The nurse will monitor for Increased effects of oral anticoagulants possible interaction.
What are anticoagulants give examples?Warfarin, commonly known as Coumadin, and other anticoagulants like heparin slow down the clotting process in your body. Antiplatelets, including such aspirin and antiplatelet, stop platelets, which are blood cells, from congregating to form a clot. Most patients who have suffered a stroke or a heart attack take antiplatelets.
What dangers come with using an anticoagulant?Thromboembolism is frequently treated and prevented with anticoagulant drugs. Despite being very effective, they come with considerable risks of bleeding. Age, anemia, and renal illness are only a few of the individual clinical variables that have been associated to an elevated risk of bleeding.
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you are entering a room to administer a medication to your patient and as you come in you find that the three family members and the patient are all crying. what should you do next?
As a part of palliative care, the nurse should remain silent to give you permission to talk with her, holding off on the medication initially.
Palliative care is an interdisciplinary approach to medical care that aims to improve the quality of life and lessen suffering for patients who are suffering from terrible, complex, and frequent terminal illnesses. When the nurse enters the room and observes that the patient, the three family members, and both are crying, she should refrain from becoming involved in any further issues because doing so could make things worse. She should hold off on giving any prescriptions or updates that were due at that time and instead keep quiet until things calm down.
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a client receiving aminophylline reports heartburn on assessment to the nurse. what is the best response by the nurse?
The best response from the nurse when cline received aminophylline and told him that he had heartburn was to raise the head of the bed.
What medicine is Aminophylline?Aminophylline is a drug to relieve shortness of breath, heavy breathing, or wheezing in people with asthma, bronchitis, or chronic obstructive pulmonary disease. This drug is available in two preparations, namely tablets and injections.
Aminophylline belongs to a class of bronchodilators. This drug works by widening the narrowed airways, so that air can flow to and from the lungs unhindered. That way, sufferers can breathe more easily.
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the nurse is assessing a client with crackling breath sounds or pulmonary congestion. what is the cause of the congestion?
Troponin (most accure serum determinant of an MI) is the cause of the congestion.
What is pulmonary congestion caused by?Congestive heart failure frequently results in pulmonary edema. Water can back up into to the veins that carry blood into the lungs when the heart is unable to pump blood effectively. Fluid is forced into the lungs' air sacs (alveoli) as the tension in these vascular system rises.
Can pulmonary congestion lead to death?Breathing becomes challenging as a result of the fluid accumulating in the air sacs. Acute or flash oedema, a condition which requires prompt medical attention, is the name given to pulmonary edema that occurs suddenly. If this ailment is not addressed right away, it could be fatal.
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a client is prescribed imipramine once daily. the nurse determines that additional teaching is needed on the basis of which statement by the client?
When the client said that he'd take the medication in the morning before breakfast, the nurse determined that additional teaching was needed.
Among tricyclic antidepressants, imipramine is one. Due to its sedative side effect, the client should be advised to take a single dose of the medication each day at bedtime rather than in the morning. Alcohol and other CNS depressants should not be consumed by the client while receiving therapy. It could take at least two weeks before you feel the effects of the drug.
The patient should take the prescription exactly as prescribed, but if a dose is missed, they should make up the missed dose as soon as they remember, unless it is almost time for another dose.
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a nurse on a medical unit is caring for a patient who has experienced a recent exacerbation of hiv. the nurse is being vigilant in assessments and preventative measures related to the common complications of hiv infection. what assessment addresses the most common opportunistic infection related to hiv?
There are benefits and drawbacks to using alternative therapies, which are frequently used by HIV-positive people. Do you use any supplementary or alternative treatments?"
How would you define therapies?Therapy is a type of care that tries to assist in resolving psychological or emotional problems. There are numerous varieties of therapy. With psychotherapy, often known as talk therapy, a patient converses with a qualified therapist who may assist them in comprehending particular emotions and actions.
How many distinct types of therapy exist?The five counseling approaches recognized by that of the American Psychological Association (APA) are psychoanalytic, behaviour interventions, cognitive therapy, humanistic therapy, and integrative or holistic therapy.
