A 59-year-old patient arrives at the emergency department and with chest discomfort for the past 24 hours. An ecg reading shows a heart rate of 58, a regular rhythm with a normal qrs complex, and an inverted p wave on the fourth beat. Which conclusion can be made about the intrinsic pacemaker in this patient’s heart?.

Answers

Answer 1

Answer:

I think 45 if the heart rate was normal


Related Questions

a woman who has been in labor for a few hours is now complaining of being hungry. which response by the nurse would be best if the client asks for some food to eat?

Answers

After a few hours of labor, a woman is now complaining of hunger.

You might have some hard candy to suck on, the nurse said.

What is labor?The end of pregnancy occurs when one or more infants leave the mother's internal environment by vaginal delivery or Caesarean section, a process known as childbirth or labor and delivery.Around 140.11 million babies were born worldwide in 2019.In the industrialized world, most births take place in hospitals, whereas in the underdeveloped world, most births take place at home.Vaginal delivery is the most typical way to give birth.It comprises four phases of labor: the first is the shortening and opening of the cervix; the second is the descent and birth of the baby; the third is the delivery of the placenta, and the fourth is the postpartum recovery of the mother and child.

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a nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. which human need would the nurse most likely need to address?

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A nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. The nurse most likely need to address the Self-esteem needs which human need.

Self-esteem need- Aspects of self-esteem include courage, tenacity, self-belief, societal and personal acceptance, and respect from others. The achievement of these prerequisites is one of the most crucial elements in obtaining satisfaction or self-actualization.

Self-esteem has an effect on all aspects of life, including relationships, emotional health, and general wellbeing. It also has an impact on motivation since people with healthy, positive self-perceptions are aware of their potential and may be inspired to take on new challenges.

Cause of Low esteem- Unhappy childhood marked by constant criticism from parents or other powerful people.

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a woman calls the prenatal clinic and says that she thinks she might be in labor. she shares her symptoms over the phone with the nurse and asks what to do. the nurse determines that she is likely in true labor and that she should head to the hospital. which symptom is an indicator of true labor?

Answers

Contractions beginning in the back and sweeping forward across the abdomen is the symptom that is indicator.

Can the back trigger contractions?

In most of the cases, these types of contractions begin from the lower back and progress to the front of the abdomen.

Do you get back or abdominal cramps?

In case of cramps, back and lower abdomen may get to feel uncomfortable or achy, and even your pelvis may feel compressed during labor contractions.

What are three indications that labor is on its way?

The indications include Strong, regular contractions, lower back and tummy pain, a bloody mucus discharge, and your water breaking are all indications that you are in labor. You must Call your healthcare provider if you believe you are in labor.

How can you tell if the pains you feel are contractions or the baby trying to move?

Place your hand on your uterus while lying down. When your

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The Mosby's Drug Guide reports a potential drug-drug
interaction with acetaminophen and warfarin. If a patient is
taking warfarin, more than 2 g/day of acetaminophen may
increase bleeding. Because Mr. Larsen is ordered both, he
should receive no more than 2 g/day of acetaminophen.
Question
If Mr. Larsen takes acetaminophen 325 mg 2 tabs by mouth
every 4 hours for mild pain, what is the maximum number of
tablets you can give him so that he doesn't exceed 2 g/day?
Assume you will only give him whole tablets.

Answers

The total number of tablets that must be given at the most is six tablets.

What is the maximum number of tablets?

We know that a drug is a substance that is taken into the body so as to achieve a change in the physiology of the body. Most of the drugs that we take are actually aimed at treating one sickness or illness in the body or the other.

We should also be aware that it is possible for two drugs to  interact with each other and this could have a very dangerous effect on the patient. In any case, the damage that is done by drug interaction can be terrible.

We are told that the maximum amount of the drug for a day is  2 g or 2000 mg. Each of the acetaminophen tablets contain 325 mg or a total of 650 mg.

The total number of times the drugs could be taken is 2000 mg/650 mg.

= 3

If we could give the drug three times then the total number of tablets must be six tablet.

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what is the meaning of artho

Answers

Answer arthroscope

Explanation:

relating to joints

a primigravida client at 39 weeks' gestation calls the ob unit questioning the nurse about being in labor. which response should the nurse prioritize?

