Most clinical decision support (cds) systems not shown to significantly impact because their evaluation trials are underpowered to detect changes in care outcomes.
Clinical trials are a kind of analysis that studies new tests and coverings and evaluates their effects on human health outcomes. they're the first means that researchers determine if a brand new treatment, sort of a new drug or diet or medical device (for example, a pacemaker) is safe and effective in individuals.
Care outcomes reflect the impact of the health care service or intervention on the health standing of patients. For example: the share of patients who died as a results of surgery (surgical mortality rates). the speed of surgical complications or hospital-acquired infections.
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which education would the nurse provide the parents of a boy born with hypospadias about the age in which the repair of this congenital defect is typically performed?
The most appropriate response by the nurse should be after 6 months and before 1 year of age for boy born with hypospadias.
The best time to castrate a male is infancy, when neither body image nor fear of castration have yet developed. Surgery needs to wait until the phallus has fully matured after birth. Children between the ages of 4 and 5 are in the developmental stage where fear of mutilation is present. It is too late to do corrective surgery right before puberty begins. Before the child is required to share toilets with other boys, corrective surgery should be performed. For a youngster of this age, the absence of a regular stream of pee can lead to psychological problems and challenges with self-esteem.
Hence, between 6 months to 1 year age is best time to deal congenital defect.
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Knowledge about memory is known as?
Knowledge about memory is known as?
Answer:
Metacognition
an elective cesarean delivery is being planned for a pregnant client. the nurse is reviewing the plans for the surgery with the client. a low transverse uterine incision will be used. the client asks the nurse to explain why this approach is being used. the nurse's response is based on which premise?
An elective cesarean delivery is being planned for a pregnant client and a low transverse uterine incision will be used,so the nurse's response is to prevent the fetal risk of intracranial hemorrhage.
In instances once the fetus is extremely tiny, particularly just in case of a delivery, the little fetus head could become entrapped by the little low transverse uterine incision area and uterine contractions, so classical cesarean delivery is fascinating to stop the craniate risk of intracranial hemorrhage.
Brain Bleed, Hemorrhage (Intracranial Hemorrhage) Brain bleeds – trauma between the brain tissue and bone or among the brain tissue itself – will cause brain injury and be severe. Some symptoms embody headache; nausea and vomiting; or sharp tingling, weakness, symptom or palsy of face, arm or leg.
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a pregnant woman in the second trimester of pregnancy complains of constipation and describes the home care measures she is taking to relieve the problem. which would the nurse determine is a harmful measure in preventing constipation?
Adding 1 tablespoon of mineral oil to a bowl of cereal daily is a harmful measure in preventing constipation.
What is constipation?
Constipation is when a person has three or fewer bowel movements a week or has difficult bowel movement as well.
Symptoms and signs of constipation are:
Passing three or fewer stools a week.Having hard or lumpy stools.bowel movements are strainedFeeling like there is blockage in your rectum that is preventing bowel movements.Constipation is often caused due to not consuming enough fibres like fruit, cereals, and vegetables. Changes in one’s lifestyle or routine, such as a change in eating habits, having limited privacy while using the toilet, even ignoring the urge to pass stools.
So therefore, adding 1 tablespoon of mineral oil to a bowl of cereal daily is a harmful measure in preventing constipation.
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patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic secretions. each replacement drug has lipase, protease, and amylase components, but the drug is prescribed in units of:
Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic secretions each replacement drug has amylase, lipase and protease components, however the drug is prescribed in units of lipase.
Cystic fibrosis is a condition that causes damage to your lungs, digestive tract, and other organs. It is an inherited disease caused by a faulty gene that can be passed down through generations. Cystic fibrosis affects the cells responsible for the production of mucus, sweat, and digestive juices.
Cystic fibrosis (CF) is a genetic disease that runs in families. It is caused by a faulty gene that causes the body to produce abnormally thick and sticky mucus. This mucus accumulates in the lungs' and pancreas' breathing passages.
Cystic fibrosis can cause such severe damage to lung tissue that it no longer functions. Lung function typically deteriorates gradually and can eventually become life-threatening. The most common cause of death is respiratory failure.
