The nurse should specifically assess signs of lethargy/confusion in the client's semiannual cardiology examination of a client that has a significant history of congestive heart failure.
What is congestive heart failure?Congestive heart failure is a condition where the heat does not pump the required amount of oxygen-rich blood to the body, which can be diagnosed by looking at the small veins in the neck and other signs in the patient.
In conclusion, the nurse should specifically assess signs of lethargy/confusion in the client's semiannual cardiology examination of a client that has a significant history of congestive heart failure.
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Patient had a neutrophilia, shift to the left, toxic granulation, toxic vacuolization and dohle bodies. this is characteristic in:_________
This is characteristic in Neutrophils.
The term "toxic granulation" is used to denote an increase in the density and number of granules. This is common in bacterial infections and other sources of inflammation. There are often toxic granulations and Dele's corpuscles that can mimic reactive proliferation. Neutrophils with enlarged or vacuolated cytoplasm are also possible. Granulocytic hyperplasia is seen in the bone marrow. Bone marrow may show the full spectrum of granulocyte maturation, appear to be in a state of maturation arrest, or be segmented neutrophils, depending on the date of examination. The most difficult changes to diagnose are those from maturation arrest that occur shortly after administration of growth factors, as they can be confused with myelodysplastic syndrome or recurrent leukemia.Neutrophils is the correct answer.
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Which reasons would be appropriate for performing a lumbar puncture (lp) on a client? one, some, or all responses may be correc
Following are the two appropriate reasons for performing a lumbar puncture:
Measuring the pressure of the cerebrospinal fluid.Injecting a diagnostic study's contrast medium.What do you mean by lumbar puncture?A spinal needle is inserted through a lumbar puncture into the subarachnoid space between the third and fourth lumbar vertebrae in order to measure the cerebrospinal fluid with a manometer. A lumbar puncture is used to administer air or contrast material for diagnostic purposes. In order to diagnose neurological disorders including multiple sclerosis and spinal cord injuries, evoked potentials are tests that evaluate the electrical signals that sound, light, or touch sends to the brain. Additionally, sensory nerve issues are evaluated using evoked potentials. Radioactive chemicals are utilized in cerebral blood flow evaluation to evaluate blood flow in various locations.
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The period of development in which reproductive system mature and sex hormones increase is call what
Answer:
Puberty
Puberty is the stage of development at which individuals become sexually mature. Though the outcomes of puberty for boys and girls are very different, the hormonal control of the process is very similar.
Explanation:
hope this helps u : )
The geriatric resource nurse is assisting with the care of an older adult client. which intervention best exemplifies the role of the geriatric resource nurse?
This shows that the client lacks the requisites to meet his or her needs independently.
Who is a geriatric resource nurse?The GRN concept is the foundation of NICHE Hospitals. The GRN model strives to strengthen the nurse’s geriatric expertise and knowledge, which is essential for putting system-wide improvements in the care of senior residents into place.
With older patients, GRNs work in a variety of settings, such as critical care areas, specialized units, and medical-surgical units.
The GRN model should be followed because of the reasons outlined:
• Carefully attend to elderly patients at their bedsides.
• Establish a core group of nurses who can support other employees.
• Increase awareness of elder care and gerontological services.
• Create incentives for nurses who look after senior citizens to boost their morale.
• Provide nurses with a way to advance in their professions.
• Improve the nurse-patient relationship and patient satisfaction.
• The efficiency of the interdisciplinary team should be encouraged.
• Increase the utilization of evidence-based clinical practices.
• Ensure the best possible use of hospital services.
• Facilitate safe and effective discharges.
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A pta is considering using short wave diathermy on a patient who has decreased range of motion of the knee following a total knee replacement. would this physical agent be indicated or not? why?
Yes, Diathermy is contraindicated in cases of metal implants, electronic medical devices and over bone growth plates.
What is diathermy?
Diathermy is the use of high-frequency electromagnetic currents or electrically produced heat as a type of physical therapy and during surgical procedures. Jacques Arsene d'Arsonval produced the first observations regarding the effects of high-frequency electromagnetic currents on the human body. Using the Greek words dia and therma, which literally translate to "heating through," German physician Karl Franz Nagelschmidt invented the specialty in 1907.
As mentioned in question, a PTA is considering using short wave diathermy on a patient who has decreased range of motion of the knee following a total knee replacement. Here, diathermy is indicated as diathermy is contraindicated in cases of metal implants, electronic medical devices and over bone growth plates.
