Normal saline, an isotonic solution that is regarded as a safe enema solution, is categorized as a hypertonic enema. Small-volume enemas that use hypertonic solutions are frequently prepared.
Soap solutions, which pull fluid from the body to moisten the faces, are particularly irritating to the colon hence are rarely prescribed. Fluid from the interstitial space is drawn out using a hypertonic enema. It is also known as ordinary normal saline. As a result of the fluid filling up the colon, defecation is encouraged and also known as normal saline. This kind of enema is especially beneficial for patients who cannot handle big amounts of liquids. For individuals who are dehydrated, these enemas are not recommended.
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a nurse has been assisting with the removal of a client's chest tube. the practitioner has just removed the chest tube and applied an occlusive dressing. which actions would the nurse take next? select all that apply.
The dependent area of the chest is traditionally left exposed to allow for blood and air to leave the incision, and an occlusive dressing is placed and glued to it on three sides.
Commercial devices function similarly but are put directly over the wound and are made to be adherent and allow for drainage.
When should an occlusive dressing be used?Until debridement is done, occlusive dressings are frequently utilised to regulate acute wound cleanliness and stop blood loss. They serve as a barrier between germs and the surrounding tissue and wounds.
In a trauma or first aid emergency, occlusive dressings are used to isolate specific types of wounds and the tissue around them from air, liquids, and dangerous pollutants like viruses and bacteria.
When a chest tube comes loose, it is an emergency. Apply pressure to the area where the chest tube will be inserted as soon as possible, then cover the area with sterile gauze .
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the nurse is providing care for a patient with a terminal illness. the patient states, "i am finished with feeling so sick. i just want to die." which comment indicates the nurse is experiencing an ethical struggle?
Nurse says, You must have trust in the possibility of a brighter future. Doctors may potentially declare that the condition because of cancer is fatal. This indicates that it will probably result in death within a short time.
It's hard to say how long, although it might be a few weeks to many months states a Nurse. According to a Nurse, You may experience distinct effects, as well as those of the people closest to you. Despite continuing to top the list of causes of mortality, cancer has gradually fewer hospice admissions and deaths due to new developments in cancer treatment. Doctors and nurse states that Less than 1 in 4 deaths in the United States are due to cancer.
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a nurse is teaching a group of pregnant women about the signs that labor is approaching. when describing these signs, which sign would the nurse explain as being essential for effacement and dilation (dilatation) to occur?
Cervical ripening and softening sign would the nurse explain as being essential for effacement and dilation (dilatation) to occur.
What is Cervical ripening?During pregnancy, the cervix has two main functions. First, it maintains its physical integrity by remaining strong during pregnancy when the uterus expands dramatically. That physical integrity is critical for the developing foetus to remain in the womb until the time of proper delivery. Second, in preparation for labour, the cervix softens and dilates, a process called cervical ripening. These chemical and physical changes are necessary for cervical dilation, labour and delivery of the foetus.
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1. describe the principles of respiratory and cardiovascular anatomy and physiology. 2. describe the function and role of the respiratory and cardiovascular systems in oxygenation. 3. describe age-related differences that influence the care of patients with oxygenation problems. 4. identify factors that affect respiratory and cardiovascular function. 5. perform a cardiopulmonary assessment using appropriate interview questions and physical assessment skills. 6. develop nursing diagnoses that correctly identify problems that may be treated by independent nursing interventions. 7. describe nursing strategies to promote adequate oxygenation and identify their rationale. 8. plan, implement, and evaluate nursing care related to select nursing diagnoses involving oxygenation problems.
1.Pulmonary Ventilation 2.Gas exchange occurs with the intake of oxygen and release of carbon dioxide 3.Respiratory Activity in the INFANT 4.-Integrity of the airway system to transport air to and from lungs.5.Inspection of the patient's breathing pattern 6.oxygenation
Inspiration: the active phase of ventilation; Involves movement of muscles and the thorax to bring air into the lungs.Expiration: the passive phase of ventilation; Movement of air out of the lungs.Made possible by respiration and perfusionOccurs via diffusion (movement of oxygen and carbon dioxide between the air and blood).-Lungs are transformed from fluid-filled structures to air-filled organs.-Properly functioning alveolar system in lungs.
