The usual way to achieve a prolonged effect of a drug is to take an additional dose when the first dose is empty because the concentration has not been metabolized by the liver
Is that a side effect of the drug?Drug side effects are unwanted reactions that occur when we take a drug. These side effects can worsen the patient's illness, even leading to death.
Drug interactions can also be one of the causes of side effects. Each drug will react differently to everyone because everyone has different conditions.
If someone takes an additional dose when the first dose is empty it will increase the side effects of the drug because the concentration of the drug has not been metabolized by the liver
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a 26-year-old cisgender woman with hiv recently moved due to a job relocation and is seen in a new clinic. she informs the medical provider that she completed the hepatitis b vaccine series about 1 year ago. which one of the following serologic patterns represents immunity to hepatitis b that has been acquired through immunization?
The following serologic patterns indicate acquired immunity to hepatitis B from immunization: HBsAg negative, anti-HBc negative, and anti-HBs positive.
One of the most significant obstacles to HIV testing has been recognized as which of the following?Patients generally described cost as the biggest deterrent to getting tested for HIV, followed by uncertainty about where to get specialized care, lack of risk perception, and worry that the results would be embarrassing.
When did the CDC publish its first policy statement urging routine HIV testing across all healthcare settings?Recommendations for routine human immunodeficiency virus (HIV) testing of adults, adolescents, and pregnant women in healthcare settings were released by the CDC in 2006.
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you respond to a college campus for a young male who is acting strangely. after law enforcement has secured the scene, you enter the patient's dorm room and find him sitting on the edge of the bed; he appears agitated. as you approach him, you note that he has dried blood around both nostrils. he is breathing adequately, his pulse is rapid and irregular, and his blood pressure is 200/110 mm hg. treatment for this patient includes:
First Officer Responsibilities at a Crime Scene: First Responder Duties The first police officer on the scene of a crime can correctly safeguard, preserve, and, in some situations, acquire evidence, even with limited knowledge of evidence and its preservation.
Wait for the police before entering a scene you believe might be unsafe. Protecting a crime scene also entails safeguarding the first responders. Never let a rescuer stay on the scene by themselves, especially if the suspect hasn't been found yet. Be alert that the suspect might be around or present. evaluating the situation when you arrive and coordinating with other people there, including the police. assessing a patient's condition and determining if they need to be transferred or treated right away.
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a nurse is caring for a client who has been prescribed gonadotropin-releasing hormone (gnrh) medication for uterine fibroids (uterine myomas). for which side effect of gnrh medications should the nurse monitor the client?
Side effects of gonadotropin-releasing hormone (GnRH) drugs that must be monitored by nurses on clients are headaches, a reddish rash that appears, and a sudden sensation of heat in the body
What is uterine myoma?Myoma is a growth of mass or flesh in the uterus or outside the uterus that is not malignant. Myomas originate from smooth muscle cells found in the uterus and in some cases also originate from the smooth muscle of the uterine blood vessels. The number and size of myomas vary, sometimes one or more are found.
Clients who are diagnosed with uterine myoma, usually take gonadotropin-releasing hormone (GnRH) drugs. However, these drugs have some side effects that can be felt by clients, namely:
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a nurse is caring for a client who has influenza and varicella. which type of transmission precautions should the nurse follow when caring for the client? select all that apply.
The nurse should follow airborne precautions when caring an influenza or varicella patient.
In brief:Both influenza and varicella are contagious diseases that spread through the air when patient and the second individual are nearby.
What are air borne precautions?Precautionary measures such as masks that restrict exhaled air from an infected patient to infect a healthy individual are called air-borne precautions.
What is influenza?Influenza is an infection of the parts of the respiratory system caused by virus. Chilled fever, cough and cold etc are the symptoms.
What is varicella?Varicella, also called chickenpox in common terms, is an acute infectious disease caused by varicella-zoster virus. Rashes and itchy blisters are the symptoms.
