A higher incidence of coronary artery disease is linked to higher LDL levels and lower HDL values.
lipoprotein also known as lipoprotein(a), is a protein that carries cholesterol throughout the body. High blood levels of Lp can make it more likely for arteries to develop plaque or blood clots.
lipoprotein can raise the risk of cardiovascular disease as a result of this impact. Controlling cholesterol levels can help lower this risk.
If a doctor has a suspicion that a patient's lipoprotein levels could be high, they can perform a blood test to find out.This page examines how Lp(a) levels are determined, what various test results might indicate, and what a person can do to lower their risk of cardiovascular disease.
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a client comes to the emergency department (ed) reporting precordial chest pain. in describing the pain, the client describes it as pressure with a sudden onset. what disease process would the nurse suspect in this client?
The nurse suspects that the patient is having coronary artery disease.
Coronary artery disease causes decreased blood flow in the arteries delivering blood to the heart (CAD). The most common kind of heart disease, known as coronary heart disease (CHD), affects around 16.5 million Americans over the age of 20.
Additionally, it is the leading cause of mortality for both men and women in the US. A heart attack happens in the United States once every 36 seconds, according to a trustworthy source.
You may have greater symptoms if your blood flow is more restricted. If a blockage totally or virtually completely stops blood flow, your heart muscle will start to degrade if it is not repaired.
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an adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. which assessment findings should the nurse expect to note?
The assessment findings should the nurse expect to note is fruity breath odor and decreasing level of consciousness.
What are assessment findings?Assessment findings are the results produced by the application of an assessment procedure to a security control or control enhancement to achieve an assessment objective.
If an adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis, the nurse should expect to note fruity breath odor and decreasing level of consciousness.
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a patient experienced an episode of influenza 6-months ago. a recent exposure to a mutated form of the same virus would result in:
A recent exposure to a mutated form of the same virus would result in A primary immune response.
How serious is the influenza?Flu is a common respiratory illness brought on by flu strains that can sometimes spread to the lungs as well as the nose and throat. It can lead to mild to severe disease, and occasionally even death. Oseltamivir or inhalation zanamivir are usually administered for five days to treat flu, while one dosage of peramivir intravenously or one dose of baloxavir orally is typically prescribed.
When should someone who has influenza visit the hospital?Adults should consult a doctor if they have a persistent fever of further than 102 degree and any of the flu-like symptoms listed below: trouble breathing severe stomach or chest ache. Headaches and dizziness
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a client comes to the emergency due to symptoms of a potential heart attack. further assessment determines that the client is not having a heart attack but is having a panic attack. when beginning to interview the client, which question would be most appropriate for the nurse to ask?
"How do you feel about everything going on in your life right now?" is a suitable question to ask. An anxiety disorder called panic disorder causes the symptoms like frequent, unexpected episodes of panic or fear.
When there is no real danger present or obvious reason, a panic attack is a rapid bout of acute dread that results in significant physical symptoms. It's frightening to experience a panic attack. When you have a panic attack, you might believe that you are losing control, experiencing a heart attack, or perhaps going to pass away. Numerous people just experience one or two panic attacks in their lives, and the issue usually disappears when a stressful circumstance is over. However, if you've experienced frequent, unplanned panic attacks and have spent a significant amount of time living in constant terror of an attack, you may be suffering from a disease known as panic disorder.
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an older adult reports chronic abdominal pain and dark, tarry stools. the client has a history of chronic arthritis being treated with naproxen daily. what is the most likely cause of the presenting symptomology?
Stomach ulcers is the most likely cause of the presenting symptomology. Stomach ulcers (gastric ulcers) are open ulcers that form on the stomach lining.
Ulcers can also develop in the gut right above the stomach. These are known as duodenal ulcers. Peptic ulcers refer to stomach and duodenal ulcers. This information is applicable to both.
Antibiotics are used to eradicate H. pylori.Medications that inhibit acid formation while while promoting healing.Medications that lower acid production.Antacids that reduce stomach acid.Medications that safeguard the stomach and small intestine lining.Stomach ulcers are typically caused by Helicobacter pylori (H. pylori) bacterium infection or by using nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin. Gastric ulcers are most typically seen on the minor curvature of the stomach between both the antrum and fundus. The predominance of duodenal ulcers are found in the duodenum's first section.