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a patient who has never had any prior surgeries tells the nurse doing the preoperative assessment about an allergy to bananas and avocados. which action is most important for the nurse to take? group of answer choices
Patient who has never had any prior surgeries tells the nurse doing the preoperative assessment about an allergy to bananas and me more about what happened to your mother."
It method "earlier than operation." in the course of this time, you'll meet with considered one of your docs. this may be your general practitioner or primary care doctor: This checkup normally desires to be performed inside the month before surgery. This gives your docs time to deal with any clinical issues you can have earlier than your surgical operation.
The suitable time-out process. A time-out is the surgical team's brief pause, simply before incision, to verify that they're about to carry out the right procedure on the suitable frame part of the right affected person [1]. A time-out calls for a marked operative web page, however should also be achieved if no web site is marked [2].
Commonly, earlier than having a general Anaesthetic, you'll now not be allowed whatever to eat or drink. this is due to the fact while the anaesthetic is used, your body's reflexes are quickly stopped. if your stomach has foods and drinks in it, there is a hazard of vomiting or bringing up meals into your throat.
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the nurse is admitting a client who has been diagnosed with posttraumatic stress disorder (ptsd). which symptoms might the nurse observe upon assessment? (select all that apply.)
PTSD common symptoms
Vivid memories (feeling like the trauma is happening right now)Obtrusive ideas or visuals.Nightmares.Extreme distress when reminded of the incident in real or symbolic ways.Physical reactions like trembling, sweating, nausea, or pain.What is posttraumatic stress disorder (ptsd)?
A horrific event can cause post-traumatic stress disorder (PTSD), a mental health disease that can be brought on by experiencing it or seeing it. Flashbacks, nightmares, excruciating anxiety, and uncontrollable thoughts about the incident are just a few possible symptoms.
How can PTSD be treated?
Psychological therapies and medication are the main post-traumatic stress disorder (PTSD) treatments. Although dealing with traumatic events can be very difficult, addressing your emotions and getting professional help are frequently the only ways to effectively treat PTSD.
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a client in the first stage of labor enters the labor and delivery area. she seems anxious and tells the nurse that she hasn't attended childbirth education classes. her partner, who accompanies her, is also unprepared for childbirth. which nursing intervention would be most effective for the couple at this time?
Instruct the husband on touch, massage, and breathing patterns would be most effective nursing intervention.
What is nursing intervention?The actions that a nurse does in order to implement their patient care plan are referred to as nursing interventions. These actions can include any treatments, procedures, or teaching opportunities that are designed to improve the patient's comfort and health.
The pregnant lady and her family are educated by the prenatal nurse about the physiological and psychological changes that occur throughout pregnancy, the development of the foetus, labor and delivery, and the care of the newborn child. The prenatal nurse also offers emotional support.
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the nurse is changing the iv solution container and administration set for a client with an electronic infusion device. which part of the set-up must be removed prior to inserting new tubing into the device?
The part of the setup that must be removed prior to inserting new tubing into the device for electronic infusion is the administration set.
When changing the IV solution container and administration set of an electronic infusion device, the nurse must remove the current administration set from the device first. Following the manufacturer's directions, the nurse would then insert a new administration set into the infusion device. The slide clamp and drip chamber is part of the administration set and cannot be removed separately. Once the new administration set is inserted, the access cap of the short extension tubing is removed to attach the new administration set.
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during which phase of the trajectory model of chronic illness is the focus of nursing care on reinforcing positive behaviors and offering ongoing monitoring?
Focus of nursing care during the stable phase is providing constant monitoring and encouraging favorable behaviors.
