison rb, zhu h. the importance of nursing research. j nurs educ. 2009 mar;48(3):167-70. doi: 10.3928/01484834-20090301-10. pmid: 19297969; pmcid: pmc3677814.
Nursing research has a tremendous influence on current and future professional nursing practice, thus rendering it an essential component of the educational process. This article chronicles the learning experiences of two undergraduate nursing students who were provided with the opportunity to become team members in a study funded by the National Institute of Nursing Research. The application process, the various learning opportunities and responsibilities performed by the students, and the benefits and outcomes of the experience are described. The authors hope that by sharing their learning experiences, more students will be given similar opportunities using the strategies presented in this article. Nursing research is critical to the nursing profession and is necessary for continuing advancements that promote optimal nursing care.
Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.
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Healthcare Information Technology Mind Map
In older women, osteoporosis, high blood cholesterol and athlerosclerosis can result from which of
the following effects of old age?
Answer:
Menopause
Explanation:
the nurse plans to transfer a client with right-sided weakness from bed to wheelchair. the client has an iv attached to an iv pole on the right side of the bed. how should the nurse complete this transfer?
The nurse should (2) place the wheelchair on the right side of the bed, (4) face the wheelchair toward the head of the bed, and (6) have client grab the wheelchair with the left arm to properly complete the transfer.
The right side of the bed, where the equipment is, should receive the wheelchair. In order for the client's powerful left arm to reach the chair and aid in the transfer, it must face the head of the bed. The client should use their powerful left arm to grasp the wheelchair's arm.
Moving a patient from one flat surface to another is referred to as patient care transfer. From a bed to a stretcher and from a bed to a wheelchair are the two most typical patient transfers.
Successful patient transfers require knowing each patient's unique requirements and following evidence-based recommendations, despite the fact that they may seem obvious.
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Question correction:
The nurse is assisting a client with right-sided weakness to transfer from the hospital bed to a wheelchair. The client has an IV attached to an IV pole on the right side of the bed. How should the nurse complete this transfer? Select all that apply
1. Place the wheelchair on the left side of the bed.
2. Place the wheelchair on the right side of the bed.
3. Face the wheelchair toward the foot of the bed.
4. Face the wheelchair toward the head of the bed.
5. Have client grab the wheelchair with the right arm.
6. Have client grab the wheelchair with the left arm.
Please help meee please!!
Answer:
True, Percussive, and suspended Sorry if im wrong
Explanation:
the nurse is caring for a client who suffers from anxiety. the client informs the nurse that he has been taking the herb kava. what should the nurse be aware that kava is associated with?
The correct answer for this question is
Nurses should be aware that use of the herb kava (Piper methysticum) is associated with liver damage and should not be recommended to clients.
Kava has been used to treat stress and anxiety. Kava and liver issues are the subject of a public safety advisory from the US Food and Drug Administration (FDA). It has been discovered that certain herbal and diet supplement items contain additives or contaminants that could be dangerous. If you want more information about the specific brand you use, ask your pharmacist. The safety and efficacy of this product have not been examined by the FDA. For more information, speak with your doctor or pharmacist.
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como jj, sutton erh, mccunn m, et al. characterizing the need for mechanical ventilation following cervical spinal cord injury with neurologic deficit. j trauma acute care surg 2005; 59: 912–916.
Particularly for individuals with high full C-SCI, definitive airway control, tracheostomy, and ventilator reliance are crucial. Based on these findings, we advise patients with complete C-SCI—especially those with levels of C5 and higher—to consider early intubation and tracheostomy.
What is the spinal cord?The spinal cord is a long, tube-shaped ring of tissue. It connects your lower back and brain. The spinal cord acts as a conduit for nerve signals traveling from the brain to the body. These nerve transmissions allow you to feel things and move your body. Any spinal cord damage can make it difficult for you to move or carry out other tasks.