Answers

A primigravida client at 39 weeks' gestation calls the ob unit questioning the nurse about being in labor. The nurse should prioritize the response as asking the woman to describe why she believes that she is in labor.

A primigravida client at 39 weeks of gestation is questioning the nurse and she prioritizes it on basis of response, however, gestation is the period during which a fetus grows within a woman's womb or uterus is known as pregnancy. When counting from the last menstrual cycle through delivery, a pregnancy typically lasts around 40 weeks, or slightly over 9 months. Pregnancy is divided into three "trimesters," as defined by healthcare professionals.

The procedure through which the placenta and fetus depart the uterus is called labor. Vaginal delivery (via the birth canal) and cesarean delivery (surgery) are the two possible methods of delivery. On its website dedicated to labor and delivery, NICHD offers comprehensive information about these subjects. The termination of a pregnancy when one or more infants exit the uterus through the vagina or by Caesarean section is known as childbirth, often known as labor and delivery.                      

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cole participated in a clinical research study in which he was instructed to take an experimental medication once a day and report whether or not his abdominal distress improved. the medication cole took had no active ingredient. cole was taking a

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The medication cole took had no active ingredient. cole was taking a Placebo.

What is Placebo?

A placebo is a material that is inert but resembles the medicine or treatment being investigated. The comparison of the two groups' outcomes reveals whether the test group's changes are the product of the treatment or random chance.

You can provide a placebo intravenously, orally, or even surgically. The classic example of a placebo is a sugar tablet. Placoids are administered to patients to deceive them into thinking they are receiving the real medication.

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a nurse is conducting a refresher class for a group of nurses working in the prenatal clinic. after reviewing fetal development with the group, the nurse determines that the teaching was successful when the group identifies which barrier to other sperm after fertilization?

Answers

Zona pellucida barrier to other sperm after fertilization.

Zona pellucida glycoproteins are accountable for species-restricted binding of sperm to unfertilized eggs, generating sperm to undergo acrosomal exocytosis, and containing sperm from binding to fertilized eggs.

What is the zona pellucida and where is it located?

The zona pellucida (ZP) is a fairly thick extracellular coat that surrounds all mammalian oocytes, ovulated eggs, and preimplantation sources . It is a highly specialized extracellular coat that brings out functions specific to mammalian reproduction.

What secretes the zona pellucida?

The zona pellucida first occurs in unilaminar primary oocytes. It is perspired by both the oocyte and the ovarian follicles. The zona pellucida is covered by the corona radiata. The corona is comprised of cells that care for the egg when it is ejected from the ovary.

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Complete Questipon is,

A. zona pellucida

B. zygote

C. cleavage

D. morula

Briefly explain two reasons for the need of pharmacivigilance

Answers

The reasons for the need of pharmacivigilance include to monitor the safety of medicines and ensure the health of patients isn't compromised.

What is Pharmacovigilance?

Pharmacovigilance is the study and practice concerned with the identification, evaluation, comprehension, and avoidance of side effects or any other issue with drugs or vaccines. Before being approved for use, all medications and vaccines go through extensive clinical trials to test their safety and efficacy.

Pharmacovigilance makes sure that therapeutic medications are rigorously tested to enhance patient care and lower the likelihood of unfavorable side effects. PV confirms whether a medicine works and is safe to use at every stage of its lifecycle.

In conclusion, the reasons for the need of pharmacivigilance include to monitor the safety of medicines and ensure the health of patients isn't compromised.

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The physician ordered esmolol iv drip at 50 mcg/kg/min for tachycardia (weight: 132 pounds). The medication is supplied in 5g/500ml of d5w. Calculate the flow rate in ml/hr

Answers

The flow rate of esmolol iv drip at 50 mcg/kg/min for tachycardia calculated in ml/hr would be equal to 18  ml/hr.

What is esmolol?

Esmolol is being used to treat irregular heart rhythms or fast heartbeats. This medication is also prescribed to treat high blood pressure and a rapid heartbeat before, during, and after surgery.

The drug in question is a beta-blocker. It functions by altering how particular bodily components, including the heart, react to nerve signals. The heart beats more slowly as a result, lowering blood pressure. The proportion of oxygenated blood going to the heart is increased when blood pressure is reduced.