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when assessing a client, what finding would the nurse interpret as indicating stimulation of the parasympathetic nervous system? (select all that apply.)
Pupil constriction, Bronchoconstriction and Decreased heart rate indicates stimulation of the parasympathetic nervous system.
The parasympathetic nervous system (PSNS) is one of three divisions of the autonomic nervous system, along with the sympathetic and enteric nervous systems. The enteric nervous system is sometimes considered a component of the autonomic nervous system and other times as a separate system.
The parasympathetic nervous system derives its nerve fibers from the central nervous system. Several cranial nerves, including the oculomotor nerve, facial nerve, glossopharyngeal nerve, and vagus nerve, are examples of specific nerves.
In calm "rest and digest" situations, the parasympathetic nervous system predominates, whereas the sympathetic nervous system drives the "fight or flight" response in stressful situations. The primary function of the PNS is to conserve energy for later use and to regulate bodily functions such as digestion and urination.
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the nurse determines that a client has an antenatal or intrapartum risk score of 2. based on this information, which activity level should the nurse recommend to the client during labor?
Ambulate ad lib, During labor and birth, the lady should be encouraged to ambulate as desired.
Ad lib feeding is the practice of feeding babies "when wanted," that is, when they are hungry, rather than on a set schedule. It's sometimes referred to as "feeding on demand." Ad lib feeding is derived from the Latin phrase ad libitum, which means "at will."
Antenatal care is the medical attention you receive while pregnant. It is also known as maternity care or pregnancy care. Appointments with a midwife or a doctor who specializes in pregnancy and birth will be made available to you.
Placental abruption, ruptured uterus, moderate-to-heavy meconium stained amniotic fluid, and cesarean delivery were all identified as independent intrapartum risk factors. In the HIE group, 70.3% had an intrapartum risk factor, compared to 29.6% in the non-HIE group.
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bloodwork results from the laboratory information system, mammogram reports and films from the radiology information system, and a listing of chemotherapy agents administered to the patient from the pharmacy information system are all delivered into the patient's ehr. these different information systems that feed information into the ehr are known as:
These different information systems that feed information into the EHR are known as Source systems.
Segmentation can be used to group patients with similar symptoms or diagnoses to determine if they are drug related. Barcode Medication Management handles inventory management systems used in hospitals to avoid medication errors.
This system requires electronic scanning to detect medication errors and to monitor and control the medication process. DICOM is used worldwide to store exchange and transmit medical images. DICOM is at the heart of the development of modern radiological imaging. DICOM includes standards for imaging techniques such as radiography and ultrasound.
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61. at 0500 hours, you respond to the home of a 76 year old man complaining of chest pain. upon arrival the patient states that he had been sleeping in the recliner all night due to indigestion, when the pain woke him up. he also tells you he has taken two nitroglycerin tablets. his vital signs are as follows: respirations, 16 breaths/min; pulse, 98 beats/min; blood pressure, 92/76 mm hg. he is still complaining of chest pain. what actions should you take to intervene.
Give out oxygen at a high rate has to be the immediate action required in this situation.
Explain indigestion.
Your upper abdomen hurts when you have indigestion, also known as dyspepsia or an upset stomach. Instead of describing a specific illness, indigestion explains certain symptoms, such as abdominal pain and a feeling of fullness soon after you begin eating. A number of digestive disorders can also present with indigestion as a symptom.
Angina is managed with nitroglycerin (chest pain). When a portion of your heart does not receive enough blood, angina is a pain or discomfort that results. It has a pressing or squeezing sensation. Your chest, neck, arms (often the left), and lower jaw are all possible locations. The class of medications known as vasodilators includes nitroglycerin.
Your body's smooth muscles and blood vessels are relaxed by nitroglycerin, which is how it works. By doing this, your heart receives more blood and oxygen. Your heart consequently doesn't work as hard. Chest pain is lessened by this.
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a pregnant client is seen in the health care clinic for a regular prenatal visit. the client tells the nurse that she is experiencing irregular contractions, and the nurse determines that the client is experiencing braxton hicks contractions. which nursing action would be appropriate?
