With shortness of breath, dizziness, and a pounding heart, Chase is most likely suffering from panic.
Panic is a sudden feeling or sensation of intense fear. It tends to prevent logical thinking, instead replacing it with intense anxiety and agitation.
Some symptoms of panic are:
SweatingThroat feeling tightShortness of breathShakingPounding heart rateLightheadedness or dizzinessFear of loss of control Sense of impending doomWhile a panic attack is not dangerous on its own, it can be very uncomfortable for the victim and may even get worse without treatment. It's usually caused by major stress or a sensitive temperament.
To treat panic attacks, one can start breath in and our deeply and slowly. Some people find that counting steadily from one to five or ten also helps.
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after assessing an older patient which musculoskeletal changes will the nurse attribute as being a normal part of the aging process? select all that apply.
Loss in height, Lower leg muscle atrophy and Decreased range of motion in the shoulders are the musculoskeletal changes the nurse will attribute.
Your bones, cartilage, ligaments, tendons, connective tissues, and other structures make up your musculoskeletal system. Your muscles and other soft tissues have a framework thanks to your bones. They support the weight of your body, keep your posture straight, and facilitate movement. Musculoskeletal pain can take many different forms, but the most common ones include persistent low back pain, neck pain, and pain brought on by osteoarthritis and rheumatoid arthritis. It can also take the shape of strained muscles, pain brought on by fractures, shoulder discomfort, and others. Muscles, joints, bones, connective tissues, and other body parts can all be affected by musculoskeletal problems. One of the most expensive and incapacitating ailments in the United States, these disorders can cause discomfort and a loss of function.
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a nurse collects a clean-catch specimen from a client at a health care facility. which statement describes a clean-catch urine sample?
A nurse collects a clean catch specimen from a customer at a medical facility. A urine sample considered sterile is a clean-catch urine sample.
What is clean-catch urine specimen?A clean-catch urine specimen is a urine sample. It is necessary if your doctor wants to test your urine for bacteria that may be causing a urinary tract infection. A clean catch sample is a method of collecting urine that does not have many bacteria from the skin.
A clean catch urine sample means that only "uncontaminated" urine is collected. Most often, this refers to urine collected only in the middle time frame of voiding. Sometimes called an intermediate sample.
What happen if the urine doesn't catch cleanly?Contaminated samples can result in false-positive urine culture results. Only a single bacterial growth is identified as the source of infection in an uncontaminated urine sample. A mixed flora of two or more organisms makes the interpretation of urine cultures more difficult and error prone.
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secondary prevention of stroke includes management of risk factors such as dyslipidemia. which of the following is an appropriate reason to delay initiation of statin treatment at this time?
The CPK level should be evaluated first to delay initiation of statin treatment at this time.
What is dyslipidemia?Unhealthy blood lipid (fat) levels of one or more lipid types are referred to as dyslipidemia.
Most people who have dyslipidemia are not aware of it unless it is severe. Typically, dyslipidemia is identified by a doctor during a normal blood test or a screening for another condition.
Peripheral artery disease (PAD) and coronary artery disease (CAD) are two more disorders that can develop from severe or untreated dyslipidemia (PAD).
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Hemoglobin is a complex protein that contains four polypeptide chains. The normal hemoglobin found in adults—called adult hemoglobin—consists of two alpha and two beta polypeptide chains, which are encoded by different loci. Sickle-cell hemoglobin, which causes sickle-cell anemia, arises from a mutation in the beta chain of adult hemoglobin. Adult hemoglobin and sickle-cell hemoglobin differ in a single amino acid: the sixth amino acid from one end in adult hemoglobin is glutamic acid, whereas sickle-cell hemoglobin has valine at this position. After consulting the genetic code provided in Figure 15.10, indicate the type and location of the mutation that gave rise to sickle-cell anemia.
GAA and GAG are two potential codons for glutamic acid. Codons that encode valine can be created by making a single base substitution in the second position in both codons: GAA-> GUA (Val), (Val) GAG -> GUG (Val)
What occurs if hemoglobin levels are low?Being anemic, or having low hemoglobin, can make you feel exhausted and frail. Anemia can have many different forms, each with a unique etiology. Anemia can be mild to severe and can be short-term or long-term. Anemia typically has multiple causes.
