The nurse should follow up on the client's risk factors for pulmonary embolism, medical history, current medications, allergies to contrast dye, recent travel, and signs or symptoms of pulmonary embolism in order to evaluate the client for pulmonary embolism using a spiral computed tomography (CT) scan with contrast.
The nurse should first review the client's risk factors for pulmonary embolism. This includes assessing for recent surgery, long periods of immobility, pregnancy, and any history of deep vein thrombosis. The nurse should also inquire about any recent medical history, as pulmonary embolism can be caused by medical conditions such as heart disease, cancer, and stroke.
The nurse should also ask the client about any current medications they may be taking. Certain medications, such as hormonal contraceptives and medications used to treat cancer, can increase the risk of pulmonary embolism. The nurse should also ask if the client has any allergies to contrast dye, as this can affect the accuracy of the CT scan.
The nurse should also inquire about any recent travel the client has done, as long-distance travel can increase the risk of pulmonary embolism. Furthermore, the nurse should assess for any signs or symptoms of pulmonary embolism, such as chest pain, dyspnea, and tachycardia.
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the nurse is changing the abdominal dressing on a client following abdominal surgery. the nurse notes that the incision line is separated and the appearance of underlying tissue is noted. wound dehiscence is suspected. which is the appropriate initial nursing action?
The appropriate initial nursing action for wound dehiscence is dress the wound with a sterile dressing that has been dipped in sterile normal saline.
Dehiscence, which results from improper wound healing, is the partial or complete separation of previously approached wound margins. Typically, this scenario takes place 5 to 8 days after surgery, when healing is still in the beginning phases.
Treatment
If an infection is present or suspected, antibiotics.To avoid infection, frequently replace the wound dressing.A wound that is exposed to air will heal more quickly, avoid infection, and allow new tissue to grow from the inside out.Negative pressure wound therapy uses a pump-connected dressing to hasten healing.An abdominal incision typically takes 1 to 2 months to completely heal. Contact your doctor or surgeon right away if you believe your wound could be healing again or if you experience any dehiscence symptoms.
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the pediatric client has been prescribed methylphenidate. which statement should be included in the teaching plan for a client receiving methylphenidate?
The lesson plan for a client on methylphenidate should state, "Adverse effects included hypertension and anxiety."
Can hypertension be treated?Chronic illness includes hypertension. Medication can help moderate it, but it can't be cured. Therefore, patients must adhere to their doctor's recommendations regarding their course of treatment and lifestyle changes, as well as attend routine checkups for the rest of their lives.
Can someone with hypertension live a long life?It's critical to keep in mind that having high cholesterol is typically not fatal. You'll probably live a long life if you routinely work with your doctor to manage your treatment and blood pressure levels. Making big improvements to your lifestyle and health is part of this.
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cms and the joint commission both require that healthcare professionals assess the work of colleagues in the same profession; this process is known as:
CMS and the joint commission both require that healthcare professionals assess the work of colleagues; this process is known as: A. Peer Review
By preventing, diagnosing, treating, minimising, or curing disease, illness, injury, and other physical and mental impairments in humans, health care, often known as healthcare, aims to enhance people's overall well-being. Enhancing quality of life via improved health is the primary goal of healthcare. To maintain their valuation and be able to continue operating, commercial enterprises concentrate on making a profit. To live up to its commitment to society, health care must prioritise generating social profit. Health and wellbeing may be enhanced by aiding medical professionals in their communication.
cms and the joint commission both require that healthcare professionals assess the work of colleagues in the same profession; this process is known as?
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Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
Gingko biloba, Garlic, Ginseng, Ginger, and Feverfew are herbal supplements that should be stopped before major surgery since they increase the risk of bleeding in surgical patients.
What is surgery?A sick or damaged body part may be repaired, removed, or replaced through surgery, a type of medical treatment. A person may undergo surgery to investigate or cure a pathological condition, such as an illness or injury, to help improve physical function or appearance, or to mend unwelcome ruptured portions. Surgery is a medical speciality.
Why is surgery important and what is used in surgery?Surgery may be performed on a patient to: Perform additional diagnostic testing on the disease. the suspicious mass should be biopsied. Surgically remove or treat sick organs or tissues.
machines that cut (scalpels, lancets, trocars, Harmonic scalpel, rongeurs etc.) Dilators and specula are used to access incisions or small channels. Tubes and suction tips are used to remove body fluids. instruments for sealing, such surgical staplers.
