evaluation of a patient's nutritional status includes the use of one or more of the following methods: measurement of body mass index (bmi) and waist , biochemical assessment, clinical examination findings, and dietary data. T/F?

When performing a focused assessment on a client with symptoms of a cold, cough, and lung congestion, the nurse should include the following:

1. Ask the client about the onset and duration of symptoms, including any recent exposure to sick individuals.
2. Observe the client's respiratory effort, noting any signs of labored breathing or shortness of breath.
3. Auscultate the client's lung sounds to assess for wheezing, crackles, or diminished breath sounds.
4. Assess the client's oxygen saturation levels.
5. Check for any fever or other signs of infection.
6. Assess the client's overall hydration status.

By including these assessments, the nurse can gather important information about the client's respiratory status and identify any potential complications related to their symptoms of a cold, cough, and lung congestion. This will help guide the nurse's interventions and ensure that the client receives appropriate care.
Hi! When the clinic nurse performs a focused assessment on a client complaining of cold symptoms, cough, and lung congestion, they should include the following steps:

1. Obtain a thorough medical history, including any previous respiratory issues or illnesses.
2. Inquire about the duration and severity of symptoms, such as the onset of the cold, cough, and lung congestion.
3. Perform a physical examination, specifically focusing on the respiratory system. This includes observing the client's breathing pattern, inspecting the chest for any abnormalities, and palpating for tenderness or masses.
4. Auscultate lung sounds using a stethoscope to identify any abnormalities, such as wheezing, crackles, or diminished breath sounds.
5. Assess the client's oxygen saturation levels using a pulse oximeter to determine if there is any difficulty in oxygen exchange.
6. Ask the client about any relieving or aggravating factors, such as exposure to allergens, changes in weather, or specific activities that may worsen or alleviate their symptoms.

By following these steps, the nurse can obtain a comprehensive understanding of the client's condition and provide appropriate care for their cold, cough, and lung congestion symptoms.

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True. Chronic conditions are a major cause of disability and pain among older adults. Many of these conditions, such as heart disease, stroke, diabetes, and cancer, are preventable or treatable with early detection and intervention.

However, older adults may have multiple chronic conditions, which can complicate their care and increase the risk of disability, hospitalization, and mortality. Pain is also a common symptom associated with chronic conditions and can significantly impact an older adult's quality of life. Effective pain management is essential for improving outcomes and reducing the overall burden of chronic conditions among older adults.

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The nurse would expect to administer regular insulin intravenously to a client with diabetic ketoacidosis (DKA).

Regular insulin has a rapid onset and short duration of action, making it ideal for controlling hyperglycemia and reducing ketone levels in DKA. Intravenous administration of insulin allows for precise titration and monitoring of blood glucose levels, which is critical in the management of DKA.

Diabetic ketoacidosis is a serious complication of diabetes that results from a deficiency of insulin, causing the body to break down fat for energy and produce ketones, leading to high blood glucose and acidosis. The primary treatment for DKA is insulin therapy, which helps lower blood glucose levels and reduce ketone production.

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Several diseases can cause an increase in both prothrombin time (PT) and partial thromboplastin time (PTT), which are commonly used tests to evaluate the coagulation system.

Liver disease: Liver dysfunction affects the production of clotting factors, leading to increased PT and PTT.

Vitamin K deficiency: Vitamin K is essential for the synthesis of several clotting factors, including prothrombin. Its deficiency leads to an increase in both PT and PTT.

DIC: Disseminated intravascular coagulation is a complex condition in which the coagulation system becomes overactive, leading to depletion of clotting factors and platelets and an increase in PT and PTT.

Heparin therapy: Heparin is an anticoagulant that prolongs both PT and PTT.

Hemophilia: Hemophilia is an inherited bleeding disorder that leads to deficiency or dysfunction of clotting factors, resulting in increased PT and PTT.

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One intervention that the school nurse could implement  is to provide education on healthy eating habits and physical activity.

