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Rationals - exit hesi V1
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Rationals - exit hesi V1
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Rationals - exit hesi V1Rational - -Stomatitis, or inflammation of the oral mucosa, can cause pain
and resultant difficulty in swallowing. The PN should gather information
related to the client's ability to swallow
-Rational - -After a flooding disaster, prescriptions, such as ciprofloxacin,
are commonly prescribed for traveler's diarrhea or drinking water
contamination, and the prescription should be completed to effect adequate
prophylaxis or treatment. Hydration is key in managing diarrhea, but clients
should be reminded to drink only clean water that has been boiled,
disinfected with iodine or chlorine, or bottled drinking solutions.
Handwashing is a primary disease transmission prevention technique.
-Rational - -The sublingual route (SL) refers to placement of the medication
under the tongue for absorption. This route can still be used without any
adaption.
-Rational - -A client with contractions that are 7 to 15 minutes apart, lasting
20 to 30 seconds with mild intensity by palpation is experiencing mild
irregular contractions which are likely Braxton-Hicks. The contractions of true
labor generally begin in the back and radiate to the front of the abdomen,
and become increasingly regular, stronger, and longer-lasting. This client is
not yet in active labor and would probably be more comfortable at home
until she is in active labor.
-Rational - -These findings should be documented and reported to the
client's primary nurse. The PN should enter computer documentation of the
witnessed findings and actions, using objective statements that include
factual descriptions of the witnessed event.
-Rational - -Complications of colonoscopy with surgical excision of polyps
can include bowel perforation or bleeding from the biopsy site. The client
who is bleeding after a polypectomy needs immediate intervention by the
PN.
-Rational - -Nystatin is the most commonly used antifungal agent for oral
candidiasis. When administering nystatin to an infant, the medication needs
to be applied topically by using a gloved finger to rub the suspension over
the infected area
-Rational - -Nasogastric suctioning increases the loss of gastric secretions
and contributes to fluid and electrolyte imbalances which can cause
metabolic alkalosis. Metabolic alkalosis may result in hypokalemia. The
client's cardiovascular function should be monitored for signs an elevated
, pulse and cardiac dysrhythmias (such as PVCs) related to fluid loss and
potassium imbalances.
-Rational - -The client is exhibiting localized phlebitis at the IV access site
and signs of septicemia, a potentially life-threatening condition that should
be reported to the charge nurse immediately. Once the findings are
reported, the PN can complete additional assessments and administer PRN
medications as indicated. After the IV is removed and replaced, a warm
compress may provide relief of the localized phlebitis.
-Rational - -Callus formation is visualized on x-ray and is a normal stage of
bone repair that indicates osteoblast, blood vessels, and fibroblasts are
surrounding the fracture site and initiating cartilage synthesis, bone
formation, and healing. The PN should explain the normal healing process
-Rational - -During cocaine withdrawal, the PN should expect the client to
experience intense cravings and pattern of withdrawal symptoms described
as a "crash"
-Rational - -A persistent dry cough is a side effect of the antihypertensive
agent quinapril, an angiotensin-converting enzyme (ACE inhibitor)
-Rational - -Singed nasal hairs, smoky breath, and darkened membranes
around the nose and mouth are indicators of a potential inhalation injury
which can lead to respiratory distress. The priority nursing problem the PN
should include is ineffective airway clearance.
-Rational - -Pilocarpine is used in glaucoma to contract iris sphincter muscle
and to open the trabecular meshwork spaces. This helps with the drainage of
aqueous humor and decreases intraocular pressure in the eye.
-Rational - -The application of heat is a treatment used for low back pain. A
prescription from a HCP must be obtained to starting the treatment.
-Rational - -Ondansetron is an antiemetic prior to chemotherapy to prevent
post-treatment nausea and vomiting.
-Rational - -To prevent aspiration when providing oral care to an
unconscious client, oral suction should be used to remove solutions and
secretions that collect in the oropharynx.
-Rational - -Galantamine is a competitive inhibitor of acetylcholinesterase
and enhances cholinergic function, which is impaired in clients with
alzheimer's. Galantamine is used to affect disturbed thought processes
related to early onset of Alzheimer's dementia, but it may become less
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