The correct answer is, an ongoing evaluation of matching patient care needs with appropriate nurse staffing and outcomes achieved.
What is adequacy?
Adequacy is the state of having sufficient quality or quantity to be accepted. Numerous studies indicate that there is valid grounds for concern over the sufficiency of the diet consumed by British youngsters. More adequacy synonyms include sufficiency, capability, competency, and suitability.
Due to the complexity of contemporary burn care, it takes a coordinated team of specialists to give the best results for each burn survivor. In many areas of a burn victim's care, such as physiologic monitoring, fluid resuscitation, pain control, infection control, complex wound care, and rehabilitation, nurses play a crucial role. According to research, patient mortality is generally correlated with hospital nursing resources, which are defined as nurse staffing and the standard of the workplace. But nobody has ever looked into the connection between those resources and burn mortality.
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yolanda has been diagnosed several times in the last year with cystitis. she asks the practitioner if there is anything she can do to prevent future episodes of cystitis. what is the best response to her question?
The best response to her question is Always clean from the front to the back of the perineum.
The medical term for bladder inflammation is cystitis. Irritation is the point at which a piece of your body is enlarged and hot. It might also hurt. The majority of the time, cystitis is brought on by a bacterial infection. A urinary tract infection (UTI) is the term for this.
After having a bowel movement, wipe the front and back of the perineum to stop bacteria from spreading to the urethra and vagina.
Other ways to prevent it are:
Drink a lot of water and other liquids: On the days of treatment, it is especially important to drink a lot of fluids after chemotherapy or radiation therapy.frequently urinate: Don't put off going to the bathroom if you get the urge to urinate.Wash the area around the genitalia gently: Do this every day, but do not wash too vigorously or with harsh soaps.Spray deodorants and other hygiene products should not be used in the genital area.Know more about cystitis here: https://brainly.com/question/13158065
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A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
a)Capillary refill in the patient's nail beds is less than or equal to 3 seconds
b)The patient white blood cell level is within reference ranges
c)The patient's hemoglobin level is 11 g/dL
d)The patient maintains an oxygen saturation of 92% on room air
Using the theories of epoetin alfa, we got that the the assessment findings which most strongly indicate that treatment has been effective is c)The patient's hemoglobin level is 11 g/dL.
Epoetin alfa is used to treat the anemia caused by chemotherapy in adults and children at least 5 years old.
Epoetin alfa is also used to treat the anemia caused by chronic kidney disease in adults and children at least 1 month old.
Epoetin alfa is also used to treat the anemia in adults taking zidovudine to treat HIV (human immunodeficiency virus).
Epoetin alfa is also used to reduce need for red blood cell transfusions in adults having certain types of surgery.
Hence, if A patient has completed 4 weeks of treatment with epoetin alfa, the assessment findings which would most strongly indicate that treatment has been effective is option c)The patient's hemoglobin level is 11 g/dL.
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which of the following are typical roles of the registered dietitian in the treatment of anorexia nervosa? multiple select question. helping the patient to reduce the amount of food consumed during a binge. providing accurate nutrition information. teaching the patient to respond to natural hunger and satiety cues. diagnosing depression or anxiety disorders.
Teaching the patient to respond to natural hunger and satiety cues, and providing accurate nutrition information.
These are typical roles of the registered dietitian in the treatment of anorexia nervosa.
The eating disorder anorexia nervosa sometimes referred to as just "anorexia," is characterized by low weight, dietary restriction, body image disturbance, anxiety about gaining weight, and an intense desire to be thin. The Greek words anorexia and orexis, which together mean "a loss of appetite," are the root words for the phrase.
The adjective Nervosa denotes the functional and non-organic aspects of the condition. Gull first used the term "anorexia nervosa" in 1873, although despite its literal translation, the need to eat is often present, and the patients find comfort in their pathological control of it.
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what is the best technique for monitoring the severity of hemolytic disease of the fetus and newborn (hdfn)?
Infant testing is the best method/technique for observing/monitoring the severity of hemolytic sickness of the fetus and new child (hdfn).
The maximum essential serologic take a look at for the prognosis of HDFN is the DAT with Ig G reagent. A tremendous DAT suggests sensitization of fetal crimson cells and is in itself now no longer diagnostic of HDFN. The DAT effects ought to be interpreted withinside the scientific context. This lets in steps to be taken earlier than signs develop. Most of those ailments are very rare, however may be handled if stuck early. The varieties of new child screening exams which are carried out range from nation to nation.
