a child with growth hormone deficiency is prescribed growth hormone (gh) by subcutaneous injection. when teaching the child's parents about this drug, the nurse would instruct the parents to administer the drug at which frequency?
Subcutaneous (sub-Q-TAIN-ee-us) injections are used to administer GH, which indicates that the substance enters the fatty tissue immediately below the skin's surface.
What to expect with Growth Hormone Treatment?Growth is primarily what to anticipate. The important thing is that your child will grow — probably 1 to 2 inches within the first 6 months of starting treatment. It takes about 3 to 6 months to notice any height differences, but this is not the most important thing. You might also notice the following things:Your child's shoes might become quickly unfit. You may need to buy new shoes more frequently if your feet grow within 6 to 8 weeks.Your child might desire more food. An improvement in appetite is typical, particularly if the patient had a poor appetite prior to treatment.Once height growth begins, your child might appear thinner for a while. With GH therapy, an increase in lean body mass and a decrease in fat mass are frequent outcomes.You should be informed that GH treatment is frequently a lengthy commitment since it may take your child a number of years to attain his or her adult height. Regular appointments with the pediatric endocrinologist, as well as infrequent x-rays and blood tests, will be required to track your child's treatment success. Although the course of treatment can vary, your kid will likely need to continue receiving GH until he or she has:Entire mature height was attainedComplete bone maturityLess than 2 cm in recent growth.To Learn more About Growth Hormone Treatment Refer To:
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which diagnostic test should the nurse request an order for to determine if the client is developing drug toxicity?
Peak and trough tests should be ordered to determine if the client is developing drug toxicity.
Peak and trough levels—peak denoting the greatest and trough denoting the lowest—indicate how much medicine the patient has in their circulation. The following dose should be skipped, and the blood level should be examined again six hours later if the trough exceeds the drug's permissible limit.
There are different types of tests, such as:
Before antibiotic treatment, use culture and sensitivity to identify the microorganisms present and the most appropriate antibiotic.
The therapeutic index is the range between a medication's therapeutic and toxic doses.
Half-life: connected to dosage of medicine.
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Question 1 Which term describes the situation when 3 to 4 cm of the fetal head is visible at the vaginal opening? O Crowning Tidaling Caput succedaneum Coronal presentation
The term that describes when 3-4 cm of fetal head is visible at the vaginal opening is Crowning, option 1.
What does crowning of the fetus mean?This process occurs during the second stage of labor after complete dilation is achieved and the woman is ready to push. Crowning is when the crown or top of the baby's head is visible through the vulva.
When the fetal head is seen up to 3 to 4cm, the mother is encouraged to push to 3 to 5 times with every contraction to avoid complications. With the next set of contractions the baby comes out.
The complete question:
Question 1 Which term describes the situation when 3 to 4 cm of the fetal head is visible at the vaginal opening?
1. Crowning
2. Tidaling
3. Caput succedaneum
4. Coronal presentation
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the nurse wishes to delegate the task of assisting a client who had a stroke 4 days ago with meals. which staff member who be best to assign this task to? group of answer choices lpn/lvn uap occupational therapist family member
Among physical therapist family members, UAP - unlicensed assistive personnel is the member of staff who is most qualified for this position.
The UAP's area of practice is most appropriately suited to helping clients with ADLs like eating.
Focus: Assignment, supervision, and delegation.
Despite their nomenclature, UAPs are nursing assistants that are capable of doing intervention strategies that have been assigned but are being monitored by a nurse.
Unlicensed individuals who have received training to assist a licensed nurse in doing activities for patients or clients are referred to as "unlicensed assistive personnel" (UAP) by the American Nurses Association (ANA).
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which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy?
The most important topic to be discussed preoperatively with the patient scheduled for abdominal surgery for an open cholecystectomy is: (2) Deep breathing and coughing.
Cholecystectomy is the operational removal of the gall bladder. Gall bladder is the organ present below the liver that stores and secretes the bile juices. Although commonly performed, the surgery is still a major one as it may sometimes lead to other infections and conditions.
