As views of substance dependence have changed based on scientific research, psychological dependence is believed to be the real driving force behind repeated excessive drug use.
Of course, drug use, whether illicit or prescribed, does not always lead to misuse. Some people can use recreational or prescription drugs without suffering negative consequences, but others discover that substance abuse has a detrimental impact on their health and well-being. Similarly, there is no exact moment at which drug usage transitions from harmless to dangerous.
The repercussions of drug usage are more important than the type or amount of substance ingested or the frequency with which you use drugs. You most certainly have a drug misuse or addiction problem if your drug use is producing problems in your life—at your job, school, home, or in your relationships.
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based on the information you have obtained about rose so far, what are some possible etiologies for her baby's apparent small size? select all that apply.
Here are the possible etiologies for her small sized baby:
Tobacco exposureCongenital infectionFetal Alcohol SyndromePoor maternal nutrition and weight gainPrematurity (inaccurate dates)Structural abnormality in the fetus, such as renal dysplasia or a diaphragmatic herniaChromosomal abnormality, such as trisomy 13Placental abnormality such as chronic placental abruptionThe majority of neonates that are on the smaller side of average for gestational age are healthy babies. Some people's growth has been constrained, nevertheless, for a variety of reasons. Growth restraint is categorized as symmetric and asymmetric.
The reason of symmetric growth limitation most likely happened early in the pregnancy, when it would have an impact on all of the newborn's cells. Because certain tissues mature earlier than others and not all would be impacted equally, asymmetric growth limitation is likely the outcome of abnormalities that arise later in pregnancy.
Growth restriction risk factors include those relating to the mother's general health as well as those regarding the pregnancy and/or the baby.
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new patient is in for her first prenatal visit. she tells you that she has been pregnant 3 times previously. she is 10 weeks pregnant at this time. she has had a miscarriage in the past and has two living children. what is her para number?
4 is her para number
What is Gravida and para number ?The Latin word gravidus is whence the word "gravida" originates. It is a term for a pregnant female and a medical term for the total number of pregnancies that a female has had that have been confirmed, independent of the pregnancy's result. For instance, a woman who is expecting her first child is referred to as a primigravida, which is Latin for “first pregnant.”
The total number of pregnancies a female has carried over the 20-week mark is referred to as "para." This figure includes stillbirths as well as live births that occur after 20 weeks of pregnancy.Learn more about Gravida and para here:
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which question would the nurse ask to obtan information about a bulimic lcients intake habis adn paterns quizlet
The nurse would ask to learn more about a Bulimic patient's intake habits and patterns is:
"How frequently do you eat in reaction to moods rather than hunger?"Patterns of eating in Bulimia nervosa:
Over the course of a continuous 24-hour period in a feeding laboratory, we described the naturalistic feeding behaviors of 54 women with bulimia nervosa and 11 matched controls.
In all, bulimic women consumed more calories in a 24-hour period than did controls (1845 +/- 649 kcal; 4446 +/- 584 kcal). In comparison to the range of controls, bulimic women had a wide range of calorie intake, with 44% overeating and 19% undereating.
Bulimics also displayed a disruption in their circadian feeding schedules. The bulk of meals for bulimic women who overeat were typical in size and frequency. The fact that 37% of the meals consumed by the group of overeating bulimic women had more than 1000 calories was the main cause of their increased caloric intake.
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A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. the client weighs 198 lb. how many mg should the nurse administer with each dose
Answer:
7.5 mg/kg every 6 hr.
Explanation:
7.5 mg/kg every 6 hours is the answer because, 15mg/kg/day divided by 2 because there are 2 doses a day, is 7.5mg/kg.
Vancomycin 7.5 mg/kg every 6 hours, because administered two doses a day of 15 mg/kg/day, hence nurse prepares 7.5 mg/kg/day.
How vancomycin drug is used?Vancomycin is used to combat bacterial infections. It acts either by killing or preventing the growth of bacteria. Vancomycin is inefficient against colds, flu, or other viral infections.
