A client with depression receiving phenelzine sulfate suddenly complains of a severe headache and neck stiffness as well as soreness and then begins to vomit, the nurse should obtain phentolamine medication from the emergency drawer of the medication cart.
The nurse should obtain phentolamine medication immediately from the emergency drawer of the medication cart because it competitively inhibits alpha-adrenergic receptors, which are largely excitatory responses in smooth muscle and exocrine glands, phentolamine exerts its therapeutic effects. This results in a relaxing of the muscles and dilation of the blood vessels so that this can be applied to the client.
The inhibiting effect of phentolamine on alpha-adrenergic receptors is only partially effective and rather brief. The medication is more effective at antagonizing responses to mediators produced at the adrenergic nerve ending than it is at antagonizing responses to circulating epinephrine and/or norepinephrine.
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the nurse is preparing to administer an intramuscular injection to an 8-month-old infant. which site would the nurse select?
The site should be on the Vastus lateralis.
The quadriceps femoris, a muscle in the thigh, has several parts, the biggest and most potent of which is the vastus lateralis, also known as the vastus externus. It helps move the lower leg forward by extending the knee joint in conjunction with other quadriceps muscles.
The vastus lateralis muscle is the most popular injection location in young children. The rectus femoris is another potential location. Children are not implanted in the dorsogluteal location until they have been walking for at least a year. After the age of 4 or 5, the deltoid muscle is employed as a site in youngsters.
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an elderly client is being admitted to the hospital for surgery. the nurse is reconciling the client's medications. the client is prescribed digoxin 0.125 mg daily, furosemide 40 mg two times a day, lanoxin 0.125 mg daily, metoprolol xl 25 mg once a day, and pravastatin (pravachol) 40 mg at hours of sleep daily. the nurse recognizes a problem when the nurse notes:
Digoxin and Lanoxin are the same medications is the note that will help the nurse recognize the problem for the client.
A closely similar class of medications known as cardiac glycosides, including LANOXIN (digoxin), all have unique effects on the myocardium. Numerous plants contain these medicines. Digitalis lanata leaves are used to make digoxin.
The entire class of glycosides is referred to as "digitalis." The glycosides—hence the name "glycosides"—consist of two parts: a sugar and a cardenolide. White, odorless crystals of digoxin are present and dissolve when breakdown reaches 230°C.
The medication is essentially insoluble in water and ether, hardly soluble in chloroform and diluted (50%) alcohol, and readily soluble in pyridine. LANOXIN is available as oral tablets with 125 mcg (0.125 mg) or 250 mcg (0.25 mg).
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which outcome best demonstrates the effectiveness of treatment for a patient with right ventricular failure?
The greatest outcome expectations the effectiveness of treatment for a patient with right ventricular failure is a CVP of 4mmHg.
How would you define treatments?The deed or treatment of someone or something The dog's previous owners mistreated him harshly surgical or medical attention The accident victim needed medical attention right away a drug or technique used in acne treatment waste management.
What kinds of treatments are there?Your therapy strategy can consist of:
Wait and observe.Pharmacological therapies such as chemotherapy.Radiation treatment.Immunotherapy.Vaccine treatment.Transplanting of stem cells.Transfusion of blood.Hospice care.To know more about Treatments visit:
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associations of patient-reported care satisfaction with symptom burden and healthcare use in hospitalized patients with cancer
connections between cancer patients hospitalized for symptoms and healthcare utilization and patient-reported care satisfaction
What is healthcare?
It offers comprehensive care for health requirements across the lifespan, not only for a collection of particular disorders. Primary health care guarantees that patients receive high-quality, all-encompassing care that is as close as practical to their daily environments, spanning from promotion and prevention through treatment, rehabilitation, and palliative care.
From September 2014 to April 2017, we prospectively enrolled individuals who had cancer and unanticipated hospitalizations. We evaluated patients' physical, psychological, and emotional symptoms at the time of admission, as well as their satisfaction with their care (FAMCARE items: satisfaction with care coordination and timeliness of symptom treatment). We used regression models to find characteristics that affect care satisfaction and relationships between satisfaction and symptom load and length of hospital stay (LOS).
The majority of the 1,576 participants expressed "satisfaction" or "very satisfaction" with care coordination (90%) and the promptness of symptom treatment (89%).
High levels of care satisfaction are reported by cancer patients who are hospitalized, and these levels are associated with older age and admission to an oncology service. The significance of enhancing symptom management and care coordination in this population is highlighted by the relationships between higher care satisfaction, lower symptom load, and shorter hospital LOS.
