a patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube. to help ensure feeding tolerance, the nurse checks residual volumes every 4 hours. during a residual check later in the shift, the nurse aspirates a total residual volume of 350 ml. what action should the nurse take next?

Answers

Answer 1

Excessive caloric intake can lead to increased \(PaCO_{2}\). She has to watch her GRV.

The primary goal of monitoring GRV is to improve safety in patients undergoing EN. In patients with reduced gastrointestinal tolerance, additional enteral feeding via feeding tube is not recommended when the stomach is already full (high GRV). Current enteral practice recommendations state that GRV should be monitored every 4 hours for her first 48 hours of gastric feeding and every 6–8 hours thereafter in non-critically ill patients. increase. Excessive caloric intake can lead to increased \(PaCO_{2}\). She has to watch her GRV.  

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Related Questions

a nurse is caring for a client with chronic bronchiectasis. the nurse should assess the client for what clinical manifestations?

Answers

The nurse should assess the client with chronic bronchiectasis for the clinical manifestation of a purulent cough, option (a) is correct.

Chronic bronchiectasis is characterized by abnormal dilation and thickening of the bronchi, leading to the accumulation of mucus and frequent infections. A purulent cough is a common symptom, indicating the presence of infection and the production of thick, yellow, or greenish sputum. In addition to a purulent cough, other clinical manifestations that the nurse should assess for in a client with chronic bronchiectasis include dyspnea, recurrent respiratory infections, hemoptysis, and fatigue.

These symptoms result from the impaired clearance of mucus and the chronic inflammation in the bronchi. The client may also exhibit signs of respiratory distress, such as wheezing and crackles on auscultation, option (a) is correct.

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The complete question is:

A nurse is caring for a client with chronic bronchiectasis. The nurse should assess the client for what clinical manifestations?

a. Purulent cough

b. Angina

c. Pigeon chest

d. Pulmonary hypertension

An ultrasound examination could show the motion of a fetus. In order to image this motion, the ultrasound examination devices requires what minimal information?.

Answers

The minimum information required by ultra-sound examination devices is frequency and speed of sound wave.

Minimum information required by ultra-sound

An ultrasound scan also known as sonography is a medical test that uses high-frequency sound waves to capture live images from the inside of your body.

The high frequency sound wave enables the motion of the motion of the fetus to be detected through Doppler effect.

Thus, the minimum information required by ultra-sound examination devices is frequency and speed of sound wave.

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what is the most important step the nurse can take to ensure that the patient is getting the correct medication?

Answers

The most crucial action the nurse may do to make sure the patient is receiving the right medicine, according to the supplied statement, is to match the drug label only with MAR three times.

What is referred to as medicine?

Medicines are agents or chemicals that alleviate symptoms, treat, halt, or prevent illness, or help detect illnesses. Numerous illnesses can now be saved and treated thanks to modern treatment.

How would you categorize medications?

Because of their chemical composition, method of impact, and intended usage, drugs are grouped. Numerous categories apply to some drugs. Others are grouped together in certain classification schemes and not in others.

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In the phrase "the patients urine pH level is =5" the symbol means

Answers

\(\huge\underline\mathtt\colorbox{cyan}{pH:}\)

A figure expressing the acidity or alkalinity of a solution on a logarithmic scale on which 7 is neutral, lower values are more acid and higher values more alkaline. The pH is equal to −log10 c, where c is the hydrogen ion concentration in moles per litre.

does turp reduce sexual function ?

Answers

Of the 109 patients with good erectile function in pre-TURP, 5.8% reported a worsening of erectile function after TURP. Among the 136 patients with ED moderate/mild pre-TURP 3.7% reported a worsening in the post-TURP, 16.2% reported an improvement, while 9.5% stopped any sexual activity.

The ability for a muscle to work against a resistance for an extended period of time is.

Answers

A muscle's endurance is its capacity to contract repeatedly against a fixed resistance over an extended length of time.

Tearm endurance:

The capacity for enduring difficulty or adversity, especially the capacity for long-term stress-inducing effort or exercise, such as a marathon runner's endurance. 2: the act of enduring many sufferings or an instance of doing so. 3: persistence of the play's significance, permanency.

