The "My meter broke so I have not been checking my blood glucose levels for a while." is the response by the client may account for this abnormal laboratory result.
What is blood glucose?
The primary source of energy for the body's cells, glucose is the most prevalent kind of sugar in the blood. Our bodies can generate glucose from other substances or it can be obtained from the meals we eat. Through the bloodstream, glucose is delivered to the cells. The amount of glucose in the blood is regulated by a number of hormones, including insulin.
What is insulin?
Insulin, a hormone, lowers the blood level of glucose, a type of sugar. The pancreatic beta cells generate and release glucose into the blood when the blood glucose levels raises, such as after eating.
Therefore, "My meter broke so I have not been checking my blood glucose levels for a while." is the response by the client may account for this abnormal laboratory result.
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a pregnant client in the third trimester tells the nurse in the prenatal clinic that she is experiencing heartburn after every meal. which explanation would the nurse provide regarding the cause of the heartburn?
The nurse in the pre-natal clinic should explain the pregnant client in the third trimester that the esophageal Spencer relaxes and allows acid to be regurgitated.
Heartburn, also known as pyrosis, is a condition that develops in the second part of pregnancy as a result of esophageal sphincter relaxation and acid regurgitation. The issue is exacerbated by delayed stomach emptying brought on by impaired gastric motility and stomach displacement brought on by uterine expansion. During pregnancy, gastric motility is diminished. The amount of acid that is regurgitated into the esophagus is reduced or eliminated when the stomach pH rises because the gastric secretions become more alkaline. Acid does not enter the small intestine and the pyloric sphincter does not relax.
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a child has been receiving a cns stimulant for long-term treatment of attention-deficit hyperactivity disorder (adhd). the nurse would be especially alert for which finding? select all that apply.
The nurse would be especially alert for growth, weight loss for a child has been receiving a CNS stimulant for long-term treatment of attention-deficit hyperactivity disorder.
So the correct answer is option C and E
Examples of central nervous system stimulants used to treat attention deficit disorder, narcolepsy, or excessive sleepiness include amphetamines, methylphenidate, atomoxetine, modafinil, armodafinil, pitolisant, and solriamfetol. Transdermal use of methylphenidate-containing skin patches is one choice. It is often applied in the morning, once daily, two hours before the intended effect, and left on for up to nine hours. Any prescription label instructions that you are unsure about following, ask your doctor or pharmacist to explain. Observe the methylphenidate patch directions to the letter.
For children and adolescents with ADHD, methylphenidate is the first-line medication, whereas amphetamines are the first-line therapy for adults. Users of prescription stimulants report experiencing a euphoric "rush" as well as elevated blood pressure and heart rate.
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The complete question is as follows
A child has been receiving a CNS stimulant for long-term treatment of ADHD. the nurse would be especially alert for which finding? select all that apply:
a. respiratory depression
b. hypotension
c. growth
d. hyperglycemia
e. weight loss
the nurse determines that which individual presenting to the clinic is at the greatest risk for development of an integumentary disorder?
An outdoor construction worker is the individual presenting to the clinic is at the greatest risk for development of an integumentary disorder.
The integumentary system is prone to a number of illnesses, conditions, and wounds. These can include skin cancer and severe burns, both of which can be fatal, as well as irksome but often benign bacterial or fungal infections that are classified as diseases.
Some major disorders of the integumentary system: -
Acne. Alopecia Areata. Atopic Dermatitis.Epidermolysis Bullosa.Hidradenitis Suppurativa (HS).Ichthyosis. Pachyonychia Congenita. Pemphigus.The major organ of the body that physically separates the internal environment it protects and maintains from the exterior environment is the integumentary system. The epidermis, dermis, hypodermis, related glands, hair, and nails are all a part of the integumentary system.
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nursing sensitive indicators that improve if there is a greater quantity or quality of nursing care are referred to as: group of answer choices structure indicators. process indicators. outcome indicators. standard indicators.
Aspects of nursing care including evaluation, intervention, and RN work satisfaction are measured by process indicators. Patient outcomes that are found to be nursing sensitive are those that advance with higher levels of nursing care, either in terms of quantity or quality.