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a client with alzheimer disease is found slumped over the lunch tray on the bedside table, coughing violently with emesis visible in the back of the throat. the client has a pulse of 135/min, respirations 32/min, and oxygen saturation 84%. the client also has circumoral cyanosis and decreased level of consciousness. place the nurse's actions while awaiting the arrival of the rapid response team in priority order. all options must be used.
a patient presents to the physician with reports infrequent bowel movements and is diagnosed with functional constipation. what can be a contributing factor to this condition?
The contributing factor to infrequent bowel movements and being diagnosed with functional constipation is sedentary lifestyle, low-residue diet, and low fluid intake.
Functional constipation is a term accustomed describe a condition during which patients have onerous, infrequent gut movements that area unit usually tough or painful to pass. purposeful constipation doesn't result from a clearly specifiable anatomic abnormality or sickness method and could be a designation of exclusion
A low-residue diet limits dietary fibre to but 10-15g per day and restricts different foods that would stimulate gut activity. The goal of a LRD is to decrease the scale and frequency of bowel movements so as to scale back painful symptoms.
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a mother comes to the clinic with her 7-month-old child for a routine checkup. which assessment findings noted by the nurse suggest that the child is exhibiting appropriate fine motor development? select all that apply. one, some, or all responses may be correct.
The appropriate motor development of a 8 month-old-baby is that she/he will be able to bang objects together and pull a string to get an object.
A 7-month-old infant ought to be able to pull a thread and bang objects together to get what they want. A baby should be able to pick up tiny things between the ages of 8 and 10 months. Between the ages of 10 and 12 months, a kid should be able to put things in containers and make marks with a crayon or pencil on paper.
Motor development is the process of a child's bones, muscles, and ability to move around and feel their environment physically growing and strengthening.There are two types of motor development in children: fine motor and gross motor.
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what nursing intervention would not be effective in assisting the client in stopping his or her migraine headache?
Keeping the room very bright is the nursing intervention would not be effective in assisting the client in stopping his or her migraine headache
The nurse said that vascular spasms are what trigger migraine headaches.
The majority of neurological conditions connected to migraines run in families. Nerve cells in the brainstem are activated by a number of circumstances, including emotional stress, lack of sleep, hunger, and dehydration.
Strong headaches known as migraines typically only affect one side of the brain. High levels of sensitivity to sound and light, as well as nausea and vomiting, are frequent coexisting symptoms.
The nerve that travels to your head and the light-detecting cells in your eyes are connected, and this link is what causes photophobia. Migraines are the most frequent reason for light sensitivity. Approximately 80% of people who suffer photophobia are affected.
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marta is a pregnant woman suffering from severe iodine deficiency. as a result of the deficiency, she has a high risk of giving birth to a child with
Marta is a pregnant woman suffering from severe iodine deficiency. as a result of the deficiency, she has a high risk of giving birth to a child with cretinism
Due to an untreated congenital lack of thyroid , cretininism causes dramatically delayed and mental development. Generic, or endemic congenital hypothyroidism are all possible.
It is well known that the severe iodine deficit that occurs during pregnancy causes weak. The cognitive deficiencies of children whose mothers had minor iodine insufficiency during pregnancy are currently the subject of few studies.
The absence of the thyroid gland and the thyroid gland's inability to produce thyroid are the two basic causes of cretinism (congenital cretinism or congenital iodine deficiency syndrome). a diet deficient in iodine
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FILL IN THE BLANK. One of the strengths of the biopsychosocial model, in comparison to the medical model, is that the biopsychosocial model incorporates _____ into an understanding of psychological disorders.
One of the strengths of the biopsychosocial model, in comparison to the medical model, is that the biopsychosocial model incorporates the effect of culture.
What is meant by the biopsychosocial model?The psychodynamic approach of health and medicine looks at how biological, psychological, and social factors contribute to relative sickness or health. The interconnectivity of these elements is emphasized by the BPS model.
Use the biopsychosocial model when?A range of health behaviors may be understood using the biopsychosocial approach. The biopsychosocial method, for instance, might be utilized to comprehend the harmful habit of excessive drinking. A person who has a hereditary propensity for alcohol addiction may drink excessively (Biological).