Types:

The types of endurance are aerobic endurance,

anaerobic endurance : Anaerobic exercise is a type of exercise that breaks down glucose in the body without using oxygen; anaerobic means "without oxygen".

speed endurance :is the ability to prolong the amount of time where a near maximal speed can be maintained.

strength endurance :Strength endurance is the specific form of strength displayed in activities which require a relatively long duration of muscle tension with minimal decrease in efficiency"

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The femoral artery becomes the popliteal artery after passing the inguinal ligament. True or false?.

Answers

False

The popliteal artery, which starts at the level of the adductor hiatus in the adductor magnus muscle of the thigh, is a continuation of the femoral artery. As it descends farther, it crosses the popliteal fossa, which is located behind the knee.

What is Femoral artery ?

The femoral artery is a significant blood vessel that supplies blood to the body's lower limbs. The iliac artery, which is found in the pelvis, is where the artery originates. Blood is pumped through the legs via the femoral artery, which originates in the lower abdomen and passes through the thigh.

What is Popliteal artery ?

The popliteal artery is a direct continuation of the superficial femoral artery and is found behind the knee in the popliteal fossa after passing through the adductor hiatus.

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The main organs of the lymphatic system are the tonsils, thymus, and lymph nodes. true or false

Answers

Answer:

the main organs of the lymphatic organs are the thymus, lymph nodes

True! They are indeed the main organs of that system.

When is quality control used in pregnancy testing kits?
-Without using the urine specimen

-To confirm the blood specimen pregnancy test

-to use as a comparison to the original pregnancy test results

-only if it is built in the pregnancy testing kit

Answers

Answer:

to confirm the blood specimen pregnancy test

Explanation:

i might be wrong

Possession of opium, morphine, or heroin without a prescription was made a crime by: the 1906 Pure Food and Drugs Act. the 1986 Anti-Drug Abuse amendments. the 1970 Controlled Substances Act. a 1915 Supreme Court decision.

Answers

Possession of opium, morphine, or heroin without a prescription was made a crime by various laws and decisions. The 1906 Pure Food and Drugs Act was one of the first federal laws to regulate drugs and require accurate labeling of ingredients.

It did not make possession of these substances without a prescription a crime but laid the groundwork for future drug control legislation.The 1915 Supreme Court decision in United States v. Doremus upheld the constitutionality of the Harrison Narcotics Tax Act, which required doctors and pharmacists to register and pay a tax to prescribe and dispense opioids. This decision allowed the government to regulate and control the production, distribution, and use of these drugs.The 1970 Controlled Substances Act (CSA) replaced previous drug laws and established a schedule of controlled substances based on their medical use, potential for abuse, and safety. Possession of opioids without a prescription is illegal under the CSA, and penalties vary depending on the drug's schedule and the amount in possession.The 1986 Anti-Drug Abuse amendments increased penalties for drug offenses, including possession of opioids without a prescription. These amendments also established mandatory minimum sentences for drug offenses, leading to the mass incarceration of drug offenders and disproportionately affecting communities of color.In summary, possession of opioids without a prescription was made a crime by the 1970 Controlled Substances Act, which established a schedule of controlled substances and regulated their production, distribution, and use. The 1986 Anti-Drug Abuse amendments increased penalties for drug offenses, including possession of opioids without a prescription, while the 1906 Pure Food and Drugs Act and the 1915 Supreme Court decision laid the groundwork for future drug control legislation.

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Ah song like and is skillful in mathematic. Thus, he is prone to use his right brain

Answers

Different parts of the brain respond to specific situations in varying ways. The left part is linked with logical thinking, as he is skillful in mathematics, he is prone to use his left brain.

What is involved in the right side of the brain?

Usually, the right part of the brain is linked with creative and artistic things.

Music is actually related to the right side of the brain.

But mathematics involves the use of the left side of the brain, as it is concerned with logical thinking.

Thus, the given statement is false.

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List 5 functions or features that you learned how to do with using Microsoft Word. Then you will explain the importance of each new function or feature you learned about for your classmates. How do you think the 5 new functions or features can help you in the providers office?