The school nurse could work with teachers and parents to develop and implement programs that encourage healthy eating, such as providing healthy snack options and promoting drinking water instead of sugary drinks. Additionally, the school nurse could work with physical education teachers to promote physical activity and provide opportunities for students to participate in exercise programs or sports teams.

The nurse could also provide individual counseling and support to students who are struggling with weight issues and connect them with community resources such as dietitians or physical therapists. By implementing these interventions, the school nurse can help to improve the health and well-being of children and adolescents, reducing the prevalence of obesity and its associated health risks.

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The best assessment information that reflects the fluid balance of this older adult client with dementia and dehydration is their urine output, skin turgor, and vital signs.

When assessing fluid balance, it is important to evaluate urine output, skin turgor, and vital signs.

Urine output indicates the amount of fluid being excreted by the kidneys and can show if the client is retaining or losing too much fluid.

Skin turgor, which refers to the elasticity of the skin, can demonstrate dehydration by becoming less elastic and taking longer to return to its normal state when pinched.

Vital signs, such as blood pressure, heart rate, and respiratory rate, can be affected by fluid imbalances; for example, dehydration may cause an increase in heart rate and a decrease in blood pressure.
In order to best assess the fluid balance of an older adult client with dementia who has developed dehydration, it is essential to consider their urine output, skin turgor, and vital signs. These factors can provide important insights into the client's overall fluid balance and help determine appropriate interventions to address their dehydration.

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The drug most commonly used to improve mental status in patients with hepatic encephalopathy is lactulose.

This medication is a non-absorbable disaccharide that is metabolized by gut bacteria into organic acids, which lowers the pH in the colon and reduces the absorption of ammonia, the toxic substance that accumulates in the blood of patients with liver dysfunction. By reducing the levels of ammonia in the blood, lactulose can improve mental status, decrease the risk of cerebral edema and coma, and reduce the need for hospitalization and other interventions. In addition, lactulose has a laxative effect that can help eliminate toxins and improve bowel function in patients with hepatic encephalopathy.

Other medications that may be used to manage hepatic encephalopathy include rifaximin, neomycin, and sodium benzoate, but lactulose remains the first-line treatment for this condition. It is important to note that patients with hepatic encephalopathy should be closely monitored and managed by a healthcare professional to prevent complications and ensure optimal outcomes.

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There are several structures in the female reproductive system that connect to the ovaries. Firstly, each ovary is connected to the uterus via the fallopian tubes, also known as the oviducts.

These tubes act as a passageway for the egg to travel from the ovary to the uterus, where it may potentially be fertilized by sperm.

Additionally, each ovary is attached to the broad ligament, a supportive structure that helps to keep the uterus, ovaries, and fallopian tubes in place. The ovarian ligament also connects each ovary to the uterus, providing further support.

Blood vessels and nerves also connect to the ovaries, providing them with the necessary blood supply and allowing for communication with the brain and other parts of the body. Overall, there are several important structures that connect to the ovaries, all working together to support the female reproductive system.

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The correct answer is  B. give clopidogrel 300 mg orally. As the patient has ongoing chest discomfort and is being treated for STEMI with heparin infusion, the next action would be to give enteric-coated aspirin 75 mg orally.

It is important to give aspirin as soon as possible to prevent further clot formation and reduce the risk of cardiac events. However, due to the patient's history of gastritis, it is important to use an enteric-coated aspirin to reduce the risk of gastric irritation and bleeding. Giving aspirin to chew may also cause further irritation to the patient's stomach, so it is important to use an enteric-coated form. Clopidogrel may be an alternative option but aspirin is the preferred first-line treatment for STEMI. Giving enteric-coated aspirin 325 mg rectally is not recommended as it may cause discomfort and is not necessary in this case. It is important to monitor the patient closely for any signs of gastric irritation or bleeding while on aspirin therapy.

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The alternative medical treatment that is rooted in India and involves meditation, exercise, herbal medications, and nutrition is Ayurveda. Ayurveda is an ancient system of medicine that has been practiced in India for over 5,000 years. It is based on the idea that the mind and body are interconnected and that balance is essential for good health.