Nursing-specific indicators capture the framework, workflow, and results of nursing care. The availability of nursing personnel, the caliber of the nursing staff, and the training/certification of the nursing staff are all indicators of the structure of nursing care. Nursing-sensitive indicators pinpoint care structures and care workflows, both of which have an impact on patient outcomes. Nursing-sensitive indicators are separate from medical indicators of care quality and are unique to nursing. For instance, the number of hours of nursing care supplied each patient day is one structural nursing indication.
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a client admitted with digitalis toxicity has taking the same dose for more than 10 years. what question should the nurse ask to assess for the possible cause of the increased serum level of the medication?
The question the nurse should ask "Do you take regular doses of antacids?".
High degrees of digitalis in the body can beget digitalis toxicity. A minor forbearance to the medicine can also create digitalis toxicity. People with lower forbearance may have an average ranking of digitalis in their blood. They may evolve digitalis toxin if they've other threat procurators.
Antacids are drugs that offset( neutralize) the acid in your belly to help with indigestion and heartburn. They are nigh as fluid or chewable tablets and can be picked up from apothecaries and stores without a prescription.
Antacids don't generally possess numerous side effects if they are simply held sometimes and at the recommended pill.
Retain a sickness that means you require to hold how important salt( sodium) is in your diet, like as high blood pressure or cirrhosis – some antacids bear high standings of sodium, which could frame you unhealthy are holding other drugs – antacids can snoop with other drugs and may necessitate be avoided or held at an unlike time.
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a client diagnosed with narcolepsy expresses reluctance to rely on medication therapy. what recommendation should the nurse provide?
An individual with narcolepsy shows resistance. To prevent sleep deprivation, the nurse offers keeping regular resting and waking intervals.
Describe narcolepsy.Severe sleep disturbances and unplanned sleep episodes are characteristics of the daytime sleepiness disorder narcolepsy. People without narcolepsy usually are unable to remain awake for prolonged periods of time, regardless of the circumstance. Narcolepsy has the potential to seriously interrupt your daily routine.
What are two causes of narcolepsy?It has been suggested that hormonal changes, such as those that occur around puberty or midlife, may act as narcolepsy triggers. a sickness, such as the avian flu, or the vaccine was using to prevent it can cause substantial psychological stress. The onset of narcolepsy symptoms typically happens between the ages of 15 and 30. A interval of sleep is frequently followed by a strong desire to sleep.
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a 20-year-old male was recently diagnosed with lactose intolerance. he eats an ice cream cone and develops diarrhea. his diarrhea can be classified as:
As per the given scenario, his diarrhea can be classified as osmotic diarrhea. The correct option is A.
What is osmotic diarrhea?Diarrhea is characterized by loose, watery, and possibly more frequent bowel movements.
It can occur alone or in conjunction with other symptoms such as nausea, vomiting, abdominal pain, or weight loss. Fortunately, diarrhea is usually only temporary, lasting only a few days.
Diarrhea persists for more than two days without relief. Excessive thirst, dry mouth or skin, urinary incontinence, severe weakness, dizziness or lightheadedness, or dark-colored urine could all be symptoms of dehydration. Abdominal or rectal pain that is severe. Stools that are bloody or black.
Lactose intolerance was recently diagnosed in a 20-year-old male. He eats an ice cream cone and gets diarrhea; his diarrhea is called osmotic diarrhea.
Thus, the correct option is A.
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Your question seems incomplete, the missing options are:
a.
Osmotic
b.
Secretory
c.
Hypotonic
d.
Motility
which evaluation finding requires follow up by the nurse caring for a client with a total knee replacement? select all that apply.
A) 650 ml bloody drainage in drain wound, B) Knee flexion at 30° .Fluid that builds up in the wound is removed by a suction drain. 200 to 400 ml of discharge is typical during the first 24 hours following surgery.
What nursing care should the patient receive first while in the pacu?A report of patient's condition must be given to the receiving nurse on the unit as well as the patient's family. Nursing interventions must include monitoring vital signs, and neurologic status; managing pain; evaluating the surgical site; assessing and maintaining fluid and electrolyte balance; and managing the surgical site.
What four factors are evaluated during a post-operative assessment?The intraoperative history, postoperative instructions, circulatory volume status, respiratory status, and cognitive state should all be considered in this evaluation.
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a patient has expressive speaking aphasia after having a stroke. which portion of the brain does the nurse know has been affected?