Answers

5 functions or features that I learned how to do with using Microsoft Word are:

Track Changes: This feature allows you to keep track of any changes made to a document, including additions, deletions, and formatting modifications. It's important for collaborating with others on a document or reviewing a document for editing purposes. In a provider's office, this feature can help review and edit patient charts or progress notes.

Table of Contents: This feature allows you to create a clickable table of contents for a document, making it easy to navigate and find specific sections. It's important for organizing longer documents or reports. In a provider's office, this feature can help create a table of contents for patient education materials or medical reports.

Page Layout: This feature allows you to adjust the margins, orientation, and page size of a document, as well as add headers and footers. It's important for formatting documents to look professional and meet specific requirements. In a provider's office, this feature can help format patient education materials, consent forms, or medical reports.

Inserting Images: This feature allows you to insert images or graphics into a document. It's important for creating visually appealing documents or including visual aids in presentations. In a provider's office, this feature can help create patient education materials or presentations for staff training.

Mail Merge: This feature allows you to create a set of documents, such as form letters, that are personalized for each recipient by pulling information from a database. It's important for creating bulk documents efficiently and accurately. In a provider's office, this feature can help create form letters or mailing reminders for preventive care appointments.

Overall, these functions and features can help improve the efficiency and organization of document creation in a provider's office, as well as enhance the professional appearance of materials created for patients or staff.

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which therapy would the nurse expect to be planned for a patient who has cancerous lesions in the pyloric region?

Answers

Chemotherapy or radiation therapy would be planned for a patient who has cancerous lesions in the pyloric region

What is cancer ?

A condition known as cancer occurs when some body cells grow out of control and spread to other body regions. Since the human body contains trillions of cells, cancer can develop almost anywhere.

Palliative therapy refers to any form of medical care, including radiation or chemotherapy. Rarely used in place of chemotherapy as the primary form of treatment is surgery. It is significant to remember that studies have shown that using palliative chemotherapy for stomach cancer can extend and enhance survival.

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the __________ located in the __________ is essential for detecting static equilibrium.

Answers

The  Macula located in the  vestibule is essential for detecting static equilibrium.

What is meant by Macula ?

The area of your eye that processes what you see in front of you is called the macula (your central vision). It is essential to your vision and is a component of your retina. The macula is the rounded portion of your retina that is located in the back of your eye.

The light-sensitive film at the back of the eye is called the retina. The macula, which controls central and fine-detail vision necessary for activities like reading, is located in the center of the retina.

Near the center of the retina, the macula processes vision in a harp, clear, forward direction. The tissue that lines the back of the eye, the retina, is as thin as paper and is home to the rods and cones that make up photoreceptors, or light-sensing cells.

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an instrument used to cut bone is called a(n)

Answers

An instrument used to cut bone is called an osteotome.

An instrument used to cut bone is called an osteotome. Osteotomes are surgical instruments specifically designed for cutting or dividing bone during various medical procedures. They typically have a sharp, chisel-shaped blade that is used to precisely cut through bone tissue. Osteotomes are commonly used in orthopedic surgeries, including procedures such as osteotomies (bone reshaping), bone grafting, and joint replacement surgeries. They come in different sizes and shapes to accommodate different anatomical areas and surgical requirements. Osteotomes are handheld surgical instruments with a sharp cutting edge designed to cut through bone. They are typically made of stainless steel or other durable materials to ensure strength and longevity. It is important to note that the use of osteotomes requires a high level of surgical skill and precision.

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When researchers study multiple groups and report the means for each group, they are reporting:
A. descriptive statistics.
B. median values.
C. variability.
D. Standard deviations.

Answers

Answer:

hope this helps.i added a pic

When researchers study multiple groups and report the means for each group, they are reporting:A. descriptive

When researchers study multiple groups and report the means for each group, they are reporting descriptive statistics. Thus option A is correct.

what is descriptive statistics ?

It is a branch of statistics that is conducted with describing the characteristics of the known data, provides summaries about either the data of the sample or a population.

Like descriptive statistics, another statistics called inferential statistics is a crucial branch of statistics that is used to conclude inferences of the population data.

