A client comes to the mental health clinic for a regular appointment. the client tells the nurse he has been taking oral fluoxetine 20 mg daily for the past 3 weeks and that he has lost 3 lb during that time due to a loss of appetite.The nurse should tell the client that this is a typical side effect of this medication will reassure them.
Selected Serotonin Reuptake Inhibitors are a class of medications that include the antidepressant fluoxetine (SSRIs). The way this medication functions is by boosting serotonin's action in the brain.
Fluoxetine is prescribed to treat depressive disease symptoms, including any accompanying anxiety symptoms, particularly in cases where sedation is not necessary. Disorder of compulsive obsession.
A method of thinking that influences your ideas and actions is mental wellness. It influences how you respond to stress and interact with other people. Every stage of life—from childhood and adolescence through adulthood—values it.
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which of the following personnel should be authorized, per hospital policy, to take a physician's verbal order for the administration of medication?
The Nurse Practice Act of each state governs the scope of practise for a nurse's capacity to lawfully distribute and administer medicine.
Legally, Registered Nurses (RNs) and Licensed Practical Nurses (LPNs/LVNs) are permitted to give out prescriptions for drugs that have been approved by a doctor, nurse practitioner, or physician's assistant. "Orders, interventions, remedies, or treatments prescribed or directed by an approved primary health care physician" are referred to as prescriptions. In clinical practise, orders are frequently used to refer to prescriptions. Orders can be classified as regular, PRN, standing, one-time, STAT, or titration orders, among other categories. A routine order is a directive that is obeyed until it is revoked by another directive. A typical prescription would be "Lisinopril 10 mg PO daily."
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when positioning a client to listen to breath sounds, the nurse is correctly aware that which lobe can only be heard by anterior or lateral auscultation? select all that apply.
The nurse is aware that only anterior as well as lateral auscultation can pick up the right middle lobe when a client is positioned to listen to breath sounds.
Auscultation performed anteriorly or laterally is the sole way to detect the right middle lobe. The posterior lobes of the right & left can be heard.
The right lung's middle lobe, which is the tiniest of the three, is situated between the horizontal & oblique fissures. Lateral and medial bronchopulmonary segments are present.
The right middle lobe (RML) condition is characterized by a recurring or persistent blockage or infection of the right middle lobe. Middle lobe syndrome can also be brought on by inflammatory processes, bronchial architecture errors, and collateral ventilation problems.
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which medication prescription by the health care provider will require the nurse to seek clarification? furosemide 20 mg. iv every 8 hours.
Heparin 5,000 u SC every day, medication prescription by the health care provider will require the nurse to seek clarification.
What is Heparin 5,000 u SC?A prescription medicine called heparin is used to both prevent and treat blood clots. Blood clots in the legs and lungs may be prevented and treated using it (including in patients with atrial fibrillation).
Every 8 to 12 hours for 7 to 10 days, or until the patient is fully mobile, 5,000 units subcutaneously. Low dosage heparin prophylaxis shouldn't need any laboratory monitoring.
Because it can be confused for a zero, a four, or the letter "cc," the abbreviation "u" should never be used alone. To avoid misunderstanding, the term "unit" should be written out. The other orders are all properly worded.
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The complete question is as follows:
Which medication order by the health care provider will require the nurse to seek clarification of that order?
Furosemide (Lasix) 20 mg. IV every 8 hours.
Warfarin (Coumadin) 5 mg. PO every evening at 6 PM.
Heparin 5,000 u SC every day
Meperedine (Demerol) 25 mg. IM every 4-6 hours PRN
nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke. which is an appropriate nursing action
Elevating ischemic stroke is the head of the bed by 25 to 30 degrees is the proper nursing activity.
Which of the following is the initial stroke diagnostic test?If a stroke is suspected, a CT scan can typically determine if it was an ischemic or hemorrhagic stroke. You may be able to receive the necessary treatment sooner because it is typically faster than an MRI scan.
What is the most effective therapy for an ischemic stroke?A drug known as tissue plasminogen activator is the primary treatment for an ischemic stroke (tPA). It dislodges blood clots that are preventing your brain from receiving blood. In a vein in your arm, a doctor will administer tPA. Within three hours after the onset of your symptoms, you must provide this type of medication.
