A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For elderly postmenopausal woman client is primary osteoporosis most common.
Low bone mass, deteriorating bone tissue, and disruption of the bone microarchitecture are all symptoms of osteoporosis, which can decrease bone strength and raise the risk of fractures. The most prevalent bone disease in people, osteoporosis, is a serious public health issue. Women, older persons, and Caucasians are more likely to experience it. Like hypertension, osteoporosis increases the risk of fracture.
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ben has just been diagnosed with acute renal failure and his doctor is going to start him on dialysis three times a week. ben is nervous about the procedure and has several questions about how it works. what should the medical assistant tell ben about dialysis, and how could he or she calm his anxiety?
Ben's nervousness is reduced when the medical assistant explains that dialysis works by eliminating waste and poisons from the blood.
What causes anxiety?Oftentimes, traumatic experiences in infancy, adolescence, or maturity lead to anxiety disorders. If you suffer stress and trauma while you are very young, it is going to have a significant impact. Abuse on a physical or emotional level is one example of an incident that could lead to anxiety problems. being tense, fearful, or unable to relax because you're expecting the worst or are dreading anything. experiencing either a faster or slower passage of time. having the sensation that people are looking at you intently and can see you are tense.
When is anxiety a problem?If anxiety interferes with your capacity to live your life as completely as you would like, it may become a mental health issue. It can be a concern, for instance, if your anxiety symptoms are severe or persistent. Your concerns or fears seem excessive in light of the situation.
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mr. penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. as a result, his physician has prescribed ranolazine (ranexa). which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina?
Mr. Penny has to have beta blockers, nitrates, or calcium channel blockers concurrently. So, option 3 is correct alternative.
When metformin and ranolazine are combined, metformin levels are increased. Check the side effects of metformin and the patients' blood sugar levels. Serum creatinine, BUN, and urine output should all be monitored when a patient's CrCl is less than 60 ml per minute. Ranolazine works primarily by inhibiting late INa, which stops the cell from becoming sodium-overloaded. When calcium ions are present, the heart muscle typically beats. Ranolazine is supposed to ease the symptoms of angina pectoris, improve blood flow to the heart muscle, and lower the flow of calcium into the cells, which all contribute to the heart's ability to relax. Myocardial contractions that are defective and unusually protracted are reduced, which lowers myocardial oxygen demand. Ranolazine is thought to improve coronary blood flow while simultaneously increasing diastolic function.
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The complete question is:
Mr. Penny, 67, was given a chronic angina diagnosis a few months ago but has yet to receive adequate symptomatic relief. Consequently, his doctor has prescribed ranolazine for him (ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina?
1) Mr. Penny calls the doctor's office and complains that she feels dizzy.
2) Grapefruit juice should be consumed by Mr. Penny.
3) Mr. Penny has to have beta blockers, nitrates, or calcium channel blockers concurrently.
4) For the treatment of stable angina, Mr. Penny's doctor prescribes sublingual nitroglycerin.
after many episodes of otitis media a 3-year-old child is to undergo myringotomy and have tubes implanted surgically. which should the nurse include in the discharge preparation for | this family?
after many episodes of otitis media a 3-year-old child is to undergo myringotomy and have tubes implanted surgically, insert earplugs during the child's bath should the nurse include in the discharge preparation for his family.
What is myringotomy?An eardrum hole is made during a myringotomy treatment to allow middle ear fluid that has become trapped inside to drain out. Water, pus, or blood are all possible fluids. In order to maintain drainage, it is common to introduce a tiny tube into the ear drum's hole. Surgery to reduce pressure in the inner ear is known as a myringotomy. A tiny incision into the eardrum is made during the brief surgery. A paper "patch" or gel foam will be inserted into the ear canal during a myringoplasty after the ear has been carefully cleaned.
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The complete question is as follows:
After many episodes of otitis media a 3-year-old child is to undergo myringotomy and have tubes implanted surgically. What should the nurse include in the discharge preparation for this family?
Keep the child at home for 1 week.
Insert earplugs during the child's bath.