The Spinal Cord's Main Functions:Communicating electrochemically. Different body parts can communicate with the brain by transmitting electrical impulses as they move up and down the spinal cord and through nerves.Walking.Reflexes.To know more about Spinal Cord visit:
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perioperative use of gabapentinoids for the management of postoperative acute pain: a systematic review and meta-analysis. anesthesiology 2020
This is a typical side effect of gabapentin and will lessen with use, is the best nursing response.
What is Gabapentinoids ?The group of medications known as gabapentinoids, commonly referred to as "2 ligands," is derived from the inhibitory neurotransmitter gamma-Aminobutyric acid and is used to block voltage-dependent calcium channels that include the "2" subunit.
RLS can be treated with gabapentin extended-release tablets (Horizant) (RLS; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down).
The drug gabapentin belongs to the group of drugs known as anticonvulsants.
There are several gabapentinoids that are clinically used, including gabapentin, pregabalin, mirogabalin, and the gabapentin prodrug gabapentin enacarbil.
In addition to acting as a GABAB receptor agonist, phenibut has also been discovered to behave as a gabapentoid.
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a 67-year-old client is admitted for diagnostic studies to rule out cancer. the patient is white, married, has been employed as a landscaper for 40 years, and has a 36-year history of smoking a pack of cigarettes daily. what significant risk factors does the nurse recognize this patient has? select all that apply.
Having worked as a landscaper for 40 years she can develop skin cancer from exposure to the sun and chemicals and has 36 years of daily smoking a pack of cigarettes which predisposes her to develop lung cancer.
What does skin cancer mean?Skin cancer is a tumor that affects the skin, being the most frequent cancer in US and in the world. It is most common in people over the age of 40 and is considered rare in children and people of color. Mainly caused by excessive exposure to the sun.
What is lung cancer?Lung neoplasms represent a large group of diseases, with lung cancer as the main representative. Currently, this cancer is the leading cause of death from neoplasms in the United States, both among men and women.
Whit this information we can conclude that which predisposes her to develop lung cancer and skin cancer .
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a 25-year-old client at 27 weeks' gestation reports waking up with leg cramps. which suggestion should the nurse point out to the client to help relieve this discomfort?
The suggestion the nurse should point out to the client to help relieve waking up with leg cramps 27 weeks' gestation reports is: Dorsiflex the foot while extending her leg during the cramp.
Gestation is the time period when the pregnant female carries the fetus inside her womb. In human females, this time period if 9 months. All the nutrition, oxygen, and other requirements if provided to the fetus through the mother during this period.
Dorsiflex is the backward bending and contraction of the feet or hands. Dorsiflexion of foot helps in the free movement of the tibia towards forward direction, hence helps in easing the cramps.
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anderson gd, lynn am. optimizing pediatric dosing: a developmental pharmacologic approach. pharmacotherapy. 2009; 29(6):680–90.
In the past, medications were found by separating the active component from conventional treatments or by accident, such as penicillin. More recently, a procedure known as classical pharmacology was used to screen chemical libraries of synthesized small molecules, natural products, or extracts in intact cells or complete organisms to identify compounds that had a desired therapeutic effect. It has become standard practice to use high throughput screening of large compound libraries against isolated biological targets that are hypothesized to be disease-modifying in a method known as reverse pharmacology since the sequencing of the human genome enabled rapid cloning and synthesis of large quantities of purified proteins. Hits from these screenings are next evaluated for effectiveness in cells and then on animals.
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Is it estimated that currents medical knowledge doubles every ten to twenty years
Explanation:
werestudies shows that "crack babies" who are entering school have significant difficulty dealing with multiple stimuli and forming close attachments. how might both genetic and environmental influences have combined to produce these results?5
Select the correct answer.
Which of the following vessels derive from the aortic arch?
OA. Right common carotid artery
OB. Right subclavian artery
OC. Brachiocephalic trunk
OD. All of the above
Answer:
All of the above
Explanation:
which problems can arise during the working phase of a nurse-client relationship that serve to impair the therapeutic work? select all that apply.