The direct antiglobulin take a look at (DAT) is an essential device for identity of haemolytic sickness of the new child (HDN) due to erythrocyte immunization. Although this take a look at has been used for decades, correct insights into its diagnostic homes and most suitable use withinside the prognosis of HDN are limited. We aimed to benefit extra perception into the diagnostic homes of the DAT for HDN through evaluating it with erythrocyte eluate screening.
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pepto-bismol, an over-the-counter medication used for upset stomach and diarrhea, contains 525 mg of bismuth subsalicylate in each 15-ml tablespoon. what is the weight/volume percent concentration of bismuth subsalicylate?
Bismuth subsalicylate molecules have a weight ratio of 58% bismuth and 42% salicylate.
What is medication?Medication is defined as any drug molecules that can help to prevent diseases. Medicine is the another word for medication. Medications are very important for prevention of chronic illness. Medicine are helpful for the prevention of long term problem like blood pressure , sugar etc.
The weight percent of bismuth subsalicylate is for bismuth 58 % with volume of approx 58 ml and for salicylate 42% with volume of 42 ml .
Thus, bismuth subsalicylate molecules have a weight ratio of 58% bismuth and 42% salicylate.
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a nurse is caring for an infant born with polycythemia. which intervention is most appropriate when caring for this infant?
metabolic disorder is the most appropriate when caring for this infant.
In the epidemiologic context of maternal obesity and type 2 diabetes (T2D), they incidence of gestational of the diabetes has been significantly increased in the last decades. Infants of the diabetic mothers are prone of the to various neonatal adverse outcomes, total including metabolic and hematologic disorders, and respiratory distress, cardiac disorders and neurological impairment due to perinatal asphyxia and birth traumas, me among others. Macrosomia is the most of the constant consequence of diabetes and its severity is mainly influenced by the maternal blood glucose level. Neonatal of the hypoglycemia is the Maine metabolic disorder that's why should be prevented as soon as possible after birth. The severity of macrosomia and the maternal healthy and the condition have a strong impact on their frequency and the severity of adverse neonatal of the outcomes. Pregestational T2D and maternal obesity significantly increase their risk of perinatal death and birth defects. The high of incidence of maternal hyperglycemia in the developing countries, associated with the scarcity of maternal and neonatal of health care, seriously increase the burden of neonatal complications in these countries.
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when performing a stock bottle replenishment you see you have a return to stock for the cell?
Answer:
If you see a return to stock for the cell, this means that the cell is empty and needs to be refilled.
a patient with a traumatic head injury has been brought into the emergency department (ed) by air life. an intracranial pressure(icp) monitor has been placed. opening pressure was 15 but 30 minutes later the ed nurse notices it is now 30. the ed nurse notifies the provider and he orders an arterial blood gas and asks to be notified of the patient's carbon dioxide (co2) level. the co2 is 48. the provider orders to increase the patient's respiratory rate on the ventilator. how does the ed nurse interpret hyperventilation and the direct effect on icp's?
Inducing hypomania via hyperventilation reduces the partial pressure of arterial carbon dioxide (PaCO2), which incites vasoconstriction in the cerebral resistance arterioles. This constriction decrease cerebral blood flow, which reduces cerebral blood volume and, ultimately, decreases the patient's ICP.
What is ICP?
Pressure inside your skull can increase thanks to a brain injury or another medical issue. Increased intracranial pressure, or ICP, may be a risky condition that can cause headaches. The pressure might worsen existing brain or medulla spinals injuries.
Therefore, Inducing hypomania via hyperventilation reduces the partial pressure of arterial carbon dioxide (PaCO2), which incites vasoconstriction in the cerebral resistance arterioles. This constriction decrease cerebral blood flow, which reduces cerebral blood volume and, ultimately, decreases the patient's ICP.
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true or false? simulated experiences in nursing education should contain the peda elements to provide important opportunities for students to hone critical thinking and clinical skills in a safe and supportive environment.
It is true that simulated experiences in nursing education should contain the PEDA elements to provide important opportunities for students to hone critical thinking and clinical skills in a safe and supportive environment.
A simulation imitates the operation of world processes or systems with the utilization of models. Simulated experiences means that student learning that involves interaction with face to face or virtual academic learning programs, computer-generated or [other] lifelike models of clinical nursing things.
Nursing education consists of the theoretical and sensible coaching provided to nurses with the aim to arrange them for his or her duties as medical aid professionals. Courses resulting in autonomous registration as a nurse generally last four years. Nurse education additionally provides post-qualification courses in specialist subjects at intervals nursing.
