in transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, qid. the patient has a long history of gastrointestinal bleeding. what is the best nursing action?
The patient has a long history of gastrointestinal bleeding with a recent order for aspirin, 500 mg QID. The best nursing action is to call the doctor and ask about the sequence based on the patient's history.
The nurse should contact the physician and inquire about the aspirin dosing regimen based on the patient's gastrointestinal (GI) bleeding. Claims of medication errors increase when nurses fail to recognize side effects or contraindications or recognize a patient's allergies. The nurse will withhold treatment until the doctor is notified and arrangements have been clarified. Drug administration can cause the patient to experience bleeding. Inquiring about allergies is an important nursing action, but an important aspect of this situation is the history of gastrointestinal bleeding.
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the nurse is conducting a group therapy session. during the session, a client diagnosed with mania consistently disrupts the group's interactions. which intervention should the nurse initially implement?
Group therapy is led by the nurse. Throughout the session, a patient with mania persistently interferes with the group's interactions. The nurse should initially perform the intervention by setting limits on the client's conduct.
The terms "mania" and "manic episode" refer to a mental state that is characterized by long-lasting high levels of vigor, and euphoria. Extreme changes in mood and cognition might cause problems at home, at work, or in school. The primary characteristic of bipolar disorder is mania.
Therefore, we can conclude that the best course of action is to thank the client and advise them to stop talking and try listening to others. The correct response is more specific and gives the client direction, even though telling the client to stop monopolizing in a firm but compassionate manner may be the direct response.
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The nurse is conducting a group therapy session. During the session, a client diagnosed with mania consistently disrupts the group's interactions. Which intervention should the nurse initially implement?
1. setting limits on the client's behavior
2. asking the client to leave the group session
3. asking another nurse to escort the client out of the group session
4. telling the client that they will not be able to attend any future group sessions
the various methods used to prevent conception are known as group of answer choices implantation. barrier methods. ovulation. contraception.
The various methods used to prevent conception are known as group of contraception.
What is contraception and types?Methods of birth control. combination drug Dilator or cap women's condoms Injection of Implants IUD (coil) (coil) IUS (hormonal coil) (hormonal coil) condoms for men Family planning naturally Patch merely a progestogen tablet vulvar ring sterilisation of women Vasectomy (male sterilisation) (male sterilisation) emergency birth control.
What is the main goal of hormonal contraception?The use of drugs, contraceptive devices, or surgical methods to prevent pregnancy is referred to as birth control or contraception. There are numerous types. Some can be undone, while others are irreversible. Some varieties can also aid in the prevention of STDs.
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while assessing a client who experienced an accident, the nurse found the client was unable to move her eyes laterally. damage to which nerve led to this condition in the client?
Damage nerve when client was unable to move her eyes laterally is CN.VI (cranial nerve 6).
Eye movement
The eyeball is moved by the extraocular muscles. There are 6 extraocular muscles that the function is to move the eyeball, namely:
Medial rectus: for movement to the medial / middleLateral rectus: for lateral movement / edgeSuperior rectus: for upward movementInferior rectus : for downward movementSuperior oblique : for downward and outward movementsLateral oblique : for upward and outward movementThe cranial nerves that innervate the extraocular muscles have a mnemonic
SO4 LR6 O3
Superior Oblique CN. IVLateral Rectus CN. VIOthers CN. IIIIn the client, the eye cannot be moved laterally, meaning damage to the lateral rectus muscle. The nerve innervating the lateral rectus muscle is CN.VI.
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It is in the medulla oblongata that corticospinal tracts ______, meaning that the motor fibers originating from the right cerebral cortex descend through the left side of the spinal cord, and vice versa.
Corticospinal tracts decussate, which means that the motor fibers coming from the right cerebral cortex descend through the left side of the spinal cord, in the medulla oblongata.
What do you mean by corticospinal tracts decussate?The primary neural circuit supplying voluntary motor activity is the corticospinal tract, often known as the pyramidal tract. The spinal cord and cortex are linked by this tract, allowing the distal extremities to move. [1] The bulk of the fibers in the corticospinal tract decussate to the medulla on the other side of the brain stem as it descends, and they then continue to travel down the spinal cord to innervate the muscles and distal extremities.
