If Karen is diagnosed with SLE; NSAIDs, methotrexate and immunosuppressant are the possible treatment options.
Hence, option D is correct.
What do you mean by NSAIDs?Members of the therapeutic medicine class known as non-steroidal anti-inflammatory drugs (NSAIDs) lessen pain, reduce inflammation, lower fever, and prevent blood clots. Although side effects vary depending on the medication, dosage, and length of usage, they typically include an elevated risk of heart attack, kidney disease, and gastrointestinal ulcers and bleeding. Since roughly 1960, these medications have been referred to as non-steroidal, which sets them apart from corticosteroids, which by the 1950s had a negative reputation due to overuse and side-effect issues following their 1948 release. Cyclooxygenase enzyme activity is inhibited by NSAIDs (the COX-1 and COX-2 isoenzymes). Prostaglandins, which are involved in inflammation, and thromboxanes, which are involved in blood clotting, are two important biological mediators that are synthesized by these enzymes in cells.
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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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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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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:
HeadacheA rash appears on the bodyShortness of breath and chest painSudden onset of a mild or severe feeling of heatLearn more about uterine myoma treatment here :
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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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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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true or false: hipaa allows for complete use and disclosure of phi as long as it falls within tpo guidelines.
Its false that HIPAA allows for the use and exposure of Protected Health Information( PHI) only in specific circumstances.
HIPAA requires that PHI be used and bared only for the purposes of furnishing health care, payment for health care, and other purposes as permitted or needed by law. HIPAA also requires that there be written authorization from the existent before any PHI can be bared. The sequestration Rule also requires covered realities to limit the use and exposure of PHI to the minimal necessary to negotiate the intended purpose. Covered realities must also have applicable safeguards in place to cover the confidentiality of PHI. also, HIPAA requires covered realities to give individualities with access to their PHI.
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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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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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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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the master gland that controls other glands and many bodily functions
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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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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after communicating with the follower of the nurse leader, the senior nurse assumes that the nurse leader is following the transactional leadership approach. which statements of the follower support the senior nurses assumption? select all that apply. one, some, or all response maybecorrecl
We have to expect penalties for poor performance."
"I have to meet work deadlines at all costs."
"I'm getting the mistakes corrected after the fact." These are all the statements in support of the chief/senior nurse
Transaction leaders punish poorly performing followers and reward well-performing followers. Transaction managers monitor work deadlines and correct follower mistakes in a reactive manner. Under the transaction leader, employee job satisfaction is limited. Transactional leadership relies on the organizational status and formal authority to reward or punish performance. Therefore, providing external rewards to stimulate employee/nurse self-interest is a form of transactional leadership. Thus, the statements should approach this manner of transactional leadership.
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which of the following parameters is the most important in controlling cardiac output in healthy people? a. pumping ability b. heart rate c. conduction rate d. venous return
When controlling cardiac output in a healthy person, the most important parameter is A. pumping ability
What is cardiac output?Cardiac output is the amount of blood that the heart can pump in one minute. This condition is the amount of blood that is successfully pumped by the heart in one minute. Usually, the medical team can analyze it through the number of stroke volume and heart rate.
Meanwhile, the heart rate will be seen every minute. Generally, everyone has 60 to 100 heartbeats per minute. However, this condition can also increase or decrease according to the activities being carried out. So the parameter to control cardiac output in healthy people is the heart's ability to pump.
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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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kathy came to the emergency room with nausea and dizziness. a stat blood test reveals elevated levels of bicarbonate in her blood. this suggests she is probably suffering from:
b) metabolic alkalosis. An excessive amount of bicarbonate in the blood results in metabolic alkalosis. There are some kidney illnesses that can also cause it.
Hypochloremic alkalosis is brought on by a severe deficiency in chloride, such as that which results from protracted vomiting. Diuretic usage and external gastric secretion loss are the most frequent causes of metabolic alkalosis. Bicarbonate levels in bodily fluids are excessive in metabolic alkalosis. Different circumstances can lead to it. It might be brought on by digestive problems that throw off the acid-base balance in the blood, such as frequent vomiting. Spironolactone, an aldosterone antagonist, or other potassium-saving diuretics are used to treat metabolic alkalosis.