The nursing action would be appropriate Inform the client.
Things like lacking length, sore or soft breasts, feeling more worn-out and nausea are commonplace symptoms of early pregnancy. a few humans have signs of pregnancy earlier than they omit their length. Take an at-home pregnancy check if you assume you might be pregnant.
Stomach or tummy pain is commonplace during pregnancy. inside the first trimester, it's miles not unusual to experience mild pains in the lower tummy area. these are a result of hormonal changes in your developing womb.
Multiplied stages of the hormones progesterone can also make you produce more fluid. improved discharge is an everyday part of being pregnant, but it's critical to keep an eye on it and tell your physician or midwife if it changes in any way.
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a 22-year-old client with quadriplegia in supine position is apprehensive and flushed, with a blood pressure of 210/100 mmhg and heart rate of 50 bpm. which nursing intervention should be done first?
The first nursing intervention should be to raise the head of the bed immediately to 90 degrees.
What is quadriplegia?
Quadriplegia, also known as tetraplegia, is a form of paralysis that affects all four limbs and the torso. It is usually caused by a spinal cord injury, stroke, or disease and can cause significant difficulties with movement, as well as difficulties with sensation and autonomic functions.
Anxiety, flushing above the level of the lesion, piloerection, hypertension, and bradycardia are all indications of autonomic dysreflexia, which is usually triggered by unpleasant stimuli like a full bladder, faecal impaction, or a decubitus ulcer. Putting the client down will raise his blood pressure even further. The indwelling urinary catheter should be evaluated as soon as the HOB is raised. Nitroglycerin is used to treat chest discomfort and lower preload; it is not utilized to treat hypertension or dysreflexia.
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the nurse is caring for an asian patient who is being admitted to the hospital. which action would be most appropriate for the nurse to take when interviewing this patient?
The nurse is caring and seeing for an Asian patient who is being admitted to the hospital. Observe the patient's use of eye contact. Action would be most appropriate for the nurse to take when interviewing this patient carefully.
The most successful technique to communicate with the patient will be determined by observing how often the patient makes eye contact with the nurse. Depending on the patient's particular cultural values, it may be okay to look straight at the patient or to avoid making eye contact. Instead of questioning the patient's family about their views, the nurse should evaluate the patient.
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an infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a nuchal cord after a 30-minute second stage. the nurse identifies petechiae over the face and upper back of the newborn. what information should the nurse provide the parents about this finding?
The information which the nurse should provide the parents about petechiae over the face and upper back of the newborn is that the pinpoint spots are benign and disappear within.
A nuchal cord happens once your baby's funiculus becomes wrapped around their neck within the womb. Nuchal cords are quite common, and whereas they usually don't cause any health issues, in rare cases, serious complications will occur.
Petechiae are round pinpoint spots of harm below the skin. they will be caused by a straightforward injury, straining or additional serious conditions. If you've got pinpoint-sized red dots below your skin that unfold quickly, or petechiae and alternative symptoms, request medical attention.
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harriett is a nursing student who is performing a physical examination on jarred, a 6-year-old patient who is being admitted to the pediatric unit with abdominal pain. when would be the most appropriate time in the examination to palpate jarred's abdome?
Palpate tender areas last is the most appropriate method.
Why are the tender areas palpated last during the physical examination?
Palpate painful areas last since palpation requires touching various body parts and doing delicate assessments with the hands. Inspection is usually followed by palpation. But when looking at the abdomen, auscultation comes first, then palpation. Check the abdomen by palpating it for lumps, distention, or pain.
Hence the answer is palpate tender areas last is the most appropriate method.
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Trained strength and conditioning specialists are generally more qualified to provide exercise advice for health purposes than medical doctors.
Trained strength and conditioning specialists are generally more qualified to provide exercise advice for health purposes than medical doctors is a true statement.
A physical performance specialist known as a strength and conditioning coach employs exercise prescription to boost a team of athletes' or an individual competitor's performance. Combining strength training with aerobic conditioning and other techniques helps to achieve this.