Vancomycin injection is also used to treat serious diseases for which other medications may be useless. Because 15 mg/kg/day must prepare 7.5 mg/kg/day.
It is a big hydrophilic molecule with poor partitioning across the gastrointestinal mucosa. Because of its short half-life, it is often injected twice daily.
Therefore nurses should prepare 7.5 mg/kg/day because two doses a day of 15 mg/kg/day.
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sandy liu, a cardiac care unit nurse, notices that a few of her patients are suffering from inadequate pain control. currently, a patient who needs pain medication must call the front desk, which then calls the nurse, who then goes to the patient’s room to find out what he or she needs. sandy finds out that a hospital in the next county has a simpler process: patients can send a text message directly to the nurse to request pain medication. sandy goes to her manager and suggests that they form a team to work on improving pain control and test this change in the cardiac care unit.
Test the new procedure on a single patient, then carefully analyze the outcomes.
Sandy and her team have an invention and are prepared to perform a pilot. The optimum response is "try the new approach with one patient on and closely review the results.
" Piloting entails starting small, as with one patient, and carefully refining the change to ensure it works (since every organization is different, just because the idea worked at another hospital does not imply it will work here).
What does a hospital's cardiac care unit do?Critically ill patients with heart disorders who require medical attention and intervention are cared for in the cardiac critical care unit. All stages of nursing education can take use of the unit's preceptors and clinical rotations.How does a cardiac care unit operate?The availability of telemetry, or the continuous monitoring of the heart rhythm through electrocardiography, is the key component of coronary care. This enhances the prognosis by enabling early intervention with medicine, cardioversion, or defibrillation.learn more about cardiac care unit here
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the question you are looking for is
Sandy Liu, a cardiac care unit nurse, notices that a few of her patients are suffering from inadequate pain control. Currently, a patient who needs pain medication must call the front desk, which then calls the nurse, who then goes to the patient's room to find out what he or she needs. Sandy finds out that a hospital in the next county has a simpler process: Patients can send a text message directly to the nurse to request pain medication. Sandy goes to her manager and suggests that they form a team to work on improving pain control and test this change in the cardiac care unit.
How should Sandy and her improvement team try out the new process for improving pain control?
(A) Test the new process with one patient and closely review the results.
(B) Bring together a group of stakeholders to develop an implementation plan.
(C) Test the new process throughout the hospital to build a pool of data.
(D) None of the above: There is no need to test this process because another hospital has already proved it to be effective.
the clinic nurse reviews danielle's prenatal record prior to a performing a nursing assessment. danielle has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). all of these children are alive and well. she had one spontaneous abortion at 10 weeks' gestation.
Danielle's obstetrical history was entered by the nurse using the abbreviation G-T-P-A-L.
Gravida (no. pregnancies, including present)
Live and stillborn at term (after week 37)
Preterm live and stillbirths (between 20 and 37 weeks).
Abortion (fetal miscarriage, up to twenty weeks)
Living
An basic nursing assessment is what?Information about the patient's unique physiological, psychological, sociological, and spiritual needs is gathered as part of the nursing assessment. It is the initial stage of a patient evaluation that is successful. This procedure includes both the acquisition of subjective and objective data.What would a nurse assessment look like?For instance, a nurse's evaluation of a hospitalized patient experiencing pain takes into account the patient's response as well as the physical causes and symptoms of the pain, such as an inability to get out of bed, a refusal to eat, a withdrawal from family members, anger toward the hospital staff, fear, or a request for additional pain medication.
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the question you are looking for is
The clinic nurse reviews Danielle's prenatal record prior to performing a nursing assessment. Danielle has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one spontaneous abortion at 10 weeks' gestation.
How should the nurse record Danielle's obstetrical history using the G-T-P-A-L designation?
free education, free health care, and more free time are some benefits of while a brain drain is one of its most negative outcomes.
Socialism has benefits like free education, health care and free time. But the most negative outcome of it is brain drain.
In accordance with the social and economic ideology of socialism, property and natural resources should be owned or controlled by the government rather than the private sector. The socialist perspective holds that people don't live or work alone; rather, they collaborate with one another. Everyone who contributes to the development of a good is entitled to a part in it since everything that people create is, in some way, a social product. Therefore, society as a whole ought to possess or at the very least govern property for the good of all of its members.