D) Inferior posterior frontal areas. A group of communication problems known as aphasia develop when the language center of the brain is harmed.
How is the Broca's region affected by a stroke?Injury to the frontal areas of the left hemisphere affects how sentences are put together from individual words. Broca's Aphasia, which manifests as difficulty constructing entire phrases, may result from this.
How might a stroke result in aphasia?A stroke, which is the obstruction or rupture of a blood artery in the brain, is the most frequent cause of aphasia and results in brain damage. Language-related brain regions suffer from cell death or damage as a result of blood flow problems.
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miley wants to know what kind of health and longevity she can expect for her future. based on research to date, what factor will have the greatest effect on her health and longevity?
Miley wants to know lifestyle behaviors of health and longevity she can expect for her future.
What are lifestyle behaviors?A person's values, knowledge, and norms are shaped by their broader cultural and socioeconomic context, which results in their everyday behaviors, which are referred to as lifestyle behaviors. These actions have an impact on body weight and general health and are influenced by a number of social traits.
Numerous chronic diseases, such as cancer, cardiovascular disease, diabetes, and stroke are prevented by leading a healthy lifestyle that includes eating fruits and vegetables, exercising regularly, and maintaining a healthy weight.
A healthy, balanced diet; drinking plenty of water; exercising frequently; are all examples of lifestyle factors.
Get lots of rest.
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which of the following is not a benefit provided by either enhanced 911 or enhanced cad systems that utilize mobile digital terminals (mdts)?
Elimination of responses to non-life-threatening emergency calls is not a benefit provided by either enhanced 911 or enhanced cad systems that utilize mobile digital terminals (mdts)
While there are a few exceptional circumstances in which mitigation may not be possible and organizations may only be able to provide palliative care after an emergency, most emergencies necessitate urgent response to prevent a deterioration of the condition.
Many less severe situations necessitate a determination of whether they qualify as an emergency by the observer (or affected party). This is not always the case, even when certain emergencies are obvious (like a natural disaster that poses a serious threat to many people). Depending on the jurisdiction, the government, whose agencies (emergency services) are in charge of emergency planning and management, typically sets the specific definition of an emergency, the agencies engaged, and the procedures utilized.
The complete question is:
Enhanced 911 or enhanced CAD utilizes mobile digital terminals (MDTs). Which of the following is not a benefit provided by these systems?
a. direct interface between the patrol unit and local, county, state, and federal criminal justice information system computers
b. dramatic increase in response time
c. elimination of responses to non-life-threatening emergency calls
d. better coordination of all emergency agencies, since their movements can be monitored visually by both officers at the scene and dispatchers
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Vesalius and other sixteenth-century physicians, who made important contributions to medical knowledge, had which of the following in common?a.A realization that microscopic infection caused diseaseb.A heavy reliance on hospitals to treat serious injuriesc.Knowledge of a primitive system of vaccinationd.Anatomical knowledge based on dissection of apese.A willingness to challenge Greco-Roman medical authority
Vesalius and other sixteenth-century physicians, who made important contributions to medical knowledge, had a willingness to challenge Greco-Roman medical authority in common.
Andreas Vesalius was a 16th-century expert, physician, and author of 1 of the foremost prestigious books on human anatomy, First State Humani Corporis Fabrica Libri Septem. anatomist is commonly stated because the founding father of fashionable human anatomy. He was born in Belgian capital, that was then a part of the royal family Of Netherlands (European country).
One of the primary distinguished doctors in Greco-Roman medical authority was anatomist Galen. He became AN knowledgeable on the human anatomy by dissecting animals, as well as monkeys, in Greece.
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what is the individual mandate component of the patient protection and affordable care act? a declaration that each individual is responsible for his or her own health care needs and should not look to the government for assistance a policy measure that assigns, or mandates, each patient to an approved primary care provide
Individual mandates obliging people to get insurance. Each person is in charge of providing for their own medical requirements and shouldn't depend on the government for support or a certain policy.
What does the Affordable Care Act require?The Affordable Care Act's individual mandate obliged people to buy the minimum necessary insurance coverage or pay a tax penalty, unless they qualified for an exemption.
What does the individual mandate aim to achieve?The idea behind the individual mandate is that by making insurance mandatory for everyone, even healthy individuals, the risk pools will be large enough to cut premiums for everyone, including those with expensive medical issues.
