Florence Nightingale's nursing theory is an dditional nursing theory from our readings that could also align with an improved quality of practice initiative.
Nursing Concepts and Theory Models According to Florence Nightingale
In her conceptual model, Florence Nightingale positions the environment as the main focus of nursing care so that nurses do not have to understand the entire disease process. This concept model is an attempt to separate the nursing profession from medicine. In general, the nursing care provided is more oriented to the provision of air, light, cleanliness, environmental comfort, tranquility and adequate nutrition (vitamins and minerals are given in sufficient quantities), starting with data collection compared to mere treatment measures. The effort of this theory is for nurses to be able to carry out independent practice without being dependent on other professions.
The Three Major Environments In Florence Nightingale's Theory
1. Physical Environment
According to Florence Nightingale, the basic natural environment is related to ventilation and air. A clean physical environment will greatly affect the patient wherever the patient is, whether in the room it must be free from dust, odors, and smoke. Likewise, the bed must be clean, the room warm, the air clean and not humid.
2. Environmental Psychology
According to Florence Nightingale, negative environmental conditions can cause physical stress and adversely affect the patient's emotions. Therefore, the patient is required to maintain physical stimulation. Getting enough food and sunlight, as well as doing manual activities that can stimulate all the factors to be able to maintain his emotions. Communication that exists with the patient is seen in an overall environmental context, communication should not be carried out in a hurry or discontinuous.
3. Social Environment
According to Florence Nightingale, observations from the social environment, especially specific relationships, specific data are collected and then associated with disease states, this is very important for disease prevention. Thus, every nurse must exercise their observational skills in connecting specific cases more than just the data shown by patients in general.
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the nurse is preparing discharge teaching for a client diagnosed with a lymphatic disorder. what is one of the main teaching points the nurse should include?
One of the main teaching points that the nurse should include is to avoid sitting for long periods.
What do you mean by Lymphatic disorder?The Lymphatic disorder may be defined as a type of disease that affects the lymphatic system including the network of tissues, vessels, and organs that migrate a specific fluid called lymph throughout the body.
Patients who are suffering from lymphatic disorder have numerous concerns. These patients are suggested not to sit or stand for a long time. This is because it impacts the flow of their lymphatic fluids.
Therefore, one of the main teaching points that the nurse should include is to avoid sitting for long periods.
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Your question seems incomplete. The most probable complete question is as follows:
To walk at least 2 miles/day.To avoid sitting for long periods.Signs and symptoms of DVT.How to apply a nonelastic hose.in a class for expectant parents, the nurse discusses the various benefits of breastfeeding. however, the nurse also describes that there are situations involving certain women who should not breastfeed. which examples would the nurse cite? select all that apply.
The examples which nurse site are:
A. women who had difficulties with breastfeeding in the past.
B. women on antineoplastic medications.
C. women with more than one infant.
Recent studies of the phrase "breastfeeding" has been directed at its ambiguity, since it has grown to represent both (1) feeding expressed human milk to an infant and (2) providing an infant at the breast.
While it is well established that breastfeeding has many positive health effects for the infant, it is also well known that some chemicals can enter the breast milk from the mother and harm the child. These include alcohol, illegal drugs, antithyroid medications, and medications used to treat cancer. Additionally, women with HIV shouldn't breastfeed. Other contraindications include inborn metabolic errors or major maternal mental health conditions that make regular feeding patterns impossible.
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The complete question is :
In a class for expectant parents, the nurse may discuss the various benefits of breastfeeding. However, the nurse also describes that there are situations involving certain women who should not breastfeed. Which examples would the nurse cite? Select all that apply.
A. women who had difficulties with breastfeeding in the past
B. women on antineoplastic medications
C. women with more than one infant
D. women using street drugs
E. women on antithyroid medications
a person is in status epilepticus. what are the greatest concerns when treating this individual? ( select all that apply.)
Most epileptics never experience status epilepticus since it is so uncommon. Young children and older individuals with this condition are more likely to develop it.
The brain experiences abnormal electrical activity during a seizure, which affects both the body and the thinking. You may experience a seizure due to a variety of issues. High fevers, bacterial brain infections, abnormal sodium or blood sugar levels, and head injuries are a few examples. If you have epilepsy, seizures could happen frequently.