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a patient with deep vein thrombosis is receiving an intravenous (iv) heparin infusion. he asks the nurse how this medication will help him. the nurse's response is accurately based on which concept?
Heparin is merely a type of anticoagulant that works by aiding antithrombin with inactivating factor Xa as well as thrombin, which reduces the production of fibrin and lowers the danger of blood clots developing.
What is thrombosis?
The end result of hemostasis's blood coagulation phase is a thrombus, sometimes known as a blood clot. A thrombus is made up of two parts: a plug of aggregate platelets & red blood cells and a web of cross-linked fibrinogen protein. The substance that make up a thrombus is referred to as cruor. Blood clots that block veins and arteries cause thrombosis. Chest discomfort, numbness solely on a single side of the body, and swelling and pain in one leg are symptoms. Heart attack and stroke are two types of life-threatening thrombosis complications.
What causes a thrombosis?
When blood circulation in your vein slows down or it becomes obstructed, blood clots may form. DVT becomes more likely if you have one or more of these risk factors: Being sedentary due to bed rest or sitting too long without moving, such as during travel. Family history of blood clots. The discomfort brought on by a DVT is typically experienced mostly in calf muscles and along the vein because it descends your inner leg. This could feel rather like a cramp and painful area.
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the nurse notes that a client is receiving an oxytocin (pitocin) infusion via a pump that is programmed to deliver 30 ml/hour. the available solution is ringer's lactated 1,000 ml with pitocin 20 units. how many milliunits/minute is the client receiving? (enter numeric value only, whole number.)
The client is receiving 10milliunits/minute of an oxytocin (pitocin) infusion via a pump that is programmed to deliver 30ml/hour.
Units to milliunits conversion:
20 x 1000 = 20,000 units.
By reducing X/2 = 1/2 and 2X = 20,
we arrive at X = 10 milliunits/minute
OR
20/1,000 = 0.02 1000: 0.02
30: X = 0.6
1,000X X = 600
and 600/60 = 10 milliunits/minute
using the formula D/H x Q = 30 ml/hour
X/20,000 units x 1,000 ml
= 30 ml/hour (60 minutes) X/20 =30/60.
The general structure of the formula depends on the units chosen and is as follows:
IV drip rate (mL/hour) = (60 minutes per hour * desired dose (mcg/kg/min) * weight (kg) * bag volume (mL) / (1000 mcg/mg) * desired dose (Drug in Bag in mg)
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serum potassium level of 3 meq/l (3 mmol/l) and reports anorexia. the health care provider prescribes a serum digoxin level to be done. the nurse checks the results and should recognize which level that is outside of the therapeutic range?
The serum digoxin level that is outside the therapeutic range is 2.2 ng/mL (2.8 nmol/L).
How many the serum digoxin level?Digoxin is a drug used to treat heart rhythm disturbances (arrhythmias), such as atrial fibrillation. In addition, this drug can also be used to treat heart failure. Digoxin is available in tablet and injection form.
Digoxin is a cardiac glycoside drug that works by affecting several types of minerals, namely sodium and potassium in heart cells. This way of working will reduce the workload of the heart, help restore a normal and stable rhythm, and strengthen the heart rate.
Dosage based on Serum Level:
Digoxin: Dosage (on # of vials) = (serum digoxin level in ng/mL) x (kg weight)/(100).Digitoxin: Dosage (on # of vials) = (Serum digitoxin level in ng/mL) x (kg weight)/ (1000).Learn more about digoxin https://brainly.com/question/14727684
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an 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. which of the following should be included in the list of differential diagnoses? group of answer choices all of the above parkinson's disease benign prostatic hyperplasia (bph) prostate cancer
Option A is the correct answer. The patient who is facing issues of dribbling urine and difficulty in starting his stream should have a checkup. Parkinson's Disease, Benign Prostatic Hyperplasia, and Prostate Cancer should be included in the list of differential diagnoses.
The 82-year-old man who is visiting the primary care office and mentions the complaints of dribbling urine and difficulty starting his stream should have a checkup according to the tests prescribed by the healthcare workers. The Diagnoses should include Parkinson's Disease, Benign Prostatic Hyperplasia, and Prostate Cancer.