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Identify the correct icd-10-cm diagnosis code(s) for a patient hospitalized and treated for vancomycin-resistant sepsis requiring treatment with other special antibiotics.
A41.9, Z16.21 is the correct ICD-10-cm diagnosis code(s) for a patient hospitalized and treated for vancomycin-resistant sepsis requiring treatment with other special antibiotics.
What is vancomycin resistance?When treating serious infections brought on by Gram-positive bacteria including Enterococcus species, Staphylococcus aureus, and Clostridium difficile, vancomycin and similar glycopeptides are the final line of defense. Since vancomycin's bactericidal effect relies on attaching to the bacterial cell membrane rather than a protein receptor as is the case with other antibiotics, it has long been assumed that it is impervious to resistance.
Furthermore, two different forms of multi-enzyme pathway-based complicated resistance mechanisms that have already spread widely across human pathogens have arisen, endangering the therapeutic effectiveness of vancomycin. Vancomycin disrupts the formation of the peptidoglycan layer by forming a complex web of hydrogen bonds with the d-Ala-d-Ala domain of Lipid II.
Resistance to vancomycin involves the degradation of this natural precursor and its replacement with d-Ala-d-lac or d-Ala-d-Ser alternatives to which vancomycin has a low affinity. Through extensive research over 30 years after the initial discovery of vancomycin resistance, remarkable progress has been made in the molecular understanding of the enzymatic cascades responsible.
Progress has been driven by structural studies of the key components of the resistance mechanisms which provided important molecular understanding such as example, the ability of this cascade to discriminate between vancomycin-sensitive and resistant peptidoglycan precursors. Important structural insights have been also made into the molecular evolution of vancomycin resistance enzymes.
Altogether this molecular data can accelerate inhibitor discovery and optimization efforts to reverse vancomycin resistance.
Therefore, A41.9, Z16.21 is the correct ICD-10-cm diagnosis code(s) for a patient hospitalized and treated for vancomycin-resistant sepsis.
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The nurse is assessing four patients. which patient does the nurse suspect to be at increased risk of pulmonary embolism because of immobility?
The nurse is assessing four patients and the patient with DVT is the nurse suspect to be at increased risk of pulmonary embolism because of immobility.
Pulmonary embolism is a blockage in one of the pulmonary arteries. In most cases, embolism is caused by blood clots that visit the lungs from deep veins inside the legs or, rarely, from veins in several elements of the body.
Immobility will increase the danger of presumptively because of stasis of blood flow within the blood vessel system. Relevant settings of immobility embrace rest, plaster casts on the legs and presis of the legs because of neurological medical conditions.
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The nurse is conducting a pupillary examination on a 34-year-old man. both pupils dilate slightly. both constrict briskly when the light is placed on the right eye. what is the most likely problem?
The most likely problem for both pupils dilating slightly, both constrict briskly when the light is placed on the right eye:
Optic nerve damage on the left
What is harm to the optic nerve?
Any type of harm to the optic nerve, including trauma, inflammation, illness, or degradation, is referred to as optic nerve damage. Optic neuropathy or optic nerve atrophy are other names for optic nerve injury. The nerve that links and conveys data between the eye and the brain is known as the optic nerve. Blindness, visual loss, and distortion of vision are all consequences of optic nerve injury.
Optic nerve :
The rear of the eye contains the optic nerve. It is sometimes referred to as cranial nerve II or the second cranial nerve. It is one of a number of cranial nerve pairs. The optic nerve's function is to conduct electrical impulses that carry visual information from the retina to the brain's vision centres.
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If your patient had an inability to absorb nutrients from the small intestine, it might indicate a disorder in which tissue?
Inability to absorb nutrients from the small intestine:
Malabsorption Syndromes
When your small intestine is not absorbing, what does that mean?
A malabsorption syndrome prevents your small intestine from properly absorbing nutrients from food. syndrome of the short bowel. This occurs following surgery to partially or completely remove the small intestine. If you have a condition that affects your small intestine, such as an illness, accident, or congenital defect.
The following factors can result in malabsorption syndrome:
damage to the gut brought on by an infection, an inflammatory reaction, trauma, or surgery extended antibiotic use additional ailments such cystic fibrosis, Crohn's disease, chronic pancreatitis, or celiac illness lactose intolerance or lactase deficiencySome abnormalities are congenital, or present from birth, such as biliary atresia, which occurs when the bile ducts don't grow normally and stop the passage of bile from the liver.disorders of the pancreas, liver, or gallbladderparasitic conditionsThe lining of the intestine may get damaged by radiation therapy.a few medications, like tetracycline, colchicine, or cholestyramine, that could harm the lining of the intestineDigestive issues may also be the cause of the sickness. It's possible that your stomach is unable to manufacture the enzymes required to properly digest some foods. Alternately, your body might be unable to combine the food you ingest with the enzymes and acid your stomach produces.