Teaching about deep breathing and coughing is essential preoperatively to the patients undergoing abdominal surgery so as to prevent postoperative atelectasis. Atelectasis is the condition where the lungs may complete collapse.
The given question is incomplete, the complete question is:
Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy?
Care for the surgical incisionDeep breathing and coughingOral antibiotic therapy after dischargeMedications to be used during surgeryTo know more about cholecystectomy, here
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a client is instructed to follow a low-fat diet after an inflammatory attack of the gallbladder. which vitamins or other acids will the nurse recommend the client supplement due to the client's dietary restrictions? select all that apply.
The nurse recommend the client supplement due to the client's dietary restrictions A,D,K, Essential fatty acids-Need fat soluble vitamins; folic acid is not fat soluble.
What is low fat diet?A low fat diet limits fat and often saturated fat and cholesterol. A low-fat diet is designed to reduce the incidence of diseases such as heart disease and obesity.
People lost weight on both diets, but only the low-fat diet significantly reduced body fat. the main reasons for choosing a low-fat diet are usually to reduce calories and improve cholesterol. To achieve these goals, a low-fat diet should be properly balanced to include a healthy amount of vitamins and minerals.
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a nurse is describing the risks associated with post-term pregnancies as part of an inservice presentation. the nurse determines that more teaching is needed when the group identifies which factor as an underlying reason for problems in the fetus?
The risks associated with post-term pregnancies as part of an inservice presentation identifies increased amniotic fluid volume as an underlying reason for problems in the fetus.
It's not always clear why too much fluid accumulates during pregnancy, but it can be caused by a twin or multiple pregnancy. Diabetes in the mother, including pregnancy-related diabetes (gestational diabetes) a blockage in the baby's digestive tract (gut atresia)
Polyhydramnios is an overabundance of amniotic fluid, which surrounds the fetus in the uterus during pregnancy. Polyhydramnios affects 1 to 2% of all pregnancies.
The majority of polyhydramnios cases are mild and are caused by a gradual buildup of amniotic fluid during the second half of pregnancy. Severe polyhydramnios can cause shortness of breath, premature labor, and other symptoms.
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A patient weighing 40 lb has an order for phenobarbital 60 mg twice daily. The safe dose
range is 3 to 6 mg/kg/day. Is this order safe?
A patient weighing 40 lb has an order for phenobarbital 60 mg twice daily. The safe dose range is 3 to 6 mg/kg/day.
What is phenobarbital?
Phenobarbital is a barbiturate and anticonvulsant with a lengthy half-life that is used to treat all forms of seizures except absent seizures.
Phenobarbital, the longest-acting barbiturate, is utilised in the treatment of all seizure disorders except absence seizures due to its anticonvulsant and sedative-hypnotic effects (petit mal).
Phenobarbital inhibits synaptic transmission by acting on GABAA receptors. This raises the seizure threshold and reduces the spread of seizure activity from a seizure focal. Phenobarbital may also inhibit calcium channels, causing excitatory transmitter release to diminish. Phenobarbital's sedative-hypnotic effects are most likely due to its action on polysynaptic midbrain reticular formation, which regulates CNS alertness.
Phenobarbital is in the barbiturates class of medicines. It is used to treat insomnia (difficulty sleeping) and as a sedative to reduce anxiety or tension symptoms. It is also used to treat certain forms of seizures. It functions by slowing the brain and nerve system.
In addition, phenobarbital is utilised to lower bilirubin levels in newborn newborns. Bilirubin is a chemical that the body produces and the liver eliminates. A newborn baby's liver may require some time to begin functioning properly.
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a hospitalized client has been diagnosed with heart failure as a complication of hypertension. in explaining the disease process to the client, the nurse identifies which chamber of the heart as primarily responsible for the symptoms?