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which of the following statements concerning bariatric surgery, or gastrointestinal surgery for the obese, is true?
Bariatric surgery permanently alters the digestive process.
Gastrointestinal surgery is a therapy for illnesses affecting the digestive organs. The esophagus (ee-sof-uh-gus), stomach, small intestine, big intestine, and rectum are all included. The liver, gallbladder, and pancreas are also included.
Gallbladder disease, colorectal cancer, tumors or inflammation, gastroesophageal reflux disease, and other GI problems are treated by GI procedures. Depending on your health, your doctor may conduct the operation as an open or minimally invasive treatment.
They treat GI conditions medically (such as with medicines) and perform nonsurgical procedures, such as colonoscopies. GI surgeons perform surgeries on the abdomen (belly) area, including on organs of the digestive tract. Our GI surgeons are leaders in minimally invasive GI surgery techniques.
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local anesthetic agents are not effective when injected into an area where a tooth or soft tissue is infected because____
local anesthetic agents are not effective when injected into an area where a tooth or soft tissue is infected because an increase of lymphocytes, in the area to combat the infection.
Local anaesthetics (LAs) are drugs that block the impulses that go via nerve fibres, reducing or eliminating feeling. LAs can be used for topical anaesthetic, peripheral nerve blocks, subcutaneous and tissue infiltration, and neuraxial analgesia and anaesthesia. Although all of these substances have equal effectiveness, lidocaine continues to have a dominant position as the most often used local anaesthetic in the United States. An efficient and secure local anaesthetic is novocaine. It is most frequently used in dentistry for operations that are completed in under 90 minutes. The dosage and application of epinephrine are two things that have an impact on how long Novocaine lasts.
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which of the following are consequences of repeated exposure of dopamine receptors to dopamine? select all that apply.
Option A,D .The effects of repeatedly exposing dopamine receptors to dopamine include decreased receptor quantity and decreased sensitivity to dopamine.
Dopamine receptors are downregulated and lose some of their numbers after being stimulated repeatedly (desensitization). Reduced dopamine receptors can also cause "anhedonia," which is the lack of pleasure in once-enjoyed activities. When a user experiences depressed symptoms of anhedonia, particularly when they lack self-control, they may react by using drugs in an effort to feel pleasure once again. Dopamine is a neurotransmitter that is essential for a variety of mental processes, including motor control, motivation, and pleasure. Dopamine imbalances can cause a number of illnesses.
Complete Question for reference:
which of the following are consequences of repeated exposure of dopamine receptors to dopamine? select all that apply.
Options:
a. decreased receptor quantity
b. drug-addicted brains become used to tolerating higher levels of dopamine.
c. dopamine stimulates displeasure and lack of memory.
d. decreased sensitivity to dopamine.
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which part of patient interaction involves the health care worker describing the procedure in lay terms and explaining why it is being done and what it should accomplish? preparation preparation feedback and follow-up feedback and follow-up introduction introduction treatment treatment assessment
The health care provider describes the procedure in layman's words and explains why it is being done as well as what it should achieve during the treatment portion of the patient encounter.
What precisely is healthcare?
The enhancement of one's health through the prevention, recognition, diagnostic, treatment, amelioration, or cure of disease, illness, injury, and other physical and mental limitations in humans is known as health care, or healthcare. Health experts and various related health areas provide healthcare.
What is achieved by using healthcare as a means?
Improving health is the primary objective of healthcare in order to raise quality of life. Profitability is given top priority by commercial enterprises in order to sustain their value and continue to operate. Social profit generating must come first if the health care system is to fulfill its responsibility to society.
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a 65-year-old person visits his treating doctor for an examination. he has a blood pressure of 157/42 mm hg and a heart rate of 87 beats/min. further tests by his doctor revealed that the patient has severe aortic regurgitation. which set of changes would be expected in this patient? (maca)
If further tests by his doctor revealed that the patient has severe aortic regurgitation then the patient is likely to have increased pulse pressure.
What is pulse pressure?
