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Psychological dependence is defined as the person's need to continue the use of the substance to avoid any unpleasant feelings and experiences that can occur when the substance is not taken. The CRIES scale is used to evaluate the neonate's response to a pain analgesic; this pain scale is also used to assess pain among neonates. Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data after the series is completed. Many aluminum- and calcium-based formulations also include magnesium, which not only contributes to the acid-neutralizing capacity but also counteracts the constipating effects of aluminum and calcium. The severity of the pain, which can include a quantitative, numerical pain score from 1 to 10, for example, is the S of the PQRST method of pain assessment. Acid-Controlling Drugs. Your client may have an inadvertent pneumothorax.

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Increases bulk in the stool. You would document this client's muscular strength as a 3 on a scale of 0 to 5. Surgical site marking. Some of the other principles that are applied to setting up and maintaining a sterile field include keeping the sterile field above the waist level and preventing coughing or sneezing by professional staff and the client during the set up and during the maintenance of the sterile field. Acid controlling drugs nclex questions free. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed to patients diagnosed with depression. Begin cardiopulmonary resuscitation other emergency life saving measures. The most complete and accurate definition of a physical restraint is any manual method or physical or mechanical device, material, or equipment attached to or adjacent to the resident's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body and is NOT a safety devices that is routinely used for certain procedures, according to the Centers for Medicare and Medicaid Services. This technique entails evaluating the outcomes of the education in terms of changes in the client and it also includes formative evaluation during the series and summative evaluation at the end of the series. Stage 1: Cognitive abilities are intact.

Hurricane Katrina is a good example of a weather emergency that affected not only healthcare facilities but also members of the community. Later, you would squeeze the trigger and sweep the spray over and over again over the base of the fire. Nclex practice questions acid base balance. These roles and responsibilities are typically assumed by quality assurance/performance improvement, supervisory staff and medical billers, respectively. Tell the person, to STOP, DROP, and to not run, and as you also cover the person with a blanket to smother the fire. "The blood pressure is a little low but the other vital signs are normal.

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For example, genetics, age and gender are NOT modifiable risks, but the risks associated with life style choices are modifiable, correctable and able to be eliminated when the person changes their behavior in reference to these risky behaviors. The incubation stage is asymptomatic; the illness stage is the period of time that begins with continuation of the signs and symptoms and it continues until the symptoms are no longer as serious as they were before; and the convalescence stage is the period of recovery during which time the symptoms completely disappear. Special radiation precautions are initiated when a client is receiving brachytherapy in order to protect visitors and health care staff from the harmful effects of the radiation. NCLEX-RN Practice Test Questions - 200+ with Rationales. For example, a ppositive correlation exists when the two variables both increase or decrease; and a negative occurs when one variable increases and the other decreases. Aluminum hydroxide and magnesium hydroxide (Maalox, Mylanta) (A)||Combination antacid|| Adult |. Dieticians assess, plan, implement and evaluate interventions including those relating to dietary needs of those patients who need regular or therapeutic diets.

Sound structures like policies and procedures. The need for a targeted assessment is based on the application of the nurse's knowledge of developmental needs and developmental delays. The patient receiving chemotherapy rings the call bell and reports the onset of nausea. The administration of an intramuscular injection to a neonate should be given in the vastus lateralis, rectus femoris and ventrogluteal muscle sites and not the deltoid or the gluteus maximus muscles because these muscles have not yet developed. Some of the other special internal radiation precautions include: - The minimization of the duration of time that health care providers are in the client's room to deliver care and services to the client. You would also plan how you could evaluate the effectiveness of the class by seeing an increase, not a decrease in the amount of referrals to the facility's Ethics Committee, because one of the elements of this class should address ethical dilemmas and the role of the Ethics Committee in terms of resolving these. Referrals complement the healthcare teams' abilities to provide optimal care to the client. Some of the other complications and preventive measures are: - Diarrhea: Maintaining a slow rate of infusion whenever possible, changing the ordered rate and formula when necessary. Other Pharmacological Drugs - NCLEX. The client has demonstrated that they are knowledgeable about food safety and environmental safety because they have expiration dates on refrigerated foods, they use the FIFO method for food safety and they do not use scatter rugs which can lead to falls. The Five Ps are the patient, plan, purpose, problems and precautions. Deep palpation is cautiously done after light palpation when necessary because the client's responses to deep palpation may include their tightening of the abdominal muscles, for example, which will make the light palpation less effective for this assessment, particularly if an area of pain or tenderness has been palpated.