What is contagious disease?Diseases (such as the flu, colds, or strep throat) that spread from person to person in several ways such as air, touch etc are called contagious diseases.
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The complete question is:
A nurse is caring for a client who has influenza and varicella. Which type of transmission precautions should the nurse follow when caring for the client? select all that apply.
a) Airborne
b) Droplet
c) Reservoir
d) Contact
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A nurse is assisting with the preparation of an education program regarding advance directive for newly hired staff. Which of the following information should be included about living wills
Living wills specify a client's preferences for medical care in the event of a terminal illness. So, option 1 is correct.
Advance health directives can aid in making decisions for doctors and careers if you are terminally ill, gravely injured, in a coma, suffering from late-stage dementia, or are close to the end of your life. Your choices for additional medical decisions, such as pain management or organ donation, as well as the medical treatments, are outlined in a living will, a legally binding document. There must be written advance health directives. States have different requirements and forms for creating legal documents. Depending on where you live, a form might need to be witnessed or notarized. You can seek a lawyer to help you with the process even though it isn't usually necessary.
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The above question is incomplete. Check below the complete question -
A nurse is assisting with the preparation of an education program regarding advance directive for newly hired staff.
Which of the following information should be included about living wills ?
1) Living wills specify a client's preferences for medical care in the case of a terminal disease.
2) To serve at the conclusion of class, prepare a healthy dinner.
3) The measurement of the client's oxygen saturation.
4) Chatting with friend, a nurse on another ward, about changes to a client's care plan.
A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. Which of the following findings should the nurse expect?
A. Elevated blood pressure
B. Involuntary muscle spasms
C. Cold intolerance
D. Weight loss
The nurse should anticipate elevated blood pressure in a client after a thyroidectomy if hypoparathyroidism is present.
What happens if your blood pressure is high?Increased blood pressure can get worse and become chronic high blood pressure as a medical issue (hypertension). Organ damage from hypertension is possible. It makes heart attacks, heart failure, strokes, aneurysms, and kidney failure more likely.
What triggers an increase in blood pressure?Blood pressure can rise even higher as a result of stress-related behaviors like eating more, smoking, or drinking. certain long-term conditions. High blood pressure can result from a number of illnesses, including kidney disease, diabetes, and sleep apnea.
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two years ago, a client was prescribed a medication to control hypercholesterolemia. now the health care provider prescribes a higher dose of the medication due to enzyme induction. a student nurse asks the nurse to explain the change in the drug dosage. the nurse explains that with chronic administration, some drugs stimulate liver cells to produce:
Reasons for hyperlipidemia Smoking, eating poorly, & seldom exercise are just a few of the lifestyle factors that can contribute to high blood cholesterol. Associated medical disorders like high blood pressure or diabetes might also cause it. abetes.
What is the main reason for high cholesterol?Causes of Hyperlipidemia consuming a diet heavy in trans and saturated fats, which are frequently found in processed food and animal meat. eating foods rich in cholesterol, like red meat and dairy products with added fat.
If I have hypercholesterolemia, what foods should I avoid?Vegetables, fruit, and healthful grains in abundance. a wide range of nutritious, high-protein foods, including legumes (like beans and lentils), nuts, seeds, and fish and seafood in particular. A heart-healthy diet plan can also include smaller portions of eggs & lean chicken.
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which topic would the nurse include in teaching for a client with a new diagnosis of hypertension select all that apply
Use of a home blood pressure monitor.Adverse effects of tobacco on blood pressure.Benefits of moderate daily exercise.
excessive blood strain generally develops over the years. it may show up due to dangerous life-style alternatives, which includes now not getting sufficient everyday bodily pastime. positive health conditions, including diabetes and having obesity, also can growth the hazard for growing excessive blood pressure.
life-style adjustments need to be the preliminary method to high blood pressure control and consist of dietary interventions (lowering salt, increasing potassium, alcohol avoidance, and multifactorial food regimen manage), weight reduction, tobacco cessation, physical workout, and strain control.
signs and symptoms do arise, they are able to consist of early morning headaches, nosebleeds, irregular coronary heart rhythms, vision adjustments, and humming inside the ears. excessive high blood pressure can motive fatigue, nausea, vomiting, confusion, tension, chest pain, and muscle tremors.