The complete question is:
Kathy came to the emergency room with nausea & dizziness. A stat blood test reveals elevated level of bicarbonate in her blood. This suggests she is probably suffering from: a) acidosis b) metabolic alkalosis c) hypoventilation d) hyperventilation e) pregnancy
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a client with a recent history of peripheral edema has been taking hydrochlorothiazide 75 mg po daily. the client reports increased appetite and restlessness to the nurse and inspection reveals warm, flushed skin. what is the nurse's best action?
A thiazide-type diuretic with a history of therapeutic usage dating back more than 50 years is hydrochlorothiazide (HCTZ). It is a generally extremely safe medication that has been used extensively to treat hypertension throughout the world. This sodium chloride co-transporter mechanism is blocked by the action of hydrochlorothiazide on the distal convoluted tubes.
What is mainly done with hydrochlorothiazide?Descriptions. In order to manage high blood pressure, hydrochlorothiazide is used either by itself or in combination with other medications (hypertension). Heart and artery work are made more difficult by high blood pressure. The heart & arteries may malfunction if it lasts a long time.
What adverse reaction to hydrochlorothiazide is most typical?Hydrochlorothiazide frequently has a side effect called dizziness. When hydrochlorothiazide works as intended, which is to drain your body's fluids and drop blood pressure, it sometimes goes too far in those directions. Your blood pressure may become dangerously low as a result. Dehydration may result from it as well.
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how you plan to use your health profession degree to positively impact your field of study, and ultimately, the greater community.
The value of health research to society is enormous. It can include useful details on illness trends and risk factors, treatment outcomes or public health actions, functional skills, care patterns, and costs and utilisation of healthcare services.
The different research methodologies offer complementary perspectives. Clinical trials can be used to compare and improve the usage of medications, vaccines, medical devices, and diagnostics by limiting the factors that could affect the study's results and revealing information on the effectiveness and side effects of medical interventions.
An FDA-approved medicine, for instance, may be used by millions of individuals in a variety of contexts after receiving approval. FDA clearance is based on a series of controlled clinical trials, frequently involving a few hundred to a few thousand patients. As a result, monitoring the drug's clinical experience is essential for spotting relatively uncommon side effects and figuring out whether it works in various demographics or situations. In order to create best practises guidelines and guarantee excellent patient care, it is also crucial to record and assess clinical practise experience.
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which client diagnosis should the nurse consider using an intravenous (iv) pump for more careful fluid monitoring? select all that apply.
A client who has been diagnosed with heart failure needs to have his fluid levels closely monitored. In order to monitor fluid intake more carefully, the nurse considers utilizing an intravenous IV pump.
Fluid control is an important part of patient care, particularly in an inpatient situation. The fact that each patient requires careful consideration of their unique fluid needs makes fluid management both tough and exciting. It is unfortunately difficult to treat every patient with a single, ideal formula. To restore any fluid that is lost as correctly as feasible is a general rule that applies to all patient circumstances. These fluid losses can vary in amount and composition depending on the patients' underlying medical problems. For instance, a patient with serious burns who is admitted to the hospital will experience far more fluid losses than a patient who is reasonably healthy and is not allowed to eat or drink anything while they are waiting for a surgery.
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The complete question is:
which client diagnosis should the nurse consider using an intravenous (iv) pump for more careful fluid monitoring? select all that apply.
Client’s diagnosis for heart failureEnsure that the prescribed solution is clear and transparent.Fluid in the tissue space between and around cells.Discontinue the IV and relocate it to another site.The order reads to administer two teaspoons of guaifenesin to the patient. How many milliliters will you administer?
The amount you give, depends on the size of the teaspoon you are using. A teaspoon is a unit of measurement of volume, and it varies between countries, however, in the US, a teaspoon is typically equivalent to 4.93 milliliters.
What is administering drugs?Guaifenesin is a medication that is used to relieve chest congestion caused by the common cold, flu, or bronchitis. It is typically administered in the form of a liquid syrup and is measured using teaspoons or milliliters.
Therefore, if you are administering two teaspoons of guaifenesin to the patient, you will be administering 9.86 milliliters. However, it's important to check the teaspoon you are using to confirm the measurement before administering the medication.
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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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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 nurse is developing a plan of care for a postpartum woman, newborn, and partner to facilitate the attachment process. which intervention would be appropriate for the nurse to include in the plan?
