A 37year-old male diagnosed with hypertension has been treated with a low sodium diet and hydrochlorothiazide (HCTZ) 50 mg qd for the past two months. He denies Family history of cardiovascular disease. At today's follow-up visit his BP=150/90 and T=I00 F. Physical examination reveals no bruits, clear chest, no atrial gallop, edema and tenderness of the left ankle, and an intact neurological system. Which laboratory values will provide the most useful follow-up information

Answers

Answer 1

Answer and explanation:

Laboratory analyses that are useful to assess the cardiovascular risk by evaluating the oxidative stress:

- To measure the 8-isoprostane concentration in plasma. It is possible to determine its level by using the ELISA (Enzyme-Linked ImmunoSorbent Assay) assay.  

- To measure the nitrite and nitrate concentrations, which may also be associated with an increased risk of cardiovascular disease. The Griess reaction is specific for nitrite (and thereby it can be used to determine its level), while deproteinization methods enable to calculate the nitrite concentration.

You can read the following publication with detailed information about the methodologies above described:  

P. S. Silva,  V. Fontana, A.C. Palei, J.T. Sertório, C. Biagi, & J. E. Tanus-Santos (2011). Antihypertensive effects exerted by enalapril in mild to moderate hypertension are not associated with changes in the circulating levels of nitric oxide-related markers. European journal of clinical pharmacology, 67(4), 365-370.


Related Questions

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging. Answer the following questions:________.
1. What else should you ask the client?
2. What teaching would you reinforce to prevent the recurrence of otitis media?
3. What expected outcomes would be specific to this situation?

Answers

Answer:

The answer is below

Explanation:

Given the situation above

1. Some of the questions that will be asked from the client includes:

(a). Is your ear feel full?

b)  is there any fluid coming out of your ear?

c). do you normally swim?

d). recently, is there anything stuck in your ear?

e). Is the pain from the ear so intense?

2. Some of the teaching to reinforce to prevent the recurrence of otitis media are:

a)  Advise the client and her parents to clean the outer layer of the ear.

b)  Avoid anything less than elbow in size, in the ear.

c)  Ensure the ears are dry  immediately after swimming or baths/showers.

3. Some of the expected outcomes that be specific to this situation are:

a)  sleeplessness

b)  ear pain

c)  diarrhea

d)  irritability

e)  lack of balance

f)  hearing loss

On average, people need about 2,000 calories a day to provide energy for
their bodies.
True or false?

Answers

It depends really women need about 1,600-2,400 and men need 2,000-3,000

Entre 1500 y 2000 calorias al día

A 60-year-old male reports that he is always tired. No matter how much he sleeps, he does not feel rested. His wife also states that he is a terrible snorer, and she is not getting any sleep either. The client's health problem can best be diagnosed by:

Answers

Answer: polysomnography.

Explanation:The client's most likely diagnosis is sleep apnea, which can bebest diagnosed through the use of polysomnography. This consists of EEG and EOG to determine the sleep stages.

What is used to test for sterilization of instruments?
a. It is not possible to check for sterilization of instruments.
b. process integrators
O C. process indicatiors
O d. biological monitoring

Answers

D. Biological monitoring
Tests for and assess the sterilization process by killing highly resistant microorganisms :)

Fill in the blanks with the correct word or phrase. The process of change in a population over time is called . The process by which organisms that are better adapted to the environment survive and reproduce is called .

Answers

Answer: evolution and natural selection

Explanation:

The process of change in a population over time is called evolution. The process by which organisms that are better adapted to the environment survive and reproduce is called natural selection.

What is Evolution and natural selection?

Evolution is any net directional change or any cumulative change in the characteristics of an organism or the complete populations over the time period of many generations. In other words, it involves descent with modification. Evolution explicitly includes the origin as well as the spread of different alleles, variants, trait values, or character states of organisms.

Natural selection is a mechanism of evolution. The organisms which are more adapted to their environmental condition are more likely to survive and pass on their genes that aided their success or are beneficial for their survival. This process causes species to change and diverge over time into different groups.

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what is the answer?

Answers

Answer:

water

Explanation:

So like as a kid growing up, my moms answer to everything was water like if i scraped my knee boom water fixes everything so like why cant water fix this disease idk i have no clue what the answer is but if you can find the cure just try my mom secret weapon WATER!

In regard to clients and patients, practioners have a(n) relationship which requires them to act primarily in the best interests of those they serve.

Answers

Answer:

In regard to clients and patients, practioners have a(n) healthy relationship which requires them to act primarily in the best interests of those they serve.

Explanation:

Health practioners learn communication strategies that allow them to better connect with users of health systems, provide patients with clear information to give them the opportunity to make important and informed decisions throughout the disease process, facilitating to feel them more involved in it and in many cases minimizing the suffering that comes with having a pathology.

