The NCQA Accreditation of Population Health Programs increases productivity and harmonizes business strategies with population health management best practices. Resources and assistance are provided to organizations seeking accreditation both during and after the examination process.
By collaborating with major employers, governments, physicians, patients, and health plans to determine what is significant, how to assess it, and how to encourage progress, NCQA has assisted in fostering consensus on critical health care quality issues.
The NCQA criteria serve as a road map for improvement; firms utilize them to conduct gap analyses and focus improvement efforts on issues like network sufficiency and consumer protection that are crucial to employers and states. Improvement and Quality Management are examples of categories.
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jin jun, melissa m. ojemani, richa kalamani, jonathan tong, and matthew l. crecelius, relationship between nurse burnout, patient and organization outcomes: systemic review, int’l j. of nursing studies, vol. 119 (2021)
Nurse burnout was consistently inversely associated with outcome measures.
How does nurse burnout affect patient outcomes?Clinicians with burnout may have reduced attentiveness, remembering, and executive function, which reduces retention and focus on detail," the AHRQ researchers added. "Reduced alertness, cognitive function, and greater safety lapses put physicians and patients at risk for errors.
How does nurse burnout affect the organization?Abundant studies have proven the deleterious impact of burnout. Burnout reduces nurses' life's quality of life, performance, and organizational commitment, as well as their desire to leave the job. Burnout also increases turnover and has a negative influence on nursing quality care.
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a client is to transferred from a bed to a gurney. this person has had orthopedic surgery for scoliosis three weeks ago. what would help with the transfer the most?
A client is to transferred from a bed to a gurney. The advantage of gurney for the patient who has orthopedic surgery is that gurney has wheels and it will help to move the patient easily.
What is orthopedic surgery?Orthopedic surgery is the surgery of bone and bone is made up of bone cells known as osteocytes. The total number of bone that has been found in human body is 206 bones with bones of spine, legs, arms, ribs, and skull.
Bones are made up of calcium and carbonate and they are having bone marrow which is the storage of blood cells are produced. Naturally, bones has been came in category of living and they are tissue which is active.There are several types of bones such as flat bones, short bones, sesamoid bones, and long bones. The function of bone is to protect important organs of the body.
Therefore, A client is to transferred from a bed to a gurney. The advantage of gurney for the patient who has orthopedic surgery is that gurney has wheels and it will help to move the patient easily.
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effect of bronchodilation, exercise training, and behavior modification on symptoms and physical activity in chronic obstructive pulmonary disease.
EET in COPD patients enrolled in an SMBM program improved with tiotropium/olodaterol, with or without ExT.
Combination bronchodilation, with or without ExT, reduced dyspnea and difficulties associated with PA but did not lead to additional increases in objective PA compared to SMBM alone.
In patients with chronic obstructive pulmonary disease (COPD), bronchodilation and exercise training (ExT) increase exercise tolerance; however, behavioural adjustment is necessary to affect daily physical activity (PA).
How is persistent bronchitis managed?
giving up smoking.staying away from respiratory irritants like secondhand smoke.taking oral medications to help remove mucus and open airways.taking inhaled medications, such as steroids and bronchodilators.obtaining oxygen from transportable jars.The muscles can utilise less oxygen when they are active and become more effective.Learn more about COPD here:
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a nurse is teaching a client who has a new prescription for diazepam. which of the following information should the nurse include in the teaching?
A nurse is teaching a client who has a new prescription for diazepam. Diazepam can cause drowsiness, this information should the nurse include in the teaching.
What kind of drug is diazepam?Benzodiazepines are a class of antidepressant medications. Many pharmaceuticals fall under this category, and some, such as diazepam (Valium), are prescribed as medicines in the United Kingdom. They are usually recommended for anxiety or sleeping issues.
What are the side effects of diazepam?Drowsiness, dizziness, weariness, blurred vision, or unsteadiness are all possible side effects. Inform your physician or pharmacist right once if any of these effects persist or worsen. Remember that your specialist has prescribed this medication because the advantages to you outweighs the risk of adverse effects.
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the community health nurse leader is providing annual education on healthy people 2030 for local nurses. which is the best explanation of the program’s goals?
