William, who is 47 years old and has hypertension, is ill. As a result of his hypertension, William also runs the risk of developing kidney disease.
Hypertension is another name for high blood pressure. Serious health issues like heart disease, stroke, and occasionally even death can result from it. Blood pressure is the amount of pressure that a person's blood exerts against the walls of their blood vessels. This pressure is determined by the blood vascular resistance and the amount of effort the heart must accomplish.
Hypertension is a major factor in cardiovascular disease, including stroke, heart attack, heart failure, and aneurysm. Controlling blood pressure is essential for staying healthy and reducing the likelihood of contracting these serious diseases. A change in lifestyle is the most popular and efficient treatment for hypertension. According to current recommendations, everyone, even those with hypertension, should exercise for at least 150 minutes a week of moderate-intensity aerobic activity or 75 minutes a week of high-intensity activity. Most individuals will benefit from strength training at least twice a week in addition to 150 minutes of exercise. Every week, people should exercise at least five days.
Specific drugs can be used by individuals to treat hypertension. Doctors frequently advise starting with a low dose. Typically, antihypertensive medicines only cause modest adverse effects. In order to control their blood pressure, patients with hypertension may eventually need to take two or more medications from trusted source.
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the nurse is auscultating the heart sounds of a patient with mitral stenosis. the pulse rhythm is weak and irregular. what rhythm does the nurse expect to see on the electrocardiogram (ecg)?
The rhythm that can be expected to be heard from the patient with mitral stenosis will be: (3) atrial fibrillation.
Mitral stenosis is the heart condition where the valve present between the two left heart valves gets narrowed. This valve is called the mitral valve. The symptoms of this condition are: shortness of breath, fatigue, swollen feet and ankles, heart palpitations, etc.
Atrial fibrillation is the condition where the heart beats irregularly but rapidly. It is caused due to strain on the atrium. It can lead to blood clots in the blood vessels. The other serious health issues can be stroke, heart failure or other complications.
The given question is incomplete, the complete question is:
The nurse is auscultating the heart sounds of a patient with mitral stenosis. the pulse rhythm is weak and irregular. what rhythm does the nurse expect to see on the electrocardiogram (ECG)?
First-degree atrioventricular blockVentricular tachycardiaAtrial fibrillationSinus dysrhythmiaTo know more about Atrial fibrillation, here
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the more prolonged the depletion of nutrition, the weaker the immune system. what is the independent variable?
a newborn baby boy is about to have a circumcision. the nurse knows that indications for circumcision include:
Phimosis, paraphimosis, and persistent UTIs are just a few of the medical conditions that call for circumcision.
What circumstances call for circumcision?The most typical indication for circumcision is a desire for it on a cultural or religious level. Additional signs (rare) Treatment for the inability to fully retract the (phimosis) -related infection (balanitis)
Dorsal slit, shield and clamp, and excision are the three main categories into which circumcision techniques can be divided.
Prematurity, deformities of the (such as chordee or curvature), hypospadias, epispadias, concealed or buried and unclear genitalia are all contraindications to circumcision.
The most prevalent subgroups of therapeutic circumcision complications were adhesions, meatal stenosis, and infections.
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an adolescent is found to have type 1 diabetes. the nurse plans to teach the adolescent that dietary control and exercise can help regulate the disorder. which additional information would the nurse include in the teaching plan? select all that apply. one, some, or all responses may be correct.
The additional information that the nurse should include in the plan include the following: insulin therapy, blood glucose monitoring and adherence to treatment regimen.
What is Type 1 diabetes?The type 1 diabetes is the type of diabetes that occurs when there is absence of secretion of insulin by the beta cells of pancreas.
The type 1 diabetes is also called juvenile diabetes as it mainly occurs in childhood.
The clinical manifestations seen in an individual with type 1 diabetes include the following:
Extreme thirstIncreased hunger (especially after eating)Dry mouthUpset stomach and vomitingFrequent urinationUnexplained weight loss, even though you’re eating and feel hungryFatigueBlurry vision.In the nursing management of an individual with type 1 diabetes, it is the responsibility of the nurse to carry out the following:
Educate the patient on how to carry out insulin therapy,blood glucose monitoring, and adherence to treatment regimen.Learn more about diabetes here:
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which instruction will a nurse provide a patient who is prescribed atorvastatin as an antihyperlipidemic drug to maximize lipid-lowering effects?
