What should a nurse include in the initial plan of care for a client with the long-standing obsessive-compulsive behavior of handwashing

Answers

Answer 1

The plan that should be included in the plan of care for  a client with the long-standing obsessive-compulsive behavior (OCD) of handwashing is: development of a routine schedule of activities to reduce the need for the ritualistic behavior.

Obsessive compulsive behavior or OCD is the disease where a person suffers from the persistent recurring thoughts or urges to act in a certain way or perform a certain task. It can be explained as the obsessions leading to compulsions.

Ritualistic behavior is the repetitions of any routine or certain behaviors unconsciously. It is one of the most common symptoms of the disease OCD.

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Related Questions

adaptive equipment are mobility aids or mobility-assistive devices that are designed to enable a patient to _______________.

Answers

Adaptive equipment are mobility aids or mobility-assistive devices that are designed to enable a patient to bathing.

An adaptive equipment is a device that assists a impaired or disabled existent in negotiating typical conditioning of diurnal living( ADL), similar as eating, codifying, walking, reading, or driving. Mobility aids, similar as wheelchairs, scooters, trampers, nightsticks, crutches1, prosthetic bias, and orthotic bias.

Adaptive equipment are bias that are used to help bathing, dressing, fixing, toileting, and feeding are tone- care conditioning that are including in the diapason of conditioning of diurnal living( ADLs). An adaptive device is a device that assists a impaired or disabled existent in negotiating typical conditioning of diurnal living( ADL)

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The nurse is using the pediatric Glasgow Coma Scale to assess a child's level of consciousness. What would the nurse assess

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The nurse would assess Grade 5 for verbal response if the child says​ "no" to all questions.

The Glasgow Coma Scale is a clinical scale that is used to accurately assess a person's degree of consciousness following a brain injury. The GCS evaluates a person's ability to execute eye movements, communicate, and move their body. These three behaviours comprise three scale elements: visual, verbal, and motor.

The Glasgow Coma Scale is presented as a cumulative score (ranging from 3 to 15) as well as the results of each test (E for eye, V for Verbal, and M for Motor). The value of each test should be based on the best response that the individual being tested can offer. Some studies have criticised the GCS, citing the scale's low inter-rater reliability and lack of predictive usefulness.

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The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of

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The nurse understands that a child of this age is at increased risk of accidental ingestion due to a less discriminating sense of taste.

Caustic ingestion happens when a person inadvertently or intentionally consumes a caustic or corrosive material. Depending on the type of the material, the length of exposure, and other conditions, it can cause varied degrees of damage to the oral mucosa, oesophagus, and stomach lining.

Endoscopy of the upper digestive system can identify the degree of the damage, but CT scanning may be more beneficial in determining whether surgery is necessary. During the healing phase, oesophageal strictures may occur, necessitating therapeutic dilatation and the insertion of a stent. Ingestions of acids with pH less than 2 or alkalis with pH greater than 12 can result in the most severe damage.

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the nurse is providing care for a client with twins during labor. The nurse instructs the client to avoid lying flat on the back. WHich condition does the nurse aim to prevent in the client during labor

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The nurse is trying to prevent the condition of Supine hypotension in the client during her labor in pregnancy.

Pregnancy is the condition when the mother's body is nurturing a fetus inside her womb. The responsibility of mother doubles when she is nurturing two fetus inside her. But this also causes number of body aches to the mother because of the heavy weight. It impacts her structure and the way her cervical bone is shaped. In supine hypotension, the blood pressure of the body falls sharply due to which there is lack of breath to the mother. It is advised to the mother to avoid sleeping directly on the back during her pregnancy. Also regular changes in postures helps to keep the vitals intact.  

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A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests:
a.
Asthma.
c.
Bronchiolitis.
b.
Pneumonia.
d.
Foreign body in the trachea.

Answers

A child who has a chronic nonproductive cough and diffuse wheezing during the expiratory phase of breathing. It is possible that the child has A. Asthma

What is wheezing?

Wheezing is a breath sound that sounds like a whistling sound, and is a symptom of a respiratory tract disorder. The most common causes of wheezing are asthma and chronic obstructive pulmonary disease.

Wheezing will generally be heard more clearly when the sufferer exhales, although it can also be heard when inhaling. In some cases, it can be heard when the doctor examines the patient using a stethoscope. Apart from respiratory problems, wheezing can also be caused by allergic reactions or heart disease.