Systolic and diastolic blood pressure are divided to create pulse pressure. Mercury millimetres are used to measure it. It stands in for the force that the beating heart exerts as it contracts. Normal resting blood pressure is about 120/80 mmHg, translating to a pulse pressure of about 40 mmHg.
Regurgitation causes harm to the aorta's diastolic blood pressure. As a result, during diastole, part of the blood that was evacuated during systole regurgitates back into the left ventricle, increasing pulse pressure. The aorta's effective forward flow has diminished.
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which behavior would the nurse expect from a toddler subjected to prolonged hospitalization with limited parental visits?
Cheerful interactions with staff members' behavior would the nurse expect from a toddler prone to prolonged hospitalization with limited parental visits.
Children need to engage with others. Being in social situations and having social experiences helps them learn, grow, and develop a lot. The development of these crucial life skills may be aided by allowing and encouraging your kids to engage with others and be more sociable. The foundation of every connection between two or more individuals is our behavior and how we respond to those around us in social interactions.
These interactions involve various physical gestures, nonverbal cues, verbal exchanges, play, sharing, and other activities. Members of effective teams appreciate one another's opinions. Team members are likely to quit contributing to team discussions and other activities if they are dismissed or disregarded after doing so.
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aldosterone is a hormone that causes the renal tubules to reclaim sodium ions from the filtrate. t or f
a nurse is instructing a woman who is contemplating pregnancy about nutritional needs. to reduce the risk of giving birth to a newborn who has a neural tube defect, which of the information should the nurse include in the teaching?
Consume folic acid-fortified foods. A nurse discusses the nutritional requirements with a woman who is thinking about getting pregnant.
When do pregnancy symptoms start? Which week?
The majority of women (59%) reported the onset of pregnancy symptoms by their fifth or sixth week, while 71% reported symptoms by the end of week six and 89% by week eight, according to a study published in the Journal of Clinical Epidemiology.
How will my stomach feel in the first trimester?
Early pregnancy (the first 12 weeks) mild stomach pain is typically brought on by your womb growing, ligaments stretching as your bump expands, hormonal constipation, or trapped wind. Sometimes, it could feel like a "stitch" or a light menstrual pain.
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a patient has begun taking furosemide to manage heart failure. what food should the nurse recommend that the patient consume frequently while taking this drug?
Bananas are foods that the nurse should recommend that the patient consume frequently while taking furosemide.
What is furosemide?Furosemide is described as a drug used to treat patients with edema and is also used to treat hypertension.
Bananas boost the patients digestion and heart health because of their fiber and antioxidant contents. They may support weight loss because they are relatively low in calories, nutrient dense, and filling.
So in the case where a patient has begun taking furosemide to manage heart failure. Bananas are foods that the nurse should recommend that the patient consume frequently while taking furosemide.
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FILL IN THE BLANK. Will has an intense fear of speaking in public. Because he can only engage in one-on-one discussions, he has been passed over for promotions. Will may be suffering from _____ disorder.
Public speaking horrifies Will to the point of paralysis. He has been passed over for advancements since he can only have one-on-one conversations. Will might be experiencing social anxiety.
What anxiety disorder means?Anxiety disorders which are brought on by medical issues include intense panic attacks or anxiety that can be directly linked to the a physical health problem. Generalized anxiety disorder symptoms include chronic and excessive anxiety, excessive worry, and stress over ordinary or everyday things. Extreme phobias of public speaking, meeting new people, or eating or drinking in front of others are typical examples. When fear or anxiety lasts for at least six months, it interferes with daily functioning.
What causes an anxiety disorder and can anxiety disorder be cured?If you experience high levels of stress over an extended period of time, an anxiety disorder may appear. Environmental factors: Experiencing a distressing event can trigger anxiety, particularly in those who are genetically prone to it. Due to inheritance, anxiety disorders typically run in families.
Despite the fact that anxiety cannot be treated, there are ways to stop it from becoming a serious problem. You can lessen your uncontrollable anxieties and resume your life by getting the right treatment for your anxiety. There are numerous ways to accomplish this.
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which model, developed by the cdc, outlines five crisis phases and accompanying communication goals? the idea model the health belief model the cerc model the risk management/communication framework
The CDC's crisis and emergency and disaster communication (CERC) model identifies five crisis phases and associated communication objectives.