Instruction nurse will provide the patient who is prescribed atorvastatin as an antihyperlipidemic drug to maximize lipid-lowering effects to take drugs in the evening.
Atorvastatin is a statin drug used to treat abnormal cholesterol levels and prevent cardiovascular disease in people at high risk. Statins are the first line of defense against cardiovascular disease. It is consumed orally.
To reduce blood levels of cholesterol and triglycerides (fats), atorvastatin is combined with a healthy diet. This medication might aid in preventing health issues brought on by fats clogging blood arteries, such as chest discomfort, heart attacks, and strokes.
Atropine won't work as well if you consume foods high in fat or cholesterol. Steer clear of booze. It may increase your risk of liver damage and boost lipid levels. Grapefruit and atorvastatin may interact and produce undesirable side effects.
Doctors may recommend taking it in the evening. This is because your body makes most cholesterol at night.
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a patient with a gram-negative infection is being treated with gentamicin. what system should the nurse expect to be tested daily while on this medication? a patient with a gram-negative infection is being treated with gentamicin. what system should the nurse expect to be tested daily while on this medication? ophthalmic system respiratory system musculosketal system renal system\
Gram-negative infection is being treated with gentamicin, so renal system should the nurse expect to be tested daily while on this medication.
Gentamicin is an antibiotic wont to treat many varieties of microorganism infections. this could embrace bone infections, carditis, girdle disease, meningitis, pneumonia, tract infections, and infection among others. It's not effective for venereal disease or chlamydia infections.
The renal system consists of the urinary organ, ureters, and therefore the duct. The function of the system filters just about two hundred liters of fluid daily from urinary organ blood flow that permits for toxins, metabolic waste product, and excess particle to be excreted whereas keeping essential substances within the blood.
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if agriculture is so bad for average human health, then why farm? (select all that apply) group of answer choices increased human fertility increased food prodcutivity supports labor specialization makes food safer to eat creates a more balanced diet
If agriculture is so bad for average human health, then farming because it creates a more balanced diet, supports labor specialization, and increased food productivity.
Numerous respiratory toxins, many at doses higher than in other industries, are potentially present in agriculture. Farmers have a higher frequency of various acute and chronic respiratory illnesses despite low cigarette smoking rates.
Farm owners and employees are subject to a variety of health dangers, such as acute and chronic pesticide exposure, a high risk of accidents, and restricted access to medical care. Antibiotic resistance is increased as a result of routine antibiotic usage in animal husbandry, which reduces the effectiveness of these medications for human use.
Along with epidemic diseases, famine, and malnutrition, farming also contributed to the creation of severe class distinctions.
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what is the source of the most sodium consumed in the american diet? a. table salt b. dairy products c. grains d. processed foods
Dairy products is the source of the most sodium consumed in the american diet.
The correct option is B.
What is a healthy diet to eat?Focuses on healthy grains, fruits, vegetables, and low- or lardy milk and dairy products. shellfish, lean meats, eggs, legumes (broad beans), soy products, almonds, and seeds are just a few examples of the many protein-rich foods. is low in cholesterol, salt, saturated fats, and added sugars.
How do diets function?Most fad diets function by drastically altering your eating habits until you lose interest in food. For instance, some diets have included a lot of only one food, like bananas or watermelon. Other diets, like the wine and poultry diet, focus solely on two foods.
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the nurse has assisted the primary health care provider with a liver biopsy, which was done at the bedside. upon completion of the procedure, the nurse should assist the client into which position?
The nurse should place the client in on his or her right side after the liver biopsy, and the client will need to remain in the lying down position for atleast a few hours.
What is liver biopsy?Liver biopsy is an invasive medical procedure used for assessing liver diseases and a sample of hepatic tissue obtained for examination. There are two types of liver biopsies incisional (open method) and needle biopsy (closed method).
