Choose the correct answer:-
with regard to obstetric history:
1. pregnancy is dated from conception
2. parity is the total number of pregnancies regardless of how they ended
3. a previous history of pre eclampsia should trigger increased antenatal surveillance
4. the last menstrual period is reliable if cycle is irregular

Answer:

Place the heel of one hand on the breastbone -- just below the nipples. Make sure your heel is not at the very end of the breastbone. You may need to use both hands depending on your size and the size of the child.

Keep your other hand on the child's forehead, keeping the head tilted back.

Press down on the child's chest so that it compresses about one third to one half the depth of the chest.

Give 30 chest compressions. Each time, let the chest rise completely. These compressions should be fast and hard with no pausing. Count the 30 compressions quickly: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30, off''.

Long-term acute care hospitals (LTACHs) are defined by Medicare as having an average inpatient length of stay greater than 25 days. These hospitals provide care to patients who have a severe and complex medical condition, and require extended hospitalization.

LTACHs typically provide a higher level of care than a traditional acute care hospital and specialize in the management of patients with chronic, medically complex conditions such as multiple organ failure, sepsis, and ventilator dependency. They have specialized staff, equipment and protocols for the care of these patients and also provide rehabilitation services to help patients regain their independence. These hospitals are usually used as a step-down care from the intensive care unit or as an alternative to skilled nursing facilities for patients who require a higher level of care.

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Inadvertently piling a potent basic cleaning solution onto his arm, Howard now has a chemical burn.It causes a small mark that goes away after a few weeks. He has no other symptoms. It is called caustic type exposure.

A caustic exposure is when a person is exposed to chemicals found in typical cleaning supplies for the home, such as detergents, cleaning solutions, drain cleaners, etc.These contain caustic materials, such as sodium hydroxide, sulfuric acid, etc., which have high acid or base concentrations. Due to its higher concentration when exposed directly to the skin, it may burn the skin, resulting in redness, irritation, numbness, or a blackening of the skin's surface.These markings typically disappear after a few weeks since they are superficial or first-degree burns, which only affect the epidermal layer of the skin.

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Without nitric oxide, the guy will be unable to attain the major cause that an erection has on a man's sexual response.

A migraine headache is characterized by strong throbbing pain or a pulsating feeling on one side of the brain. It is frequently associated with nausea, vomiting, and excessive light and sound sensitivity. Migraine episodes can persist for hours or days, as well as the pain can be severe enough to interfere with everyday tasks.

Migraines, which may afflict both children and adults, can develop into four stages: prodrome, aura, attack, and post-drome. Not everyone who suffers from migraines progresses through all phases.

Migraines are frequently misdiagnosed and mistreated. Keep track of one's migraine episodes and how you handled them if you have them on a regular basis. Then, schedule a consultation with ones doctor to address your headaches.

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Psychotherapy is a way for individuals to talk about and safely express their thoughts and feelings with a trained medical professional.

Psychotherapy is one method that is commonly used to treat various psychiatric problems, such as severe stress, depression, and anxiety disorders. Through psychotherapy, psychiatrists will guide and train patients to recognize conditions, feelings, and thou get that cause complaints and help patients form positive behavior toward the problem at hand.

Psychotherapy is intended for anyone who realizes that they have psychological problems or are at high risk of experiencing mental disorders and intends to seek help to overcome these problems.

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The following are small elevations on the skin that are filled with fluid but can develop into pustules are pimples.

Pustules are small bumps on the skin that contain fluid or pus. Pustules usually appear as white bumps surrounded by reddish skin. These bumps look a lot like pimples, but they can grow quite large.

Pustules can form anywhere on the body but are most common on the back, chest, and face. Pustules can also be found in groups in one area of ​​the body. Pustules can be pimples which are usually caused by hormonal imbalances or hormonal changes in the body.

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5 times a week  is the recommended frequency for cardiorespiratory training if participating in moderate-intensity exercise like brisk walking.

Cardiorespiratory fitness (CRF) is the ability of the respiratory and circulatory systems to provide oxygen to the mitochondria of skeletal muscle for energy synthesis during physical activity. In adults, a low or unhealthy CRF is a powerful, independent predictor of CVD and all-cause death. CRF is a predictor of several health markers in adolescents, including cardiometabolic health, early CVD, academic achievement6, and mental health.