Apply an ointment to the ear canal daily.
Use cotton swabs to clean the inner ears.
which dietary education would the nurse provide to the parent of an infant with galactosemia? select all that apply. one, some, or all responses may be correct.
Nurse will assist you in creating a nutrition plan. They eliminate lactose and galactose from their diet. Instead, kids must abstain from milk and milk derivatives and get soy-based formula.
Galactosemia is a rare genetic condition, thus most people are not familiar with its symptoms or therapy. In American newborns, it happens in around 1 in 65,000 cases. Learn more about the disorder that prevents kids from using and breaking down the sugar galactose with this review. A baby or infant with galactosemia may exhibit the following signs and symptoms if given milk or milk products:poor nutrition, Vomiting\sJaundice,sluggish weight gain, Failure to gain back the weight lost at birth, which often occurs by the time a baby is two weeks old, Lethargy,Irritability, Seizures. Galactose-1-phosphate (gal-1-p) and GALT levels will be checked in confirmatory tests if galactosemia is suspected as a result of a newborn screening test. Gal-1-p will be elevated and GALT will be significantly depleted in a baby with galactosemia. Galactosemia can also be identified during pregnancy via an amniocentesis or chorionic villus biopsy. If newborn screening tests fail to diagnose a child with symptoms and they contain "reducing chemicals" in their urine, galactosemia may be suspected in those kids. If your child has galactosemia, a certified dietitian or paediatric metabolic expert can assist you in determining which foods to stay away from. Additionally, this expert can guarantee that your child is receiving the recommended amounts of calcium and other crucial vitamins and minerals. Gal-1-p levels can also be monitored to determine whether a child's diet contains an excessive amount of galactose.
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the nurse is caring for clients with chronic respiratory disorders. for which client with cyanosis should the nurse intervene first? the client with cyanosis and:
The nurse should intervene first for the client with cyanosis and anemia of chronic disease and a hemoglobin of 8.7 g/dL (87 g/L).
This client's low hemoglobin level indicates a deficiency in red blood cells that deliver oxygen. Due to the deficiency of oxygen in the blood, this might result in cyanosis, or a bluish staining of the skin and mucous membranes. The client's long-term respiratory condition may become worse due to anemia, which can also lead to exhaustion, weakness, and shortness of breath. In order to address this client's anemia and enhance their oxygenation status, the nurse needs to give their care first priority.
Reduced blood supply to the brain brought on by high blood pressure can also result in disorientation, lightheadedness, and even unconsciousness. In order to avoid any more issues, it is imperative to handle this client's blood pressure as soon as feasible.
Complete question:
The nurse is caring for clients with chronic respiratory disorders. For which client with cyanosis should the nurse intervene first? The client with cyanosis and:
a) a diagnosis of chronic obstructive pulmonary disease (COPD).
b) anemia of chronic disease and a hemoglobin of 8.7 g/dL (87 g/L).
c) polycythemia and a hemoglobin of 16.8 g/dL (168 g/L).
d) a blood pressure of 155/95 mm Hg.
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flag a nurse is teaching a young adult about risk factors for developing melanoma. what of the client statements indicates an understanding of the teaching?
D. "The blistering sunburns I had as a child increase my risk for melanoma as an adult."
The likelihood of acquiring melanoma as an adult is increased by excessive sun exposure and childhood sunburns that are severe or blistering.
what is melanoma?
Cancer that starts in melanocytes is called melanoma. This tumors are often dark or black because the majority of melanoma cells still produce melanin. Some of these, however, do not produce melanin and might thus look pink, tan, or even white. It can appear anywhere on the skin, but in men and women, they are more likely to begin on the trunk (chest and back). Darkly pigmented skin reduces your chance of developing melanoma in these more prevalent locations, although anybody can develop the disease on their hands, feet, or beneath their nails.
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The above question is incomplete. The complete question is given below-
A nurse is teaching a young adult about the risk factors for developing melanoma. Which of the following client statements indicates an understanding of the teaching?