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a nurse is struggling with time management and thinks it might help alleviate stress and strengthen leadership skills if some tasks are delegated to unlicensed assistive personnel (uap). what would be important for the nurse to consider when delegating to uap? (select all that apply.)
a child is diagnosed with sickle cell disease. the parents are unsure how their child contracted the disease. which explanation by the nurse is the most appropriate?
The most appropriate explanation for how the child contracted sickle cell disease is that the mother and father have the trait; therefore the child has a 25% chance for having the disease. So the correct option is D.
What is sickle cell disease?Sickle cell anemia is a group of inherited disorders of the red blood cells, it causes the red blood cells to be stickier and harder taking on a crescent or 'C' shape. This will be because the hemoglobin that will make them up will be an abnormal hemoglobin called type S, which will make them more fragile.
This type of disease is autosomal recessive, so it will need both parents to have the recessive gene, which will cause their offspring to have a 25% chance of being affected.
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A child is diagnosed with sickle cell disease. The parents are unsure of how their child contracted the disease. What is the most appropriate explanation by the nurse?
A. The mother has the trait, but the father does not.
B. The father has the trait, but the mother does not.
C. The mother has the disease, but the father has neither the trait nor the disease.
D. The mother and father have the trait; therefore the child has a 25% chance for having the disease.
a client has been admitted to a medical unit of a hospital for the treatment of pneumonia that is attributable to s. pneumonia. which consideration is the priority in this client's treatment?
The arterial oxygen partial pressure should be 90 mm Hg or above to show that the client's condition has improved.
One definition of pneumonia is a bacterial illness characterized by lung inflammation and fluid-filled alveoli.
When the partial pressure of oxygen is between 85 and 100 mm Hg, the client's health has improved. Acute bacterial pneumonia causes increased carbon retention and unstable oxygen partial pressure, which leads to this.
The deadly condition known as pneumocystis pneumonia is brought on by the fungus Pneumocystis jirovecii (PCP). The majority of PCP patients are either taking medications (such corticosteroids), which lower the body's ability to fight against disease and germs, or they have an immune system-depressing condition, like HIV/AIDS.
A sudden start of fever, cough, wheezing that commonly becomes worse with activity, a dry cough that produces little to no mucus, and chest discomfort are the most prevalent signs of PCP. In hospitals, IV antibiotics are routinely used to treat severe PCP (intravenously or into a vein).
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in absence of a legal executor or administrator of an estate, states may follow the uhcda to allow access to the health records of a deceased patient?
True. States may abide by the UHCDA to permit access to the a deceased child's health records in the absence of a designated legal executor or trustee of an estate.
What exactly are health records?A written summary of a people's medical history is called a health record or medical record. It contains prescription drugs, prescriptions, examination results, immunization records, and notes from doctor's appointments.
What does a health record serve as?Patient information (PHRs) can aid in improving how well-being is managed by your patients. It is simple for patients can updated and share medical records when vital health information is available in electronic format, like immunization records, lab reports, and monitoring deadlines.
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which questions regarding gross motor skills would the nurse include when conducting the interview portion of the developmental assessment with the parent of an infant between 10 and 12 months of age? select all that apply. one, some, or all responses may be correct.
The gross motor skills of an infant between 10 and 12 months of age is creeping.
A gross motor skill the nurse looks for while evaluating a client who is 10 to12 months old and of toddler age is creeping up the stairs during a scheduled health maintenance appointment. When evaluating a client who is12 to15 months old and in the toddler stage, the nurse looks for fine, not gross, motor abilities including using a cup correctly, writing on the spot, and erecting a tower out of two blocks.
To perform daily activities like standing and walking, running and jumping, and sitting up straight at a table, which all require gross motor (physical) skills, the body's large (core stabilising) muscles must work together.
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FILL IN THE BLANK. Carmela believes her assistant, Lian, is incompetent. She notices only what Lian does wrong while ignoring the above average quality of most of her work. This exemplifies ________ bias.
Carmela thinks Lian, her helper, is incapable. This is an example of confirmation bias because she only notices what Lian does while dismissing the above average quality of the majority of her work..