Status epilepticus refers to a seizure that lasts longer than five minutes or many seizures within five minutes of one another without regaining consciousness. This is a serious medical emergency that could result in death or irreversible brain damage.
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a client comes to the trauma unit in respiratory distress following a motor vehicle accident. on examination, the nurse notices that the trachea is deviated from the midline. what does this finding indicate?
he has most likely suffered a pneumothorax
When the shoulder girdle is aligned over the pelvis during lifting?
Lifting involves positioning the shoulder girdle above the pelvic floor such that the weight is applied directly down the spine. The awareness of equilibrium Concept is the sense of equilibrium and spatial orientation.
When standing or moving or weight lifting, it helps keep both people and nonhuman animals from falling over. Multiple sensory systems must function properly for equilibrioception to occur; ideally, the visual (visual system), vestibular (vestibular system), and proprioceptive (body's awareness of where it is in space) systems should all be functioning well. Because it can strain and put pressure on the pelvic floor muscles, heavy lifting can be a potential risk for pelvic floor problems. As a result, ladies might wish to think about reducing their weight lifting. This is especially the case if they already suffer from a pelvic floor disorder or are more likely than average to do so.
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Vomiting is a result of a central nervous system (cns) injury is caused by__________
Vomiting is a result of a central nervous system (CNS) injury is caused by emetic stimuli.
Vomiting are common gastrointestinal complaints that can be triggered by diverse emetic stimuli through central and / or peripheral nervous systems. Vomiting are considered as defense mechanisms when threatening toxins / drugs / bacteria / viruses / fungi enter the body via the enteral or parenteral routes.
Vomiting is often preceded by retching, where the content of gastrointestinal tract is forced into the esophagus, without expulsion of the vomitus.
Vomiting is also considered as essential protective defense processes by which humans as well as vomit-competent animals tend to avoid ingestion or digestion of potentially toxic substances.
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true or false? a medical assistant must wear gloves when administering an ecg.
False: A medical assistant does not need to wear gloves when taking an ECG.
To create an electrocardiogram (ECG or EKG), a recording of the electrical activity of the heart, a procedure known as electrocardiography is used. It is a heart electrogram, which is a voltage versus time graph of the electrical activity of the heart created using electrodes applied to the skin. When the cardiac muscle depolarizes and then repolarizes throughout each cardiac cycle, these electrodes are able to detect the minute electrical changes that result from these events (heartbeat). Numerous cardiac abnormalities, such as poor coronary artery blood flow (such as myocardial ischemia and myocardial infarction), electrolyte disturbances, and cardiac rhythm disturbances (such as atrial fibrillation and ventricular tachycardia), cause changes in the normal ECG pattern (such as hypokalemia and hyperkalemia).
A 12-lead ECG performed while lying down is what is typically meant by "ECG" in medical terminology, as will be covered below.
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the nurse is caring for a client with functional neurologic symptom disorder who has experienced pseudoseizures. what intervention is appropriate for the nurse to perform?
Appropriate intervention to perform who has experienced pseudo-seizures
Teach the SO to recognize the warning indications of a seizure episode, how to care for the patient before and after one, and to avoid using thermometers that might shatter. while taking a temperature, use a tympanic thermometer; maintain severe bedrest if prodromal symptoms or an aura are present; slanting head to one side while suctioning airway as directed; if getting out of bed, support head, position on soft surface, or help to the floor; avoid trying to restrict; AED medication levels, associated adverse effects, and seizure activity frequency should all be tracked and recorded.Maintain a flat, laying posture; roll your head to the side during seizure activity; remove any clothing that is tight around your neck, chest, or abdomen; suction as necessary; and watch for post-ictal oxygen or bag ventilation as needed.To know more about AED medication visit : https://brainly.com/question/10746219
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toya’s doctor is studying a small amount of tissue taken from her to determine the presence of chromosomal abnormalities. what medical procedure has toya gone through?
Toya's doctor is studying a small amount of tissue taken from her to determine the presence of chromosomal abnormalities. Chorionic Villus Sampling medical procedure has toya go through.