Ayurveda focuses on individualized treatment plans that take into account a person's unique physical and emotional makeup. This includes dietary changes, herbal remedies, meditation, and physical activity. Ayurveda has become increasingly popular in the West as people look for natural, holistic ways to improve their health and wellbeing.

The alternative medical treatment rooted in India that involves meditation, exercise, herbal medications, and nutrition is Ayurveda. Ayurveda is an ancient holistic healing system that focuses on maintaining a balance between the body, mind, and spirit. It involves various practices such as yoga and meditation for mental and physical well-being, customized exercise routines, consumption of herbal medications for specific health concerns, and following a well-balanced and personalized diet to maintain optimal health. This holistic approach addresses not only the symptoms of a disease but also its root cause, aiming to promote overall wellness and prevent illness.

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If a 56 year old woman is diagnosed with mild diverticulitis, in addition to counseling her about increased fluid intake and adequate rest, antimicrobial treatment is recommended.

Antimicrobial treatment is commonly prescribed for patients with mild diverticulitis to reduce inflammation and prevent potential complications. The specific antimicrobial medication prescribed may vary depending on the patient's medical history, allergies, and other factors.

It is important for the patient to follow the medication regimen as prescribed by their healthcare provider, and to continue following any other recommendations for managing their diverticulitis, such as a low-fiber diet during the acute phase of the illness. Regular follow-up appointments with the healthcare provider may also be recommended to monitor the patient's progress and adjust treatment as needed.

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The correct statement by the patient that indicates understanding of the teaching is option B, "I will soon know that the drugs are effective by being seizure free for several months." This statement shows that the patient understands the goal of antiepileptic drug therapy, which is to control seizures and prevent their recurrence.

AEDs are often prescribed as the first line of treatment for partial complex seizures, and it can take several weeks to months to find the right medication and dosage to control seizures. It is also important to monitor the patient's medication levels and adjust them as needed to maintain therapeutic levels.

Additionally, while serious side effects can occur with AED therapy, patients should never stop taking the medication without consulting with their healthcare provider first. Overall, the patient's statement in option B demonstrates their understanding of the importance of AED therapy in managing their partial complex seizures.

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The most common causes of mass lesions in HIV-positive individuals include infections and neoplastic processes.

Infectious causes may include toxoplasmosis, cryptococcosis, tuberculosis, and primary CNS lymphoma. These infections can cause mass lesions in the brain, which can result in symptoms such as headache, confusion, and seizures.

Neoplastic processes that can cause mass lesions in HIV-positive individuals include primary CNS lymphoma, which is a non-Hodgkin lymphoma that arises in the brain, and Kaposi sarcoma, which is a vascular tumor that can affect the skin, mucous membranes, and other organs.

Management of mass lesions in HIV-positive individuals depends on the underlying cause and may involve antimicrobial therapy, corticosteroids, radiation therapy, or chemotherapy.

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The agency has asked the makers of more than a dozen drugs to alter drug labels and officially warn doctors and patients of the risks associated with sedative-hypnotics. These commonly prescribed sleep aids are widely used and frequently advertised on television. True.

The US Food and Drug Administration (FDA) has asked makers of more than a dozen commonly prescribed sedative-hypnotics to alter drug labels and officially warn doctors and patients about the risks associated with these drugs. The drugs are used to treat sleep disorders and are frequently advertised on television.

The FDA has warned that these drugs can cause serious side effects such as complex sleep-related behaviors, including sleepwalking, sleep driving, and sleep eating, as well as serious allergic reactions, including anaphylaxis, and severe facial swelling.

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As we age, our eyes undergo changes that can affect our vision. Presbyopia, which is a natural aging process in which the lens of the eye becomes less flexible, is a common cause of difficulty seeing nearby objects in older adults. Option (A)

This occurs because the eye's ability to focus on nearby objects decreases with age. Additionally, glaucoma can cause loss of peripheral vision, making it difficult to see nearby objects.