Therefore, the flow rate of esmolol iv drip at 50 mcg/kg/min for tachycardia calculated in ml/hr would be equal to 18  ml/hr.

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mary ella is pregnant with her first child, and she found out that the fetus had grown one pound since her last doctor's appointment. she is most likely in the period of prenatal development.

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Mary ella is pregnant with her first child, and she found out that the fetus had grown one pound since her last doctor's appointment. she is most likely in the fetal period of prenatal development.

Fetal Period- The fetal stage, which lasted at least from the ninth week till birth, follows the embryonic phase, which lasts first from third to the eighth week after conception. The first two weeks after conception are referred to as the germinal stage.

Prenatal development- Prenatal development is the term used to describe the development of the embryo and fetus during a viviparous mammal's pregnancy. Fertilization is the first step in prenatal development, which continues through the fetal stage of growth until birth.

The given question is incomplete, find below the complete question,

Q. Mary Ella is pregnant with her first child, and she found out that the fetus had grown one pound since her last doctor's appointment. She is MOST likely in the _____ period of prenatal development.

A. germinal

B. fetal

C. embryonic

D. neonatal

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Melissa sustained a serious head injury while competing in an elite gymnastics competition. Although she has recovered from the injury, melissa still has trouble remembering information and events that occurred before she hit her head. Her symptoms are consistent with those of a patient who has _____ amnesia.

Answers

Answer:

The answer should be "Retrograde" amnesia...

Explanation:

Hope this helps!

dantrolene is being considered for the treatment of a client’s spasticity. which aspect of the client’s current health status is most likely to contraindicate the use of this medication?

Answers

"The client's spasticity is due to rheumatoid arthritis" is the aspect of the client’s current health status is most likely to contraindicate the use of this medication.

Muscle spasms brought on by rheumatic diseases or injuries to the musculoskeletal system are not treated with dandrolene. Dantrolene usage would not necessarily be contraindicated in the presence of diabetes, opioid use, or adherence problems, however these difficulties must be addressed.

Rheumatoid arthritis, often known as RA, is an autoimmune and inflammatory condition in which your immune system unintentionally assaults healthy cells in your body, leading to inflammation (painful swelling) in the areas of your body affected.

RA primarily targets joints, typically a number of joints at once. The immune system attacking healthy bodily tissue is what causes it.

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Question correction:

Dantrolene is being considered for the treatment of a client's spasticity. Which aspect of the client's current health status is most likely to contraindicate the use of this medication?

The client's spasticity is due to rheumatoid arthritisThe client takes opioid analgesics on a regular basisThe client's adherence to drug therapy has been irregularThe client has type 1 diabetes and takes insulin regularly

gregory’s research unit recently recommended two new contraindications for the use of a newly marketed drug after discovering previously unknown biochemical and physiologic interactions of this drug with another unrelated drug.

Answers

Previously unknown biochemical and physiologic interactions of this drug with another unrelated drug as Pharmacodynamics.

What is Pharmacodynamics?

Pharmacodynamics is the study of a drug's biochemical and physiological effects. The effects could be seen in people, animals, germs, or groups of things.

Pharmacodynamics is the study of how medication concentration at the site of action interacts with the outcome, including the progression and severity of therapeutic and unfavorable effects. A drug's interaction with a receptor at the site of action determines how that drug will behave.

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the nurse is teaching a prenatal class on the difference between true and false labor contractions. the nurse determines the session is successful when the class correctly chooses which factor as an indication of true labor contraction?

Answers

Back pains maybe probably

ms. midna presents to your clinic with a complaint of pain in her face. she points to two areas, between her eyes and inferior to her eyes over her cheeks, as the locations of greatest pain. she states that she has had a cold for the past few days and been unable to breathe through her nose. what is causing her pain?

Answers

Ms. Midna presents to your clinic with a complaint of pain in her face. She points to two areas, between her eyes and inferior to her eyes over her cheeks, as the locations of greatest pain. She states that she has had a cold for the past few days and been unable to breathe through her nose. Ethmoid and maxillary sinusitis are the cause of Ms. Midna's condition.

Ethmoid- The ethmoid bone, an unpaired cranial bone, makes up the majority of the upper nasal cavity and nasal septum.