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# question = Which topics would the nurse include in teaching for a client with a new diagnosis of hypertension? Select all that apply. One, some, or all responses may be correct.
a)Use of a home blood pressure monitor.
b)Adverse effects of tobacco on blood pressure.
c)Benefits of moderate daily exercise.
the nurse is teaching a client with an acute exacerbation of ulcerative colitis about an appropriate diet. which food selected by the client indicates that the dietary teaching is effective?
When the client with an acute exacerbation of ulcerative colitis selects scrambled eggs, it indicates that the dietary teaching by the nurse is effective.
Exacerbation is the term used in medical conditions to describe the worsening of any symptom or disease. The increase in the symptoms of any disease indicate its exacerbation.
Ulcerative colitis is the inflammation of the digestive tract of an individual. Inflammation and sores can be observed in the tract during this disease. The colon and the rectum is the most commonly affected organs of the entire tract. The most common symptoms of the disease are: diarrhea and bloody stools.
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a 67-year-old man is admitted to the hospital with pneumonia. he reports to the nurse that he has chronic arthritis and circulation problems. the client has a history of mild hypertension. he explains that he owns a business and lives alone. the nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. which of the mentioned patient variables will have the greatest impact on the effectiveness of the client's drug therapy?
Vascular impairment the mentioned patient variables will have the greatest impact on the effectiveness of the client's drug therapy.
Option B is correct.
What causes impaired vascular function?Your body's blood vessels become damaged when you have high glucose levels. Vascular dementia and stroke both increase with damage to blood vessels in the brain. Smoking. The direct damage that smoking causes to your blood vessels raises your risk of developing atherosclerosis and other circulatory diseases, such as vascular dementia.
Vascular impairment:Vascular cognitive impairment is a mental disorder that affects one's ability to think, feel, and be aware. Symptoms of VCI can include forgetfulness as well as more serious issues with attention, memory, language, and executive functions like problem-solving. Vascular dementia is the form of VCI that is the most serious.
Question incomplete:a 67-year-old man is admitted to the hospital with pneumonia. he reports to the nurse that he has chronic arthritis and circulation problems. the client has a history of mild hypertension. he explains that he owns a business and lives alone. the nurse determines that he is within the normal weight range for his height and age but has a fondness for spicy foods and sweets. which of the mentioned patient variables will have the greatest impact on the effectiveness of the client's drug therapy?
A. depressant
B. Vascular impairment
C. dextromethorphan
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What is the rate of compressions in providing CPR ?
100 to 120 compressions per minute is the rate of compressions in providing CPR .
What is rate of compressions?At a rate of 100–120 compressions/ minute, that exerts strong pressure. If you are not trained in CPR, keep applying pressure to the chest until the victim shows signs of movement or until help arrives. Open the airway and provide rescue breathing if you have received CPR training.
CPR:The emergency procedure termed as cardiopulmonary resuscitation (CPR) combines chest compressions and artificial ventilation in an effort to preserve brain function while additional measures are performed to restore a cardiac arrest victim's breathing and blood circulation on their own.
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The Pacific yew is an evergreen tree that grows in the Pacific Northwest. The Pacific yew has a fleshy, poisonous fruit. Recently, taxol, a substance found in the bark of the Pacific yew, was discovered to be a promising new anticancer drug.
Taxol is poisonous when taken by healthy people.
Taxol has cured people from various diseases.
People should not eat the fruit of the Pacific yew.
The Pacific yew was considered worthless until taxol was discovered.