There are numerous collateral paths that do not follow this system, which causes variation between people. This structure continues to grow even after birth, reaching maturity throughout puberty as androgen levels rise. The corticospinal tract plays a crucial role in the treatment of ischemic infarcts, rehabilitation, and a number of neurodegenerative diseases.
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three days after initiating parental fluids for a newborn with a ventricular septal defect, the nurse assess an increase in heart rate and blood pressure. which intervention is most important for the nurse to implemenyt
Three days after initiating parental fluids for a newborn with a ventricular septal defect, the nurse assesses an increase in heart rate and blood pressure. Apical heart rate of 60.
A ventricular septal defect (said even·tric·u·lar sep·tal de·fect) (VSD) is a start illness of the heart in which there may be a hole inside the wall (septum) that separates the two lower chambers (ventricles) of the coronary heart. This will also is called the ventricular septum.
The interventricular septum separates the ventricles and lets in proper blood float thru the coronary heart: from the right atrium via the tricuspid valve to the right ventricle to the lungs, back to the left atrium, observed through the left ventricle thru the mitral valve.
The most common cause of a VSD is a congenital coronary heart illness, that's a disorder from start. a few human beings are born with holes already present in their coronary heart. they'll purpose no signs and symptoms and take years to diagnose. an extraordinary reason for a VSD is severe blunt trauma to the chest.
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the clinical medical assistant is providing patient education regarding rice for a patient who had an injury where the physician determined there was tear of a ligament. what was the diagnosis?
The clinical medical assistant is providing patient education regarding RICE for a patient who had an injury where the physician determined there was tear of a ligament and the diagnosis was sprain.
RICE treatment, or RICE medical care, is that the immediate application of Rest, Ice, Compression, and Elevation to a minor soft tissue injury sort of a sprain. RICE may be a widespread care treatment designed to assist manage swelling, pain, and blood flow.
A sprain is a stretching or tearing of ligaments — the powerful bands of animal tissue that connect 2 bones along in your joints. the foremost common location for a sprain is in your articulatio talocruralis. Initial treatment includes rest, ice, compression and elevation. Delicate sprains will be with success treated reception.
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a client who has just changed to working third shift is concerned about getting enough sleep. what is the probable cause for this?
The probable cause for his concern is because it can lead to insomnia
What is Insomnia ?A frequent sleep disorder is insomnia. If you have it, you might find it difficult to fall asleep, stay asleep, or both. You might as a result sleep too little or of poor quality. At first, you might not feel rested.
Although the exact cause of insomnia is not always known, stress and anxiety are frequently linked to it, an unsuitable sleeping environment, such as a difficult bed or a noisy, warm, or cold bedroom. lifestyle elements like jet lag, work shifts, and consuming alcohol or caffeine before bed.Learn more about Insomnia here:
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which is a gerontological consideration associated with the pancreas?
The increased amount of fibrous material is a gerontological consideration associated with the pancreas (Option a).
How is the pancreas in elderly people?The pancreas in elderly people is characterized to have an excessive amount of connective fibrous tissue which may hamper the functioning of this organ as a progression of age.
Therefore, with this data, we can see that the pancreas in elderly people may be altered in its function due to the fibrous connective tissue.
Complete question:
Which is a gerontological consideration associated with the pancreas?
-Increased amount of fibrous material
-Increased bicarbonate output
-Increased rate of pancreatic secretion
-Increased calcium absorption
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the nurse is planning to discontinue a peripherally inserted central catheter (picc) for a client who is prescribed warfarin therapy. which intervention will individualize care for this client?
The nurse is planning to discontinue a peripherally inserted central catheter (PICC) for a client who is prescribed warfarin therapy and intervention which will individualize care for this client is apply pressure to insertion site for at least 3 minutes.
A PICC is a skinny, versatile tube that's inserted into a vein within the higher arm and target-hunting (threaded) into an outsized vein higher than the proper facet of the center referred to as the superior vena. It's accustomed offer blood vessel fluids, blood transfusions, therapy, and different medication.
The aim of warfarin therapy is to decrease the blood's tendency to clot, however not stop it action utterly. this suggests the dose of anticoagulant you are taking should be fastidiously monitored and, if necessary, adjusted.
