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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A nurse is teaching first aid to counselors of a summer camp for children with asthma. This is an example of what aim of health teaching
This is an example of the aim of health promotion and preventing illness, or disease prevention in health teaching.
By teaching first aid to counselors of a summer camp for children with asthma, the nurse is providing them with the information and skills they need to identify and respond to asthma symptoms and emergencies, which can help to prevent illness and promote the health and well-being of the children at the camp.
A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client
The example that demonstrates cognitive learning by the client is that the client describes signs and symptoms of hypoglycemia.
Diabetes, commonly known as diabetes mellitus, is a collection of metabolic illnesses defined by a persistently high blood sugar level (hyperglycemia). Frequent urination, thirst, and increased hunger are common symptoms. Diabetes, if left untreated, causes a slew of health problems. Diabetic ketoacidosis, hyperosmolar hyperglycemia, and mortality are all examples of acute complications. Cardiovascular disease, stroke, chronic renal disease, foot ulcers, nerve damage, eye damage, and cognitive impairment are all serious long-term consequences.
Diabetics may also develop diabetic ketoacidosis (DKA), a metabolic disorder marked by nausea, vomiting, and stomach discomfort, the odour of acetone on the breath, deep breathing known as Kussmaul breathing, and, in extreme instances, a lowered level of awareness. DKA necessitates hospitalisation for immediate treatment.
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Which of the four tissue types have intercellular junctions?
Both illegal and prescription/over-the-counter drugs can have negative effects on your ability to drive. T/F
The statement is true that both illegal and prescription/over-the-counter drugs can have negative effects on your ability to drive.
Antidepressants, opioids, and other drugs may beget impairment.However, or get a tradition for a new drug or a advanced cure of a current medicine, don't drive until you know what effect it has on your judgment, If you're taking a tradition medicine.
Illegal drugs are those that aren't specified by a croaker or bought at a apothecary. They're occasionally also called" road medicines." Some exemplifications of illegal medicines include heroin( an opioid); cocaine( a goad); LSD, mescaline, PCP, methamphetamine, and psilocybin( hallucinogens).
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Albuterol 1.2mg po TID is ordered for a child weighing 27 lbs. The package insert
states the safe dose for children is no more than 0.3mg/kg/24 hours in 3 divided
doses. Available is albuterol syrup 2mg/mL. Determine the following:
Is the dosage safe
Answer:
The package insert states the safe dose for children is no more than 0.3mg/kg/24 hours in 3 divided doses. Available is albuterol syrup 2mg/mL.
Explanation:
A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer
The nurse administer 1,200,000 units x 600,000 units/ml = 2 ml unit of Penicillin.
Due to its extraordinarily low solubility, penicillin G benzathine releases slowly from intramuscular injection sites. Penicillin G is produced by hydrolyzing the antibiotic. In comparison to other parenteral penicillins, blood serum levels from this combination of hydrolysis and sluggish absorption are significantly lower yet last far longer.
Adults who receive 300,000 units of penicillin G benzathine intramuscularly experience blood levels of 0.03 to 0.05 units per mL for 4 to 5 days. Similar blood levels may linger for 10 days after receiving 600,000 units and for 14 days after receiving 1,200,000 units. After giving 1,200,000 units, blood levels of 0.003 units per mL may still be visible 4 weeks later.
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A prenatal client who is 6 weeks' gestation calls the clinic to report vaginal bleeding. For what concern will the nurse further assess the client
The nurse will further assess the client for spontaneous abortion.
Abortion is the surgical removal of an embryo or foetus from a pregnancy. Miscarriage, also known as "spontaneous abortion," occurs in around 30% to 40% of pregnancies and occurs without intervention. An induced abortion, sometimes known as a "induced miscarriage," occurs when purposeful efforts are made to terminate a pregnancy. In its unmodified form, the term abortion frequently refers to an induced abortion. Women get abortions for a number of reasons, which vary by nation.
The spontaneous termination of a pregnancy before twenty weeks of gestation is known as spontaneous abortion. The term "early pregnancy loss" refers solely to first-trimester spontaneous abortions. Miscarriage is referred to as "spontaneous abortion" by medical practitioners. A missed abortion gets its name because this type of miscarriage does not exhibit the usual indications of bleeding and cramping.
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A nurse is providing education on growth and development to a group of parents of school-age children. What information should the nurse include regarding the role of the peer group in the life of a school-age child?
The nurse should include a source of affection, regarding the role of the peer group in the life of a school-age child.