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While assessing the thoracic area of an adult client, the nurse plans to auscultate for voice sounds. To assess bronchophony, the nurse should ask the client to.
Answer:
epeat the phrase "ninety-nine"
Explanation:
You receive a prescription for Ocuflox, the instructions read: Instill 2 gtts into the
right eye q8h for 7 days. Calculate how many drops the patient will receive in 7
days?
Answer: 28 drops
Explanation:
The person is prescribed Ocuflox, and here, 2 drops are put in the right eye for 7 days, so the total number of drops the patient will receive in 7 days is 42 drops that can cure the person from the disease.
What is the significance of the Ocuflox drug?The individual receives the prescription for putting the two drops in the right eye for the duration of eight hours, and these are the antibiotic eye drops that are used to treat various types of bacterial infections of the eye, such as conjunctivitis, corneal ulcers, etc. As a result, when using the drug, eye health is instilled and improvements are seen.
Hence, the person is prescribed Ocuflox, and here, 2 drops are put in the right eye for 7 days, so the total number of drops the patient will receive in 7 days is 42 drops that can cure the person from the disease.
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the nurse cares for a client with obesity and discusses the increased risk of certain cancers related to obesity. which cancers will the nurse include in the teaching? select all that apply.
Breast, Colorectal, Cervical are the type of cancers nurse include in the teaching.
A condition known as cancer occurs when some body cells grow out of control and spread to other body regions. Since the human body contains billions of cells, cancer can develop practically everywhere. Human cells typically proliferate and divide (via a process called cell division) to create new cells as the body requires them. Cells die when they are old or injured, and new cells replace them.
When this routine process fails, aberrant or damaged cells begin to proliferate and develop when they shouldn't. Tumors tissue growths can develop from these cells. Tumors can either be cancerous or not (benign).
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a nursing student is preparing to administer the drug bethanechol to a client with urinary retention. after researching the drug’s actions and uses, the student demonstrates understanding of the drug by identifying it as which type of medication? select all that apply.
a client with a diagnosis of acute appendicitis is awaiting surgical intervention. the nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and board-like. what complication does the nurse determine may be occurring at this time? quilzet
The complication which nurse determine may be occurring at this time is peritonitis.
What is acute appendicitis?Sudden discomfort that starts on the right side of the lower abdomen is one of the signs and symptoms of appendicitis. An unexpected discomfort that starts near your navel and frequently spreads to your lower right abdomen.
When you cough, walk, or make other jarring movements, the pain gets greater. vomiting and nauseous. Any number of gastrointestinal tract infections, including those brought on by viruses, bacteria, or parasites, can result in appendicitis.
A blockage or obstruction of the tube connecting your large intestine and appendix may also result in this condition. Tumors can occasionally lead to appendicitis. After that, the appendix hurts and swells.
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73 ml of water followed by 25 ml of juice what is the juice percentage
Answer: ≈ 25.5%
1- Find the total of water and juice: 73+25=98
2- Divide amount of juice by total: 25/98≈0.25510
3- Convert to percentages 0.25510----> 25.510%
4- You can round to 25.5% if you want
NOTE- THE ANSWER IS AN APPROXIMATION, IT IS NOT EXACT
cases in which the reporting facility had a role in either initially diagnosing the cancer or providing all or part of the first course of treatment can be grouped together in a category called:
Cases in which the reporting facility has role in either diagnosing cancer or providing all/ part of the first course of treatment is grouped together in a category called: analytic cases
Cases are broadly divided into analytic or non-analytic cases. Nonanalytic cases are grouped according the reason a patient who never received care at the facility.
In analytical observation, researchers establish an association between exposure and outcome. Depending on the direction of enquiry, these studies can be directed forward or backwards.
Cancer registry database is the foundation of everything that is done in the cancer registry. As defined by the COC, systematic method for identifying all eligible cases that are included in the cancer registry database is called Case finding.
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the nurse is presenting a program about sexually transmitted infections, including hiv, to a group of young men. the nurse would include who as the having the highest incidence of hiv infection in the united states?
Most sexually transmitted diseases and infections (STIs) are communicated through sexual contact. The bacteria, viruses, or parasites that cause sexually transmitted diseases can be passed from one person to another by blood, semen, vaginal fluid, and other bodily fluids.