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after further discussion, the nurse finds that the client is not willing to participate in the durg rehabilitation program and still uses cocaine frequently. WHat does the nurse instruct the client realted to infant nutrtition

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The nurse finds that the client is not willing to participate in the durg rehabilitation program and still uses cocaine frequently, so she will instruct the client to stop breastfeeding for infant nutrition.

For infant nutrition, bone milk is stylish. It has all the necessary vitamins and minerals. Child food formulas are available for babies whose maters aren't suitable to or decide not to breastfeed. babies are generally ready to eat solid foods at about 6 months of age.

The World Health Organization( WHO) recommends breastfeeding up to 2 times or further. They also recommend to breastfeed a child for at lest a year for their good nutrition.

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A thorough medication reconciliation will always contain the drug's: Select one: Imprint Shape Size Strength

Answers

A thorough medication reconciliation will always contain the drug's strength.

Prescription reconciliation is indeed the way of evaluating a patient's medication orders for all drugs taken by the patient. This reconciliation is performed to eliminate pharmaceutical mistakes including such omissions, duplications, incorrect dose, or drug interactions. It should be performed at every point of care transition where new drugs are prescribed or current orders are revised. Changes in care settings, services, practitioners, or levels of care are examples of transitions.

Medication reconciliation appears to be a simple process. 7 Obtaining and validating the patient's medication history, documenting the patient's medication history, drafting orders for the hospital drug regimen, and producing a medication administration record are all stages for a newly hospitalized patient.

These steps at discharge include assessing the patient's post-discharge pharmaceutical regimen, generating discharge instructions for home medicines, educating the patient, and transferring the medication list to a follow-up physician.

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nurse is reading a journal article about the use of real-time ultrasonography, which allows the health care provider to obtain information about the fetus. The nurse would expect the article to describe which type of information

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Nurse is reading a journal article about the use of real-time ultrasonography, and she would expect the article to describe  biophysical profile.

A biophysical profile is a antenatal ultrasound evaluation of fetal well- being involving a scoring system, with the score being nominated Manning's score. It's frequently done when anon-stress test is non reactive, or for other obstetrical suggestions.

A fetus or foetus is the future seed that develops from an beast embryo. After the 9 weeks of fertilization, the fetal period is begun. In mortal antenatal development, fetal development begins from the ninth week after fertilization and continues until birth.

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A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client

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The nurse's teaching strategies for the importance of contraception and safe-sex practices clients are planning effective teaching tactics influenced by the availability of materials, preferred learning styles, and literacy level.

The nurse should not give consideration to the client's work or family size when organizing this instruction session. They would only be taken into account if the nurse believed they might have an impact on how the lesson went. Information and services on contraception are essential for protecting everyone's health and human rights. Reduced maternal illness and the number of pregnancy-related fatalities are benefits of preventing unplanned pregnancies. Natural family planning can be used to conceive or prevent pregnancy. Chemicals or physical items are not involved. You can become more aware of potential infections by learning to distinguish between regular and atypical vaginal discharges.

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The nurse is to administer a cyclic feeding through a gastric tube. It is most important for the nurse to

Answers

Answer:

Check the residual volume before the feeding

Explanation:

The nurse will deliver a cyclic feeding through a stomach tube. It also is critical therefore for nurses to lift the bed's head should 45 degrees.

Elevating a head of a bed 30 to 45 degrees helps reduce aspiration into in the lungs. As according to Maslow's hierarchy of needs, this is a priority.

Most patients who are unable to obtain an appropriate oral intake via food or oral nutritional supplements, or who are unable to eat and drink safely, may benefit from nasogastric tube feeding. The purpose of this strategy is to enhance and maintain each patient's dietary intake and nutritional status.

Nasogastric tube (NG tube) is used in individuals with dysphagia who are unable to achieve nutritional demands despite dietary modifications and are at risk of aspiration.

Nasogastric (NG) intubation is a process in which a thin, plastic tube is placed into the nose, down into the stomach, and out. Once an NG tube has been correctly put and secured, healthcare workers such as nurses can directly feed food and medicine to the stomach or take things from it.

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A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should nurse identify as an indication that the client understands the teaching?

Answers

The statement that shows that the patient understands the teachings is that they should wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation. That is option C.

What is radiation therapy?

Radiation therapy is defined as the therapy that applies higher doses of radiation on cancer cells with the purpose of eliminating then from the body cells of an affected individual.

Esophageal cancer is the type of cancer that affects the esophagus which is a long tube that connects the throat to the stomach.

It is the major responsibility to f the nurse to educate the cancer patient about the procedure of the radiation therapy.