The crisis and emergency risk communication (CERC) model is a five-stage theory that merges established public health practices with principles of crisis communication.
Anyone who interacts on behalf of an organization managing to a public health disaster can benefit from the evidence-based methodology and best practices provided by the Center for Disease Control's (CDC) Crisis & Emergency Risk Communication (CERC) handbook.
Crisis management focuses on when things do go wrong. Risk communication focuses on potential negative outcomes. Risk communication is a response to any situation that can raise public anxiety and draw media attention to a company.
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a patient who is unable to breathe easily is brought to the emergency department. the emergency team quickly determines that this is caused by collapse or incomplete expansion of the alveoli, a condition called
A patient who is unable to breathe easily is brought to the emergency department. the emergency team quickly determines that this is caused by collapse or incomplete expansion of the alveoli, a condition called Atelectasis,
When the alveoli in your lung or a portion of your lung deflate, it is known as atelectasis and can result in a partial or full collapse of the lung.
The collapse of one or more lungs causes atelectasis. The little air sacs known as alveoli are specifically impacted.
Your lungs swell with air when you breathe in. The oxygen from the air enters your blood through alveoli, which are little sacs in your lungs. Organs and tissues all around your body receive oxygen from the blood.
A small portion of the lung or the entire lung may have atelectasis. Your blood might not get enough oxygen if a significant portion of your lung is compromised, which could have negative effects on your health.
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Antithyroid medications are contraindicated in late pregnancy due to the fact that which of the following may occur? Select all that apply.
-Fetal hypothyroidism
-Fetal bradycardia
-Goiter
-Cretinism
-Fetal tachycardia
-Fetal hypothyroidism
Antithyroid medications are contraindicated in late pregnancy because the fetus may develop fetal hypothyroidism, fetal bradycardia, goiter, and cretinism.
The answer is Fetal hypothyroidism. Antithyroid medications are contraindicated in late pregnancy because the fetus may develop fetal hypothyroidism, fetal bradycardia, goiter, and cretinism.
An endocrine system illness called hypothyroidism, also known as low thyroid, underactive thyroid, or hypothyreosis, is characterized by insufficient thyroid hormone synthesis by the thyroid gland. It can result in a variety of symptoms, such as a decreased tolerance to cold, fatigue, constipation, a slow heartbeat, depression, and weight gain. Goiter can occasionally cause the front of the neck to expand. Untreated pregnancy-related hypothyroidism may result in congenital iodine deficiency syndrome or a delay in the growth and intellectual development of the unborn child.
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the nurse has a client who reminds the nurse of the nurse's sister, with whom the nurse has a close and positive relationship. this phenomenon is best characterized by which term'
This phenomenon is best characterized by which term:
Transference.In this particular case, the nurse has a positive relationship with their sister, and is reminded of their sister when working with the client.
This phenomenon can be seen as a form of transference, in which a client transfers their feelings onto the healthcare professional. Counter transference is the term used to describe this phenomenon, as it is the opposite of transference.
What is counter transference?Occurs when a healthcare professional’s personal feelings and emotions are projected onto the patient. It can manifest in both positive and negative ways, such as feeling a sense of connection with a patient or feeling overwhelmed with frustration.
This phenomenon can be especially pronounced when a healthcare professional is reminded of a family member or close friend. In such cases, the healthcare professional’s feelings and emotions around their personal relationships can impact their interactions with the patient.
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local anesthetics containing a vasoconstrictor are an absolute contraindication for a patient who reports being allergic to wine and dried fruits. group of answer choices true false
The statement "local anesthetics containing a vasoconstriction are an absolute contraindication for a patient who reports being allergic to wine and dried fruits" is true.
What is vasoconstriction?The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. Blood flow is delayed or halted as blood vessels close.
Vasoconstriction can range from mild to severe. It could be brought on by sickness, medicines, or psychological issues. "A patient who reports being allergic to wine and dried fruits is an unequivocal contraindication for local anesthetics including a vasoconstriction,"
Therefore, the statement is true.