You might study and earn your certification as a strength and conditioning professional in 3 weeks to 9 months, depending on your prior knowledge. There are two sections on the test: Scientific Foundations (Exercise science, nutrition, and psychology).
In accordance with good scientific principles, the strength and conditioning coach creates training plans, oversees workouts, evaluates athletes, keeps track of athletes, and instructs strength and conditioning classes as necessary.
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a client comes to the clinic for diagnostic allergy testing. the nurse understands that intradermal injections are used for such testing based on which principle?
Intradermal injections are used for diagnostic allergy testing because intradermal drugs diffuse more slowly.
What is diagnostic allergy testing?A diagnostic allergy testing is a clinical testing procedure that is being carried out whereby a subject is being exposed to some specific antigens to know if they are reactive or non reactive to it.
Examples of diagnostic allergy testing include the following:
Intradermal Skin Test.
Blood Tests (Specific IgE)
Physician-Supervised Challenge Tests.
Patch Test.
The route of administration of the antigen is through an intradermal route because when injected between the skin layers just below the surface stratum corneum, the antigen diffuse slowly into the local micro capillary system.
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a college student asks the nurse in the campus student health center about obtaining medication for motion sickness before a scuba diving trip. what instruction should the nurse give the student regarding the use of prescription-strength scopolamine (transderm-v)
Instruction should the nurse give the student regarding the use of prescription-strength scopolamine are apply the skin patch behind the ear 12 hours before your trip.
What is Scopolamine?
This skin patch is used to stop motion sickness-related nausea and vomiting as well as post-surgery and anaesthesia recovery nausea and vomiting. Acetylcholine and norepinephrine, two naturally occurring chemicals that might become out of balance in motion sickness, are balanced by this medication.
Before using scopolamine and each time you get a refill, read the medication guide that your pharmacist has provided. Ask your physician or pharmacist if you have any queries.
Apply the patch to a clean, dry, hairless area of the skin behind the ear after peeling off the clear backing. If you want to ensure that the patch adheres well, especially around the edges, press firmly for at least 30 seconds. Over a three-day period, the patch will gradually release the drug into your body.
It is necessary to take motion sickness medications before nausea and vomiting start. They work best when taken 12 hours before to (B) anticipated travel or exercise. Correct administration techniques for prescription-strength scopolamine are not described in (A, C, and D) (Transderm-V).
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a home care nurse is visiting a client who delivered her first baby one week ago. what behavior by the client would indicate to the nurse that maternal-infant bonding is occurring?
1. Holds baby face to face
2. Talks about the baby's features
3. Touches baby frequently
4. Talks to baby by the client would indicate to the nurse that maternal-infant bonding is occurring. a home care nurse is visiting a client who delivered her first baby one week ago.
The term "maternal-infant bonding" (MIB) refers to the mother's affective state, which includes her maternal sentiments toward the infant. It is thought that this affective state forms the foundation for the child's eventual attachment and sense of self. Mothers frequently express sentiments of utter love and bonding for their newborn in the first few hours after birth. When a baby and its caretaker establish a close emotional bond, this is known as attachment. It's crucial to form a bond with your infant. It aids in the production of hormones and chemicals in the brain that promote quick brain development.
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the nurse is reading the primary health care provider's (phcp) documentation regarding a pregnant client and notes that the phcp has documented that the client has a platypelloid pelvic shape. the nurse recognizes which characteristics to be present in the platypelloid pelvis? select all that apply.
Characteristics to be present in the platypelloid pelvis are
Shallow depth Wide suprapubic archCompatible with vaginal deliveryFlattened anteroposteriorly and wide transverselyPlatypelloid. A flat pelvis is another name for the platypelloid pelvis. This is the most uncommon. It's large but shallow, and it looks like an egg or oval on its side.
A flat pelvis is another name for the platypelloid pelvis. This is the most uncommon. It's large but shallow, and it looks like an egg or oval on its side.
This plane is more or less round in the normal male pelvis, with nearly equal anteroposterior and transverse diameters. The plane of the superior strait in the normal female pelvis, on the other hand, is described as more oval, with a transverse diameter averaging 13 cm.