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the nurse is seeing a client who has just been diagnosed with a grade i meningioma. the nurse is correct when stating what information about the client's diagnosis?
According to the given statement Grade 1 is the most common type of this tumor.
How serious is a meningioma?Meningiomas are mostly benign tumors, but if they are not found early enough, they can grow slowly till they are quite large and, in some cases, can be seriously life-threatening and crippling. There may be more aggressive meningioma varieties. The majority of benign tumors develop slowly, frequently over several years, and rarely cause symptoms. However, occasionally, their impact on surrounding nerves, blood vessels, or brain tissue may result in severe impairment.
What is the ideal meningioma treatment?For the most dangerous benign tumors or when the neurosurgeon is unable to completely remove the meningioma, doctors may employ radiation therapy after surgery. In cases where surgery is hazardous, meningiomas are also treated with radiation therapy.
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a client who has undergone creation of a colostomy has a concern about body image. what action by the client indicates the most significant progress toward identified goals?
a client who has undergone creation of a colostomy has a concern about body image. The action by the client indicates the most significant progress toward identified goals is Watches the nurse empty the colostomy bag
What is colostomy?A big surgical operation of gut region is referred as colostomy can be done through a cut in the anterior abdominal wall, then stitched into place to create the aperture.
A colostomy is a procedure occur from direct one end of the colon into a stomach hole, the aperture name is stoma and a pouch attached to stoma to collect waste mainly stool.
a colostomy bag is tied to the abdomen and transfers one end of the large intestine outside of the abdominal wall during a colostomy.
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Why do you think colic is difficult to diagnose correctly? What consequences would there be if the problem wasn’t diagnosed quickly and correctly?
Because there are so many organs in the belly, diagnosing colic accurately can be challenging.
Is it typical to get severe cramping?Keep an eye out for very painful cramps because they are uncommon. Extremely painful cramping, even during the premenstrual period, is a sign that something is wrong with the reproductive system. Diseases like endometriosis and fibroid might cause changes.
Does colic hurt babies?Although babies may cry a lot, colic is neither injurious nor deadly. According to specialists, a baby with colic will acquire weight and eat normally, and colic has no lengthy repercussions. Colic lasts only a brief time.
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you are doing a clinical on the medical-surgical floor of a local hospital when mr. b arrives from the emergency room. mr. b is a 32-year-old who was thrown off his bicycle in an accident; he has three fractured ribs and a punctured lung. in the er, they inserted a chest tube to drain air and fluid out of his pleural cavity, allowing his lungs to re-expand. he had one dose of demerol 3 hours ago for pain and a second dose just before transfer, according to the telephone report from the er nurse. how does removing air from the chest allow the lungs to expand? to begin, let's review the pleural cavity and what it is.
B arrives straight from the ER. 32-year-old Mr. B was injured when he was knocked from his bike inside an incident; he has three broken ribs as well as a punctured lung.
What is an emergency and examples?A 911 emergency occurs when someone need emergency support due to an injury or a life-threatening situation. For instance, dial 911 in the event of a fire. After an accident, excessive drinking, or a drug or medication overdose, someone is unconscious. When someone is having an asthma attack or a seizure, they may have problems breathing.
What is emergency risk?The process of recognizing possible dangers and reducing the effects of disasters on individuals and corporate operations is known as emergency risk management (ERM).
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a client reports the feeling of being unsteady when walking. what is an appropriate action by a nurse to assess for a problem with gait and balance?
The most appropriate action by a nurse to assess for a problem with gait and balance is to ask the client to walk in a heel-to-toe fashion and watch for an unsteady gait.
The nurse should instruct the client to walk heel to toe while keeping an eye out for an uneven gait to determine whether an unsteady gait is present. It's known as tandem walking. Coordination is tested by having the client extend out their arms and bring one finger at a time to their nose. The opposing arm should swing when the client walks in a normal stride, but this observation does not give the nurse any information about the client's balance.
The Romberg test, which checks balance but does not evaluate a client's gait, instructs the client to stand with their arms at their sides while observing any swaying.
