The action the nurse should take after deflating the balloon tip following pressure measurement is to deflate the balloon as soon as the PAWP is measured.
What is pulmonary artery wedge pressure (PAWP)?The pulmonary wedge pressure(PAWP) also called pulmonary arterial wedge pressure, pulmonary capillary wedge pressure, pulmonary artery occlusion pressure, or cross-sectional pressure, is the pressure measured by wedging a pulmonary artery catheter with an inflated balloon into a small pulmonary arterial branch.
Although the balloon must be inflated to measure the PAWP, it is deflated as soon as the PAWP is obtained to allow blood to continue to flow through the pulmonary artery.
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the nurse educates a group of parents of children diagnosed with disruptive behavior disorder about discipline. what form of punishment does the nurse recommend for parents of a school-aged child with disruptive behavior?
Disruptive children can improve, but standard punitive measures won't work. Be self-aware, notice the pattern, and observe instead of using the mantra "Stay Calm & Connected."
A nurse must advise parents with disruptive behaviors that their conduct-disordered children take responsibility for their actions.
The efficient methods include,
Keep Your Cool & Connected: Be conscious of your sensations, reactions, and emotions.Self-awareness: Recognize your thoughts, emotions, and responses to inappropriate student conduct. Look for Patterns: When you alter your patterns, it frequently inspires the other participants in the cycle to do the same.Observe: Take some moments to relax and silently observe after you've spent some time planning out your classroom and become aware of what makes you respond. It can seem illogical to do this.Learn more about behavior disorders at
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the nurse is assessing a patient who had a fractured femur repaired with an external fixator device. which assessment finding(s) would cause the nurse concern regarding the development of compartment syndrome?
It occurs when too much pressure is built up inside the enclosed muscles, according to the nurse. Right after the injury, blood or edema are typically the causes.
What do you understand the term syndrome?The word comes from the Greek letter v, which stands for "concurrence." A condition turns into a disease when it has a known cause. Syndromes are frequently given their names from the doctor or group of doctors who first identified them or first reported the whole clinical picture. Medical eponyms include names for such eponymous syndromes. Although descriptive rather than eponymous naming of illnesses has been more popular recently, labels for eponymous syndromes frequently continue to be used in everyday speech.
Is a syndrome a disability and we diagnosed it?There are around 2,700 recognized medical syndromes, which can range between medical symptoms to well-known disorders. Disability Social Security benefits are available for those with certain medical syndromes. However, the severity of a sickness and how much it prevents you from earning a consistent income are used to evaluate it.
In order to diagnose certain syndrome (including such Tourette's or sarcoidosis), it is necessary to recognize potential patterns of symptoms and signs that a patient may present. Syndromes are useful labels for communication if they are precisely defined.
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the nurse is caring for a client who was diagnosed with a glioma 5 months ago. today, the client was brought to the emergency department by his caregiver because he collapsed at home. the nurse suspects late signs of rising intracranial pressure (icp) when which blood pressure and pulse readings are noted?
The blood pressure and pulse readings indicating intracranial pressure are BP = 175/45 mm Hg; HR = 42 beats per minute.
Glioma is the condition of tumour in brain and spinal cord affecting glial cells. Tumour is the outnumbered and uncontrolled growth of cells. The condition results in buildup of pressure in the skull which is termed as intracranial pressure.
The intracranial pressure results in supression of blood vessels. Being interconnected, this reflects in other organs of body most importantly heart. Thus abnormal blood pressure and heart rate is seen.
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. the nurse is changing the subclavian dressing of a patient who is receiving total parenteral nutrition. when assessing the catheter insertion site, the nurse notes the presence of yellow drainage from around the sutures that are anchoring the catheter. which action should the nurse take first?
The nurse should assess the patient's vital signs and level of consciousness. If the patient is stable, the nurse should then assess the catheter insertion site for signs of infection.
The nurse should take the following action in case of infection:
1. Assess the patient's vital signs.
2. Notify the physician.
3. Discontinue the total parenteral nutrition.
4. Assess the catheter insertion site for signs of infection.
5. If the catheter insertion site is infected, the nurse should remove the catheter and start appropriate treatment.
6.Initiate appropriate treatment, such as starting antibiotics.