Over the next ten years, Healthy People 2030 sets data-driven national goals to enhance health and well-being. Along with 358 main quantifiable objectives, Healthy People 2030 also includes research and development goals. Find out more about the various aims.
What is the program healthy people 2030 ?The overarching objectives of Healthy People 2030 are to: Achieve healthy, thriving lives and well-being free from preventable illness, disability, injury, and untimely death. To promote everyone's health and wellbeing, eliminate health inequities, establish health equity, and increase health literacy.
In Healthy People 2030, the social determinants of health are given more attention (SDOH). Our partners are concentrating on SDOH nationally as well. They are making a lot of effort to enhance the surroundings of individuals through interventions, policies, and programmes.Learn more about Healthy people 2030 here:
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The emergency room record must include the time, immediate care and treatment notes, final disposition, condition at discharge, instructions for follow-up, and _____________.
The record for the emergency room must include the following information: the time, notes on any immediate care and treatment, the outcome, the patient's condition at discharge, orders for any additional care, and the time of arrival.
Describe the emergency room:Serious illness patients are treated in the emergency room, and cardiac arrest is prevented in those who exhibit physiological instability symptoms at the time a patient enters the emergency room.
Triage is the initial step when a patient first enters the emergency room, which is now more commonly referred to as the Emergency Department. A nurse will normally classify each patient's health into one of three categories during triage: Immediately life threatening, moderate, or severe. urgent but not necessarily life-threatening right away.
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Historically, clinical documentation improvement activities have focused on the inpatient setting because of _________.
Historically, clinical documentation improvement activities have focused on the inpatient setting because of the large amount of inpatient documentation.
Clinical documentation:The development of a digital or analog record outlining a medical treatment, medical trial, or clinical test is referred to as clinical documentation (CD). Clinical records must be accurate, timely, and unique to the services offered to a patient.
What is the purpose of clinical documentation?Clinical documentation's primary goal should be to support patient care and improve clinical outcomes through improved communication. The basic goal of clinical documentation is to promote effective patient care.
What are the types of clinical documentation?Treatment and observation notes, care plans, letters, test results, x-rays, clinical pictures, medication charts, checklists, operation reports, transfer forms, clinical summaries, and information from specialists, community workers, or general practitioners are all examples of these papers.
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studies have revealed that people who do not perform enough physical activity can lose about 80% of their muscles by the age of 65
According to a study, the decline in physical activity level and functional fitness was caused by aging and affected both men and women equally.
These disparities between young and old elderly persons were brought on by changes in body-fat percentage, flexibility, agility, and endurance as well as a decline in muscle strength in both the upper and lower limbs.
Sarcopenia with aging or sarcopenia related to aging is the cause. After the age of 30, physically inactive adults can lose up to 5% of their muscle mass per decade.
Between the ages of 30 and 80, there is a 30%–50% decline in muscular mass and strength, with the atrophy of type II muscle fiber being the primary culprit.In addition, after the age of 50, muscle strength declines at a rate of roughly 12%–14% every decade.Learn more about physical fitness here:
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a client with renal impairment is in need of a diuretic. because of the renal problem, potassium-sparing diuretics are contraindicated but may be used if there is no other option. if they are used at all, what nursing intervention would be most important for this client?
The most important nursing intervention for a client performed with the use of potassium-sparing diuretics is monitoring of serum electrolytes, creatinine, and BUN.
Renal disease, whether it originates in the kidneys directly or as a result of a systemic process, is frequently accompanied with edema, an increase in blood pressure, or both. It is generally recommended for a client in need for diuretic.
For both mild to moderate hypertension and severe hypertension, oral diuretics have gained widespread acceptance as the major treatment agents. Blood potassium levels may also be impacted by diuretics.
A thiazide diuretic may cause your potassium level to drop too low, or hypokalemia, which may result in potentially fatal issues with your heartbeat. You can have too much potassium in your blood if you're taking a potassium-sparing diuretic.
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5. swapping lower-fiber foods for higher-fiber foods at each meal and snack can help you meet your fiber needs. using the source analysis: dietary fiber for both days, if you made the following food swaps, which one would yield the greatest increase in dietary fiber?
