People must breath in order to live. The process of breathing…
Question Answered step-by-step People must breath in order to live. The process of breathing… People must breath in order to live. The process of breathing (“respiration”, in medical terminology) is critical because it is the sole mechanism through which vital gasses such as oxygen and carbon dioxide can move between the air and the blood. When someone breaths in, oxygen is removed from the air and dissolved into the blood where it is used as fuel by the body’s cells. When someone breaths out, cellular waste products like carbon dioxide are removed from the blood and exhaled back out into the air. This complex transfer of gasses takes place in the lungs and involves a number of structures associated with the lungs that help move gasses between the lungs and the air: the bronchi (airways or passages within the lungs), and the alveoli (tiny air sacs composed of special membranes found at the end of the bronchi at which point the transfer of gases between the blood and the air occurs).Chronic Obstructive Pulmonary Disease (COPD for short) occurs when permanent blockages form within the pulmonary system (the term “pulmonary” refers to the lungs and respiratory system) that interfere with the transfer of vital gasses. To be diagnosed with COPD means that some portion of one’s bronchi or alveoli have become permanently obstructed, reducing the volume of air that can be handled by the lungs. As this process progresses, the overall efficiency of the gas exchange process is reduced.There are two underlying disorders that can cause COPD: Emphysema and chronic Bronchitis.Bronchitis is literally an inflammation of the bronchi. The walls of the bronchi inside the lungs become inflamed, and this inflammation decreases the bronchi’s diameter so that less air is able to flow through than normal. The inflammation process promotes excessive production of mucous. Bronchial mucous, which serves to keep the airways clean and free of bacteria, is produced under normal conditions. However, the excessive mucous produced in bronchitis is thicker and more difficult to cough up than normal, and acts to clog the airways and inhibit lung capacity.Emphysema also reduces the efficiency of the gas exchange process, only in a different manner. Emphysema affects the alveoli, specifically their sensitive membranes through which the gas exchange process occurs. Emphysema causes alveolar membranes to lose elasticity, become brittle, and then actually rip and tear. Broken alveolar membranes cannot be regenerated by the body. Each time alveolar membranes burst, more surface area within the lung necessary for gas transfer is permanently lost. As this process progresses, it becomes very difficult for patients to exhale because their weakened airways threaten collapse the harder they try to breathe out. The heart tries to compensate for the loss of oxygen available in the bloodstream by pumping harder and faster; a process associated with other serious complications including heart failure.Asthma is another respiratory disease that may be associated with COPD but which is not itself classified as COPD. People who have asthma have highly sensitive bronchi that are more reactive to environmental irritants like smoke, dust and pollen than are the bronchi of people who do not have asthma. During an asthma attack, asthma patients’ bronchi swell and narrow in a manner similar to what occurs in bronchitis, restricting the volume of gasses that can be transferred between the blood and the air. At this time, the exact relationship between asthma and COPD is unclear. However, there is some evidence to support the “Dutch Hypothesis” that both asthma and COPD have common genetic origins and may represent different expressions of a similar disease process. The jury is still out on whether the Dutch Hypothesis is accurate or not, but numerous researchers believe that it is at least partially true that asthmatic people may have a heightened genetic vulnerability for COPD.Based on what we learned in our last class; chapter 17 of chronic diseases, apply such knowledge to come up with a suitable strategy on how to prevent them. also ,give some examples of the disease discussed in the chapter Health Science Science Nursing NURS 525 Share QuestionEmailCopy link Comments (0)
Which statement by the RN demonstrates an external barrier to…
Question Answered Which statement by the RN demonstrates an external barrier to… Which statement by the RN demonstrates an external barrier to effective delegation?”I am uncomfortable asking the AP for help for fear they won’t like me”.”I don’t know what care the LPN/LVNs can do for my clients”. submitted”I am taking care of too many clients because we are short staffed”.”I am not confident the LPN/LVN will perform agood job with the client’s care”.1.25 points possible (graded, results hidden)The RN delegated care of a client to the LPN/LVN. The client’s condition has now changed. The client is septic and unstable. What is the most appropriate RN action in this situation?Tell the LPN/LVN to increase vital signs to every 30 minutes and report them to you promptly.Tell the AP to assist the LPN/LVN with vital signs and ambulating the client to the bathroom.Tell the LPN/LVN you will assume responsibility for the client and assign them to a stable client. submittedTell the LPN/ LVN to call the provider with client lab results.The AP caring for a client with a pacemaker reports to the nurse that the client was short of breath, so they increased the oxygen via nasal cannula “to help you out”. What is the best response by the RN to the AP?”Please tell me how high you set the flow rate and if you checked the pulse oximetry after the change.””Thank you, I appreciate your help. I need to get