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Answer 1
The nurse is aware that cardiovascular disease is currently the main factor contributing to maternal death in the United States during pregnancy.
Cardiovascular disease refers to a group of ailments that affect the heart or blood arteries (CVD). It is frequently associated with atherosclerosis, an accumulation of fatty deposits in the arteries that increases the risk of blood clots. Atherosclerosis in a number of organs, including the kidneys, eyes, heart, brain, and heart, may also be connected to it. There are numerous varieties of CVD. Coronary heart disease happens when the flow of oxygen-rich blood to the heart muscle is restricted or reduced. A stroke happens when the blood flow to a part of the brain is interrupted; it may cause death or irreversible brain damage. Similar to a stroke, a transient ischemic attack (also known as a TIA or "mini-stroke") causes a brief disruption in the blood supply to the brain. Peripheral arterial disease arises when the arteries to the limbs, usually the legs, get clogged. Aortic illnesses are a group of conditions that affect the aorta. This is the body's biggest blood vessel, which transports blood from the heart to the body's other organs. One of the most significant risk factors for CVD is high blood pressure (hypertension). Your blood vessels may suffer damage if your blood pressure is too high.
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an 18 year old football player is admitted to the ortho unit after a femur fracture. he is scheduled for a rod to be placed in the morning, but suddenly develops severe shortness of breath, a petechial rash on his chest, and bp: 88/50, p: 122, rr: 21. what should the nurse do first?
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The nurse should call the active response team if suddenly develops severe shortness of breath, a petechial rash on his chest, and bp: 88/50, p: 122, rr: 21.
Active response team- Anytime there is an emergency on campus, regardless of the severity (security, safety, riot, fire, theft, etc.), the QRT team is prepared to respond within two minutes and is equipped to take the appropriate action.
Rapid response teams represent an intuitively straightforward idea: When a patient exhibits signs of impending clinical deterioration, a team of healthcare professionals is called to the bedside to assess and treat the patient right away in an effort to avoid a transfer to an intensive care unit, a cardiac arrest, or death.
They frequently notice decreases in the number of cardiac arrests, unforeseen ICU transfers, and, occasionally, the overall fatality rate. The Code Blue Team, which reacts to a patient having a cardiac arrest, and the Rapid Response Team are different in most institutions.
Hence, the nurse should call the active response team.
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the nurse is reviewing the client's medication orders and finds an order reading, alprazolam 1.0 mg po every 4 hours prn anxiety. what action(s) should the nurse take? select all that apply. give the medication when the client wants it. call the healthcare provider to clarify the order. start the medication immediately. hold the medication. call the pharmacy.
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The nurse should hold the medication, and call the physician to clarify the entire order.
What is in a pharmacy?
The scope of pharmacy practice includes more traditional roles such as compounding and dispensing of medications. It also includes more modern services related to health care including clinical services, reviewing medications for safety and efficacy, and providing drug information.
What is the study of pharmacy?
Pharmacy is the science of preparing and dispensing medical drugs. The study of pharmacy involves chemistry and pharmaceutics, among other specialist topics. A pharmacist is a licensed healthcare professional who specialises in providing information about different medication and methods of treatment to patients.
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suppose a client runs a fitness program and wants to store information about customers: height, weight, measurements. what type of programming would work best?
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An array is a type of data structure that includes a set of elements (values or variables), each of which is identifiable by at least one array index or key in Fitness.
Array kinds may intersect (or be associated with) other data types that express masses of values, such as lists and strings, depending on the language in Fitness program.
An array is a collection of values, known as components, that are logically connected to one another also in Fitness program. Array measures developed to solutions that enable operations to be applied to a whole set of values one at. These kind of solutions are frequently employed in scientific and technical contexts. Arrays are classified into three types: indexed arrays, multidimensional arrays, and associative arrays.
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the nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. the nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what?
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A patient is been diagnosed with an elevated cholesterol level and the nurse is aware that plaque on the inner lumen of arteries is composed chiefly of lipids and fibrous tissue.
As T-lymphocytes and monocytes infiltrate to ingest lipids on the blood vessel wall and so die, a fibrous tissue develops. This causes plaques to make on the inner lumen of blood vessel walls. These plaques don't accommodates white cells, lipoproteins, or high-density cholesterin.