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At age 2, Jamison had hardly said any words, had never really made eye contact with his parents, and was intensely preoccupied with the buttons and zippers on this clothing. Jamison:
* Would probably be diagnosed with ADHD
* Would probably be diagnosed with ASD
* Is as higher-than-average risk of developing antisocial personality disorder
* Is at higher-than-average risk of developing OCD
Jamison was diagnosed with ASD at age 2 because he rarely ever spoke and hardly ever saw eye-to-eye with his parents.
What is an example of a diagnosis?She is skilled in identifying and fixing eye problems. The official diagnosis was mild concussion. His doctor first diagnosed him with pneumonia. The committee's investigation of the difficulties faced by urban schools was made public.
Why do we employ diagnosis?A correct diagnosis can increase the efficacy of therapies and help the infected patient avoid long-term problems. Patients who go undiagnosed may unintentionally spread the illness to others. A timely diagnosis can aid in outbreak control or prevention.
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what is currently the most effective way of reducing incidence of dengue, yellow fever, chikungunya, and zika?
Dengue, yellow fever, chikungunya, and zika incidence can currently be decreased most effectively by reducing mosquito populations.
What is the most effective means of stopping the spread of yellow fever?Avoiding mosquito bites is the most effective strategy to avoid contracting the yellow fever virus. If a vaccination is advised for you, wear long sleeves and long pants, treat your clothing and equipment, and use bug repellent before flying.
How can the Zika virus be avoided?Avoiding mosquito bites is the most effective strategy to avoid contracting Zika. Everyone should take precautions to avoid mosquito bites, including expectant mothers and nursing mothers. EPA-registered insect repellents have been shown to be safe and effective when used as instructed, even for expectant mothers and nursing mothers.
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Raymond is hypertensive and was recently diagnosed with impaired kidney function based on urinalysis and a blood test for creatinine. What sorts of test results would you expect, and how is hypertension related to kidney function?
a client has been taking a decongestant for allergic rhinitis. which finding suggests that the decongestant demonstrates maximum therapeutic effective?
For allergic rhinitis, a customer has indeed been taking a decongestant. Reduced sneeze indicates that the decongestant is most therapeutically effective.
Allergic rhinitis: What is it?Inflammatory of the nose's interior known as allergic rhinitis is brought on by an allergy, including such pollen, dust, mold, or flakes of some mammals' skin. It is a relatively prevalent illness, affecting roughly one in five persons in the UK.
How can I get rid of my allergic rhinitis?Although there is no known treatment for rhinitis, the symptoms can be alleviated with the help of antihistamines and nasal sprays. Immunology is a treatment approach that has the potential to bring about long-term alleviation. Allergens can be avoided with the use of measures.
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which intervention would the nurse anticipate providing teaching on when a client presents iwth extensive lesions caused by psoriasis
The nurse would providing Topical application of steroids anticipate teaching on when a client presents with extensive lesions caused by psoriasis.
How would you define psoriasis?
Psoriasis symptoms include patches of heavily red skin covered with silvery scales. Patches can occur everywhere, but the elbows, knees, scalp, lower back, cheeks, palms, and soles of the feet are where they are most commonly seen (fingernails, toenails, and mouth). The most common kind of psoriasis is plaque psoriasis.
What is the primary reason for psoriasis?
The exact etiology of psoriasis is unknown. It is believed to be an immune system issue wherein infection-fighting cells unintentionally kill healthy skin cells. Both genetics and environmental factors are thought to be involved. The illness is not spread by others.
How may psoriasis be treated?
Psoriasis treatments aim to reduce scales and halt the skin cells' fast development. Light treatment, phototherapy, oral or injectable medications, creams, and ointments are available alternatives (topical therapy).
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based on the higher mortality rates in men from specific types of cancers, which question is most important for the nurse to ask during annual health screenings?
Men's cancer deaths are most frequently caused by lung cancer. More people have died from it than from the next two most common malignancies, colorectal and prostate, put together.