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you are assessing a 38-year-old woman who reports achy abdominal pain, burning on urination, and a slight fever. as you assist her to the ambulance, you notice that she has a shuffling gait. what condition does this indicate?
You are examining a 38-year-old woman who complains of abdomen pain, burning when urinating, and a little temperature, all of which point to PDI.
An infection of a woman's reproductive organs is known as a pelvic inflammatory disease. It's a problem that several STDs, like chlamydia and gonorrhea, frequently bring on. PID can also be brought on by other infections that are not sexually transmitted.
Antibiotics of several kinds can treat PID. Antibiotic therapy, however, does not undo any scarring brought on by the illness. For this reason, a woman must seek medical attention right once if she experiences pelvic pain or other PID symptoms.
Assessing a 38-year-old lady who complains of aching stomach pain, burning during urine, and a minor fever is hence indicative of PDI disease.
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Complete Question
You are assessing a 38-year-old woman who is reporting achy abdominal pain, burning urination, and a slight fever. As you assist her to the ambulance, you notice that she has a shuffling gait. What condition does this indicate?
A) Bacterial vaginosis
B) Chlamydia
C) Ectopic pregnancy
D) PID
the health care practitioner is educating her client regarding the use of tylenol, an otc analgesic. what precaution is not necessary to tell the client regarding this medication?
A precaution that is not necessary to tell the patient regarding the use of Tylenol, an OTC analgesic, is "take it with food as it enhances the absorption and decreases GI upset".
Over-the-Counter Pain RelieversOver-the-counter (OTC) pain medications can relieve discomfort and reduce fever. These medicines are available without a prescription and can be purchased over the counter. Acetaminophen (tylenol), aspirin, and nonsteroidal anti-inflammatory drugs are the most commonly used OTC pain relievers. Analgesics are another name for pain relievers. Each type of pain medication has advantages and disadvantages. Some forms of pain react better to one type of medication than another. What relieves your discomfort may not work for someone else.
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a patient is prescribed a tetracycline antibiotic. which patient information is a reason for the medication to be withheld by the nurse and the prescriber consulted?
If the patient has unknown pregnancy status then the tetracycline can be withheld and the prescriber consulted.
Tetracycline is used to treat bacterial infections that affect the skin, eye, lymphatic, intestinal, vaginal, and urinary systems, as well as several other infections that are spread by ticks, lice, mites, and infected animals. These infections include pneumonia and other respiratory tract infections. Additionally, it is used to treat acne in combination with other drugs. If patient is pregnant or have any other complication then drug cannot be prescribed.
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the use of fecal transplants to treat patients with clostridium difficile infection has been approved by the u.s. food and drug administration for .
The DRAFT of Guidance for Industry: Enforcement Policy Regarding Investigational New Drug Requirements for Use of Fecal Microbiota for Transplantation to Treat Clostridium difficile Infection Not Responsive to Standard Therapies, as well as clarifying guidance, were both made public by the FDA in March 2016.
Because it makes sense theoretically, fecal transplantation is being tested as a remedy for C. difficile infection. Doctors are starting to understand that medicines might disturb patients' intestinal microbiota, often known as the microbiome, which may contribute to the development and recurrence of C. difficile infection Dysbiosis, a condition in which the population of living organisms in the gut is no longer able to defend the host against C. difficile infection, occurs when the microbiome is adversely affected. Fecal transplantation can re-establish colonization resistance by re-introducing a healthy diversity of bacteria, preventing C. difficile infection from establishing a foothold and growing into a dominating organism in the environment of the gut.
Patients who have experienced at least three recurrences of C. difficile infection and have failed all traditional therapy, including a pulsed, tapering regimen of vancomycin, are those who most often undergo this medication.
However, even if this is the patient's first episode of C. difficile infection, I believe the treatment scope should be expanded to encompass all patients who are critically unwell as a result of the illness. Some of these really sick individuals could experience fulminant colitis, need a colectomy, or possibly pass away; these consequences most likely might have been avoided if fecal transplantation had been carried out earlier on these patients.
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the laboratory results for a postpartum woman are as follows: blood type, a; rh status, positive; rubella titer, 1:8 (eia 0.8); hematocrit, 30%. how would the nurse best interpret these data?