Other conditions such as osteoporosis, migraines, and rheumatoid arthritis do not typically affect vision and are not associated with difficulty seeing nearby objects. A comprehensive eye exam and evaluation by an ophthalmologist can help determine the underlying cause of vision changes in older adults.

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Full Question : Which of the following conditions may cause an older adult to be unable to see nearby objects?

A. Presbyopia

B. Osteoporosis

C. Migraines

D. Rheumatoid arthritis

E. Glaucoma

Before initiating a blood transfusion, the nurse should take the following precautions:

Verify the patient's identity: It is important to confirm the patient's identity and match it with the blood products. The nurse should check the patient's identification band and match it with the identification on the blood products.

Check the expiration date: It is important to ensure that the blood products have not expired. The nurse should check the expiration date on the blood products before transfusing them.

Check for signs of hemolysis: The nurse should inspect the blood products for any signs of hemolysis, such as discoloration, clots, or bubbles. Hemolysis can cause adverse reactions in the patient.

Start with a slow infusion rate: To prevent adverse reactions, the nurse should start with a slow infusion rate and monitor the patient closely for any signs of adverse reactions, such as fever, chills, shortness of breath, chest pain, or hives.

Stay with the patient: The nurse should stay with the patient during the transfusion and monitor them closely for any signs of adverse reactions. If the patient experiences any adverse reactions, the nurse should stop the transfusion immediately and notify the healthcare provider.

Check vital signs: It is important to monitor the patient's vital signs before, during, and after the transfusion. The nurse should check the patient's blood pressure, heart rate, respiratory rate, and temperature to ensure that the transfusion is not causing any adverse reactions.

Educate the patient: The nurse should educate the patient about the transfusion process and what to expect. The patient should be informed about the signs and symptoms of adverse reactions and when to seek medical attention.

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During the last trimester of pregnancy, the nurse would assess the client for potential complications such as gestational diabetes, preeclampsia, preterm labor, and fetal distress. Regular prenatal check-ups and monitoring of blood pressure, glucose levels, and fetal movement are important in identifying and addressing any complications that may arise.

During the last trimester of pregnancy, a nurse would assess the client for the complication of preeclampsia. Preeclampsia is a condition characterized by high blood pressure and damage to organs, often the liver and kidneys. It usually develops after the 20th week of pregnancy and can be potentially dangerous for both the mother and the baby if left untreated.

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The client with a history of long-term alcohol use would likely require increased amounts of thiamine. Thiamine, also known as vitamin B1, is essential for proper brain function and the metabolism of carbohydrates.

Alcohol consumption can deplete thiamine levels in the body, which can lead to a condition called Wernicke-Korsakoff syndrome, characterized by confusion, memory loss, and other neurological symptoms. Therefore, increasing thiamine intake can help prevent this condition and support overall health. I hope this helps! If you have any further questions, please don't hesitate to ask.

In the case of a client with a history of long-term alcohol use, the nutrient that would need to be required in increased amounts is Vitamin B1, also known as thiamine. Long-term alcohol consumption can lead to thiamine deficiency, which can result in serious health complications. Therefore, it is important to ensure an adequate intake of this essential nutrient for individuals with a history of alcohol use.

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Pituitary tumors are abnormal growths that develop in the pituitary gland, a small pea-sized gland located at the base of the brain. These tumors can affect hormone production and cause various symptoms, depending on their size and location. Pituitary tumors can put patients at risk for several health problems, including anorexia and infertility.

Anorexia is a condition characterized by a loss of appetite or a decreased desire to eat, which can lead to severe weight loss and malnutrition.

Pituitary tumors that affect the production of growth hormone or thyroid-stimulating hormone can cause anorexia. Growth hormone deficiency can also lead to decreased muscle mass and bone density, as well as fatigue and weakness.