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on may 10, michael meets with an agent and says he is enrolled in another carrier's c-snp due to his diabetes. when can michael enroll in a different c-snp that also covers diabetes (his only chronic condition), assuming he has not moved out of his current plan's service area?
He can enroll in another C-SNP during open or annual.
What is C-SNP?
Chronic Condition Special Needs Plan is referred to as C-SNP. A unique variety of Medicare Advantage (Part C) plans are C-SNPs. Eligible members frequently share medical issues or traits since the plan provides focused care. You may benefit from having an insurance plan tailored specifically to your needs if you have a chronic, long-term health condition like diabetes, dementia, or heart disease.
He can enroll in another C-SNP during open or annual.
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a client experiences orthostatic hypotension while receiving furosemide to treat hypertension. how will the nurse intervene?
The nurse steps in Request that the client take a few minutes to sit before getting up.
Why do you use the word "minute"?Minutes are the immediate written record of a meeting or hearing. They are often referred to as protocols, minutes of meetings, or, more colloquially, notes.
What kinds of minutes are there?Action, discussion, and verbatim are the three types of minutes that are considered standards. Every style has a distinct purpose. Action minutes document the decisions made and the subsequent actions, but they do not include the conversation that led to those conclusions. The most typical kind of minute is this one.
How are minutes prepared?1. The meeting's time and date.
2. The contestants' names.
3 .The goal of the gathering.
4 .Discussion of agenda items and subjects.
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richard h. steckel, "health and nutrition in pre-columbian america: the skeletal evidence," journal of interdisciplinary history 36, no. 1 (summer 2005): 19–21.
When the body has degenerated to the skeletal stage, all that is left are the bones, teeth, and hair, and DNA samples can be taken from them to attempt identification. Similarly, the teeth that are still present can be utilized to compare to the relevant dental records.
Since Columbus' first trip, observers have been interested in the population densities of the newly discover. Ed western hemisphere at encounter. The numbers that have accrued over time have been a reflection of the environments in which they have developed; at times, they have been extremely high and at other times, extremely low. The most recent of these cycles, which dates back to the 1940s and is still popular today, displays the biggest numbers and most complex methodology yet used to approach the issue. Results have revealed figures that are significantly higher than the majority of those made earlier, and the cause of this noticeably bigger fall has been identified as widespread European diseases to which the American Indians were immune.
What is Skeletal evidence ?All that is left of the body as it reaches the skeleton stage are the bones, teeth, and hair, and DNA samples can be taken from these to attempt identification. The remaining teeth can also be utilized to compare to the corresponding dental records.
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which discharge teaching is essential to include for the client with acute myelogenic leukemia (aml)?
Avoid contact sports is the discharge teaching essential to include for the client with acute myelogenous leukemia (AML).
Contact sports can cause bleeding and should be avoided by those with a low platelet count since clients with AML have a low platelet count and are at risk for bleeding.
Acute myelogenous leukemia (AML) is the cancer of the blood and the bone marrow. It is the most common type of acute leukemia in adults. It is generally treatable with chemotherapy and sometimes a bone marrow transplant.
Acute myeloid leukemia (AML) is caused by a DNA mutation in the stem cells in your bone marrow that produce red blood cells, platelets and infection-fighting white blood cells which in turn produces more white blood cells than necessary.
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to what extent do rns in a clinical practice setting (hospital, skilled nursing facility, community) use research findings in their practice?
Knowledge translation is the process of developing, distributing, and applying research findings into clinical practice.
Briefing:Healthcare research often produces a wide range of findings and altered methods of treating and caring for people that, if put into practice, might reduce mortality and raise patients' quality of life.
In order to increase current understanding about health care, clinical research involves constantly developing and analyzing new ideas on illnesses, products, treatments, and methods. Communication, logic, economics, and psychology are all necessary to develop and enhance a research profile.
Describe healthcare:Health care, often known as healthcare, is the improvement of one's health through the avoidance, detection, diagnosis, treatment, amelioration, or cure of disease, illness, injury, and other physical and mental impairments in humans. Healthcare is delivered by health professionals and various associated health fields.
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what are the proper rationales for all healthcare professionals to ask patients about conditions that may be associated with military service? (select all that apply.)