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a 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow's milk. the best explanation for her symptoms is:
D) Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility and develops colicky pain, abdominal distention, and diarrhea after drinking cow's milk.
Milk and milk products include the sugar lactose. When your small intestine produces insufficient amounts of the digesting enzyme lactase, lactose intolerance results. In order for your body to absorb lactose from meals, lactase breaks it down. Milk. Milk, particularly that from cows, goats, and sheep, is a significant source of lactose in our diet. You might need to alter the amount of milk in your diet, depending on how light or severe your lactose sensitivity is.
a 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow's milk. the best explanation for her symptoms is?
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one of the ways of improving patient compliance with regard to taking antipsychotic medication involves the use of:
One of the ways of improving patient compliance with regard to taking antipsychotic medication involves the use of injectable medications.
The medication can be released into the bloodstream gradually with long-acting injectables (LAIs). Abilify Maintena or Aristada, Haldol decanoate, Invega Sustenna or Invega Trinza, fluphenazine decanoate, Risperdal Consta, and Zyprexa Relprevv are a few injectable drugs used for individuals with mental diseases.
frequently used injectable drugs including hyaluronic acid, cortisone, and other unusual compounds (for example, botulinum toxin). The anti-inflammatory and antinociceptive effects of corticosteroids are well known.
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when i am communicating to others about a patient, i only share the protected health information (phi) necessary for them to complete their job. this is an example of:
Operational disclosure is an example of sharing only necessary protected health information (PHI) necessary for others to complete their job.
There is a delicate line between disclosing just enough PHI to support operations and going overboard. In accordance with the minimal necessary standard, you may only disclose PHI that is necessary to carry out an activity. Operations disclosures that are acceptable include:
Making sure patients are safe
Creating a protocol
completing compliance or training programs
Performing quality evaluations and improvement initiatives
Monitoring for fraud and abuse
preparing for business expansion and operations
Furthermore, there are other circumstances in which disclosing PHI is acceptable aside from TPO disclosures.
The complete question is:
When I am communicating with others about a patient, I only share the protected health information (PHI) necessary for them to complete their job. this is an example of___________.
(A). Treatment Disclosers
(B). Payment Disclosers
(C). Operations Disclosers
(D). Preventing a health threat or Harm
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the nurse is caring for a client with myasthenia gravis who has received edrophonium intravenously to test for myasthenic crisis. the client asks the nurse how long the improvement in muscle strength will last. the nurse's response is based on the understanding that the duration is usually how many minutes?
The improvement in muscle strength will last about 30 minutes.
Myasthenia gravis:
Any muscle within your voluntary control will become weak and rapidly fatigued if you have myasthenia gravis. It results from a breakdown in the regular transmission of information between neurons and muscles.
Myasthenia gravis has no known cure, but treatment can ease its signs and symptoms, including muscle weakness in the arms or legs, double vision, drooping eyelids, and problems speaking, chewing, swallowing, and breathing.
Although this illness can strike anyone at any age, it tends to strike women under the age of 40 and men over the age of 60 more frequently.
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you volunteer at a children's hospital a little boy who has only been able to see in black and white his entire life is undergoing an operation tomorrow
little boy who has only been able to see in black and white his entire life is undergoing Achromatopsia is a condition that causes either partial or complete loss of colour perception.
A person with complete achromatopsia is unable to see color; instead, they only perceive black, white, and various tones of gray. Incomplete achromatopsia, a less severe variant of the condition, allows for some degree of colour perception. Photophobia, an increased sensitivity to light and glare, and nystagmus, an uncontrollable back and forth of the eyes, are additional vision problems related to achromatopsia. The afflicted may also experience nearsightedness (myopia) or, less frequently, farsightedness (hyperopia). These vision problems first appear in the first few months of life.
Achromatopsia differs from the more common varieties of colour blindness (sometimes called colour vision impairment), in which people can perceive colour but have problems differentiating specific hues, such as red and green.
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what serum blood level wound the nurse epxect to be decreased in a client with a diagnosis of hyperparathyroidism
The nurse would expect to see a decreased serum calcium level in a client with a diagnosis of hyperparathyroidism.