Infertility is another potential risk associated with pituitary tumors. The pituitary gland produces several hormones that regulate reproductive function, including luteinizing hormone (LH) and follicle-stimulating hormone (FSH).

These hormones are responsible for stimulating the production of estrogen and testosterone, which are essential for normal reproductive function. Pituitary tumors that affect the production of LH and FSH can cause infertility in both men and women.

In summary, pituitary tumors can put patients at risk for anorexia and infertility, among other health problems, by affecting the production of hormones that regulate various bodily functions.

It's important to seek medical attention if you experience any symptoms of a pituitary tumor, such as headaches, vision problems, or hormonal imbalances. Treatment options may include surgery, radiation therapy, or medication to manage hormone levels.

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Suspected Ventilator Associated Pneumonia (VAP) is a common complication in critically ill patients on mechanical ventilation.

The evaluation should begin with a thorough physical exam, including chest auscultation, to assess for signs of infection such as fever, leukocytosis, and hypoxia. A chest x-ray should be obtained to evaluate for new or worsening infiltrates.

Sputum or blood cultures should be obtained to identify the causative organism. If VAP is suspected, empirical antibiotic therapy should be initiated promptly to cover the most likely pathogens. Antibiotic therapy should be tailored based on culture results and patient-specific factors such as comorbidities, immune status, and antibiotic allergies.

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When taking a patient's history, the component that would reveal information about illnesses such as cancer or heart disease is the "Past Medical History" (PMH).

Past Medical History is a crucial component of a patient's history because it covers the patient's previous illnesses, surgeries, hospitalizations, and any chronic medical conditions they may have.

By gathering information about their past medical history, healthcare professionals can identify potential risk factors, recognize patterns, and better understand the patient's overall health status.

Summary: In order to reveal information about illnesses like cancer or heart disease when taking a patient's history, it's essential to focus on the Past Medical History component.

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Consider long-acting injectable antipsychotics such as paliperidone palmitate or aripiprazole lauroxil. Involuntary hospitalization and treatment may also be necessary for safety.

In the case of the patient mentioned, the first step is to evaluate the cause of the noncompliance, which may be due to side effects or lack of insight into the illness. If the patient is stable and willing to participate in treatment, long-acting injectable antipsychotics may be considered as an option to improve adherence.

Clozapine, an atypical antipsychotic, is an effective medication for treatment-resistant schizophrenia and may be a consideration for the patient. In addition, supportive psychotherapy and cognitive-behavioral therapy may help in improving insight and compliance.

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The most appropriate choice for treating this patient's Aspergillus fumigatus pneumonia is Voriconazole (A).

This antifungal medication is the preferred treatment for invasive aspergillosis, which is a potentially life-threatening infection that commonly affects immunocompromised patients, such as those undergoing chemotherapy. Fluconazole (B) is effective against Candida infections but is not effective against Aspergillus fumigatus.

Flucytosine (C) is used in combination with other antifungal medications to treat certain fungal infections but is not effective against Aspergillus fumigatus. Ketoconazole (D) is not commonly used for invasive fungal infections due to its potential for severe side effects and drug interactions.

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The statement that is incorrect concerning drugs administered orally is that drugs absorbed from the gut do not get to the liver for metabolism until after they are distributed throughout the body.

The liver is responsible for metabolizing drugs, which means breaking them down into forms that can be excreted by the body. When drugs are taken orally, they are absorbed from the gut into the bloodstream and then distributed throughout the body. This means that they can also reach the liver, where they are metabolized.

Therefore, the statement that drugs absorbed from the gut do not get to the liver for metabolism until after they are distributed throughout the body is incorrect. In fact, drugs taken orally are subject to a process called "first-pass metabolism" in which they are partially metabolized by the liver before they are distributed throughout the body.

This can result in a lower amount of active drug reaching the bloodstream, which can affect the drug's effectiveness. The other statements regarding food interfering with drug absorption, inactivation by digestive enzymes, and slower onset of action for orally administered drugs are all correct.