Elevated cholesterol level is when there is an excessive amount of cholesterin within the blood, the cholesterin and different substances might kind deposits (plaques) that collect on artery walls. Plaques will cause associate degree artery to become narrowed or blocked. If a plaque ruptures, a grume will kind. Plaques and blood clots will scale back blood flow through an artery.
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a client is prescribed imipramine once daily. the nurse determines that additional teaching is needed on the basis of which statement by the client?
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When the client said that he'd take the medication in the morning before breakfast, the nurse determined that additional teaching was needed.
Among tricyclic antidepressants, imipramine is one. Due to its sedative side effect, the client should be advised to take a single dose of the medication each day at bedtime rather than in the morning. Alcohol and other CNS depressants should not be consumed by the client while receiving therapy. It could take at least two weeks before you feel the effects of the drug.
The patient should take the prescription exactly as prescribed, but if a dose is missed, they should make up the missed dose as soon as they remember, unless it is almost time for another dose.
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a client is prescribed oral lorazepam 1.5 mg stat for a panic attack. lorazepam is available in 0.5-mg tablets. how many tablets would the nurse administer? express your answer as a whole number. tablet(s)
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The nurse would give out 3 pill stablets.
When you have a panic attack, do you cry?
Additionally, it's not unusual to want to cry prior to, during, or following an anxiety attack. Many people have a sense of imminent death or disaster. They react by sobbing because doing so is a normal reaction to experiencing extreme dread as well as the physiological response that takes place when having a panic attack.
The duration of a panic attack.
The majority of panic attacks last five to twenty minutes. Some have reportedly lasted as long as an hour. Your condition's severity will determine how many attacks you have. While some people only experience attacks either once twice per month, others do so frequently.
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a nurse is working with a client who is interested in losing weight and asks the nurse why trans fats are so bad for you. what is the best response by the nurse? select all that apply.
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A nurse is working with a client who is interested in losing weight and asks the nurse why trans fats are so bad for you bread.
One of the exceptional ways to lose frame fats is thru constant cardio exercising — which include brisk on foot — for at the least 30 minutes maximum days of the week. some human beings may require greater physical activity than this to shed pounds and keep that weight loss. Any extra motion enables burn energy.
Water can be honestly beneficial for weight reduction. it's miles 100% calorie-loose, facilitates you burn more energy and may even suppress your urge for food if ate up earlier than food. The advantages are even extra whilst you update sugary drinks with water. it's far a totally smooth way to reduce on sugar and calories.
If you're overweight, awareness on sports that put minimum pressure to your joints, like walking, swimming, or water sporting activities. If the idea of 150 minutes of exercising every week sounds daunting, spoil your exercise routine into smaller chunks. Your purpose ought to be to get 30 minutes of workout an afternoon, five days a week.
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a lymph node biopsy pathology report notes the presence of reed-sternberg cells on a client suspected of having a lymphoma. the nurse interprets the report as indicating:
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The report indicating as Hodgkin lymphoma.
What is Hodgkin lymphoma ?A malignancy that affects the lymphatic system, a component of the body's immune system that fights infection, is called Hodgkin's lymphoma. White blood cells known as lymphocytes overgrow in Hodgkin's lymphoma, resulting in enlarged lymph nodes and growths all over the body.One of the two main types of lymphoma is Hodgkin's lymphoma, formerly known as Hodgkin's disease. the non-lymphoma Hodgkin's is the other.People with Hodgkin's lymphoma now have a better chance of making a complete recovery because to developments in the detection and treatment of this illness. The prognosis for those with Hodgkin's lymphoma keeps becoming better.lymph nodes in your neck, armpits, or groyne that are swollen but not painful persistent tiredness.Symptoms :Fever Sweats at nightshedding pounds without tryingintense itchswelling of the lymph nodes following alcohol consumption
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the labor and delivery room nurse has just received reports on four clients. after reviewing the client data, the nurse would assess which client first?
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A patient whose premature labor has just been stopped with an intravenous loading dose of magnesium sulfate.
What happens in delivery room?
A nurse will monitor your labor as well as the pulse rate of your unborn baby either constantly or once per hour. An anesthetist will guide you through the surgery and provide the drug in the operating room if you obtain an epi. When a mother has a Caesarean, the father is typically there to make sure the infant gets important skin-to-skin contact soon away.