A medical professional who performs medicine is known as a physician (in American English), medical practitioner (in Commonwealth English), medical doctor, or simply a doctor. Medicine is the study, diagnosis, prognosis, and treatment of disease, injury, and other physical and mental problems. A doctor may choose to specialize in treating particular diseases, patient populations, and therapeutic modalities, or they may choose to conduct general practice, which involves providing ongoing, comprehensive medical care to individuals, families, and communities. Medical practice correctly necessitates both a thorough understanding of the academic fields, such as anatomy and physiology, underlying disorders, and their treatment—the science of medicine—as well as a respectable level of competence in its applied application, the art or craft of medicine.
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Which of these is NOT a qualifying event for Medicare?
a. On Social Security disability for over 2 years
b. Kidney failure
c. Age 65 or older
d. Falling below the federal poverty level
The option that is not a qualifying event for Medicare is Falling below the federal poverty level. That is option D.
What is Medicare?Medicare is defined as an insurance program that is functional is certain developed countries where by the medical services rendered to some individuals who are insured are being reduced.
Therefore, Medicare services can be called a health insurance services.
The criteria that an individual would satisfy to be able to enroll in Medicare insurance program include the following:
People with age of 65 and above, Younger people with physical disabilities andPeople with End Stage Renal Disease (permanent kidney failure that needs dialysis or transplant).But when an individual is below federal poverty level which is $13,123 annual income for a family of four, such is not eligible for Medicare services.
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which public health discipline is primarily concerned with collecting health data on populations, using numbers as diagnostic tools, and calculating risks and benefits?
Statistics is a public health discipline is primarily concerned with collecting health data on populations, using numbers as diagnostic tools, and calculating risks and benefits.
What is statistics in public health?The term "statistics" refers to both the data that quantify population health and the science that aids in its interpretation. A collection of ideas and techniques are employed in the discipline of statistics to examine data and draw forth information.
Statistics about health are numerical representations of health-related information. Health statistics are gathered by specialists and researchers from governmental, private, and non-profit organisations. They study the statistics to learn more about healthcare and public health.
The assessment function of public health relies heavily on statistics to identify specific risk groups, identify emerging health concerns, plan public health initiatives, assess their efficacy, and provide budgets for the government.
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Physical exam shows mild erythema to both breasts and the tips of the nipples are pink and shiny with peeling at the periphery.
a. True
b. False
Physical exam shows mild erythema to both breasts and the tips of the nipples are pink and shiny with peeling at the periphery is a true statement and is denoted as option A.
What is Erythema?This is referred to as a medical condition which occurs on the skin and is characterized the presence of a pink rash which turns into red or purple and is caused by inflammation or various forms of infection.
It is also characterized by peeling at the periphery and one of the effective treatments is the use of antibiotics which is therefore the reason why true was chosen as the correct choice.
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6.an adult patient that is receiving mechanical ventilation has a pip of 30 cm h2o and a plateau pressure of 10 cm h2o with a set flow rate of 60 l/min. what is his airway resistance
The airway resistance (Raw) of the patient is 20cm H2O/ L/ second.
Airway resistance is the resistance of the flow of air during inhalation and exhalation through the respiratory tract. Airway resistance is also known as the pressure difference between alveoli and mouth divided by the flow rate of the air.
It is denoted as Raw, and is calculated by -
(PIP - plateau pressure)/ flow
According to the question,
PIP = 30cm H2O, Plateau pressure = 10cm H2O and flow rate = 60l/min.
We have to find the Raw in seconds, so calculating the flow rate into seconds we will get 60/60 = 1 (1 min = 60seconds)
Putting the values in the equation we get,
(30 - 10) / 1 = 20cm H2O.
Therefore, Raw = 20cm H2O /L/second.
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using a sphygmomanometer, a nurse measures a patient's blood pressure as 134/86. what are the patient's pulse pressure and mean arterial pressure?
The patient's mean arterial pressure (MAP) and pulse pressure (PP) are both 48 mm Hg and 102 mm Hg, respectively.
What is a sphygmomanometer used for?Your doctor measures your blood pressure with a device known as a sphygmomanometer, sometimes known as a blood pressure cuff. To block the flow of blood in your artery, the cuff is placed around your upper arm and then inflated.
What is the sphygmomanometer's operating system?Every sphygmomanometer works under the assumption that when a hollow rubber air bladder-filled cuff is placed around a limb and inflated, the pressure inside the bladder equals the pressure on the artery beneath the cuff.
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true or false? disability-adjusted life years can be directly measured, but more complicated health metrics like incidence and prevalence must be estimated with complex equations
disability-adjusted life years can be directly measured, but more complicated health metrics like incidence and prevalence must be estimated with complex equations is true.