7.The nurse should also assess the catheter for proper functioning and ensure that the patient is receiving the appropriate amount of total parenteral nutrition.
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when performing a physical assessment on a patient with amyotrophic lateral sclerosis (als), which clinical manifestations would the nurse identify? select all that apply.
Clinical signs of a client with multiple sclerosis that the nurse would look for include muscle flaccidity, dysmetria, tiredness, and dysphagia.
Multiple sclerosis (MS) is a disorder that can impact the brain and spinal cord and cause a range of symptoms, including problems with vision, arm or leg mobility, feeling, or balance. Muscle flaccidity is a characteristic sign of MS. An inflated or underinflated range of motion is a defining feature of dysmetria, a disorder of muscular control. The ailment of MS is weariness. The inability to swallow, or dysphagia, is associated with MS.
Autoimmune multiple sclerosis is a disease. In MS, the immune system attacks the myelin sheath, a layer that envelops and protects the nerves. It comprises using disease-modifying drugs to treat relapses less frequently along with brief courses of steroid therapy to treat relapses in order to speed recovery.
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the nurse obtains a prescription from a primary health care provider to restrain a client and instructs an assistive personnel (ap) to apply the safety device to the client. which observation of unsafe application of the safety device would indicate that further instruction is required for the ap?
A nurse requests a prescription for a client's restraint from a healthcare provider and then instructs an assistant to apply the safety device to the client before securely fastening the safety device straps to the side rails.
An official communication from a doctor or another license health care provider to a pharmacist that gives them permission to dispense a specific prescription drug for a specific patient is known as a prescription, frequently abbreviated as a prescription or Rx.
By preventing, diagnosing, treating, minimizing, or curing disease, illness, injury, and other physical and mental impairments in people, health care, also known as healthcare, aims to improve people's overall well-being. Health care is provided by professionals in the medical field and related fields.
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a client gave birth 2 days ago and is preparing for discharge. the nurse assesses respirations to be 26 breaths/min and labored, and the client was short of breath ambulating from the bathroom this morning. lung sounds are clear. the nurse alerts the primary care provider and the nurse-midwife to her concern that the client may be experiencing:
Answer:pulmonary embolism.
Explanation: These symptoms suggest a pulmonary embolism. Mitral valve collapse and thrombophlebitis would not present with these symptoms; infection would have a febrile response with changes in lung sounds.
an early victim of covid-19 was a 27-year-old african-american female who worked as a cashier at a grocery store. her case history states that she was overweight and previously diagnosed as a diabetic. which risk factors most likely led to her developing a severe form of covid-19 illness? choose one or more: a. obesity b. sex c. diabetes d. occupation e. age
An early victim of covid-19 was a 27-year-old african-american female who worked as a cashier at a grocery store has the risk factors of diabetes and obesity which are most likely led to her developing a severe form of covid-19 illness.
Diabetes is a chronic, metabolic malady characterised by elevated levels of glucose (or blood sugar), that leads over time to serious injury to the center, blood vessels, eyes, kidneys and nerves.
Obesity is usually caused by consumption an excessive amount of and moving insufficient . If you consume high amounts of energy, significantly fat and sugars, however don't burn off the energy through exercise and physical activity, a lot of of the excess energy are going to be keep by the body as fat.
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Elle see trouble á Les course in english is what
Answer:
She sees trouble at the races
Explanation:
a client is prescribed a corticosteroid for the treatment of asthma after having an asthma attack. what education should the nurse provide to the client regarding the administration of this medication?
Avoid taking non-steroidal anti-inflammatory drugs (NSAIDs) while you are taking oral corticosteroids. Taking both of these medicines might cause an upset stomach.
What is asthma ?The lungs' airways are impacted by asthma attack , a chronic (long-lasting) disease. Your lungs receive and expel air through tubes called airways. When you have asthma, the airways occasionally get irritated and constrict. This makes it more difficult for air to exit your airways during exhalation.