Maxillary Sinusitis- A virus, bacteria, or fungus can cause maxillary sinusitis, an inflammation of the paranasal sinuses. An infection may result from an allergic reaction in which the immune system of the body kills healthy cells.

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the nurse walks into the client's room to pick up the dinner tray and notes the client has not eaten. which action should the nurse prioritize after noting the client appears sleepy, has perspiration on the forehead, and the face appears flushed?

Answers

Encourage them to eat

The nurse walks into the client's room to pick up the dinner tray and notes the client has not eaten. In this case it will require the doctor's consultation.

What is the  ultimate goal of food ?

The ultimate goal of food is glucose that is the food that one eats has to break into glucose where the energy will be required for the activities and body to function.

The various symptoms here is indicating to put the glucose drip and along with that the nurse should see the vital functioning of the organs of the client where it is mandatory for her to check the heart rate and blood oxygen level along with that too.

The nurse should take a note whether the patient is having normal breathe or not and temperature as well. Basically the regular monitoring will help  her to diagnose the issue.

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A nurse is teaching a group of parents of preschoolers about safety. which information would the nurse include? select all that apply.

Answers

The information which should be included by the nurse concerning the teaching of parents about safety of preschoolers include:

"Do not allow your child to approach strange dogs.""Have your child hold hands with a grown-up in parking lots.""Role-model bicycle safety by wearing a helmet too.""Do not refer to medicines as candy."

What is Safety?

This refers to a condition in which an individual is safe from harm or any type of injury and employs the use of practices or some measures to prevent such bad occurrence.

This is important and it is applicable to all age groups as it helps to reduce the risk of an individual getting injured or losing something. Substances such as medicine should be kept away from the reach of children so as to prevent them from taking it accidentally which could lead to overdose.

The child should also have a grown up individual to assist and guide when in a public area to prevent accidents by cars, humans or any type of animal and incidences of kidnap.

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The options include:

"Allow your child to ride in the front seat of the car.""Do not allow your child to approach strange dogs.""Have your child hold hands with a grown-up in parking lots.""Role-model bicycle safety by wearing a helmet too.""Do not refer to medicines as candy."

The nurse is caring for a client who has a history of renal failure. what is an accurate step when caring for the client's hemodialysis access?

Answers

The accurate step when caring a client's hemodialysis access that the nurse should be into account for a patient who has a history of renal failure is to auscultate over the site with a stethoscope to listen for a bruit.

What is hemodialysis access?

The expression hemodialysis access makes reference to the better way to reach the blood during hemodialysis to clean the blood by a dyalisis device.

Hemodialysis access also refers to the medical procedure required to reach the vascular tissue.

In conclusion, the accurate step when caring a client's hemodialysis access that the nurse should be into account for a patient who has a history of renal failure is to auscultate over the site with a stethoscope to listen for a bruit.

Complete Question:

The nurse is caring for a client who has a history of renal failure. What is an accurate step when caring for the client's hemodialysis access?

Percuss the site to feel for a thrill or vibration.

Auscultate over the site with a stethoscope to listen for a bruit.

Use the affected arm if an IV must be started to avoid impairment of both arms.

If a thrill is not palpable and/or a bruit is not detectable, assess for these signs in the other arm.

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The estimated heritability of 48 percent for neuroticism in the population supports the claim that.

Answers

It supports the claim that (D) the variability in neuroticism is due partly to genetic variability in the population

The amount of emotional stability that a person exhibits is indicated by their neuroticism. It is sometimes described as a negative personality feature characterized by unpleasant emotions, poor self-regulation (an inability to control desires), difficulty handling stress, a strong reaction to perceived dangers, and a propensity for complaining.

According to a meta-analysis of six twin cohorts with a total N of 29,496 and 29,501 twin pairs, respectively, the IRT-based scores for neuroticism and extraversion were heritable (48 and 49%, respectively), with a substantial portion of the heritability attributable to non-additive genetic variables.

These genetic variables qualitatively vary between sexes in extraversion. Any mega- or meta-analytic investigation that requires the harmonization of item-based behavioral measurements can use the item-response theory technique.