The laboratory results for a postpartum woman are as follows: blood type, A; RH status, positive; rubella titer, 1:8 (eia 0.8); hematocrit, 30% and the nurse would best interpret these data by rubella vaccine.
Rubella vaccine is a vaccine accustomed stop rubella. Effectiveness begins regarding time period when one dose and around ninety fifth of individuals become immune. Countries with high rates of immunisation not see cases of rubella or inherent rubella syndrome.
An individual with an antibody titer of 1:8 or higher indicates previous infection with rubella virus, and immunity to primary infection. Therefore, a second specimen isn't obligatory, however could also be of interest in studies of the booster or reinfection development.
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a decreased rate and depth of breathing is termed: a. hyperpnea. b. eupnea. c. hyperventilation. d. hypopnea.
a decreased rate and depth of breathing is termed: a. hyperpnea
What is breathing in hyperpnea?Deep breathing during exercise or physically demanding job is referred to as hyperpnea. Contrarily, hyperventilation is characterized by rapid, deep breathing in which the exhalation rate exceeds the inhalation rate. The pace of breathing and the concentration of gases in the blood are unaffected by hyperpnea.
Rapid or deep breathing, or hyperventilation, is typically brought on by worry or stress.
The term "hypoventilation" refers to breathing that is either too shallow or too slowly for the body's demands. The amount of carbon dioxide in the body increases when someone hypoventilates. Acid builds up and there is insufficient oxygen in the blood as a result of this. Hypoventilation can make a person feel tired.
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a client with a t4-level spinal cord injury (sci) is experiencing autonomic dysreflexia with a high blood pressure. the nurse cannot locate the cause and administers hydralazine iv push as ordered. the nurse empties the client's bladder and the symptoms abate. now, what must the nurse watch for
The initial emergency recommendation for treating pressure in people with autonomic dysreflexia is nitroglycerine 2% paste.
What does physical harm entail?An injury to the body physically is a serious one. Physical trauma falls into two main groups: blunt power That whenever a person's body is hit by an item or force, trauma occurs, frequently leading to concussions, severe wounds, or broken bones. Penetrating trauma occurs when an object penetrates the skin or body; this usually leaves an open wound.
How can injuries to the body influence it?This initial stage is characterized by discoloration, heat, swelling, and discomfort. Increased blood flow causes heat and redness to appear. An elevation in the inflow of liquid of white rbcs into the wounded area causes swelling. both the compression and chemical release
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how can children and adolescents increase muscle strength during training without significantly increasing muscle mass?
Training that enhances neuromuscular function without dramatically increasing muscle hypertrophy.
What do a person's strengths entail?Positive personality qualities and abilities are referred to as assets. Knowledge, characteristics, abilities, and talents are examples of strengths. In contrast, weaknesses are shortcomings. Characteristics or abilities that are viewed negatively or as lacking in development are referred to as weaknesses.
What are your finest strengths and weaknesses?I am totally sincere. I constantly let my boss know when I think that my load is too heavy to take on another duty and if I don't grasp something. Their greatest asset is my ability to collaborate with people. I can easily relate to practically everyone, and I frequently have the proper empathy for other people.
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margo spencer was diagnosed with closed-angle glaucoma affecting her left eye. she is scheduled to have a/an
Answer: Eye doctor appointment
Explanation:
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which health care professional administers radiopharmaceuticals to patients and then scans the body with a special camera to observe how the pharmaceuticals concentrate in specific organs?
Nuclear medicine technologist is the health care professional which administers radiopharmaceuticals to patients and then scans the body with a special camera to observe how the pharmaceuticals concentrate in specific organs.
Nuclear medicine technologists prepare radioactive medication and administer them to patients for imaging or treatment. they supply technical support to physicians or others UN agency diagnose, care for, and treat patients and to researchers UN agency investigate uses of radioactive medication.
Radiopharmaceuticals are agents wont to diagnose bound medical issues or treat bound diseases. They'll lean to the patient in many alternative ways. As an example, they'll lean orally, given by injection, or placed into the attention or into the bladder.
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a nurse reviews the ecg strip of a patient who has a history of premature atrial complexes (pacs). the strip shows a number of premature beats. the nurse expects to find:
The nurse finds PR interval >0.12 seconds.