Airborne allergens such pollen, dust mites, mould spores, pet dander, or cockroach excrement particles. respiratory illnesses, including the common cold, a physical activity.Typically before the age of five, asthma commonly develops during childhood. The most prevalent chronic illness in children is asthma, which affects many kids. Children may miss school and wind up in the hospital due to it. However, medications can aid in managing asthma.Learn more about Asthma here:
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a nurse is caring for a client with sepsis who was recently transferred to the intensive care unit following the development of disseminated intravascular coagulation (dic). the nurse understands that dic is most likely secondary to the infection causing the release of cytokines, which can cause:
The nurse understands that dic is most likely secondary to the infection causing the release of cytokines, beacuse widespread coagulation and bleeding in the vascular compartment.
Your body becomes inflamed when you have an infection. This increases the likelihood of blood clotting. The degree of inflammation in your body determines your chance of acquiring a DVT. Infections with greater severity produce more inflammation. Systemic or localised infections are independent risk factors for cardiovascular (myocardial infarction) and cerebrovascular events as well as thromboembolic illnesses such deep vein thrombosis (DVT)/pulmonary embolism (PE), which raise the risk of thrombosis by 2–20 times. Previously believed to have been lost during the evolution of vertebrates, bacteria can directly induce human blood and plasma to clot. New clinical approaches for treating severe medical illnesses like sepsis and anthrax may result from the discovery. Certain components of your blood thicken and solidify to create blood clots.
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a 22 year-old female presents with onset of right eye vision loss 24 hours ago which has partially improved. she has experienced various widespread paresthesias, regional weakness and fatigue over the past six months. episodes vary in location, severity and duration but invariably lead to recovery. her exam is completely normal but mri reveals numerous areas of periventricular gadolinium uptake. for this condition, what treatment has shown the greatest benefit with long term use?
The drugs that have been used and studied the most extensively for the longest time in treating multiple sclerosis are interferon medicines. Although not as long-term medicines, steroids do have a role in acute.
What results from having sclerosis?A condition called multiple sclerosis (MS) can affect the brain and spinal cord and result in a variety of symptoms, such as issues with vision, arm or leg movement, sensation, or balance. It's a chronic disorder that occasionally results in severe disability, while it also occasionally manifests as a moderate ailment.
Is sclerosis treatable?Multiple sclerosis (MS) has no known cure, but medications and other treatments can help manage the disease and lessen some of its symptoms. The course of the illness and the patient's particular symptoms will determine the course of the MS treatment.
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a parent has heard that several adolescents have been diagnosed with mononucleosis. the parent asks the nurse what precautions should be taken to prevent this from occurring in her teen. what instructions should the nurse give the parent?
The nurse should advise the parent to avoid any special safety precautions. The kissing disease is another name for infectious mononucleosis (mono).
Epstein-Barr virus, the virus that causes mono, is transmitted through saliva. You can contract mono through kissing, but you can also become exposed by sharing a drink or eating utensils with a mono patient. But mononucleosis is less communicable than some illnesses, like the common cold. Teenagers and young adults are more prone to contract mononucleosis and experience all of its symptoms. Young toddlers typically exhibit few symptoms, making it difficult to detect the infection. It's crucial to watch out for side effects like an enlarged spleen if you have mononucleosis. Recovery is aided by rest and drinking enough fluids.
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the fda panels that review otc drugs approve ingredients, not the actual products that often contain several ingredients. True or False
The FDA panels that review OTC drugs approve ingredients, not the actual products that often contain several ingredients.
The correct option is True.
What are OTC drugs?OTC drugs mean over-the-counter drugs in full.
OTC drugs are those drugs that can be bought over the counter without a need for a prior prescription from qualified medical personnel such as a doctor.
Some OTC drugs include:
acetaminophen,aspirin,antacids,decongestants,antihistamines,laxatives, etc.The FDA is a federal government agency that is tasked with protecting public health by ensuring the safety, efficacy, and security of human and veterinary drugs, as well as other biological products.
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which one of the following describes the optimal relationship between evidence-based nursing (ebn) and quality improvement (qi )initiatives?
The following that describes the optimal relationship between evidence-based nursing (EBN) and quality improvement (QI)initiatives is that they are both natural twosome which contribute to the pursuit of quality of care.
Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved.
There is an optimal relationship between between evidence-based nursing (EBN) and quality improvement (QI)initiatives which is that they are both involved in the contribution to the pursuit of quality of care.