When do STD signs first appear?The onset of symptoms might take a few days or weeks, but they can also take months or even years. There are frequently little or no symptoms, making STIs difficult to detect. Visit a sexual health centre or your primary care physician for a free and private examination if you suspect you may have a STI.
STDs come in two main varieties: bacterial and viral. If therapy is started in time, bacterial STDs may often be treated swiftly with antibiotics. However, viral STDs are incurable and might persist a lifetime.
Chlamydia and gonorrhoea can result in major health issues like PID, infertility, and potentially fatal ectopic pregnancies if they are not treated.
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two nurses are discussing healthcare quality. they agree that this factor contributes to increased health care quality: group of answer choices non magnet status hospitals fewer adverse events collaboration of multiple healthcare agencies increased patient confidence
Healthcare Service Quality Determining Factors
Clinicians on staff at the hospital are competent.
Hospital physical environment.
Hospital amenities are offered.
knowledge of the doctors.
the staff's actions.
experience as a patient.
patient contentment.
How do nurses influence the standard of medical care?
Many factors affect how well care is provided by nurses. In places like hospitals, nursing homes, and community care settings, they deliver high-quality care using both hard and soft abilities. Through their frequent contact with patients, nurses have an impact on patient satisfaction throughout everyday operations.
The characteristics of the health care system's resources, such as individual doctors, groups of doctors, organizations and systems of care, as well as their location and accessibility to services, are often included in structural measures of quality.
Because it concentrates on enhancing health outcomes, quality care is crucial. We are happy the healthier you are. HQW not only acknowledges the development of the healthcare sector but also makes use of this occasion to explore new opportunities.
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the nurse is assessing a 5-month-old asian american infant whose mother has brought him to the clinic with reports that the baby is pulling at the ear and is sleepless and crying at night. when assessing the infant's ears, what color cerumen would the nurse expect to find?
Grey colour cerumen would the nurse expect to find.
What is cerumen?Earwax, also known by the medical term cerumen, is a brown, orange, red, yellowish or grey waxy substance that is secreted into the ear canal of humans and other mammals. It protects the skin of the human ear canal, helps clean and lubricate, and protects against bacteria, fungi and water.
Anyone who has accidentally tasted earwax knows that it has a terrible sour taste, inside that earwax is usually acidic. We know that acidic foods also taste acidic, so the different taste of earwax makes sense.
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specific amounts of each nutrient that one needs to consume to maintain good health, prevent chronic diseases, and avoid unhealthy excesses are called group of answer choices
The Recommended Dietary Allowance is the average amount of a nutrient that meets the needs of 97 to 98 percent of people of a similar age and gender. The Recommended Dietary Allowance for a nutrient is the amount of that nutrient that a person should consume on a daily basis in order to maintain good health.
Vitamin C, vitamin D, zinc, selenium, iron, and protein are examples of nutrients that have been identified as essential for immune cell growth and function (including the amino acid glutamine). They can be found in a variety of plant and animal foods.Saturated fat, sodium, and added sugars are nutrients listed on the label that may be associated with negative health effects – and Americans generally consume far too much of them, according to the recommended daily allowance.
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a pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. what statement made by the client demonstrates an understanding of the education provided?
To stop the emergence of a fetal alcohol spectrum disorder, abstain from alcohol. The client's decision to abstain from alcohol while pregnant may help to prevent congenital illnesses including fetal alcohol spectrum disorders.
Fetal alcohol spectrum disorders are congenital conditions brought on by the mother's consumption of an unknown amount of alcohol while the foetus is still in the developing phases of growth. Although abstaining from alcohol won't prevent all congenital abnormalities, clients should be informed about a range of preventative steps to avoid interfering with the fetus's growth, development and fetal alcohol spectrum disorder. Idiopathic illnesses are those for which the underlying etiology is unknown. Pregnancy substance use has little impact on a hereditary illness because it is genetic in nature.
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a client who is complaining of nausea and vomiting postoperatively receives a prescription for metoclopramide (reglan) 10 mg iv. the medication is available in vials containing 5 mg/ml. how many ml should the nurse administer? (enter numeric value only.)
The nurse should administer only 2ml of the prescribed medication.
What is medication?A medication can be described as a drug used to diagnose, cure, treat, or prevent disease.