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Calcium carbonate (Tums) (A)||Calcium-containing antacid|| Adult |. Acid base questions nclex. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for any precipitates. The complication that you should be aware of during the immediate post-operative period of time after a thoracentesis is a pneumothorax. You assess that the home is free of scatter rugs that many use to protect the feet against hard floors.

To drink 3000 mL of fluid a day. Preoperational and symbolic functioning: From 2 to 7 Years of Age. The Case Manager Model: The management and coordination of care for clients throughout a facility who share the same DRG or medical diagnosis. Without trust future collaboration, interventions and client outcomes cannot be accomplished to facilitate appropriate and safe behaviors. Use a questionnaire at the end of the series that asks the participants how they liked the class and what they learned during this educational series. High-density lipoprotein (HDL): 40-80 mg/dL. "I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit. Some of the signs and symptoms of an embolus are chest pain, dyspnea, shortness of breath, coughing, and respiratory distress. Other benefits of multidisciplinary case conferences include the fulfillment of the nurse's role in terms of collaboration and collegiality, to solve complex multidisciplinary patient care problems so that optimal client outcomes can be achieved and also to provide educational experiences for nurses; these things are secondary rather than primary goals. A. Bisacodyl (Dulcolax). The primary purpose of root cause analysis is to discover process flaws. In the correct sequential order, Jean Piaget's levels of cognitive development include: - Sensorimotor thought: Infancy to About 2 Years of Age. Sinus bradycardia is a sinus rhythm that is like the normal sinus rhythm with the exception of the number of beats per minute.

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IPASS stands for: - Introduction: The introduction of the nurse, the nurse's role in care and the area or department that you are from. These dimensions are the: - Biophysical Dimension. When a person has clothing that has caught on fire, the person should STOP, DROP AND ROLL. Some traumatic wounds are healed with tertiary intention. You would stop the nurse from administering the injection when you observe that the nurse has palpated the gluteus maximum muscle to determine the correct site. Call the doctor and ask if the medication is compatible with the particular intravenous fluid.

A female patient has a sliding hiatal hernia. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. African American ethnicity for Tay Sachs disease. For example, the social worker may assist the client in terms of their transportation and they can also teach the client about how to grocery shop, for example. Formal operations: 12 Years of Age.

The client goal that is paired with its learning domain that should be included in the patient teaching plan for this client and the parents is "The client will slightly bend their elbows when holding the hand grips" which is part of the psychomotor domain and not the cognitive domain. C. "The medication may be dissolved in a liquid for better absorption. The verification of the doctor's order for a medication is to confirm the right paint, medication, dose, route and time or frequency, it, in itself, is not one of the "10 Rights". Cholestyramine binds bile in the gastrointestinal tract to prevent its reabsorption. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and a medical license. A patient complains of nausea.

The mother's reports that the infant is drinking 60 mLs per kilogram of its body weight and the fact that the infant had grown ¼ inch since last month are not normal assessment data. The other normal hemodynamic values are: - Pulmonary Artery Systolic Pressure: 15 to 26 mm Hg. Violated the client's right to dignity. Bar coded client identification bands to insure proper identification. You should explain that fetal station is the level of the fetus' presenting part in relationship to the mother's ischial spines. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions. Nurse case managers do not have organization wide performance improvement activities, the supervision of complete, timely and accurate documentation or challenging denied reimbursements in their role.

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