Descriptive statistics are applied quantitatively or visually summarize different features of a sample, uses certain tools for the sample data which can be analyzed to catch certain trends, organize the data in a  readable format.

Measures of central tendency and measures of dispersion are used to summarize characteristics of both grouped and ungrouped data.

From an experiment the raw data obtained is called as ungrouped data and the organized data is called as grouped data, for representation of the data, different formats are used in descriptive statistics such as graphs, charts, and tables.

Thus option A is correct.

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Mr. Rogers, a letter carrier for the US Postal Service, is being seen in the healthcare facility because he was bitten on the ankle by a Yorkshire terrier, and the ankle has become infected. Mr. Rogers’s provider and medical assistant are discussing the patient’s condition and history outside the examination room. Mr. Edelman is heading toward the reception desk. He overhears the entire conversation, including the somewhat embarrassing story of how Mr. Rogers lost a fingertip 8 years ago after offering a leftover chicken nugget to a cocker spaniel on his route. Have the provider, and medical assistant violated the HIPAA Privacy Rule? Discuss.

Answers

Answer:

Yes, they have violated HIPAA.

Explanation:

Yes, the provider and medical assistant violated the HIPAA Privacy Rule by discussing Mr. Rogers’s condition and history outside the examination room where other people could overhear them. The HIPAA Privacy Rule requires covered entities to protect the privacy of PHI (Protected Health Information). If you believe that a HIPAA-covered entity or its business associate violated your (or someone else’s) health information privacy rights or committed another violation of the Privacy, Security, or Breach Notification Rules, you may file a complaint with the Office for Civil Rights (OCR).

Mr. Lopez has heard that he can sign up for a product called “Medicare Advantage” but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program?

Answers

I think it is pretty obvious, it is advantage over healthcare meaning, that ir probably has free health care, better medicine, and others

A psychosomatic disease is best defined as a disease in which
there are no observable symptoms.
mental factors do not affect overall health.
the body and mind contribute to an illness.
stress is unrelated to physical conditions.

Answers

Answer:

Body and mind contribute to the illness

Explanation:

the foods that you eat contain ____________ that are necessary for proper body functioning.

Answers

Nutrients

Explanation:

This substance is needed in the body to work

Medications influence neurotransmitter systems to treat mental disorder. medications may ____ to increase neurotransmitter levels.

Answers

block reuptake, I think I’m not sure

Answer:

Medications influence neurotransmitter systems to treat mental disorder. Medications may agonize to increase neurotransmitter levels.

Concepts given in question:

Medicine is the art or science of restoring or preserving health due to physical conditions, as by means of drugs, surgical operations or appliances, or manipulations: often divided into medicine proper, surgery, and obstetrics. Neurotransmitter is any of several chemical substances, as epinephrine or acetylcholine, that transmit nerve impulse across a synapse to a postsynaptic element, as another nerve, muscle, or gland.  Mental disorder is a behavioral or mental pattern that may cause suffering or a poor ability to function in life.

Medications may "agonize" or "activate" neurotransmitter systems to increase neurotransmitter levels and treat mental disorders. Agonists are drugs that bind to neurotransmitter receptors and activate them, mimicking the effects of the neurotransmitter. This can increase the amount of neurotransmitter activity in the brain.

What are some side effects of medications that agonize neurotransmitter levels?

The side effects of medications that agonize neurotransmitter levels can vary depending on the specific medication and the neurotransmitter system being targeted. Here are some examples:

Medications that increase serotonin levels (such as selective serotonin reuptake inhibitors, or SSRIs) can cause side effects such as nausea, diarrhea, insomnia, and sexual dysfunction.Medications that increase dopamine levels (such as antipsychotics) can cause side effects such as weight gain, sedation, and movement disorders.Medications that increase norepinephrine levels (such as some antidepressants) can cause side effects such as increased heart rate, elevated blood pressure, and anxiety.Medications that increase acetylcholine levels (such as some medications for Alzheimer's disease) can cause side effects such as nausea, vomiting, diarrhea, and muscle cramps.