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Pressure of the aqueous humor that fills the anterior and posterior chambers of the eye.
Pressure of the aqueous humor that fills the anterior and posterior chambers of the eye is generally between 12 to 20 mmHg.
What is aqueous humor?A transparent water like fluid containing the low protein concentration secreted by he ciliary body of the eye lenses is known as aqueous humor.
Composition:99.9% waterSugar vitaminsproteins and other mineralsFormation processes:DiffusionUltrafiltration Active secretion by the ciliary processes..Anterior:Generally the term Anterior is used to describe the view of something where anterior means the front or near the front view.
Hence, Pressure of the aqueous humor that fills the anterior and posterior chambers of the eye is generally between 12 to 20 mmHg.
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It is increasingly agreed upon that __________ is/are the most effective in preventing complex problems, including adolescent drug and alcohol use.
Answer:
multicomponent programs
Explanation:
the nurse knows that disorders of the pituitary gland depend on the location of the physiologic abnormality. in caring for a child that has issues with the anterior pituitary, the nurse knows that this child has issues with which hormone?
In caring for a child that has issues with the anterior pituitary the nurse knows that this child has issues with Growth hormone.
What is the pituitary gland's primary purpose?
Through the hormones it produces, it controls metabolism, growth, and reproduction. Chemical signals delivered from the hypothalamus to the pituitary either encourage or inhibit the production of these hormones. Vasopressin and oxytocin are two hormones made by the posterior lobe.
What is the pituitary gland's regulator?
The pituitary is sometimes referred to as the master gland because it regulates the operation of the majority of other endocrine glands. The hypothalamus, a portion of the brain that is located directly above the pituitary, is in turn largely responsible for controlling the pituitary.
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when the nurse interviews a client with internal hemorrhoids, what would the nurse expect the client to report?
For a client with internal hemorrhoids, the nurse expects the client to report instances of bleeding in the rectal area.
What are the symptoms of hemorrhoids?Internal hemorrhoids cause bleeding but, unless they protrude through the rectum, are unlikely to cause pain. Although, straining or irritation when passing stool can cause bleeding during bowel movements without pain.
Other causes that can trigger internal hemorrhoids are chronic diarrhea, obesity and eating low-fiber diet. It can be checked by a doctor through digital rectal examination. External hemorrhoids may cause few symptoms, or they can produce pain, itching, and soreness of the abdominal region.
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Which theoretical approach focuses on understanding how mental health conditions are related to non-secure attachment styles, maladaptive coping strategies, and interpersonal problems?.
There is a need of psychological theoretical approach for understanding how mental health conditions or issues are related to non-secure attachment styles, maladaptive coping strategies, and interpersonal problems.
What is meant by Psychology?The scientific study of mind and its behavior is termed as Psychology. It studies to understand ones mental condition, problems and brain function and its behavior.
Mental health:Mental health regards to ones psychological, emotional and social well being.Mental health helps to identify how we deal with:StressRelate to others.how we make healthy choices.Maladaptive Coping strategies:An ineffective or unhealthy way or method of decreasing the stress or anxiety is termed as Maladaptive Coping strategies.
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a nurse is caring for an adolescent after surgery. which post-operative teaching statement is best to use for the adolescent?
"It is important to take your pain medication as directed to help manage your pain after surgery. Make sure to tell your healthcare provider if you are experiencing pain that is not relieved by the medication."
What post-operative teaching statements for adolescents?Some appropriate post-operative teaching statements for adolescents might include:
"It is important to take your pain medication as directed to help manage your pain after surgery. Make sure to tell your healthcare provider if you are experiencing pain that is not relieved by the medication."
"You will need to rest and take it easy for a few days after surgery. Avoid strenuous activities and follow your healthcare provider's instructions for activity level."
"You may notice some swelling or bruising around the incision site. This is normal and should resolve over time. If you notice any redness, drainage, or other signs of infection, be sure to let your healthcare provider know."
"If you were given any specific instructions for wound care, make sure to follow them carefully. This may include keeping the wound clean and dry, changing the dressing, and applying ointment as directed."