What is trajectory model of chronic illness ?A great deal has been written on the idea of a "illness trajectory" in respect to both chronic disease and the death process. It describes the course of the illness as determined by the person's reaction to the sickness, relationships with others around them, and interventions.A patient's sickness through time as well as the steps taken by their families, caregivers, and medical professionals to control or influence the course of the illness.The term "trajectory" describes the progression of a chronic illness through its many stages and phases.Chronic diseases are significant conditions that may last the entirety of the life of the patient, negatively impacting their mental, emotional, and social health.Learn more about Trajectory model of chronic illness refer :
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which medication is prescribed to enhance contractility of the heart muscle in patients suffering from heart failure? beta blockers angiotensin receptor blockers (arb) cardiac glycosides venous vasodilators
A drug called digoxin is used to control and treat heart failure, certain arrhythmias, and abortion.
What is main function of Digoxin (Lanoxin)?Cardio tonic medications are used to make the heart muscle contract more effectively and forcefully, which improves blood flow to all body tissues.
This medication belongs to the class of cardiac glucosides. Digoxin is a useful medication for treating heart failure and certain arrhythmias, and this article describes its indications, mechanism of action, and contraindications.
Cardio tonic medications strengthen the contraction of the heart's muscle (myocardium). A positive inotropic action is what we'd call this.
Therefore, Digoxin (Lanoxin) works by increasing cardiac contractility to alleviate HF symptoms.
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a patient has received a heterograft for a tricuspid valve replacement. what statement made by the patient demonstrates understanding of the valve replacement?
A heterograft (or xenograft) valve is one that has been created from tissue like bovine pericardium or one that has been transplanted from another species, like a pig.
Children who have their tricuspid valve replaced experience a non-negligible risk of complications. The tricuspid valve should always be repaired whenever possible because both mechanical and bioprosthetic valves in the tricuspid location in children have major drawbacks. In a few case series, the replacement of the tricuspid valve with a cryopreserved mitral homograft has been reported, with favorable mid-term outcomes in patients with a non-repairable valve. An intriguing alternative surgical tool is the replacement of the tricuspid valve with a mitral homograft, especially in a developing youngster with endocarditis. Despite being difficult technically, it has had fantastic mid-term outcomes.
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If you are a dependent of a parent or caregiver, what will you need from them to complete the fafsa?.
Answer:
get a part time job if the parent or care giver can't educate you to the level you want or try applying for some government free collage fees or something like that so you can continue to do your studies.
you will need bank investement and it's records
untaxed payment
SSN will be required too
Answer:
You will need both parent's information on the FAFSA unless your parents are separated or divorced. If your parents are separated or divorced, you should use the information of the parent you lived with the most last year.
Explanation:
What parent information is reported on the FAFSA® form, and is it kept private? Parents must include tax, income, and some asset information on the FAFSA form. They must also obtain an FSA ID to serve as their electronic signature for the financial aid application process.
the nurse is evaluating the urinalysis results of a client presenting with polyuria and lower abdominal pain due to a suspected urinary tract infection. which finding should the nurse expect?
The nurse is evaluating the urinalysis results of a client presenting with polyuria and lower abdominal pain due to a suspected urinary tract infection and the finding which the nurse should expect is increased nitrates.
Excessive excretion volume or polyuria happens once you urinate quite traditional. excreta volume is taken into account excessive if it equals quite a pair of.5 liters per day. A “normal” excreta volume depends on your age and gender. However, but a pair of liters per day is sometimes thought-about traditional.
Nitrate will have an effect on however our blood carries oxygen. Nitrate will flip haemoprotein (the macromolecule in blood that carries oxygen) into methemoglobin . High levels will flip skin to a blueish or grey color and cause a lot of serious health effects like weakness, excess pulse rate, fatigue, and symptom.
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the nurse manager wants to change the protocol of preoperative teaching to include deep breathing techniques and infection control measures. which strategies would the nurse implement to support this change? select all that apply. one, some, or all responses may be correct.
The strategies nurse should implement to support this change are making modifications in preoperative teachings to support the change initiative and reducing the negative influences of late adopters.
Any change to the preoperative teaching protocol may require the nurse manager to acquire new competencies and skills in order to put the change into practice. The protocol needs to be altered to reflect the change and enhance client safety.
