After taking floxuridine for 7 to 14 days, bone marrow suppression is detectable.
Who is the so-called client?any person, organization, etc. that seeks the advice of a competent man or woman. a customer. a member of a welfare group who has enrolled or is a recipient of their assistance. a workstation or computer program that queries a server to data or information
Is a customer a client?A client is a particular kind of customer who hires a company to provide technical advise, even though a customer is a person who makes use of a company's goods or services. Clients often purchase recommendations and repairs, whereas customers typically buy items.
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a primary health care provider's prescription reads acetaminophen liquid, 450 mg orally every 4 hours prn (as needed) for pain. the medication label reads 160 mg/5 ml. the nurse prepares how many milliliters to administer 1 dose?
14mL is prepared by the nurse for a single dosage.
By adding a zero to the percentage quickly do this. Next, multiply the concentration by the desired dosage.
The nurse prepares the patient for the recommended primary care, once the dosage has been provided.
(Desired ÷ Available) × Volume = mL per dose
(450 mg ÷ 160 mg) × 5mL = 14mL
The typical time it takes for oral, liquid, and tablet acetaminophen to begin functioning is 45 minutes. In around 20 minutes, the orally disintegrating pills begin to function. Rectal suppositories may take up to two hours to begin functioning.
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the nurse is assessing the skin graft site of a client who has undergone a radical neck dissection. the skin graft site is pink. the nurse documents which result?
Healthy and good graft is the assessment made by the client who has undergone a radical neck surgery.
A skin graft is a patch of skin that is surgically removed from one part of the body and attached to another part of the body. The donor location on your body is where healthy skin is removed. The majority of patients receiving skin grafts choose for procedures. This removes the epidermis, the top two layers of skin, and the layer beneath the epidermis from the donor location (the dermis).
Any location on the body can serve as the donor site. Most often, it is a part of the body that clothing covers, such the buttock or inner thigh.
The area where the graft is being transplanted is covered with care. It is secured either with staples or a few tiny sutures, or by moderate pressure from a covering that covers it.
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a case-control study was carried out to assess the impact of estrogen treatments on endometrial cancer. a total of 230 women with endometrial cancer, and a total of 170 control subjects were recruited into the study
In order to assess the impact of estrogen treatments on endometrial cancer, a case-control study was conducted. This study recruited 230 women with endometrial cancer and 170 control subjects. This content from above text consists entirely of statements, with no associated questions. As a result, the responses will solely address what endometrial cancer is.
What is endometrial cancer?Endometrial cancer is a type of cancer that develops in the uterus. Endometrial cancer starts in the layer of cells that makes up the uterine lining (endometrium). Endometrial cancer is also known as uterine cancer. This type of disease is typically found at an early stage since it frequently causes irregular vaginal bleeding. If endometrial cancer is diagnosed early, surgically removing the uterus often resolves it.
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10.In what situations should one attempt to correlate the glucose results with the ketone results?
The circumstance which may warrant correlating glucose results with the ketone results is a condition is ketoacidosis.
What is meant by ketoacidosis?Ketoacidosis simply refers to a medical condition which makes the blood system to be more of acidic concentration as a result of high level of ketones in the blood glucose levels.
That being said, the results of glucose and tests when they correlate together is sometimes considered ketoacidosis condition. This condition is also known as diabetic ketoacidosis.
In conclusion, it can be deduced from above that high levels of glucose and ketones in the blood is a serious life threatening health condition.
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The situation in which one should attempt to correlate the glucose results with the ketone results is when glucose is in short supply, to better manage diabetes.
What is Diabetes?This refers to the medical condition that a person has when the pancreas is unable to produce insulin which leads to excess blood sugar in the bloodstream.
Hence, it can be seen that based on the insulin resistance or inability of the body to produce insulin and regulate blood sugar, this is the reason why there is an urgent need to correlate the glucose results with the ketone results
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organizations of physicians, and other health care professionals that provide a wide range of services to subscribers on a prepaid basis are known as: a. preferred provider organizations (ppos) b. major medical plans c. health maintenance organizations (hmos) d. integrated medical practices
They are known as Preferred provider organisations (PPOs).