What is premature atrial complexes (Pacs).?
Premature atrial contractions (PACs) are additional heartbeats that begin in your heart's upper chambers. There might not be much blood in the heart when the premature or early signal causes the heart to contract. That indicates that there isn't much blood to pump.
PACs can occur in healthy people who have no known cardiac problems and usually do not harm the heart. Patients with PACs frequently have no symptoms and are discovered by chance. People who do experience symptoms frequently lament an extra or skipped heartbeat, also known as palpitations.
What is the most common cause of PACs ?
The majority of people will at some point in their life suffer PACs, which are frequently brought on by stress, caffeine, or alcohol. They frequently stand out more when at rest. Heart disease can occasionally be the cause of premature atrial contractions, but they typically occur spontaneously and for no apparent reason.
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which parent education would the nurse provide the mother of a 5-month-old boy who is concerned that her son no longer turns his head toward her breast when she touches his cheek?
Your infant may become disinterested in breastfeeding if you start using a new soap, perfume, lotion, or deodorant that alters how you smell. A nursing strike can also be brought on by changes in breast milk's flavor, which can be brought on by your diet, your medications, your menstruation, or being pregnant again.
Before feeding your infant, wait till they are truly hungry. Try adjusting the bottle's size, shape, nipple, or other elements to observe how your baby reacts. Play around with the milk or formula's temperature. Make sure the bottle isn't too warm or cold because breast milk is lukewarm by nature.
A 4-month-old should play with soft, noisy squeeze toys since they are enjoyable for the baby to squeeze and hear a squeak. Toddlers 12 to 24 months old should play with push-pull toys. Time-outs and physical restraint should be used to discipline a youngster who has a challenging disposition. For any temperament, ignoring the child's conduct is ineffective. It is more appropriate to maintain eye contact with a child who has an easy temperament.
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you (the nurse) are reviewing the educational packet provided to a client about tubal ligation. what is an important fact you should point out (select all that apply)?
After a vaginal delivery through a tiny incision under the belly button (mini-laparotomy); during a C-section. A laparoscope and short-acting general anesthesia can be used at any time during an outpatient procedure.
What is tubal ligation?To permanently prevent pregnancy, the fallopian tubes are cut, tied, or blocked during tubal ligation. With a tubal ligation, an egg cannot pass through the fallopian tubes from the ovaries to the egg, and sperm cannot ascend the fallopian tubes to the egg. Your menstrual cycle is not affected by the surgery.
Tubal ligation can prevent most pregnancies, but it doesn't guarantee it. After a tubal ligation, one in 200 women is thought to become pregnant. Your chance of an ectopic pregnancy may rise if you get a tubal ligation.
When a woman needs a solid form of contraception and is confident she doesn't want any more children, tubal ligation is the best option. You and your spouse should talk about vasectomy, a male sterilization treatment, if you are thinking about tubal ligation.
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the parents of a nine month old ask the nurse for toy recommendations. what recommendation should the nurse to make?
The recommendations that the nurse should give is to advise the mother to give large push-pull toys for kinetic stimulation.
What is kinetic stimulation?Kinetic stimulation in children is defined as the process whereby the developing child is assisted in various locomotive activities of the body such as lifting of their heads, rolling over, sitting, crawling, standing and walking.
The various locomotive activities that are expected of a nine month old infant include the following:
Being able to sit by themselves,Moving things from one hand to another.Being able to sit without support.Being able to clap their hands.When toys that encourage the locomotive activities of a child is continuously used, it would enhance their ability of being in physically independent.
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what are the general physical activity guidelines for adults for both aerobic training and resistance training?
According to the current Physical Activity Guidelines for Americans, adults should engage in 150 minutes of moderate-intensity exercise each week and 2 days of muscle-building activity. You don't have to complete 150 minutes of physical activity each week all at once, even though it may seem like a lot.
What are the recommended daily amounts of exercise for kids and adults?Daily physical activity of 60 minutes or more should range from moderate to vigorous. Exercise that increases heart rate, such as walking, running, or other aerobic activities, should make up the majority of a person's daily 60 minutes. Vigorous-intensity exercises should be performed at least three days per week.
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