While RF is measured in some children, such as those who have congenital heart disease, asthma, or cystic fibrosis, CRF testing offers a broader variety of uses. CRF is a standardized health metric that can be followed over time & compared across groups.

Cardiorespiratory fitness has several advantages. It can lower the chance of developing heart disease, lung cancer, diabetes type 2 stroke, and other disorders. Cardiorespiratory fitness improves lung and heart health while also increasing emotions of well-being.

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The various signs and symptoms of decreased cardiac output include change in the mental status, light-headedness, dizziness, confusion, loss of consciousness, and chest pain, etc.

Cardiac output is the product of heart rate (HR) and stroke volume (SV) of the heart and it is measured in units of liters per minute. Heart rate is most commonly defined as the number of times the heart beats in one minute. Stroke volume is the volume of blood which is ejected out during ventricular contraction or for each stroke of the heart while beating.

Various signs and symptoms of decreased cardiac output under the correct category include not being able to exercise much, feeling very tired, swelling in the arms and legs, shortness of breath, nausea and vomiting and excessive abdominal pain.

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A child who has a chronic nonproductive cough and diffuse wheezing during the expiratory phase of breathing. It is possible that the child has A. Asthma

Wheezing is a breath sound that sounds like a whistling sound, and is a symptom of a respiratory tract disorder. The most common causes of wheezing are asthma and chronic obstructive pulmonary disease.

Wheezing will generally be heard more clearly when the sufferer exhales, although it can also be heard when inhaling. In some cases, it can be heard when the doctor examines the patient using a stethoscope. Apart from respiratory problems, wheezing can also be caused by allergic reactions or heart disease.

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If the women is still having lochia alba and suspects for the infection, the nurse can give the validation if there is any foul smell along with the discharge.

Lochia alba is the last stage of yellowish white discharge from the body of the women after delivery of the child, which may last for 2 weeks to one month. Any bacterial infection in the vagina is generally detected by the formation of thick grey fluid, along with foul smell and irritation in the vaginal region. The women must be advised to undergo urine test to determine if there are any bacterial or fungal colonies inside her body so that specific treatment can be given to resolve this issue.

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In 1980, Medicare authorized the implementation of ambulatory surgical center (ASC) payment rates as a fee to ASCs for facility services furnished in connection with performing certain surgical procedures.

This means that Medicare would provide reimbursement to ASCs for the use of their facilities when certain surgical procedures were performed. This authorization was a recognition by Medicare of the cost-effectiveness and quality of care provided by ASCs, and it helped to further establish ASCs as an alternative to hospital-based outpatient surgery. This reimbursement policy helped to increase the number of ASCs and the variety of procedures performed in them, and it also helped to reduce the overall cost of care for Medicare beneficiaries. This also means that ASCs were reimbursed for their space usage and not for the surgical procedures itself which are covered by other reimbursement schemes.

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Nursing students are studying metabolic disorders of the skeletal system and aging process is the factor to be the major cause of osteoporosis.

The skeletal system is your body's central frame. It consists of bones and connective towel, including cartilage, tendons, and ligaments. It's also called the musculoskeletal system. The mortal shell is the internal frame of the mortal body.

Osteoporosis causes bones to come weak and brittle — so brittle that a fall or indeed mild stresses similar as bending over or coughing can beget a fracture. Osteoporosis- related fractures most generally do in the hipsterism, wrist or chine. Bone is living towel that's constantly being broken down and replaced.

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The nursing observations suggests an absence seizure is Minimal or no alteration in muscle tone, with a brief loss of responsiveness or attention.

A seizure is a sudden, uncontrollable electrical breakdown in the brain. It can influence your behaviour, movements, and sensations, as well as your level of consciousness. The term "epilepsy" refers to two or more seizures that occur at least 24 hours apart and are not induced by a known cause.