Who normally is in the delivery room?
You are normally permitted to have one customer service agent in additional to a partner, Dr. Davis explains. While some women opt for the support of a midwife or labor coach, others can bring a parent or other relative.
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the physician writes orders for a patient to receive an angiotensin ii receptor blocker for treatment of heart failure. what medication does the nurse administer?
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The nurse administer Valsartan (Diovan) drug for a patient to receive an angiotensin ii receptor blocker for treatment of heart failure
Heart failure and excessive blood pressure are both treated with valsartan. Additionally, it increases the likelihood that a person will survive a heart attack longer. It might also reduce the likelihood that those with heart failure will need to visit the hospital. Angiotensin ii receptor blockers, of which Valsartan is a member, are a class of medications (ARBs). In order to facilitate easier blood flow, it acts by relaxing blood vessels. Bringing down high blood pressure reduces the risk of heart attacks, kidney issues, and strokes. Diovan's most frequent adverse effects are headache, vertigo, fatigue, flu-like symptoms, diarrhoea, back discomfort, and joint pain.
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a patient had unprotected sex with an hiv-infected person and arrives in the clinic requesting hiv testing. results determine a negative hiv antibody test and an increased viral load. what stage does the nurse determine the patient is in?
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The nurse determines that the particular patient has primary infection, which is Stage 1 in HIV.
What is primary infection in HIV?
The term "primary infection," also referred to as "stage 1," refers to the time between HIV infection and the emergence of anti-HIV antibodies. Even though they are infected and very contagious, persons who are HIV positive initially test negative on the HIV antibody blood test due to their extremely high viral loads.
What is meant by HIV?
Viruses that affect the immune system include HIV (Human Immunodeficiency Virus). Over time, HIV weakens a person's immune system, making it more difficult for it to fight off diseases. The immune system defends against infections and diseases in a person's body. HIV results in AIDS (Acquired Immune Deficiency Syndrome).
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30. a client with systolic dysfunction has an ejection fraction of 38%. the nurse assesses for which physiologic change?
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A client with systolic dysfunction has an ejection fraction of 38% then the nurse should assesses physiologic change that is : Decrease in tissue perfusion.
What happens in systolic dysfunction?
In a person with systolic heart failure, the heart is weak and the left ventricle is unable to contract to eject blood, when the heart beats. This weakness implies that less blood circulates throughout the body.
Some common causes of systolic heart failure are:
If you have high blood pressure then the heart has to work harder to pump more blood through the body.If you have coronary artery disease then the amount of blood flowing to your heart is blocked or we can say it's less than normal.
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the nurse is caring for a 77-year-old patient with diarrhea. what would be especially important to monitor this patient for?
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A nurse is caring for a 77-year-old diarrhea patient. Dehydration is especially important for monitoring this patient.
What is Diarrhea? Also, how is it diagnosed?Loose, watery, and possibly more frequent bowel movements – are common problems. They may appear alone or accompanied by other symptoms such as nausea, vomiting, abdominal pain and weight loss.Fortunately, diarrhea is usually short-lived, lasting only a few days.Blood counts, electrolyte measurements, and renal function tests help indicate the severity of diarrhea. Stool test: Your doctor may recommend a stool test to determine if bacteria or parasites are causing your diarrhea.What are you monitoring for dehydration?
Assessment for clinical signs of dehydration include thirst, weight loss, dry mucous membranes, sunken eyes, decreased skin fullness, increased capillary filling time, hypotension and orthostatic hypotension, tachycardia, and weak and thin peripheral pulses.
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chronic stress has a strong connection to all of the following medical conditions except group of answer choices migraines. heart disease. diabetes. hearing loss.
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I believe the answer is hearing loss
Terrance was in an accident that caused damage to the part of his brain called the cerebellum. Which skill-related component will most likely be affected by this damage?.
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Cognitive, sensory, and emotional difficulties are most likely affected by this damage.
Identical twins are more affected than dizygotic twins. Proprioceptors are mechanoreceptors involved in reflexes that maintain muscle tone balance and posture. The Golgi tendon organ is a type of cutaneous receptor for touch. The Golgi tendon organ is located inside the tendon and suppresses muscle contraction.