The Pacific yew's bark contains a chemical called Taxol, which has recently been revealed to be a promising new anticancer medicine. The Pacific yew's fruit should not be consumed by humans.
How do anticancer drugs work?Any medication that is efficient in the treatment of aggressive or cancerous disease is referred to as an anticancer drug or antineoplastic drug. Alkylating agents, antimetabolites, skincare foods, as well as hormones are just a few of the many important types of anticancer medications.
What are the three categories for anticancer medications?The medications can be broken down into three categories: cytotoxic medications, hormones, and signal transduction inhibitors. Each and every alkylating agent, antibiotic, antimetabolite, and other
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A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug and dose should be administered first by the IV/IO route?
Epinephrine 1 mg drug and dose should be administered first by the IV/IO route.
What is Epinephrine?A hormone and a neurotransmitter, epinephrine, often known as adrenaline, has two functions. It is a hormone that is produced and released by your adrenal glands, which are hat-shaped glands that are located on top of each kidney. It functions as a chemical messenger and central nervous system neurotransmitter to help send nerve signals from one nerve cell, muscle cell, or gland cell to another.The sympathetic nervous system, which is a component of the "fight-or-flight" reaction, your body's emergency response mechanism in the face of danger, produces epinephrine. The term "acute stress response" in medicine refers to the fight-or-flight reaction.Along with dopamine and norepinephrine, epinephrine is also referred to as a catecholamine.Learn more about Epinephrine here:
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a resident has been admitted to the long-term care facility after being cared for at home for several years by her husband and children. the nursing assistant can best ease the family's adjustment by:
After receiving care at home for a number of years from her husband and children, a resident has been admitted to the long-term care facility. By allowing the family to participate in the resident's care to the extent they desire, the nursing assistant can help ease the family's adjustment.
Patients receive assistance from nursing assistants, also known as nurse aides or CNAs (Certified Nursing Assistants), with routine everyday duties. They work in healthcare facilities such as nursing homes, assisted living communities, and home care. They are employed by home health agencies, prisons, hospitals, nursing homes, and other healthcare facilities. In nursing care institutions, they are often the primary carers for the patients while working under the direction of a registered nurse.
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for a study at the national institutes of health, people lived at the in-patient study center for 4 weeks. for 2 weeks, they ate a diet made up of processed foods, and for the other 2 weeks, they ate a diet made up of whole foods. when they were consuming the processed foods, they ate more calories each day and gained weight. what type of study was this?
This was a randomized controlled trial, where participants were randomly assigned to eat either a processed foods diet or a whole foods diet for two weeks each.
What is food diet?Food diet is a type of diet where one chooses specific types of food to consume in order to maintain or improve their health. This type of diet may include avoiding certain unhealthy food choices or limiting the amount of certain foods consumed. Food diet plans may focus on dietary changes to reduce calories or to increase the intake of specific nutrients. Additionally, food diet plans may include supplementation to ensure that all dietary needs are met.
The results showed that participants gained more weight when consuming the processed foods diet. This type of study is helpful for determining the effects of different dietary patterns on health outcomes.
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Describe the anatomic position where the nurse should expect to find the fundus at each time period listed below. Drops 1 cm each daya. 1-2 hours after delivery umbilicus
b. 12 hours after delivery one cm above or at level of umbilicus
c. 2 days after delivery two cm below the umbilicus
d. 7 days after delivery descends in level each day until it isn't palpable above the pubis symphysis
Option C: The time period the nurse should expect to find the fundus is 2 days after delivery two cm below the umbilicus.
The anatomic position where the nurse should expect to find the fundus at 2 days after delivery: The nurse should expect to find the fundus two cm below the umbilicus. It will continue to soften and become less palpable. By this time, the uterus should have returned to its non-pregnant size and shape, and the fundus will not be palpable anymore.It's worth noting that these are general guidelines and the location of the fundus may vary depending on the individual client's recovery and healing process. The nurse should also monitor the client for signs of complications such as bleeding, infection, or retained placenta, which can affect the fundus location and the healing process.