Flashbacks, anxiety, and aggressive or protective behavior are some of the strong reactions to stimuli that veterans with PTSD experience. Veterans may avoid situations that bring on symptoms because of the intensity of this hyperarousal, which can also make them emotionally numb, detached, or withdraw—all symptoms of PTSD.
What Are the Symptoms of PTSD?Experience it again (also called re-experiencing symptoms).
recalling the incident (also called re-experiencing symptoms). Anytime after the distressing experience, memories may resurface.avoiding anything that may bring up the incident.having more unfavorable feelings and thoughts than before the experience.having a nervous or tense feeling (also called hyperarousal).To know more about veterans visit :
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the term essential has a very specific meaning in nutrition. click to select all the characteristics of an essential nutrient.
The characteristics of essential nutrients include;
If illness has resulted from omitting the substance from the dietary pattern, replacing the omitted substance will restore health Omitting the substance from the dietary pattern leads to a decline in physiological functions.It has at least on specific biological function.The substance cannot be made by the human body(or cannot be made in sufficient quantities to support health)What are essential nutrients?Essential nutrients are nutrients which are required by the in relatively large amounts for healthy growth and development.
Essential nutrients include the macronutrients listed below:
carbohydratesfats and oilslipidsConsidering the true options about essential nutrients:
If illness has resulted from omitting the substance from the dietary pattern, replacing the omitted substance will restore health because the replaced nutrient will be used by the body to again for its functions Omitting the substance from the dietary pattern leads to a decline in physiological functions because the body needs the nutrient for its physiological functions.It has at least on specific biological function such as carbohydrates that provide energy and proteins which are used for tissue repair. The substance cannot be made by the human body(or cannot be made in sufficient quantities to support health biological function in the human body) because the body lacks the materials to synthesize the essential nutrients.In conclusion, essential nutrients are important for body growth and development.
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Note that the complete question is found in the attachment.
a pharmaceutical company has developed a new medication to treat depression. the results of the company's studies indicate that the medication significantly reduces symptoms of depression in 90 percent of people diagnosed with depression. however, numerous well-constructed replications of these studies fail to obtain the same results; rather, the replication studies indicate that the new medication is no more effective than a placebo in reducing the symptoms of depression. researchers can conclude it is likely that the: please choose the correct answer from the following choices, and then select the submit answer button. answer choices company's studies were poorly designed. company's studies used the wrong operational definition for depression. new medication is not an effective treatment for depression. new medication is an effective treatment for depression.
Mi 18 ni 10 T1 = 180 SSi 24 children Teenage Adults Older Adults M3 6.8 n3 10 T3 68 SS3-95.6 EX2 4,524 G-326 N 30 k=3 M2 7.8 n3 10 T2 = 78 SS2 93.6 Describe your hypothesis and establish criteria for excluding the null (a .05). Do the test statistic calculation (show ALL work with appropriate notation - if long decimals are involved, maintain 3 decimals in your formulas). Indicate whether you have the option to reject the null. a. b. c. Put your results in an ANOVA table (round to 3 decimals) Calculate in' and, if necessary, round to three decimals. Indicate the effect magnitude as minor, medium, or large. Use Tukey's HSD for post-hoc analyses if necessary. (Q table: big value if two possible values select the higher q value. Write a conclusion that condenses your findings. Mention the medication, the age ranges, the signs of depression, and the pertinent statistics (round to 3 decimals). Write down the outcomes of any post hoc tests you performed as well. e. f.
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If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of which type of intervention?.
If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of a Primary intervention—obligation.
In the field of medicine, we can simply describe primary intervention as the necessary precautions that are taken before any kind of disease or injury has actually occurred in an individual. This kind of intervention helps to prevent a disease or injury if there are chances for that disease to occur in the future.
An obligation in primary intervention is the necessary intervention that a physician provides to the people in order from eradicating the chances of a chronic illness.
In the scenario above, vaccination for meningococcal meningitis is given to the students as a precautionary measure even before they have infected the college students. Hence, this intervention is an example of a primary intervention - obligation.
Other options, such as secondary intervention- motivation is not correct because this type of intervention helps to overcome the impact of a disease when it is at its earliest stages.
Although a part of your question is missing, you might be referring to this question:
If vaccination for meningococcal meningitis is required of all entering students, this would be an example of which type of intervention?
Select one:
a. Primary Intervention - Education
b. Primary Intervention - Obligation
c. Secondary Intervention - Education
d. Secondary Intervention - Motivation
e. Tertiary Intervention - Education
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the nurse is assessing a client who has a chest tube in place for the treatment of a pneumothorax. the nurse observes that the water level in the water seal rises and falls in rhythm with the client's respirations. how should the nurse best respond to this assessment finding?