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americans contributed which advances to medical science in the nineteenth century?
Contribution of Americans to medical sciences are - William Morton's use of ether as an anesthetic. Oliver Wendell Holmes's discovery that disease could be transmitted from person to person.
In 1846, American dentist and physician William Thomas Green Morton performed the first open demonstration of the use of inhaled ether as a surgical anesthetic. Holmes promoted the divisive theory that doctors' unwashed hands were to blame for the transmitted puerperal fever from patient to patient.
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The region of the brain that encloses the third ventricle and immediately rostral to the brainstem, and includes the thalamus, epithalamus, and hypothalamus is the.
The region of the brain that encloses the third ventricle and immediately rostral to the brainstem, and includes the thalamus, epithalamus, and hypothalamus is the diencephalon.
Thalamus is an oval structure within the middle of your brain. It's called a relay station of all incoming motor (movement) and sensory data — hearing, taste, sight and bit (but not smell) — from your body to your brain.
The epithalamus is a posterior (dorsal) phase of the betweenbrain. The epithalamus includes the habenular nuclei and their interconnecting fibers, the habenular commissure, the stria medullaris and therefore the epiphysis cerebri. Epithalamus. medial facet of a brain divided within the median mesial plane.
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the nurse is caring for an older adult with streptococcal pneumonia. which precautions will the nurse begin?
The nurse should begin airborne and contact precautions as they are appropriate.
What are airborne and contact precautions?Airborne and contact precautions are described as steps that any healthcare facility visitors and staff need to follow when going into or leaving a patient's room.
These airborne and contact precautions are very important as they help stop germs from spreading so other people don't get sick. Airborne and contact precautions are for patients who have germs that can spread: through the air and contact from any surface.
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the nurse is caring for a client in active labor who has had a fetal blood sampling to check for fetal hypoxia. the nurse determines that the fetus has acidosis when the ph is:
When the PH is 7.15 or less than that confirms that foetus has acidosis
This in turn relies on adequate maternal blood gas concentrations, uterine blood supply, placental transfer and fetal gas transport. Disruption of any of these can cause fetal hypoxia, which, despite compensatory mechanisms, may lead to acidosis.
Metabolic acidosis occurs when the foetus receives inadequate oxygen to maintain normal metabolism, which forces a switch to anaerobic metabolism. This results in the formation of lactic acid and, when the buffering capacity of the tissues is exhausted, a decrease in pH.
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a 40-year-old client (he/him/his) is admitted to the emergency department after sustaining a flash burn to his face. the client initially denies difficulty breathing and is receiving 100% oxygen via face mask. upon reassessment, the nurse notes that the client's voice has changed and he is reporting difficulty swallowing. what is the most appropriate nursing action?
The primary nursing movement for an affected person arriving in distress at the emergency department is continual, to begin with, priority assessments inclusive of critical signs.
Nurse triage is needed in some of the conditions, together with inside the emergency department. The nurse has to investigate which patron is at the very best chance of being in a lifestyles-threatening state of affairs. the first consumer who ought to be assessed is the one who has a state of affairs that threatens the airway, respiratory, or movement.
Emergency departments number one purpose is to be prepared to address rising, existence-threatening situations. at the same time as they're there for non-life threatening problems, they ought to stay organized and operate as if an emergency exists.
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general hospital has purchased an application that includes the following functions: order entry, identification of drug interactions, medical label printing, and administrative reports such as drug usage. this type of application is known as a(n)
The general hospital has purchased an application that includes the following features: order entry, drug interaction detection, medical label printing, and administrative reports such as drug usage. A Pharmacy application is the name given to this type of application.
A pharmacy application includes an integrated system for entering various medicine orders. This application is also useful in determining which drugs and doses should be used and prescribed by doctors for treatment. For patients, proper labeling and pricing are checked. The pharmacy application provides various administrative reports to hospital management in order to improve productivity and planning in order to provide better quality services to patients. In addition, general Hospital wishes to provide accurate drug usage and other functions for which pharmacy application is appropriate.
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the nurse need to place a dressing under and around a penrose drain. which dressing would be best for the nurse to obtain?
A pre-cut 4 x 4 sterile drain sponge would be the finest dressing to obtain if the nurse needed to apply a dressing under and around a penrose drain.
To cover the drain and the area around it, the nurse should get the pre-split drain sponge. The sterile 2 x 2 gauze sponge cannot fit beneath and around the drain because it is too small and lacks a precut split. The medicated, non-adherent petrolatum dressing gauze is not recommended.