The problems can arise during the working phase of a nurse-client relationship that serve to impair the therapeutic work are as follow:
The client struggles with expressing feelingsThe client demonstrates dependence on the groupThe nurse demonstrates evidence of countertransferenceTherapeutic work generally involves using an activity such as art, play or reading a story, to communicate with a child in relation to their emotional wellbeing. During these sessions the child will learn coping strategies and techniques to support them.
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factors that affect the efficiency of disinfection
Answer:
Factores que afectan la eficacia de los agentes desinfectantes y esterilizantes
Número y localización de los microorganismos.
Resistencia innata de los microorganismos.
Concentración y potencia del agente desinfectante.
Factores físicos y químicos.
Materia orgánica e inorgánica.
Duración de la exposición.
Explanation:
The physician orders 100 mg of a medication IM (intramuscular). On hand you have 50 mg/ mL. How many milliliters will you give?
The volume of the drug you will give in millilitres= 2mL
Calculation of drug dosageThe prescribed dosage of the medication which would be given intramuscularly is = 100mg
The on hand dose or available dose of the drug = 50mg/mL
Therefore, to calculate the volume of the drug in millilitres,
If, 50mg = 1 mL
100mg = X mL
Make X mL the subject of formula,
X mL = 100× 1 / 50
X mL = 100/50
X mL = 2 mL
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congratulations! after working your way through college as a certified nursing assistant (cna), you have now completed your nursing degree and are designated as a registered nurse (rn)! you are now a functioning rn at the hospital. some of the tasks between a cna and an rn overlap, but you should delegate some tasks to cnas because they have a lower of completing the tasks. your allows you to take on more complex nursing tasks.
Answer: A. opportunity costs
b, specialization
Explanation:
Describe the signals produced by the heart, and explain the filter circuit system used in the device that detects such signals
Answer:
Electrocardiogram signals (ECG) and are detected by ECG machine or a sphygmomanometer which is made up of a low pass filter
Explanation:
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Process of formation of the blood clot is called
Answer:
It's called blood clotting, or coagulation. Excessive bleeding when a blood vessel is injured.
horlocker tt, vandermeuelen e, kopp sl, et al. regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: american society of regional anesthesia and pain medicine evidence-based guidelines (fourth edition). reg anesth pain med 2018; 43:263.
The therapy we use to dissolve blood clots is called Thrombolytic therapy.
This mainly causes of both heart attacks and stroke.
What is Thrombolytic therapy?
For the emergency treatment of heart attack and stroke Thrombolytic medicines are approved.When part of the heart muscle due to lack of oxygen and a blood clot can block the arteries to the heart and this cause heart attack.Thrombolytics work effectively by dissolving a clot quickly.This helps preventing damage to the heart muscle by restart blood flow to the heart.To learn more about Thrombolytic therapy
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for both outpatients and inpatients scheduled for diagnostic procedures of the cardiovascular system, the nurse performs a thorough initial assessment to establish accurate baseline data. which data is necessary to collect if the client is experiencing chest pain?
The Pain's description If the client is having chest pain, information must be gathered.
What is pain exactly?Pain is an unpleasant feeling and emotion that is frequently triggered by tissue damage. It helps the body to react to more tissue damage and stop it. People feel pain when a signal is sent from the nerves to the brain to be processed.
What are the different sorts of pain?THE FOUR MAJOR TYPES OF PAIN
Usually caused on by tissue injury, nociceptive pain.Inflammatory pain is the result of an abnormal inflammation brought on by an inappropriate immune system response.Neuropathic Pain that develops as a result of nerve irritation.Functional Suffering Pain that appears to have no evident cause but nonetheless hurts.To know more about Pain visit:
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a nurse encourages a client to attend alcoholics anonymous (aa) meetings after discharge. what do self-help groups such as aa help their members do?
Self-help groups such as AA help their members by providing recovery from alcoholism for the people who are unable to do so.