For both individuals and families, a preferred provider organization (PPO) is a well-liked health insurance option. PPOs involve networks of health insurance providers and contracted medical personnel. Preferred providers are hospitals and doctors who offer services to the insurer's plan policyholders at discounted prices.
Participants in the plan are granted coverage for out-of-network healthcare providers in addition to receiving the maximum PPO benefit when they see in-network healthcare providers.
A managed-care health insurance plan is a particular kind of preferred provider organization.
PPO healthcare providers are referred to as preferred providers.
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the nurse is aware of the importance of synchronization of the atrial and ventricular events in the maintenance of normal cardiac function. what are the physiologic characteristics of the nodal and purkinje cells that provide this synchronization? select all that apply.
Purkinje cells have different physiological characters related to cardiac function.
they conduct cardiac action potentials more quickly and efficiently than any other cells in the Heart's electrical conduction system.
Purkinje fibers allow the heart's conduction system to create synchronized contractions of its ventricles and are essential for maintaining a consistent heart rhythm.
Cardiomyocytes of Purkinje are part of whole complex of cardiac conduction system, which is today classified as specific heart muscle tissue responsible for the generation of the heart impulses.
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the nurse is caring for a client who is a newly diagnosed type 1 diabetic. the client appears willing to learn how to manage the disease by stating, 'i will take insulin regularly to maintain my blood sugar levels. which inference would the nurse make from this information?
The inference the nurse should make from this is that the client is extrinsically motivated with self determination.
Diabetes type 1 is a chronic illness also referred to as juvenile diabetes or insulin-dependent diabetes. The pancreas produces little or no insulin in this situation. Insulin is a hormone that the body utilizes to let glucose (sugar) into cells where it can be used to make energy.
Type 1 diabetes may be brought on by a variety of factors, including genetics and some viruses. While type 1 diabetes typically first manifests in childhood or adolescence, it can also strike adults.
There is still no cure for type 1 diabetes, despite much research. The goal of treatment is to prevent problems by controlling blood sugar levels with the use of insulin, food, and lifestyle changes.
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a client with hypertension has been able to maintain a blood pressure of 130/70 mm hg for 1 year while reducing dietary sodium and taking hydrochlorothiazide (hctz) and atenolol. what treatment plan will the nurse educate the client about?
To treat high blood pressure, atenolol is used alone or in combination with other medications (such as hydrochlorothiazide).
what are the use of atenolol ?To treat high blood pressure, atenolol is used alone or in combination with other medications (such as hydrochlorothiazide). High blood pressure makes the heart and arteries work harder. If it persists for an extended period of time, the heart and arteries may cease to function properly.
This can cause damage to the blood vessels in the brain, heart, and kidneys, leading to a stroke, heart failure, or kidney failure. High blood pressure may also increase the likelihood of having a heart attack. Controlling blood pressure may make these issues less likely.Atenolol is also used to reduce the severity of heart attacks and to help prevent chest pain.
This medication is classified as a beta-blocker. It works by influencing the response to nerve impulses in specific areas of the body, such as the heart. As a result, the heart beats slower and the blood pressure drops. When blood pressure is reduced, the amount of blood and oxygen delivered to the heart increases. This medication is only available with a doctor's prescription.
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a nurse has admitted a client suspected of having acute pancreatitis. the nurse knows that mild acute pancreatitis is characterized by:
The nurse knows that mild acute pancreatitis is characterized by edema and inflammation. The correct option is B.
What is pancreatitis?Acute pancreatitis is a condition in which the pancreas becomes inflamed (swollen) quickly. The pancreas is a comparatively small organ behind the stomach that aids digestion.
Most people with acute pancreatitis recover within a week and have no further complications.
The most common causes are alcoholism and solid lumps (gallstones) in the gallbladder. The treatment goal is to rest the pancreas and allow it to heal.
The nurse is aware that edema and inflammation are symptoms of mild acute pancreatitis.
Thus, the correct option is B.
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Your question seems incomplete, the missing options are:
A. Pleural effusion
B. Edema and inflammation
C. Disseminated intravascular coagulopathy
D. Sepsis
the nurse is caring for a client with cardiogenic shock in an critical care unit and the family is asking about the intra-aortic balloon pump (iabp). what will the nurse explain is the premise of using iabp?
The premise of using Iabp is to reduce the workload of the heart during the shock period.