The step one would yield the greatest increase in dietary fiber because the diet rich in fiber helps to keep digestive system fit and healthy.
What is fiber?Fiber is also known as roughage which is the derived portion of the plant in the form of food and it is impossible to break down the fiber completely with the help of enzymes found in human beings.
The average percentage of fiber a woman should add in her diet is 21-25 grams of fiber in a single day and the food which can provide fiber is berries, popcorn, avocados, and beans.The main advantage of taking fiber is that it helps to normalize the bowel movement that lead to maintain health of bowel.
Therefore, The step one would yield the greatest increase in dietary fiber because the diet rich in fiber helps to keep digestive system fit and healthy.
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Kevin recently fell in the kitchen and Injured one of his joints. However, Kevin knew that he had suffered a strain and not a sprain because there
was no what?
OA bruising
OB. blood
OC. pain
OD. abrasions
which intervention would the nurse perform for an extremely agitated client who begins to pace around the mental health quizlet
Letting the client pace around the hallway from others.
Briefing :They can burn off their energy without irritating other clients if you let them pace. Their current mental state prevents them from focusing on anything else.
What is pace ?Program of All-Inclusive Care for the Older (PACE) is a sort of HCBS that helps some elderly people with their basic requirements, the majority of whom are qualified for both Medicare and Medicaid benefits, by offering medical services.
How does it work?When necessary, PACE offers coverage for prescription medications, doctor visits, transportation, home care, checkups, hospital visits, and even stays in nursing homes. Your ability to pay won't ever prevent you from receiving the care you require with PACE.
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An experiment in which neither the subjects nor the experimenters know whether a drug or a placebo is being given is called a _____ experiment.
chen j, lu h, yan d, cui f, wang x, yu f, xue y, feng x, wang j, wang x, jiang t, zhang m, zhao s, et al. pak6 increase chemoresistance and is a prognostic marker for stage ii and iii colon cancer patients undergoing 5-fu based chemotherapy. oncotarget. 2015; 6:355–367. doi: 10.18632/oncotarget.2803.
The enzyme has been linked top21-activated kinase 6 (PAK6) docetaxel resistance and radiotherapy. PAK6 as a predictor of colon cancer therapy response to 5-fluorouracil (5-FU).
PAK6 enhances tumor growth and chemo resistance in colon cancer both in vitro and in vivo. In the clinical investigation, stage II and stage III patients who underwent 5-FU-based chemotherapy after surgery were shown to have PAK6 overexpression in 104 of 147 (70.75%) patients. PAK6 was found to be an independent predictive factor for both overall survival and disease-free survival, according to multivariate Cox regression analysis (P 0.001). Following 5-FU treatment, colon cancer cell lines expressed more PAK6.
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the impact of dietary patterns and nutrition in nonalcoholic fatty liver disease ahyoung kim, md arunkumar krishnan, mbbs james p. hamilton, md tinsay a. woreta, md, mph
One of the most widespread causes of chronic liver disease worldwide is a nonalcoholic fatty liver disease (NAFLD).
In proportion to the increases in obesity, sedentary lifestyles, bad eating habits, and metabolic syndrome, the prevalence of NAFLD have increased.
At the moment, the cornerstone of treatment is lifestyle adjustment with an emphasis on losing 7–10% of body weight, engaging in cardiovascular activity, and increasing insulin sensitivity.
Consistent data revealed that a Mediterranean diet was linked to a lower risk of both NAFLD and HCC, but a higher dietary inflammatory potential was linked to an elevated risk of both diseases.
More adherence to the Mediterranean Diet Score, Healthy Eating Index, Dietary Approaches to Stop Hypertension, and dietary patterns with high dietary antioxidant capacity also lowered the chance of developing NAFLD.
While overall veggies and spinach were linked to lower NAFLD risk, some individual items, such as soft drinks and red or processed meat, were linked to increased risk. Consumption of white meat and coffee was negatively correlated with the risk of HCC.
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a nurse is planning for an older adult client who is at risk for developing pressure ulcers. which of the folling interventions should the nurse
Manifestations of a stage 3 pressure ulcer can include full-thickness skin loss with necrotic subcutaneous tissue.
