Answer:................................
Explanation:
messer j, reitman d, sacks hs, smith h jr, chalmers tc (1983) association of adrenocorticosteroid therapy and peptic-ulcer disease. n engl j med 309:21–24
We reexamined the interaction between systemic corticosteroid therapy and a subsequent peptic ulcer or gastrointestinal hemorrhage by combining data from 71 controlled clinical trials in which patients were assigned to receive systemic corticosteroids (or ACTH) or nonsteroid therapy.
Peptic ulcers were found in 55 (1.8%) of 3064 steroid-treated individuals, compared to 23 (0.8%) of 2897 control patients. (Relative risk is 2.3; 95% confidence interval is 1.4 to 3.7). There was bleeding in 78 (2.5%) of the 3135 steroid-treated patients who were assessed for gastrointestinal hemorrhage, compared to 48 (1.6%) of the 2976 control patients. (Relative risk is 1.5; 95% confidence interval is 1.1 to 2.2). The amount of steroids administered directly affected the prevalence of ulcers. When the trend was examined separately for studies that were double-blind, used only oral steroids, used only parenteral steroids, or excluded patients with a history of ulcer, it remained consistent but did not always reach statistical significance. The findings of this study strongly suggest that corticosteroids increase the risk of peptic ulcers and gastrointestinal hemorrhage.
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a pregnant client with a history of heart disease has been admitted to a health care center reporting breathlessness. the client also reports shortness of breath and easy fatigue when doing ordinary activity. the client’s condition is markedly compromised. the nurse would document the client’s condition using the new york heart association (nyha) classification system as which class?
Answer:
1 class
Explanation:
cause getting the best is all need before any further delay
according the american college of sports medicine (acsm), how long should you warm up before undertaking light-to-moderate intensity aerobic and muscular endurance activity?
The American College of Sports Medicine (ACSM) recommends warming up for 5 to 10 minutes before engaging in light-to-moderate intensity aerobic and muscular endurance activity.
What is muscular endurance?The capacity of a muscle or group of muscles to sustain repeated contractions against a force over an extended period of time is known as muscular endurance.
The American Council on Exercise (ACE) lists several advantages of muscle endurance, including maintaining stability and good posture for longer periods of time. enhancing muscle aerobic capacity. enhancing the capacity to perform daily functional tasks, like lifting heavy objects.
The American College of Sports Medicine (ACSM) recommends warming up for 5 to 10 minutes before engaging in light-to-moderate intensity aerobic and muscular endurance activity.
A muscle's ability to exert force for an extended period of time is referred to as muscular endurance. This is necessary for the majority of sports, essential for all endurance sports, prevalent in many team sports, and one of the elements of fitness.
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the nurse is caring for a client with chronic obstructive pulmonary disease (copd). despite various medication regimes, the client’s symptoms are gradually increasing. the nurse realizes that this client is which phase of the trajectory model of chronic illness?
The nurse realizes that this client is in an Unstable phase of the trajectory model of chronic illness.
Unstable phase - when the patient's symptoms are uncontrolled by the previously adopted regimen.
Chronic inflammatory lung sickness known as chronic obstructive pulmonary disease limitations blow from the lungs(COPD). puffing, having foam while coughing, and respiring aftereffects are among the caution gestures and symptoms.
In maximum cases, cigarette smoke, which is a frequent origin of itchy chemicals or patches, is criticized for long-term openness. Heart disease, lung cancer, as well as a piece of distinct illnesses and provisions, are further ordinary in people with COPD.
Emphysema and chronic bronchitis are the provisions that affect COPD most continually. These two provisions often overlay and can have contrasting phases of strictness in COPD cases.
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a patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. the nurse knows that for her to move her hand to her mouth, she must perform which movement? group of answer choices abduction adduction extension flexion
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth and the nurse knows that for her to move her hand to her mouth, she must perform which movement of flexion.