Men's cancer deaths are most frequently caused by lung cancer. More people have died from it than from the next two most common malignancies, colorectal and prostate, put together. In 2021, it was predicted that lung cancer will kill 69,410 males. 3 A chronic cough, coughing up blood, hoarseness, and shortness of breath are some signs of lung cancer in men. Smoking is one of the risk factors for lung cancer, but there are others. One of these is radon gas, which accounts for up to 14% of lung cancer cases worldwide and is the main factor affecting non-smokers.
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A nurse is caring for a client Who is suspected of having hydatidiform mole. Which of the following findings should the nurse expect to observe in this client is?
Rapid decline in human chorionic gonadotropin (hCG) levels
Profuse, clear vaginal discharge
Irregular fetal heart rate
Excessive uterine enlargement
The nurse expect to observe in this client is Excessive uterine enlargement.
What causes a hydatidiform mole?The embryo produced when a typical sperm cell reproduces any of these oocytes has just one pair of chromosomes. A hydatidiform mole results from an abnormal pregnancy because the embryo lacks genes from the mother.
What threats do hydatidiform moles pose?A precancerous placenta known as the hydatidiform mole (HM) is referred to as a perinatal trophoblastic illness (GTD). It could develop into more serious consequences of gestational trophoblastic carcinoma (GTN), putting women's health at risk. The current death rate from hydatidiform is almost negligible thanks to early detection and appropriate treatment.
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in an interprofessional team, the role of a nurse leader is elevated from caregiver to include which essential responsibilities? (select all that apply.)
Putting in place a team-based care delivery system., promoting client autonomy in making decisions about their treatment. ensuring a smooth transition from acute to home care.
What carries out a nurse leader?Nursing leaders keep an eye on nursing teams and make sure they adhere to the rules and regulations that uphold patient outcomes and high standards of care. Organizational Objectives For patient outcomes, nurse leaders create objectives. They match the overall strategic goals of their healthcare companies with the aims of nursing units.
What is the name of a nurse leader?They might provide role specializations like Nurse Executive. A post-graduate certification in nurse executive can also help you get ready to assume more responsibilities as a management or leader. You could even advance to more senior jobs like staff nurse or certified nursing leader with proper training and experience.
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a goiter can result from: a. too much or too little dietary iodine. b. choline supplementation. c. insufficient dietary copper. d. excess dietary chromium.
a goiter can result from too much or too little iodine in the diet.
The thyroid gland's uncontrolled development is referred to as a goitre (GOI-tur). A butterfly-shaped gland called the thyroid can be found near the base of the neck, just below the Adam's apple.
A goiter may develop from an abnormal cell proliferation that causes one or more lumps (nodules) in the thyroid or it may be an overall enlargement of the thyroid. Thyroid hormone levels may rise or fall, or there may be no change in thyroid function in the case of a goiter.
Iodine deficiency in the diet is the leading cause of goitres in the world. In the United States, where the consumption of iodized salt is widespread, goitres are brought on by illnesses that alter thyroid function or elements that influence thyroid development.
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community hospital uses barcoding technology as part of its medication management processes. barcoding is an example of:
Barcoding is an example of character and symbol recognition technology.
Barcode Medication Management System (BCMA) scans patient wristbands and medications to administer to avoid medication errors. Preventable medication errors affect more than 7 million of her patients and cost all care settings approximately $21 billion annually.
The BCMA system reduces medication errors by electronically validating the “five rights” of medication (right patient, correct dose, right drug, right time, right route) at the patient's bedside. increase—every time a nurse gives a patient medicine. I have to scan both the patient's ID bracelet and the medicine's barcode to make sure they match. This is the use of barcodes in community hospitals.
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a patient with liver disease is having laboratory testing. the nurse understands that the normal range of albumin would be
A patient with liver disease is having laboratory testing, and the nurse understands that the normal range of albumin would be a range from 3.5 to 5.5 g/dl, but the amount differs in the liver disease case.
What happens in liver disease?The liver is a major organ of the body that detoxifies medicines and other substances; it synthesizes many enzymes and releases them into the blood, including albumin. The albumin protein is important in the blood, but the level declines when the liver damage is serious, such as in liver cirrhosis.
Hence, the patient with liver disease is having laboratory testing, and the nurse understands that the normal range of albumin would be a range from 3.5 to 5.5 g/dl.
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