A liver biopsy can be done to confirm the diagnosis of fatty liver disease, cirrhosis of the liver, and other conditions. Following a biopsy, a lab will be contacted to do an analysis on the tissue sample.
Therefore, The nurse should place the client in on his or her right side after the liver biopsy, and the client will need to remain in the lying down position for atleast a few hours.
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a nurse is leading a medication education group for clients with depression. a client states he has read that herbal treatments are just as effective as prescription medications. the best response is ...
The best response is "we need to look at the research very closely to see how reliable the studies are."
Which of the following complementary and alternative medicine practices is frequently employed in the management of depression?Acupuncture: Compared to standard therapy, acupuncture has been proven to be beneficial in reducing depression at three months in a recent clinical research. Acupuncture may be more effective at reducing both pain and depression for people who experience both, compared to counseling and regular medical therapy.
Cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy are three of the most popular approaches to treating depression.
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a client with supraventricular tachycardia has received a dose of verapamil to slow the heart rate. which explanation describes the effect of this drug on the heart?
Slows the sinoatrial (SA) node pacemaker and inhibits conduction in the atrioventricular (AV) is the explanation that describes the effect of this drug on the heart.
Verapamil has been demonstrated to be useful in the management of hypertension, the treatment and prevention of angina, chronic atrial fibrillation, paroxysmal supraventricular tachycardia, supraventricular tachycardia in children, tardive dyskinesia, and paroxysmal supraventricular tachycardia.
Verapamil is used to treat high blood pressure. Lowering high blood pressure lowers the risk of kidney problems, strokes, and heart attacks. Verapamil belongs to the group of medications known as calcium channel blockers. Both your capacity for increased exercise and the regularity of your angina attacks can increase. Verapamil can also be used to control your heart rate if you have a rapid or erratic pulse (such as atrial fibrillation).
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the nurse is caring for a client with acute glomerulonephritis. the nurse instructs the assistive personnel (ap) to implement which action when caring for the client?
To prevent infections that can lead to some forms of glomerulonephritis, such as HIV and hepatitis, follow avoid intravenous drug use.
Interventions for acute glomerulonephritis may include promoting rest, restricting salt and fluid intake, and restricting protein depending on the severity of the disease process. Drug therapy includes the administration of antihypertensives, diuretics, or antibiotics.
Acute kidney failure due to contamination-associated glomerulonephritis is treated with dialysis. Dialysis makes use of a device that works like an synthetic, external kidney that filters your blood. give up-stage kidney ailment is persistent kidney ailment that may best be controlled with the aid of everyday kidney dialysis or a kidney transplant.
To save you infections that may result in some types of glomerulonephritis, along with HIV and hepatitis, comply with avoid intravenous drug use. Control excessive blood strain, which lessens the probability of harm on your kidneys from high blood pressure.
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a patient had unprotected sex with an hiv-infected person and arrives in the clinic requesting hiv testing. results determine a negative hiv antibody test and an increased viral load. what stage does the nurse determine the patient is in?
The nurse determines that the particular patient has primary infection, which is Stage 1 in HIV.
What is primary infection in HIV?The term "primary infection," also referred to as "stage 1," refers to the time between HIV infection and the emergence of anti-HIV antibodies. Even though they are infected and very contagious, persons who are HIV positive initially test negative on the HIV antibody blood test due to their extremely high viral loads.
What is meant by HIV?Viruses that affect the immune system include HIV (Human Immunodeficiency Virus). Over time, HIV weakens a person's immune system, making it more difficult for it to fight off diseases. The immune system defends against infections and diseases in a person's body. HIV results in AIDS (Acquired Immune Deficiency Syndrome).
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cutting back to 2,300 mg of sodium a day to reduce blood pressure to within the healthy range is an example of
Cutting back to 2,300 mg of sodium a day to reduce blood pressure to within the healthy range is an example of DASH diet
What is DASH diet ?Dietary Approaches to Stop Hypertension is known as DASH. A healthy eating programme created to help treat or prevent high blood pressure is called the DASH diet (hypertension). Several foods high in potassium, calcium, and magnesium are part of the DASH diet.