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the absorbance of a 40.0 mg/dl blood urea nitrogen (bun) standard is 0.758. the absorbance of the patient's serum specimen is 0.220. what is the patient's serum bun concentration (to the nearest tenths)?
The patient's serum BUN concentration (to the nearest tenths) is 11.60 mg/dL BUN
As per the problem given, The absorbance of a 40.0 mg/dL blood urea nitrogen (BUN) standard is 0.758. The absorbance of the patient’s serum specimen is 0.220.
Using the formula to determine the concentration of BUN in the patient’s serum:
Conc. of unk. = (Conc. std.) ( abs. unk.) / Abs. std.
X = (40.0 mg/dL) (0.220) / 0.758
X = 11.6 mg/dL BUN
Rerun the analysis after diluting the unknown, or use a standard that is more concentrated. With a single-point standard assay, it is presumable that the reaction is linear up to the standard concentration. However, linearity cannot be assumed for absorbances above the standard absorbance.
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after assessing a client, the nurse determines a nursing diagnosis of deficient knowledge related to drug self-administration applies to this client. which findings would support this nursing diagnosis? select all that apply.
1: Cognitive limitation
2: Inability to remember
3: Lack of interest in learning
is the findings would support this nursing diagnosis.
What is nursing diagnosis?
The nursing diagnoses listed below have various levels of ICNP or NANDA-I authentication. They were drawn from the nursing literature.
Anxiety.
Constipation.
Pain.
Irritability to activity.
faulty gas exchange
Extraordinary Fluid Volume.
Strain in the carer role.
inadequate coping.
A nursing diagnosis, which is a clinical assessment of a person's, family's, or community's experiences with or responses to existing or potential health issues or life processes, may be a step in the nursing process. In contrast to dependent interventions prompted by physician directives, nursing diagnoses encourage the nurse's independent practise (e.g., patient comfort or relief) (e.g., medication administration).
Based on the information gathered during the nursing evaluation, nursing diagnoses are created. A issue response that was present at the time of assessment is presented in a problem-based nursing diagnosis.
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the nurse is preparing to care for a client with acquired immunodeficiency syndrome (aids) who has pneumocystis jiroveci pneumonia. in planning infection control for this client, which would be the appropriate form of isolation to use to prevent the spread of infection to others?
Standard precautions if the nurse is preparing to care for a client with acquired immunodeficiency syndrome (aids) who has pneumocystis jiroveci pneumonia. in planning infection control for this client .
What is the an infection?(in-FEK-shun) The invasion and growth of germs in the body. The germs may be bacteria, viruses, yeast, fungi, or other microorganisms. Infections can begin anywhere in the body and may spread all through it. An infection can cause fever and other health problems, depending on where it occurs in the body.
What causes infection?An infection occurs when germs enter the body, increase in number, and cause a reaction of the body. Three things are necessary for an infection to occur: Source: Places where infectious agents (germs) live (e.g., sinks, surfaces, human skin.
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you are caring for an alert and oriented patient with chest pain. emergency first responders have initiated supplemental oxygen, and your emt partner assisted in the administration of aspirin and two nitroglycerin tablets. currently, the patient's vital signs are pulse, 76; respirations, 16 breaths/min; blood pressure, 110/56 mmhg; and spo2, 95%. when transporting this patient on the stretcher, which position is best?
Since you are caring for an alert and oriented patient with chest pain, the position of comfort is best while transporting this patient on the stretcher.
What causes chest pain?The causes of chest pain might be related to heart, lungs, digestive, and other parts of the body. Chest pain is also known as angina, which usually occurs due to the poor blood flow to the heart. This is frequently caused by the formation of heavy plaques on the walls of the arteries supplying blood to the heart. These plaques compress the arteries and impede blood circulation to the heart, especially during physical exercise.