When a person goes to the health consultations, they need a solution to certain needs that have arisen related to their well-being. Faced with this situation and in the first place, it requires clear and truthful information from practioners, in this way, the patient can responsibly assume his/her situation and the care to which him/her must submit. In a healthy relationship between practioners and patients, it is important to evaluate the information the patient gives and the appropriate measures in each case, making them more individualized recommendations. The factors that determine the satisfaction of this healthy relationship by patients are: accessibility, responsiveness and understanding, patients manifest a series of needs that, in order to be satisfied, must be previously understood and valued. In this healthy relationship, patients especially value that practioners listen to them and establish affective and assertive communication with them in a language understandable by both parties. These factors are intangible variables, since they are the individual or group behaviors, aptitudes and attitudes that decisively contribute both to the conformation of the patient's perceptions and their satisfaction, and to the value that the health center acquires for them: behavior and motivation of the staff, beliefs, norms and ways of thinking of the organization.

A certain type of ship has two tanks in its engine. Each tank contains a different type of fuel. When the engine turns on, the same amount of energy is transferred out of both fuels why did fuel 1 change phase, but fuel 2 stayed the same? Explain what happened to the molecules of both fuels

Answers

Answer:

Fuel 1 changed phase because the energy drawn from it dropped its temperature below the transitional temperature that causes a phase change, fuel 2 still has its temperature well above the transitional temperature required to change phase.

Explanation:

For a substance to change phase, a transitional temperature has to be reached. This is because, the temperature of substances generally indicates the average kinetic energy of its molecules. An increase in energy input to the system will result in a change to a more mobile phase like from solid to a liquid state or from a liquid state to a gaseous state state, while taking energy from the system will cause a transition to a less mobile phase like gas to liquid or liquid to solid state.

It can be deduced that Fuel 1 changed phase due to the fact that the energy drawn from it dropped its temperature below the transitional temperature which caused a phase change.

On the other hand, fuel 2 has its temperature above the transitional temperature that is required to change phase.

It should be noted that for a substance to change phase, then a transitional temperature has to be reached. This is due to the fact that the temperature of substances indicates the average kinetic energy of their molecules.

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Your coworker is not productive as other members on your team. You and your coworker have to work harder to make up for this. What would you mostly and least likely do

Answers

Answer: You should try to involve him/her the most in all the job task, so that he/she can grow in the job. Him/her should always be assisted while performing a task, for improvement. You can also identify trainings that can help to improve the worker's skills on the job.

You must not complain about the worker's unproductiveness always. You must not capitalize on the worker's weakness always. You must not report the worker's unproductiveness to the management to bring in a new person, instead let the management know that your coworker needs some training for improvement on the teams performance.

Your coworker is your team and you have to identify his strength and capitalize on it always, as he/she develop his/her weakness to strength.

what i’ll mostly likely do is try to talk to them and telling them , they need to start putting in more effort and helping out as everyone else & the less thing i’ll do is snitch on them or yell at them.

A practitioner order is written for a continuous infusion of insulin at 3 units/hr; the premixed solution is composed of 100 units of regular U-100 insulin in 100 mL normal saline. At which rate (mL/hr) should the infusion run?

Answers

Answer:

3ml/hr

Explanation:

Number of units = 3units

Units per milliter = 100 ml

Number of mililiters in an hour = "X"

Hence, Given that 100 ml of solution have 100 units, each ml has 1unit, (100/100)

Therefore, in order to get 3 units in one hour the equation would be

number of units = units per mililiter * number of mililiters in an hour

3 = 1 * X

X = 3 / 1 = 3ml/hr

Therefore, the final answer is 3ml/hr.

Insulin is the harmone that regulate the blood glucose level.  The rate of infusion of insulin should 3 ml/hr.

Given here,

Number of units = 3 units

Milliliter per Units  = 100 ml

Number of mililiters in an hour = [tex]x[/tex] = ?

So, 100 ml of solution have 100 units, it means each ml has 1 unit of Insulin.

To get 3 units per hour,

[tex]\rm number\ of\ units = units/ mL\times mL/ hr[/tex]

Put the values,

[tex]3 = 1 \times x\\\\x= \dfrac 3 1 \\\\x = 3\rm \ ml/hr[/tex]

Therefore, the rate of infusion of insulin should 3 ml/hr.

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Perfect pitch is the ability to identify musical notes correctly without hearing another note as a reference. The probability that a randomly chosen person has perfect pitch is 0.0005.

Required:
a. If 20 students at Julliard School of Music art tested, and 2 are found 10 Moe perfect pitch, would you conclude at the .01 level of significance that Julliard students are more likely than the general population to have perfect pitch?
b. Show that normality of the sample proportion p should not be assumed.