The best way for the nurse to respond to this assessment finding is: A) document that the chest drainage system is operating as it is intended.
Who is a nurse?A nurse is simply a professional (expert) who's been trained in a medical facility (institution) and licensed to perform the following tasks and activities in a hospital:
Promote hygienic behaviors among visiting clients (patients).Provide care for all sick people (clients).Perform routine checks on clients (patients) and some medical instruments.Carry out an assessment and intervention on client issues.Report findings on the adverse effect of a drugs or medication.During the treatment of a pneumothorax, a fluctuation of the water level in the water seal indicates that there's an effective (proper) connection between the drainage chamber and the pleural cavity around the lungs of a patient.
In conclusion, we can reasonably infer and logically deduce that the fluctuation of the water level shows that the drainage system is still patent and as such no further action is needed from the nurse.
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Complete Question:
The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. How should the nurse best respond to this assessment finding?
a) Document that the chest drainage system is operating as it is intended.
b) Gently reinsert the chest tube 1 to 2 cm and observe if the water level stabilizes.
c) Inform the physician promptly that there is in imminent leak in the drainage system.
d) Encourage the patient to do deep breathing and coughing exercises.
a nurse is preparing a medication from a vial for subcutaneous injection for a client. which action should the nurse take?
Inject air into the vial with the eye of the needle immersed in the fluid is the action the nurse should take when preparing a medication from a vial for subcutaneous injection for a client.
A small needle is used to inject a substance into the tissue layer separating the skin and the muscle during a subcutaneous injection to deliver medication.
The steps involved in giving a subcutaneous injection are:
washing hands in warm water and soap.assembling the necessary tools, including alcohol pads, gauze, needles, and syringes.examination and cleaning of the injection site.Putting the drug in the syringe entails:the vial's cap is taken off.air being injected into the syringe.inflating the virus with air.medicine discontinuationeliminating air bubbles.distributing the medicine.Here is another question with an answer similar to this about subcutaneous injection: https://brainly.com/question/4278546
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a client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. why did the provider add spironolactone to the client’s medication regimen?
The provider add spironolactone to the client's medication regimen to help prevent potassium loss.
What is spironolactone?
A medication called spironolactone is used to treat heart failure and high blood pressure. Bringing down high blood pressure can reduces the risk of heart attacks, kidney issues, strokes and such types of problems. By eliminating extra fluid and easing symptoms like breathing difficulties, it is also used to treat swelling (edema) brought on by some illnesses (including heart failure and liver disease). The body produces an excessive amount of a natural chemical in some diseases, which are also treated with this medicine (aldosterone)."water pill" is also the name of spironolactone (potassium-sparing diuretic).
A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. The provider add spironolactone to the client’s medication regimen to help prevent potassium loss.
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ncretin based drugs and risk of cholangiocarcinoma among patients with type 2 diabetes: population based cohort study
Incretin based drugs and risk of cholangiocarcinoma among patients with type 2 diabetes indicates that
when compared to other second- or third-line anti-diabetic drugs, the use of DPP-4 inhibitors, and possibly GLP-1 receptor agonists, may be associated with a greater risk of cholangiocarcinoma in people with type 2 diabetes.
What is Cholangiocarcinoma?The tiny tubes (bile ducts) that carry the digestive fluid bile develop with cholangiocarcinoma, a specific type of cancer. Bile ducts in the liver connect the small intestine and gallbladder.
Cholangiocarcinoma, often known as bile duct cancer, typically affects adults over the age of 50, while it can occur at any age.
The Biochemistry behind it.Glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors (DPP4Is) are two anti-diabetic drugs that are often administered (GLP1 RAs). They may, however, increase the risk of cholangiocarcinoma, according to some evidence (CCA). This study was the first observational study to examine the possibility that type 2 diabetics using DPP4Is and GLP1 RAs have a higher risk of CCA.
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what is the best form of microbial control you could use for a soft plastic sugical device that will melt at high tempature
Answer:
Autoclave.
Explanation:
1. which nursing action reduces the risk of falling as a patient is getting into or out of a bathtub?
The nursing action that reduces the risk of falling as a patient is getting into or out of a bathtub is to place a skidproof disposable bath mat in front of the tube.
