Instructions: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list…

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Question Answered step-by-step Instructions:All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do not assume information that is not provided.Scenario:Ellen Hernandez, a nurse on the medical-surgical unit, meets her newly assigned client, Sandy McDonald, a pretty, petite woman admitted for exploratory laparotomy. Mrs. McDonald appears anxious and worried. She tells her nurse that she is concerned about the surgery tomorrow and has been anxious for a week, ever since her doctor told her there is a possibility of finding a malignant tumor. The client says, “I haven’t been able to pay attention to anyone since then. I’m afraid there will be bad news.” Restlessly she adjusts the bedclothes. “Would you mind telling me your name again?” she asks Ms. Hernandez.The nurse reviews the next day’s surgical procedure with Mrs. McDonald. With some prompting, the client can comprehend and follow the nurse’s directions. She suddenly begins tapping her fingers on the overbed table and tells the nurse, “I have a headache.” “Will I still have to have surgery?”The nurse checks Sandy’s vitals and finds that her blood pressure and pulse are elevated. When her husband arrives, he appears as anxious as his wife. “I’m scared to death,” he says. “I’m just hoping the diagnosis is good.”What are the signs and symptoms that Sandy is experiencing anxiety? Distinguish between objective data or subjective data.What other questions could you ask to determine the level of anxiety Sandy is experiencing?What is the difference between generalized anxiety disorder and Panic Disorder?What immediate nursing interventions would you carry for Sandy?What defense mechanisms is Ellen displaying?Reference: Varcarolis Foundation of Psychiatric-Mental Health NursingI’m not sure what I am missing or what I need to change. Can you please assist me? I don’t understand what the tutor is needing from me. Health Science Science Nursing NURS 412 Share QuestionEmailCopy link Comments (0)

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QuestionAnswered step-by-step1.Which is the best way to treat vaginal candidiasis? One dose of...1.Which is the best way to treat vaginal candidiasis? One dose of fluconazole Antibiotics Acyclovir One dose of vancomycin2. Medication of influenza works best when following which guideline? Combine with an antibiotic Administer at any time during the infection Administer within 48 hours of symptom presentation Taken with iron supplementation 3. Which vitamins listed are fat soluble vitamins?A, D, E, and K Niacin, A, D, C Thiamine, riboflavin, A, D C, A, B1, B9 4. What is the most crucial concern for a client who take acetaminophen on a scheduled basis to treat osteoarthritis and is also taking over the counter (OTC) cough and cold remedies? The ingredient in the OTC medication that stops the cough Overdosing on the OTC medication The impact of any alcohol contained in the OTC remedy The total amount of acetaminophen in the OTC medication 5. What is the most server-side effect of morphine sulfate? Tachycardias Stroke Respiratory depressionLow blood pressure 6. Which is a common side effect of opioid use? Apnea Decreased pupil size ConstipationIncreased blood pressure 7. Which is the most appropriate response by a woman who is taking an oral contraceptive and is prescribed an antibiotic? Refuse to take the antibiotic While taking the antibiotic, she should use another form of contraception There is nothing extra hat she should do regarding oral contraception Stop taking oral contraceptives while taking the antibiotic 8. What is the term for organisms that are resistant to there or more different antibiotics?A Gram-negative anaerobic organism A resistant organism A secondary infection A superbug or multi-drug resistant organism 9. What unexpected substance is found in many cough syrups, could drugs, and mouthwashes? Magnesium Caffeine Sodium Alcohol 10. What is most important to determine when the LPN is assisting the registered nurse with client education? Does the client have at least a high school education?Is the light in the room appropriate? Can the client read and write? Does the client have family members in the room? 11. what type of pain can be hard to locate and may be referred? Chronic Neuropathic Breakthrough Visceral12. What are penicillinase and beta-lactamase? These are enzymes that have made some bacterial resistant to penicillin These are penicillin antibiotics These are chemical elements that are part of the synthetic components of cephalosporins These are proteins attached to a bacterial cell wall synthesis inhibitor that extends bacterial coverage13. How do sulfonamides work in the body? Work only on bacterial in the bladder Best choice for superficial skin infections Bacteriostatic, prevent bacterial growth and functionBactericidal, destroy the outer membrane of infectious organisms 14. If a client speaks foreign language or signs because they are mute, what must the must provide, to complete education?Professional translation services Get a family member to translate Tell the physician that education cannot be completed Another nurse who speaks the client's language 15. What is a critical task to complete after administering a medication?Document the medication administration Go immediately to get a blanket, the client asked for 15 minutes before medication administration Verify a client's blood type Make sure the client has water at the bedside 16. What substance is the preferred source for energy in the blood cells? Vitamins Protein CarbohydratesFats 18. Why is it important to know when an aminoglycoside antibiotic is started and then finished? Excessively long treatment cause bacteria to re-infect the client Overexposure can result in adverse effect that permanently damage the client's hearingLonger treatment result in allergic responses Because these antibiotic cause sterility in men and women if not carefully monitored 19. What is the medication cyclobenzaprine prescribed to treat? Pain from muscle spasms Pain associate with diabetes Acute surgical pain Nervous system pain 20. What term relates to a fungal infection? Streptococcus viridian's Nematoid Helminths Mycosis21. When