What hemoglobin level is considered dangerously low?According to some physicians, hospital patients with hemoglobin levels below 10 g/dL ought to have a blood transfusion. A blood transfusion may not be necessary for many individuals with levels between 7 and 10 g/dL, according to current studies. One blood unit is typically just as effective as two and may even be safer.
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the nurse is performing an assessment on a client with a history of a dysfunctional family. which findings should the nurse anticipate? select all that apply.
Abuse and neglect and Unhealthy personal boundaries are anticipated by the nurse.
A dysfunctional family is one in which conflict, misbehavior, and often child neglect or abuse, and sometimes all of the above, occur on a continuous and regular basis on the part of individual parents, leading other members to accommodate such actions.
Poor parenting, stressful or abusive environments, substance abuse, mental illness, chronic physical illness, and poor communication are all factors that can impair a family's functioning. A dysfunctional family's life is emotionally tumultuous.
Addictions or compulsions (e.g., drugs, alcohol, promiscuity, gambling, overworking, and/or overeating) in one or both parents have a strong influence on family members. The threat or use of physical violence is the primary means of control for one or both parents.
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which term refers to muscular hypertonicity in a weak muscle, with increased resistance to stretch?
a client is diagnosed with an infection attributable to the gram-negative microorganism pseudomonas. which anti-infective agent is most reliable in treating this microorganism?
To treat infections brought on by gram-negative rods, most notably Pseudomonas species, gentamicin and tobramycin are most frequently used and the main medications.
What is Pseudomonas aeruginosa, or GNP?An opportunistic Gram-negative pathogen called Pseudomonas aeruginosa serves as a model bacterium for research on virulence and bacterial social behavior. Although it may be easily isolated in small amounts from a wide range of habitats, including soil and water, it is commonly present in practically all settings where people or animals have had an impact.One of the most frequently regarded gram-negative aerobic bacteria in the differential diagnosis of gram-negative illnesses is Pseudomonas aeruginosa. Because of the serious and frequently deadly infections it produces in hospitals, particularly in hosts with impaired immune systems, consideration of this bacterium is crucial.To learn more about Pseudomonas aeruginosa refer to:
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a client newly diagnosed with diabetes mellitus asks why they need ketone testing when the disease affects their blood glucose levels. how should the nurse respond?
Your risk of developing diabetes ketoacidosis can be indicated by high levels of ketones in your blood or urine. It's vital to be aware of your ketone level because this could be fatal.
The way your body converts food into energy is affected by diabetes, a chronic (long-lasting) health disease. Your body converts the majority of the food you eat into sugar (glucose), which is then released into your circulation. Your pancreas is notified by an increase in blood sugar to release insulin. When blood glucose, commonly referred to as blood sugar, is excessively high, it can lead to diabetes. Your main source of energy, blood glucose, is obtained from the food you eat. The pancreas produces the hormone insulin, which facilitates the uptake of glucose from food into your cells for use as fuel. Your body occasionally produces little to no insulin or uses it poorly. Consequently, glucose doesn't get to your cells and remains in your blood.
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the nurse recognizes which condition as an integumentary manifestation of chronic renal failure? seizures asterixis tremors gray-bronze skin color
The nurse will recognize gray-bronze skin color as an integumentary manifestation of chronic renal failure.
The major organ in the body that physically separates the internal environment from the outside environment, which it protects and maintains, is the integumentary system. The epidermis, dermis, and hypodermis, along with any accompanying glands, hair, and nails, make up the integumentary system.
Skin that is gray-bronze in color is an integumentary symptom of chronic renal failure. Other symptoms include rough, thinning hair, ecchymosis, purpura, thin, brittle nails, and dry, flaky skin. Neurologic signs of chronic renal failure include asterixis, tremors, and seizures.
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judi has recently been experiencing lower back pain. she has had diagnostic tests, but they did not suggest a definite cause. after trying several medications to no avail, she is considering alternative remedies. which of the following is most likely to help with her back pain?
Acupuncture, massage therapy, or physical therapy are all potential alternative remedies that could help with judi's lower back pain.