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Question correction:

The estimated heritability of 48 percent for neuroticism in the population supports the claim that

A) the population in general has a recessive gene for neuroticism

B) the incidence of neuroticism is associated with that of another distinct trait

C) those with the neurotic trait share a particular dominant allele

D) the variability in neuroticism is due partly to genetic variability in the population

the nurse is conducting an assessment of a pregnant client at a routine second trimester prenatal visit. which lower extremity assessment should the nurse prioritize?

Answers

the nurse prioritize should Correct response:

Presence of varicosities

What is the presence of varicosities?

Due to uterine pressure on lower extremity veins, pregnant women are more likely to develop varicosities. It would be crucial to measure the calf's diameter if a deep vein thrombosis was suspected. Regular testing would include checking the capillary refill in the toenails. The kneecap's lateral movement would not be a top priority.Overview. Varicose veins (varicosities) are twisted, enlarged veins at the skin surface. The word comes from the Latin word varix, which means "twisted."It is more likely for superficial veins to develop varicose because they are supported by less muscle than deep veins. Varicose veins can develop as a result of any condition that places too much pressure on the legs or abdomen. Pregnancy, obesity, and prolonged standing are the main causes of pressure.

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a patient arrives at the urgent care facility with a swollen ankle. anteroposterior and lateral view x-rays of the ankle are taken to determine whether the patient has a fractured ankle. what cpt® code(s) is/are reported?

Answers

73600 is the cpt® code that is reported. This is because anteroposterior and lateral view x-rays of the ankle are taken to determine whether the patient has a fractured ankle as the patient arrives at the urgent care facility with a swollen ankle.

Medical professionals record medical, surgical, and diagnostic operations and services to organizations including doctors, health insurance providers, and accreditation bodies using the Current Procedural Terminology (CPT) code set.

Like other indices, the CPT Index may be employed. You may search it by both method and body part to find difficult-to-code processes, services, and tests. A skilled medical coder, however, will never code from the index. It only serves as a tool for locating relevant information.

Look for X-ray/Ankle in the CPT® Index, and you'll be directed to the range 73600-73610. Anteroposterior and lateral images were obtained, therefore CPT® code 73600 is accurate.

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a nurse working in the radiology clinic is assisting with a client after an unusual arterial procedure. what assessment should the nurse notify the health care provider about?

Answers

Nurses must alert the medical professional about reduced or missing distal pulses, cool skin temperature in the afflicted leg, and inadequate capillary refill when monitoring patients after a pulmonary angiography.

What is Diagnostic?

Diagnostic imaging, another name for radiology, is a group of diverse procedures that produce photos or images of various bodily sections. Since they let medical professionals view within the body, several of these tests are unusual. This picture can be obtained using a variety of imaging tests, including X-ray, MRI, ultrasound, CT scan, and PET scan.

A wide range of diagnostic procedures, such as x-rays, ultrasonography, bone mineral densitometry, fluoroscopy, mammography, nuclear medicine, CT, and MRI, are interpreted by radiologists.

The diagnosis of many diseases, including cancer, depends on radiology. Early detection helps save lives. There can be no treatment or cure without a diagnosis.

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a 5-year-old is admitted to the icu after a head trauma from a bike injury. the child is awake but confused, and continues to pull at iv tubing and a catheter. when the provider orders a restraint, what options would be least restrictive? select all that apply.

Answers

Arm sleeve over IV site or minor sedation

kearon c, ageno w, cannegieter sc, et al. categorization of patients as having provoked or unprovoked venous thromboembolism: guidance from the ssc of isth. j thromb haemost 2016;14:1480-3.

Answers

Deep vein thrombosis and pulmonary embolism are both symptoms of venous thromboembolism, or VTE for short. When a blood clot develops in a deep vein, commonly in the lower leg, thigh, or pelvis, it is referred to as a deep vein thrombosis (DVT).

A venous thromboembolism is brought on by what?Vein damage, frequently brought on by fractures, severe muscle damage, or other conditions, can result in venous thromboembolism. extensive surgery (particularly involving the abdomen, pelvis, hip, or legs).Damage from surgery, inflammation, injury, or infection to a vein are the major causes of deep vein thrombosis (DVT).Deep vein thrombosis and pulmonary embolism are two conditions that fall under the umbrella term of venous thromboembolism (VTE), popularly known as blood clots.Deep vein thrombosis (DVT) is a condition in which a blood clot develops in a deep vein, typically in the lower leg, thigh, or pelvis.