A. "The fact that I have five moles increases my risk for developing melanoma."
B. "My cousin had squamous cell carcinoma, which increases my risk for melanoma."
C. "Having a light complexion decreases my risk for developing melanoma."
D. "The blistering sunburns I had as a child increase my risk for melanoma as an adult."
the nurse administers mifepristone to a patient in the first trimester for an abportion. the nurse instructs the patient to return for a follow-up visit in 2 days to recieve a 400 mcg dosage of misorostol. how long after the last manstrual period is it sae to use these medications
A nurse administering mifepristone (Mifeprex) to a first trimester patient for abortion. The nurse then tells the patient to return in 2 days after for follow-up and to receive 400 mcg of misoprostol (Cytotec). After the last menstrual period it is safe to use these medications till 7 weeks.
Is Mifepristone harmful to the body?Rarely, serious medical problems can occur at the end of pregnancy (e.g., medical abortion, surgical abortion, miscarriage, etc.) and sometimes including bleeding, fatal infections.
What does mifepristone do in pregnancy?Mifepristone is used in regimens with misoprostol to terminate pregnancies of less than 70 days. It works by blocking the flow of hormones that maintain the uterus. Without these hormones, the uterus cannot support pregnancy and the contents of the uterus are excreted.
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complete question:
The nurse administers mifepristone (Mifeprex) to a patient in the first trimester for an abortion. The nurse then instructs the patient to return for a follow-up visit in 2 days to receive a 400 mcg dosage of misoprostol (Cytotec). How long after the last menstrual period is it safe to use these medications?
the attached picture is from a blood smear stained with brilliant cresyl blue, a supravital stain. select which cell(s) would be identified as reticulocyte.
The attached picture is from a blood smear stained with brilliant cresyl blue, a supravital stain ,slightly immature red blood cells would be identified as reticulocyte.
A reticulocyte count is a blood test that measures the amount of these cells in the blood.
Reticulocytes can be counted by instrumentation or by haemocytometer. Automated reticulocyte counts are performed similarly to automated RBCs. Before counting, red blood cells are stained with a dye that stains for nucleic acid (such as acridine orange) to differentiate reticulocytes from mature red blood cells.
The aggregate reticulocytes are red cells with clumps of blue-stained granules and the punctate reticulocytes are red cells with fewer, smaller blue granules.
Reticulocytes are made in the bone marrow and sent into the bloodstream. About two days after they form, they develop into mature red blood cells.
The normal reticulocyte count ranges between 0.5 % to 2.5% in adults and 2% to 6% in infants.
Emolytic anemias: These anemias are a result of red blood cell destruction. The bone marrow is still functional and has the required components to create reticulocytes. It responds to anemia by increasing the synthesis of reticulocytes,
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the nurse is reviewing the health care provider's prescription sheet for the preoperative client, which states that the client must be on nothing by mouth (npo) status after midnight. the nurse would clarify whether which medication would be given to the client rather than withheld?
Nurse reviews health care provider's prescription for preoperative patient, stating that patient must be on nothing by mouth (npo) status after midnight. Medications that the caregiver should administer and be clear about not withholding is Atenolol (tenormine)
What is the purpose of healthcare?The basic goal of health care is to improve quality of life by improving health. For-profit companies focus on making financial gains to support their valuations and maintain profitability. Healthcare must focus on generating social benefits to deliver on its promise to society.
What does healthcare mean?According to the Merriam-Webster dictionary, health care is the effort to maintain or restore physical, mental or emotional well-being, especially by trained and licensed professionals.
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You are preparing to clean up a spill of blood that occurred while caring for a patient. Which solution would be most appropriate to use?
A alcohol
B chlorine bleach
C hydrogen peroxide
D liquid soap
The best solution to use would be chlorine bleach.
What are chlorine's five uses?Numerous industrial applications exist for chlorine as well. Including the manufacturing of polymers like PVC, solvents like contains three different, chloroform, and dichloromethane, as well as bulk goods like bleached paper products. In addition, it is utilized in the production of paints, textile colors, antiseptics, and medicines.