Decreased Serum Calcium Level in HyperparathyroidismHyperparathyroidism is a condition in which the parathyroid glands produce too much parathyroid hormone. This increase in parathyroid hormone leads to an increase in calcium levels in the body. The nurse would expect to see a decreased serum calcium level in a client with a diagnosis of hyperparathyroidism.
This decrease in serum calcium level is due to the excessive production of parathyroid hormone, which causes the body to draw calcium out of the blood and into the bones and tissues.
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the nurse administers a drug that stimulates beta2 receptors. what type of health condition would this drug treat?
The progression of diabetes would be made worse by the breakdown of glycogen, rising serum glucose levels, and stimulation of these receptors.
Some heart conditions could be improved by beta1-receptor activation, which also causes more lipolysis. Beta2-receptor stimulation would worsen diabetes since these receptors stimulate glucagon release and glycogen breakdown, which raise serum glucose levels.
The effects of the neurochemical neurotransmitter are mediated through a family of particle channels known as nicotinic receptors, which are among the best known allosteric membrane proteins from both a structural and functional standpoint. Nicotine increases or decreases heart rate and blood pressure through activating nAChRs in both sympathetic and parasympathetic ganglia.
GI motility is regulated by presynaptic nicotinic neurotransmitter receptors (nAChRs) located on myenteric neurons.
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which instruction would the nurse include in the teaching plan for a patient wwith ulcerative colisitis about ileostomy care?
The instruction which would be in the first in the priority list for the patient suffering from ulcerative colitis would be Avoid taking enteric-coated medications.
An enteric coating medication are tablets which remain intact as they pass through the acidic stomach till they reach the desired portion and then get activated. Ulcerative colitis is a long-term condition in which the colon and rectum become inflamed, however the cause behind this condition is still not discovered. It may be due to abnormal immune response or genetic history. The common and harmful symptoms of ulcerative colitis are diarrhea and bloody stools which may also include abdominal pain, fever, chills and weight loss due to low appetite. Use of certain skin sealants and ostomy skin cream could be beneficial in the treatment of this disease. The extreme condition of ulcerative colitis can cause Colorectal cancer in rare cases in some patients.
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while enrolled in a weight-loss program for employees of the company where he worked, gavin lost nearly 100 pounds over a period of 14 months. at the same time, his bmr slowed. then he was laid off. over the next six months, his bmr remained slowed, and he regained two-thirds of the weight he had lost. which of the following hypotheses best explains this phenomenon?
The given occurrence is best explained by set point gene hypotheses. According to the set point hypothesis, the human body seeks to keep its weight within the desired range.
Throughout their adult lives, many people maintain a body weight range that is more or less narrow. Some people's bodies may keep them thin when they're young yet permit them to put on weight once they reach middle age. The human body employs regulatory processes to maintain its weight within this range of natural set points. For instance, if you consume a bit more than is necessary to maintain your weight, your body temperature will normally increase and your metabolism will speed up in order to burn off the extra energy.
Thus, we can conclude that set point gene hypotheses provide the best explanation for the observed phenomenon. The set point theory states that the body tries to maintain its weight within the specified range.
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a client with motion sickness is prescribed transdermal scopolamine. the nurse would instruct the client to apply the patch at which frequency?
To stop motion sickness-related nausea and vomiting: Adults: For a minimum of three days, apply single patch while behind ear as least 4 hours well before effect is required.
What is a transdermal scopolamine?Following anesthesia, opioid painkillers, and surgery, scopolamine transdermal patches are used to reduce nausea and vomiting. Additionally, it's utilized to stop motion sickness-related nausea and vomiting. Scopolamine is a member of the class of drugs known as anticholinergics.
How should a transdermal scopolamine patch be applied?Behind your ear, on a healthy, dry, and unbroken piece of skin, apply the patch. Select a spot devoid of scars, cuts, soreness, tenderness, or inflammation. The region should also have minimal to no hair. With your fingertips, pull the patch firmly into position to ensure that the edges adhere effectively.
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the practical nurse (pn) administers two newly prescribed medications, isosorbide dinitrate (a nitrate) and hydrochlorothiazide (a diuretic), to a client. what instructions should the pn reinforce with the client in regard to these medications?
Isosorbide doesn't often require any monitoring. But patients with low blood pressure and a slow heartbeat should be monitored, and patients who are receiving long-term diuretic treatment.