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13. mehta rl, kellum ja, shah sv, et al. acute kidney injury network: report of an initiative to improve outcomes in acute kidney injury. crit care. 2007;11(2):r31. doi:10.1186/cc5713

Answers

There is no generally accepted definition for acute kidney damage (AKI), a complicated illness.

Report of the outcome

A standardized method for identifying and categorizing AKI would improve our capacity to treat these patients.

The dissemination of knowledge through multidisciplinary joint conferences and publications, improved translation of knowledge from pre-clinical research, and collaborative networks of investigators drawn from various disciplines will all be necessary for future clinical and translational research in AKI.

We outline a project to create consistent criteria for categorizing and characterizing AKI as well as a platform for interdisciplinary discussion to enhance care for patients who have AKI or are at risk of developing it.

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a pregnant client at 34 weeks’ gestation reports a burning sensation in the lower esophagus. what action would the nurse recommend to increase her comfort? select all that apply.

Answers

Answer:

Reduce intake of caffeine, fatty/fried foods, use OTC antacids prn.

Explanation:

No choices listed so best guess.

Some diseases result from defective transport across the membrane. For example, cystic fibrosis results when a chloride ion transporter does not function. What is affected when this transporter does not function?.

Answers

Some diseases result from defective transport across the membrane. For example, cystic fibrosis results when a chloride ion transporter does not function. Both the chloride concentration gradient and the electrical gradient of the cell are affected when this transporter does not function.

The chloride ion transporter act as crucial aspect of several physiological processes of the body. There are involved in transcellular reabsorption and also facilitate in the movement of chloride ions into and out of a cell. The chloride ions also make an electrical gradient for a cell.

If there is a defect in the chloride ion transporter, this means that the chloride will not be able to move into and out of a cell as there is no concentration gradient. Also, the electrical gradient will be affected resulting in diseases like cystic fibrosis.

Although a part of your question is missing, you might be referring to this question:

Some diseases result from defective transport across the membrane. For example, cystic fibrosis results when a chloride ion transporter does not function. What is affected when this transporter does not function?

the chloride concentration gradient

both the chloride concentration gradient and the electrical gradient of the cell

the electrical gradient of the cell

neither the chloride gradient nor the electrical gradient of the cell

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a nurse is preparing to teach a client about the adverse effects of the prescribed nsaid therapy. which system would the nurse include as being involved?

Answers

Circulatory system probably

To stop blood clotting, some patients who have heart attacks, have stents put in their coronary arteries.  

What prescribed said therapy on circulatory system?

Medication, such as that used to control cardiac rhythm, enhance blood flow, or lower low density lipoprotein cholesterol surgery.

Such as a replacement or repair of a valve or a coronary artery bypass graft. Exercise recommendations and lifestyle advice are part of cardiac rehabilitation.

The issues arise when the coronary arteries that feed the heart with blood get blocked: terrible chest ache, breathing difficulty while at rest.

Coronary artery bypass graft surgery (CABG) are given two different antiplatelet medications at the same time. Dual antiplatelet treatment is what this is (DAPT).

Therefore, circulatory system would the nurse include as being involved.

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a client in the third trimester of pregnancy has to travel a long distance by car. the client is anxious about the effect the travel may have on her pregnancy. which instruction should the nurse provide to promote easy and safe travel for the client?

Answers

Always wear a three-point seat belt instruction should the nurse

provide to promote easy and safe travel for the client.

Explanation:

The nurse should advise the client to always wear a three-point seat belt to prevent ejection or serious injury from a collision in order to promote simple and safe travel for the client. If it is possible, the nurse should advise the client to deactivate the airbag. The client should be shown by the nurse how to properly fasten a nonpadded shoulder strap so that it passes through the breasts and over the upper abdomen, above the uterus. The client must be given instructions by the nurse to wear a lap belt that crosses the pelvis beneath—not over—the uterus.

The seat belt has been credited with saving more than one million lives and is widely considered among the most cost-effective public health interventions. It has also prevented or reduced the severity of injuries among many millions of other road users.Volvo Buses introduced the three-point seat belt on all seats in the early 1990s. Over the years many still felt skeptical about whether this kind of protective measure would improve safety enough to constitute it

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