Is chlorine a disinfectant?The foundations of pool chlorine. Let's first clarify something: bleach is composed of chlorine. Chemically speaking, liquid Clorox and pool-grade chlorine are nearly identical. They aren't produced using the same amounts of chlorine, though. To destroy hazardous germs, chlorine is added to water supplies and pool water.
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Blood pressure values are often reported to the nearest 5 mmhg (100, 105, 110, etc.). the actual blood pressure values for nine randomly selected individuals are given below.(a) What is the median of the reported blood pressure values?(b) Suppose the blood pressure of the second individual is 117.9 rather than 117.4(a small change in a single value). What is the new median of the reported values?(c) What does this say about the sensitivity of the median to rounding or grouping in the data?A. When there is rounding or grouping, the median can be highly sensitive to small change.B. When there is rounding or grouping, the median is only sensitive to large changes.C. When there is rounding or grouping, the median is not sensitive to small changes.
(a) The median of the reported blood pressure values is 117.4.
(b) If the blood pressure of the second individual is 117.9 rather than 117.4 (a small change in a single value), the new median of the reported values is 117.9.
(c) The sensitivity of the median to rounding or grouping in the data is when there is rounding or grouping, the median can be highly sensitive to small changes.
Thus, the answers are
(a) 117.4
(b) 117.9
(c) A
We are given the following data set in the question:
108.6, 117.4, 128.4, 120.0, 103.7, 112.0, 98.3, 121.5, 123.2
Median:
If n is odd, then
Median = [tex]\frac{n+1}{2}[/tex]th term
If n is even, then
Median = [tex]\frac{\frac{n}{2}th term+(\frac{n}{2} +1)th term }{2}[/tex]
n = 9
a) Mediаn of the reported blood pressure vаlues
Sorted Vаlues: 98.3, 103.7, 108.6, 112.0, 117.4, 120.0, 121.5, 123.2, 128.4
Mediаn = [tex]\frac{9 + 1th}{2} term[/tex] = [tex]5^{th}[/tex] term = 117.4
b) New median of the reported values
Dаtа: 108.6, 117.9, 128.4, 120.0, 103.7, 112.0, 98.3, 121.5, 123.2
Sorted Vаlues: 98.3, 103.7, 108.6, 112.0, 117.9, 120.0, 121.5, 123.2, 128.4
New Mediаn = [tex]\frac{9 + 1th}{2} term[/tex] = [tex]5^{th}[/tex] term = 117.9
c) Since mediаn is а position bаsed descriptive stаtistics, а smаll chаnge in vаlues cаn bring а chаnge in the mediаn vаlue аs the order of the dаtа mаy chаnge. Thus, when there is rounding or grouping, the mediаn cаn be highly sensitive to smаll chаnges.
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an elderly client reports fatigue without shortness of breath with walking 30 minutes five times each week. the nurse assesses the resting heart rate as 72 beats per minute; 10 minutes after walking, the client's heart rate is 92 beats per minute. what should the nurse instruct the client to do next?
The nurse should advise the older client to examine lung sounds and sputum after reporting weariness without shortness of breath and waking up for 30 minutes five times per week.
What is defined as shortness of breath?Shortness of breath, also known as dyspnea, is commonly characterized as a strong tightening of a chest, a desire for air, breathing difficulty, breathlessness, or a feeling of suffocation. The most frequent reasons for shortness of breath are illnesses of the lungs or the heart. Breathing can be made more challenging by irregularities in either of your heart's or lungs' physiological processes because they operate together to eliminate the carbon dioxide in your body and deliver oxygen to your tissues.
How do you beat shortness of breath?Deep abdominal breaths can help someone who is having trouble breathing. Certainly, people could: To practice breathing techniques at home, one should lie down and place their hands around their abdomen. As you inhale deeply through your nose, open up your abdomen to allow the lungs completely fill with air.
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true or false? medical assistants should always use appropriate personal protective equipment (ppe) when contact with body fluids is expected during a procedure.
Physician assistants should always wear appropriate personal protective equipment (PPE) if the statement that body fluids are likely to be generated during the procedure is correct/true.