Seizures can occur both provoked and unprovoked. Provoked seizures occur as a result of a transitory event such as low blood sugar, alcohol withdrawal, alcohol abuse while taking prescription medicine, low blood sodium, fever, brain infection, or concussion. Unprovoked seizures occur when there is no recognised or treatable cause, and they are likely to continue. Stress or sleep deprivation may aggravate unprovoked seizures. Epilepsy is a brain condition in which there has been at least one spontaneous seizure and there is a significant chance of future seizures. Fainting, nonepileptic psychogenic seizure, and tremor are examples of conditions that appear to be epileptic seizures but are not.

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The nurse should instruct the new mother to look for signs of adequate milk intake in the newborn, such as wet and dirty diapers, and weight gain. The nurse should also teach the mother to observe the baby's sucking pattern while breastfeeding, which should be strong and rhythmic.

Additionally, the nurse should educate the mother on how to check for milk transfer by observing the baby's jaw movement and listening for swallowing sounds during breastfeeding. The nurse should also instruct the mother to keep track of the baby's feeding schedule, noting the duration and frequency of each feeding. It is also important for the nurse to encourage the mother to seek support and advice from a lactation consultant, if needed.

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The nurse should keep option C: container of sterile water easily accessible for the client who has a chest tube following a lobectomy.

A container of sterile water from the nurse should be nearby and in the client's line of sight who has had a chest tube followed by lobectomy. If the tubing separates, the nurse should prepare to put the open end of the tube into the sterile water to avoid a pneumothorax. An operation to remove one of the lungs' lobes is known as a lobectomy. The lungs are divided into lobes. Three lobes make up the right lung. Two lobes make up the left lung. If a problem is only identified in a portion of the lung, a lobectomy may be performed. Thus, option C is the right choice.

A drainage system with three chambers, including a water seal, suction control, and drainage collection chamber, is a chest drain, often referred to as an under water sealed drain (UWSD). The purpose of UWSD is to prevent the backflow of air or fluid into the pleural space while still allowing air or fluid to be evacuated from the pleural cavity.

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Writing the Nightingale Pledge was not the work of Florence Nightingale.

The Nightingale Pledge is a modern version of the original pledge that was written by a Mrs. Lystra Gretter in the early 1890s, to honor the work of Florence Nightingale. The pledge is a promise made by nursing students, it is a statement of commitment, compassion, and dedication to the nursing profession.

Florence Nightingale is known for her work during the Crimean War as a pioneer of professional nursing, as well as for founding the first formal nursing program based on both science and clinical experience, also for her book Notes on Nursing which is still considered a classic in nursing literature.

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The understanding shown by the new guardian about using a car seat for babies properly is "I should keep my baby in a rear-facing car seat until he is 2 years old."

A baby car seat is a car seat specifically designed for babies or children of a certain age to protect them while in the car. This chair is specifically designed to maintain safety when traveling with children.

Baby car seats are shaped like baskets, usually used for newborns up to a maximum weight of 10 kilograms. The position is facing backward and please pay attention, every baby weighing under 10 kilograms, not even one-year-old must always face the back. Because it is safer for the bones that are not yet strong, especially if the car has to brake suddenly.

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The nurse explains to the new graduate that the following is part of the mother's postpartum evaluation: The threshold of pain, the mother's vital signs, as well as a head-to-toe examination. This assessment will be followed by an in-depth full-body checkup.

Postpartum is the time after childbirth when a childbearing woman's reproductive health is at its worst. This time frame is thought to only endure for six weeks, following which the new mother is required to go to the hospital for a checkup.

The following assessments are anticipated to be performed:

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Jamie serves as a flight medic in the US Air Force.

According to what has been said, Jamie provides medical care to the injured, writes prescriptions, and interprets medical testing. He sees to it that those who have been hurt receive care before they can be sent to a medical facility and receive additional or more specialized treatment there. Hence, he serves as a flight medic.

A flight medic is a trained medical professional who provides medical care during air operations, including in-flight medical treatment and stabilizing patients for transport to a medical facility. They are responsible for ensuring that injured individuals receive care until they reach a medical facility and can obtain further specialized treatment. In addition, they may also prescribe medicines and analyze medical tests.

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Answer:

CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) modifiers are used in medical billing to provide additional information about the service or procedure being billed for. The purpose of these modifiers is to help ensure that the correct reimbursement is provided for the services rendered, and to provide additional information about the services that may be important for the payer to know.