Is calling someone incompetent mean?When you call someone incompetent, you were criticizing them for not being able to complete a task or their job correctly. The incapacity of a person to finish a task is referred to as incompetence. You might not always be familiar with everything while beginning a new work or accepting a new responsibility. Your self-esteem & confidence at work may suffer if you make a mistake or experience setbacks.
The court must reverse a defendant's conviction if the judge finds that they were mentally incompetent at the time of their trial. The defendant then must transfer to a rehab facility in a timely manner.
What are examples of incompetence?Lack of people skills might manifest itself at work as being tactless, bossy, rude, unclear, agitated, or unable to inspire confidence in those you work with. Poor management is evident when you let go of a key employee because you never give him appreciation but just criticism.
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a patient is in cardiac arrest. ventricular fibrillation has been refractory to a second shock. if no pathway for medication admisitration is in place, which method is perfered
The most preferred method for treating refractory ventricular fibrillation in a patient in cardiac arrest is chest compressions.
What is refractory?Refractory is a type of material that can withstand extreme temperatures and is highly resistant to heat, wear, and corrosion. Refractory materials are commonly used in the manufacturing of industrial furnaces, kilns, and other high-temperature equipment. They are also used in the construction of fireplaces, ovens, and other heating systems. Refractory materials are usually made from ceramic, metallic, or mineral compounds that are able to withstand temperatures up to 1,800°C (3,272°F). This makes them able to withstand the intense heat of many processes, such as smelting, melting, and forging. Refractory materials can also be used to insulate materials from heat or to protect them from chemical attack.
The American Heart Association recommends chest compressions before administering medications in cardiac arrest.
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a diaphragm that opens and closes, like a shutter, to increase or decrease the amount of light is called a medical assistant
The diaphragm that opens and closes on the microscope that opens like shutter of a camera to increase or decrease the amount of light on specimen is called Iris
iris diaphram is an adjustable shutter which allows you to adjust the amount of light passing through the condenser.
The angle determines Numerical Aperture (NA) of the condenser.
This diaphragm, generally called aperture diaphragm, is one of most important controls on the microscope.
Figure legend: iris diaphragm is found within the condenser, here labeled 'Abbe condenser'.
It is responsible for controlling the amount of light that passes from condenser to specimen or, more specifically, the width of light beam
The main function of an iris diaphragm of microscope is to control the amount of light that reaches specimen.
This light comes from microscope's light source, and is gathered by condenser, before being regulated by the diaphragm, then passing through specimen.
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a certified family nurse practitioner with an msn degree in family practice who works in a clinic serving patients who have connective tissue disorders refers to himself as a clinical geneticist. is this title appropriate?
Nurse with an MSN degree cannot refers to himself as a clinical geneticist.
A clinical geneticist is a physician who has completed a fellowship in clinical genetics. A medical professional with a focus on treating people with genetic conditions and their families is known as a clinical geneticist. To assist patients, families, and healthcare teams in the management of genetic diseases, they collaborate closely with genetic counsellors.
Clinical geneticists evaluate a patient's physical characteristics and medical history, collect and analyse data on family history and inheritance patterns, and estimate the likelihood of recurrence to help identify families who may be at risk of a genetic disorder. They offer details about genetic testing and associated treatments.
Hence, clinical geneticist deals with genetic conditions and their families.
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choose all the cranial nerves in which parasympathetic fibers leave the brainstem through.
The cranial nerves in which parasympathetic fibres leave the brainstem through are oculomotor, facial, glossopharyngeal, and vagus nerves.
What is parasympathetic nervous system?
The cranial nerves, particularly the vagus nerve, and the lumbar spinal nerves make up the parasympathetic nervous system's nerve fibres. These nerves cause the pulse to slow down and enhance digestive secretions when activated.
What functions do parasympathetic nerve fibres perform?
When a person is at rest, their bodies are under the supervision of the parasympathetic nervous system. Its effects on the body's metabolism, digestion, and relaxation are only a few of its functions. The parasympathetic neurons in the heart form synapses with the preganglionic vagus fibres.
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The cranial nerves in which parasympathetic fibres leave the brainstem through are oculomotor, facial, glossopharyngeal, and vagus nerves.
What is parasympathetic nervous system?The cranial nerves, particularly the vagus nerve, and the lumbar spinal nerves make up the parasympathetic nervous system's nerve fibres. These nerves cause the pulse to slow down and enhance digestive secretions when activated.