Personal protective equipment (PPE) is special clothing or equipment worn by employees to protect them from infectious agents. Personal protective equipment, commonly referred to as "PPE", is equipment worn to minimize exposure to various hazards. Examples of PPE include gloves, foot, and eye protection, hearing protection (ear plugs, muffs), helmet, respirator, and full body suit. Eye and face protection, then the hand protection, the body protection, respiratory protection, and hearing protection thse are the components if the PPE. It will be useful in keeping the life of the working people safe.
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the nurse has completed an assessment of a client's typical hygiene practices. how should the nurse best document the findings of this assessment in the client's chart?
The nurse can best document the findings of this hygiene practice assessment in the client's chart as "Client normally bathes and washes her hair every other day; applies moisturizer to dry areas on her elbows and forearms."
Hygiene is a series of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Many diseases and conditions can be avoided or controlled by practising good personal hygiene and washing parts of the body and hair with soap and water on a regular basis. Body washing can help to prevent the spread of hygiene-related diseases. Data entry process documentation is a critical component of standard operating procedures and one of your most important data hygiene tools. Documentation is how you describe in detail, step by step, how to complete tasks in your database. Good documentation aids in ensuring that information is entered correctly, thoroughly, and consistently. It acts as a barrier against employee turnover and is the first step toward process improvement.
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Which of the following statements is true?
A. Most food guides classify eggs in the protein foods group.
B. According to MyPlate, foods that provide empty calories should be avoided.
C. Olives, salmon and avocados are sources of unhealthy solid fats.
D. Food guides generally classify butter in the food group that includes milk and eggs.
Most food guides classify eggs in the protein foods group is the true statement among the given ones.
What is a protein ?Large biomolecules and macromolecules are termed as proteins that are made up of one or more extended chains of amino acid residues.
Antibodies, contractile proteins, enzymes, hormone proteins, structural proteins, storage proteins, and transport proteins are the seven different categories of proteins.
A rise in the level of protein in the blood is known as high blood protein. Hyperproteinemia is the medical term for high blood protein levels. Although high blood protein is not a specific illness or condition, it may be a sign that you are ill. Rarely do symptoms of high blood protein appear on their own.
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which education would the nurse provide a parent about methods for maintaining oral hygiene in preschoolers? select all that apply. one, some, or all responses may be correct.
The nurse must mention following for oral hygiene-
2. "You should not share toothbrush"
4. "You should encourage your child to thoroughly brush all the surfaces of their teeth."
Some of the recommendations for children's dental hygiene are-
Tap water should be kids' main beverage of choice; steer clear of sweet foods and beverages.They use fluoride toothpaste to brush their teeth twice daily.Until they have good brushing techniques, assist your child as they brush their teeth.Tap water with fluoride should be consumed.To remove bacteria and sugars that can cause cavities, wipe gums with a soft, clean cloth twice a day: immediately after the first feeding in the morning and just before bed.To identify potential issues early, take your baby to the dentist by the time they turn one.To learn more about teeth click here:
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a 32-year-old g2p2 woman presents for a health maintenance examination. she is in good health and takes no medications. she does not have a history of abnormal pap tests. and her last one was three years ago. her examination is normal, including her pelvic examination. a pap test is performed and returns as normal with high-risk hpv negative. what is the most appropriate screening recommendation for cervical cancer in this patient?
The guideline for the Prevention and Early Detection of Cervical Cancer from the American Cancer Society (ACS), , American Society for Colposcopy and Cervical Pathology (ASCCP), and the American Society for Clinical Pathology (ASCP).
The work of a pathologist do?A pathology is a doctor who analyzes body parts and bodily tissues. Additionally, he is also in charge of running lab testing. A pathologist is a critical member of the medical team who aids in diagnosis by other doctors.
Which four categories of pathology are there?Anatomic pathology, predominantly, criminal pathology, and laboratory are the other four core specialities recognised by the American Osteopathic Board of Pathology. It is possible for pathologists to complete specialized fellowship training in one or several anatomic or clinical pathology.