Left ventricle chamber of the heart as primarily responsible for the symptoms
What causes heart failure?Heart failure, also known as congestive heart failure, is a chronic illness that deteriorates over time. Heart failure, despite the name suggesting otherwise, is the inability of the heart to pump blood as effectively as it should. Your organs may suffer harm when your heart's pumping capacity is reduced, and fluid may build up in your lungs.Many medical conditions that damage the heart muscle can cause heart failure. Common conditions include:Coronary artery disease.Heart attack.Cardiomyopathy.Heart issues present at birth (congenital heart disease).Diabetes.High blood pressure (hypertension). This is a common cause in people assigned female at birth.Arrhythmia (abnormal heart rhythms, including atrial fibrillation).Kidney disease.Having obesity.Tobacco and recreational drug use.Medications. Some drugs used to fight cancer (chemotherapy) can lead to heart failure.Because the left ventricle must pump the stroke volume against greater resistance (after load) in the main blood arteries, hypertension increases the left ventricle's effort. This eventually results in the left ventricle failing, which produces heart failure signs and symptoms. Although these chambers may be impacted as the disease progresses and becomes more chronic, the other alternatives are not the chambers that are principally responsible for this disease process.To learn more about hypertension, refer to
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which irrigation technique is best? pour the saline directly onto the wound from the bottle. moisten a sterile gauze pad and pat the gauze over the wound. irrigate as gently as possible using a 60-ml bulb syringe. apply steady pressure using a 35 ml syringe and 19-gauge needle.
The best irrigation technique is, Using a 35-ml syringe and 19-gauge needle provides 8 pounds per square inch (PSI). The irrigation used here is wound irrigation,
Wound irrigation is easy to perform, quick, inexpensive and effective.
Normal saline is the most frequently used irritant, as it is proved tap water cures it fast and is an cost effective way.
It should be irrigated as slowly as possible using a large syringe.
It is adequate pressure to ensure effective irrigation.
It is always advised to use irrigation pressure between 4 and 15 psi.
If we apply too much pressure it can actually force surface bacteria into the wound bed.
If we apply too low pressure it will fail to remove surface bacteria it may lead to wound infection.
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a young woman comes to the ed with lower abdominal pain on the right side and has been spotting blood for 2 days. she is diagnosed with an ectopic pregnancy, which is an obstetric emergency. an ectopic pregnancy is when what occurs?
The egg never leaves the fallopian tube
What is fallopian tube?One of the two lengthy, thin tubes that join the ovaries and uterus. The fallopian tubes carry eggs from the ovaries to the uterus. On either side of the uterus are an ovary and a fallopian tube in the female reproductive system.When the egg never leaves the fallopian tube, ectopic pregnancy results. Blood spots and lower abdomen pain on one side are symptoms of this potentially fatal illness. An obstetric emergency necessitating hospitalization and pregnancy termination in order to save the mother's life is confirmed ectopic pregnancy. The alternative choices serve to dilute the question.The most frequent type of ectopic pregnancy, known as a tubal pregnancy, occurs when a fertilized egg becomes impaled on something while traveling to the uterus.To learn more about fallopian tube refer to:
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The following are all tips for mindful eating EXCEPT... A. Enjoy the aroma, taste, and texture of your meals. B. Eat at the table. C. Finish all of the food
Answer:
eating all the food
Explanation:
Describe 2 of the 3 principles of good observation
the nurse in charge of a nursing unit is asked to select the hospitalized clients who can be discharged so that hospital beds can be made available for victims of a community disaster. which clients can be safely discharged? select all that apply.
the nurse in charge who is asked to select the hospitalized clients who can be discharged so that hospital beds can be made available for victims of a community disaster selects the clients to be safely discharged when :
A client is with a Holter monitorA client is receiving oral antibioticsA client is experiencing sinus rhythmIf clients are discharged, they should be medically stable and able to manage their condition at home. A client experiencing chest pain may be suffering from a myocardial infarction and requires close monitoring. To stabilize a client who has recently been diagnosed with atrial fibrillation, medication and monitoring are required. A third-degree heart block patient is considered unstable, especially if the patient requires a pacemaker.
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A client had a percutaneous transluminal coronary angioplasty (PTCA). What medication will the nurse administer to prevent thrombus formation in the stent?
A. Diltiazem
B. Isosorbide mononitrate
C. Clopidogrel
D. Metoprolol
The nurse will administer Diltiazem to prevent thrombus formation in the stent after a percutaneous transluminal coronary angioplasty (PTCA).