One of the main reasons for assigning CPT/HCPCS modifiers is to indicate that a procedure or service was performed multiple times, or that it was performed in a different way than the typical method. For example, if a patient receives two surgeries on the same day, a modifier would be used to indicate that both procedures were performed, and to indicate which procedure was the primary service and which was the secondary service. This allows the payer to bill for both procedures, rather than just one.

Another reason for assigning CPT/HCPCS modifiers is to indicate that a service was performed in a location that is different from the usual site of service. For example, if a patient receives physical therapy in their home, a modifier would be used to indicate that the service was performed in a different location than the usual site of service. This is important because it affects the reimbursement rate, and it allows the payer to understand the reason for the different location.

Modifiers also used to indicate when a service was provided by a different provider than the one who typically performs the service. This is known as split/shared services and it is used when multiple providers working together on a same service.

In addition, CPT/HCPCS modifiers can be used to indicate that a service was provided to a patient under exceptional or unusual circumstances. This could include a service that is provided to a patient in the emergency room, or a service that is provided to a patient who has a unique medical condition. In these cases, the modifier would be used to indicate that the service was provided in a different way than the typical method, and to indicate the unique circumstances that required the service.

In conclusion, CPT/HCPCS modifiers are used in medical billing to provide additional information about the service or procedure being billed for. They are used to indicate that a procedure or service was performed multiple times, in a different way, at a different location or by a different provider. This additional information is important to ensure that the correct reimbursement is provided and that the payer has a full understanding of the services that were rendered.

Explanation:

The severe complication should the nurse assesses for Renal failure

SIADH, or syndrome of inappropriate antidiuretic hormone, is a medical term. It is a disorder in which an excessive amount of antidiuretic hormone (ADH) is produced by the body, causing the kidneys to retain an excessive amount of water and lowering the level of salt in the blood.

Renal failure, which can happen in the human body as a result of low salt levels in the blood and kidney malfunction, is one of the serious complications of SIADH. To look for any indications of renal failure, the nurse should keep an eye on the patient's vital signs, electrolyte levels, urine production, and renal function.

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Practice barriers for APNs in Indiana include lack of full practice authority, limited reimbursement, and lack of recognition by insurance companies.

These barriers can prevent APNs from providing care to patients to the fullest extent of their education and training. On a state level, Indiana has some restrictions on the practice of APNs, such as the requirement for collaboration or supervision by a physician. This can limit the ability of APNs to provide care in certain settings or to certain populations. Nationally, there is a lack of consistency in state regulations regarding APN practice, which can make it difficult for APNs to practice across state lines or for patients to access care when they travel. Additionally, reimbursement for APN services is often lower than that for physician services, which can discourage the use of APNs in healthcare settings. These barriers can make it more difficult for APNs to provide care to patients and make it harder for patients to access the care that they need.

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Everything but the hypertension indings indicate that a patient is suffering from hemodynamic compromise as a result of a bradyarrhythmia.

The majority of arrhythmias, including bradyarrhythmia, are caused by cardiac disease or injury to the heart. Among the causes of bradyarrhythmia are: Changes in the electrical system of the heart caused by ageing. Coronary artery disease is a kind of cardiovascular illness. Bradycardia is defined as a resting heart rate of less than 60 beats per minute. Bradyarrhythmia is the term used to describe a sluggish heart rate produced by an irregular heartbeat (arrhythmia).

Resting heart rates in healthy young adults and athletes are frequently less than 60 beats per minute. Bradycardia does not signify sickness to them. In reality, their sluggish pulse rate indicates that their heart is healthy and well-exercised. When you sleep, it is also common for your heart rate to dip below 60 beats per minute.

When symptomatic bradycardia arises, the primary goal is to diagnose and treat the underlying cause. If symptomatic bradycardia cannot be addressed by treating the underlying cause or if the reason cannot be diagnosed, medication is required.

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80061 code would be supported as a medical necessity for a male patient with a diagnosis of hypercholesterolemia

What exactly is hyperlipidemia?