Answers

Question:

Perfect pitch is the ability to identify musical notes correctly without hearing another note as a reference. The probability that a randomly chosen person has perfect pitch is 0.0005.

Required:

a. If 20 students at Julliard School of Music art tested, and 2 are found to have perfect pitch, would you conclude at the .01 level of significance that Julliard students are more likely than the general population to have perfect pitch?

b. Show that normality of the sample proportion p should not be assumed.

Answer:

See explanation below

Explanation:

Given:

Sample size, n = 20

Probability that a chosen person has perfect pitch = 0.0005

x

Level of significance = 0.01

a) Let's find the probability of 2 or more people with perfect pitch using bimonial distribution.

P(2 or more with perfect pitch ) =

P(x≥2) = 1 - P(x≤1)

P(x≥2 | n=20, p'=0.0005) = 0.00005

Since the probability of getting 2 or more people with perfect pitch, 0.00005, is significantly lower than the level of significance, 0.01, we conclude that Julliard students are more likely than the general population to have perfect pitch.

b) For normality to be assumed,  [tex] n * \pi _0 [/tex] should be ≥5 for normal approximation.

Since [tex] n * \pi _0 [/tex] is too small, normality cannot be assumed.

What can you use to suppress nighttime asthma

Answers

Answer: In addition to taking asthma medications as prescribed, here are seven steps you can take to lower your chances of having a nighttime asthma attack:

Clean your bedroom regularly. Wash your bedding in hot water weekly. Invest in dust-proof mattress and pillow protectors. Invest in a humidifier. Don't sleep with petsChoose allergy-free linens.Sleep on a slight incline.

Explaation:

Why use needle loop to prepare fungi slide ?​

Answers

Answer:

Needle loop is used to inoculate microorganisms.

Explanation:

Inoculation of microorganisms in a given culture media involves application of substances which may be chemicals or a food source to the microbes to ensure its survival. It helps in the growth of the organisms for further analysis.

The loop is usually flamed to kill foreign organisms as this may contaminate which may result in altering the reactions and observations of the study.

a child needs to take 1/2 teaspoon of medicine three times a day. How many total teaspoons of medicine does the child need to take each day?

Answers

Answer:

1 1/2 teaspoons each day

Explanation:

So the child takes half a teaspoon of medicine 3 times a day. We know that 2 halves is equal to 1 whole. So two half teaspoons is l whole teaspoon. Then we add the other half since the child needs 3 teaspoons. Making our answer 1 1/2 teaspoons per day

If a child needs to take 1/2 teaspoon of medicine three times a day, the child needs to take a total of 1.5 teaspoons of medicine each day.

What is the calculation of the total amount of medicine the child needs to take each day?

When a child is prescribed a medication, the dosage depends on two factors which are how much medicine should be taken per dose and how often the dose should be taken. The medication instructions state that the child needs to take 1/2 teaspoon of medicine three times a day.

The total amount of medicine can be calculated by determining how   many doses are taken per day. In this case, the child is taking 1/2 teaspoon of medicine three times a day. Therefore, we multiply the amount of medicine per dose (1/2 teaspoon) by the number of doses per day (3 doses) and the result is 1.5 teaspoons/day.

The medication instructions should be followed carefully to ensure that the child receives the exact amount of medication at their recommended timings to treat their condition.

Therefore, the child needs to take a total of 1.5 teaspoons of medicine each day.

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A multinational pharmaceutical company is faced with the ethical dilemma of telling the general public the truth about a mishap in the company's drug labelling which has resulted in the death of four unborn children and leaves many more at risk if the drugs are not retrieved from the market immediately. But the challenge the company faces is that admitting this truth could attract crippling legal charges drastic reduction in patronage and reputation crisis. Give a reasoned ethical advice to the company showing clearly the Ethical basis of your advice the challenges you envisaged and how to deal with the identified challenges.​

Answers

Answer:

   

When there is an Ethical issue, there is no substitute for doing the right thing. To try avoiding potentially undesirous consequences as a result of doing correcting one's mistakes is more damaging in the long run.

First, it starts internally. When employee of such company find out that the management and stakeholders have compromised on the standards of the ethics of integrity, it creates an excuse for them to do likewise and may even become too difficult to manage as it may become a source of blackmail in the short or long run.

My advice to the company is to quickly put out a campaign against the drug which is killing people.

The primary reason why the company is in business in the first place is to save lives by creating drugs that help to do so. To keep quiet in the face of this mistake is to go against everything it stands for.

Yes, it is possible for legal charges to follow. However, as a multinational, it is expected that they have anticipated and made some preparations for this by way of instituting Insurances such as product liability and or errors and omissions which help to reduce the liability of the company in the event of this kind of issues as well as provide monies for compensating the affected individuals and families.