Why should you give aspirin to a patient who you believe has a heart problem?During an acute heart attack, aspirin is beneficial in decreasing blood clots that blocks a coronary artery.
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the nurse is assisting in conducting a prepared childbirth class and is instructing pregnant women about the method of effleurage. the nurse instructs the women to perform the procedure by taking which action?
Effleurage is a massage technique used during labor and delivery to reduce pain and stress. The nurse instructs the women to perform effleurage by pressing, stroking, and rubbing their bellies in a slow, gentle, and circular motion.
The pressure should be light, and it should not cause discomfort. The women should use their hands or fingertips to massage their bellies in a clockwise direction, starting at the top of the belly and ending at the bottom. This helps to relax the muscles and relieves pain.
Effleurage should be done for about one to three minutes, three to four times a day, or as often as needed. It is important to remember to be gentle and use light pressure. Effleurage can help to reduce stress, ease labor pains, and provide comfort and relaxation during labor and delivery.
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the ongoing, systematic collection, analysis, and interpretation of injury data essential to the planning, implementation, and evaluation of public health practice is called
The ongoing, systematic collection, analysis, and interpretation of injury data essential to the planning, implementation, and evaluation of public health practice is called the injury surveillance program.
Injury is defined as the damage caused to the living cells or tissues of an organism. The immediate response caused due to injury is bleeding and pain. Injuries can be of various types, like soft tissue injury, broken bones, brain injuries, etc.
Public health can be defined as the science of protecting the health of all the citizens of a region that includes prevention of diseases, promoting the good health care practices, etc.
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the nurse is assessing the client's abdomen and notes that it is distended and bowel sounds are hypoactive. which signs and symptoms alert the nurse that an emergency situation has arisen?
A overinflated tummy and hypoactive bowel sounds are advising signs of an exigency situation.
Other signs and symptoms that warn the nanny to an exigency situation include fever, abdominal pain, rapid-fire heart rate, nausea, puking, and dropped urine affair. These signs and symptoms can be reflective of a bowel inhibition, perforation of the intestine, ischemia, or an infection similar as appendicitis. The nanny should take applicable action to assess the customer's condition and initiate exigency measures if necessary. The nanny should take the customer's vital signs, assess for abdominal pain, perform a physical test, and gain laboratory tests and imaging as necessary.
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they are brought to a room and evaluated by the md who requests a glucose check. glucometer reads 456 mg/dl. the md places the following order in the mar: iv ns bolus stat 20 ml/kg over 20 minutes how many ml of ns will be administered iv?
The IV dosage of ns would be 454 ml.
What is a normal saline IV bolus?It's a crystalloid liquid that is injected intravenously. Its indications list both adult and child population as potential causes of electrolyte and hydration problems. It can have different concentrations; the two that are being discussed here are 0.9% and 0.45%.
What does a diabetes glucometer do?The amount of sugar in a blood sample is measured using a small instrument known as a glucose monitor or glucometer. It is frequently sufficient to use a drop of blood from a finger pinch on a testing kit. A april device that rapidly pinch the fingertip or a particular needle (lancet) can be used to pinch a finger.
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which topic(s) would the nurse include while teaching a client diagnosed with microvascular angina? select all that apply. one, some, or all responses may be correct.
Daily aspirin use ways for quitting smoking. control over routine daily tasks to prevent symptoms. Nitroglycerin is used to treat and prevent angina symptoms.
Atherosclerosis or spasm in very distant microvascular branches of the coronary artery system is the cause of microvascular angina. Client education would cover regular aspirin use, quitting smoking, and nitroglycerin use. The symptoms of microvascular angina frequently occur during routine everyday activities, hence the nurse would advise modifying one's activities or using nitroglycerin to treat the symptoms. Coronary artery bypass surgery isn't an choice of treatment since the coronary artery disease occurs in tiny and distal vessels.