A Penrose drain is a latex tube that is soft, flat, and flexible. It permits fluids, including blood, to exit the surgical site. This prevents fluid from accumulating beneath your surgical cut or incision and leading to an infection. You will have a portion of your Penrose drain inside of you. The second major sort of drain is "active," and this one is classified as "passive." After American gynaecologist Charles Bingham Penrose, the Penrose drain was created.
A roll of sterile, pre-cut gauze would not fit the drain properly because it is not precut. The nurse should never cut gauze to fit around a drain or stoma site because fibres could enter the wound or stoma as a result.
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a client has been diagnosed with breast cancer and is awaiting cytology results of a biopsy. during client education, the nurse discusses the possible types of breast malignancies. which is the most common type?
Ductal cancer is the most common type of breast cancer. The milk duct lining inside your breast is where this kind of cancer develops. Breast milk is produced in lobules and transported via ducts to the nipple.
Following a breast cancer diagnosis, your doctor will examine the pathology report and the outcomes of any imaging tests to determine the precise characteristics of your tumor.
Your medical team assesses your breast cancer type using a tissue sample from your breast biopsy or utilizing the tumor if you've already had surgery. Your doctor can choose the best course of treatment for you with the help of this information.
The behavior of your breast cancer and the best therapies depend on the type of tissue from which it develops.
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when collecting a urine sample from the port of the client's catheter drainage tubing, the nurse inserts the syringe into the aspiration port, slowly aspirates enough urine for the specimen, and removes the syringe. what would be the nurse's next step?
When collecting a urine sample from the port of the client's catheter drainage tubing, the nurse inserts the syringe into the aspiration port, slowly aspirates enough urine for the specimen, and removes the syringe, the nurse's next step would be to unclamp drainage tubing.
Clamping the indwelling urinary catheter earlier than elimination turned into first endorsed with the aid of using Ross in 1936. The clamping technique is meant to bolster the bladder detrusor muscle, enhance muscle tone and sensation of the bladder, and stimulate ordinary filling and emptying of the bladder is recommended that indwelling urinary catheters have to be clamped intermittently to fill the bladder and repair bladder characteristic earlier than elimination.
However, indwelling urinary catheter clamping confirmed no impact on bladder reconditioning in step with a few scientific studies.
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true or false? the majority of health care executives believes that health care reform will positively impact finances.
Healthcare service providers are compensated by third parties for services provided. Frequently, the patient is found. Among the confusion about insurance and payment concerns.
What executives believes that health care reform?The fragmented healthcare system, which multiplies administrative costs (tracking patient expenses and billing to multiple insurers), the influence that healthcare providers have over patients.
The three main causes of rising healthcare prices are the for-profit basis of the healthcare sector.
Therefore, reduced health care expense rise while maintaining high standards for treatment and putting patients first.
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a client presents with otalgia and yellow-green discharge from the external ear canal. which question should the nurse ask to determine the cause of this problem?
A client presents with otalgia and yellow-green discharge from the external ear canal. which question should the nurse ask to determine the cause of this problem Place arms around the client without touching. (This is the balance test).
Otalgia is defined as ear pain. separate and wonderful kinds of otalgia exist. pain that originates within the ear is number one otalgia; pain that originates out of doors the ear is referred otalgia. [1, 2] normal resources of primary otalgia are external otitis, otitis media, mastoiditis, and auricular infections.
The primary causes of otalgia are frequently benign and present as trustworthy cases to the experienced GP. contamination, trauma, foreign bodies and impacted cerumen are the common situations usually identified on otoscopy.
Issues of the external auditory canal which can motive ache consist of cerumen impaction, foreign our bodies, and, most usually, infection of the canal. Otitis externa (typically called swimmer's ear) is as a result of bacterial infections (ninety%) and fungal infections (10%).
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an adolescent is seen in the emergency department for a suspected sprain of the ankle. x-rays have been obtained, and a fracture has been ruled out. which instruction should the nurse provide to the adolescent regarding home care for treatment of the sprain?
Sprain happens when there is a tear in ligaments. Ligaments which are stretchy band that connect bones.
Symptoms include,
1. Pain
2. Swelling
3. Bruising
4. Not able to move or walk
Home care for treatment of the sprain are -
1. Use Ice, wrap ice in a towel on sprain for 15–20 minutes, 4–8 times a day. Avoid putting ice directly on the skin.
2. Need to keep the sprained area above heart level by resting it on a elevated area
3. Compression can also help, to help stop swelling, compress or bandage the sprained ankle can help soon after the injury.