What functions do parasympathetic nerve fibres perform?When a person is at rest, their bodies are under the supervision of the parasympathetic nervous system. Its effects on the body's metabolism, digestion, and relaxation are only a few of its functions. The parasympathetic neurons in the heart form synapses with the preganglionic vagus fibres.
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FILL IN THE BLANK. After hearing his puppy yelp, for a moment after, Mr. Wright has a vivid auditory memory of the puppy's high pitch bark. Mr. Wright's experience clearly demonstrates ____________ memory.
After hearing his puppy yelp, for a moment after, Mr. Wright has a vivid auditory memory of the puppy's high pitch bark. Mr. Wright's experience clearly demonstrates echoic memory.
What is echoic memory?
The ultra-short-term memory for things you hear is called the echoic memory. The brain stores a variety of memories. As a component of sensory memory, echoic memory records data from sounds you hear. When you listen to music, your brain makes use of echoic memory. It connects the following note to the previous one and momentarily recalls it. Your brain interprets the notes as a song as a result.
After hearing his puppy yelp, for a moment after, Mr. Wright has a vivid auditory memory of the puppy's high pitch bark. Mr. Wright's experience clearly demonstrates echoic memory.
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a nurse is providing care for a client diagnosed with attention deficit hyperactivity disorder (adhd) who has been taking methylphenidate for several months. when monitoring for potential adverse effects, the nurse should include what assessments?
Administration of methylphenidate for attention deficit hyperactivity disorder (adhd) may result in fatal adverse (harmful) events, cardiac issues, and psychotic disorders.
One of the most prevalent neurodevelopmental diseases in children, ADHD is characterized by decreased functioning and unfavorable developmental outcomes. ADHD sufferers frequently exhibit impulsivity and hyperactivity. The medication most frequently administered for ADHD in kids and teenagers is methylphenidate, a psychostimulant. It makes them less impulsive and hyperactive and improves their ability to concentrate. Some branded and generic methylphenidate medications must be taken 30 to 45 minutes before meals. Methylphenidate may result in alterations in eyesight, sleepiness, or vertigo. Before you know how this medication affects you, avoid driving or engaging in any other potentially hazardous activities.
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a fitness instructor belittles a client during a workout but discontinues this behavior when the client completes the workout successfully. this is an example of .
When a fitness instructor belittles a client during a workout but discontinues this behavior when the client completes the workout successfully this is an example of Negative reinforcement.
Who is a fitness instructor?A fitness instructor is defined as a professional that has been trained to provide training and instruction of fitness programs to individuals and group of people.
There are different types of reinforcements that can be used to train individuals for a fitness program. These include the following:
Positive reinforcement andNegative reinforcement.The negative reinforcement is defined as the type of reinforcement where an individual doesn't receive a reward immediately even when they are doing alright.
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before administering a laxative to a bedfast client, it is most important forthe nurse to perform what assessment?
The nurse should perform rationale before administering a laxative to a bedfast client.
Before administering a laxative that would increase the frequency of bowel movements, make sure the patient is not experiencing diarrhea (response choice D). Options A, B, and C for R4 are less important than the response that specifies the potential need to hold medication than the response that contains assessments for the delivery of therapy when the client experience is a valve.
The therapeutic justification is another name for this tactic. The client can: Give informed permission as a knowledgeable consumer by setting up therapy with a strong treatment justification. Recognize the relationship between the therapies and the alleged cause of the symptoms.
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rn job satisfaction is considered which type of nursing sensitive indicator? group of answer choices structure indicator. process indicator. outcome indicator. standard indicator.
job satisfaction is considered c) outcome indicator type of nursing sensitive indicator
Specific patient outcomes that are impacted by nursing care are known as nurse sensitive indicators (NSIs). In hospitals around the nation, these measurements are used to keep an eye on patient safety and care quality. The patient's autonomy, their capacity to make decisions about their own care, their satisfaction with the district nursing services they received, the quality of their dying and death, and their compliance with prescribed care were the nurse-sensitive outcomes with the highest median scores for both relevance and influenceability.
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which information about a client who is being discharged 3 days after having an st segment elevation myocardial infarction (stemi) and coronary artery stent placement indicates that a home health referral may be needed at discharge?