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A patient has skin that is slightly blue in color. a likely treatment for this person might be ________.
Answer:
giving the patient supplemental oxygen by mask
Explanation:
How can the healthcare facility determine which physician has the best patient outcomes?
The healthcare facility will determine the best patient outcomes using Data mining.
What is Data mining?
Data mining can be described as the process of sorting through large data sets to identify patterns and relationships that can help solve problems through the analysis of data.
Data mining is a crucial component of successful analytics initiatives in organizations even in the healthcare sector.
The information that data mining generates can be used in determining patient outcomes and advanced analytics applications that involve analysis of patients data.
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The __________ describes a standard process for communities to identify the threats and hazards they face and define measurable targets for each core capability.
The Comprehensive Preparedness Guide 201 describes a standard process for communities to identify the threats and hazards they face and define measurable targets for each core capability.
What is Comprehensive Preparedness Guide 201 ?
This Threat and Hazard Identification and Risk Assessment (THIRA) guide provides a comprehensive approach for identifying and assessing risks and associated impacts. It expands on existing local, tribal, territorial, and state Hazard Identification and Risk Assessments (HIRAs) and other risk methodologies by broadening the factors considered in the process, incorporating the whole community throughout the entire process, and by accounting for important community-specific factors. The THIRA guide outlines a methodical procedure: Step One assesses the various threats and hazards facing a community of any size. The community's susceptibility to those hazards is evaluated in Step 2 using a variety of time, season, location, and community factors.The community's impact from these threats and hazards is estimated in steps three and four, and capability targets are set using the framework of core capabilities. In order to establish a solid foundation for planning and preparedness actions across prevention, protection, mitigation, response, and recovery, Step Five summarizes the findings of the THIRA process.
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The up and down technique is more appropriate than the rolling technique for foods that are?
The up and down technique is more appropriate than the rolling technique for foods that are large.
The rolling technique is a forward moving chop where the front of the knife, the point, endlessly stays in contact with the board. once exploitation this technique it's best to use the entire knife so you clean a cut, rather than squashing the food you're trying to arrange. this system is nice for foods like chives.
Other cutting techniques for foods include cross chop, rock chop, the chop, slicing/pull cut, the baton/batonnet, brunoise, paysanne, chiffonade, etc.
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You respond to a 30-month-old patient who has passed out. is the patient's blood pressure important to your treatment? why?
Answer: yes
Explanation: maybe their blood pressure was to low or to high. but it's always important to make sure in case the baby needs blood. [im in 7th grade so im not sure :}}
A nurse is explaining to a new colleague the similarities and differences between gerontology and geriatrics. which situation would be addressed by a geriatrician rather than a gerontologist?
The situation would be addressed by a geriatrician rather than a gerontologist is
Identifying and treating a client's vascular dementia
What is gerontology and geriatrics?
gerontology:
The scientific study of aging and the old, particularly the changes that take place as humans approach middle age, is known as gerontology. As the average life expectancy has expanded, so has the body of knowledge in the field, giving researchers more time to investigate how aging affects different subjects.
Gerontology, which analyzes how aging affects the economy and social networks, can also have an impact on policy. The field provides insights into how to deal with an aging population by fusing these studies in a scientific framework.
geriatrics:
The area of medicine known as geriatrics is dedicated to the treatment and care of the aged. Although there isn't a set age at which someone qualifies as "elderly," patients over 65 are frequently accepted for care at elder care facilities.
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Bright light inhibits our feelings of sleepiness by influencing the production of.
Bright light inhibits our feelings of sleepiness by influencing the production of melatonin.
How does melatonin function and what is it?Your brain releases the hormone melatonin in reaction to darkness. Your circadian rhythms (your body's internal 24-hour clock) and sleep are regulated by it. Melatonin production can be halted by exposure to light at night.
Melatonin is thought to function in the body in ways other than just promoting sleep, according to research. But the full extent of these impacts is unknown.
Dietary supplements containing melatonin can be produced using microbes or animals, but synthetic production is more common.
Melatonin supplements may be beneficial for a number of illnesses, including anxiety before and after surgery, delayed sleep-wake phase disorder, various sleep disorders in children, and jet lag.