According to a study conducted by the Stanford School of medicine, alcoholic abstinence is the most effective pathway to abstinence. AA, an abbreviation used for alcoholic abstinence, is international mutual aid, a 12-step program. When followed strictly, this program proves better than any other clinical administration and medication.
The twelve steps of the AA program are determined to suggest self-improvement by initially admitting the person who is not able to control his alcoholic urges. Then the person is acknowledged with the adversities of alcohol- how it affects social, mental, and physical well-being. The treatment for this adversity is then followed by some strict rules over alcoholism and regular meditations.
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a nurse inspects the cervix of a 52-year-old client during a routine assessment. which coloration of the cervix may indicate that the woman is postmenopausal?
The coloration of the cervix which may indicate that the woman is postmenopausal during the nursing assessment of her cervix is pale colour.
When the colour of the cervix appears pale, it then mean that that the woman patient is postmenopausal.
The cervix; however, connect uterus to the vagina together as it helps to pass fluid between them.
This cervix also allows the full term baby to leave the womb ( uterus ) and passes outside easily through the birth canal.
The female reproductive systemThe female reproductive system in mammals including humans consist of all the organs the the female's body which helps to facility the process of reproduction or giving birth to new offsprings.
Reproduction simply refers to the ability of a living organism to reproduce new offsprings or their young ones alive.
However, the female reproductive system also include hormones such as oestrogen, progesterone and others.
So therefore, the coloration of the cervix which may indicate that the woman is postmenopausal during the nursing assessment of her cervix is pale colour.
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the nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. which serum blood level would the nurse monitor
The nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. The serum blood level would the nurse monitor in Potassium
This is further explained below.
What is serum blood level?Generally, The quantity of a certain medicine that is present in your blood at the moment that it is tested is referred to as its serum blood level.
In conclusion, Many of the drugs that are used to treat bipolar illness have what is known as a narrow "therapeutic window," which means that the gap between what is considered a therapeutic level and what is considered a toxic level may be rather narrow in some people.
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solve the following problem. remember to round off the answer to the nearest whole number, because fractions of a drop are to be avoided when calculating iv drip rates. a patient has an iv of 1000 ml normal saline to infuse at 50 ml per hour. it takes hours for the patient to receive this infusion.
It will take 20 hours for the patient to receive the infusion as shown in the computation below.
The cornerstone of intravenous solutions frequently used in the clinical context is normal saline. It is a crystalloid fluid that is injected intravenously. Its indications list both adult and pediatric populations as potential causes of electrolyte and hydration problems. It can have different concentrations; the two that are being discussed here are 0.9% and 0.45%.
The FDA has authorized the use of normal saline infusion for the following main indications:
replacing extracellular fluid (e.g., dehydration, hypovolemia, hemorrhage, sepsis)Treatment of metabolic alkalosis when fluid loss is presentmild sodium deficiencyTo determine how many hours it will take we must divide the total amount of normal saline to infuse which is 1000 mL with the rate of 50 mL per hour:
[tex](1000)\frac{hour}{50 mL} = 20 hours[/tex]
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Question correction:
A patient has an IV of 1000 mL normal saline to infuse at 50 mL per hour. It takes ________ hours for the patient to receive this infusion.
A. 10
B 20
C. 25
D. 50
which term reflects a nurse's actions related to planning, implementation, and evaluation of patient care using an interprofessional plan of action
Collaboration is the process of using an interdisciplinary plan of action to jointly plan, carry out, and evaluate patient care.
What is nurse's interprofessional plan of action?The use of interprofessional care lessens duplication and overlap in patient care. An interprofessional team may go on clinical rounds together or convene to discuss the rounds and create a plan for the patients' treatment.
Interprofessional collaboration is the coordinated effort of different healthcare professionals working with patients, families, carers, and communities to take each other's distinct perspectives into account and express them.
Therefore, Interprofessional Collaboration term reflects a nurse's actions related to planning, implementation, and evaluation of patient care.
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