What is a skidproof disposable bath mat?A skidproof disposable bath mat is a functional material that is made up of quick-dry microfiber surface which helps to provide friction for wet surfaces of the bathroom.
It is the duty of the nurse to educate the patient on various measures to take in order to prevent any impending harm.
Therefore, to prevent or reduce the risk of falling in the bathtub, the nurse should place a skidproof disposable bath mat in front of the tube.
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hepatic steatosis in diabetic patients does not predict adverse liver-related or cardiovascular outcomes
Steatosis had no predictive value for any adverse outcome. Steatosis, also known as fatty alteration, is the abnormal accumulation of fat within a cell or organ. Steatosis most usually affects the liver, the principal organ of lipid metabolism, and is also known as fatty liver disease.
Steatosis can occur in other organs as well, such as the kidneys, heart, and muscle. When the term isn't defined further, it's presumed to refer to the liver. Diabetes mellitus, protein deficiency, hypertension, cell toxins, obesity, anoxia, and sleep apnea are all risk factors for steatosis. Excess lipid builds up in vesicles, which displace the cytoplasm.
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when a client has a myocardial infarction, one of the major manifestations is a decrease in the conductive energy provided to the heart. when assessing this client, the nurse is aware that the existing action potential is in direct relationship to what?
When a client has a myocardial infarction, one of the major manifestations is a decrease in the conductive energy provided to the heart. When assessing this client, the nurse is aware that the existing action potential is in direct relationship to strength of contraction.
Myocardial infarction is a life-threatening condition when the cardiac muscles become dead due to poor supply of blood to the heart. This poor supply is the result of blockage in arteries.
Action potential is the presence of polarization across the cell membrane due to a difference of ion concentration on the inside as well as outside of the membrane. Myocardial infarction leads to passage of various ions due to contractions of heart, thereby increasing the action potential.
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why was emergency 6-month courses authorized to train individuals in the practice of physical therapy?
The emergency 6-month courses were authorized to train individuals in the practice of physical therapy to meet the demands for the treatment of injured soldiers in world war II.
What is physical therapy?
One of the allied health professions is physical therapy (PT), commonly referred to as physiotherapy. It is given by physical therapists who use physical examination, diagnosis, management, prognosis, patient education, physical intervention, rehabilitation, disease prevention, and health promotion to promote, maintain, or restore health. In many nations, physical therapists are also known as physiotherapists.
During the time of world war II when the number of injured soldier if very large the shortage of the physical therapists was felt and then the emergency 6-month courses were authorized to meet the demand.
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treatment consists of diet control and focuses on slow but steady weight gain, avoidance of concentrated sugar sources, and frequent small, balanced meals.
Gestational diabetes treatment consists of diet control and focuses on slow but steady weight gain, avoidance of concentrated sugar sources, and frequent small, balanced meals.
What is Gestational diabetes?Diabetes is a medical condition which is characterized by the pancreas not producing enough insulin thereby resulting in the sugar level in the blood being above normal.
On the other hand, gestational diabetes involves a pregnant woman having a high blood glucose as a result of the condition and affects a small percentage of women. It is caused by a hormone which is produced by the placenta which prevents the body from using insulin effectively.
Gestational diabetes treatment diet control and focuses on slow but steady weight gain, avoidance of concentrated sugar sources, and frequent small, balanced meals so as to reduce the sugar level.
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17 year old girl comes to the office due to knee pain. she first noticed a dull, achy pain in her left knee a week ago after soccer practice uworld
The most appropriate step to manage the patient's symptoms as mentioned in question is Quadriceps strengthening exercises.
What is quadriceps?The Quadriceps femoris is one of the largest and most powerful muscle of the human body. The quadriceps femoris is both a hip flexor and a knee extensor. It is made up of four individual muscles; the rectus femoris, and three vastus muscles. They are one of the strongest muscles in the body and make up the majority of the thigh.
Anterior knee discomfort in young women is frequently caused by patellofemoral pain syndrome. Usually, chronic usage or misalignment is at blame for such discomfort. A patellofemoral compression test can simulate the discomfort. Exercises for stretching and strengthening of quadriceps are part of the initial therapy, along with activity modification and non-steroidal anti-inflammatory medications.
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a group of nursing students is reviewing the various theories related to the etiology of schizophrenia. the students demonstrate understanding of the information when they identify which neurotransmitter as being responsible for hallucinations and delusions?
A group of nursing students is reviewing the various theories related to the etiology of schizophrenia. The students demonstrate understanding of the information when they identify dopamine as being responsible for hallucinations and delusions.