4. Pain killer like Paracetamol or Ibuprofen can be taken.
5. Last one is, avoiding any physical activity and rest.
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a nurse is considering enrolling in an e-learning continuing education course and is trying to decide whether or not the course would be appropriate for him. the nurse completes a self-evaluation and identifies characteristics that would indicate that the course would be appropriate. which characteristic has the nurse identified? select all that apply.
The nurse identified characteristics of self motivation,open to share experiences and ability to ask for help .
What is characteristic?
characteristic are the distinguished features or quality of something.
E-learning programs that provide self-motivation, a forum for exchanging of experiences, and the capability to ask for assistance are the ideal qualities that will motivate a person to select that is the particular course. E-learimh programs that encourage self-motivation, allowed students to seek assistance when needed, and provide a forum for sharing the experiences are examples of student-centered pedagogy that allow students to the analyze and apply the knowledge to issues that are similar to those they will face in the real world. Such a online courses emphasize learning that is driven by a process of inquiry initiated by the students themselves, in contrast to traditional lectures, which often entail an instructor imparting to the knowledge. Therefore these characteristics are the nurse identified.
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A client comes to the clinic asking what erythropoiesis means. the nurse would state that erythropoiesis is the process of making________
A small percentage of early multipotent HSCs commit to the RBCs lineage during erythropoiesis.
What is erythropoiesis?Highly specialized functional differentiation and gene expression occur during erythropoiesis. RBCs' primary function is to transport oxygen in the blood via the hemoglobin molecule.
Patients with uncontrolled hypertension should not utilize erythropoiesis-stimulating medications. Hypertensive encephalopathy and seizures have been documented in individuals with chronic renal failure treated with these medications.
Anemia is caused by a variable amount of hemolysis brought on by the presence of insoluble -globin chains in circulating red blood cells.
Therefore, nurse would state that erythropoiesis is the process of making RBCs.
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In the anthropological study of political systems, social control maintains social norms (cultural standards) and regulates conflict. which of the following is not a form of social control? a. hegemony
b. shame
c. making subordinates believe they will eventually gain power
d. exogamy
e. gossip
Exogamy is not a form of social control.
What is Exogamy ?Exogamy, or getting married outside of one's social circle, is a social norm. Exogamy's breadth and extent, as well as the laws and enforcement practices that maintain it, are all defined by the organization. Dual exogamy is one type of exogamy in which two Exogamy, or getting married outside of one's social circle, is a social norm. Exogamy's breadth and extent, as well as the laws and enforcement practices that maintain it, are all defined by the organization. Dual exogamy is a type of exogamy in which two groups continuously intermarry. Exogamy is considered as a synthesis of two related factors in social science: biological and cultural. Biological exogamy is the union of unrelated human beings, which is prohibited under various incest laws.The opposite of endogamy, which is marriage within a social group, is cultural exogamy, which is getting married outside of a particular cultural group.Learn more about Exogamy refer :
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a patient diagnosed with obsessive-compulsive disorder (ocd) paces up and down the corridor counting every floor tile. how should the nurse address the patient's behavior?
An Obsessive-compulsive disorder (OCD) patient paces up and down the corridor, counting every floor tile. The nurse's best course of action would be to let the patient pace and count until he or she felt more at ease.
Obsessive-compulsive disorder (OCD) is a common, chronic, and long-term disorder in which a person experiences uncontrollable, recurring thoughts ("obsessions") and/or behaviors ("compulsions") that he or she feels compelled to repeat.
You can try to ignore or stop your obsessions, but doing so will only make your distress and anxiety worse. Finally, you feel compelled to engage in compulsive behavior in order to alleviate your stress. Despite efforts to ignore or eliminate bothersome thoughts or urges, they return. This results in more ritualistic behavior — the OCD vicious cycle.
OCD frequently revolves around specific themes, such as an excessive fear of being contaminated by germs. To alleviate your contamination fears, you may wash your hands obsessively until they are sore and chapped.
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the clinic nurse reviews the record of an infant and notes that the primary health care provider has documented a diagnosis of suspected hirschsprung's disease. the nurse reviews the assessment findings documented in the record, knowing that which sign most likely led the mother to seek health care for the infant?
Foul-smelling ribbon-like stools likely led the mother to seek health care for the infant.
What does foul-smelling stool mean?
Bad-smelling stools might be a sign of an intestinal parasite, a bacterial infection, or a viral infection. These ailments may manifest after swallowing tainted food or drink (which can also happen when swimming).