It's important to note that not all individuals will experience side effects from these medications, and the severity of side effects can vary widely. Additionally, some side effects may be temporary and go away after a few days or weeks of taking the medication, while others may persist and require a change in medication or dosage.

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a series of category e medication errors have occurred on a hospital unit. when discussing this trend with the nursing staff, the risk manager would list which characteristics of a category e error?

Answers

Category E medication errors are typically characterized by their potential to cause temporary or permanent harm to the patient.

Category E medication errors are a classification system used to categorize medication errors based on their potential for harm to the patient. The characteristics of a Category E error would include the following:

Potential harm: Category E errors have the potential to cause temporary or permanent harm to the patient. These errors may result in adverse drug events, medication-related complications, or worsening of the patient's condition.

Significance: Category E errors are considered significant and require immediate attention and intervention to prevent harm.

Identification: These errors are recognized as deviations from the standard medication administration or prescribing practices, indicating a potential risk to patient safety.

Reporting and analysis: Category E errors should be reported through appropriate channels, and a thorough analysis is conducted to identify the underlying causes and implement corrective measures.

The risk manager would discuss these characteristics with the nursing staff to raise awareness of the severity and potential consequences of Category E errors.

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Janice is in the hospital, her IV infiltrated ( fluid got under the skin), she developed a bacterial infection of the skin and subcutaneous tissue. What bacterial infection does she have?
a. cellulicular acne
b. cellulitis
c. cellulitis rosacea
d. cellulitis vulgaris

Answers

D, I believe is correct but you should get a second opinion
I believe the answer is D. Cellulitis vulgaris

what happens in the body when you're sleeping which systems are working

Answers

Answer:

Your pulse, body temperature, breathing, and blood pressure rise to daytime levels. Your sympathetic nervous system, which helps with automatic responses like “fight or flight,” gets very active.

Which stage of Kohlberg's theory of moral reasoning is based on one's personal code of ethics? A. unconventional B. conventional C. preconventional D. postconventional

Answers

Answer:

D. postconventional

Explanation:

Edg

Postconventional stage of Kohlberg's theory of moral reasoning is based on one's personal code of ethics. So, the correct option is (D).

What is Kohlberg's theory?

Kohlberg's theory focuses on the thought process that occurs when one decides whether a behavior is right or wrong. Therefore, the theoretical emphasis is on how one decides to respond to a moral dilemma, not what one decides or actually does.

There are different levels of this theory which are as follows:

Stage 1: Obedience and punishment

Stage 2: Self-interest.

Stage 3: Interpersonal accord and conformity

Stage 4: Authority and maintaining social order

Stage 5: Social contract

Stage 6: Universal ethical principles.

Pre-conventional levelConventional levelPost conventional level

The right behavior of the individual, in his opinion at the post conventional level, is therefore never a means to an end, but always an end in itself, not everyone reaches this level.

Thus, Postconventional stage of Kohlberg's theory of moral reasoning is based on one's personal code of ethics. So, the correct option is (D).

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The registered nurse is making assignments for the day. Which client should be
assigned to the pregnant nurse?
a. The client receiving a blood transfusion for anemia.
b. The client with radium implant for cervical cancer.
c. The client who is admitted for severe shingles.
d. The client who has been restrained due to confusion and combative
behavior.

Answers

A. would be the answer

The client receiving a blood transfusion for anemia should be assigned to the pregnant nurse. So, the correct answer is (A).

What is Anemia?

In anemia, the body is unable to make enough red blood cells (RBCs). RBCs provide oxygen to the cells or tissues of the body. Low hemoglobin is related to having anemia which leads to feeling tired and weak. The most common cause of anemia is not having enough iron.

There are many forms of anemia which have their own causes. It can be temporary or long term which can range from mild to severe.

Signs and symptoms of anemia include

Tiredness, weakness, pale skin, irregular heartbeat,shortness of breath, etc.

Anemia is caused due to vitamin B12 deficiency. Anemia due to folate (folic acid) deficiency.

Thus, the client receiving a blood transfusion for anemia should be assigned to the pregnant nurse. So, the correct answer is (A).

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Given the recent rise in alternatives to cigarette smoking, many clinicians have become concerned about the potential health risks of alternatives such as vaping and smoking marijuana.