School age child development is a range from 6 to 12 times of age. During this time period observable differences in height, weight, and figure of children may be prominent. The language chops of children continue to grow and numerous geste changes do as they try to find their place among their peers.
Peer relationships give a unique environment in which children learn a range of critical social emotional chops, similar as empathy, affection, cooperation, and problem- working strategies. Peer connections can also contribute negatively to social emotional development through bullying, rejection, and counterculturist peer processes.
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Some migraine medications can inhibit nitric oxide production. What affect will this have on a man's sexual response
Without nitric oxide, the guy will be unable to attain the major cause that an erection has on a man's sexual response.
A migraine headache is characterized by strong throbbing pain or a pulsating feeling on one side of the brain. It is frequently associated with nausea, vomiting, and excessive light and sound sensitivity. Migraine episodes can persist for hours or days, as well as the pain can be severe enough to interfere with everyday tasks.
Migraines, which may afflict both children and adults, can develop into four stages: prodrome, aura, attack, and post-drome. Not everyone who suffers from migraines progresses through all phases.
Migraines are frequently misdiagnosed and mistreated. Keep track of one's migraine episodes and how you handled them if you have them on a regular basis. Then, schedule a consultation with ones doctor to address your headaches.
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you are on the scene your patient is a 60 year old woman who stepped off a curb and injured her ankle. your exam shows that her left ankle is swollen and painful. which of the following should you do ?
A) Transport the potioni immediately to a trauma center, applying high-fluer oxygen enroute
B) Explain to the patient that her ankde in frectured and you must oplini her ankde to prevent[urther injury and reduce pain C) Explain to the pattent that you won't know what type of injury she has to her ankle until the isx-royed at the amargency department and splint the ankle
D) Explain to the pattent that her ankde is sprained and transport her with her ankle elevated on apills with a cold pack opplied to the injury
D) Explain to the pattent that her ankde is sprained and transport her with her ankle elevated on apills with a cold pack opplied to the injury.
It is important to take the appropriate actions to ensure the patient's safety and well-being after an injury. In this case, the patient has a swollen and painful left ankle, but without x-raying the ankle it is not possible to know the nature and extent of the injury. Therefore, option C is the most appropriate. Explain to the patient that you won't know what type of injury she has to her ankle until the is x-rayed at the emergency department and splint the ankle to prevent further injury and reduce pain. Splinting the ankle is a first step in managing her injury and will help to keep her ankle in a stable position while she is transported to the emergency department. High-flow oxygen is not necessary unless the patient is showing signs of distress. A and D options are not appropriate as they are not based on a proper diagnosis.
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A person eats an apple and is sick within two hours. This person suspects that there was some kind of contaminant on the skin of the apple. This person has
Due to sickness after eating the apple the person made a correlation that the apple had contaminants. The scientific method is a method for explaining any observable phenomenon in a systematic manner.
The scientific method generally begins with an observation, followed by the development of a hypothesis, testing on the experiment, and finally reaching a conclusion.
A simple experiment is one that researchers frequently use to see if changes in one variable cause changes in another—in other words, to establish cause-and-effect.
If a person eats an apple and becomes ill within 2 hours, and suspects that there is some kind of contaminant on the apple's skin, a scientific explanation will be developed. In this case, the person made an observation that led them to draw a correlation between sickness and eating the apple.
A person eats an apple and is sick within two hours. This person suspects that there was some kind of contaminant on the skin of the apple. This person has:
a. performed an experiment
b. made a correlation
c. established a theory
d. tested a hypothesis
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A client is admitted to the emergency department having just used cocaine. The nurse should assess this client for which factors
The nurse should assess this client for
mood swingsfeeling of euphoriaincreased blood pressuretachycardiaCocaine is a stimulant of the central nervous system that is mostly used recreationally for its euphoric effects. It is principally derived from the leaves of two South American Coca species, Erythroxylum coca and Erythroxylum novogranatense.
Cocaine enhances the brain's reward circuit. An extreme sensation of happiness, sexual arousal, loss of contact with reality, or anxiety are all possible mental repercussions. Physical symptoms may include a racing heart, perspiration, and dilated pupils. Elevated dosages might cause high blood pressure and body temperature. The benefits are felt within seconds to minutes of application and last between five to ninety minutes. Because cocaine possesses numbing and blood vessel constriction qualities, it is occasionally used to decrease pain, bleeding, and vocal cord spasm during surgery on the neck or inside the nose.