The complete question is:
When a client is diagnosed with microvascular angina, which topics would the nurse include in client teaching? Select all that apply.
Use of daily aspirinTobacco cessation techniquesBenefits of coronary artery bypass graft surgeryManagement of usual daily activities to avoid symptomsUse of nitroglycerin to prevent and treat anginal symptomsLearn more about angina here:
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Which statements made by a nursing student indicate that the student has an appropriate knowledge base regarding the pregnancy hormone human chorionic gonadotropin (hCG)? Select all that apply.1."Maximum level of human chorionic gonadotropin is reached at term."2."Human chorionic gonadotropin is the hormone responsible for a positive pregnancy test."3."Human chorionic gonadotropin may be present as early as 8 to 10 days following conception." 4."Human chorionic gonadotropin is produced by the trophoblastic cells that surround the developing embryo."5."Human chorionic gonadotropin preserves the function of the ovarian corpus luteum so that estrogen and progesterone are produced before placental functioning."
The hormone that causes a positive pregnancy test, human chorionic gonadotropin, can be detectable as young as 8 to 10 weeks after conception, according to a nursing student.
How does pregnancy develop? What is it?The period during which a newborn develops inside of the woman's pregnancy or uterus is known as a pregnancy. When counting beginning with the last menstrual cycle through delivery, a pregnancy typically lasts approximately four to six weeks, or just about 9 months.
What occurs initially when you become pregnant?The onset of mild spotting could be among the early signs of pregnancy. Recurrent bleeding, also referred as embedding, takes place when a fertilized egg attaches to the womb's wall about ten to fourteen before fertilization.
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what is the rate of compression when delivering cpr?
Answer:
100-120 compressions per minute.
Explanation:
The American Health Association (AHA) suggests performing to the beat of Staying Alive.
the community health nurse is talking with four clients. who does the nurse identify that would most benefit from teaching about alcohol and drug use?
The client who would be most benefitted from the teaching about alcohol and drug use would be a 19-year-old male college student majoring in physics.
Young growing teens are the major suffers of addiction of alcohol. This is because of hormonal imbalance which they are undergoing, which causes the condition of hyper activeness and anxiety among them. Their peers indulging into such acts also attracts them. This can widely affect their future and so it is important for the nurse to counsel them about its ill effects so that they refrain from using it without logical approach. Alcohol and drugs gives the feeling of euphoria and is highly addictive and so it must not be consumed in higher amounts.
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the master gland that controls other glands and many bodily functions
A 51-year-old woman comes to you with acute pain and swelling of the knee. Joint fluid analysis confirms the diagnosis of acute gout. She has a past medical history of atrial fibrillation, hypothyroidism, hypertension, and prior treatment for H. pylori infection. Her current medications include losartan, warfarin, levothyroxine, and omeprazole. She is allergic to penicillin medications. Recent laboratory studies revealed normal hemoglobin and hematocrit, blood urea nitrogen and creatinine levels.Which of the following information from her history would dissuade you from initiating NSAID therapy?A. Her ageB. Currently on warfarinC. Previous H. pylori infectionD. Penicillin allergyE. Hypothyroidism
Option B ; Currently on warfarin , this information from her history would dissuade you from initiating NSAID therapy.
The patient's current use of warfarin, an anticoagulant, would dissuade from initiating NSAID therapy. Warfarin has a drug-drug interaction with non-steroidal anti-inflammatory drugs (NSAIDs) which can increase the risk of bleeding. The patient's use of warfarin requires close monitoring of the prothrombin time/international normalized ratio (PT/INR) and any change in therapy should be done with caution. If a patient is taking warfarin, other options such as colchicine or a corticosteroid may be considered instead of an NSAID.The patient's age, previous H. pylori infection, penicillin allergy, and hypothyroidism do not contraindicate the use of NSAIDs but they should be considered while deciding the management plan.
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