Flexion describes a bending movement that decreases the angle between a phase and its proximal phase. For instance, bending the elbow, or brush her teeth, clenching a hand into a hand, are some samples of flexion.
Nurse are ought to take care of patients by providing bedside assistance, feeding assistance, administration of medication, monitoring of vitals and recovery progress and also the postpartum support.
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a nurse is providing discharge teaching for a pregnant client with preeclampsia who will be managed at home on bedrest. the nurse determines that the teaching was successful based on which client statement?'
Nurses provide discharge briefings to pregnant clients with preeclampsia, so they can treat them at home while resting in bed. A nurse examines a pregnant client with preeclampsia on a mattress.
Successful people are confident and able to behave in the same way as others. They have their own vision and blueprint and are looking for opportunities to make it happen every day. As a starting point, it's beneficial to recognize that fulfillment is typically defined as attaining an aim or accomplishing something you've got set out to reap. It presents a supply of motivation for human beings to exchange their lives and values.
Being successful provides confidence, protection, an experience of nicely-being, the capacity to make contributions at a more stage, wish, and leadership. without success, you, the group, your business enterprise, your goals, your goals, or even complete civilizations quit continuing to exist.
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a nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a client being discharged. what process is involved in this pain relief measure?
A nurse is caring for a client who complains of an aching pain in the abdomen. The nurse also noted that the client is guarding the area. What kind of pain is the client experiencing?
) Visceral pain
the client also takes a diuretic for hypertension and is recovering from the flu. which nursing diagnosis should the nurse assign the highest priority
The nurse should prioritize the risk for impaired cardiovascular function (NANDA) nursing diagnosis.
Activity Intolerance caused by altered nutritional status, disrupted sleeping patterns, and immobility caused by hypotension, as evidenced by dehydration, malnutrition, insomnia, fatigue, and difficulty performing daily activities. The following factors were found to be the most common causes of impaired cardiovascular function in 86.8% of students: a family history of cardiovascular disease, a sedentary lifestyle, a pharmacological agent, dyslipidemia, and a lack of knowledge. Hypertension is defined as high blood pressure. The American College of Cardiology updated the guidelines in 2017, and blood pressure less than 120/80 mmHg is now considered normal. Anything above this is considered elevated, and 130/80 mmHg is considered stage 1 hypertension.
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a client has been diagnosed with avoidant personality disorder. the client reports loneliness, but has fears about making friends. the client also reports anxiety about being rejected by others. in a long-term treatment plan, in what order, from first to last, should the nurse list interventions for the client? all options must be used.
With avoidant personality disorder, one of our clients has been identified. Although he claims to be lonely, he is afraid of establishing new friends. Additionally, he expresses fear of rejection from others.
Discuss the client's self-worth and worries with him.Instruct the client in social and anxiety management.Assist the client in compiling a list of intriguing small group activities at the centre.Invite the client to participate in one of his preferred activities alongside the nurse and two other clients. A methodical strategy is required for the client to establish a social life. Before discussing how to lessen his anxiety and gain new social skills, he needs to work on improving his self-esteem and overcoming his anxieties of rejection. Prior to offering an activity for him, it's crucial to assist him in selecting engaging pursuits. The nurse will be there to offer assistance and serve as a role model when he is ready to try a structured activity.
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mrs. kouassi is a 44-year-old african from the ivory coast. although she was diagnosed with hypertension about eleven years ago, it was left untreated. a year ago, she was seen in the emergency department for fatigue, poor appetite, nausea, and vomiting. she complained of shortness of breath, muscle weakness, and swelling of her lower legs. her blood pressure reached 220/210. she was hospitalized, diagnosed with end-stage renal disease (esrd), and started on hemodialysis. she currently goes to a dialysis center four times a week. she has not been working since she was diagnosed and is receiving disability. currently, her parathyroid hormone is elevated.