Acupuncture is an ancient form of Chinese medicine that has been practiced for thousands of years. It is based on the idea that the body has an energy, or "qi" (pronounced chee), that flows through pathways called meridians. It is believed that when these pathways are blocked, the body cannot function properly and illness can occur. Acupuncture involves the insertion of thin, sterile needles into specific points along the body in order to open up the pathways and restore balance. It is used to treat a variety of conditions such as pain, headaches, allergies, digestive issues, and even some mental health issues. It is often combined with massage, herbs, and other traditional Chinese medicine practices to enhance its effectiveness. Although acupuncture is not a cure-all, it is a safe, natural way to treat many health issues and can be used to complement more traditional medical treatments.
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the us healthcare system is actually made up of a number of different systems. which part of the us healthcare system operates like a socialized healthcare system?
The us healthcare system is actually made up of a number of different systems. Medicare and Medicaid part of the us healthcare system operates like a socialized healthcare system.
Health care, sometimes known as healthcare, is the process of enhancing one's physical and emotional well-being through the avoidance, detection, treatment, and eventual cure of disease, illness, injuries, and other debilitating conditions. Interdisciplinary teams of skilled experts and paraprofessionals are necessary for the delivery of modern healthcare. Organizations that focus on providing for the requirements of certain populations are known as health systems. The World Health Organization (WHO) states that in order for a health care system to operate effectively, it needs a financing mechanism, a workforce that is well-trained and fairly compensated, accurate data on which to base decisions and policies, and well-maintained medical facilities that can provide high-quality drugs and technologies.
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which goal is the nurse trying to achieve when placing a client with severe burns on a circulating airbed
The goal of placing a client with severe burns on a circulating airbed is
preventing pressure on peripheral blood vessels.
What is peripheral blood?
Peripheral blood is the blood that circulates through the body's peripheral vessels, such as veins and arteries. It is composed of red blood cells, white blood cells, platelets, and other cellular components suspended in a liquid known as plasma. It carries oxygen and nutrients to the body's tissues and organs, and removes waste products from the body. It also carries hormones, antibodies, and other substances that help to regulate the body's functions.
Define the term Airbeds?
Airbeds are inflatable beds that are filled with air, usually through an electric pump. They are often used as a temporary sleeping solution or a camping mattress, as they are lightweight and easy to transport. Airbeds can also be used as a permanent sleeping solution in a home, although they are not as comfortable as a traditional mattress. Airbeds are usually constructed from PVC or rubber material, and the level of firmness can be adjusted by adding or removing air from the bed.
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A 4-year-old girl is brought to the ED after 48 hours of vomiting and diarrhea. Her parents are concerned that she is becoming dehydrated. Which of the following is a sign of moderate dehydration?
ADecreased urine output
B-Hypotension
C-Lethargy
D-Mottled extremitie
After 48 hours of vomiting and diarrhea, a 4-year-old girl is brought to the ED. Her parents are worried that she's dehydrating.
decreased urine output is a sign of moderate dehydration.
The ability of the first responder to identify and effectively treat hypovolemic shock will determine whether or not a child with severe volume depletion survives at the emergency room. Although the fundamentals of fluid and electrolyte therapy have been studied for decades, the issue still presents difficulties because it is difficult to agree on a clinical management regimen and because fluid administration causes more side effects than any other medicine. However, more recent systematic reviews and meta-analyses have brought attention to the risk of hyponatraemia and hyponatraemic encephalopathy in some children receiving treatment with hypotonic fluids. The ancient concepts put forth by Holliday, Segar, and Finberg have endured the test of time. Despite contradictory research on fluid and electrolyte therapy.
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the nurse will notify the health care provider immediately if the client taking amoxicillin for otitis media is also taking what medication?
The majority of patients can be effectively treated with an analgesic like acetaminophen or a nonsteroidal anti-inflammatory drug.
What medication is recommended for otitis media?The majority of people can be effectively treated with an analgesic such acetaminophen or a nonsteroidal anti-inflammatory drug.Initial antibiotic of choice — Amoxicillin-clavulanate is the first-line treatment of choice for us.Amoxicillin 875 mg and clavulanate 125 mg are used orally twice day to most adults.The first-line antibiotic for the majority of kids with acute otitis media should be amoxicillin, given at a dose of 80 to 90 mg per kg per day.Patients with otitis media who don't improve after the first round of treatment in 48–72 hours need to be reevaluated to confirm the diagnosis.Penicillin VK and amoxicillin were not found to interact. This does not imply that there are no interactions, though. Always get advice from your doctor.To learn more about medication is recommended for otitis media refer to:
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a family of a patient with alzheimer's disease asks the nurse what causes this condition? which response by the nurse would be most appropriate?