Eating whole grains, fruit, and veggies. Dairy products with no or low fat, fish, poultry, beans, nuts, and vegetable oils are a few examples. restricting the consumption of foods high in saturated fat, such as fatty meats, whole-fat dairy products, and tropical oils including coconut, palm kernel, and palm oils.Learn more about DASH diet here:
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the nurse is administering phenytoin to a client. for what adverse reaction should the nurse observe?
Answer: nervous system reactions
Explanation:
The most common adverse reactions encountered with phenytoin therapy are nervous system reactions and are usually dose-related. Reactions include nystagmus, ataxia, slurred speech, decreased coordination, somnolence, and mental confusion.
parents of a 9 year old child with growth hormone deficiency ask the nurse how long he will need to take injections for his problem. the best response is:
The best response to the given condition is - growth
hormone
deficiency can occur at any age of the individual. Also, it does not affect the intelligence of the individual.
Growth hormone deficiency occurs when
pituitary
gland does not produce enough growth hormones. The growth hormone deficiency can be congenital (any injury occurred before birth) or acquired.
The pituitary gland is a pea-sized gland located at the base of the
brain
. It’s the master endocrine gland in the body. The pituitary gland normally releases several different hormones that controls growth, metabolism, blood pressure, and other body processes.
The symptoms of GH deficiency can be seen by various symptoms such as - slower growth in height, younger looking face, delayed
puberty
, and etc.
The GH deficiency can be
diagnosed
through blood tests, CT scans, and are treated with the help of expertise advisor or doctor.
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which information is most important for a nurse to provide a patient receiving prednisolone acetate for a corneal abrasion in order to prevent complications?
The most crucial piece of advice a nurse should provide a patient taking prednisolone acetate for a corneal abrasion is to avoid ill persons and frequently wash their hands while taking this medication in order to prevent complications. Avoid those who have measles or chicken pox.
This drug is used to treat specific eye disorders brought on by inflammation or damage. Prednisolone functions by reducing symptoms like itchiness, redness, and swelling. It is a member of the corticosteroid medication family.
Therefore, we may conclude that the most crucial piece of advice a nurse should give is to stay away from ill people and frequently wash your hands when taking this medication.
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the client has been prescribed a 4 gram bolus of magnesium sulfate to run over 20 minutes it arrives from the pharmacy diluted 250 ml of normal saline. what rate does the nurse set the iv bolus
The client has been prescribed a 4 gram bolus of magnesium sulfate to run over 20 minutes it arrives from the pharmacy diluted 250 ml of normal saline and the IV bolus rate at 250ml/hr.
Magnesium sulfate is employed for short relief of constipation. It's additionally used as a soaking answer to alleviate minor sprains, bruises, muscle aches or discomfort, joint stiffness or soreness, and tired feet. This medication could be a laxative and soaking answer. This medication is accessible while not a prescription.
Saline (also referred to as saline solution) could be a mixture of common salt (salt) and water. It's variety of uses in medication as well as improvement wounds, removal and storage of contact lenses, and facilitate with dry eyes.
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a client visits the clinic and tells the nurse that no matter how difficult the client's child acts, the client simply cannot express any anger. the nurse should plan to assess the client for symptoms of which mental health condition?
The nurse should plan to assess the client for symptoms of that mental health condition is Depression.
If a resident's behavior escalates avoid physical contact. Touching can cause violence in some residents. Approach: Always approach residents from the front not from behind. Respond calmly and support with a positive and friendly expression.
Verbalizing anger is a safe and appropriate way to manage anger. Isolation and catharsis can increase anger and hostility. No other option is an appropriate response in this situation. Request the presence of additional staff. When evaluating aggressive clients caregivers should give the client enough space to sit in an open area, and request the presence of another staff member.
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a client with a history of hypertension has been prescribed a new antihypertensive medication and is reporting dizziness. which is the best way for the nurse to assess blood pressure?
The best way for the nurse to assess the hypertension of the client is to assess the blood pressure in the supine, sitting, then standing positions.
Ask the client to ambulate first, then assess the blood pressure.
Take the blood pressure on both arms, and compare the values.
Assess the blood pressure at the beginning and the end of the examination.