This complex case observation illustrates the records of the customer with end-stage Renal Failure changed into presented in the Emergency Department with missed Dialysis of Hyperkalemia(fluid overload) She obtained a powerful dialysis treatment over two weeks. She had her ignored dialysis protocol for the first 3 days then persevered with three periods according to week.
She has gone through hemodialysis (HD) for the beyond 2 years due to give up- degree renal sickness (ESRD), which could imply that she had degree 5 CKD or kidney failure. classified via a GFR (glomerular filtration Rate) that it is insufficient to preserve persistent Kidney sickness. continual Renal failure or ESRD (give-up level Renal ailment) is modern. Irreversible deterioration in renal characteristics in which the frame's capability to keep metabolic and fluid and electrolyte balance fails, resulting in uremia or azotemia. The patient is a 41 yr-antique male who has a longstanding record of high blood pressure and diabetes and provides criticism of pruritus. lethargy. lower extremity Edema. nausea and emesis. For the ones persevering with overt nephropathy to give up-stage renal sickness (ESRD). the greater chance of death from coronary artery ailment (CAD) may intrude
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a client is postoperative day 1 and the nurse's assessment reveals signs of pain, such as grimacing and guarding. which is the most reliable method for assessing the client's pain?
The most reliable method for assessing the client's pain is to ask the client to describe and rate his or her pain.
A visual analogue scale or a numerical rating scale can be used for the same.
What is pain?A painful sensation is one that is frequently brought on by strong or harmful stimuli. "A unpleasant sensory and emotional experience associated with, or resembling, actual or potential tissue damage," according to the International Association for the Study of Pain, is what pain is. Pain is considered to be a sign of an underlying condition in medical diagnosis.
When someone is in pain, they are more likely to withdraw from harmful situations, protect a hurt body part while it heals, and steer clear of unpleasant situations in the future.
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72,337 women enrolled in the nurses' health study. their diets were tracked over 18 years, and at the end of this time period, the researchers found that women who consumed the highest levels (at least 6,600 iu a day) of vitamin a from supplements and food had nearly double the risk of hip fracture compared with women who consumed the lowest level (less than 1,600 iu day). what type of study was this?
The study that studied women for 18 years and concluded that women consuming highest level of vitamin A from supplements and food had nearly double the risk of hip fracture compared with women who consumed the lowest level will be: randomized control trial.
Vitamin A is known by the name retinoic acid. It is a fat soluble vitamin that is essential for improved vision, cell growth, division, reproduction and developing immunity. Foods like fish, leafy green vegetables, tomatoes, etc. are rich in Vitamin A.
Randomized control trial is a scientific approach to study the effect of some factor which is not under direct control of the individual. In this method, there are groups of people who are randomly sorted. It is usually performed in medical field to study the effect of drugs, some medical equipment or some diagnostic features.
The question is incomplete, the complete question is:
72,337 women enrolled in the nurses' health study. their diets were tracked over 18 years, and at the end of this time period, the researchers found that women who consumed the highest levels (at least 6,600 iu a day) of vitamin a from supplements and food had nearly double the risk of hip fracture compared with women who consumed the lowest level (less than 1,600 iu day). what type of study was this?
Observational studyAnimal studySystematic reviewRandomized control trialTo know more about Randomized control trial, here
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waste includes any misuse of resources, such as the overuse of services or other practices that directly or indirectly result in unnecessary costs to the medicare program.
The given statement holds True.
What is Medical Waste?Any type of waste that is infectious (or possibly infectious) is considered medical waste. This term covers garbage produced by healthcare facilities such clinics, hospitals, dental offices, labs, and facilities for doing medical research. This comprises:
Anything that has been bloodied (gloves, gauze, gowns, etc.)Procedure-generated tissues from either humans or animalsInfectious disease and agent culturesAny garbage generated by patients who have contagious diseases in their roomsUnused vaccinationsBlood and other biological fluids, as well as other pollutants, can be found in medical waste. It was defined as waste produced during medical science, testing, diagnosis, vaccination, or treating of either humans or animals under the Medical Waste Tracking Act of 1988. Culture plates, glassware, bandages, gloves, used sharp objects like scalpels or needles, swabs, and tissue are a few examples.