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Remembering the unconscious/implicit biases can be positive or negative, how might these biases impact healthcare?
Implicit biases affect real-world outcomes in a variety of areas, including employment, education, criminal justice, housing, and health care.
What are six strategies to combat implicit biases?Following are the six strategies to combat implicit biases:
•Affirm your commitment to egalitarianism consciously.
•Admit that your conscious values are just as much a part of "the real you" as your unconscious bias. Both your conscious and subconscious selves are you.
•Recognize differences rather than acting as though you are oblivious to them.
•Aim to become friends with individuals from various groups.
•Awarely consider the traits and objectives you may share.
•Speak out against clear-cut instances of bias when you come across them.
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The nurse manager on the psychiatric unit was explaining to the new staff the differences between typical and atypical antipsychotics. the nurse correctly states that atypical antipsychotics?
Reduce the number of extrapyramidal effects.
Movement disorders are less of an issue because atypical antipsychotics don't cause as much D2blockade.
There is no proof that the drug stays in the system longer or that it reduces delusions more quickly. For NMS, the atypicals do not come without risk.
Hence, the nurse correctly states that atypical antipsychotics reduce the number of extrapyramidal effects.
How do atypical antipsychotics work?The dopamine, norepinephrine, and serotonin receptors in the brain are disrupted by atypical antipsychotics, a more recent class of drugs. Those who have schizophrenia or other diseases connected to psychosis may experience less severe symptoms as a result of this. These medications may also be helpful in treating Tourette's syndrome and obsessive compulsive disorder (OCD).Atypical antipsychotics function by binding to these receptors and functioning as antagonists, which shuts down the cellular processes involved in activating neurotransmitters.To learn more about antipsychotics, visit:
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In what area of the chest would the nurse expect to auscultate these breath sounds?
Anteriorly and posteriorly over the major bronchi.
An essential component of the respiratory examination that aids in the diagnosis of a number of respiratory illnesses is lung auscultation. The trachea-bronchial tree's airflow is evaluated by auscultation. Making a proper diagnosis requires being able to differentiate between normal and atypical respiratory sounds, such as crackles, wheezes, and pleural rub. For a better knowledge of illness processes, it is vital to comprehend the underlying pathophysiology of the various lung sound generating mechanisms. In the age of technology expansion, bedside instruction has to be enhanced to prevent degradation of this time-honored practice.
One of the earliest diagnostic tools still used by doctors to identify a variety of pulmonary disorders is the auscultation of the respiratory system, which is affordable, noninvasive, safe, simple to conduct, and effective.
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The nurse is caring for a patient with hypovolemia from a prolonged high fever with tachypnea. what assessment finding should the nurse anticipate?
The assessment that the nurse should anticipate for a patient with hypovolemia from a prolonged high fever with tachypnea is associated with a weak and rapid pulse.
What does hypovolemia mean?The medical term hypovolemia is used to denote a condition in which the individual loses an excessive amount of body fluids such as blood, whose symptoms are diverse but include weakness and dizziness.
In conclusion, The assessment that the nurse should anticipate for a patient with hypovolemia from a prolonged high fever with tachypnea is associated with a weak and rapid pulse.
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Family physicians may be particularly effective agents in promoting health-related attitudes and behaviors because:____.
Family physicians are looked upon as credible sources of advice.
Who is a family physician?A family physician is first a person who has passed through the medical school for the stipulated number of years. In addition, the person ought to have also had at least another three years of training in the areas that enables the person to provide primary health care.
As such, family physicians may be particularly effective agents in promoting health-related attitudes and behaviors because they are looked upon as credible sources of advice.
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The physical assessment technique most frequently used to assess joint symmetry is?
Inspection is the method of physical evaluation that is most frequently used to evaluate joint symmetry.
What is symmetry in a joint?Arthritis can damage a person's physique in symmetrical or asymmetrical ways. Asymmetric arthritis only affects one or more joints on one side of the body as opposed to symmetric arthritis, which impacts the same joints on both sides of the body.
Depending on the underlying cause and severity of arthritis, different treatments will be used. Some people control their symptoms with natural cures.
Anyone having signs of arthritis should contact a doctor. Anyone with psoriasis should consult a physician to learn about the potential for psoriatic arthritis and early treatment options.
Therefore, inspection is the physical examination method used for the assessment of joint symmetry.