The evidence-based nursing is a type of best research evidence and with clinical expertise while quality improvement initiatives as the name implies helps to increase the quality of care in healthcare facilities.
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the client diagnosed with aki is experiencing hyperkalemia. which medication should the nurse prepare to administer to help decrease the potassium level?
The medication should the nurse prepare to administer to help decrease the potassium level for a client with AKI experiencing hyperkalemia is regular insulin.
Hyperkalemia is a medical problem where a patient has too much potassium in their blood. While potassium has many benefits and uses in the body, too much potassium in the blood can be dangerous, as it can cause serious heart problems.
Kidney disease is one cause of hyperkalemia. If the kidney function gets worse (which is what happening with a patient with AKI), they may not be able to remove enough potassium from the body. Regular insulin will drive potassium into cells, lowering the potassium level temporarily.
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assessment of a client on a medical surgical unit finds a regular heart rate of 120 beats per minute, audible third and fourth heart sounds, blood pressure of 84/64 mm hg, bibasilar crackles on lung auscultation, and a urine output of 5 ml over the past hour. what is the reason the nurse anticipates transferring the client to the intensive care unit?
A customer on a scientific-surgical unit reveals a regular coronary heart price of one hundred twenty beats in step with minute, audible 0.33 and fourth heart sounds, and blood pressure of 84/sixty-four mm hg, the client goes into cardiogenic shock.
Left-sided heart failure signs and symptoms consist of Awakening at night time with shortness of breath. Shortness of breath all through exercising or whilst mendacity is flat.
The primary cause of cardiogenic shock is a heart attack, which is a worry of coronary heart sickness. you may decrease your risk of cardiogenic surprise by way of taking steps to prevent a coronary heart attack or different coronary heart troubles. this means adopting heart-healthful lifestyle adjustments to assist prevent or treat coronary heart ailment.
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a patient's preliminary thyroid function test reveals a decrease in serum triiodothyronine (t 3) and tetraiodothyronine (t 4) hormone levels, which might indicate hypothyroidism. what other parameter should be assessed to determine the origin of hypothyroidism as primary or secondary?
High total T3 or high free T3 levels in your test findings could indicate hyperthyroidism.
You may have hypothyroidism, a condition in which your body doesn't produce enough thyroid hormone, if your T3 levels are low. To aid in the diagnosis of thyroid illness, T3 test results are frequently matched with T4 and TSH test findings.A tiny needle will be used by a medical practitioner to draw blood from a vein in your arm. A small amount of blood will be collected into a test tube or vial once the needle has been placed. The needle may sting slightly as it enters or exits your body. Usually, this only needs a few minutes.A T3 levels blood test does not require any special preparation on your part. If you need to stop taking any medications prior to your test, your doctor will let you know. Certain drugs can either increase or decrease T3 levels.
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a pregnant adolescent patient asks the nurse whether she should continue to take her prescription for a tetracycline antibiotic to clear up her acne. which response by the nurse is correct?
Answer:. "Tetracycline can be harmful to the baby's teeth and should be avoided."
upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. each of the clients has called out to the nurses' station requesting assistance. which client should the nurse see first?
The nurse should see first A 32-year-old male, who had a pla-ster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tigh-ter
What is nursing duties while dealing with patients ?Occupational and physical therapists are cons-ulted for assistive devices during the safety planning phase of care for a patient, and interventions that will increase safety in the patient's home environment are chosen.
Getting a detailed health history and physical exam is typically where a full or complete health assessment starts. When a new client arrives at an outpatient clinic or is admitted to an acute care facility after being stabi-lised, this type of assessment is typically carried out.Learn more about Nursing duty here:
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which of the following statements regarding immunizations and young children is true? group of answer choices in the united states, polio and pertussis largely still persist due to the limited access to vaccinations for these infections. the scientific community has widely supported the belief that infants receive far more vaccinations than their immune system can handle. vaccines only work if a high enough proportion of the population is inoculated. infants from all regions and economic backgrounds receive vaccinations as the health care system is the united states provides universal coverage.
polio and pertussis largely still persist due to the limited access to vaccinations for these infections. the scientific community has widely supported the belief that infants receive far more vaccinations than their immune system can handle statements regarding immunizations and young children is true.