• What are your thoughts on the potential health risks associated with vaping and smoking marijuana?

• How do they each affect the lungs?

• Why is it important for medical staff in the office to refrain from smoking and vaping at work, even during lunch and breaks?

• What actions could this have on the patients and on you?

Answers

1. One concern on the potential health risk of vaping and smoking marijuana is the potential rise in the number of people with health problems like lung cancers in America in the near future.

2. The chemical in Vaping or by products of either smoking vape or marijuana may potentially lead to inflammation that could progress and damage the lungs.

3. Medical staff should refrain from smoking and vaping at work as a way of maintiaining a high professional ethics. More so, it is important they recognise  that secondhand smoke exposure for patients is not good for patients.

4. Smoking at work could expose patients to chemicals that could further complicate their health issues. It can also affect the way you could judge the medical staff.

What are some of the dangers of smoking?

Some of the dangers of smoking incudes the following; Smoking increases the risk of various health problems like lung cancer, heart disease, stroke, and respiratory illnesses.

It is well known to damage the respiratory system, reduce fertility, cause premature aging, and increase the risk of complications during pregnancy.

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the combining form that means cause (of disease) is

Answers

The combining form that means "cause (of disease)" is etiology.

The term "etiology" is a noun form that denotes the study of causes of diseases.

Etiology refers to the study of the causes of diseases. It encompasses the factors that lead to the development of a disease, including genetic, environmental, social, and behavioral factors. Etiology has a crucial role in the diagnosis and treatment of diseases.

It is fundamental in identifying risk factors that can be modified or managed to prevent disease and promote good health. Etiology is also important in the development of new treatments and therapies for diseases.

The combining form eti/o derives from the Greek word aitia, which means "cause." Eti/o is a common prefix used in medical terminology. Other terms that use the eti/o prefix include etiology (the study of the causes of diseases), etiopathogenesis (the study of the causes and development of diseases), and etiologic agent (the cause of a disease).

Thus, the combining form that means "cause (of disease)" is eti/o.

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I want to become a doctor. What should I study first?

Answers

Answer:

science okayyyyyyyyyyyyyyyyy

Answer:

you should start by watching videos on depending on what type of doctor you want to be right flash cards test your self and go from there

Explanation:

hope this helps

A nurse is caring for a client during the first 72 hr following a cerebrovascular accident (CVA). Which of the following actions should the nurse take?A. Turn the client's head to the side with the head of the bed elevated 60 degreesB. Place the head of the bed flat with pillows under the client's neck and feetC. Elevate the head of the bed 25-30 degrees with the client in a neutral midline positionD. Position the client in a dorsal recumbent position with pillows under the head and knees

Answers

The nurse should elevate the head of the bed 25-30 degrees with the client in a neutral midline position. This position helps to prevent aspiration and promote venous drainage from the brain. It is important to avoid turning the client's head to the side or placing the head of the bed flat as these positions can increase the risk of aspiration. The correct Option is C

The dorsal recumbent position with pillows under the head and knees is not appropriate for a client with a cerebrovascular accident.

When caring for a client who has had a cerebrovascular accident (CVA), also known as a stroke, it is important to position the client in a way that promotes safety and optimal recovery. Elevating the head of the bed 25-30 degrees with the client in a neutral midline position helps to prevent aspiration and promote venous drainage from the brain. Aspiration is a risk because stroke can cause weakness in the muscles used for swallowing. A neutral midline position means that the client's head, neck, and spine are in a straight line, which helps to reduce strain on these structures.

Turning the client's head to the side with the head of the bed elevated 60 degrees or placing the head of the bed flat with pillows under the client's neck and feet can increase the risk of aspiration. The dorsal recumbent position with pillows under the head and knees is not appropriate for a client with a cerebrovascular accident because it can increase intracranial pressure and decrease venous drainage from the brain.

In addition to positioning the client correctly, the nurse should monitor the client's neurologic status, vital signs, and oxygen saturation. The nurse should also assess for signs of complications such as bleeding, infection, and respiratory distress. The first 72 hours after a CVA are critical for the client's recovery and require close monitoring and intervention as needed.

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