The indication that the patient understands the teachings by the nurse is when they reply that they are meant to wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation.

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Complete question:

A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should nurse identify as an indication that the client understands the teaching?

Decrease intake of fluid as a way to prevent dehydration.Can maintain close association with partner during therapy.Wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation.Maintain normal diet during the therapy.

One of the nurses responsibilities is to educate new parents on the best method to prevent infections in the newborn environment. Which method would the nurse identify as best to control infection

Answers

The method which the nurse would identify as best to control infections is to keep the baby warm and dry as wet diapers can attract bacteria which can cause illness.

The infant is the most susceptible person in the new environment because of lack of enough antibodies and ability to sustain in the new environment and so pre natal care is very important for the child. In this case, the parents must be asked to use antibiotic ointments near the eye of the infant to protect then from ophthalmia neonatorum, infection of umbilical cord etc. The parents must also wash their hands before taking the child as personal hygiene also affects the health of the baby.

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The nurse is inserting a nasogastric tube for a patient with pancreatitis. What intervention can the nurse provide to allow facilitation of the tube insertion

Answers

The nurse is inserting a nasogastric tube for a patient with pancreatitis. The nurse's intervetion is that as the tube is being put in, let the patient drink some water.

A plastic tube is inserted through the nose, down the oesophagus, and into the stomach during a procedure known as nasogastric tubation. A comparable procedure involves inserting a plastic tube into the mouth during orogastric intubation. The NG tube was created by Abraham Louis Levin.

The nose, throat, and stomach are all entered by a small, soft tube known as a nasogastric (NG) tube. The formula is typically given to children who are unable to eat by mouth. Children occasionally receive medicine through a tube.

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A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?

Answers

The appropriate method for a nurse manager who is just starting to execute an evidence-based practice program is "Soliciting input from staff members". B is the right response.

Early involvement of stakeholders and staff members is essential for projects that will include direct patient care. Stakeholders should be brought in as early as possible. Participation makes it easier to comprehend difficulties and concerns, as well as people's motives and unmet needs.

EBP, which stands for "evidence-based practice," is the use of existing research and the best data available in a fair, balanced, and responsible way to guide policy and practice decisions and improve the outcomes for consumers. 

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Nursing students are studying metabolic disorders of the skeletal system and correctly identify which factor to be the major cause of osteoporosis

Answers

Nursing students are studying metabolic disorders of the skeletal system and aging process is the factor to be the major cause of osteoporosis.

The skeletal system is your body's central frame. It consists of bones and connective towel, including cartilage, tendons, and ligaments. It's also called the musculoskeletal system. The mortal shell is the internal frame of the mortal body.

Osteoporosis causes bones to come weak and brittle — so brittle that a fall or indeed mild stresses similar as bending over or coughing can beget a fracture. Osteoporosis- related fractures most generally do in the hipsterism, wrist or chine. Bone is living towel that's constantly being broken down and replaced.

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Long-term acute care hospitals are defined by Medicare as having an average inpatient length of stay greater than __________ days.

Answers

Long-term acute care hospitals (LTACHs) are defined by Medicare as having an average inpatient length of stay greater than 25 days. These hospitals provide care to patients who have a severe and complex medical condition, and require extended hospitalization.

LTACHs typically provide a higher level of care than a traditional acute care hospital and specialize in the management of patients with chronic, medically complex conditions such as multiple organ failure, sepsis, and ventilator dependency. They have specialized staff, equipment and protocols for the care of these patients and also provide rehabilitation services to help patients regain their independence. These hospitals are usually used as a step-down care from the intensive care unit or as an alternative to skilled nursing facilities for patients who require a higher level of care.

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Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease

Answers

If the 8-year-old child is not able to grasp the scientific reasoning for his condition, then the nurse is assessing Intellectual development. This is because intellect determines the ability to judge and understand complex topics.

Intellectual growth is all about giving a child's reasoning and problem-solving abilities a swift boost. Their memory, problem-solving ability, reasoning, and thinking capacities all work together to form who they are through time. It all comes down to how well a youngster develops their capacity for thought and reasoning. The child's capacity for intellect and reasoning displays the most substantial growth between the ages of six and eleven. The onset of formal academic education and the development of reading and writing abilities, to an unknown extent, boost this increase.

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psychology is considered as what type of science?

Answers

Answer: social studies, social science.

Explanation:

The answers is Medicine

which of the followiing vital signs indicate increased pressure within the skull following head trau,a

Answers

Vital signs indicating increased pressure in the skull after head trauma are headache, double vision, and increased blood pressure.