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which communication technique would the nurse use with a aptient who has been identified as being reluctant to express thoughts and feelings
Open-ended questions give the client the widest possible latitude in answering. if the nurse use with a aptient who has been identified as being reluctant to express thoughts and feelings .
What is latitude or longitude?Latitudes are horizontal lines that measure distance north or south of the equator. Longitudes are vertical lines that measure east or west of the meridian in Greenwich, England. Together, latitude and longitude enable cartographers, geographers and others to locate points or places on the globe.
Why is it called latitude?They are named after the angle created by a line connecting the latitude and the center of the Earth, the line connecting the equator and the center of Earth. Latitudes specify the north-south position of a location on the globe.
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the nurse is observing a nursing student preparing to obtain a throat culture on a client suspected of having a beta-hemolytic streptococcus infection. which actions indicate the need for further teaching regarding collecting this specimen? select all that apply.
Nursing student obtain a throat culture from a patient suspected with beta-hemolytic streptococcal infection. statements indicating students need further training are: Have client tilt their head forward and open their mouth and First place collection swab down patient's throat
How do people get streptococcal infections?Group A Streptococcus (GAS), also known as Strep A, are bacteria found on skin or in throat. Streptococci are contagious. It can spread through droplets when an infected person coughs, sneezes, or eats or drinks with them. You can also pick up bacteria from surfaces such as doorknobs and transfer them to your nose, mouth, or eyes.
What are the signs of Streptococcus infection?Signs of a strep A infection include: flu-like symptoms i.e., high temperature, swollen glands, aching body. sore throat ( tonsillitis). rash, like scarlet fever) scabs and sores. pain and swelling (cellulitis). muscle aches. nausea and vomiting.
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client returns to the clinic two days after receiving treatment for diarrhea caused by a campylobacter jejuni infection. the client reports a tingling sensation that began in the toes yesterday and has spread to the feet and legs today. the nurse notes muscle weakness in the legs and that the client is having difficulty walking steadily. based on this data, what does the nurse suspect is wrong with the client?
1., 2., 3., & 6. Correct: Anxiety, agitation, insomnia, and tremors are the first symptoms of alcohol withdrawal. Throughout withdrawal, there is a tachycardia of 120–140 per minute.
What triggers insomnia?Stress, an inconsistent sleep pattern, poor sleep pattern, mental health conditions including anxiety and depression, physical ailments and pain, drugs, neurological issues, and particular sleep disorders are some of the common causes of insomnia.
How can insomnia be determined?A specialized test to identify insomnia does not exist. A medical professional will do a physical examination and quiz you to find more about your sleep problems and symptoms. Assessing your sleep history with a physician is essential for the diagnosis of insomnia.
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which statement by the client who suffered a strained ankle 2 days earlier (which is still swollen and painful) indicates the need for further teaching?
The customer, who had a strained ankle two days prior, says that I should apply ice.
What key benefit is unique to external fixation devices?infection risk is lower than with internal fixators. little harm to the blood supply of the broken bone. a greater degree of local control than non-invasive immobilization methods like slings and casts. greater adaptability than internal fixators.
How may external fixation's stability be improved?Modifying the pin configuration is one way to alter stability. The stiffness of the construct can be increased by adding additional pins, spacing them farther apart, and placing pins closer to the fracture site.
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a nurse is preparing to teach a client about the importance of contraception and safe-sex practices. which factors can most affect the nurse's teaching strategies for this client? select all that apply.
She would lecture about contraception using a variety of approaches, depending on the resources that are available, her preferred learning style, and the audience's literacy level.
What is an illustration of a direct measuring technique that is employed to assess the teaching-learning process?In order to assess student learning in the classroom, direct measurements are frequently used. Direct measures are those that evaluate actual student work samples to gauge how well students are learning.
Which instance of providing emotional support does the nurse use in the lesson?"An example of emotional support is being able to confide in your spouse." A group in the community receives information about social networks from the nurse.
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the nurse is reviewing the health care record of a pregnant client at 16 weeks of gestation. which assessment findings are most likely present at this time? select all that apply.