"It is important to follow a healthy diet after surgery to help your body heal. Make sure to drink plenty of fluids and eat a well-balanced diet that includes protein and other nutrients."
By using clear, concise language and providing specific instructions, the nurse can help the adolescent understand their post-operative care and take an active role in their own recovery.
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the health care provider orders 1,000 ml d5w to be infused over 8 hours. the iv tubing delivers 15 drops/ml. the nurse should run the iv infusion at a rate of:
The nurse should run the iv infusion at a rate of 8 gtt/min.
What is infusion about?By allowing the plant material to stay suspended in the solvent for an extended period of time, infusion is the process of extracting chemical compounds or flavors from plant material in a solvent like water, oil, or alcohol. The resulting liquid is also referred to as an infusion.
When a patient is unable to take medication orally or when an intravenous route is more effective for a treatment, IV therapy is frequently used in hospitals. Treatment for cancer, dehydration, gastrointestinal disorders, and autoimmune diseases are a few examples.
Since the health care provider orders 1,000 ml d5w to be infused over 8 hours. the iv tubing delivers 15 drops/ml, the rate will be:
((200 mL x 60 gtt/mL) ÷ (24 hrs. x 60 min) = 8.3
= 8 gtt/min)
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a preschool-age child with a history of being abused has blood drawn. the child lies very still and makes no sound during the procedure. which comment by the nurse would be most appropriate?
The comment by the nurse that would be most appropriate for the child who is abused is "It's okay to cry when something hurts."
The correct option is 1.
What is the effect of abuse on a child?Abuse of a child refers to anything that is done to a child to harm the child physically, emotionally, or mentally.
The abuse of a child may either be done verbally or physically.
The effect of abuse on a child include the following:
avoiding people - the child avoids people and tends to be isolated from others.raising of pain threshold - the child becomes adapted to pain and even wishes to be hurt more in some rare cases. The child may go ahead and hurt himself or herselffeeling s of worthlessness - the abused may feel worthless and unloved and may even have thoughts of ending his or her lifedepression - abuse can cause a child to become depressedHence, the nurse should help the child to realize that it is okay to cry when hurt. The nurse should speak reassuringly to the child.
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Complete question:
A preschool-age with a history of being abused has blood drawn. The child lies very still and makes no sound during the procedure.\ 2. "That really didn't hurt, did it?" 3. "We're mean to hurt you that way, aren't we?" 4. "You were very good not to cry with the
a pregnant client asks the nurse about the type of exercises that are allowable during the pregnancy. the nurse would instruct the client that which is the safest exercise?
The safest exercise for a pregnant client is swimming.
Exercising during pregnancy can be healthy, as long as the objective is just keeping the current fitness level rather than trying to reach peak fitness. The best and safest kind of exercise is the one that doesn't make you bear any weight, such as swimming.
The exercises that must be avoided during pregnancy are the high-impact ones, the ones that need holding breath (such as diving), and exercises that place extreme pressure on the pelvic floor. It would be much better if the client clears each exercise with their healthcare provider first before attempting any.
The question above seems incomplete. The completed version is as follows:
A pregnant client asks the nurse about the types of exercises that are allowable during pregnancy. The nurse should tell the client that which exercise is safest?
1. Swimming
2. Scuba diving
3. Low-impact gymnastics
4. Bicycling with the legs in the air
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What is the primary difference between typical and atypical antipsychotic drugs?.
a patient is recovering from a stroke and demonstrates good recovery in the lower extremity (out-of- synergy movement control). timing deficits are apparent during gait. what can isokinetic training be used to help improve?
Rate control can be enhanced with isokinetic training at various movement rates.
What is isokinetic training?Exercise training using a unique machine is known as isokinetic training. There are many degrees of resistance produced by the exercise equipment. In this manner, regardless of the amount of force used, your movements will always be at a constant speed. No matter how strong you are, the machine can always exert the same amount of force as you.
A lot of people incorporate this training into their normal workout regimens. Isokinetic exercise is also well-liked for healing injured muscles and joints. There are machines for every muscle group. This enables physical therapists to examine and train your unique joints and muscles. The devices also provide measures so that professionals can keep tabs on your development.
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