What is pressure in the skull?

Pressure in the skull is also known as intracranial pressure. This pressure can show the condition of brain tissue, cerebrospinal fluid, and brain blood vessels. Under certain conditions, intracranial pressure can increase and cause certain symptoms that need to be watched out for.

Raised intracranial pressure left untreated can lead to serious, life-threatening conditions. Symptoms include nausea and vomiting, headaches, increased blood pressure, and double vision.

Your question is incomplete. maybe the point of your question is

Which of the following vital signs indicate increased pressure within the skull following head trauma?

Headache, double vision, and increased blood pressure.The body feels feverish and tired

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Adderall and Ritalin are legal stimulants with medical uses. Therefore, they can be used:

A.
Without a prescription
B.
Only as prescribed by a medical professional
C.
For off-label (unapproved) purposes
D.
None of the above

Answers

B) Only as prescribed by a medical professional
It would be choice B.) because they’re power substances that are prescribed by professionals so I can confirm the answer above is totally correct

A nurse is teaching a client who has a new diagnosis of atopic dermatitis. Which of the following statements should the nurse include in the teaching?
- "You will need to take the entire prescription of antibiotics even if your condition improves."
- "Your provider may recommend a daily antihistamine to help control your symptoms."
- "You should cleanse your mouth daily with a prescribed mouthwash."
- "Your provider will remove the lesions with solid carbon dioxide."

Answers

A nurse is teaching a client who has a new diagnosis of atopic dermatitis. The following statements must be included by the nurse in teaching atopic dermatitis clients:

-"Your provider may recommend a daily antihistamine to help control your symptoms."

What is atopic dermatitis?

Atopic dermatitis is a type of dermatitis (eczema) that occurs due to inflammation of the skin. This condition can be accompanied by skin that is red, dry, and cracked. Inflammation usually lasts a long time, even for years.

Atopic dermatitis occurs due to multifactorial interactions, namely genetic (hereditary) factors, environment, impaired skin barrier (protective) function, immunological factors, and infection.

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What is an appropriate stretching exercise that addresses a low back arch in an athlete who is training in Phase 2: Strength Endurance

Answers

Active kneeling hip flexor stretch is appropriate for addressing a low back arch in an athlete who is training in Phase 2: Strength Endurance.

Hip flexor stretch is the form of exercise that provided various benefits like improved mobility, reduction in pain, improved flexibility and posture. It can be simply called the kneeling exercise where one leg is kneeled down at a time. It can also be done by lying down on the edge of the table.

Strength endurance is the type of muscle strength that requires tension in the muscles for longer durations of time. It is the ability of the body to exert itself but remain active for longer durations of time without suffering any wound or fatigue.

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A nurse is performing eye irrigation for a client who has been exposed to smoke and ash. Which action should the nurse take?
a. Hold the irrigator 1.25 cm (0.5 in) above the eye.
b. Direct the irrigation solution upward toward the upper eyelid.
c. Exert pressure on the bony prominences when holding the eyelids open.
d. Direct the irrigation from the outer canthus to the inner canthus of the eye.

Answers

Eye irrigation is method of cleaning of the conjunctiva sac by a stream of liquid.

The following solution can be used:

1. Plain water to clean the eye should be used.

2. Normal saline also known as (sodium chloride).

3. Boric acid 2%, as a sanitized.

4. Silver nitrate 1%, is as an sanitizes.

Here are the general instructions.

1. Maintain aseptic technique throughout the procedure to safe introduction of infection into eye.

2. Use only sterile articles and result for eye irrigation.

3. Never ever touch eye with irrigator.

4. Test temperature of the answer at the inner surface of the wrist.

5. Move of the fluid should be from inner canthus to the outer canthus to prevent forcing the infection into the nasolacrimal duct.

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The nurse is caring for an elderly client with depression who is being treated with a tricyclic antidepressant (TCA). Which are clinical manifestations that would alert the nurse that the client is experiencing a complication of treatment with the TCA

Answers

The client reporting dizziness with movement from a sitting to standing position alerts the nurse to a possible complication of treatment with a tricyclic antidepressant (TCA).

This is because an adverse effect of TCAs is orthostatic hypotension, which is a sudden drop in blood pressure when a person stands up after sitting or lying down.