Consciousness was once thought to originate from the anterior hemisphere of the brain, but current research shows that the content of consciousness originates primarily from the hindbrain. The twins' environments may have been similar. Twin studies allow us to disentangle common genetic and environmental factors for traits of interest. Researchers can estimate the proportion of trait variance due to genetic variation compared to the proportion due to shared or non-common environments.
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the nurse is obtaining a health history from parents whose 4 year old boy has congenital hypothyroidism. what would the nurse most likely assess?
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The nurse is obtaining a health history from parents whose 4 year old boy has congenital hypothyroidism and the nurse would most likely assess that how difficult it is to keep the child awake.
The parents could state, throughout the health history, that it's troublesome to stay the kid awake. Physical examination would reveal that the kid is below weight and height, that his skin is pale and dappled, which he's dazed and irritable.
Congenital hypothyroidism (CHT) is to be a condition ensuing from an absent or under-developed ductless gland (dysgenesis) or one that has developed however cannot build endocrine attributable to a 'production line' downside (dyshormonogenesis). Babies with CHT cannot turn out enough endocrine for the body's wants.
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a nurse is caring for a variety of children on a psychiatric unit. which child is at risk to develop narcissistic personality disorder? select all that apply.
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The options that apply to develop narcissistic personality disorder are: a child movie actor, an only child of a prominent sports celebrity and a child of parents with narcissistic personality disorder.
What is narcissistic personality disorder?
Narcissistic personality disorder is a mental illness in which the person who generates it feels that they are very important, that they need a lot of attention and excessive admiration. They tend to lack empathy for others and have a rather fragile self-esteem.
These patients have problems regulating their self-esteem since they need to constantly be praised and devalue people in order to have a sense of superiority.
Therefore, we can think that the options that apply to develop narcissistic personality disorder are: a child movie actor, an only child of a prominent sports celebrity and a child of parents with narcissistic personality disorder.
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A nurse is caring for a variety of children on a psychiatric unit. which child is at risk to develop narcissistic personality disorder? select all that apply.
A child movie actor
An only child of a prominent sports celebrity
A child of parents with narcissistic personality disorder
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which action by the patient who has asthma indicates a good understanding of the nurses teaching about peak flow meter use?
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Action by the patient who has asthma indicates a good understanding of the nurses teaching about peak flow meter use : patient uses the albuterol metered-dose inhaler for peak flows in the yellow zone.
What is peak flow meter for asthma?
Readings in the yellow zone of peak flow meter indicates a decrease in peak flow and the patient should use short-acting b2-adrenergic medications.
The best of the three peak flow readings has to be recorded. Readings in the green zone of meter indicate a good asthma control. The patient must exhale quickly through the peak flow meter mouthpiece to obtain the readings.
Normal adult peak flow scores usually ranges between around 400 and 700 liters per minute whereas scores in older women can be lower and still be normal.
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If a stressor goes on for too long, a human being will likely fall into a state of….
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If a stressor goes on for too long, a human being will likely fall into a state of exhaustion.
What is prolonged stress and what is its impact?
Chronic stress, which is another name for long-term stress, is a physiological reaction that, if left untreated, can have detrimental effects on one's health. Long-term stress can have an adverse effect on both physical and mental health.
Impact of prolonged stress:
Heart disease, heart attack, high blood pressure and stroke. Sleep problems. Weight gain. Memory and concentration impairment.
Hence, If a stressor goes on for too long, a human being will likely fall into a state of exhaustion.
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an older adult client diagnosed with postherpetic neuralgia suffers from chronic pain and difficulty sleeping. what is the nurse's best initial suggestion to improve this client's sleep pattern?
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The nurse's best initial recommendation for enhancing this client's sleep cycle is guided imagery.
Postherpetic neuralgia is brought on by what?
Chickenpox and shingles are both brought on by the varicella-zoster virus. In post-herpetic neuralgia, the virus injures the nerves that run beneath the skin in the afflicted area. The term "neuralgia" refers to pain that develops as a result of inflammation or damage to the nerves.
Postherpetic neuralgia: How is it treated?
For post-herpetic neuralgia, amitriptyline and duloxetine are the two most often recommended antidepressants. Typically, a modest dose will be used to begin, and if there are any positive effects or negative ones, the amount may be raised. The full results might not be felt for a few weeks.