This belief pits socialism against capitalism, which is based on individual choice in a free market and permits how products and services are divided. Private ownership of the resources is the cornerstone of capitalism.
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a client with diabetes mellitus visits a health care clinic. the client’s diabetes previously had been well controlled with glyburide (diabeta), 5 mg po daily, but recently, the fasting blood glucose has been running 180-200 mg/dl. which medication, if added to the clients regimen, may have contributed to the hyperglycemia?
Medication, if added to the clients regimen, may have contributed to the hyperglycemia will be beta-adrenergic decongestants, birth control pills, barbiturates
There are several medications that, when taken, have unwanted side effects, such an increase in blood sugar. A patient with diabetes who takes these drugs will experience hyperglycemia. Therefore, before taking any additional medications that would make their diabetes worse, individuals with diabetes should notify the attending physician about their current situation.
These medications include beta-adrenergic decongestants, birth control pills, barbiturates for the treatment of anxiety, corticosteroids for the treatment of inflammation, diuretics for the treatment of water retention, and even the vitamin B niacin.
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you are caring for a patient in her hospital room when you notice a problem with the electrical cord on the television in her room. you should:
When you are attending to a patient in the hospital room and you observe an issue with the television's electrical cord.You should be required to "Unplug the connexion first, tell your instructor, and alert the maintenance staff," before doing anything else.
How does a electrical cord function?Electrical cables are made up of a core of metal wire with good conductivity, like copper or aluminum, and additional material structures like insulation, tapes, screens, armored plating for mechanical protection, and sheathing. Electrical cables function by supplying a low resistance path for the current to flow through.
There are some following types of electrical cord-
S - Service Grade
SJ - Junior Service
T - Thermoplastic
P - Parallel
O - Oil-Resistant
W - Weather-Resistant
V - Vacuum Type
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new patients can be added into drchrono primarily via which two menu selections? (select two options.)
New patients can be added to Dr. Chrono primarily via a column heading by the patient's last name.
What is Dr. Chrono?A US-based provider of digital health technology, DrChrono offers software and billing platforms for doctors and patients that are cloud- and web-based. It offers medical revenue cycle management (RCM) services and makes electronic health records (EHR), practise management, and medical billing software digitally accessible. Located in Sunnyvale, California, the business
Therefore, new patients can be added to Dr. Chrono primarily via a column heading by the patient's last name.
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When a difference in treatment is decided to be due to more than random chance, what do you call the results?.
The results are called statistical significance when a difference in treatment is decided to be due to more than random chance.
In order for a result to be considered statistically significant, an analyst must conclude that it cannot be solely attributed to chance. The analyst reaches this conclusion via statistical hypothesis testing.
With the assumption that the findings are actually the product of pure chance, this test yields a p-value, which is the likelihood of seeing outcomes as severe as those in the data. It is often accepted that a p-value of 5% or less indicates statistical significance.
Statistical significance is frequently used in pathology research, vaccination testing, and pharmaceutical medication trials to determine the efficacy of new medicines and to update investors on the company's progress.
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3. zalewski, bm et al. the effect of glucomannan on body weight in overweight or obese children and adults: a systematic review of randomized controlled trials. nutrition. 2015; 31(3): 437-42
Amorphophallus konjac's soluble fiber glucomannan (GM), which is sold as aiding in weight loss, is made from this plant.
However, there aren't many facts to back up this assertion. The objective of this review was to thoroughly assess the effects of GM on body weight (BW) and body mass index (BMI) in obese or overweight children and adults who were otherwise healthy.
Up until June 2014, the different databases were thoroughly searched for randomized controlled trials (RCTs) comparing the effectiveness of GM and placebo. The BW and BMI were the main outcome variables.
There is limited evidence that short-term GM may help reduce BW but not BMI in otherwise healthy overweight persons. There is not enough information on kids to make any generalizations.