Your low-density lipoprotein (LDL), or bad cholesterol, is excessively high, which is a lipid condition known as hypercholesterolemia. Your risk of heart attack and stroke increases as a result of the accumulation of fat in your arteries (atherosclerosis). Cardiovascular disease, which accounts for more fatalities globally than any other condition, is mostly brought on by atherosclerosis.

What is regarded as having high cholesterol?

Depending on your other cardiovascular disease risk factors, your doctor may define hypercholesterolemia differently.

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To prevent excessive blood loss, the nurse should attend to the client with thrombosed vessels first. Injury refers to any type of bodily harm. It can occur as a result of an accident, a hit, a fall, or the use of weapons and explosives.

Acute and overuse injuries are two types of injuries. Acute injuries are caused by a single source of trauma, such as a hit or a fall, which results in the breaking of any bone. An overuse injury is one that occurs as a result of repeated strain on a specific muscle or ligament, causing it to break down.

Thrombosis is a condition in which blood clots in the blood vessels, causing them to become blocked. This can impair blood supply and lead to serious complications. The clot's rupture can also result in blood loss.

The nurse is caring for four clients who have survived burn injuries from a chemical plant explosion. Which client requires immediate surgical intervention based on priority?

1. Client with erythema

2. Client with fluid-filled vesicles

3. Client with mild to moderate edema

4. Client with visible thrombosed vessels

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Hypoglycemia can cause symptoms such as lightheadedness, tachycardia, headache, and confusion. Hypoglycemia refers to the presence of less glucose. Normal glucose levels in the blood range from 70 to 110 mg/dL.

Diabetes is a disease in which there is little or no insulin production. It is of two types: type I and II. Diabetes has the following symptoms like frequent urination, lethargy, thirst, blurred vision, and sudden weight loss.

Glucose is the most common sugar found in the blood. It provides energy to cells, which is needed for their functions and maintenance. Red blood cells transport glucose throughout the body.

The food we eat provides energy to the body, which it uses for various purposes.

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The actions that must be performed by medical assistants when administering intramuscular immunization are carried out on large muscled parts of the body.

The action of injection or administration of drugs intramuscularly is carried out for drug administration. The benefit of this type of injection is that the drug is absorbed by the body quickly.

The medicinal liquid is inserted directly into the muscles which have many blood vessels and is generally done on large muscular parts of the body so that there is no possibility of puncturing the nerves. This kind of drug administration allows the drug to be released periodically in the form of drug depots.

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....should the nurse prioritize in the teaching plan?

The nurse should prioritize teaching the parents about the signs and symptoms of a sickle cell crisis, and how to administer pain medication, oxygen therapy and hydration as needed.

Sickle cell anemia is an inherited disorder that can cause chronic pain, fatigue, and other complications. The parents should be aware of the signs of a sickle cell crisis, such as severe pain, difficulty breathing, and fever, so that they can take appropriate action to provide relief for the child.

The nurse informed her that the newborn's faeces must be yellow-gold, loose, & stringy to pasty.

The neonatal phase is explained as an infant's first four weeks of life in this world. Many complicated physiologic changes occur during this period, and the newborn reacts with many stimuli. During this time, care should be constant and effective.

Growth characteristics and behaviors' are evaluated at birth. In the case of a normal spontaneous vaginal birth or a Cesarean section without difficulties, the examination is postponed until one hour after skin-to-skin contact with the mother is established, and nursing is initiated if suitable and requested. In the first twenty-four hours of life, a paediatrician or nurse practitioner checks the infant. A team having knowledge of the equipment, training, & resources is now in charge of assessing and attending to any neonatal resuscitation attempts required at the time of birth.

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Diabetes insipidus symptoms and signs include severe thirst. producing a lot of light urine. having frequent nighttime urination needs that require getting up.

facial weight gain (moon face) Putting on weight above the collarbone (supraclavicular fat pad) gaining weight on the back of the neck (buffalo hump) Skin changes, notably over the abdomen or axillary region, with easy bruising in the extremities and the appearance of reddish stretch marks (striae). The preferred method for evaluating suspected thyroid nodules is ultrasound-guided fine-needle aspiration (FNA), and the Bethesda System for Reporting Thyroid Cytopathology stratifies the malignancy risk based on FNA results.

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