If a family of a patient with Alzheimer's disease asks the nurse what causes this condition, an appropriate response would be that evidence shows that there are changes in nerve cells and brain chemicals .
The continuous accumulation of proteins around brain cells and inside them is considered and ruled out to be the definite cause of Alzheimer's disease. Plaques encircling brain cells are made of amyloid protein, one of the involved proteins. Another protein which is known as tau, and deposits/collections of it cause tangles in the brain cells.
There are numerous disorders that appear to enhance the likelihood of acquiring Alzheimer's or vascular dementia. These include excessive blood pressure, diabetes, heart disease, stroke, and high cholesterol.
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The medical model of health would most likely focus on which of the following?
A) Controlling air and water pollution
B) Lifestyle interventions to prevent chronic diseases
C) Treating bacterial infections with antibiotics
D) Serving marginalized populations
The medical model of health would most likely focus on treating bacterial infections with antibiotics.
What is the medical model?
The medical model is a model of health which suggests that disease is detected and identified through a systematic process of observation, description, and differentiation, in accordance with standard accepted procedures, such as medical examinations, tests, or a set of symptom descriptions.
Antibiotics are medicines that fight bacterial infections in people and animals. They work by killing the bacteria or by making it hard for the bacteria to grow and multiply.
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which condition in a 14-year-old patient prompts the nurse to suspect decreased function of the pituitary gland?
The 14-year-old patient's condition leads the nurse to believe that a lack of male reproductive features will result from diminished pituitary gland activity.
Young men with pituitary gland disease may not exhibit secondary sex traits. Impotence, testicular shrinkage, and loss of muscular tone are all effects of insufficient pituitary gland activity in adult males.
Through the hormones it generates, it controls metabolism, growth, and reproduction. Chemical signals delivered from the hypothalamus towards the pituitary either encourage or inhibit the synthesis of these hormones. Vasopressin and oxytocin are two hormones produced by the posterior lobe.
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a client has been prescribed an ace inhibitor to treat heart failure. which medication is an ace inhibitor?
Examples of ACE inhibitors include: Benazepril (Lotensin) Captopril. Enalapril (Vasotec).
ACE inhibitors expand the veins to further develop your blood stream. This helps decline how much work the heart needs to do.
They likewise assist with impeding a substance in the blood called angiotensin that is made because of heart failure. Angiotensin is one of the most remarkable vein narrowers in the body.
ACE inhibitors are basic in the treatment of heart failure. They are likewise used to control hypertension, forestall kidney harm from diabetes, and forestall more heart harm after a heart assault.
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the nurse is assisting in providing a class to new mothers on newborn care. in teaching cord care, the nurse makes which suggestion to the new mothers?
In teaching cord care, the nurse makes suggestions to the new mothers to Clean around the cord with plain water as needed until the cord falls off.
Cleaning the cord and base with simple water two or three times each day is recommended (per primary health care provider prescription). Lift the cord, clean it from top to bottom, then fold the diaper so that the umbilical cord is hidden behind it so that it can dry naturally.
Up until the cord falls off in 7 to 14 days, cord care must be continued. In this region, the baby is pain-free. It is not required to use soap. In order for the cord to fall off spontaneously, it is crucial that you, as the baby's caregiver, keep it clean and dry. Your baby runs the danger of contracting an infection if the umbilical cord stump is not properly cared for.
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if a body is warm to the touch and without rigor, what can you deduce about the time of death?; livor mortis; billy is a licensed medical examiner. what is his primary job?; what purpose does defining the area of investigation in excavation of skeletal remains serve?; why is determining time of death such a complicated process?; how did the results of your experiment contribute to your ability to determine time of death?; why is it important to include a control group whenever possible in an experiment?; postmortem
If the body feels warm and no rigor is present, death must’ve occurred under 3 hours before.
As the Medical Examiner's primary responsibility is the certification of the cause and manner of death, in accordance with his or her professional judgment following an investigation.
What is the importance of excavation of skeletal remains ?