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which interventions should the nurse include when creating a care plan for a child with hepatitis? select all that apply.
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If a child develops hepatitis as a result of an infection, the nurse's treatment is generally supportive: rest, drinking lots of water, and supporting their immune function so they can recover from the virus.
What should a hepatitis patient avoid?
Limit your intake of saturated fats, which include fatty cuts of meat and foods that have been oil-fried. Avoid eating raw or undercooked shellfish (e.g., clams, mussels, oysters, steamed shrimp) because they may be contaminated with Mycobacterium vulnificus, a bacteria that is exceedingly toxic to the liver and can cause severe damage.
Hepatitis is primarily transmitted through the feces, and infection control measures are known as "Enteric Precautions," or blood and body fluid precautions. These include using latex gloves when handling feces, urine, saliva, and blood. Handwashing seems to be essential.
Therefore, the nurse should advise the child on taking a vaccination to prevent hepatitis in the future.
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while being prepared for echocardiography, the client asks nurse why this test is necessary. what would be the nurse's best response?
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Echocardiography is a way of determining the functioning of the left ventricle of your heart
What is echocardiography ?
Your physician can diagnose cardiac issues with an echocardiography. Sound waves are used in an echocardiogram to create images of your heart. Your doctor can watch your heart beat and pump blood during this routine test. The images from an echocardiography can be used by your doctor to spot heart disease.
ECG displays the heart's electrical system, whereas ECHO displays the heart's mechanical system for further research and planning of the respective patient's treatment. This is the precise difference between ECG and ECHO.
One of the most frequently performed cardiac tests is the echocardiography. If you have a murmur, are exhibiting new heart disease symptoms, have a history of heart illness, or are otherwise at risk for heart disease, your primary care doctor or cardiologist will often recommend an echocardiography.
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a nurse is caring for a client undergoing warfarin therapy for the treatment of venous thrombosis. the nurse suspects that the client is experiencing an overdose based on which finding?
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The nurse suspects that the client has overdosed based on findings of abnormal bleeding.
Warfarin is a drug used as a blood thinner in patients who have indications of blood clots. Warfarin can be used in patients with atrial fibrillation to prevent stroke, and in patients after heart valve replacement surgery.
Warfarin is a vitamin K antagonist compound in the enantiomer class as a blood thinner (anticoagulant) and is used to prevent and treat blood clots, such as in deep vein thrombosis or pulmonary embolism.
Side effects of using warfarin include bleeding, hypersensitivity, skin rash, alopecia, diarrhea, decreased hematocrit, skin necrosis, purple toes, jaundice, liver dysfunction; nausea, vomiting, and pancreatitis.
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a nurse educator is defining heart failure to a group of recent graduates who will begin providing care on a cardiac unit. the educator should describe which phenomenon?
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The occurrence is myocardial hypertrophy.
What is Myocardial hypertrophy ?
An increase in ventricular cardiac mass is referred to as myocardial hypertrophy. Left ventricular (LV) hypertrophy (LVH) is frequently determined by measuring the end-diastolic thickness of the septal and LV posterior wall and may be related with a normal or dilated LV cavity in clinical practice and animal studies.
The disruption of autonomic nervous system pathways causes neurogenic shock, a kind of distributive shock that frequently results in bradycardia (slowed heart rate) and hypotension (low blood pressure). It can happen following central nervous system injuries such spinal cord and traumatic brain injuries.
Autoregulatory systems divert blood flow preferentially to the brain, heart, and adrenal system in the early stages of hypovolemic shock.
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during a visit to the pediatrician's office, a parent inquires about adding solid foods to the diet of a 6-month-old infant. what does the nurse inform the parent?
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The nurse informs the parent to introduce one new solid food every five to seven days to the diet of a 6month old infant.
At around six months of age, a child can start eating solid foods. The infant is capable of consuming a variety of meals from various food groups by the time he or she is 7 or 8 months old. Infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts, cheeses, and other items are among these foods.
Start by giving it two to three spoonfuls of soft, mashed food four times per day to provide the nutrients she needs in place of breastmilk. The infant will require a healthy snack in addition to half a cup of soft food four times a day starting at 6 to 8 months old.