By measuring the client's blood pressure in the supine, sitting, and standing positions, the nurse can assess for postural hypotension. Asking the client to ambulate first and taking the blood pressure on both arms will not provide the most accurate information. Assessing at the beginning and end of the exam is incorrect because this measures a deficit and is not a tool for investigating hypotension.
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the power relationship between a physician and patient is immediately evident when the patient enters the doctor's office because
Patients have to wait until a "gatekeeper" lets them in before they can see the doctor in the "back zone" of the office.
What do the physicians do?Doctors and surgeons work with both preserving health and identifying and treating diseases and wounds. Doctors perform physical examinations, ask about medical history, and order, conduct out, and review diagnostic testing. They frequently provide patients with guidance on nutrition, hygiene, and preventative healthcare.
Why is a physicians called a doctor?Because the term "physic" traditionally covered the both practice of medicine and natural science, medical professionals are referred to as physicians. Physics as it related to healing was thrown out in favor of medicine as scientific sciences advanced.
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the nurse is caring for a client scheduled for a transesophageal echocardiogram with a diagnosis of atrial fibrillation. the client's spouse asks the nurse to explain the purpose of the test. what is the nurse's best response?
The nurse is caring for a client scheduled for a transesophageal echocardiogram with a diagnosis of atrial fibrillation and ventricular traumatic inflammation.
External electrical defibrillation stays the maximum successful remedy for ventricular traumatic inflammation (VF). A surprise is brought to the heart to uniformly and concurrently depolarize an important mass of the excitable myocardium.
Ventricular traumatic inflammation is a form of unusual heart rhythm (arrhythmia). for the duration of ventricular fibrillation, disorganized heart indicators reason the lower coronary heart chambers (ventricles) to twitch (quiver) uselessly. As a result, the coronary heart does not pump blood to the relaxation of the frame.
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for individuals who have increased genetic susceptibility for type 1 diabetes, what is the most common environmental trigger for disease expression?
The most frequent environmental factor that causes disease to manifest is viral infection.
Viral infection, what is that?Viruses are the cause of well-known infectious diseases like the common cold, the flu, and warts. They also spread deadly diseases like COVID-19, Ebola, and the HIV/AIDS virus. The same can be said for viruses. They enter healthy, living cells, use those cells to reproduce, and create additional viruses that are similar to themselves.
A viral infection typically only lasts one to two weeks. However, this may seem like a very long time if you're miserable. The following advice will help you reduce your symptoms and heal more quickly: Rest.
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a patient diagnosed with bipolar disorder has rapidly changing mood cycles. the health care provider prescribes an anticonvulsant medication. to prepare teaching materials, which drug should the nurse anticipate will be prescribed?
Patients who have rapid cycling and those who are extremely paranoid and enraged appear to benefit from carbamazepine the most.
What is referred to as medicine?a dose form with one or much more active chemicals as well as potential inactive ones. The dosage forms of medications include tablets, capsules, liquids, lotions, and patches, among others. Additionally, they can be administered in a variety of methods, including orally, intravenously, or as drops in the ears or eye.
Medicine – a drug or not?In medicine, a pharmaceutical is a chemical compound, usually one with a well-known structure, that, when given to a living thing, has a biological impact. A pharmaceutical drug is a chemical compound that is used to treat, prevent, or diagnose an illness. It is also known as a medication or medicine.
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a patient receiving a cephalosporin develops a secondary intestinal infection (superinfection) caused by clostridium difficile. what is an appropriate treatment for this patient?
For this patient, stopping the cephalosporin and starting metronidazole is a suitable course of action.
What conditions does metronidazole treat?Antibiotic metronidazole is used. It is used to treat gum infections, dental abscesses, rosacea, and skin infections of the skin. Additionally, it is used to treat diseases including pelvic inflammatory disease and bacterial vaginosis.
How soon does metronidazole start to work?This medication should start working within one to two hours, but while results might not be immediately apparent, over the course of a few days, progressive improvements are typically felt. It is important to take precautions to prevent unintentional exposure to this drug because it may have negative effects on pregnant people.