What are incidence and prevalence?
Incidence is the percentage or rate of people who develop a condition within a specific time period, as opposed to prevalence, which refers to the proportion of people who have a condition at or during a specific time period.
The effectiveness of a novel therapy (such as a new drug) in comparison to the standard of care for a certain ailment is measured using QALYs.
A given cause's DALYs are computed as the total of the years of life lost due to premature death (YLLs) and the years of years of healthy life lost owing to disability (YLDs) for those living in less-than-good health as a result of that cause.
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who is responsible for providing direct health care to students and staff, offering screening and referrals for health conditions, and promoting health?
School nurses are responsible for providing direct health care to students and staff.
Improving one's health through the prevention, diagnosis, treatment, improvement or cure of diseases, illnesses, injuries and other physical and mental ailments in people is known as health care or healthcare. Healthcare professionals and other allied health sectors provide health care.
To improve the health and well-being of children, and in some cases of entire families and the wider community, health and nutrition programs are provided through the education system in schools. The early detection, correction, prevention or improvement of diseases, disabilities and abuses that can affect school-age children are the principles of these services, which have been created in various ways around the world.
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a client has developed drug-induced hepatitis from a drug reaction to antidepressants. what treatment does the nurse anticipate the client will receive to treat the reaction?
The treatment that the nurse anticipates the client will receive to treat the reaction is high-dose corticosteroids.
What is Drug-induced hepatitis?Drug-induced hepatitis may be defined as a type of disease that involves the redness, swelling, and inflammation of the liver that is generally provoked by a harmful and toxic amount of certain medicines or drugs.
This abnormal circumstance may arise when a drug reaction threats the liver. This kind of hepatitis can be more severe and fatal as compared to other hepatitis. High-dose corticosteroids are generally administered in patients in order to treat the reaction.
Therefore, the treatment that the nurse anticipates the client will receive to treat the reaction is high-dose corticosteroids.
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Your question seems incomplete. The most probable complete question is as follows:
Liver transplantationAzathioprineHigh-dose corticosteroidsPeracentesisa client presents with rhinorrhea. which area of assessment would yield the most pertinent information?
The area of assessment that would yield the most pertinent information is option A) History of allergies.
The terms "rhinorrhea" and "rhinitis" are frequently used to refer to a runny nostril. Rhinorrhea truly refers to a thin, basically clean nasal discharge. Rhinitis refers back to the infection of nasal tissues. Rhinitis frequently consequences in a runny nose.
Cerebrospinal fluid (CSF) rhinorrhea is a circumstance where the fluid that surrounds the brain leaks into the nose and sinuses. Head trauma, surgical treatment, or even birth defects could make a hollow inside the membranes that preserve this fluid. It then leaks into your nostril or ear, inflicting a watery, runny nostril.
Chronic rhinorrhea is the clinical term for a runny nostril. Fluid, referred to as mucus, that drains from the nose may be either intermittent or constant, and the mucus may also present as both clear or thick. Mucus is important in maintaining the nasal vicinity moist. naturally, it drains down the throat and is swallowed.
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Disclaimer:- your question is incomplete, please see below for the complete question.
A client presents with rhinorrhea. which area of assessment would yield the most pertinent information?
A) History of allergies
B) History of dysphagia
C) Frequency of nosebleeds
D) Tonsillar enlargement
an acne-like rash, diarrhea, lack of appetite, delayed wound healing, impaired immunity, reduced sense of taste and smell, and hair loss are all symptoms of a deficiency.
An acne-like rash, diarrhea, lack of appetite, delayed wound healing, impaired immunity, reduced sense of taste and smell, and hair loss are all symptoms of a zinc deficiency.
Zinc deficiency may end up in skin changes that seem like skin problem initially. There is also cracks and a glazed look on the skin, typically found round the mouth, nappy space and hands. The rash does not regain with moisturizers or steroid creams or lotions.
However, there are 3 chief causes of associate underlying Zinc deficiency are not taking in enough Zinc through one's appetite, losing excess amounts of Zinc from the body, like through poor absorption, individuals with chronic conditions face hair fall problems.
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which interventuon would the nurse add to the care plan for a client who is to undergo electromyography
In the intervention, the nurse adds Excedrin to the care plan for a client who is to undergo electromyography.