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following a lecture on hemostasis, a nursing student accidently cuts her hand while preparing supper for her family. she watches the laceration very closely. sure enough, the first thing she notes is:
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She observes blood first, which is what she first notices.
What disease can be caused by a vitamin K deficit quizlet's absence of clotting factors?
Factor VIII insufficiency is the most prevalent coagulation factor deficiency and is the cause of hemophilia. Hemophilia B, commonly known as Christmas illness, is caused by a factor IX deficit, and vitamin K insufficiency is an acquired coagulation disorder.
What type of clotting disease is inherited most frequently?
Variable V The most typical inherited disorder that can cause blood clots is leiden. One gene is impaired and one gene is normal in nearly all individuals with factor V Leiden.
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Identify the reasons why it is difficult to treat antisocial personality disorder.
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An antisocial personality disorder is characterized by way of a chronic sample of brush aside for, and violation of, the rights of others. They display no regret for their behavior. Borderline persona disorder is characterized by a pervasive sample of instability in interpersonal relationships, self-photo, and affect.
For the general public of those untreated or under-treated people, the primary boundaries to mental health remedy and get entry to are: economic boundaries to mental fitness treatment. lack of mental fitness care professionals and offerings. restricted availability of intellectual fitness schooling and focus.
Psychotherapy. Psychotherapy, also known as communication remedy, is on occasion used to deal with delinquent personality ailment. therapy may additionally include, as an example, anger and violence management, remedy for alcohol or substance misuse, and remedy for other mental fitness conditions.
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why are medical calculators an important part of mobile technology? (select all that apply) reimbursed by medicare mandated by the joint commission screen size less of an issue smartphones can calculate quickly
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Smartphones have rapid calculations, and screen size is less of a concern. Due to these, medical calculators are a crucial component of mobile technology.
The goal of a medical calculator, a sort of medical computer software, is to make it simple to calculate different scores and indices while providing the user with a user-friendly interface that hides the formulae' complexity.
Medical Calculator gives on-the-go healthcare professionals access to the most recent, reliable clinical data for more precise, assured, and well-informed decisions at the point of care.
So, we may argue that smartphones have speedy calculation capabilities. These factors, together with the fact that screen size is less of an impediment, make medical calculators a crucial component of mobile technology.
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Complete Question
why are medical calculators an important part of mobile technology? (select all that apply)
A.Reimbursed by Medicare
B.Mandated by the Joint Commission
C.Screen size is less of an issue
D.Smartphones can calculate quickly
a client with delusions presents with strong defensiveness, even when watching the news or listening to the radio. the nurse would document this finding in the health history as what?
Answers
The nurse would document this finding in the health history as a Grandiose delusion.
Focus on distracting activities such as reading singing listening to music gardening or exercising. speak to the voice. Challenge them and insist they go away. Manage your stress and anxiety levels. Get enough sleep. Assure the person that they are safe and will not be harmed.
Let the other person know that you recognize the emotions that delusion creates. Speak clearly and use short sentences in a calm, non-threatening voice. Empathize with how the person feels about their beliefs and experiences. Identify the person's own experiences of frustration and stress and the positive aspects of those experiences.
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a client waiting to be seen for a clinic appointment is observed periodically shaking the left wrist. on what should the nurse focus when assessing this client?
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Pressure on the median nerve causes carpal tunnel syndrome. The carpal tunnel is a tiny channel on the palm side of the hand bordered by bones and ligaments.
Numbness, tingling, and weakness in the hand and arm can occur when the median nerve is crushed in carpal tunnel syndrome. The most prevalent warning indicators are finger discomfort, tingling, and numbness (all but the pinky). Other signs and symptoms may include: A sensation that your fingers are stuffed or bloated.
carpal tunnel syndrome might be caused to repetitive actions, such as typing, or other wrist movements that you undertake repeatedly. This is especially true for actions made with your hands lower than your wrists. Conditions such as hypothyroidism, obesity, rheumatoid arthritis, and diabetes are examples. Texting, drawing, and crocheting are all activities that can aggravate carpal tunnel syndrome. These tasks necessitate the regular usage of your wrists and hands. If you do not take adequate pauses from these activities, inflammation in your wrist might worsen, putting extra pressure on the median nerve.
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