People with Parkinson's disease, Benign Prostatic Hyperplasia, and Prostate Cancer, may face difficulties and experience bladder problems. These diseases should be included in the diagnoses to make a complete assessment of the client's health.
Hence, All of the above tests should be included in the diagnoses.
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Which of the following is defined as all chemical reactions and physical processes of the body?
A. balance
B. homeostasis
C. metabolism
D. anabolism
Answer: c
Explanation: Metabolism refers to the whole sum of reactions that occur throughout the body within each cell and that provide the body with energy. This energy gets used for vital processes and the synthesis of new organic material
Prepare a companywide email informing employees that they will be required to have a new picture taken for their identification card.
A companywide email for informing employees that they will be required to have a new picture taken for their identification card can be written as below.
Why do you inform team about new process update?Clear communication is very essential for a smooth transition to new processes. As you introduce new processes, it is very important to explain why the change was necessary, what goals you hope to achieve with the changes and how these new processes will benefit the employees
Hello team,
As you all know we have made some changes in the identification card and they have to be renewed.
You all are advised to take a new picture for the identification card and submit it by tomorrow.
Team Manager
ABC
(company Name)
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a client in an acute manic phase is pacing the halls and talking in a loud voice with pressured speech. the client is overly involved with coclients and frequently threatens and disrupts others on the unit. after administering lithium treatment for the client, the nurse can expect the plan of care to include which additional intervention?
A client in an acute manic phase is pacing the halls and talking in a loud voice with pressured speech. the client is overly involved with clients and frequently threatens and disrupts others in the unit intervention.
Acute mania is the manic phase of bipolar I disease. it's far defined as a very volatile euphoric or irritable temper in conjunction with excess hobby or power level manic segment of bipolar I sickness (see bipolar ailment), characterized by a really risky euphoric or irritable temper with hyperactivity, excessively fast ideas, and speech, uninhibited and reckless behavior, grandiosity, and flight of thoughts.
Excessively fast notions and speech in the manic segment of Acute mania disorder, it's not unusual to revel in feelings of heightened energy, creativity, and euphoria. in case you're experiencing a manic episode, you can talk a mile a minute, sleep little or no, and be hyperactive. you may also experience like you're all-powerful, invincible, or destined for greatness.
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when caring for a client on extended bedrest, which intervention should the nurse implement to decrease the risk of contractures?
To avoid risk of contractures, the nurse should reposition the client every 2 hours.
What happens with contractures?A contracture occurs when there is a fixed tightening in the muscles, tendons, ligaments and or skin. It hinders specific body parts from normal movement. This can also be described as the body tissues loosing elasticity and becoming fiber-like.
When the body is immobile for a while it can cause contracture. Patients under admittance in hospitals can experience this condition and the nurses in charge will have to reposition them every two hours to avoid tightening of the muscles and also encourage bed stretches to loosen the joints.
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the client is ordered jevity 1.2 cal. you are supplied with a can of jevity that contains 237ml of formula. the doctor orders the tube feeding to be administered at 1/2 strength at a rate of 60ml/hr. a nurse uses the entire can and prepares the formula as ordered. what is the amount of time the formula to be infusing? round the time to the nearest whole number. enter you response as a numeric value.
A can of jevity 1.2 that contains 237ml of formula and the doctor orders the tube feeding to be administered at 1/2 strength at a rate of 60ml/hr and the amount of time the formula to be infusing is is 8-9 hours.
Jevity 1.2 is used for supplemental or sole-source nutrition for oral feeding of patients with altered sensation. Jevity® 1.2 Cal has targeted calories and is high in supermolecule to assist tube-fed patients gain and maintain a healthy weight.
Tube feeding is a medical aid wherever a feeding tube provides nutrients to those who cannot get enough nutrition through feeding. a versatile tube is inserted through the nose or belly space to supply nutrients by delivering liquid nutrition directly into the abdomen or bowel.
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a nurse is teaching a new mother about her neonate and the changes that are occurring as the neonate adapts to life outside the client's uterus. the nurse would incorporate understanding of which change when describing the neonate's current status? select all that apply.
The exchange of oxygen and carbon dioxide is now carried out by the lungs, and the liver starts to work as the ductus venosus shuts.