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What is performed for a patient who does not have symptoms, abnormal findings, or any past history of the disease
A screening test is performed for a patient who does not have symptoms, abnormal findings, or any past history of the disease.
A screening test is utilize to discover probable health issues as well as illnesses in persons who are asymptomatic. The objective is early identification and lifestyle adjustments or surveillance to lower illness risk or diagnose disease early enough to treat it is most effectively. Screening tests are not diagnostic; rather, they are designed to select a portion of the population who really should undergo further testing to assess the presence or absence of illness.
While screening tests aren't always 100% accurate, it is often more helpful to have them at the suggested times by your healthcare professional than not to have them at all.
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Which of the following would be most effective in implementing the findings of a new clinical treatment for problems associated with bowel motility for the staff nurses
Effective implementation would involve staff education and ongoing support, as well as clear communication and guidelines.
Staff education: Nurses should be provided with comprehensive education on the new treatment, including how it works, how to administer it, and any potential side effects.
Ongoing support: Nurses should have access to ongoing support and guidance as they begin to use the new treatment in practice.
Clear communication and guidelines: The new treatment should be clearly communicated and guidelines should be established for the nurses to follow.
Encourage feedback: Nurses should be encouraged to provide feedback on their experiences with the new treatment and share any challenges or successes they encounter.
Regular monitoring and evaluation: Regular monitoring and evaluation of the treatment should be done to ensure that it is safe and effective for patients.
It is important to keep in mind that the implementation of new treatments may require a cultural change within the organization, so it's important to involve all stakeholders, including nurses, physicians, and administrators, in the implementation process. Clear communication and ongoing support will be crucial to the success of the implementation and the adoption of the new treatment by the staff nurses.
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The complex carbonhydrates are….
Answer:
Complex carbohydrates are made up of sugar molecules that are strung together in long, complex chains. Complex carbohydrates are found in foods such as peas, beans, whole grains, and vegetables. Both simple and complex carbohydrates are turned to glucose (blood sugar) in the body and are used as energy.
the nurse wants to be sure that the family understands how to use a bulb syringe properly to suction the newborn. What is the best way to determine that they understand proper bulb syringe use
The best way for the nurse to determine that the family understands proper bulb syringe use is to provide a demonstration and hands-on instruction. The nurse can start by explaining the purpose of using a bulb syringe, the steps involved in using it, and the precautions that must be taken.
Then, the nurse can demonstrate the proper technique for using the bulb syringe on a doll or a model of a newborn. After the demonstration, the family should be given the opportunity to practice using the bulb syringe with the guidance and supervision of the nurse. This will allow the nurse to observe their technique and provide feedback. The nurse can also provide visual aids such as diagrams or videos to help the family understand the proper technique. Additionally, the nurse can ask the family questions about the use of the bulb syringe to assess their understanding and provide further clarification if needed.
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the main structure of the brain is divided into which of the following
Answer:
I think it is C but not 100%
Explanation:
he patient has an order for metformin (Glucophage) 2 g orally. The medication available is metformin 1000 mg/scored tablet. How many tablets will the nurse administer
The nurse will administer 2 tablets of metformin for the patient. A drug called metformin is used to treat type 2 diabetes.
It works by increasing the body's response to insulin and decreasing the amount of sugar the liver produces. Additionally, it aids in reducing high blood sugar levels. Each metformin 1000 mg/scored tablet contains 1000 mg of the active ingredient, so two tablets will provide the 2 g of metformin ordered. It is important for the nurse to administer the correct dose of medication to ensure the patient receives the correct therapeutic benefit.
The nurse should always double check the prescription to ensure they are giving the correct dose. The nurse should also ensure the patient is aware of any side effects that may occur. This includes stomach pain, diarrhoea, nausea, and vomiting.
The nurse should also ensure the patient understands how to take the medication, including the time of day, how much to take, and when to take it. It is also important to monitor the patient's blood sugar levels to ensure the medication is having the desired effect. It is important that the nurse follows the correct procedure when administering medication to ensure the patient receives the correct dose of medication and the best outcome from the treatment.
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The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider. Which signs and symptoms would the nurse include
Headache with visual changes in the third trimester sudden leakage of fluid during the second trimester lower abdominal pain with shoulder pain in the first trimester.
Which advice should the nurse give to a pregnant client who is 26 weeks along and has constipation complaints?
In addition to improving dietary fiber and water intake, moderate daily exercise is the primary line of treatment for constipation. Laxatives are the second line of treatment if these are ineffective.