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an adolescent client has recently ended a physically and emotionally abusive intimate relationship. what nursing assessment question(s) will help identify a commonly associated comorbid mental health problem? select all that apply.
The nurse need to ask questions like
A. How lots alcohol do you drink in an average week?
B. Do you ever have thoughts of wounding or killing your self?
C. Are your teachers glad with your grades at college?
D. Might you alter your conduct in order to lose weight?
E. Has every person told you they had a problem along with your temper?
Victims of emotional abuse are likely to enjoy melancholy and anxiety. It isn't always uncommon for an abused accomplice to broaden phobias, or alcohol and substance use problems. An emotionally abused character may additionally self-harm or interact in reckless sexual practices following emotional damage
Emotional and mental abuse could have severe short- and long-time period consequences. This sort of abuse can affect both your bodily and your mental fitness. you may enjoy emotions of misunderstanding, anxiety, shame, guilt, common crying, over-compliance, powerlessness, and more.
Lengthy-time period consequences of emotional abuse may also include but are not confined to PTSD, despair, anxiety, chronic pain, emotions of guilt and shame, and problem trusting others or entering new relationships.
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the nurse is obtaining a health history from parents whose 4 year old boy has congenital hypothyroidism. what would the nurse most likely assess?
The nurse is obtaining a health history from parents whose 4 year old boy has congenital hypothyroidism and the nurse would most likely assess that how difficult it is to keep the child awake.
The parents could state, throughout the health history, that it's troublesome to stay the kid awake. Physical examination would reveal that the kid is below weight and height, that his skin is pale and dappled, which he's dazed and irritable.
Congenital hypothyroidism (CHT) is to be a condition ensuing from an absent or under-developed ductless gland (dysgenesis) or one that has developed however cannot build endocrine attributable to a 'production line' downside (dyshormonogenesis). Babies with CHT cannot turn out enough endocrine for the body's wants.
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a client diagnosed with diabetic ketoacidosis has been admitted to the intensive care unit. the client is prescribed an intravenous insulin drip, so the nurse knows that what type of insulin will be administered?
The nurse is familiar with Regular since the client is recommended an intravenous infusion drip.
What is the purpose of insulin?In need for blood sugar to also be utilized as energy by the liver and muscles, glucagon assists inside its digestion. The liver receives a signal from insulin to conserve sugar levels for later use. When sugar levels enters cells, blood sugar levels fall, which tells insulin to do the same.
What is the distinction between diabetes and insulin?Blood sugar levels rise over normal when you have diabetes, a health issue with your body. Additionally known as hyperglycemia. Your body converts food you eat into sugar and releases it into your blood when you eat. Insulin then aids in transferring the blood's sugar to your cells.
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the nurse is caring for a client who has a diagnosis of human immunodeficiency virus (hiv). part of this client's teaching plan is educating the client about his or her medications. what is essential for the nurse to include in the teaching of this client regarding medications?
It is essential for the nurse to include the side effects of drug therapy in the teaching of this client regarding medications.
What is Client's teaching plan?Client education or client's teaching plan means the provision of the information to the client and to significant others, either individually or in a group, concerning alcohol and other drug abuse and related side-effects of the drug, available services and resources.
There are mainly two types of HIV treatment which are pills and shots.
1. Pills are recommended for those people who are just starting their HIV treatment.
2. People who have had an undetectable viral load or those have been virally suppressed for at least a period of three months may consider shots perfect for their treatment.
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the nurse is teaching a course on calcium channel blockers. which description of the mechanism of action will the nurse provide?
Calcium channel blockers enable coronary artery dilatation while preventing smooth muscle contraction.
What is coronary artery?The arteries supply blood to the heart muscle. The heart gets blood with oxygen to operate, just as every other organ. Additionally, anemic blood must be eliminated. The arteries encircle the heart on the outside. Epidermis little branches carry oxygen to the heart.
Why is a blocked coronary artery?Plaque accumulation in the walls of the arteries supplying blood to the heart is what causes coronary artery disease (called coronary arteries). Deposits of cholesterol make form plaque. Over time, plaque formation causes the interior of the vessels to narrow. Atherosclerosis is the name of this process.
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