When situations or activities may cause an attack, take the isosorbide before the first symptoms of chest pain appear. Oral isosorbide dinitrate should be taken on an empty stomach, one hour before or two hours after meals. Sustained-release medications shouldn't be chewed or crushed, and isosorbide mononitrate shouldn't be used to treat acute anginal attacks.
To treat high blood pressure, hydrochlorothiazide may be taken alone or in combination with other medications (hypertension). The workload on the heart and arteries is increased by high blood pressure. In long persists og it can cause the disfunction of heart and arteries.
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how would the nurse care for the access site after removing the needle from the implanted port of a central venous access device (cvad)?
Insert the saline-filled syringe after thoroughly cleaning the end cap on the extension tubing in this way the nurse care for the access site.
What duties do you have as a nurse when caring for patients who have Cvads?The CVAD bundle concentrates on five essential components: hand hygiene, maximum sterile barrier, chlorhexidine antiseptic, catheter site choice, and daily assessment of the device's need. After the CVAD is installed, the nurse is in charge of providing evidence-based care and maintenance.
Using sterile gauze swabs, cover the catheter insertion site with one hand while removing the catheter firmly but gently with the other. As the catheter is being taken out, gently press down while being careful not to massage the exit site. Stop and call medical personnel if you feel any resistance.
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performed on a person who is admitted and discharged from a surgical facility on the same day
a nurse is working in the emergency department and is assigned to a client brought in by family members. the family thinks that the client is on methamphetamine. the nurse should assess for:
The family thinks that the client is on methamphetamine. the nurse should assess for hypertension.
What is Hypertension?Hypertension may be defined as a type of medical condition in which the blood vessels have persistently raised pressure. It is also known as high blood pressure.
Hypertension is characterized as a systolic blood pressure of 140 mm Hg or more, a diastolic blood pressure of 90 mm Hg or more, or taking antihypertensive medication. According to the context of this question, methamphetamine is a potent central nervous system stimulant that is mainly used in the circumstance of hypertension.
Therefore, the family thinks that the client is on methamphetamine. the nurse should assess for hypertension.
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which pressure change does the nurse determine to be the cause of edema for a cliwnt with albuminuria
The nurse determines that changes in pressure from within the blood vessels as a cause of edema in clients with albuminuria.
What is albuminuria?Albuminuria or proteinuria is an increase in the amount of protein in a person's urine. Albuminuria is not a disease. However, the condition can indicate a person has kidney problems.
Damage to the kidneys that causes high levels of protein in the urine is known as nephrotic syndrome.
The main symptom of nephrotic syndrome is fluid buildup in the body or edema. Edema occurs due to low protein in the blood. If the protein level is lacking, fluid from the blood vessels will leak out and accumulate in the body's tissues.
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individuals with diabetes have a difficult time metabolizing foods that are high in
Blood sugar levels can be raised by consuming a lot of simple carbs, which digest quickly and give out more energy than a person requires. Long-term high levels could prevent the body from producing enough insulin to bring them down to a healthy level.
What is it that diabetics struggle to metabolize?Insulin resistance hinders the body's capacity to metabolize glucose and is most prevalent in pre-diabetes, metabolic syndrome, and type 2 diabetes. As a result, weight gain is more common, blood sugar levels rise, and insulin resistance increases.
Do diabetics suffer gastrointestinal issues?Numerous conditions can induce nausea, heartburn, or bloating, but diabetics should pay special attention to these frequent digestive problems.
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a nurse is preparing a presentation for a group of staff nurses on personality disorders. when describing antisocial personality disorders (aspd), the nurse would explain that for a person to be diagnosed with the disorder, the person must be at least which age?
The nurse would describe the antisocial personality disorders of a person would to be diagnosed at least the age of 18.
Sociopathy, or antisocial personality disorder, is characterised by a persistent disrespect for right and wrong, as well as the rights and feelings of others.
Early in life, usually by the age of 8, ASPD manifests itself. If antisocial behaviours have continued after a conduct disorder diagnosis in childhood, the diagnosis changes to ASPD around age 18. Even though ASPD is typically chronic and lifelong for its victims, it tends to become better as people age.
Antisocial personality disorder has no recognised aetiology. Environmental variables, such as child abuse, as well as hereditary ones are thought to have an impact on this disorder. People with alcoholic or antisocial parent are more vulnerable. Men are impacted much more than women.
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