The right intervention to be included by the nurse in the plan for the newborn attachment process is the position of the baby that is parallel to the mother and recognizing the early signs of hunger in the baby.
What is a breastfeeding attachment?Latching is the moment when the baby takes the nipple and areola (the dark area around the nipple) into his mouth and starts sucking the milk that comes out of his mother's breast.
Correct breastfeeding attachment plays an important role in the smooth process of breastfeeding. If the attachment to breastfeeding is not correct, it will be difficult for the baby to get optimal milk.
Knowledge of breastfeeding needs to be known for mothers who have just given birth because failure to breastfeed can be caused by an error in positioning the baby's head and mouth on the mother's nipple.
So that the initial plan for the attachment process is to position the baby correctly on the nipple and know the early signs of a hungry baby.
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the nurse determines that which clients are at high risk for metabolic acidosis? select all that apply.
The nurse determines that client at high risk for metabolic acidosis are: (2) Clients with diabetes; (4) Clients with kidney failure; (6) Clients with malnourishment.
Metabolic acidosis is the medical condition where accumulation of acids occurs in the body due to some kidney disease or kidney failure. It causes an elevation of acids in the fluids of the body. The symptoms of the disease are: loss of appetite, accelerated heartbeat, nausea, etc.
Malnourishment is the condition where the body of an individual does not consists if all the essential nutrients required for a healthy body. It can happen if a person does not have enough food to eat or if one has unhealthy food habits.
The given question is incomplete, the complete question is:
The nurse determines that which clients are at high risk for metabolic acidosis? Select all that apply.
1.Clients with asthma
2.Clients with diabetes
3.Clients with pneumonia
4.Clients with kidney failure
5.Clients with severe anxiety
6.Clients with malnourishment
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a client with ulcerative colitis has experienced frequent severe exacerbations over the past several years. the client is admitted to the hospital with intense pain, severe diarrhea, and cachexia. which therapeutic course would the nurse expect the primary health care provider to explore with this client?
Surgical therapy (colectomy) course would the nurse expect the primary health care provider to explore with this client.
How many types of Surgical therapy ?Surgery comes in a variety of forms. The types vary depending on the operation's goals, the body portion that needs surgery, the volume of tissue to be removed, and, in some situations, the patient's preferences.
Open or minimally invasive surgery are both options.
In an open procedure, the surgeon makes a single, substantial cut to remove the tumour, some surrounding good tissue, and possibly some lymph nodes.
Instead of one huge cut, the surgeon uses a number smaller ones in minimally invasive surgery. She places a tiny camera at the end of a long, thin tube into one of the tiny openings. The laparoscope is the name of this tube. The camera shows the surgeon images from inside the body that are projected onto a monitor.
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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.
a client taking a beta blocker for hypertension tells the nurse he will no longer take the medication because it is causing an inability for him to maintain an erection. what is the best explanation for this issue by the nurse?
The nurse's best explanation for the problem of beta blockers that clients complain about is "Beta blockers have a lower risk of causing erectile dysfunction because they have intrinsic properties that can prevent erectile dysfunction."
What is hypertension?Hypertension is a condition when blood pressure is at 130/80 mmHg or more. If not treated immediately, hypertension or high blood pressure can cause serious life-threatening illnesses, such as heart failure, kidney disease, and stroke.
Beta-blockers (BB) or beta-blockers are known as a class of drugs to reduce high blood pressure (hypertension) which work by blocking beta-adrenergic receptors in the heart, peripheral blood vessels, bronchi, pancreas, and liver. Beta-blockers have a lower risk of causing erectile dysfunction because they have intrinsic properties that can prevent erectile dysfunction.
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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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the nurse is caring for clients in the pulmonary unit and suspects that one has tuberculosis - (tb). which nursing intervention is highest priority in this situation?
The high priority nursing action when a patient with tuberculosis is suspected in the pulmonary unit is: moving the rest of the patients into the airborne isolation room.
Tuberculosis is the disease of the lungs which is infectious in nature. The droplets that are transferred from one person to another in the form of sneezes and coughs contain the infection. The disease is caused due to the bacteria called Mycobacterium tuberculosis.
Isolation room in the hospitals is the separate ward where patients with infectious diseases are admitted. The environment of the isolation rooms is such that it has high amount of air exchange in order to prevent the rapid spread of the disease.
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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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