What prevents children from receiving immunizations?Some reviews emphasized parents' worries that vaccinations weaken the immune system, while others expressed a preference for natural immunity/disease benefits or held particular ideas about health connected to their abilities to limit their child's exposure to viruses.
Through immunization, polio was eradicated in the United States, and this nation has been polio-free ever since. But in several other nations, polio still poses a concern. The greatest method to stop the spread of polio is to ensure that newborns and kids receive vaccinations.
This will assure high levels of paralysis protection and aid in halting the virus's future spread. Because the majority of individuals are protected, the overall risk of paralytic polio is regarded as low nationally.
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the nurse is caring for a client who has been hospitalized for investigation of a sudden change in gait due to loss of balance and coordination. a magnetic resonance imaging scan reveals the client has a brain tumor. on or close to which brain structure is the tumor most likely situated?
Parkinson's sickness is a progressive sickness that influences the frightened gadget and the elements of the frame controlled via way of means of the nerves. Tumor on or close to nerve system in brain structure.
Symptoms begin slowly. The first symptom can be a barely important tremor in only one hand. Tremors are common, however the sickness can also additionally, additionally reason stiffness or slowing of motion. Early symptoms and symptoms consist of stiffness, cited as rigidity, and tremors of 1 or each hands, defined as pill-rolling (a rhythmic movement of the thumb towards the fingers). The hand tremor is obvious at relaxation and normally decreases whilst motion is voluntary, which include choosing up an object. Bradykinesia, slowness in acting spontaneous movements, develops. Clients have a masklike expression, stooped posture, hypophonia (low extent of speech), and trouble swallowing saliva. Weight loss occurs. A shuffling gait is apparent, and the customer has trouble turning or redirecting forward movement. Arms are inflexible even as walking.
These signs aren't indicative of MS, Myesthenia gravis, or Huntington's. In the early degrees of Parkinson's sickness, your face can also additionally display very little expression. Your hands won't swing while you walk. Your speech can also additionally emerge as smooth or slurred. Parkinson's sickness signs get worse as your circumstance progresses over time. Although Parkinson's sickness cannot be cured, medicines may extensively enhance your signs. Occasionally, your fitness care company can also additionally recommend surgical procedure to adjust sure areas of your mind and enhance your signs.
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1. assuming you only see one band on the control treatment. is this a normal result? what makes you think so? what happen if you see more than one band on the control treatment?
No, it isn't an ordinary result when we see only one band on the treatment. This denotes that some of the bands may additionally run over the gel if you run gel electrophoresis for more time.
Generally, we need to get more bands of DNA whilst appearing gel electrophoresis due to the fact that DNA fragments with special sizes and lengths will remedy in another way.
The treatment institution (also known as the experimental organization) gets the treatment whose effect the researcher is interested in. The manage group receives both no remedy, a standard remedy whose effect is already recognized, or a placebo (a fake remedy).
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twenty four hours after a client returns from surgical gastric bypass, the registered nurse (rn) observes large amounts of blood in the nasogastric tube (ngt) cannister. which assessment finding should the rn report as early signs of hypovolemic shock?
Lethargy should the rn report as early signs of hypovolemic shock.
One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to the decrease perfusion to the brain which can manifests as lethargy or confusion.
An emergency situation known as hypovolemic shock occurs when the heart is unable to pump enough blood to the body due to significant blood or other fluid loss. Numerous organs may stop functioning as a result of this kind of trauma.
Causes
Hypovolemic shock results from a blood loss of at least one fifth of your normal blood volume.
Blood loss may result from:
cuts that are bleeding
bleeding from additional wounds
Internal bleeding, for instance, in the digestive system
When you lose too much bodily fluid due to other factors, your blood circulation may also suffer. This may be because of:
Burns \diarrhea
excessive sweating
Vomiting
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symptoms characteristic of bulimia nervosa include: a. absence of three consecutive menstrual periods. b. recurrent episodes of binge eating with fears of not being able to stop eating. c. a fear of becoming obese despite progressive weight loss. d. a perception that the body is fat when it is actually underweight.