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the plan of care for a client exhibiting signs of sensory deprivation includes incorporating tactile stimulation. which nursing intervention will provide tactile stimulation?
Tactile stimulation is part of the treatment plan for a client who is experiencing sensory deprivation. A backrub in the morning and evening will provide tactile stimulation.
The guidelines recommend tactile stimulation (warming, drying, and rubbing the back or soles of the feet) to stimulate spontaneous breathing (7–9). Although this is now a widely accepted intervention, the outcome is still unknown. Tactile stimulation can be viewed as a valuable nonverbal communication tool for providing feedback, confirmation, consolation, or a sense of being valued and cared for. Clinical significance. Tactile stimulation includes the sensations you feel when you put on a shirt, let the rain fall on your head, or brush your hand across your pet's belly.
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a 32-year-old female presents with lower leg pain, with swelling and redness. while obtaining the patient’s history, which finding could have caused her condition?
A 32-year-old woman complains of lower leg pain, swelling, and redness. Venous thrombus could have caused her condition while obtaining the patient's history.
Deep vein thrombosis is a blood clot in a deep vein of the leg, pelvis, or sometimes the arm (DVT). This type of blood clot is not associated with a heart attack or stroke. A blood clot can be caused by anything that prevents blood from flowing or clotting properly. Deep vein thrombosis (DVT) is caused by damage to a vein caused by surgery or inflammation, as well as damage caused by infection or injury. When blood clots block veins or arteries, this is referred to as thrombosis. Pain and swelling in one leg, chest pain, or numbness on one side of the body are all symptoms.
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material found in some bones that produces blood cells is called
a nurse is trying to produce the best search results possible using keyword searches. what is an appropriate tip to provide to achieve this goal? (select all that apply.)
Use of Boolean logic (ex. AND/OR operators) and wildcard characters is an appropriate tip to provide to achieve this goal.
The order of operations in Boolean algebra is NOT, then AND, then OR, in that order.When logical expressions are processed, they, like comparison expressions, return a true (1) or false (0) value. Logical operators combine two comparisons and return the true (1) or false (0) value based on the results. Operator Meaning & AND are the logical operators. Boolean Operators are simple words (AND, OR, NOT, or AND NOT) that are used as conjunctions in a search to combine or exclude keywords, yielding more focused and productive results. This should save time and effort by eliminating the need to scan for irrelevant hits.
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a nurse assesses the parallel alignment of a client's eyes by testing the corneal light reflex. where should the nurse shine the penlight to obtain an accurate result?
A nurse assesses the parallel alignment of a client's eyes by testing the corneal light reflex. The nurse shine the penlight focused on the bridge of the nose to obtain an accurate result.
In the corneal light reflex test, a light is shone into the child's eyes from a distance, and the light's reflection on the cornea in relation to the pupil is noted. To the center of the pupil, the reflection from both eyes should appear symmetrical and typically nasal.
A problem with eye alignment may exist if the corneal light reflex is not centered on both pupils, which happens in most people. It is crucial for reliable results that the patient's head is held straight and upright throughout the examination (and not inclined) and that both eyes are fixed on the light. There should be a direct and voluntary response to stimulation (response of the opposite eye). The reflex happens quickly.
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a nurse is admitting a client who fears being embarrassed in the presence of others and avoids being around people. which outcome should the nurse promote for this client? select all that apply.
The client struggles with social anxiety. The person with this disorder experiences a severe dread of embarrassment from others. This might occasionally result in withdrawal or panic attacks. The ability to control fear, verbalize emotions, and anticipate and prepare for stressful events are all appropriate responses to stress. Suppression, denial, and avoidance are unsuitable defense tactics.