If a client who is complaining of nausea and vomiting postoperatively receives a prescription for metoclopramide (reglan) 10 mg iv. the medication is available in vials containing 5 mg/ml, the nurse should administer 2ml of the prescribed metoclopramide (reglan).
There are generally 4 types of medication one can come across and they include:
General Sales List.Pharmacy Medicines.Prescription Only Medicines.Controlled Drugs.Medication can serve the following purposes :
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Alphanumerically sequenced list of all diagnosis codes divided into 21 chapters based on cause, or etiology, and body system can be found in what section of the icd-10 manual?.
The Index is an alphanumeric list of all diagnosis codes divided into 21 chapters based on cause (or etiology) and body system. Subterms are words that are indented beneath the boldfaced Main Term and describe variations of the condition.
An alphanumeric sequence is one that contains both alphabets and numbers. Along with alphabets and numbers, we can include symbols in this sequence. Alphanumeric data is data that contains both letters and numbers. "1a2b3c," for example, is a short string of alphanumeric characters. The term alphanumeric is frequently used to describe the presence of text that can be entered or used in a field, such as an alphanumeric password field.
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the nurse in the long-term care facility observes that a client has developed a sacral pressure wound, which is very red and surrounded by blisters. which stage of pressure injury does this client present?
A nurse in a long-term care facility notices a client with a sacral pressure wound that is very red and surrounded by blisters. This client presents at the second stage of pressure injury.
The skin breaks open, wears away, or forms an ulcer at stage 2, which is usually tender and painful. The sore spreads to deeper layers of skin. It may appear as a scrape (abrasion), blister, or shallow crater in the skin. This stage can sometimes resemble a blister filled clear fluid. Blisters are most commonly caused by skin damage caused by friction or heat. Blisters can also be caused by certain medical conditions.
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the socioecological model of health and wellness emphasizes the interrelationships between individuals and their environment. what are some of the environmental factors it takes into consideration? multiple select question.
the socioecological model of health and wellness emphasizes the interrelationships between individuals and their environment. A built environment of relationships with other people's community resources.
A relationship is a close bond between two or more entities, whether they are people or things. There are interconnections all around us. Many of these are obvious and supported by common sense, such as the link between the amount of time spent practicing a sport or musical instrument and their success.
The relationship between the ball's descent speed and the steepness of the ramp is even more straightforward. An interrelationship is when two or more things have an impact on each other or are interconnected, but an interdependence is when two or more things are dependent on each other. Even if two objects were dependent on each other, they can still be related without being mutually dependent.
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question 23 which statement about fat replacers is false? a. fat-based fat replacers are heat stable and used in cake mixes. b. olestra is an artificial fat that delivers a small amount of energy. c. they provided the taste and texture of fats, but with fewer kcalories. d. olestra is fortified with vitamins a, d, e, and k. e. carbohydrate-based fat replacers are used as thickeners in soups.
This statement about fat replacers is false c. they provided the taste and texture of fats, but with fewer k calories.
Fat replacers may be divided into categories, i.e., fats substitutes and fats mimetics. Fat substitutes are molecules that own the bodily and useful traits of traditional fats molecules (e.g., triglycerides). Fat substitutes can immediately update traditional fats molecules in ingredients on a weight-for-weight basis.
They are commonly artificial molecules which give no power energy or established lipid molecules which give decreased power energy. Fat substitutes can efficaciously preserve the palatability of ingredients as they are able to reproduce the feel and mouthfeel of fats.
They are typically warmness solid and appropriate for excessive temperature cooking and frying applications. They might not reproduce the flavor residences of fats as fats itself presents flavour to ingredients and is a provider of different fats-soluble flavour compounds in ingredients.
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a student nurse is auscultating for bowel sounds on a client who returned from surgery 48 hours ago. the student tells the charge nurse that she cannot hear bowel sounds in the lower quadrants. what is the appropriate response by the charge nurse to this information?
Before concluding that there are no bowel sounds when none are heard, one should wait for a full three minutes. The next step in abdominal examination is auscultation to listen for abdominal bruits.
Which of the following is the nurse's most crucial course of action when evaluating bowel sounds?When auscultating for bowel sounds, listen for up to five minutes.
Long before other symptoms show up, changes in the patient's bowel habits may suggest issues. For instance, before a patient vomits or complains of abdominal pain, the absence of bowel sounds following surgery can signify an ileus.