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when vital signs are compared with other signs and symptoms to arrive at a conclusion about what is wrong with a patient, this is known as the:
When vital signs are compared with other signs and symptoms to arrive at a conclusion about what is wrong with a patient, this is known as the differential diagnosis.
What are vital signs?
Vital signs are an objective measurement of the essential physiological functions of a living organism. They have the name "vital" as their measurement and assessment is the critical first step for any clinical evaluation. The first set of clinical examinations is an evaluation of the vital signs of the patient. Triage of patients in an urgent/prompt care or an emergency department is based on their vital signs as it tells the physician the degree of derangement that is happening from the baseline.
Healthcare providers must understand the various physiologic and pathologic processes affecting these sets of measurements and their proper interpretation. If we use a triage method where we select patients without determining their vital signs, it may not give us a reflection of the urgency of the patient's presentation.The degree of vital sign abnormalities may also predict the long-term patient health outcomes, return emergency department visits, and frequency of readmission to hospitals, and utilization of healthcare resources.Vital signs are a collection of determinants doctors use to find out if your body's vital most important functions are within the norm. These are helpful in diagnosing any illnesses or diseases because at least one of your vital signs will show anomalies when you are sick. Also, the standard for vital signs varies with the age, weight, and gender of a person. The 4 main vital signs include body temperature, blood pressure, pulse, and respiratory rate.To learn more about vital signs, refer to
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a nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (peg) for a client who is going to have a colonoscopy. which of the following information should the nurse include?
The nurse should mention that abdominal bloating could happen.
Abdominal bloatingWhen the gastrointestinal (GI) tract is bloated with air or gas, it causes abdominal discomfort. Most people who experience bloating say it makes their belly feel full, tight, or puffy. Along with being hard, uncomfortable, and enlarged, your abdomen may also be. Pain is frequently present while bloating.What symptoms indicate a bloated stomach?Gas, discomfort, and stomach pain are typical signs of bloating. Additionally, you could regularly burp, belch, or have belly rumbling or gurgling. Blood in your stool is one dangerous symptom that may accompany severe bloating.Does water aid in bloating relief?Drinking water may assist to relieve bloat by flushing the body of extra sodium, despite the fact that this may seem counterintuitive.
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each step of the rtp progression should occur every hours as long as there are no symptoms
A concussed athlete should start the six-step treatment and go through the progression at intervals of 24 hours as long as no symptoms manifest. This is the suggested regimen.
What is the RTP progression's number of steps?Progression for Returning to Play in 6 Steps. After each day's movement toward returning to play activity, it is crucial for something like an athlete's parent(s) and coach(es) to look out for concussion symptoms. Only if the athlete is not experiencing any new issues at the current level should they advance to the next.
RTP progression is defined:To progressively and safely increase that athlete's physical activity following an illness or injury is the main goal of a return-to-play (RTP) procedure. Similar to an RTP procedure for concussion, RTP following COVID-19 is a concussion management strategy.
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the nurse is assign to take care for a patient with suppressed anger. which assessment finding is the nurse most likely to gather?
The affected person has hypertention. Hypertension is when blood stress is too high. Blood pressure is written as two numbers.
The first (systolic) wide variety represents the pressure in blood vessels when the heart contracts or beats. The 2nd (diastolic) quantity represents the strain in the vessels when the heart rests between beats.
What reasons excessive blood pressure?High blood stress normally develops over time.
It can manifest due to the fact of unhealthy way of life choices, such as now not getting adequate regular physical activity. Certain fitness conditions, such as diabetes and having obesity, can additionally increase the threat for growing high blood pressure.
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Taking care of health of woman is very important and beneficial. The most important objective of health system science is to take care of women health.
Why woman health care is so important?
The care of the health of the woman is very essential for the betterment of family as well as society because women are the base and backbone of the family and society. Taking care of health of woman has been very important and beneficial. The most important objective of health system science is to take care of women health.
It has been observed that large number of women are suffering from deficiency of calcium and iron. It is very common in women of bigger age because after the age of 30 there will be no calcium formation in the body of the woman and this will lead to week bones.