The IABP decreases the workload of the heart by reducing left ventricular afterload. Additionally, it improves coronary artery blood flow by increasing coronary artery perfusion pressure.
The IABP does not perform the work of the heart. The IABP does not directly circulate oxygen or keep the kidneys working.
To provide the heart with oxygen, blood flows into coronary arteries. Your coronary arteries can receive blood more freely thanks to an IABP. Each time your heart contracts, it helps the heart pump more blood.
Severe peripheral vascular disease, aortic regurgitation, dissecting, or aneurysm are all contraindications to IABP. IABP's potential advantages and drawbacks must be examined carefully.
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the nurse receives a client from the postanesthesia unit with a new onset of sinus tachycardia and a heart rate of 118 beats per minute. to which reasons does the nurse relate the increased heart rate? select all that apply.
According to the nurse, the higher heart rate is related to fever, blood loss, and anxiety.
What aspects of post-anesthesia care are evaluated?The patient's surgical and postanesthetic care involves regular assessment of their respiration, circulatory, neurologic, cerebral, and urinary functions as well as their pain, nausea, and nausea, evacuation and blood, and temperature. Something that every PACU nurse has to be aware of A nurse working with in PACU may be responsible for the following: Monitoring reply patients' levels of anesthetic recovery and alertness and updating the medical staff as necessary.
What are the reply care's three stages?Phase I, Phase II, and Extended Care are the three degrees of post-anesthesia care that can be distinguished. 5 Each stage of rehabilitation could happen in a single PACU.
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what technique could be used to determine the amount of calories a person expends each day? multiple select question. estimate of food intake from the various food groups direct calorimetry indirect calorimetry equations taking into account height, weight, physical activity, and age
Techniques used to determine the amount of calories a person expends each day are direct calorimetry, indirect calorimetry, equations taking into account height, weight, physical activity, and age.
Direct calorimetry obtains an on the spot measuring of the number of warmth generated by the body inside a structure massive enough to allow moderate amounts of activity. These structures are known as whole-room calorimeters. Direct calorimetry provides a live of energy gone within the variety of heat. This is often a awfully correct methodology of measurement energy expenditure.
Indirect calorimetry calculates heat that living organisms turn out by measurement either their production of CO2 and element waste, or from their consumption of element.
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the first principle of diet planning is that the foods we choose must provide energy and the essential nutrients, such as:
The first principle of diet planning is that the foods we choose must provide energy and the essential nutrients, such as: fibre.
Fibre is made up of the indigestible parts of plants, which pass unchanged through our stomach and intestines. Fibre is mainly a carbohydrate which are gound in vegetables, cereals, fruits etc.Soluble fiber, which dissolves in water, can help lower glucose levels as well as help lower blood cholesterol. Foods with soluble fiber include oatmeal, chia seeds, nuts, beans, lentils, apples, and blueberries.Insoluble fiber, which does not dissolve in water, can help food move through your digestive system, promoting regularity and helping prevent constipation. Foods with insoluble fibers include whole wheat products (especially wheat bran), quinoa, brown rice, legumes, leafy greens like kale, almonds, walnuts, seeds, and fruits with edible skins like pears and apples.
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a nurse is auscultating the fetal heart rate of a woman in labor. to ensure that the nurse is assessing the fhr and not the mother's heart rate, which action would be most appropriate for the nurse to do?
The nurse's best course of action would be to simultaneously palpate the mother's radial pulse.
The greatest technique for auscultation would be to palpate the radial pulse rate since it allows you to sporadically hear the fetal heartbeat. With electronic fetal monitoring, devices are utilized to continually record the fetus' heartbeat and the woman's uterus' contractions throughout delivery.
Either wrist can be used to take the radial pulse. Feel the pulse throughout the radial artery between the wrist bone & the tendon just on the thumb side of your wrist with the tips of your other hand's index and third fingers. Just enough pressure should be applied so you can feel each heartbeat.
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a 52-year-old client is scheduled for diagnostic testing to address prolonged signs and symptoms of genitourinary dysfunction. what signs and symptoms are particularly suggestive of urinary tract disease? select all that apply.
Pain, gastrointestinal problems, & changes in voiding patterns are the symptoms and signs of urinary tract illness that are most indicative.