3.Fetal heart tones can be heard by Doppler. 4.Braxton Hicks contractions may be felt by the mother. 5.The fundus is located midway between the symphysis pubis and the umbilicus.
At 16 weeks of pregnancy, the fundus is situated halfway between the symphysis pubis and umbilicus. Just below the ensiform cartilage at 36 weeks' gestation, the fundus can be felt. Preterm birth risk can be predicted by measuring the cervical length using ultrasound; as the length falls, the chance of preterm birth increases. Transvaginal ultrasound in the second trimester is used to measure the length of the cervix. A cervix shorter than 25 mm is regarded as short and indicates a higher risk of preterm delivery. The size of an avocado, your baby measures approximately 11.6 cm from head to foot. Comparable to a medium bag of salad, it weighs about 100g. Your kid is starting to make expressions now, but any smiling or frowning will be utterly arbitrary because there is no muscle control at this point.
The complete question is:
The nurse is reviewing the health care record of a pregnant client at 16 weeks of gestation. Which assessment findings are most likely present at this time? Select all that apply. 1.Blood pressure peaks at 140/90. 2.The fundus is located at the umbilicus. 3.Fetal heart tones can be heard by Doppler. 4.Braxton Hicks contractions may be felt by the mother. 5.The fundus is located midway between the symphysis pubis and the umbilicus.
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A number of clients have presented to the emergency department in the last 32 hours with complaints that are preliminarily indicative of myocardial infarction. Which of the following clients is least likely to have an ST-segment myocardial infarction (STEMI)?
Over the past 32 hours, many patients have arrived to the emergency department with symptoms suggesting myocardial infarction. ST-segment myocardial infarction (STEMI) is least probable in "A 71-year-old man who has moist skin, fever, and chest pain that is excruciating when he moves but relieved when at rest". Hence, the correct answer is D.
Option D, for a 71-year-old man who has moist skin, a fever, as well as a chest pain that is excruciating when he moves but relieved when at rest, is the least likely to have an ST-segment myocardial infarction (STEMI). This is because the symptoms described in Option D are more indicative of a condition known as "unstable angina", which is a type of chest pain caused by a lack of blood flow to the heart but not a full blockage of an artery. In contrast, STEMI is caused by a complete blockage of an artery and typically presents with severe, crushing chest pain that is not relieved by rest and may radiate to the jaw and arms. Additionally, fever and moist skin are not typical symptoms of STEMI. Therefore, option D is considered the least likely to have STEMI among the given options.
This question should be provided with answer choices, which are:
A) A 70-year-old woman who is complaining of shortness of breath and vague chest discomfort.B) A 66-year-old man who has presented with fatigue, nausea and vomiting, and cool, moist skin.C) A 43-year-old man who woke up with substernal pain that is radiating to his neck and jaw.D) A 71-year-old man who has moist skin, fever, and chest pain that is excruciating when he moves but relieved when at rest.The correct answer is D.
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in which area of the body will the nurse most likely discover a pressure injury in a client who is maintained in the low-fowler position excessively?
To maintain the low-fowler position, pressure should be applied sacrum, buttocks, and hips by the nurse.
Pressure injuries/ulcers are most likely to occur on the sacrum, buttocks, and hips. There are 6 pressure ulcer stages defined by NPUAP. They most commonly appear on bony parts of the body such as heels, elbows, hips, and the base of the spine. It often develops gradually, but can also form within hours. High-risk areas include the Sacrum, heels, elbows, wrists, temples, ears, shoulders, back of the head (especially her child under 36 months), knees, toes. Among patients in the comparison group who experienced a pressure ulcer, the most common site was the head and neck (38%), followed by the pelvis/abdomen (38%) and the extremities (23%).
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the health care provider prescribes an oral hypoglycemic medication for the client with type 2 diabetes. which statement will the nurse need to consider when developing the teaching plan?
the health care provider prescribes an oral hypoglycemic medication for the client with type 2 diabetes, Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control will the nurse need to consider when developing the teaching plan
What is type 2 diabetes?It is the most prevalent kind of diabetes. Your body improperly uses insulin if you have type 2. And although some individuals can regulate their blood glucose (blood sugar) levels with good nutrition and exercise, others might need to use insulin or prescription medications to do so. It doesn't matter; you have all you need to combat it.