Therefore, Taking care of health of woman is very important and beneficial. The most important objective of health system science is to take care of women health.
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while interacting with the public in a nursing role, each nurse must wear a clearly legible insignia (such as a name badge) that identifies the nurse as a. an employee of the institutional setting. b. a registered nurse or a licensed vocational nurse. c. a member of a professional organization. d. an experienced nurse in the service area.
The answer is option B. A licensed vocational or a registered nurse.
What is mean by a registered nurse?
The nurse is a person who has successfully completed a basic, generalized nursing education program and has been granted authorization to practice nursing in his or her country by the appropriate regulating agency. Registered nurses design plans for patient care. Registered nurses (RNs) manage and supervise patient care, educate the public about various health issues, offer emotional support to patients and their families, and counsel patients.
They also give care to patients by evaluating and keeping track of their health, collaborating with doctors during medical procedures, and giving them the medications that the healthcare provider has recommended. They run medical equipment, carry out diagnostic procedures, and instruct patients on aftercare.
Where do registered nurses work?
In addition to nursing homes, registered nurses also work in medical offices, hospitals, and clinics. Some people have jobs in schools and outpatient clinics.
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observation or inpatient hospital care with admit/discharge on same date requiring a comprehensive history, comprehensive examination, and straightforward medical decision making. assign the cpt code. |
The cpt code is 99234.
What does "inpatient care" mean?Inpatient care is given when you are admitted to a hospital and receive treatment there as prescribed by your doctor or another healthcare professional. Inpatient stays can last for a few days or several weeks.Why is hospitalization important?Any medical service that necessitates admission to a hospital is often referred to as inpatient care. Inpatient care is typically reserved for more severe illnesses and injuries that necessitate an overnight hospital stay of one or more days.What does a nurse in a hospital do?Patients with serious illnesses or medical conditions are cared for by inpatient nurses.The majority of the time, their patients require round-the-clock care.However, nurses who work in outpatient settings may tend to patients with less urgent issues.
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american dietetic association (ada). 2002. position of the american dietetic association: weight management. journal of the american dietetic association, 102, 1145-55.
The American Dietetic Association holds that for individuals to successfully manage their weight and enhance their overall health, they must make a lifelong commitment to healthy lifestyle behaviors that emphasize regular physical exercise and sustainable, pleasurable eating habits.
As Americans become more sedentary, their body fat levels are rising. The prevalence of obesity has reached epidemic levels, and ailments linked to excess weight are now more expensive to treat. Although our understanding of the intricate causes of increased body fat has substantially increased, there has been little advancement in long-term maintenance therapies outside of surgery. Although eating healthier and exercising more frequently are still essential components of successful treatment, these changes in lifestyle are challenging to start and maintain over time.
By assisting in the formulation of realistic goals that can be achieved and maintained with a healthy eating approach as described in the Dietary Guidelines for 2000, the dietitian can play a crucial role in changing weight status. Weight reduction will result from any dietary and activity modifications that lower calorie intake below energy expenditure, but it is the dietitian's role to ensure that the adjustments advocated are focused on enhancing physiological and psychological wellness. A thorough clinical evaluation is crucial to the creation of a tailored intervention since it can assist identify potential genetic, environmental, and behavioral factors influencing weight status. The availability of resources and the cost frequently restrict the use of therapeutic options.
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you are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. the ct scan was normal, with no signs of hemorrhage. the patient does not have any contraindications to fibrinolytic therapy. which treatment approach is best for this patient? start fibrinolytic therapy asap
Start fibrinolytic therapy as soon as possible treatment approach is best for this patient
What is a stroke ?A stroke is when a portion of the brain loses blood flow. It occurs when a blood clot narrows an artery in the brain or when pressure builds up there due to a blood vessel in the head bleeding. Both scenarios result in the death of brain cells and either temporary or permanent brain damage.
A blocked artery (ischemic stroke) or a blood vessel leak or burst are the two basic causes of stroke (hemorrhagic stroke). Transient ischemic attacks (TIAs), which are brief interruptions in blood supply to the brain that don't persist long, can occur in some persons.Learn more about Stroke here:
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Long-term use of __________ can lead to kidney disease and dysfunction, liver disease, infections in the lungs, and chronic constipation.