Social Anxiety- Sweating, heart palpitations, shivering, and respiratory distress are just a few of the symptoms of social anxiety, which is known as a "marked & persistent fear of interpersonal or performance circumstances."
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aminian a, wilson r, al-kurd a, et al. association of bariatric surgery with cancer risk and mortality in adults with obesity. jama. 2022;327(24):2423–2433. doi:10.1001/jama.2022.9009
In adults with obesity, bariatric surgery was associated with a significantly lower incidence of obesity-associated cancer and cancer-related mortality when compared to no surgery.
Results The study included 30 318 patients (median age, 46 years; median BMI, 45; 77% female; and 73% White) with a 6.1-year follow-up (IQR, 3.8-8.9 years). At 10 years, the mean between-group difference in body weight was 24.8 kg (95% CI, 24.6-25.1 kg), corresponding to a 19.2% (95% CI, 19.1%-19.4%) greater weight loss in the bariatric surgery group. During the course of the study, 96 patients in the bariatric surgery group and 780 patients in the nonsurgical control group developed obesity-related cancer (incidence rate of 3.0 events vs 4.6 events, respectively, per 1000 person-years).
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a terminally ill patient is admitted to the hospital. the patient grabs the nurse’s hand and asks, "am i dying?" what response would be best for the nurse to give?
Nursing duties include promoting patient comfort, reducing pain and other symptoms, and offering support to patients, their families, and other people who are close to them.
Supporting the patient and family throughout the active dying phase is the nurse's responsibility. A nurse is someone who has received training in providing care to those who are ill or injured. Nurses collaborate with physicians and other healthcare professionals to treat patients and maintain their physical and mental health. Nurses also provide end-of-life care and support other family members during their grief processes. Like medicine, nursing is a vocation, but unlike medical school, the nursing school has a different training schedule and curriculum. Before receiving their nursing license in some states, nurses may train for up to three to five years. Numerous locations employ nurses. Nurses work in hospitals, doctor's offices, and the community, and they even make home visits if necessary.
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How to re-prioritizes when a distraction occurs
Answer: Start by creating a distraction-free ritual, setting three daily ... distractions happen 64% more often in an open office
Explanation:
a community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. upon further assessment, the nurse determines that the client’s spouse does not understand how to prepare meals following the prescribed diabetic diet. using dorothea orem's self-care theory, how can the nurse help meet the needs of this client?
The nurse help meet the needs of this client arrange an evaluation appointment with a dietitian.
What does a glucose?The primary sugar in your bloodstream is known as blood sugar, or glucose. Your body uses it as a primary source of energy, and it originates from of the food you eat. All of the cells within your body receive glucose from the blood to be used as fuel. Diabetes is a condition in in which you have excessively high blood sugar levels.
What raises blood glucose levels?Blood sugar levels rise as a result of consuming carbohydrates. Sugars are transformed into simple sugars when you ingest them. Your bloodstream is subsequently filled with those glucose. Your pancreatic secretes the hormone insulin as your blood glucose levels rise, which causes your cells to begin absorbing the blood's sugar.
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Your Activity, Interactive 2 A, is ready assessment for UMA
a nurse is planning to conduct a nursing research study and is seeking federal funding. which institution would be most helpful for the nurse to contact regarding acquiring funding?
National Institute of nursing research is the institution which would be most helpful for the nurse to contact regarding acquiring funding.
Who is a Nurse?This is referred to as a healthcare professional which takes care of the sick or infirmed and adequate recovery of the patient is achieved.
The National Institute of nursing research is involved in ensuring that individuals have improved health due to the presence of various tools and techniques. They also offer in financing research studies and also when funding is required by the nurse which is done by the federal government thereby making it the correct choice.
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the nurse practitioner has four patients with chronic illness that require consistent medical and nursing management. select the condition that is the best example of a ""chronically critical and progressively ill"" condition.