Diltiazem is used to lower high blood pressure and prevent thrombus. Diltiazem is given to people with high blood pressure avoid heart disease, heart attacks, and strokes in the future. Diltiazem is used to prevent angina. A calcium channel blocker called diltiazem is used to treat hypertension and control chronic stable angina. A derivative of benzothiazepine having antihypertensive and vasodilating effects is diltiazem.
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the nurse is making a follow-up home visit to a woman who is 12 days postpartum. which finding would the nurse expect when assessing the client's fundus?
The nurse is preparing to assess a client who is 1 day postpartum. the nurse predicts the client's fundus will be located 1 cm below the umbilicus on assessment.
What is postpartum?The term postpartum wealth moment of truth following in position or time parturition. Most women catch “postnatal depression,” or feel dismal or empty, inside any day of creation. Postpartum, hormones (estrogen and progesterone) in your body concede the possibility of influence of postpartum depression.
For many women, postpartum depression departs in 3 to 5 days. If your postpartum depression forbiddance departs or you feel depressed, hopeless, or empty for lengthier than 2 weeks, you concede the possibility have postnatal depression.
Therefore, The nurse is preparing to assess a client who is 1 day postpartum. the nurse predicts the client's fundus will be located 1 cm below the umbilicus on assessment.
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a client comes to see the cardiologist for a routine follow-up visit. at the visit, the nurse reviews the client's electronic health record. the nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. the record also lists two changes in the client's medication based on the emergency department visit. the nurse's ability to access this information reflects which concept?
Interoperability is that process which is reflects in nurse's ability, the nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. the record also lists two changes in the client's medication based on the emergency department visit
What is Interoperability?
Interoperability is the quality that makes it possible for different systems to freely share and utilise resources through local area networks (LANs) or wide area networks (WANs). There are two types of data interoperability: semantic interoperability, which is the capacity of computer systems to exchange meaningful data with unambiguous, shared meaning, and syntactic interoperability, which enables various software components to cooperate and is a prerequisite for semantic interoperability.
One of the most important aspects of networked computerised systems, notably interoperability in healthcare information and management systems, is efficient automated data sharing between applications, databases, and other computer systems.
We could define interoperability as the ability of two or more information systems, or components, to let information to be shared and used across systems. The synchronisation of all components will be more than assured as a result.
Since it tries to address well-known demands like: redundant information across different sectors, lack of cohesiveness between distinct sections, existence of many information systems that operate independently, interoperability is a component of substantial importance to private firms. Control and effectiveness in an organisation are completely absent when all of this occurs.
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a client who is taking supplements reports severe flushing and itching an hour after ingestion. the nurse is aware that the supplement is most likely:
A client who is taking supplements reports severe flushing and itching an hour after ingestion. The nurse is aware that the supplement is most likely niacin.
Flushing is the sudden and extreme reddening of the skin. This usually happens in the skin of the face, neck, or upper chest. The redness is the result of increased blood flow into that region. The redness appears as patches or blotchiness.
Niacin is the name for vitamin B3. It is naturally present in foods like milk, meat, tortillas, cereal grains, etc. It is also taken from external supplements. The supplements can sometimes cause allergic reactions in some people.
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which measures are used by the nurse to confirm the correct placement of a nasogastric feeding tube? select all that apply.
The nurse takes measurements of the nasogastric feeding tube's length, the pH of the aspirated contents and monitor carbon dioxide levels to ensure that it is properly positioned (option b, option c and option e).
A nasogastric tube (NG tube) is a unique tube that travels through the nose to the stomach to deliver food and medications. It can be used to all feedings or to provide an individual with more calories.
One should create a daily routine for these tasks after your nurse instructs you on how to flush the tube and care for the skin around your nose. Flushing the tube aids in the release of any formula that may have become lodged inside. After each feeding, or as often as your nurse advises, flush the tube. After each feeding, wash the skin around the tube with warm water and a fresh washcloth. Also, you should clear up any nasal crust or secretions.