Late adopters of change might attempt to sabotage the change initiatives. The staff members carrying out the change, influence should be kept to a minimum. The clients' support might not be useful because they might not have the required scientific knowledge. Better support can be provided by involving the non-nursing staff in the change initiative.
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the client has been diagnosed with asthma and is being treated with two inhalers, albuterol and flunisolide. the nurse teaches the client that the two medications should be administered in what order?
We are aware that our patient has asthma and that the doctor has instructed them to take two metered-dose inhalers in this case (Fluticasone and Albuterol).
Can you use a nebulizer and an albuterol inhaler simultaneously?The jet nebulizer linked to a strong air compressor should be used with the albuterol inhalation solution. The patient will get instructions along with the breathing solution and nebulizer. Please carefully read and adhere to these guidelines.
Combining albuterol and oxymetazoline nasal may intensify adverse cardiovascular effects including escalating heart rate and blood pressure or unsteady heartbeat. If you have any questions or concerns, especially if you have a history of high blood pressure, an arrhythmia, or cardiac disease, speak with your doctor.
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What psychological disorder is characterized by nightmares and flashbacks, elevated arousal, anxiety, and emotional disturbances?.
Answer:
post traumatic stress disorder
Explanation:
I have it
the nurse is planning the inpatient care of a client who has been admitted with major depression. the client's plan of care includes regular exercise, but the client is reluctant to participate due to a lack of energy and motivation. what is the nurse's best action?
The nurse is planning the inpatient care of a client who has been admitted with major depression. the client's plan of care includes regular exercise, but the client is reluctant to participate due to a lack of energy and motivation. 14 days.
Inpatient care is the care of sufferers whose condition calls for admission to a health center. development in modern medication and the arrival of complete outpatient clinics make certain that patients are handiest admitted to a health center when they are extraordinarily ill or have intense physical trauma.
Frequently, one might also listen to the terms outpatient or inpatient used when regarding a form of the diagnostic or therapeutic process. The “Inpatient” method that the process requires the patient to be admitted to the hospital, usually in order that she or he can be carefully monitored during the manner and later on, during healing.
Inpatient care requires a single day of hospitalization. patients should live at the medical facility where their method become completed (which is usually a clinic) for at least one night time. for the duration of this time, they stay under the supervision of a nurse or physician.
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a client's physician has ordered a liver panel in response to the client's development of jaundice. when reviewing the results of this laboratory testing, the nurse should expect to review what blood tests?
The nurse should be expected to review the following in the client's liver panel in response to the client developing jaundice.
Alanine aminotransferase (ALT)
Gamma-glutamyl transferase (GGT)
Aspartate aminotransferase (AST)
The yellow hue of many newborns' skin is caused by jaundice. When a substance called bilirubin accumulates in the infant's blood, it causes jaundice. After birth, the infant's liver must remove the bilirubin that the mother's liver removed for the baby throughout pregnancy.
A blood test called the alanine aminotransferase (ALT) test evaluates liver disease.
The amount of gamma-glutamyl transferase (GGT) in the blood is determined using a GGT test. While GGT is an enzyme present throughout the body, the liver is where it is most frequently found. The circulation may become contaminated with GGT if the liver is destroyed. High levels of GGT in the blood could indicate liver illness or bile duct injury.
The aspartate aminotransferase (AST) test is also a blood test that checks for liver damage.
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a child with adhd is prescribed methylphenidate as part of the treatment plan. the child receives the first dose at 7:30 am. the school nurse would anticipate that the child may become overactive at about which time?
Switch to a longer-acting preparation, if a child may become overreactive to methylphenidate.
What is ADHD?In the treatment of children with attention deficit hyperactivity disorder, methylphenidate is used, they can focus better and it helps with hyperactivity and impulsive behavior.
Additionally, people with ADHD or narcolepsy are treated with it (a sleep disorder), and only prescriptions are accepted for methylphenidate.
Therefore methylphenidate is overreactive so it will switch to longer-acting preparation.
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the nurse is planning the client assignments for the shift. which client would the nurse assign to the assistive personnel (ap)?