The symptoms and characteristics of bulimia nervosa include recurrent episodes of binge eating with fears of not being able to stop eating. That is option B.
What is bulimia nervosa?Bulimia nervosa is defined as the eating disorder where by an individual for a short period of time takes in excessive food and after which such avoids eating for a period of time to avoid weight gain.
The symptoms of bulimia nervosa include the following;
Binge eating,Dehydration,constipation,Anxiety, andFatigue.Therefore, the characteristics of bulimia nervosa include recurrent episodes of binge eating with fears of not being able to stop eating.
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which of the following are signs of alcohol poisoning? 1. skin is cold and clammy. 2. all of the answers are correct. 3. breathing rate is slow or irregular. 4. vomiting and then loss of consciousness
All of the answers are correct signs of alcohol poisoning either it's when skin is cold and clammy, breathing rate is slow or irregular and vomiting and then loss of consciousness
What is alcohol poisoning ?Understanding the signs is crucial since alcohol intoxication can be extremely harmful. Bluish or cold, clammy skin, particularly around the lips and fingernails, is a common indication of alcohol poisoning, confusion, slowness in responding, poor coordination, or inability to move.
When you consume a lot of alcohol quickly, you run the risk of getting alcohol poisoning, which can be lethal. A coma and death could result from consuming too much alcohol too rapidly, which can also impair your body's temperature, heart rate, gag reflex, and respiration.Learn more about Alcohol poisoning here:
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a man has developed atrial fibrillation and has been placed on warfarin. the nurse is doing discharge dietary teaching with the client and determines that the client needs additional education if he states that he would choose which food while taking this medication?
The client needs additional education if he states Broccoli food while taking this medication.
What is the warfarin used for?Patients who have experienced a disorder brought on by a thrombus, such as a stroke, are frequently offered anticoagulant medications, such as warfarin. a cardiac arrest. A blood clot in a deep vein of the body, typically in the leg, is referred to as deep vein thrombosis.
Does the drug warfarin impair memory?Regardless of the reason patients were using a blood thinner, dementia incidence rose when Warfarin levels was persistently excessively high or too low. Researchers found that patients with afib consistently had greater incidences of all types of dementia, regardless of how well their anticoagulation was working.
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two weeks after an 82-year-old with a new diagnosis of type 2 diabetes has been placed on metformin (glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. which finding by the nurse is most important to discuss with the health care provider? question 3 options: client has questions about the prescribed diet. hemoglobin a1c level is 7.9%. last eye exam was 18 months ago. glomerular filtration rate is decreased.
The glomerulus is in charge of filtering blood, and glomerular filtration rate was lowered.
What does the kidney glomerular do?The minuscule network of blood arteries known as a kidney's "cleaning units" is called a glomerulus. They cleanse your blood of waste and extra fluid. Glomerular illness is characterized by damaged glomeruli that are unable to perform as they should. The glomeruli can suffer harm from a variety of ailments and disorders.
What damages the glomeruli?A kidney-harming medicine or an infection are both potential causes of glomerular disease. In other instances, a whole-body illness like diabetes or lupus may be at blame. The glomerulus may expand (inflame), become inflamed (inflammation), or become sclerotic (sclerosis).
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a 70-year-old man has been diagnosed with angina pectoris and subsequently prescribed nitroglycerin spray to be used sublingually when he experiences chest pain. this drug will achieve relief of the patient's chest pain by:
The nitroglycerin spray works by relaxing the body's blood vessels. By relaxing the blood vessels, the heart of the person will not have to work very hard, reducing the oxygen requirements.
Nitroglycerin spray is used to treat episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). The spray may also be used just before activities that may cause episodes of angina in order to prevent the angina from occurring. Nitroglycerin is in a class of medications called vasodilators. It works by relaxing the blood vessels, allowing the heart to work less hard and thus require less oxygen.
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Select the medical term that means malformation of the nails in which the outer surface is concave or scooped out like the bowl of a spoon.
Answer:
Koilonychia or Spoon nail
Explanation:
Koilonychia. spoon nail; malformation of the nails in which the outer surface is concave or scooped out like the bowl of a spoon. It is often associated with iron deficiency or softening by occupational contact with oils