The of defining the area of investigation in excavation of skeletal remains serve for Age Determination and Determination of Cause and Manner of Death
This estimate will be more precise the sooner the body is evaluated after death. Unfortunately, the changes a body experiences after death happen in a wide variety of ways and take unknown amounts of time. No single element can reliably predict the moment of physiological death.
It's typically preferable to include a control group if it's feasible to do so for good internal validity. Without a control group, it can be more difficult to prove that the outcome was brought on solely by the experimental treatment and not by other factors.
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a client has a leg immobilized in traction. which observation by the nurse indicates that the client understands actions to take to prevent muscle atrophy?
The client adducts the injured leg every two hours, which the nurse observes as evidence that the client is aware of the steps to take to prevent muscle atrophy.
The client works the affected extremity isometrically three times each day. Twice daily, the client rolls the injured leg away from the midline of the body. The patient requests that a 5-lb (2.3-kg) weight be placed in the traction for 30 minutes each day.
Motion is limited by immobilization, allowing the wounded area to heal. It can aid in reducing discomfort, swelling, and muscle spasms. Splints and casts may occasionally be used following surgical operations to mend bones, tendons, or ligaments. In the early stages of the healing process, this enables protection and correct alignment.
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place one tablet under the patient's tongue and repeat every 5 minutes for total of three tablets until pain has been relieved.
Adults: At the first indication of an angina attack, insert 1 tablet under the tongue or in the space between the cheek and gum.
Use 1 pill as needed, up to 15 minutes at a time, every 5 minutes. Take no more than three tablets in a 15-minute period. Use 1 tablet 5 to 10 minutes prior to the activity to prevent angina from stress or exertion. Utilize and dosage children.The sublingual tablets of nitroglycerin must not be eaten, crushed, or inhaled. When absorbed through the mouth's lining, they function significantly more quickly. The tablet should be dissolved by placing it beneath the tongue or in the space between the cheek and gum. While a tablet is dissolving, refrain from eating, drinking, smoking, or using chewing tobacco.To know more about angina
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dr. pimler is conducting a study on a new antipsychotic medication. in order to determine if the drug is effective, he should
A new antipsychotic drug is the subject of a study being conducted by Dr. Pimler. He ought to employ the double-blind process to ascertain the drug's efficacy.
What functions do medications perform?Medicines are chemicals or substances that manage, halt, or prevent disease, lessen symptoms, or help with disease diagnosis. Doctors already can prevent and treat a variety of disorders thanks to modern medicine. Today, there are several places to get medications.
The reason why patients use drugs:For the treatment of current issues, the management of chronic illnesses, and overall long-term welfare, you must follow my prescription exactly as directed. Your ability to relate to your pharmacist or doctor personally will determine how well you comply with medication instructions.
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a patient has undergone a diagnostic peritoneal lavage. the nurse interprets which result as indicating a positive test?
The nurse interprets feces as evidence of a positive test when a patient has had a diagnostic peritoneal lavage.
Following abdominal trauma, diagnostic peritoneal lavage (DPL), an invasive emergency treatment, is used to identify hemoperitoneum and assess whether a laparotomy is necessary. After inserting a catheter into the peritoneal cavity, the intraperitoneal contents are aspirated, frequently after being diluted with crystalloid. Following abdominal trauma, diagnostic peritoneal lavage (DPL), an invasive emergency treatment, is used to identify hemoperitoneum and assess whether a laparotomy is necessary. After inserting a catheter into the peritoneal cavity, the intraperitoneal contents are aspirated, frequently after being diluted with crystalloid. DPL has low specificity, detecting numerous lesions that cause bleeding but don't need to be surgically repaired, which leads to high negative laparotomy rate.
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your patient is short of breath, wheezing, and is cyanotic after eating shrimp. he has a known allergy to shellfish. what should you do?
Your patient is short of breath, wheezing and cyanosis after eating shrimp. He has a known allergy to shellfish. First, he should be administered O₂ via NRB at 15 LPM.
What are the healthiest shellfish to eat?Shellfish fall into two groups: Crustaceans; shrimp, crab, lobster and Mollusks; clams, mussels, oysters, scallops, cuttlefish, cuttlefish.
Oysters is healthiest shellfish: Zinc is important for immune function and wound healing, and oysters contain more zinc than any other food. Clams, on the other hand, are an excellent source of iron.