Other causes for the cessation of bowel noises include: Anesthesia: Due to the general anesthesia that is administered, bowel noises may temporarily decrease even when there is no surgery on the digestive tract. Bowel blockage: When something prevents waste from passing through the intestines, there is a blockage.
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You are working in an outpatient surgical clinic in the preoperative holding area. Each patient is monitored with a
pulse oximeter. You check Mrs. O'Shaughnessy's fingers and notice that they are cold to the touch and have poor blood
return. What should you do?
You check Mrs. O'Shaughnessy's fingers and notice that they are cold to the touch and have poor blood the very first thing i will do that i will check all vital signs (blood pressure, heart rate, respiratory rate, temperature) refer to the physician in charge of the patient. In this patient who looks pale with a slight grimace on general survey, with irregular and bounding pulses, the differential diagnoses with be: (1) cardiac pathology, (2) hemorrhagic shock, or (3) severe anemia. The attending physician shall be informed immediately for the proper management to be ordered.
What are the basic diagnosis administered to the patient?The basic diagnosis administered to the patient are (blood pressure, heart rate, respiratory rate, temperature) refer to the physician in charge of the patient. In this patient who looks pale with a slight grimace on general survey, with irregular and bounding pulses, the differential diagnoses with be: (1) cardiac pathology, (2) hemorrhagic shock, or (3) severe anemia.
Therefore, the very first thing i will do that i will check all vital signs (blood pressure, heart rate, respiratory rate, temperature) refer to the physician in charge of the patient.
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which division of the us department of health and human services (dhhs) is responsible for providing funding for research related to cancer treatment
The National Cancer Institute (NCI) is the top federal organization for cancer education and research. The National Cancer Institute (NCI) was founded in 1937 in accordance with the National Cancer Institute Act, and it is one of the 11 organizations that make up the Department of Health and Human Services (HHS).
What is National Institutes of Health?The United States Department of Health and Human Services' National Institutes of Health (NIH) is the country's medical research organization, making significant discoveries that advance healthcare and save lives. The Food and Drug Administration (FDA) and the National Institutes of Health (NIH) collaborate to advance public health by encouraging the development of new medical treatments and products based on results from fundamental and clinical research. The Nation's medical and behavioral research is overseen by NIH. Its goal is to discover fundamental truths about the nature and function of living systems and to use those truths to improve health, extend life, and lessen disease and impairment.To learn more about National Institutes of Health refer to:
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a client presents to the clinic with symptoms of elevated blood pressure, dizziness, red face, pain in fingers and toes, headache, and difficulty concentrating. a blood smear reveals an increased number of erythrocytes. based on these findings, the nurse anticipates which diagnosis?
A patient shows up at the clinic with symptoms including high blood pressure, dizziness, a red face, discomfort in the fingers and toes, headache, and trouble focusing. An increase in erythrocytes might be seen on a blood smear. The nurse predicts a Polycythemia vera diagnosis based on these data.
diagnosis is the process of figuring out the characteristics of a disease or disorder and separating it from other potential conditions. The word's root word is gnosis, which is Greek for knowledge.
Choosing one illness over another during the diagnostic procedure allows medical practitioners to determine which condition is most likely to be the source of a patient's symptoms. Making an accurate diagnosis is most challenging when symptoms first begin because they are frequently less distinct and definite than symptoms that appear as the disease advances. A precise diagnosis is dependent on the timing and order of the symptoms, past medical history, risk factors for particular diseases, and recent exposure to the disease.
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a victim is receiving emergency oxygen via a non-rebreather mask. which flow rate is appropriate to use with this victim?
A victim is receiving emergency oxygen via a non-rebreather mask. 12 LPM flow rate is appropriate to use with this victim.
A non-rebreather mask has a flow rate of roughly 10 to 15 liters per minute (L/min) and can deliver between 60 and 80 percent oxygen. Since they can swiftly transport oxygen to your blood, they are helpful when patients have dangerously low blood oxygen levels.
A partial rebreather mask has a two-way valve between the mask and reservoir bag but otherwise has a similar appearance to a non-rebreather mask. You can breathe a little bit back into the reservoir bag thanks to the valve.
Since the oxygen concentration in the reservoir bag becomes diluted, it is challenging to achieve the same high blood oxygen concentration using a partial rebreather.