Which advice would the nurse give to a pregnant client to deal with morning sickness?
Regularly consume small meals because nausea is often brought on by an empty stomach. Avoiding meal preparation or cooking may be beneficial. Take in as much liquid as you can. It can be beneficial to sometimes sip on diluted fruit juice, cordial, weak tea, ginger tea, clear soup, or beverages containing beef extract.
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A nurse is helping a physician insert a subclavian central line. After the physician has gained access to the subclavian vein, he connects a 10-ml syringe to the catheter and withdraws a sample of blood. He then disconnects the syringe from the port. Suddenly, the client becomes confused, disoriented, and pale. The nurse suspects an air embolus. She should:
Turning the client on his left side and placing the bed in Trendelenburg's position is the most important immediate action to take when dealing with an air embolus.
This position helps to move the air bubble away from the heart toward the right atrium where it can be absorbed more easily. It also helps to prevent the air bubble from further entering the vascular system, since the air bubble is lighter than blood and will tend to rise upwards. Trendelenburg's position also helps to increase venous pressure in the lower body to prevent further air from entering the vascular system.
Finally, this position helps to reduce the amount of pressure in the right atrium and ventricle, which helps to reduce symptoms associated with the air embolus. By performing these actions, the nurse is helping to reduce the risk of serious or life-threatening complications from the air embolus.
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Choose the correct answer:-
regarding endometriosis which is false:
1. occurring through the pelvic vaginal scares, vagina, bladder, lungs may be involved
2. may result from retrograde menstruation
3. more distant foci result from lymphatic or blood born spread
4. retrograde menstruation is always associated with endometriosis
Regarding endometriosis the false statement is that retrograde menstruation is always associated with endometriosis and is therefore denoted as option 4.
What is Endometriosis?
This is referred to as a medical disorder in which the cells similar to the lining of the uterus, or endometrium, grow outside the uterus.
Retrograde menstruation is not always associated with endometriosis as the cause is unknown but there are other risk factors such as genetics, started to menstruate later than usual and have used low-dose oral contraceptives which is therefore the reason why it was chosen as the correct choice.
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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.
Vasodilators are medications that cause blood vessels to dilate (dilate).
How do vasodilators function?Vasodilators are medications that cause blood vessels to dilate (dilate). As a result, blood may move through the vessels more easily. Lower blood pressure is the result of less cardiac effort.
A side effect of various hypertension drugs, including calcium channel blockers, is blood vessel dilatation. However, vasodilators that work directly on the vessel walls include hydralazine and minoxidil. 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 the vessels more easily.
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Answer to the question in the picture
Answer:
the last one is the answer.
Explanation:
good luck on the quiz. :)
You are providing care to a patron who started choking on some food. The victim becomes unresponsive. Which of the following should you do first
The victim becomes unresponsive than firstly you should lower the victim to the ground and begin CPR starting with chest compressions.
Choking is a true medical emergency that requires fast, appropriate action by anyone available to save a choking person's life. Choking can beget a simple coughing fit, but complete blockage of the airway may lead to death.
Cardiopulmonary reanimation (CPR) is an exigency procedure conforming of casket condensing frequently combined with artificial ventilation in an trouble to manually save complete brain function until farther measures are taken to restore robotic blood rotation and breathing in a person who's in cardiac arrest.
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You arrive on the scene to find CPR in progress. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been initiated. What do you administer now
Epinephrine 1 mg IV is the drug of choice in this case because it is a sympathomimetic drug which increases heart rate, blood pressure, and cardiac output.
The patient has suffered a sudden collapse, and an increase in heart rate and blood pressure is needed to revive the patient. Epinephrine 1 mg IV will also increase the amount of oxygen to the heart, which is essential for resuscitation.
Additionally, epinephrine can help reverse pulmonary edema, which is a common complication of pulmonary embolism. It can also help to restore circulation to the patient's organs and tissues. Epinephrine is the drug of choice in this situation because it can be administered quickly and it is effective in increasing heart rate and blood pressure in cases of sudden collapse.
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vA client who gave birth to twins 6 hours ago becomes restless and nervous. Her blood pressure falls from 130/80 mm Hg to 96/50 mm Hg. Her pulse drops from 80 to 56 bpm. She was induced earlier in the day and experienced placental abruption (abruptio placentae). Based on this information, what postpartum complication would the nurse expect is happening
The nurse would expect that the client is experiencing postpartum hemorrhage based on the client's decreasing blood pressure and pulse.