Microorganisms, mostly bacteria, that enter the urethra & bladder and produce inflammation and infection are the primary cause of urinary tract infections. Although urethral and bladder infections are the most frequent locations for UTIs, germs can also go up the ureters & infect your kidneys.
The second most typical form of infection in the body is urinary tract infection or UTI. If you experience: Pain or burning during urinating, you may have a UTI. fever, exhaustion, or unsteadiness
Escherichia coli is the bacterium most frequently discovered to cause UTIs (E. coli). UTIs can be brought on by other bacteria, but E. coli is often to blame 90% of the time.
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a woman is only 30 weeks pregnant, but the physician determines that the fetus must be delivered for the safety of the mother. the physician orders a glucocorticosteroid injection to be given. why does the physician order this injection?
The physician order this injection to promote the formation of surfactant in the foetal lungs.
What is glucocorticoid steroid?Glucocorticoids are a class of corticosteroids, which are a class of steroid hormones. Glucocorticoids are corticosteroids that bind to the glucocorticoid receptor, which is present in almost all vertebrate animal cells.
Glucocorticoids are cholesterol-derived steroid hormones synthesized and secreted by the adrenal glands. They are anti-inflammatory in all tissues and regulate metabolism in muscles, fat, liver and bones. Glucocorticoids also affect vascular tone and mood, behaviour and sleep-wake cycles in the brain.
Glucocorticoids promote gluconeogenesis in the liver, while in skeletal muscle and white adipose tissue they reduce glucose absorption and utilization by opposing the insulin response.
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The nurse is caring for the following clients. Which client is at highest risk for a depressed respiratory system?.
The question above isn't complete, as there are no options for us to choose from. That being said, generally, the client that is at the highest risk for a depressed respiratory system is the client that's taking opioids for cancer pain.
There are many kinds of medications that, while doing their job, affect the function of the respiratory system. That's why the nurse needs to monitor each medication taken by each client under their care.
The opioid is a medication generally used to treat moderate to severe pain, especially for cancer patients. There are several side effects of opioids, a few of which are:
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mark is experiencing the following symptoms after taking a drug: he feels an initial rush of ecstasy, has great self-confidence and has lost all his worries and fears. at the same time, he is feeling drowsy and relaxed. which of the following drugs is mark most likely to have taken?
Based on the symptoms that Mark is experiencing, the drug that he is most likely to have taken is HEROIN. Mark experiences an initial rush of ecstasy, has a high level of self confidence, and has overcome all of his worries and fears. He is drowsy yet calm at the same time.
What is heroin?Heroin is a highly addictive morphine-based drug. It can be smoked, inhaled, or injected. Heroin is a depressant drug, meaning it slows down some functions of the brain and nervous system. Feelings of well-being and relief from physical discomfort are some of the immediate effects of heroin.
Heroin is highly addictive. The body adapts to regular heroin usage and may become dependent on the substance to operate "normally."
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in choosing between two types of canned soup with regard to the best source of calcium, what information would you look for?
The information you would seek for is the Percent Daily Value for calcium when deciding which of two varieties of canned soup is the best source of calcium.
The 2,000 calories per day requirement for adults is used to calculate percent daily values (DV). They are nevertheless helpful as a sign that a food is high or poor in a particular nutrient even if you are eating less or more than that. A food is regarded as poor in a nutrient if it has less than 5% of the DV. A food may be marketed as "an excellent source" of a nutrient if it contains 10 to 19% of the DV, and as "rich" in a nutrient if it contains 20 percent or more of the DV. Try to find foods that are low in sodium and cholesterol and abundant in vitamins and minerals. The fact that an item can be labelled "trans-fat free" if it contains less than 0.5 g per serving is meaningless because there are no daily values for either trans-fat or sugar.
The most prevalent mineral in the body, calcium, can be obtained as a dietary supplement and is added to various meals and medications (such as antacids). Calcium carbonate and calcium citrate are the two types of calcium that are seen in supplements the most frequently. The solubility rate of calcium carbonate is reduced in individuals with low stomach acid, which may limit calcium absorption from calcium carbonate supplements unless they are taken with a meal. Calcium citrate can be taken without food since it absorbs calcium less dependently on stomach acid than calcium carbonate.
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assessment of an older adult reveals that the client is experiencing loneliness. when developing the plan of care for this client, which intervention would be most appropriate for the nurse to include to address this problem?