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The simplest way to increase functional residual capacity (FRC) in a post-op patient is through the use of incentive spirometry, which involves the patient taking slow, deep breaths using a device that provides visual feedback on their inspiratory effort.

Incentive spirometry helps to prevent postoperative atelectasis, which is a common complication following surgery that can lead to hypoxemia and respiratory distress. By encouraging deeper breaths, incentive spirometry can increase lung volume and improve oxygenation.

Other measures that may help to increase FRC in a post-op patient include early mobilization, the use of positive end-expiratory pressure (PEEP) ventilation, and appropriate pain control to encourage deep breathing and coughing.

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Pneumocystis jiroveci is a type of fungus that can cause pneumonia in people with weakened immune systems, such as those with HIV/AIDS.

The disc-shaped yeast form of Pneumocystis jiroveci can be seen on a silver stain of lung tissue. This fungus is commonly referred to as Pneumocystis carinii pneumonia (PCP) and is a significant cause of morbidity and mortality in immunocompromised patients. Treatment usually involves antibiotics such as trimethoprim-sulfamethoxazole.

Pneumocystis jiroveci is a fungal organism that can cause a severe lung infection called Pneumocystis pneumonia (PCP), particularly in people with weakened immune systems such as those with HIV/AIDS or receiving immunosuppressive therapy. PCP can cause cough, fever, shortness of breath, and chest pain. The organism is transmitted through the air and can be found in the environment. Treatment usually involves antibiotics, such as trimethoprim-sulfamethoxazole, and sometimes steroids to reduce inflammation. PCP is a significant cause of illness and death in immunocompromised individuals and early detection and treatment are critical in managing the infection.

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The client likely reported experiencing symptoms like mood changes, food cravings, or heightened sensitivity to light or sound. These symptoms are common during the prodromal phase of a migraine.

After interacting with the client, the nurse believes the client is in the prodromal phase of a migraine due to the client's statements indicating specific symptoms that typically occur during this phase. The prodromal phase, which occurs hours to days before the migraine attack, is characterized by mood changes (irritability, depression, or euphoria), food cravings, increased thirst, frequent urination, neck stiffness, and heightened sensitivity to light, sound, or smells.

The client may have mentioned experiencing one or more of these symptoms during their conversation with the nurse, leading the nurse to conclude that the client is in the prodromal phase of a migraine.

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The intervention strategy that includes healthful food cooking contests, nutrition classes for families, competitions for weight loss, and buddy programs is known as behavioral intervention.

Behavioral intervention strategy are designed to promote healthy behaviour and discourage unhealthy behaviours .

These strategies are particularly effective for individuals who have difficulty making healthy choices on their own, as they provide motivation, support, and education to help individuals achieve their health goals.

Healthful food cooking contests and nutrition classes for families are examples of education-based behavioral interventions that aim to improve knowledge and skills related to healthy food choices.

Competitions for weight loss and buddy programs are examples of social support-based behavioral interventions that provide motivation and accountability for individuals working towards weight loss goals.

Overall, behavioral interventions are effective in promoting healthy behaviors because they address the underlying psychological and social factors that influence behavior. By providing education, motivation, and social support, these interventions can help individuals make lasting changes that promote health and well-being.

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A nonfibrin-specific fibrinolytic drug is a medication that promotes the breakdown of blood clots but does not specifically target the fibrin component of the clot.

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The laboratory tests performed for the 27-year-old female during her initial obstetrical visit included ABO and RhD blood typing to determine her blood group and Rh status, rubella antibody to check her immunity to rubella virus.

Hemogram with manual WBC and CBC to assess her blood count and other parameters, hepatitis B to screen for the virus, qualitative VDRL to test for syphilis, and RBC antibody screen to check for any antibodies that might be harmful to the developing fetus. The service codes and ICD-10-CM and ICD-9-CM diagnosis codes may vary depending on the specific testing facility and healthcare provider. These tests are routinely done during pregnancy to detect any potential health risks to the mother and fetus and to provide appropriate prenatal care.

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