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a nurse is caring for a pregnant client in her second trimester. by how much should the nurse expect the client to increase her energy intake per day?
A nurse is caring for a pregnant client in her second trimester and by 340 kilocals per day should the nurse expect the client to increase her energy intake per day.
To maintain a healthy physiological state of pregnant client , roughly three hundred additional calories are required every day. These calories ought to come back from a diet of macromolecule, fruits, vegetables and whole grains. Sweets and fats ought to be unbroken to a minimum. About 2,200 calories per day throughout the second trimester.
The second trimester marks a turning purpose for the mother and vertebrate. you may typically begin to feel higher and begin showing the physiological state a lot of. Your vertebrate has currently developed all its organs and systems and can currently begin growing long and weight.
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the nurse is assessing a client with an older arteriovenous (av) graft for hemodialysis access in the left arm. the client reports significant pain to the distal left arm. capillary refill in the left hand is greater than 4 seconds. which should the nurse assess before contacting the health care provider?
Answer:
Explanation:
pulse, movement, check for numbness, a fuzzy feeling. take blood work make sure the client is stable. than contact a health care provider
Answer: Check AV graft for complications (good to check other vitals and utilise your nursing assessment skills, but this could be an emergent problem so act quickly as to not delay calling the Doctor!)
Explanation:
An arteriovenous (AV) graft is a surgically constructed vascular access point inside the blood vessel structure of the patient's arm (think like adding a straw between a vein and and artery). It is used to exchange (in and out) blood during hemodialysis (when you use a machine to clean to blood such as when kidneys are failing). AV grafts however necessary have some risky possible complications including Ischemic Steal Syndrome and thrombosis. So check the AV graft, assess area surrounding it (already done to some extent with getting cap refill), and call the doctor!
Note: I think getting blood work would be a very bad idea before calling the doctor as blood work should be ordered by the Health Care Provider not the nurse (nurses don't write lab orders). Even if the nurse say had a prewritten lab which needed to be drawn, blood work can take a longtime, AV graft complications would likely not show in lab results (as blood flow not blood content is likely the problem), and the fact the the patient has a AV graft leads a nurse to worry about AV complications as a first culprit. Thus blood work should probably not be taken at this time!
Electronic communication can be a very effective way of communicating. What formats are you aware of in electronic communications and what may be some disadvantages to these methods of communication
Electronic communication can be a very effective way of communicating. The formats are we aware of in electronic communications are numerous ways to communicate electronically, including but not limited to: email, newsgroups on social media, video conferencing, instant messaging, phone, and fax.
Today, there is a huge variety of technological communication options available. It can be roughly classified into interactive and non-interactive categories. Electronic communications that are not interactive are those to which the recipient cannot respond. Technology's rapid advancement necessitates additional investment as well. Legal status: Data or information sent via fax may be corrupted and have no value in court. Data that was not delivered: Data that was lost due to a system malfunction or a technical issue. These are negatives.
Communications over the Internet are swift and practical. Even though electronic communication is quick, cheap, and handy, these benefits come with drawbacks. Technology that makes it possible for individuals to be in touch at all times may also invade privacy and take away from important downtime.
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HELP ASAP PLEASE. PHARMACEUTICAL CALCULATIONS Alligations
Prepare 480 mL of a 1:20 solution using a 1:10 solution and a 1:50 solution.
To prepare 480 mL of a 1:20 solution using a 1:10 solution and a 1:50 solution, it requires 3 parts of 1:10 solution and 5 parts of 1:50 solution.
Total volume = 480 ml
Concentrations:
• 1:20 = 1/20 = 0.05
• 1:10 = 1/10 = 0.1
• 1:50 = 1/50 = 0.02
On solving, 0.05 – 0.02 = 0.03
0.1 – 0.05 = 0.05
Total = 0.03 + 0.05 = 0.08
Therefore,
480 * (0.03 / 0.08) = 180 (3 parts)
480 * (0.05 / 0.08) = 300 (5 parts)
Total = 180 + 300 = 480 / 8 = 60 = 1 part
Thus, to prepare 480 mL of a 1:20 solution using a 1:10 solution and a 1:50 solution, it requires 3 parts of 1:10 solution and 5 parts of 1:50 solution.
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