What causes a person to become allergic to shellfish?Allergies occur when a person reacts to substances, called allergens (found in dust mites, pets, pollen, insects, mites, molds, foods, and some medicines). A shellfish allergy is an immune system reaction to tropomyosin (protein) found in the muscles of shellfish. Antibodies trigger the release of histamine that attack tropomyosin. Histamine release causes symptoms ranging from mild to life-threatening.
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when injecting an intravenous push medication into intravenous tubing with a solution infusion, the nurse should select which injection port?
Two syringes with 2 to 3 mL of ordinary saline are needed for delivering medication by intravenous bolus in the injection port of a saline lock.
Intravenous bolus, also referred to as IV bolus, is the process by which a physician prescribes a drug or vitamin to a patient, who then takes the medication for a protracted period of time.Flushing the saline lock before and after medicine administration requires two syringes filled with 2 to 3 mL of ordinary saline.Choose the IV tubing's injection port that is closest to the patient. Use a stopcock or other unnecessary component wherever possible. Utilize an antiseptic swab to clean the injection port.
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barry has just sustained an ischemic stroke. is an ideal treatment for barry, if administered within 3 to 5 hours.
Apraxia of speech patients can make significant progress with speech-language therapy. Even though it's challenging, you may regain your communication skills.
A motor-speech condition called acquired apraxia of speech (AOS) causes the inability to control the muscles needed to create words. The ability to move the lips and tongue properly to produce letter sounds is impaired when the signals travelling from the brain to the mouth are interfered with. The person frequently has no problems with the muscles, but has trouble controlling them. Because of this, it is challenging to start and order the sounds that form words. Speech apraxia can be severe and severely impair a person's ability to communicate, or it can be mild and have little to no impact. It can be really annoying.
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n the early stages of her pregnancy, dana often experienced morning sickness. click to select the practices that are recommended to alleviate nausea associated with pregnancy.
There are certain methods that are advised for reducing pregnancy-related morning sickness:
1. Don't skip breakfast, and eat numerous small meals throughout the day.
2. The time of day you take your prenatal vitamins should be changed.
3. Consider ingesting ginger, whether it be in the form of tea, ginger ale, or candies.
4. Vitamin B6 intake should be increased because it has been demonstrated to help reduce nausea.
5. Eat less greasy and spicy food.
What is morning sickness?
Early in a pregnancy, nausea and vomiting, sometimes known as morning sickness, are rather common.
What are causes of morning sickness?
Possible causes are:
High levels of hormones.
Fluctuations in blood pressure.
Changes in carbohydrate metabolism.
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a patient is diagnosed with an oral candida infection. which intervention will the nurse expect to implement?
Nurse expect to implement and teach the patient how to take nystatin
Oral thrush — also known as oral candidiasis (kan-dih-DIE-uh-sis) — is a circumstance wherein the fungus Candida albicans accumulates at the lining of your mouth. Candida is a regular organism on your mouth, but sometimes it may overgrow and purpose signs and symptoms.
Oral thrush reasons creamy white lesions, usually in your tongue or inner cheeks. on occasion oral thrush may spread to the roof of your mouth, your gums or tonsils, or the back of your throat.
despite the fact that oral thrush can have an effect on everybody, it is much more likely to occur in babies and older adults due to the fact they have got decreased immunity; in other people with suppressed immune systems or positive fitness conditions; or those who take positive medicinal drugs. Oral thrush is a minor problem if you're healthy, but when you have a weakened immune system, signs and symptoms may be extra extreme and hard to control.
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A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice?
a) Elevated urobilinogen in the urine
b) Straw-colored urine
c) Reduced hematocrit
d) Clay-colored stools
The sign that indicates obstructive jaundice is clay-colored stools. So the correct option is D.
What is obstructive jaundice?Obstructive jaundice is caused by an interruption in the flow of bile between the bile canaliculus and the duodenum. It is characterized by direct hyperbilirubinemia, elevated cholestasis enzymes (due to the condition of the accumulation of bile in the liver), and clay-colored stools.
The patient will have a yellowish coloration of the skin and mucous membranes due to the accumulation of bilirubin.
Therefore, we can confirm that the correct option is D. Clay-colored stools.
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