is the optimal time for a client to begin antiviral medications after exposure to influenza? Three days after exposure Wait for the incubation period to end and start only if symptoms occur As soon as possible, after confirmed exposure Deign prophylactically during flu season when immunocompromised 22. Which lab test best helps reflect nutritional status? PrealbuminCBCA1CCMP  23. What kind of pain is the client describing when saying "the pain feels sharp, shooting, and burning down both of my legs"? Neuropathic pain Chronic, visceral pain Nociceptive pain Acute pain 24. Which of the following is required for bone health and the utilization of calcium? Vitamin D Vitamin C Milk Estrogen25. What is a client's nutritional requirements wen in the hospital? Only calculated by a registered dietitian High because the body requires nutrition for healing and maintenance Much lower because they are sick Adherence to daily recommended calories based on height and weight 26. Most clients will learn important points regarding medication through which approach? Oral communication Video recording Written material A variety of approaches 27. What is the effect on the host flora when antibiotics are administered? Host flora are typically negatively impacted, which can lead to yeast or fungal infectionsHost flora are increased and become more potent Host flora, otherwise known as normal flora, do not affect antibiotic activity Host flora protects the body from the damage caused by antibiotics   28. If a client weight 230 lbs, and the nurse needs to administer a medication dose of 2 mg/ kg, how much will the dose be? 510 mg 209 mg310 mg410 mg 29. What approaches to client education are essential to consider when reinforcing client teaching? Identify teaching strategies considering age, level of education, and preferred method for learningSpeak only to the client regardless of cultural background Provide privacy and confidentialityChoose a method to evaluate the effectiveness of teaching Assess client readiness to learn 30. What does "s" stand for is SBAR?Shift SituationStat Standard 31. Which is a natural opioid in the human body released in response to pain stimulation? Dopamine Substance- P antagonist EndorphinSerotonin 32. Which medication is used to treat oral candidiasis thrush? Voriconazole Fluconazole Valacyclovir Nystatin  33. How do opioid medication work to treat pain? They block nerve endings at the site of the painThey block the perception of pain at Mu receptors They block the activity of substance - pThey block the activity of serotonin 34. Which bacteria have a double layer cuter cell membrane making them more difficult to kill?Gram-positive bacteria Staphylococcus Aerobic bacteria Gram-negative bacteria 35. Which is a side effect of taking skeletal muscle relaxants? Tachycardia Insomnia Diarrhea Hypotension36. What is a component of the client hand off? Telling the family who the oncoming nurse will be A verbal accounting of the previous shift's events of client's care Introduction the client family to the oncoming nurse Telling the oncoming nurse who the covering physician is for their shift. 37. Which choice is best for treating mild to moderate pain?Morphine AcetaminophenFentanyl Oxycodone 38. Aminoglycoside antibiotics can result in which of the following serous side effects? C-difficile pseudomembranous colitisCNS infection and meningitis Nephrotoxicity and ototoxicity40. What is the best natural source of vitamin D SunshineMilk Fortified cereals Multigrain bread 41. Which medication is common antiviral drug? AcyclovirGentamycin Meropenem Fluconazole 42. Which one of these terms means that it takes a higher dose of opioid medication for the client receive the same pain relief? Physical addiction Addiction Toleranceabuse43. Which of the following statements describes the purpose for the use of antiviral medication? Prescribers are reluctant to start antiviral medications due to the severity of adverse effects Antiviral medication limit the advance of viral infections Antiviral medication can only be used once If an antiviral is started immediately, treatment will result in a cure 44. What dose SBAR stand for? Safe benevolent, actuating relevance Situation, background, assessment, recommendation Self basis, action, report Security, bleeding, action recording   45. What is the source of nutrition that supports growth tissue maintenance and production of enzymes? Carbohydrates FatsVitamins Protein46. What kind of vitamins are readily excreted in the urine and not stored in the body? Botanicals Water-soluble vitamins Fat-soluble vitamins Organic vitamins 47. Which of the following describes pain that is present in a specific area of the body, is considered aching and throbbing, and does not resolve within an expected time frame? Neuropathic Acute NociceptiveVisceral 48. What is good choice for non-pharmacological treatment of pain? Weightlifting MassageRunning Opioids 49. What is the best description of an infection? The activation of the host microbiome against self-proteins An exaggeration of the inflammatory immune response A disruption of the pH of the body in reaction to translocated bacteria in body tissues Disease-causing pathogens are invading healthy tissue and releasing destructive toxins  50.  If a client weights 230 lbs, and nurse needs to administer medication based on the weight in kg, what is the client weight in kg? 105 kg115 kg103 kg100 kg51. In a healthcare setting institution, what is the most common way to communicate past and current information regarding clients? Through the medical record Face-to-faceWrite all information down and present to the shift charge nurseSpeak directly to the attending physician52. Which antibiotic classification is not a cell wall synthesis inhibitor? Carbapenems Penicillin TetracyclinesCephalosporins 53. Which of the following hormones are secreted by the pituitary gland? Select all that apply. Growth hormone Thyroid-stimulating hormone Adrenocorticotropic hormone Glucagon Insulin 54. A client is to revive IV vancomycin 1 g in 200 mL D5W at a rate of 10 mg/min. At what rate will you set the IV infusion pump? 120 mL/hr48 mL/hr30 mL/hr20 mL/hr Health ScienceScienceNursingPRN 1032LLShare Question
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