Why do stools look like ribbons?
Constipation is more likely if you eat a diet low in fibre or water. As a result, the stool may become less substantial, reduce in size, and seem stringy. Thin, stringy stools are frequently passed as a result of obstructions that form in the colon as a result of chronic constipation.
Hence Foul-smelling ribbon-like stools is a correct answer.
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which components of donated blood would a nurse at a community blood drive explain can be separated for individual use?
The components of donated blood that can be separated for individual use are :
Plasma.Albumin.Cryoprecipitate.55% of the total volume of your blood is made up of the liquid substance called plasma. Plasma must circulate throughout the circulatory system in order to help your body heal from wounds, deliver nutrients, eliminate waste, and prevent infection.
The protein albumin is produced by your liver. Albumin enters your bloodstream and aids in preventing fluid from seeping into other tissues from your blood vessels. Albumin also transports vitamins, enzymes, and hormones throughout the body.
Cryo, also known as cryoprecipitate antihemophilic factor, is a component of plasma, the liquid component of our blood. The protein clotting factors, which are abundant in cryo, can aid to slow or stop bleeding and so minimize blood loss.
The cryo contains the following blood clotting proteins:
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a client has a large, deep duodenal ulcer diagnosed by endoscopy. which sign or symptom indicative of a complication should the nurse look for during the client's postprocedure assessment?
The most common symptoms of this type of ulcer usually include constant pain in the stomach, nausea and frequent urge to vomit, which worsen after meals or when you go a long time without eating.
What is a duodenal ulcer?A duodenal ulcer is a small sore that arises in the duodenum, which is the first part of the intestine that connects directly to the stomach. The ulcer usually develops in people who have been infected with the bacteria H. pylori, which strips the lining of the stomach of its protection and causes inflammation of the lining of the duodenum.
What is the ulcer treatment?Treatment for gastric ulcer is done with the use of medicines that reduce stomach acidity, such as antacids or acidity inhibitors, such as
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the nurse is caring for a client with multiple myeloma. why would it be important to assess this client for fractures?
It would be important to assess this client for fractures as Osteoclasts break down bone cells so pathologic fractures occur.
What is osteoclast?The cells known as osteoclasts mediate bone loss in pathologic situations by increasing their resorptive activity and degrading bone to start normal bone rebuilding. They originate from myeloid/monocyte lineage progenitors that circulate in the circulation after developing in the bone marrow. Under the control of osteoblastic cells in the bone marrow, these osteoclast precursors (OCPs) are drawn to areas on bone surfaces that are intended for resorption and merge with one another to create the multinucleated cells that resorb calcified matrixes. In addition to bone resorption, OCPs and osteoclasts have been found to serve different purposes in and around bone in recent investigations.For instance, they control immune responses, secrete cytokines that can affect their own functions and those of other cells in inflammatory and malignant processes that affect bone, and control the differentiation of osteoblast precursors and the movement of hematopoietic stem cells from the bone marrow to the bloodstream. we examine these results that identify new functions for osteoclasts and OCPs in the developing field of osteoimmunology and in typical pathologic circumstances where bone resorption is elevated.The abnormal plasma cells proliferate in the bone marrow, where they release osteoclast-activating factor. This in turn causes osteoclasts to break down bone cells, resulting in increased blood calcium and pathologic fractures. The plasma cells also form single or multiple osteolytic (bone-destroying) tumors that produce a 'punched-out' or 'honeycombed' appearance in bones such as the spine, ribs, skull, pelvis, femurs, clavicles, and scapulae. Weakened vertebrae lead to compression of the spine accompanied by significant pain.To learn more about osteoclasts, refer to
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the nurse is caring for a patient with ascites due to cirrhosis of the liver. what position does the nurse understand will activate the renin-angiotensin aldosterone and sympathetic nervous system and decrease responsiveness to diuretic therapy?
The nurse would be aware that this will increase sympathetic nervous system activity and impair responsiveness to diuretic medication while in an upright position.
The sympathetic nervous system and the renin-angiotensin-aldosterone system are both activated when a patient has ascites and is standing up (Porth & Matfin, 2009). Due to this, sodium excretion, renal glomerular filtration, and the responsiveness to loop diuretics are all lowered.
When your abdomen fills with too much fluid, you get ascites (belly). Cirrhosis, or liver scarring, is a common complication of this illness. The stomach, colon, liver, and kidneys are all enclosed in a tissue layer called the peritoneum.
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