Long-term use of alcohol can lead to kidney disease and dysfunction, liver disease, infections in the lungs, and chronic constipation.
What is kidney and liver disease?
Disease related to kidney and liver or the infection in liver and kidney is known as kidney and liver disease. Long term use of alcohol will cause liver chirossis and fatty liver and this lead to cancer.
Alcohol consumption leads to chronic kidney disease and function of kidney become affected from the drinking of alcohol. The main cause of diseases of kidney and liver is consumption of alcohol since long time. This will lead to the situation of chronic constipation.
Therefore, Long-term use of alcohol can lead to kidney disease and dysfunction, liver disease, infections in the lungs, and chronic constipation.
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a 3-year-old child is brought to the clinic by a parent who reports that the child refuses to use the right arm after being swung by both arms while playing. the child is sitting with the right arm held slightly flexed and close to the body. there is no swelling or ecchymosis present
The primary care pediatric nurse practitioner should gently attempt a supination and flexion technique. The correct option is b.
What is supination?Supination is the rotation of the forearm and hand in such a way that the palm faces forward or upward. also a corresponding foot and leg movement in which the foot rolls outward with an elevated arch.
The most likely type of injury is "nursemaid's elbow," also known as annular ligament dislocation.
The primary provider can try to minimize the elbow by using either a supination/flexion approach or a pronation technique.
Thus, the correct option is b.
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What will the primary care pediatric nurse practitioner do?
a. Consider maltreatment as a possible cause of injury.
b. Gently attempt a supination and flexion technique.
c. Immobilize the arm with a sling and refer to orthopedics.
d. Obtain a radiograph of the child's right arm and elbow.
you obtain a set of orthostatic vital signs on a patient with stomach cramps. her pulse is 120 beats/min, lying down; 136 beats/min sitting, and her bp is 106/82 mm hg laying down and 92/78 mm hg sitting. as the patient sits up with your assistance, she reports being dizzy. what should you do?
The very first step i will take that i will make the patient sit and try to normalize the heart rate by giving water and relaxing the patient.
What is heart beat?Heart beat or heart rate is the speed of heart beat that could be measured number of contraction of the heart per minute. The heart rate can changes according to physical condition of human. If a person practice an activity then he needs more blood circulation then heart rate increases.
The normal heart rate or heart rate must be 60-100 bpm, but when a person is sleeping their pulse rate became 40-60 bpm. Heart rate would also depends upon needs of oxygen i.e body need oxygen and extraction carbon dioxide but it's could also depend upon various factor like age, physical fitness, diet, and environment etc.
Therefore, The very first step i will take that i will make the patient sit and try to normalize the heart rate by giving water and relaxing the patient.
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what best describes the reason for using a personal behavior checklist?to identify past personal achievementsto identify past personal achievementsto compare present achievements to baseline effortsto compare present achievements to baseline effortsto identify areas of personal health that need improvementto identify areas of personal health that need improvementto identify ways in which behavior has improvedto identify ways in which behavior has improved
The one that describes the reason for using a personal behavior checklist is : identify areas of your personal health that need improvement.
What is individual health?
Personal health is the capacity to exert conscious control over one's own health.
It covers a person's emotional, intellectual, social, economic, spiritual, and other aspects of life in addition to their physical well-being.
A healthy lifestyle has several benefits, including a reduced risk of the majority of diseases like diabetes, heart disease, and stroke.
improving joint stability, flexibility, strength, endurance, and range of motion helping to maintain flexibility, balance, and coordination as you get older
A personal behavior checklist can help you pinpoint areas of your personal health that need to be improved.
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jarvis physical examination and health assessment study guide; list the barrier to evidencebased practice both on an individual level and an organizational level
The barriers are At Individual level: they often lack research skills when they are isolated from people with or without expertise in research as well as they do lack confidence to take to change.