Necrotic subcutaneous :Inflammation of the subcutaneous adipose tissue that typically manifests in the first week of life in full-term neonates is called subcutaneous fat necrosis (SCFN). Pain, scarring, and hypercalcemia are among the complications that can appear weeks after physical examination findings of SCFN.
A rare form of panniculitis in newborns is subcutaneous fat necrosis (SCFN). In the first few weeks of life, red, red-brown, or violaceous subcutaneous nodules and indurated plaques commonly appear on the back, buttocks, proximal extremities, or cheeks.
What causes subcutaneous fat necrosis?Subcutaneous fat necrosis is caused by some form of intrauterine or perinatal trauma. It has been linked to neonatal hypoxia, meconium aspiration, hypothermia, and maternal cocaine usage.
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evidence suggests that people with which type of deficiency will seek out foods to remedy the lack thereof?
Evidence suggests that people with sodium deficiency will seek out foods to remedy the lack thereof.
What happens if children don t get enough nutrients?Development throughout the first two years of life is crucial and has long-term consequences for a child's health. Poor baby and child nutrition can result in micronutrient deficiencies, which can lead to a compromised immune system and long-term repercussions on children's development and growth.
The first stage of iron deficiency :The labile iron pool is formed by RBCs. Iron deficiency manifests itself in different stages. The extent of depletion defines them; the first phase is depletion of iron storage, and in the later point in time, iron is only present in labile forms. If the adverse iron balance persists, anemia develops.
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a 50-year-old woman presents with acute shortness of breath. her skin is pale and she is anxious. you should:
Assess her breathing and give her high-flow oxygen as needed.
Respiratory infections such as bronchitis and pneumonia are among the most common causes of sudden shortness of breath. Other symptoms such as fever, cough, phlegm or phlegm production are commonly caused by these diseases. You may feel embarrassed or frightened when you first experience shortness of breath or while completing a task that you previously thought was easy. Sometimes it's hard to pinpoint the exact cause, but it could be a heart or lung problem, or a low blood count. can be effectively treated. Many cases of shortness of breath are caused by simple, temporary problems.Assessing her breath is the correct answer.
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Which type of psychology degree focuses more on the clinical practice and less on research?.
Answer:
That would be called a PsyD
Explanation:
A PsyD, or Doctor of Psychology, degree is a doctoral-level psychology training program that has an emphasis on clinical treatment of patients with mental health issues.
a nurse is assessing a client who is immediately post-operative following total hip arthroplasty, which of the following considerations should the nurse take when positioning the client?a. place the client’s heels directly against the bed mattressb. ensure that the client’s hips remain in an abducted position.c. maintain the client in a supine position for the first 24 hr. after surgery.d. flex the client’s hip up to 120° when sitting in a chair
Answer:
B. ensure that the client’s hips remain in an abducted position.
Explanation:
The answer is B, because, according to the American Academy of Orthopedic Surgeons, “The goal of hip precautions is to maintain the hip in as close to a normal position as possible and to prevent it from being moved into a position that would cause dislocation.” This means that the client’s hips should remain in an abducted position.
centers for disease control actually recommend that patients who are current tobacco users stop smoking at least one month before surgery.
One in four deaths from heart disease and stroke are directly related to cigarette smoking, which is a leading cause of both conditions.
Heart disease and stroke risks are increased by 25% to 30% in nonsmokers who are exposed to secondhand smoke at home or at work.
CDC: How much nicotine is in a cigarette?Between 1954 and 1993, levels of tar and nicotine fell. Tar was 12 mg in 1993 compared to 38 mg in 1954, while nicotine was 0.95 mg instead. Since 1993, tar and nicotine levels have remained constant.
Does CDC encourage smoking?29 reports on the negative effects of smoking have been produced by this section, which eventually became the Office on Smoking and Health under the CDC. Therefore, it is untrue to say that the CDC encouraged nicotine use or smoking.What is a wholesome substitute for cigarettes?"Quick response products" include nicotine chewing gum, lozenges, pills, mouthwash, and inhalers.
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If a patient's allowed amount is $100, and the patient has a 20 percent coinsurance and $10 copay, how much will the patient need to pay?