Schizophrenia is the psychotic disorder where a person finds it difficult to distinguish between reality and imagination. The person experiences hallucinations and daydreams, which he/she considers to be true. The person can also have problem with speech and trouble in understanding.
Dopamine is a neurotransmitter as well as a hormone. High amounts of dopamine in brain can make the person aggressive and he/she does not any control upon the impulses. On the other hand, as a hormone dopamine can treat the shock-like symptoms and improve the flow of blood as well.
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Hello! Can someone please give me a a brief job description for a audiologist?
Answer:
An audiologist helps people with finding hearing disorders and balance other neural systems.
Explanation:
hope this helps :)
the nurse would assess a client receiving haloperidol for which adverse effect ataxia asthenia insomnia
The nurse will examine a patient who is taking haloperidol and has gynecomastia as a side effect (enlargement of breast tissue in males).
Gynecomastia, pronounced "guy-nuh-Koh-MAS-tee-uh," is an overgrowth of breast gland tissue in boys or men brought on by an unbalanced amount of estrogen and testosterone hormones. Gynecomastia can occasionally have an unequal impact on one or both breasts. Gynecomastia frequently goes away on its own without treatment. The breasts flatten down throughout the course of a few months to a few years. In the case of really severe gynecomastia, there are medications that can help. If gynecomastia persists after adolescence, it can also be surgically treated to reduce the size of the breasts. Gynecomastia is often a benign (noncancerous) condition. It might be related to a variety of diverse causes of hormone variation.
While some non-surgical gynecomastia therapies can be beneficial, surgery is frequently the sole option for treating the condition. Gynecomastia surgery enables rapid, definite removal of extra breast tissue and fat as well as enhancement of the chest's look.
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a client with an acute myocardial infarction is admitted to the coronary care unit. the health care provider has ordered heparin 25,000 units in 250 ml normal saline to infuse at a rate of 600 units/hour. the nurse should set the infusion pump to deliver how many milliliters in an hour?
Myocardial infarction is Heart attack.
Myocardial infraction causes death and disability worldwide.
What is Myocardial infraction?
Myocardial infraction can be life threatening.Myocardial infraction has a host of causes and is a leading cause of cardiovascular disease and death in humans.Myocardial infraction is categorized according to the region of the heart affected.The classification includes left ventricular anterior, left ventricular inferior and posterior.To learn more about Myocardial infraction
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when a client with type 1 diabetes develops heart failure, digoxin is prescribed. which nursing action is important to include when planning care
When a client with type 1 diabetes develops heart failure, digoxin is prescribed therefore the nursing action which is important to include when planning care is taking the apical pulse before drug administration and teaching the client how to count the pulse and is denoted as option 2.
What is Apical pulse?This refers to a pulse point on your chest at ape-x of your heart and is louder than the arterial pulse.
Digoxin is used to treat heart failure which is why it is important for the apical pulse to be taken before a medication is administered so as to monitor any changes caused by it and also to act fast when an abnormality occurs in the patient.
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The options are:
1 Monitoring vital signs and encouraging a vigorous aerobic exercise program.
2 Taking the apical pulse before drug administration and teaching the client how to count the pulse.
3 Contacting Social Services for a home health nursing consultation.
4 Providing written material on the adverse effects of the medication.
a patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tpa. the nurse knows to give this drug no later than what time?
Answer: 1:45
Explanation:
Tissue plasminogen activator (tPA) must be given within 3 hours after the onset of symptoms. Therefore, since the symptom onset was 1:00 pm, the window of opportunity ends at 4:00 pm. Thus, the correct option is A.
What is Tissue plasminogen activator (tPA)?
Tissue plasminogen activator (tPA) is a protein which is involved in the breakdown of blood clots. It is a serine protease which is found on the endothelial cells, cells which line the blood vessels. As an enzyme, tPA catalyzes the conversion of plasminogen to plasmin, the major enzyme which is responsible for clot breakdown.
Tissue plasminogen activator (tPA) is administered to a stroke patient who is admitted to the hospital for an ischemic stroke. The nurse should give tPA to the patient later than 4:00 pm.
Therefore, the correct option is A.
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Your question is incomplete, most probably the complete question is:
A patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. Within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tPA. The nurse knows to give this drug no later than what time?
a) 4:00 p.m.
b) 5:30 p.m.
c) 2:30 p.m.
d) 3:00 p.m.