this discharge done quickly”.”You should never change the client’s oxygen without my approval first.” submitted”Thank you, I appreciate your help but I am responsible for the decision to increase the oxygen.”The RN is working with an LPN/LVN who will be administering medications to their clients. A client on a Heparin intravenous infusion needs to have the infusion rate increased. What is the best action for the RN to take in this situation?Show the LPN/LVN how to increase the infusion rate so they can do it next time.Instruct the LPN/LVN on what time and how much to increase the infusion rate.Increase the infusion rate and inform the LPN/LVN of the change and to observe any increased bleeding. submittedHave the LPN/LVN take over your assessment of a client’s wound while you change the infusion rate.Which sequence of activities best describes the RN’s use of professional judgment when delegating care?Determine scope of practice of personnel, determine client needs, determine if the task requires nursing judgmentDetermine degree of supervision needed, determine competence of personnel, determine laws and rule supporting delegation. submittedDetermine client needs, determine laws and rule supporting delegation, determine the job responsibilities of personnel.Determine if the task requires nursing judgment, determine scope of practice of personnel, determine predictability of task results.Which client situation demonstrates the RN’s responsibility for evaluating safe client outcomes?A client being discharged who is cared for by another RN.A client being admitted by the advanced practice nurse.A client with a wound infection cared for by an LPN/LVN.A client with acute renal failure cared for by another RN. SubmittedThe nurse manager solicits support from the nursing staff when preparing the unit budget. Which activities by the nursing staff assist with positive management of resources? Select all that apply.Prevent interruptions when administering medications.Promote self-care activities for all team members.Delegate tasks to the appropriate health care worker.Use “down time” to have social conversations with peers.Keep extra supplies in the patient’s room to save time.Which statement by the RN reflects an aggressive approach to conflict resolution?”We need to find a solution to this problem so that patient care doesn’t suffer.” submitted”You need to follow my instructions exactly as I explained to you.””I want to understand your position but it is still not clear to me.””It is not what I want, it is what the patient needs.”Which is an example of assertive communication by the RN during the interdisciplinary team patient care meeting?”The intervention you are suggesting is wrong for this patient.””We are here to seek ways to improve care.” submitted”The pharmacist needs to be reprimanded for delivering the meds late.””The patient fell because he did not ask for help.”The nurse manager asks clinic employees to participate in a nurse-led committee. The goal of the committee is to design and implement a plan addressing patient dissatisfaction with long wait times. What type of leadership is the nurse manager displaying?AuthoritarianLaissez-faireDemocratic submittedAutocraticDuring a unit meeting, the nursing staff identifies a concern with the shift report process. The nurse manager says, “Go ahead and do something else.” Which style of leadership is the nurse manager using?TransformationalLaissez-faire submittedAuthoritarianDemocraticThe RN sees an assistive personnel enter a patient’s room without wearing the necessary personal protective equipment (PPE) for transmission-based precautions. Which is the best response by the RN?”Your behavior is why we have so many infections on this nursing unit.””I wear all the PPE if I am not touching the patient.””Appropriate PPE is essential to reduce the risk of health care infections.” submitted”Not wearing the correct PPE is bad nursing practice.” Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
Describe 5 stategies you will use to empower staff members. this is…
Question Answered step-by-step Describe 5 stategies you will use to empower staff members. this is… Describe 5 stategies you will use to empower staff members.this is part of a nursing assignment about designing a healthcare organizationmodel of empowerment needed (Kanter perhaps)nursing source/reference needed Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
What is the shape of Earth’s orbit Elliptical around the Sun?
Question What is the shape of Earth’s orbit Elliptical around the Sun? Image transcription textWhat is the shape of Earth’s orbit Elliptical around the Sun?… Show more Science Astronomy Share QuestionEmailCopy link This question was created from Morrison Space Chapter 17 Comments (0)
The nurse practitioner sees a peaked, tent-like T wave in all leads…
Question Answered step-by-step The nurse practitioner sees a peaked, tent-like T wave in all leads… The nurse practitioner sees a peaked, tent-like T wave in all leads of a 12-lead EKG. What condition should the NP suspect?Which option to pick from below STEMIUnstable anginaHypokalemiaHyperkalemia Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
Consider the following. A 36 mg per 2 ml strength solution is used to prepare 26 mg. Calculate the dosage using ratio and proportion. Express your…
Question Answered step-by-step Just answer please ASAP Image transcription textConsider the following. A 36 mg per 2 ml strength solution is used to prepare 26 mg. Calculate the dosageusing ratio and proportion. Express your final answer in ml to the nearest tenth. Assess your answer todetermine if it is logical. 36 mg 26 mg ML X mL 36X = x 26 X = mL… Show more Health Science Science Nursing Share QuestionEmailCopy link 1 Attachment View all 1 page Comments (0)