What is uterus and its function?If you were assigned female at birth, your uterus is indeed a pear-shaped reproductive organ (AFAB). During childbirth, an egg cell implants there, and your baby grows there until it is born. Your menstrual cycle is also controlled by it. A woman's uterus, commonly referred to as her womb, has an average size of 3 to 4 feet by 2.5 inches. It resembles an upside-down pears in both size and shape. The uterus can enlarge due to a number of medical disorders, such as childbirth or uterine fibroids.
How does the uterus appear?The uterus, sometimes referred to as the "womb," is pear-shaped and has a strong muscular wall. The fundus, which is situated at the apex of the uterus, the main body.
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a nurse is caring for a client who is recovering in the hospital following orthopedic surgery. the nurse is performing frequent assessments for signs and symptoms of infection in the knowledge that the client faces a high risk of what infectious complication?
The most suitable nursing assessment is Risk of Central Neurovascular Dysfunction, because the hematoma may prevent tissue perfusion.
The most typical kind of dislocation is a head that is positioned posteriorly. nursing members will keep an eye on your breathing, temperature, pulse, and blood pressure while you are in the recovery room. To test the health of your lungs, they can request that you take several deep breaths. They could look for symptoms of bleeding or tissue perfusion at the location of your surgery. They'll keep an eye out for indications of an allergic response. As a tissue perfusion, you should avoid bending forward again than 90° and lifting your knees on the side of the operation higher than the hip. Avoid crossing your legs, turning your foot outward, and twisting or pivoting your hip that has had surgery. nursing members To prevent a hip dislocation, you must maintain safety measures. Not bending the hips past 90 degrees is one of these measures, as is sleeping.
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the nurse has had a client place the backs of both her hands against each other while flexing her wrists 90 degrees with fingers pointed downward and wrists dangling. the presence of pain or tingling during this test suggests what health problem to the nurse?
Carpal tunnel syndrome is caused by stress on the median nerve. The carpal tunnel is a narrow tube on the palms side of the hand that is surrounded by bone structures.
Whenever the median nerve is crushed, it can cause weakness, burning, and paralysis in the hand and arm. The most prevalent warning indicators of Carpal tunnel syndrome are finger discomfort, tingling, and numbness (all but the pinky). Other signs and symptoms may include: A sensation that your fingers are stuffed or bloated.
Carpal tunnel syndrome might be caused to repetitive actions, such as typing, or other wrist movements that you undertake repeatedly. This is especially true for actions made with your hands lower than your wrists. Conditions such as hypothyroidism, obesity, rheumatoid arthritis, and diabetes are examples. Texting, drawing, and crocheting are all activities that can aggravate carpal tunnel syndrome. These tasks necessitate the regular usage of your wrists and hands. If you do not take adequate breaks from these activities, inflammation in your wrist can worsen, putting more pressure on the median nerve.
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the nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. the client, who exercises regularly reports having pain in the calf during exercise that disappears at rest. which findings requires further evaluation?
According to the given statement SpO₂ of 94% on room air finding requires further evaluation.
What is an example of clinical?Clinical describes a medical procedure like patient examination and treatment. Usage examples include "clinical study" and "clinical medicine." A clinical trial is a well-organized research protocol involving patient groups. A formal research methodology involving patients is a clinical trial.
What clinical work means?While non-clinical professions frequently concentrate on hospital management or the research of therapies and medications, candidates typically have interaction with the direct diagnosis, treatment, and monitoring of a patient. The phrase refers to the fact that you directly care for patients, in which case the job is referred to as clinical. Clinical support may come from non-clinical work.
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a gerontologic nurse is assessing a client who has numerous comorbid health problems. what assessment findings would prompt the nurse to suspect a uti?
Gerontologic nurse is assessing client who has numerous comorbid health problems then the assessment that would prompt the nurse to suspect UTI is uncharacteristic fatigue and new onset of confusion.
What is the assessment for UTI who has comorbid health problem?The most common symptom of UTI in older adults is generalized fatigue. and the most common objective finding is change in cognitive functioning. Food cravings, increased thirst and upper abdominal pain makes it necessary for further assessment and intervention but none is directly suggestive of an UTI.
Older adults are more vulnerable to UTIs, because with age, muscles in bladder and pelvic floor that can cause urine retention become weaker.
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the nurse is performing a cardiopulmonary assessment on a 6-year-old client. which finding would cause the nurse to anticipate treatment for pertussis?