The disease is severe and may last a lifetime. If you have type 2 diabetes and are not receiving medication, excessive blood sugar levels have the potential to significantly harm your feet, heart, and eyes. The complications of diabetes are these.
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The complete question is as follows:
The health care provider prescribes an oral hypoglycemic for the client with type 2 diabetes. What will the nurse need to consider when developing the teaching plan?
1. Oral hypoglycemics work by decreasing absorption of carbohydrates.
2. Oral hypoglycemics work by stimulating the pancreas to produce insulin.
3. Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control.
4. Clients with type 2 diabetes do not need to be concerned about serious adverse effects from oral hypoglycemics.
which factors should the advanced practice mental health nurse take into consideration when prescribing medication for the psychiatric patient?
The advanced practice mental health nurse should take age, culture, religious beliefs into consideration when prescribing medication for the psychiatric patient.
A Psychiatric Patient is a patient who is undertaking a psychiatric programme in a public or private hospital that has a contract with the Fund to deliver such a programme. Anxiety disorders are the most frequent mental illnesses in the general population of the United States. Mood and anxiety disorders are the most prevalent psychiatric diagnoses in the general population, with about similar prevalence rates, according to European statistics.
Psychosis is a mental health condition in which people experience or interpret things differently from those around them. This might result in hallucinations or delusions. First-episode psychosis (FEP) can cause a 1% reduction in total brain volume and a 3% loss in cortical grey matter.
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a patient's hr decreases from 63 to 50 beats/minute on the cardiac monitor. what should you do first?
In case of decrease in the heart rate from 63 to 50 beats/minute, the first action to be taken is: measuring the blood pressure of the patient.
Heart rate is defined as the number of time heart beats each minute, i.e., the number of time it pumps blood into the arteries of the body. The average heart rate of a normal adult human ranged from 60-100. Children often have a faster range of heart rate from 80- 120.
Blood pressure is defined as the force with which the heart pumps blood into the large arteries of the body. In case of a dropping heart rate, the blood pressure should be measured first to decide what kind of medication needs to be given to the patient.
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the nurse is inserting an indwelling urinary catheter into a male client. as the catheter is inserted into the urethra, urine begins to flow into the tubing. when would the nurse inflate the balloon?
As you delicately push the indwelling uriinary caatheter tip into the , remind your patient to breathe deeply. Once uirine begins to drain, move it forward another inch, or 7 to 9 inches (17.5 to 22.5 cm) (2.5 cm).
When placing an indwelling caatheter in an uncircumcised male, what procedures should the nurse follow?A sterile sheet should go beneath the patient's buttuocks, and a feneustrated (drape with hole) sheet should go over the pienis. To the caatheter tip, apply a water-soluble lubbricant. Grab the pienis just below the glans and hold it up straight with your non-dominant hand.
How long should the caatheter be inserted for a male patient?Male caatheters typically range in length from 15 to 18 inches. Because of this physical difference, men need a male length caatheter because their uraethras are longer.
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which meal would the nurse select for a preschooler on a low-residue diet? o a frankfurter on a roll ripe peaches with ice cream
A low-residue diet is a diet that is low in fiber and is sometimes recommended for people with certain gastrointestinal issues, such as Crohn's disease or ulcerative colitis.
For a preschooler on a low-residue diet, it is important to select meals that are low in fiber and also provide enough calories and nutrients to meet the child's needs. A good meal choice for a preschooler on a low-residue diet would be a frankfurter on a roll with a side of ripe peaches and a scoop of ice cream.
The frankfurter provides a good source of protein and some healthy fat, while the peaches provide vitamins, minerals and fiber. The ice cream provides some additional calories and is a fun treat for the preschooler.
All of these food items are low in fiber and are easy to digest, making them a good choice for a low-residue diet. The meal will also provide enough calories and nutrients to meet the preschooler's needs.
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