Electromyography (EMG) is a diagnostic procedure to evaluate the over-the-counter fitness of muscle groups and over-the-counter nerve cells that manage the counter (motor neurons). EMG effects can screen nerve disorder, muscle disorder, or issues with nerve-to-muscle signal transmission.
Electromyography (EMG) measures muscle reaction or electric interest in reaction to a nerve's stimulation of the over-the-counter muscle. The check is used to assist in stumbling on neuromuscular abnormalities. over-the-counter the counter test, one or more small intervention needles (also called electrodes) are inserted thru over-the-counter skin into the over-the-counter muscle.
Excedrin (which contains Aspirin), medications (which include Advil, Aleve, and Aspirin, over-the-counter.), or prescription NSAIDs for a minimum of 5 days previous to the over-the-counter method.
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which nursing intervention best promotes accurate and effective communication? list the reasons only alcoholics get cirrhosis. explain that there are several types of cirrhosis. illustrate how all alcoholics will eventually develop cirrhosis. define the difference between social drinkers and alcoholics.
The nursing intervention that best promotes accurate and effective communication is the use of open ended questions.
What is therapeutic effective communication?A therapeutic effective communication is defined as the type of communication skill used by a nurse towards a client or patient to accurately obtain informations that would be used for their treatment and diagnosis.
For a therapeutic effective communication between the nurse and the client to exist, open ended questions should be used where the patient is given the opportunity to elaborate their responses.
The reasons only alcoholics get cirrhosis is because the prolonged consumption of alcohol leads to increased degeneration of the liver cells (hepatocytes).
There are several types of cirrhosis which include the following:
micronodular, macronodular, and mixed cirrhosis.Excessive consumption of alcohol leads to liver cirrhosis as alcohol causes swelling and inflammation leading to scarring that causes irreversible cirrhosis.
Social drinkers are those individuals that only drink alcohol in a social gathering but alcoholics are those individuals that are addicted to alcohol consumption.
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why are selective serotonin reuptake inhibitors considered the first line of drug therapy for patients with depression?
Selective serotonin reuptake inhibitors (SSRI) considered the first line of drug therapy for patients with depression because they have lesser side effects as compared to other anti-depressants.
Selective serotonin reuptake inhibitors are a category of medicine that square measure generally used as antidepressants within the treatment of major clinical depression, anxiety disorders, and different psychological conditions. They treat depression by increasing levels of monoamine neurotransmitter within the brain. monoamine neurotransmitter is one in every of the chemical messengers (neurotransmitters) that carry signals between brain nerve cells (neurons). SSRIs block the resorption (reuptake) of monoamine neurotransmitter into neurons.
Depression is a mood disorder that causes a persistent feeling of unhappiness and loss of interest. additionally referred to as major clinical depression or depression, it affects however you're feeling, assume and behave and may result in a range of emotional and physical issues.
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the nurse is documenting client information in the client's medical record. which action by the nurse is appropriate when documenting information in a client's medical record?
Approximations should not be used in place of precise measurements.
What is the main function of the patient's medical file?Each medical record must have enough precise information to be able to identify the patient, prove the diagnosis, justify the course of treatment, record the progress and outcomes, and enable provider continuity of care.
Be precise, accurate, current, readable, and clear. Include details on evaluations, actions performed, results, reassessment procedures (if required), risks, difficulties, and adjustments.
The clinical record's purpose is to give the dental healthcare team information. The patient registration form offers demographic and financial details that will be required to complete insurance forms and charge the patient, as well as an introduction to the dental clinic.
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a 58-year-old client is planning to retire. which assessment would be appropriate in this situation?
When an older grownup is making plans for retirement, the nurse need to assess problems associated with income to make certain that the purchaser can nicely assist himself or herself.
Assessment of the sufferers’ universal physical, emotional and behavioral state. This have to arise on admission after which stay found at some stage in the sufferers live in hospital. Nursing workforce have to speak the records of modern-day illness/injury (i.e. cause for modern-day admission)
Applicable beyond records, hypersensitive reactions and reactions, medications, immunisation status, implants and own circle of relatives and social records. Recent remote places journey have to be mentioned and documented.