Understanding the clinical presentation of pertussis according the cardiopulmonary assessment is necessary for managing the disease in an environment with high vaccine uptake.
What exactly is a cardiopulmonary evaluation?Cardiopulmonary exercise test (CPET) evaluates integrative exercise reactions that occur the pulmonary, cardiovascular, hematological, cognitive, and skeletal muscle systems, that are not sufficiently reflected thru the measurement of individual multiple organ function.
How are tests for cardiopulmonary exercise conducted?The patient will need to exercise moderately on an erect bicycle while using a mouthpiece to breathe during the CPET test. Each breathe will be counted in order to gauge the body's functioning. Before and after exercise, the lungs' strength and capacity are assessed.
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nitroprusside sodium (nipride) 50 mg is mixed in d5w 250 ml. the nurse plans to administer the solution at a rate of 5 mcg/kg/minute to a client weighing 182 pounds. using a drip factor of 60 gtt/ml, how many drops per minute should the nurse regulate the infusion?
124 gtt/min drops per minute should the nurse regulate the infusion . Because Sodium nitroprusside (nipride) 50 mg is mixed in d5w 250 ml.
182/2.2 Equals 82.73 kg when converting from lbs to kg. For this client, determine the dosage: 413.65 mcg/min = 5 mcg x 82.73. Calculate how much mcg Sodium nitroprusside are present in 1 ml: 200 mcg per ml is 250/50,000 mcg.
The customer is to receive 2.07ml per minute (413.65 mcg/min x 200 mcg/ml), or 413.65 mcg/min x 200 mcg/ml. When the drip factor is 60 gtt/ml, the equation is 60 2.07 = 124.28 gtt/min OR, when utilising dimensional analysis, the equation is 60 gtt/ml X 250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 pounds X 182 lbs.
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Medicare and other payers may consider a procedure to be non covered service when performed in an ASC for several reasons. List two
Medicare and other payers may consider a procedure to be non covered service when performed in an ASC for several reasons such as:
Excessive therapy or diagnostic procedure Services that are reimbursable by other organizationsWhat are Ambulatory Surgical Centers for?Ambulatory Surgical Centers (ASC) are modern health care facilities whose purpose is for providing surgical care on the same day as an incident which covers diagnostic and preventive procedures. Hospital owned outpatient facilities are an example of ASC.
For a procedure to be a non covered service, it would mean that the therapy or diagnostic procedure is excessive or that other organizations will reimburse the services.
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the nurse is performing an admission assessment on a newborn infant with the diagnosis of subdural hematoma after a difficult vaginal delivery. which assessment technique assists to support the newborn's diagnosis?
Answer:Diagnosis of Subdural Hemorrhages/Hematomas A CT (computed tomography) of the head is the best way to diagnose a subdural hemorrhage. Some babies have no symptoms, which is why it is crucial for the medical team to closely monitor all babies who had a traumatic birth and who are suspected of having this type of brain bleed.
Explanation:
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a nurse is analyzing a journal article that explains the changes at birth from fetal to newborn circulation. the nurse can point out the closure of the ductus arteriosus is related to which event after completing the article?
Lungs start to work when pulmonary vascular resistance (PVR) decreases in newborns body
While the newborns body undergoes change, early adjustments in the circulatory and respiratory systems are necessary to support life outside the womb. (PVR) drops with the first breath, and the heart rate rises initially but falls to 120 to 130 bpm after a few minutes. Within 48 hours, the ductal murmur will disappear in 80+% of newborns. Rhonchi brought on by amniotic fluid retention is an unusual and unanticipated occurrence (PVR). Through shivering and other methods, newborns have trouble keeping their body heat. (PVR)can hardly perspire and have a big body surface area in relation to their newborns body weight.
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a client with major depressive disorder is prescribed new drug therapy. to best test the client's adherence to this therapy, which information would the nurse include in the teaching plan for the client? select all that apply.
Answer:
The length of time treatment is anticipated
The possibility that two or more drugs will be prescribed
A detailed description of possible side effects
The importance of staying in touch with a mental health care provider.
the nurse identifies a nursing diagnosis of self-care deficit, bathing related to motor impairment and decreased cognitive function for a client with cerebral metastasis. which outcome would the nurse most likely identify on this client's plan of care?
The client is lacking in bathing-related self-care. An suitable result would therefore address the patient's participation in everyday hygiene practices.