When the nurse is planning the client assignments for the shift, she would assign a client who requires urine specimen collections to the assistive personnel.
Who is assistive personnel?Unlicensed assistive personnel are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living.
Moreover, examples may include surgical and dialysis technicians and medical assistants. Unlicensed assistive person: An assistant to the nurse, who regardless of title is authorized to perform nursing interventions delegated and supervised by a nurse.
Therefore, UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional.
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a client reports a history of bleeding hemorrhoids to the nurse. which observation supports the client's statement?
A client reports a bleeding hemorrhoid history to the nurse. The observation supports the client’s statement: the digital examination and visual inspection.
How to identifies the patient’s history of bleeding hemorrhoids?A bleeding hemorrhoid is a condition where there is irritation or damage to the wall of hemorrhoid. To confirm the history of a patient, the nurse can do the following:
The digital examination by inserting a gloved, lubricated finger into the patient’s rectum to feel for unusual growth.Visual inspection by examining the lower portion of the patient’s colon and rectum with an anoscope, sigmoidoscope, or proctoscope.Learn more about hemorrhoids here https://brainly.com/question/28668384
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you are examining a school-age child who complains of frequent stomach pain and headaches. the parent reports that the child misses several days of school each month. the child has a normal exam. before proceeding with further diagnostic tests, what will you initially ask the parent?
Ask the parent about the time of the symptoms each day and throughout the week if the child has a normal exam before moving on to other diagnostic tests.
The symptoms of school refusal or school anxiety in children frequently get better over the day and go away on weekends. To assess this pattern, the PNP should enquire about the frequency and length of the symptoms. When managing school phobia has started, the other choices are crucial questions to ask to discover the underlying causes of the unwillingness to attend school.
So, it follows that if a child has a normal exam, you should first ask the parent about the occurrence of symptoms each day and throughout the week before moving on to additional diagnostic tests.
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Complete Question
you are examining a school-age child who complains of frequent stomach pain and headaches. the parent reports that the child misses several days of school each month. the child has a normal exam. before proceeding with further diagnostic tests, what will you initially ask the parent?
a. About the timing of the symptoms each day and during the week
b. How well the child performs in school and extracurricular activities
c. If the parent feels a strong need to protect the child from problems
d. Whether there are any unusual stressors or circumstances at home
a patient has been prescribed radioactive iodine (rai) therapy for hyperthyroidism. what does the nurse teach the patient about this therapy?
The nurse will teach the patient about radioactive iodine (rai) therapy for hyperthyroidism and that he will receive RAI in the form of oral I-131.
Hyperthyroidism (an overactive thyroid) and some forms of thyroid cancer can be treated with radioactive iodine (RAI). Although the word "radioactive" may conjure up images of danger, the treatment is safe, generally well-tolerated, and dependable since it only affects thyroid cells, sparing the cells in the rest of your body.
RAI is administered orally using capsules. Unless the dose is really high, which is rarely necessary, you don't need to be hospitalized. You will be instructed to consume large amounts of water after taking the tablet in order to flush any residual radioactive iodine from your body.
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when testing stool for occult blood, the nurse is aware that a false-positive result may occur with:
If a person consumes a considerable amount of red meat within three days of the test, a false-positive result when testing for occult blood may result.
Why is occult blood positive?Detection of blood in your sample indicates a positive FOBT result. The odds of a positive FOBT result are about one in 14 persons. It's not always the case that bleeding is related to cancer; it can also be brought on by other problems including polyps, hemorrhoids, or inflammation.
Why does stool include occult blood?Vascular ectasias, gateway hypertensive gastropathy, stomach antral vascular ectasias, small bowel tumors, esophagitis, bleeding ulcers, gastritis, and inflammatory bowel disease are a few of the more prevalent causes.
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a nurse who provides care to many older adults recognizes the importance of implementing a wellness approach to care. what principle underlies this approach to the health care of older adults?