All doctors should be able to assess the location of nasogastric (NG) tubes because undetected mispositioning can have fatal results. A properly positioned nasogastric tube should cross the diaphragm in the middle, descend in the midline, follow the course of the oesophagus while avoiding the curves of the bronchi, visibly bisect the carina or bronchi, and have its tip visible below the left hemidiaphragm.
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Complete question:
Which measures are used by the nurse to confirm the correct placement of a nasogastric feeding tube? Select all that apply.
a) Auscultating injected air
b) Measuring tube length
c) Measuring the pH level of aspirated contents
d) Instilling fluid into the tube
e) Monitoring carbon dioxide levels
a client is being discharged home with a prescription for sublingual nitroglycerin. the nurse will instruct the client and family to do which?
A patient is being discharged home with a prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to keep the tablets in the original dark bottle.
NITROGLYCERIN (nye troe GLI ser in) prevents and treats chest pain (angina). It works by relaxing blood vessels, which decreases the amount of work the heart has to do. It belongs to a group of medications called nitrates.This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.Nitroglycerin is available as two types of products that are used for different reasons. The extended-release capsules are used every day on a specific schedule to prevent angina attacks. The oral spray, sublingual powder, and sublingual tablets work quickly to stop an angina attack that has already started or they can be used to prevent angina if you plan to exercise or expect a stressful event.
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a client has been told that stimulation of their chemoreceptor trigger zone (ctz) is responsible for their current symptoms. what nursing action indicates that the nurse is aware of the role of the ctz?
A client has been told that stimulation of their chemoreceptor trigger zone (CTZ) is responsible for their current symptoms and it's role is planning care to manage the client's nausea and vomiting.
The CTZ is stirred by endogenous unhealthful substances created in acute infectious diseases or metabolic disorders like azotaemia and diabetic diabetic acidosis and by medicine and different exogenous toxins. It's conjointly known as the realm postrema. Once the CTZ is stirred, vomiting might occur.
Nausea is feeling associated urge to vomit. t's usually known as "being sick to your abdomen." Vomiting or throwing-up is forcing the contents of the abdomen up through the food pipe (esophagus) and out of the mouth.
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all of the following occur during inflammation. what is the first step? all of the following occur during inflammation. what is the first step? diapedesis phagocyte migration repair margination vasodilation
Of the items, the first step that occurs during inflammation is vasodilation.
How does the inflammatory response work?The inflammatory response is part of the innate immune response and, therefore, it is not a specific response, but occurs in a standardized way regardless of the stimulus. The inflammatory process involves various cells of the immune system, molecular mediators and blood vessels.
How is the inflammatory response manifested?The inflammatory leads the body to produce five classic signs: heat, flushing (redness), tumor (swelling, edema), pain and loss of function. Heat and redness are caused by the dilation of the vessels and the increase in local blood flow leads to the reddish coloration.
How do leukocytes act during the inflammatory response?Due to inflammation, after the margination process, both endothelial cells and circulating leukocytes are activated by circulating inflammatory substances.
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which process can reduce expensive redundant tests that are ordered because one provider does not have access to the clinical information stored at another provider's location?
The process that can reduce expensive redundant tests that are ordered because one provider does not have access to the clinical information stored at another provider's location is health information exchange.
What does health information exchange mean?The expression health information exchange makes reference to the shared info of medical records with patient consent in order to facilitate medical procedures in the clinical setting.
Therefore, with this data, we can see that health information exchange may be very useful to reduce time and costs during healthcare treatments in the clinical setting.
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an autoimmune neuromuscular disorder characterized by severe muscular weakness and progressive fatigue is known as:
This autoimmune neuromuscular disorder characterized by serve muscular weakness and progressive fatigue is known as myasthenia gravis.
What is characterized?
characterized are one of the distinguished features or the quality of something.
Myasthenia gravis is characterized by weakness of the and rapid fatigue of any of the muscles under the by your voluntary control. It's caused by a breakdown of in the normal reaction communication between nerves and muscles.
Myasthenia gravis is a the neuromuscular disorder primarily characterized by serve muscle weakness and muscle fatigue. Although it is the disorder usually becomes apparent during the adulthood, symptom onset may occur at any age.