End-stage of renal disease is the condition that is the example of a chronically critical and progressively ill condition.
What is chronically ill?A broad definition of a chronic disease is a condition that lasts for a year or longer, necessitates ongoing medical care, restricts daily activities, or both. Chronic conditions like diabetes, cancer, and heart disease are the main causes of death and disability in the US.
Renal diseaseChronic kidney disease that results in renal failure
Waste and extra fluid are removed from the blood by the kidneys. Waste accumulates as the kidneys fail.
Slow-moving and not disease-specific symptoms appear. Some people are diagnosed by a lab test even though they have no symptoms at all.
Drugs are used to treat symptoms. Later stages may require a transplant or mechanical blood filtering (dialysis).
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an informatics nurse is discussing the implementation of a new documentation system with a group of staff nurses who are using the system. which response by the group would indicate to the nurse that the system's usability is effective? select all that apply.
The response that indicates to the nurse that the system's usability is effective is using the system is highly intuitive, We've noticed that this system really helps to save us valuable time, and fits into how we work.
The correct answer are option(a),(d), and (e).
Informatics nurse gives care teams the best chance for effective care delivery by disseminating knowledge about new workflows, assisting with the deployment of new technology and procedures, and evaluating the quality of data. One of the main responsibilities of an informatics nurse is to examine a wide range of data to identify solutions that will assist nurses to deliver higher-quality care.
The analysis of patient data, which can originate from a variety of sources and modalities, including electronic health records, the results of diagnostic tests, and medical scans, is the goal of the science and engineering field known as health informatics.
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The question was incomplete. Check below the complete question.
An informatics nurse is discussing the implementation of a new documentation system with a group of staff nurses who are using the system. Which response by the group would indicate to the nurse that the system's usability is effective? Select all that apply.
a. "Using the system is highly intuitive."
b. "This system makes it challenging to complete tasks."
c. "The screen has a lot of confusing information on it."
d. "We've noticed that this system really helps to save us valuable time."
e. "This system fits nicely into how we work."
in the study by levine, et al, of 6,381 adults over age 50, being in the age range of 50-65 and eating a diet high in animal-based foods led to a increase in cancer death.
Truly said that more protein dietary that is meat and fish and non-vegetarian food led to increased cancer death risks as it increases insulin levels.
What is cancer and how high protein diet led to cancer death risk?A recent invention by the US that a high protein diet led to an increase in insulin levels, particularly in middle age.Therefore, it is politely requested that extra protein be avoided in the diet around middle age specifically to avoid cancer-related problems.A high protein not only includes insulin levels but along with 20 % of calories in the human body also.So all adults and middle age people are advised not to consume a lot of protein and calorie food to prevent cancer and death risks.To know more about cancer visit:
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Put the following in the correct order of the process of inflammation:
Vasodilation → Adhesion → Emigration → Chemotaxis → Diapedesis → Phagocytosis.
Answer: Vasodilation, Adhesion, Emigration, Chemotaxis, Diapedesis. Phagocytosis.
in virtually all patients, the rv is fully supplied by the rca, and in patients with left-dominant circulation, none of the inferior lv wall is supplied by the rca.
In patients with left-dominant circulation, the inferior left ventricle wall is supplied by the PDA (posterior descending artery) originating from the left circumflex artery.
What is left ventricle?One of the heart's four chambers is the left ventricle. The aorta is used to pump oxygenated blood from the left atrium into the systemic circulation.
The left ventricle has thicker walls than the right ventricle, is longer, and has a conical form with an anteriorly protruding apex. The interventricular septum, which has a concave structure, separates it from the right ventricle (i.e. bulges into the right ventricle). There are smooth inflow and outflow tubes internally, and the remaining left ventricle (mostly the apical portion) is bordered by fine trabeculae carneae. The ventricular wall thins to only 1-2 mm at the apex and is thickest at the base.
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