For neonates and toddlers take into account maternal records, antenatal records, shipping kind and headaches if any, Apgar score, resuscitation required at shipping and Newborn Screening Tests
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Which of the following is the correct order for the layers of the skin from superficial (top) to deep (bottom)?
Answer:
The layers of the epidermis include the stratum basale (the deepest portion of the epidermis), stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum (the most superficial portion of the epidermis).
a client has just been diagnosed with an aneurysm. in planning discharge teaching for this client, what instructions should be delivered by the nurse to the client?
According to the research, the correct answer is to avoid lifting weights. In planning discharge teaching for a client with an aneurysm, the nurse should tell him to avoid lifting weights.
What is an aneurysm?It is the dilatation circumscribed to the walls of an injured vascular structure, generally arterial or myocardial.
In this sense, this can occur when blood pressure gets too high, the supply of blood and oxygen to the brain can be interrupted so it is advisable to avoid lifting weights, to minimize the risk of bleeding from the aneurysm.
Therefore, we can conclude that the nurse should tell as an instruction that he must "avoid lifting excessive weight or heavy objects" to a client with an aneurysm.
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for which group is taking vitamin b 12 supplements the least beneficial? people eating diets high in animal products older adults with significantly reduced stomach acid people who do not consume animal products breast- fed infants whose mothers are vegans
Vitamin b 12 supplements is the least beneficial for people eating diets high in animal products.
The water-soluble vitamin cobalamin, often known as vitamin B12, is crucial for metabolism. It is one of the eight B vitamins. Animals require it because they use it as a cofactor in DNA synthesis and in the fatty acid and amino acid metabolism.
It is essential for the maturation of red blood cells in the bone marrow, which maintain the circulatory system, and the formation of myelin, which supports the neurological system. Since they don't need cobalamin, plants can carry out reactions with enzymes that don't require it.
Vitamin B12 is the most chemically complex vitamin and the only one that humans must consume in the form of food or supplements derived from animals. Almost no bacteria and archaea are capable of synthesizing vitamin B12.
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judith suffers from painful arthritis. judith's physician gave her medication to help ease her pain. the medication judith was given contained water, rather than actual medicine. however, judith reported that her pain reduced. the best explanation for this is that:
The possible explaination is medication dampened the central nervous system's attention and response to her back pain.
Central nervous system is divided into two parts namely brain and spinal cord. Nerves are responsible for transportation the message concerning pain to and fro the brain. Brain responds to the pain with pain killer and change the severity of pain.
Aquaporins are the water channels present in nervous system. Researchers have found association of aquaporins with pain transmission. This may suggest the possible function of water in medicine to effect the response to pain.
Aquaporins are membrane transport proteins that help in movement of water through the cell membrane based on osmotic gradient.
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which nursing action would be appropriate when the client with alcohol withdrawal begins experiencing hallucinations
Substance dependence nursing action would be appropriate when the client with alcohol withdrawal begins experiencing hallucinations.
Whilst not associated with substance abuse, hallucinating may be a symptom of mental contamination. Hallucinations are skilled maximum generally in schizophrenia, but also can be determined in schizoaffective ailment and bipolar disease.
Hallucinations are fake perceptions of sensory reviews. a few hallucinations are regular, inclusive of the ones because of falling asleep or waking up. however, others may be a sign of a more severe circumstance like schizophrenia or dementia
Purposeful activation research of actively hallucinating members has typically said elevated hobby in language regions and within the primary auditory cortex, strongly implicating the superior and middle temporal gyri, even though diverse other nonsensory cortical and subcortical regions have additionally been implicated.
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a public health nurse is developing a program based on the goals of the government initiative healthy people. which are health indicators the nurse may use as a part of the program?
Exercise frequency, Tobacco usage and substance abuse are the health indicators the nurse may use as a part of the program.
Substance abuse is a serious problem. Addiction is a medical disorder with no known treatment. It can, however, be treated with careful therapy and care, and addicts can recover entirely to enjoy a healthy life.
If you or a loved one is suffering from drug or alcohol misuse, understanding the parts of the treatment program will help you comprehend your recovery path better. In the United States, commercial tobacco usage is the largest cause of avoidable disease, disability, and death.
Every day, over 1,600 young individuals under the age of 18 in the United States attempt their first cigarette, with nearly 200 becoming daily smokers. Smoking also raises the risk of TB, some eye illnesses, and immune system issues such as rheumatoid arthritis.
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