Question 17 options:
a) $30
b) $40
c) $10
d) $50
Answer: C i believe
Explanation:
Which body cavity is acess while adminstering nasal drops by tilting the head of the patient back over the edge of the bed?
The body cavity that is access while administering nasal drops by tilting the head of the patient back over the edge of the bed are Ethmoid sinus and Sphenoid sinus.
What is sinus infection?Sinus infections occur when fluid accumulates in the air-filled pockets in the face (sinuses). This fluid accumulation allows germs to grow. The majority of sinus infections are caused by viruses, but bacteria can also cause sinus infections.
The Ethmoid sinus and Sphenoid sinus are the body cavities that are accessed while administering nasal drops by tilting the patient's head back over the edge of the bed.
Thus, these are accessed in the given situation.
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a nurse is caring for four clients. after administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. which of the following actions should the nurse take first?
The nurse's action is to firstly (4) check the client's vital signs.
Given that nifedipine reduces blood pressure, the nurse should make sure the client is not hypotensive before administering the medication. The nurse can go on to other tasks once the client is secure. This drug is used to stop some forms of chest discomfort (angina).
You might be able to exercise more and experience angina episodes less frequently. The group of drugs known as calcium channel blockers includes nifedipine. In order to facilitate easier blood flow, it acts by relaxing blood vessels.
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Question correction:
After administering morning medications, a nurse realizes that the nifedipine (Procardia) prescribed for one client was inadvertently administered to the client's roommate. The nurse's priority action should be to:
1. Notify the provider
2. Fill out an occurrence form
3. Administer the medication to the correct client
4. Check the client's vital signs
associations between daily-living physical activity and laboratory-based assessments of motor severity in patients with falls and parkinson's disease
Associations between daily-living physical activity and laboratory-based assessments of motor severity in patients with falls and parkinson's disease gait and balance measurements, as well as indicators of daily physical activity in PD patients.
Parkinson's diseaseMovement-related central nervous system condition that frequently includes tremors.
Parkinson's symptoms are brought on by a decrease in dopamine levels caused by damage to the brain's nerve cells.
One hand tremor is frequently the first sign of Parkinson's disease. Loss of balance, stiffness, and delayed mobility are further symptoms. Parkinson's symptoms can be controlled with medication.
Cause of Parkinson diseaseThe brain region known as the substantia nigra loses nerve cells, which leads to Parkinson's disease. A substance called dopamine is produced by nerve cells in this region of the brain.
Requires TreatmentParkinson's disease typically manifests first as a tremor in one hand. Additional symptoms include a loss of balance, stiffness, and delayed mobility.
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what warning signs should the nurse teach the client to observe for during the second and third trimester of pregnancy? include your rationale for this client teaching.
Regular contractions or tightening of the uterus before 36 weeks (greater than four contractions in one hour) Chills and fever over 100.4 degrees Fahrenheit. Vaginal bleeding. Sudden increase in vaginal discharge.
What is trimester in pregnancy ?First trimester, second trimester, and third trimester are the three stages that make up a pregnancy. A full-term pregnancy lasts about 40 weeks starting on the first day of a woman's last period, while a trimester lasts between 12 and 14 weeks.
The most essential period for the growth of your unborn child is the first trimester. Your baby's bodily structure and organ systems grow throughout this time. Most miscarriages and birth abnormalities occur during this period.Your unborn child will develop in the first trimester from a fertilised egg into a moving foetus with eyes, hearing, and functional organs. Your baby's characteristics begin to take shape during the second trimester, and you might even feel your baby move. Your unborn child will grow quickly in the third trimester as it prepares to be born.Learn more about Trimester here:
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Why is it important to endure that all entries are posted to monthly statements correctly? if items are not posted correctly, how could this potentially impact the way patients view their clinic? how could not posting transactions affect the clinic?
Answer:
If items are not posted correctly, patients may believe that the clinic is not keeping accurate records. This could potentially impact the way patients view their clinic. Not posting transactions could also affect the clinic's bottom line.
Explanation:
Hope this helps!
Ensuring all entries are posted correctly is crucial for maintaining accurate financial records and building trust with patients.