This can cause dizziness, lightheadedness, and blurred vision. The client describing voiding frequently, with a feeling of the inability to completely drain her bladder is also a possible complication of treatment with a TCA. This is because one of the side effects of TCAs is anticholinergic effects, which can cause urinary retention, frequent urination, and difficulty initiating urination.

It is important for the nurse to assess these clinical manifestations and report them to the physician as they may indicate an adverse drug reaction and may require a dose change or discontinuation of the TCA.

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Studies abbreviations used in text message to identify the author:
forensic linguist
forensic animator
forensic videographer
forensic artist

Answers

Answer:

forensic linguist

Explanation:

From the available options provided the only individual position that does this would be a forensic linguist. The responsibilities of this position include analyzing language on text or recorded documents. They do this in order to understand and uncover different details within the document that may help law enforcement solve a crime. This also involves studying abbreviations used in text messages to identify the author, what the abbreviation means, in what context it is being used, hidden meanings, etc. All of which can be highly valuable in a criminal case.

in which of the following positions should a non-traumatic conscious patient, showing signs and symptoms of altered mental status be transported

Answers

The basic therapy for respiratory problems is oxygen. If the patient is breathing normally, use a nonrebreather mask at a flow rate of 12 to 15 liters per minute.

Which of the following is one of the first indications that a patient's breathing is inadequate?

Visual cues The rate of breathing, aberrant chest wall movement, irregular breathing pattern, and abnormal work of breathing are the visual indicators that are particular to insufficient ventilation.

Which of the following would be the best course of treatment for a patient who is having respiratory problems?

The basic therapy for respiratory problems is oxygen. If the patient is breathing normally, use a nonrebreather mask at a flow rate of 12 to 15 liters per minute. If the patient has insufficient breathing, more oxygen should be given in addition to artificial ventilation.

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which form of treatment is used to promote the healing process by dilating blood vessels which allows for more circulation to occur in the affected area.

Answers

Vasodilators are medications that cause blood vessels to dilate (dilate). They affect the artery and vein lining muscles, preventing tightening and constriction of the walls. As a result, blood may move through to the valves more easily.

How do vasodilators work?

One condition that these medications serve to treat is excessive blood pressure. Vasodilators are medications that cause blood vessels to dilate (dilate). They affect the artery and vein lining muscles, preventing tightening and constriction of the walls. When the blood passing through the amygdala is warmer than usual, as it is when the system needs to lose heat, the heat-loss center becomes active. This region blocks the production of heat, which expands the skin blood vessels and boosts blood flow, often enough controlling the temperature. When the blood is also still warm, these afferents get to have a signal that stimulates the body's sweat receptors and causes perspiration.

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who is a polyvalent nurse​

Answers

Answer:

A specialist is defined as a person who carries out his/her professional duties in the same surgical ward over two years or more; a polyvalent nurse is defined as one who changes their specialty according to the period established by their hospital or according to the needs at any given moment.

Explanation:

At visit 3, Subject 411, a subject in a clinical trial of a pacemaker with an implantable cardioverter-defibrillator (ICD) was noted to have a malfunctioning of the ICD sensing system resulting in frequent ICD discharges (shocks). Subject 411 was admitted to the hospital to have the ICD removed and replaced. The investigator should:

Answers

The investigator should report this event as an UADE (unanticipated adverse device effect) to the sponsor and IRB within ten working days.

This event is considered unanticipated because the subject had not previously experienced frequent ICD discharges (shocks) and the malfunctioning of the ICD sensing system was not anticipated. Reporting this event is important for patient safety and to ensure that the sponsor and the IRB are aware of any potential hazards of the device.

Additionally, reporting this event within ten working days allows for quicker action on the part of the sponsor and IRB to investigate the cause of the ICD malfunction and take corrective action if necessary. It also allows for the investigation of the ICD device and any potential risks that may be associated with its use.

By reporting this event as an UADE, it will ensure that patient safety is a priority and that any potential risks are monitored and addressed.

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A child with heart failure is on Lanoxin (digoxin). The laboratory value a nurse must closely monitor is which

Answers

A child with heart failure is on Lanoxin (digoxin). The laboratory value a nurse must closely monitor is which serum potassium level

What impacts the heart does Lanoxin have?

It functions by having an impact on specific minerals (sodium and potassium) within cardiac cells. As a result, the heart is put under less stress and is better able to keep up a regular, steady beating.What are the uses of Lanoxin tablets?

Heart failure is treated with lanoxin. Atrial fibrillation, a condition affecting the atria's heart rhythm, is similarly treated with lanoxin (the upper chambers of the heart that allow blood to flow into the heart)

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