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Dr. wendall holmes and dr. ignaz semmelweis were pioneers in_______, one of the most important methods to reduce disease in healthcare settings
Dr. wendall holmes and dr. ignaz semmelweis were pioneers in Hand-washing, one of the most important methods to reduce disease in healthcare settings.
Who was Dr. Wendall Holmes?American physician, poet, and polymath Oliver Wendell Holmes was based in Boston. He was considered one of the best authors of his time and was categorized with the "fireside poets." The "Breakfast-Table" series, which began with The Autocrat of the Breakfast-Table, is among his most well-known prose works. He was a significant medical reformer as well. In addition to his work as a writer and poet, Sherlock Holmes was also a doctor, professor, lecturer, inventor, and, although he never actually practiced law, he had formal legal training.
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Public, private, and governmental health care decision-makers at every level should include representation from nursing:_____.
Public, private, and governmental health care decision-makers at every level should include representation from nursing : on boards, on executive management teams, and in other key leadership positions.
What is health care decision-making?
Making decisions about health care involves a process with definite steps followed by an ideal progression. The method is persistent and universally applicable (i.e., it works in all contexts) (i.e., it has remained applicable over time and will continue to apply in the future). In the process of making healthcare decisions, doctors are crucial. The effectiveness and relevance of physician participation are facilitated and enhanced by learning to adhere to desirable approaches at each level (for example, ideal techniques to defining DMC). Under often difficult and imperfect conditions, careful adherence to the phases in this procedure is expected to produce the best results possible because they are compatible with patient requirements and values while facilitating the appropriate utilization of healthcare resources.
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identify the three types of muscles and describe the functions of each
Answer:skeletal muscle
Smooth muscle
Cardiac muscle
Explanation:
skeletal muscle – the specialized tissue that is attached to bones and allows movement.
Smooth muscle – located in various internal structures including the digestive tract, uterus, and blood vessels such as arteries.
Cardiac muscle – the muscle-specific to the heart.
Taking vitamin and mineral supplements is necessary to enhance athletic performance. question 13 options:
a. true
b. false
Answer:
True
Explanation:
Answer:a. true
Explanation:
For most runners, momentum is easier to keep steady than to get back up to pace after stopping and starting again.
A. True
B. False
Answer:
A
Explanation:
This is true think about having a certain pace in then changing it, this can mess up your pace and cause changes
The correct answer is Option A. - True .
A property of a moving body that determines how long it takes to come to rest when subjected to a constant force is called momentum .
Explain momentum ?It is measured by "mass velocity," because momentum depends on velocity, and it also depends on the direction of the body's motion.Momentum is a vector quantity because velocity is a vector and mass is a scalar quantity. Momentum equals mass multiplied by velocity.Momentum is simply a quantity of motion. Quantity is measurable in this case because if an object is moving and has mass, it has momentum. If an object does not move, it does not have momentum. However, it is important in everyday life, but many people are unaware of it.
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In the first year of his presidency, president bill clinton's major goal, a program to assure affordable health care for all americans, was defeated by?
For the first two years of his presidency, Clinton had a Congress controlled by members of his own party, the Democrats. Still, he failed in his efforts to pass legislation to reform the nation's health care system.
Clinton's most ambitious legislative initiative, a plan to provide universal health care, faltered—it never had majority support in Congress. within the 1994 elections, the Republican Revolution swept the country. Clinton vetoed many of the Republican policies like abortion restrictions.
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Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data?
The action that a nurse should implement when assessing a nonnative client to facilitate collection of subjective data is speak to the client using local slang.
Subjective nursing data are collected from sources apart from the nurse's observations. This sort of knowledge represents the client's perceptions, feelings, or issues as obtained through the nursing interview. The client is taken into account the first supply of subjective data.
In order to collect subjective data from a patient, the nurse should gather objective information, asking related people subjective questions, conducting examinations and asking clarifying questions.
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The nurse expects to find which pathologic change in a patient with pulmonary arterial hypertension (pah)?
The pathologic change which a nurse expects to find in a patient with pulmonary arterial hypertension (PAH) is increased pulmonary vascular resistance.
The most common reason for pulmonary arterial hypertension (PAH) is multiplied pulmonary vascular resistance due to primary disease or as a secondary complication of metastasis, cardiac, autoimmune, hepatic, or connective tissue disorders.
Increased pulmonary vascular resistance is caused by vasoconstriction, reworking (vessel wall thickening), and occlusion. PAH causes right chamber hypertrophy and eventually right-sided heart failure. PAH doesn't cause weakened pulmonary vascular resistance or respiratory acidosis.
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