Hemorrhage is the most likely postpartum complication in this situation. The client's sudden drop in blood pressure from 130/80 mm Hg to 96/50 mm Hg and pulse from 80 to 56 bpm indicates that she is losing a large amount of blood. Additionally, the fact that she experienced placental abruption (abruptio placentae) increases her risk of hemorrhage.
The abruption can cause the placenta to separate from the uterine wall before the baby is delivered, leaving the uterus filled with clots, the fetal membranes, and pieces of the placenta. The placenta can tear away from the uterine wall, causing blood vessels to tear and bleed, resulting in hemorrhage.
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A 2-year-old boy admitted to the hospital complaining of wheezing and shortness of breath for 6 weeks. At the beginning, the mother claimed that she noticed her baby had chocking one time. There was no cough, no fever. He was treated with inhaled corticosteroids but with no improvement. No history of allergy and no family history of atopic dermatitis. On day of admission, Chest x ray was normal and leukocyte number was normal.
Note: (think about the neck region only)
What is the next step of radiological investigation should be done for this patient?
What is the anatomical structure you should think to be involved in this patient?
What is the suspected diagnosis in this case?
What is the appropriate management in this case?
What in your opinion is the most important point must the physician always keep in mind?
Physical activity must be streneous in order for it to be beneficial. Group of answer choices True False
It is false that physical activity must be strenuous in order for it to be beneficial.
Exercise does not have to be rigorous, regimented, or time-consuming to be beneficial. Any exercise is preferable to none, but doctors recommend that people be active most days of the week, aiming for just a total of 2.5-5 hours of moderate physical activity or 1.25-2.5 hours of intense physical activity each week.
Standing while lifting large goods weighing 50 pounds or more, or walking while carrying heavy objects weighing 25 pounds or more, is considered a physically strenuous activity.
Regular exercise may enhance your mental health, assist you in maintaining one's weight, lower one's risk of disease, strengthen one's bones and muscles, and increase one's ability to conduct everyday tasks. Adults who sit less and engage in moderate-to-vigorous physical activity get health advantages.
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Which of the following is an explanation for why therapeutic misconception might happen in a phase I trial of a cancer medication
Patients may not understand the risks associated with a phase I trial, leading them to mistakenly believe the trial is intended to provide direct therapeutic benefit.
What is phase I trial of a cancer medication?A phase I trial of a cancer medication is the first step in testing a new drug or treatment for cancer. This type of clinical trial is designed to test the safety of a drug or therapy and to determine the best dosage to give patients. During the trial, a small group of individuals will be given the drug or therapy and monitored closely to evaluate any side effects or other safety concerns.The trial will also assess how the body absorbs the new drug or therapy, how it is metabolized, and what the maximum tolerated dose is. This information is used to determine the best dosage for future trials. If a drug or therapy passes the phase I trial, it will then be tested in larger groups of people in phase II trials.Phase I trials can be a critical step in developing new treatments for cancer. The information obtained from the trial can help researchers understand how a drug or therapy works in the body and how it should be used in the future. It can also provide the basis for larger clinical trials that may result in more effective therapies.To learn more about cancer medication refer to:
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A nurse is asked to start an intravenous line of isotonic 0.9% sodium chloride. He accidentally grabs a bag of hypertonic 9% sodium chloride instead. What will happen to his patient
If the nurse administers the hypertonic 9% sodium chloride solution intravenously, it could cause a severe electrolyte imbalance in the patient and lead to significant fluid shifts. This can increase the risk of cardiac arrest, stroke, or even death. It is important that the nurse double check the correct solution before administering it.
If a nurse were to accidentally start an intravenous (IV) line of hypertonic 9% sodium chloride instead of isotonic 0.9% sodium chloride, it could have serious consequences for the patient. Hypertonic solutions contain a higher concentration of solutes (i.e. sodium chloride) than the cells of the body, while isotonic solutions contain a concentration of solutes that matches the cells of the body.
When a hypertonic solution is introduced into a patient’s body, the cells of the body become dehydrated as the water is drawn out of the cells and into the hypertonic solution. This is known as osmosis. This dehydration can cause cells to become damaged, leading to serious medical complications.
The most common symptoms of a hypertonic IV line include headaches, abdominal cramping, nausea, and vomiting. As the concentration of the sodium chloride increases, the patient could experience more severe symptoms such as confusion, seizures, difficulty breathing and even coma. In extreme cases, death can result from the introduction of a hypertonic solution.
If a nurse were to administer a hypertonic solution, it is important to take immediate action.
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