Accurate posting of entries to monthly statements is essential for several reasons. First and foremost, it ensures that the clinic's financial records are precise and reliable. Any errors or omissions in the entries can lead to discrepancies in the clinic's financial statements, which may result in incorrect assessments of the clinic's financial health and performance.
When patients receive monthly statements, they expect them to be accurate and transparent. Incorrectly posted entries can lead to billing errors, overcharging, or undercharging patients, which can cause frustration and dissatisfaction among patients. It may lead to a loss of trust in the clinic's billing practices and overall quality of service.
Additionally, if transactions are not posted correctly, it can create confusion and difficulties in tracking patient payments, outstanding balances, and insurance reimbursements. This can result in delayed or missed payments, cash flow issues, and challenges in managing the clinic's revenue.
Moreover, inaccurate financial records can lead to compliance and regulatory issues. If the clinic is audited or required to provide financial documentation, discrepancies in the records can raise red flags and result in penalties or fines.
On the other hand, accurate posting of transactions ensures that the clinic maintains a high level of professionalism and credibility. Patients feel confident in the clinic's financial practices, leading to increased patient satisfaction and loyalty.
In conclusion, accurate posting of entries to monthly statements is crucial for maintaining financial integrity, building trust with patients, and ensuring the smooth financial operations of the clinic. By prioritizing accuracy and attention to detail, the clinic can avoid potential negative impacts on patient perceptions and establish a positive reputation within the community.
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27 of 50 question 27. which of the following would indicate that an applicant for licensure is likely to possess the good professional character necessary to hold a nursing license in texas? a. the occupations of the applicant's parents and their standing in the community. b. the applicant's personal acquaintance with community and government leaders. c. the applicant provides satisfactory evidence that he/she has not committed a violation of the nursing practice act or a board rule. d. the applicant's knowledge about state regulations for the health care industry.
The statement that indicates that the applicant is likely to possess the good professional character necessary to hold a nursing license in texas is when the applicant provides satisfactory evidence that he/she has not committed a violation of the nursing practice act or a board rule. That is option C.
What is a nursing license?A nursing license is a legal permit that gives a registered nurse the authority and protection to carry out the various procedures required of a nurse who has undergone proper training in a registered institution.
Licensure is defined as the process by which a governing body of nursing grants permission to an individual to engage in nursing practice after attaining and proving the competency necessary to perform the unique scope of the nursing practice.
The be able to hold a nursing license in Texas, the applicant must provide satisfactory evidence that he/she has not committed a violation of the nursing practice act or a board rule as this shows they are of good professional character.
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to reduce the risk of chronic disease, help prevent weight gain, and help sustain weight loss, myplate recommends at least of moderate activity per week.
My plate suggests at least one moderate activity session each week to lower the risk of chronic disease, avoid weight gain, and support weight loss. Other suggestions include cutting back on sedentary behavior and eating three tablespoons of peanut butter
What is chronic disease?A condition or illness with a typical duration of three months or longer with the tendency to get worse over time. Chronic diseases, which may normally be managed but again not cured, are more common in older people. The most common types of chronic illness are cancer, heart disease, stroke, diabetes, as well as arthritis.
What causes chronic disease?Two major risk factors, using tobacco and being around secondhand smoke, are what cause the majority of chronic diseases. Poor nutrition, including meals that seem to be low in fruits and vegetables and high in salt and saturated fat inactivity in the body.
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A client is scheduled for an arteriogram. the nurse should explain to the client that the arteriogram will confirm the diagnosis of occlusive arterial disease by?
The arteriogram will confirm the diagnosis of occlusive arterial disease by indicating the obstruction’s position and the collateral circulation.
Locating the locations of volume changes are by scanning the affected extremities.
Which ailment most frequently develops in coronary artery disease (CAD)?Atherosclerosis, a vascular damage caused by cholesterol plaque formation in the arteries, is the most frequent cause of CAD.
Which client is most at risk for coronary artery disease?Ages >45 for men and >55 for women are included in the age ranges when there is an increased risk of having CAD.
Reduced blood flow happens when one or more of these arteries become partially or completely blocked
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