The intervention which would be most appropriate for the nurse is -Referring client to the nearest senior center.
Loneliness is an unpleasant emotional response to perceive the isolation. Loneliness is also described as the social pain – a psychological mechanism which motivates the individuals to seek social connections.
It is often associated with the unwanted lack of connection and intimacy. Loneliness overlaps and yet is distinct from the solitude. Solitude is simply the state of being apart from the others, not everyone who experiences solitude feels lonely.
As a subjective emotion, loneliness can be felt even when the person is surrounded by other people.
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the nurse should advise a client with iron deficiency anemia to take which action in order to prevent staining of the teeth?
To avoid tooth staining when taking the liquid supplement in blood cells
the nurse should advise the client with iron deficiency anemia to use a straw or place a spoon at the back of their mouth.
Anemia is a disorder in which the blood does not contain enough healthy red blood cells. Iron deficiency anemia is a prevalent type of anemia. The body's tissues receive oxygen through red blood cells.
Iron deficiency anemia, as the name suggests, is brought on by a lack of iron. Your body needs iron to produce enough of a component in red blood cells that makes it possible for them to carry oxygen (hemoglobin). Thus, iron deficiency anemia may make you feel lethargic and breathless.
Iron supplements are typically effective in treating iron deficiency anemia. Sometimes extra iron deficiency anemia tests or treatments are required, especially if your doctor detects internal bleeding.
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which stage of a client's grieving is the family likely to require more emotional nursing care than the client?
The stage of a client's grieving is the family likely to require more emotional nursing care than the client is known as the stage of acceptance.
What is the stage of acceptance?The stage of acceptance deals with the frequent detachment of the client from the environment who may become indifferent to family members.
In addition to this, the family of the client may take some longer time to accept the inevitable death of the respective client and make it possible for others as well.
Therefore, the stage of acceptance is the stage of a client's grieving is the family likely to require more emotional nursing care than the client.
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the clinic nurse is providing instructions to a client with diabetes mellitus about the signs and symptoms of hypoglycemia. the nurse should tell the client that which would be noted in a hypoglycemic reaction?
According to the research, the correct answer is that anxiety, headache, sweating and loss of consciousness should be noted in a hypoglycemic reaction. The nurse should provide this information to a client with diabetes mellitus as the signs of hypoglycemia.
What is diabetes mellitus?It refers to a chronic condition characterized by the presence of elevated blood glucose concentrations due to impaired insulin action.
In this sense, a hypoglycemic reaction occurs when there is a sudden decrease in blood glucose levels, depending on the mechanism that produces them, the following signs are manifested:
Anxiety, muscle weakness, heavy sweating due to adrenaline rush.Headache, slurred speech, loss of consciousness due to glucose deficiency in the central nervous system.Therefore, we can conclude that the signs of hypoglycemia appear due to different symptoms such as anxiety, headache, sweating.
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the nurse is assessing a client with suspected acute bacterial prostatitis. which aspects of the client's clinical history should the nurse inquire about related to the client's risk factors for this condition? select all that apply.
Gram-negative rods are present in a senior male with frequent urinary tract infections.
What is acute bacterial prostatitis?Acute bacterial prostatitis, an infection of the prostate gland, can produce fevers, chills, nausea, emesis, and malaise in addition to pelvic discomfort and symptoms of the urinary tract include dysuria, urine frequency, and urinary retention.You will take antibiotics for 2 to 6 weeks if you have acute prostatitis. You will take antibiotics for at least two to six weeks if you have chronic prostatitis. You may need to take medicine for up to 12 weeks since the infection may recur.Benign prostatic hyperplasia in men is more likely to occur in those with the following conditions: 40 years of age or older mild prostatic hyperplasia runs in families. diseases like type 2 diabetes, obesity, and heart and circulatory conditions.To learn more about acute bacterial prostatitis refer to:
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The nurse determines that teaching has been effective when the mother makes which statements about administering levothyroxine (Synthroid) to her infant child?
Select all that apply.
a. "I will give the medication with meals three times a day."
b. "I can mix the medication in a small amount of applesauce for my infant."
c. "Levothyroxine therapy will help resolve the symptoms of diarrhea, and weight loss."
d. "I can dissolve levothyroxine in a small amount of water and administer by syringe to the infant."
e. "I understand the dose of levothyroxine may change as my child grows."
f. "I understand the dose of the medication is changed based on lab values."