Why is good hygiene so crucial?Through proper personal hygiene and routine body and hair washing with soap and water, many diseases and disorders can be avoided or managed. The spread of diseases connected to cleanliness can be stopped by using good body washing techniques. To be healthy, find out how often you should wash your hands.
Why does hygiene exist?Neglecting one's personal requirements due to incapacity or unwillingness might manifest as poor hygiene. Certain emotional or mental illnesses, such as severe depression and psychotic disorders, are frequently accompanied by poor hygiene. Another major factor in poor hygiene is dementia.
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Describe the electromagnetic spectrum (how it is composed and arranged).
The complete range of the electromagnetic spectrum is classified by frequency or wavelength. Even though all electromagnetic waves have a wide range of frequencies, wavelengths, and photon energies, they all move at the speed of light in a vacuum.
The range of all electromagnetic radiation is represented by the electromagnetic spectrum, which also includes numerous subranges, often known as parts, such as visible light and ultraviolet radiation.
The various parts have different names depending on variations in the emission, transmission, and absorption of the associated waves as well as on the many practical uses for which they are put to use. The ranges frequently overlap since none of these contiguous segments have clearly defined recognized bounds.
All radio waves (such as commercial radio and television, microwaves, and radar), infrared radiation, visible light, ultraviolet radiation, X-rays, and gamma rays are all included in the entire electromagnetic spectrum, which ranges in frequency from the lowest to the highest (longest to shortest wavelength). Spectroscopy can be applied to almost all electromagnetic radiation wavelengths and frequencies.
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the client who had a total hip replacement was discharged home and developed acute groin pain in the affected leg, shortening of the leg, and limited movement of the fractured leg. the nurse interprets these findings as indicating which complication?
The nurse interprets these findings as indicating which complication is caused by hip dislocation.
What is the most effective therapy for a hip dislocation?
Your health professional will physically move your dislocated hip back into place to correct it. This is known as a reduction. If there are no supplementary injuries, the correction can be performed externally.
Hip dislocation is a painful condition wherein the ball joint of your hip pops out of its socket. It is usually caused by significant severe trauma. (Artificial hip replacement parts are a little easier to dislocate.) A dislocated hip is a medical emergency. It causes severe pain and disables your leg until it has been corrected.
Therefore, hip dislocation causes acute groin pain in the affected leg, shortening of the leg, and limited movement of the fractured leg.
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a murmur that is heard after the 1st heart sound and before the 2nd heart sound and is most easily auscultated in the 1st inctercostal spae immediately to the right of the sternum would most likely be caused by
It results from turbulence brought on by the atrioventricular valves closing or the tricuspid and mitral valves closing at the beginning of systole.
What is sternum?The sternum, a vertical bone that resembles a T, forms the middle portion of the front section of a chest wall. Anatomically, the sternum was divided into three sections: the manubrium, body, & xiphoid process. The sternum is joined to the ribs by the costal cartilages which make it up the anterior rib cage. This area can become painful due to an infection, inflammation, injury, or cartilage deterioration that impacts the sternum itself. In addition, problems with nearby organs like the heart, lungs, and esophagus may cause this pain.
What is the purpose of the sternum and which organ is under sternum?Your sternum, which further functions in conjunction with your ribs, protects your heart, lungs, and chest blood vessels. Support.
A little organ called the thymus can be found in the front of the chest, directly behind the sternum or breast bone.
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which advantages would the nurse associate with starting enteral feedings instead of parenteral feedings through a nasogastric tube for a patient on the intensive care unit (icu)? select all that apply. the enteral feeding have fewer complications
The advantages that the nurse associate with starting enteral feedings are safety, effectiveness, decreased risk of infection, decreased cost, prevents gut atrophy, and preserving the barrier function of the gut.
Parenteral Feeding refers to intravenous nutrition (through a vein). "Outside of the digestive tract" is what "peripheral" means. Parenteral feeding bypasses your whole digestive system, from the mouth to the anus, in contrast to enteral feeding, which is administered through a tube to your stomach or small intestine.
Since enteral feeding is more physiological, simpler, less expensive, and less complex, parenteral feeding is rarely preferred. Even nasogastric feeding needs care because it is one of the trickier enteral nutrition methods, along with gastrostomy and jejunostomy.
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