The company will, of course, have to notify it's insurers immediately.

History shows that a public apology has been shown to work in similar circumstances and can help to douse (though not eliminate completely) the onslaught against its reputation that would follow when it makes the announcement.

Legally, when an issue of tort such as this arises, the best bet is for the company to quickly settle out of court if possible.

Cheers!

A client is a devout jew.what are two things that the nurse aide can do to make him comfortable?

Answers

Answer:

a, e

Explanation:

Ensure the facility food service knows he should get kosher meals.

ensure his medical procedures are not scheduled on the sabbath

You and your EMT partner are the first to arrive at the scene of an unresponsive 70-year-old man. Your assessment reveals that he is apneic and pulseless. A paramedic unit is en route to the scene and will arrive in approximately 5 minutes. You should:

Answers

First, begin CPR.

Next, apply the AED. Shock if indicated.

First you begin CPR
Apply the AED and follow the prompts until the medic unit arrives.

A client who follows the islamic faith has been hospitalized what kind of medicarion would rhis client likely refuse? Medication
With beef ingredients
Medication with pork ingredients
Medication with hala ingredients or
Medication with kosheR ingredients ?

Answers

Answer:

Medication with pork ingredients

Explanation:

Medication with pork is the answer, in the Islamic faith Muslims don’t eat pork.
Beef would be Hindu related
Kosher would be Jewish related



Welcome to week 4!

This week we are learning about motivation! In the health care field, motivation is pivotal to organizational success. Effective leaders know what motivates their subordinates achieve success.

To meet discussion expectations, please complete Steps 1-3 promptly.

Discussion Expectations
Follow the 3-Step Plan and Student Checklist to meet the Discussion Grading Rubric expectations.

Due Wednesday at 11:59 pm EST.

Step 1: Read the Discussion Background:

Ralph has been working in the billing department of the medical plaza for several years. He recently applied to a manager position in his department. Ralph believed he was the most qualified applicant and was surprised when they awarded the position to his co-worker, Gina. Ralph feels that Gina is less qualified than him and incapable of being a good manager. Angry about not earning the promotion, Ralph decides to not cooperate with Gina and make work difficult for her. He wants to show the others that he should have received the promotion over her.

Gina is very happy with her new position and the organizational changes. However, she can tell that Ralph is not very happy with her promotion.

Step 2: Create a new thread and answer all three parts of the initial prompt below:

From Gina’s perspective, what can she do to help Ralph with the change in management?
Imagine you are Ralph’s co-worker. What advice would you give him?
Explain the importance of having a diversity work environment.

Answers

It is a incomplete question. The complete question is as follow:

Step 1: Read the Discussion Background:

Ralph has been working in the billing department of the medical plaza for several years. He recently applied to a manager position in his department. Ralph believed he was the most qualified applicant and was surprised when they awarded the position to his co-worker, Gina. Ralph feels that Gina is less qualified than him and incapable of being a good manager. Angry about not earning the promotion, Ralph decides to not cooperate with Gina and make work difficult for her. He wants to show the others that he should have received the promotion over her.

Gina is very happy with her new position and the organizational changes. However, she can tell that Ralph is not very happy with her promotion.

Step 2: Create a new thread and answer all three parts of the initial prompt below:

From Gina’s perspective, what can she do to help Ralph with the change in management?

Imagine you are Ralph’s co-worker. What advice would you give him?

Explain the importance of having a diversity work environment.

Answer:

From Gina’s perspective, she could help to Ralph to understand the need to work together. It is a challenge and represents an opportunity to improve the performance of Ralph.  

My advice he needs not to be so self-centered and closed minded for advancing in his work (and life).

A diverse work environment is better to create customized products for customers, which are identified with the ethical values of the company. The companies are better adapted to rapid changes in the needs of customers. Moreover, companies with greater diversity are less likely to suffer judgments because they have higher empathy skills related to social equity, democracy, human rights and antiracism.

Exercise
1. The data shows the marks given to a class of Nursing students in a test.
34, 12, 45, 23, 12, 18, 26, 41, 48, 23, 47, 11, 7, 15, 31, 28, 6, 43, 27, 38, 32, 21, 29,
45, 15, 9, 20, 37, 43, 27, 30, 17, 14, 26, 34, 24, 18, 16, 35, 32, 27, 14, 30, 22, 31, 40,
17, 24, 37, 13
A. Construct grouped frequency distribution
B. Find the rang, width , unit of measurement, class bounders,
class mark or mid point​

Answers

Answer:

2 + 2 = 5

Explanation:

~ 20 - 20 = 25 - 25

~ 5 * 4 - 5 * 4 = 5 * 5 - 5 * 5

~ 4 ( 5 - 5 ) = 5 ( 5 - 5)

4 = 5

2 + 2 = 5

Just Saying

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