When treating individuals with STEMI, reperfusion treatment must be chosen and administered quickly.
What is the initial course of action for STEMI?STEMI emergency care is known as primary percutaneous coronary intervention (PCI).It involves widening the coronary artery (coronary angioplasty). You undergo coronary angiography first to determine whether PCI is right for you.When treating individuals with STEMI, reperfusion treatment must be chosen and administered quickly.Treatments that reduce myocardial damage, stop additional coronary artery thrombosis, and address MI symptoms should all be given to STEMI patients.Myocarditis, pericarditis, stress cardiomyopathy (Takotsubo), benign early repolarization, acute vasospasm, spontaneous coronary artery dissection, left bundle branch block, different channelopathies, and electrolyte abnormalities are additional diseases that can result in ST-segment elevations.To learn more about ST-segment elevation MI (STEMI) refer to:
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the nurse is preparing to care for a dying client and several family members are at the client's bedside. which therapeutic techniques should the nurse use when communicating with the family? select all that apply.
When the nurse is preparing to care for a dying client, and several family members are at the client's bedside, the most appropriate actions of communication that the nurse can take our option 3, 5 and 6.
In the case when the nurse is preparing to care for a dying client.
The nurse should encourage the expression of feelings concern and fears by the family members of the client.
Also if it is appropriate the nurse can hold or touch the hands of the family members of the client because this me help them to counter the emotional trauma.
At last the nurse should be honest with the family member of the client and let the client and family no that whatever happens the nurse will not abandon them.
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what was the effort in china in which 1.8 million paramedical personnel were trained in rudimentary medicine and sent to rural areas to provide basic medical treatment and assist in efforts at preventive medicine and public health called?
barefoot doctors movement is the effort in which 1.8 million paramedical personnel were trained in rudimentary medicine and sent to rural areas to provide basic medical treatment.
An army of "barefoot doctors"—roughly 1.5 million peasants who underwent intensive three- to six-month training in anatomy, bacteriology, birth control, maternal and infant care, and other topics—were sent out to provide basic healthcare for their rural communities fifty years ago, during the Cultural Revolution in China. This low-tech medical corps, so-called because many of them toiled on their own rice paddies when they weren't attending to their neighbors, was incredibly effective in decreasing infectious disease and increasing life expectancy even in the middle of the social turmoil of the revolution.
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the post-bariatric surgery diet is low in calories and high in protein. what percent of calories come from protein in this one-day soft foods diet menu?
The one-day soft foods diet menu has 42% of its total calories from protein because the post-bariatric surgery diet is high in protein and low in calories.
What can't you do after bariatric surgery?During the first six weeks following surgery, refrain from lifting anything heavier than 20 to 30 pounds or doing push or pull actions, such as vacuuming. For the first three months following surgery, refrain from doing heavy activities such as lifting, pushing, or carrying big loads. Avoid spending extended periods of time stationary (standing or sitting). Typically, bariatric surgery results in sustained drops in body mass index (BMI). The patient's former weight, however, is still visible in the remaining sagging skin. The goal of post-bariatric body contouring is to remedy this and reestablish normalcy.
How long does bariatric surgery recovery take?You'll likely need to recover for a day in the hospital and then many weeks at home before you feel ready to go back to work. It could take up to six weeks to stop engaging in rigorous activities, and it might take up to twelve weeks to start eating normally again.
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the nurse is monitoring a client with a diagnosis of peptic ulcer. which assessment finding would most likely indicate perforation and hemorrhage of the ulcer?
A rigid, board-like abdomen assessment finding would most likely indicate perforation and hemorrhage of the ulcer.
The biggest cavity (space) in the body is the abdomen. It holds a number of the body's organs and is located between the chest and the pelvis. These organs include the intestines, stomach, and liver. The region of the body where the upper thighs meet the lowest portion of the abdomen is known as the groyne. In humans and other animals, the abdomen is the region of the body between the thorax (chest) and pelvis. It is sometimes referred to as the belly, tummy, midriff, tucky, or stomach. The abdominal cavity is the name given to the space inhabited by the abdomen. The front portion of the torso's abdominal section is known as the abdomen.
the nurse is monitoring a client with a diagnosis of peptic ulcer. which assessment finding would most likely indicate perforation and hemorrhage of the ulcer?
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