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the hospice nurse is caring for a client with allow natural death (and) orders. the nurse assesses that the client has a slow, irregular heart rate, has cooling of the extremities, and is agitated. which interventions can the nurse implement? select all that apply.
The nurse has to provide prompt assessment at such painful and distressing symptoms with Allow natural death order.
What is allow natural death order?Medical professionals of all stripes, including doctors, nurses, chaplains, social workers, and case managers, unintentionally alarm patients and their families with vocabulary that is seen as harsh, insensitive, and downright perplexing.
The "Do Not Resuscitate" (DNR) order is a good illustration. All too frequently, when healthcare providers discuss DNRs with patients and their families, the family assumes that all care and treatments would be stopped. No matter how carefully DNR orders are explained, the family frequently only hears the "not" in "do not resuscitate." Many people are misled by this negativity because they believe that obtaining a DNR order authorises the death of a loved one.
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the nurse in a hospital skilled nursing unit witnesses a client's spouse vigorously shaking the elderly client who has dementia after the client has had an episode of incontinence. after discussing concerns with the nurse manager, to whom wuld the nurse report this observation?
After discussing concerns with the nurse manager, the person that the nurse can report this observation to will be the adult protective services.
What is the adult protective services?Adult Protective Services personnel investigate reports of abuse, neglect (including self-neglect), or financial exploitation of vulnerable adults. APS is in charge of investigating abuse, neglect, and exploitation of elderly or disabled adults.
The protective service personnel assess the need for protective services and provide services to reduce the adult's identified risk. Adult Protective Services (APS) exists to help vulnerable adults.
In this case, since the nurse in a hospital skilled nursing unit witnesses a client's spouse vigorously shaking the elderly client who has dementia, it's important to make the report.
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the nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity. what does the nurse understand is the rationale for this type of exercise?
Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
Isometric exercise induces contraction of skeletal muscle so that it compresses the walls of veins and increases the circulation of venous blood as it returns to the heart. Isometric Exercises do not have an aerobic effect and should not increase the heart rate; although, it may increase blood pressure.Isometric exercise helps the blood to reach towards heart by contraction of vein.
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a client with congestive heart failure presents to the emergency department with soreness from swelling of the ankles. when conducting the physical examination of this client, the nurse would require a stethoscope for which reason?
A client with congestive heart failure presents to the emergency department with soreness from swelling of the ankles. when conducting the physical examination of this client, the nurse would require a stethoscope to auscultate the lungs.
What is congestive heart failure?
Congestive heart failure is a progressive and continuous heart decrease in heart pumping capacity caused by poor lifestyle, poor diet, and even high blood pressure.
This is a non-communicable disease that could lead to shortness of breath when fluids gather in the lungs.
Soreness from swelling of the ankles is due to fluid build-up buildup in that particular region. This is an indication that the damage to the heart has worsened, as fluids could also be found in the feet too.
In summary, the nurse would require a stethoscope to evaluate airflow within the lungs, which in others words detects the sound in the lungs.
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a nurse is teaching a client and the client's family about chronic pancreatitis. which are the major causes of chronic pancreatitis?
Answer:
Elevated triglyceride levels in the patient's blood.
in 2000, evita used a dietary supplement that her body converted to testosterone once it was absorbed. what was she taking? human growth hormone androstenedione creatine hydrocortisone
Androstenedione is a steroid hormone that is primarily made by the ovaries and adrenal glands in women and the testes in men. It is essential for the creation of both estrogen and testosterone.
In order to specifically raise testosterone levels, androstenedione is also available as an oral supplement. This vitamin, which athletes simply call "andro," is frequently promoted as a natural substitute for anabolic steroids. Androstenedione is thought to enhance sexual function and performance, muscle mass, energy, and athletic performance by raising testosterone levels.
Androstenedione was the top supplement in the bodybuilding industry in the 1990s. However, it is currently prohibited by the International Olympic Committee and the World Anti-Doping Agency as a performance-enhancing drug (PED). It was categorized as a Schedule III controlled substance in 2004 and is now prohibited by the National Collegiate Athletic Association (NCAA), the U.S. Army, and other organizations.
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