What is the barrier at the Organizational level?In this level, one do lack time to be able to read as well as carry out research of healthcare institutions that has inadequate library research holding as well as organization support is lowered if people implement change in patient care.
Therefore, The barriers are At Individual level: they often lack research skills when they are isolated from people with or without expertise in research as well as they do lack confidence to take to change.
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The word viscous is used to describe a liquid drug. the word viscous means ________.
Answer:
thick or nonwaterey
Explanation:
charles v. preuss akkck. prescription of controlled substances: benefits and risks. statpearls [internet]. published online 2022.
The most difficult task regarding any prescriber is making difference between prescription potentially used for purpose of illegitimate and legitimate prescription of the substance which is already controlled.
What is prescription?Prescription is the detail information about the medicine given by doctor to the patient in order to take medicine. Prescription is generally written on the basis of symptoms and diseases and it helps the patient to recover from the disease.
Disease can affect anyone from any age group so we have to stay fit and maintain good diet with exercise to get rid from several diseases such as diabetes, blood pressure and cancer.
Therefore, The most difficult task regarding any prescriber is making difference between prescription potentially used for purpose of illegitimate and legitimate prescription of the substance which is already controlled.
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In addition to the clinical laboratory, which professional service in a hospital may perform arterial blood gases?
Answer: Respiratory therapy dept
Explanation:
a 56-year-old woman presents with sudden onset of palpitations, trembling, sweating, anxiety, headache, and confusion that started 1 hour ago after a 5-mile early morning run. she has had similar episodes in the past, but never any symptoms this severe. sometimes she wakes up in the morning with headaches and trembling, but they usually go away after she has gotten ready and has breakfast. on physical exam, she is found to have heart rate 114, blood pressure 125/86, respiration rate 18, weight 160 lb, and temperature 98.
If the patient's low blood sugar was caused by the unintentional, covert, or malicious administration of exogenous insulin, such as glargine, low C-peptide levels are most likely to occur.
When the body produces endogenous insulin, it first forms a bigger molecule called proinsulin, which is composed of two molecules: insulin and C-peptide.
Proinsulin is split into equal amounts of insulin and C-peptide during the production of insulin.
Since proinsulin does not need to be cleaved in order to make C-peptide, there is none when exogenous insulin is administered into the body.
When insulin delivery is the cause of hypoglycemia, the C-peptide levels are low.
What types of diabetes require exogenous insulin?Since the discovery of insulin, using exogenous insulin to maintain nearly normal glucose levels without obvious hyperglycemia or severe hypoglycemia has been the main goal of treatments for type 1 diabetes.
What function does exogenous insulin serve?Exogenous insulin therapy can improve type II diabetes-related metabolic abnormalities by compensating for decreased endogenous insulin secretion, lowering excessive hepatic glucose synthesis, stimulating glucose uptake, and improving both glucose oxidation and storage in muscle tissue.
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the question you are looking for is
A 56-year-old woman presents with sudden onset of palpitations, trembling, sweating, anxiety, headache, and confusion that started 1 hour ago after a 5-mile early morning run. She has had similar episodes in the past, but never any symptoms this severe. Sometimes she wakes up in the morning with headaches and trembling, but they usually go away after she has gotten ready and has breakfast. On physical exam, she is found to have heart rate 114, blood pressure 125/86, respiration rate 18, weight 160 lb, and temperature 98.7°F.
Patient is alert and appears somewhat anxious and diaphoretic but otherwise well. HEENT exam is unremarkable. Cranial nerves, cerebellar function, strength, sensation, deep tendon reflexes, and balance testing/Romberg are all normal. Patient is tachycardic, but S1 and S2 are normal with no murmurs, rubs, or gallops. Lungs are clear to auscultation bilaterally. EKG shows sinus tachycardia. Lab work is significant for a glucose level of 36. What would be most likely if the patient's low blood glucose was due to accidental, surreptitious, or malicious administration of exogenous insulin such as glargine (Lantus)?
A. High proinsulin levels
B. Low C-peptide levels
C. Low plasma insulin levels
D. High insulin antibody levels
E. High levels of insulin secretagogue