A nurse who provides care to many older adults recognizes the importance of implementing a wellness approach to care and the principle that underlies this approach is a holistic approach to caring for older adults can foster their well-being at every stage of life.
A wellness approach means that being attentive to what the shopper desires to try to to, viewing what they'll do (their abilities) and focuses on restitution or holding their level of perform and minimising the impact of any purposeful loss so they'll still manage their day to day life.
An integral a part of the wellness approach to the health care of older adults may be a holistic approach to worry that considers mind, body, and spirit. Health issues are an inevitable reality however a decrease in well-being doesn't essentially accompany the aging method.
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the nurse assesses that the oxygen saturation is 89% in an unconscious patient who was transferred from surgery to the postanesthesia care unit (pacu) 15 minutes ago. which action should the nurse take first?
The nurse assesses that the oxygen saturation is 89% in an unconscious patient was transferred from surgery to the postanesthesia care unit (pacu) 15 minutes ago. Continue to take vital signs every 15 minutes.
Perioperative and postanesthetic management of the affected person includes periodic evaluation and tracking of breathing and cardiovascular feature, neuromuscular feature, mental reputation, temperature, pain, nausea and vomiting, drainage and bleeding, and urine output (desk 1).
The p.c. is a critical care unit in which the affected person's essential symptoms are intently determined, ache management begins, and fluids are given. The nursing body of workers is professional in spotting and dealing with troubles in patients after receiving anesthesia. The percentage is under the route of the branch of Anesthesiology.
Perioperative and postanesthetic control of the affected person consists of periodic assessment and tracking of respiration and cardiovascular feature, neuromuscular function, intellectual status, temperature, pain, nausea and vomiting, drainage and bleeding, and urine output.
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a nurse is performing an external and ophthalmoscopic examination of an older client. which age-related change would the nurse expect to note?
Age-related changes in the retina include narrowed and straightened blood vessels opaque gray arteries and gray or yellow spots of hyaline degeneration called drusen near the macula.
The nurse would anticipate that a preschool-age child would have highly imaginative thoughts, according to Erikson. Playing peek-a-boo is a typical behavior for an 8-month-old. The infant understands that a person is still there even when out of sight. Standing by and holding on to furniture is typical behavior in an 8-month-old.
The first teeth to erupt in the oral cavity are the deciduous mandibular central incisors at approximately 5 to 8 months of age, followed by maxillary central incisors a month or two later. By the age of 19 months, a total of 12 baby teeth will normally have erupted. As you can see from the graph the first teeth begin to erupt from the gums around 6 months of age.
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after an unimmunized person is exposed to hepatitis b through a needle-stick injury, which actions will the nurse plan to take? (select all that apply.)
The actions that the nurse will plan to take are
(a) Administer hepatitis B vaccine
(b) Test for antibodies to hepatitis B
(c) Give hepatitis B immune globulin
What is hepatitis B ?Inflammation (swelling and reddening) brought on by the serious liver infection hepatitis B can result in liver damage. HBV and Hep B, two other names for hepatitis B, can result in death, liver cancer, and cirrhosis (hardening or scarring).
Hepatitis B immunoglobulin and three doses of the hepatitis B vaccine can be given to the exposed person over the course of six months as treatment. However, if the exposed person has already received a hepatitis B vaccination and had blood work showing a response to the vaccine, no treatment is required.Learn more about Hepatitis B here:
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a nurse is providing community education regarding adolescents with oppositional defiance disorder (odd). which point should the nurse include in the educational session?
Parental attention to a child's maladaptive actions might lead to behavior issues.
The ODD-related disruptive, defiant behaviors typically start at home with parents or other parental figures and are more severe here than they are elsewhere. The development of ODD might result from persistently focusing on maladaptive behaviors while dismissing any favorable ones. When a child engages in maladaptive behavior, attention is often given, whether it is good or negative, which leads to ODD. This is because parents or other parental figures often miss opportunities to praise the child for displaying beneficial behaviors. ODD can be prevented or perpetuated in large part by parents and other parental figures. Problematic conduct is ingrained and unintentionally reinforced in the home.
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