The nurse determines that teaching has been effective about administering levothyroxine (Synthroid) to her infant child when the mother makes the statement that "I can mix the medication in a small amount of applesauce for my infant."
Levothyroxine tablets is also crushed and suspended in five to ten milliliters of water before administration. The suspension ought to lean imme- diately by a spoon or pipet. The crushed pill may additionally be wet over atiny low quantity of food (applesauce or hard-boiled cereal).
Levothyroxine (Synthroid) is a artificial version of the T4 hormone created by your endocrine. Thyroid hormones have necessary functions like dominant metabolism, blood heat, heart rate, and more.
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upon assessment of a client's wound, the nurse notes the formation of granulation tissue. the tissue bleeds easily when the nurse performs wound care. what is the phase of wound healing characterized by the nurse's assessment?
The proliferation phase is the phase of wound healing characterized by the nurse's assessment
During the proliferation phase, granulation tissue, which is made up of a sizable number of fibroblasts, granulocytes, macrophages, and blood vessels in combination with collagen bundles, replaces the temporary wound matrix created during haemostasis. The wounded skin's structure and functionality are somewhat restored as a result.
Proliferation entails "rebuilding" the wound with fresh collagen and granulation tissue made of extracellular matrix, which is where angiogenesis—the development of new blood vessels—occurs.
The development of granulation tissue, epithelialization, and neovascularization are characteristics of the proliferative phase. This stage might last for a while. The wound is at its strongest during the development and reconstruction phases.
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a nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. which is true with regard to the application of a transdermal patch?
If a nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch, then the statement the patch is applied to a skin area with adequate circulation is true with regard to the application of the transdermal patch (Option 2).
What is a nicotine patch?A nicotine patch is a medically approved treatment against smoking, which is one of the most important causes of death in the world and it is associated with lung cancer among others health complications.
Moreover, a transdermal patch can be defined as a medical tool attached to the skin in order to release a drug in a progressive way.
Therefore, with this data, we can see that a nicotine patch is used to avoid smoking and it should be applied to a skin area with adequate circulation in order to ensure the appropriate release of the medication.
Complete question:
A nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. Which is true with regard to the application of a transdermal patch?
A new patch is placed in exactly the same location as the previous one.
The patch is applied to a skin area with adequate circulation.
The patch is mostly applied to lower parts of the body.
The drug becomes inactive immediately after the patch is removed.
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which gland in the patient's body will initiate general adaptation syndrome
Answer:
Pituitary gland
Explanation:
The gland in the patient's body that will initiate general adaptation syndrome is the pituitary gland. The correct option is B.
What is a pituitary gland?The pituitary gland, sometimes referred to as your hypophysis, is a tiny gland the size of a pea that is situated beneath your hypothalamus at the base of your brain.
The sella turcica, a little chamber under your brain, is where it is located. It is a component of your endocrine system and is responsible for producing a number of critical hormones.
The human body's endocrine system is made up of a number of glands that have different functions. These glands control a variety of activities, including mood, sleep, growth, and tissue function.
Therefore, the correct option is B, pituitary gland.
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The question is incomplete. Your most probably complete question is given below:
Thyroid gland
Pituitary gland
Adrenal gland
Parathyroid gland.
Removing the focus from yourself and focusing on others to understand their emotions.
after a motor vehicle accident, a patient presents with a deformity to the leg with decreased pedal pulses. the fibula protrudes from the lateral aspect of the leg. how should the nurse classify the fracture?
Due to the fibula's protrusion thru the skin and the separation of its ends from their usual positions, the individual has a displaced fracture.
What can cause deformity?Misaligned broken bones, osteoarthritis, and illnesses including cancer and thyroid disease that result in the formation of tumors, goiters, or other masses are common causes of acquired deformities. While many acquired abnormalities are invisible, some may be.
How do you fix deformity?The most popular surgical procedure for treating bone abnormalities entails purposefully removing the bone, which is subsequently lengthened or corrected after. To fix the sliced bone, this corrective surgery known as osteotomy may be carried out using either internal or exterior fixation devices (less frequently both).
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