"This is a lifelong problem, and it is recommended that dietary restrictions be continued for life will our child have to be on this diet.the nurse respond to the parents of a newborn with phenylketonuria
Phenylketonuria, generally known as PKU, is a rare genetic illness that results in the body's phenylalanine levels to rise. A mutation in the phenylalanine hydroxylase (PAH) gene results in PKU. This gene aids in the production of the enzyme required to degrade phenylalanine. Phenylalanine hydroxylase, or PAH (pronounced fen-l-AL-uh-neen hy-DROK-suh-leys), is an enzyme that aids in the production of PKU. The amino acid phenylalanine must be transformed into other compounds by this enzyme.
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an obese adult with premature arteriosclerosis is seen in the clinic. when her serum is tested no chylomicrons are present, ldl levels are normal, and vldl levels are increased. there is an increase in triglycerides and a slight increase in cholesterol. lipoprotein electrophoresis reveals a heavy pre-beta band. she has no skin rash and uric acid is increased. this patient most likely has what type of hyperlipoproteinemia?
Answer:
Type IV
Explanation:
The patient has high triglycerides and increased VLDL, both of which are symptoms of type IV hyperlipoproteinemia.
a patient is admitted to the emergency department experiencing symptoms of a thrombolytic stroke. which medication would the nurse expect to be prescribed for the patient?
Alteplase is medication would the nurse expect to be prescribed for the patient, a patient is admitted to the emergency department experiencing symptoms of a thrombolytic stroke.
When symptoms of a thrombolytic stroke first appear, a tissue plasminogen activator called alteplase can be used to treat them. Descriptions. Blood clots that have developed in the blood vessels can be removed with the use of an injection of alteplase. To increase patient survival, it is applied as soon as heart attack symptoms appear. It is also used to treat blood clots in the lungs and stroke symptoms (pulmonary embolism) tPA is administered to patients via an IV in the arm and works by dissolving blood clots that obstruct blood flow to the brain. It is also known by the generic name alteplase and is sold under the brand name Activase® (Genentech).
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a client with a fractured femur is in balanced suspension traction. the client needs to be repositioned toward the head of the bed. during repositioning, what should the nurse do?
Maintain consistent traction tension while repositioning. a client with a fractured femur is in balanced suspension traction. the client needs to be repositioned toward the head of the bed.
Skin traction is frequently used to treat fractured femur before ultimate surgical treatment. For some femur fractures, a pin must be inserted into the child's broken bone and connected to the weights.The term "balanced skeletal traction" describes this. The weights maintain the bones' structural integrity so that they can mend properly. Your kid can be in traction for three to four weeks. When repositioning more force needs to be used on the afflicted region, it is also the method of choice. Since the repositioning is exerted directly traction on the bone, additional weight may be added with a reduced danger of harming the nearby soft tissues.
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average blood pressure is 120/80, but blood pressure readings can range much higher or lower. typically someone is diagnosed with hypertension--high blood pressure--only when the blood pressure values are 140/90 or higher. however, any value greater than 120/80 increases the patient's risk of heart attack or stroke. finding that people have blood pressure values across the full range of the normal curve is consistent with . group of answer choices continual classification categorical classification medical classification dimensional classification
Average blood pressure is 120/80, but blood pressure readings can range much higher or lower. typically someone is diagnosed with hypertension--high blood pressure--only when the blood pressure values are 140/90 or higher.
however, any value greater than 120/80 increases the patient's risk of heart attack or stroke. finding that people have blood pressure values across the full range of the normal curve is consistent with dimensional classification .
Blood pressure is the force exerted by your blood on the walls of your arteries. Every time your heart beats, blood is pumped into your arteries. When your heart beats and pumps blood,
your blood pressure is at its greatest. This is referred to as systolic pressure. Your blood pressure drops when your heart is at rest, between beats. This is known as diastolic pressure.
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a client with diabetes mellitus has a blood glucose level of 344 mg/dl. this client is most at risk for which type of acid-base imbalance?
When a person's blood sugar rises to potentially dangerous levels that demand medical attention, type 2 diabetes with hyperglycemia develops. A person with type 2 diabetes may have either hyperglycemia, which denotes an increased blood glucose level, or hypoglycemia, which denotes a low level.
What is ketoacidosis in type 2 diabetes?
A severe and potentially fatal diabetes consequence is diabetic ketoacidosis (DKA). Type 1 diabetics are most likely to experience DKA. DKA can also occur in people who have type 2 diabetes. DKA happens when your body doesn't produce enough insulin to let blood sugar enter your cells for use as fuel.
Why does diabetes have an electrolyte imbalance?
People with type 2 diabetes mellitus frequently have electrolyte imbalances. Although the cause is frequently complicated, diabetic ketoacidosis and hyperglycemia are the primary culprits.
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we study three types of immune disorders: immunodeficiency disorders, autoimmune disorders, and allergies. aids is an example of an immunodeficiency disorder. how is it different from a severe allergy or an autoimmune disorder, such as type 1 diabetes?
Immunodeficiency is the inability of your immune system to effectively fight off infection. The opposing syndrome autoimmune reaction is an overactive immune system that targets healthy cells as though they were foreign objects.
An immune system issue occurs when your immune system isn't functioning properly. The most prevalent immunodeficiency disorder is acquired immune deficiency syndrome (AIDS). can hinder the production of healthy white blood cells, which are necessary for the immune system. The body assaults typical, healthy tissues when someone has an autoimmune disorder. The combination of a person's genes and an environmental factor most likely causes those genes to be activated. Type1 diabetes:The cells in the pancreas that produce insulin are attacked by the immune system. In order to utilise sugar as fuel, insulin removes it from the blood.
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according to the association of schools of public health, competencies in epidemiology to be achieved by master of public health degree candidates in public health include:
evaluating the strengths and limitations of epidemiologic reports, calculating basic measures, communicating epi. info (ALL OF THE ABOVE). according to the association of schools of public health, competencies in epidemiology to be achieved by master of public health degree candidates in public health include:
Epidemiology is defined as the scientific, methodical, and data-driven study of the occurrence, pattern, and determinants of health-related states and events (not only illnesses) in particular populations (neighborhood, school, city, state, country, global). To research health concerns, epidemiologists gather and examine data. To identify populations at high risk for a specific disease, an epidemiologist can, for instance, examine demographic data. To find successful medicines, they may also look at trends in communities of people who have survived particular diseases, like cancer. This family comprises of encapsulated viruses with segmented negative-sense single-strand RNA as their genome.
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All of the following statements are true about appraising the clinical significance of a finding of study, except which one?
Clinical significance of the study findings is always addressed in research reports
Clinical significance is a way of portraying the practical meaning of the study findings
Clinical significance is a judgment based on finding information and clinical knowledge
In experimental studies, the size of the treatment effect is an important determinant of clinical significance
All of the following statements are true about appraising the clinical significance of a finding of study, except clinical significance of the study findings is always addressed in research reports.
What is clinical significance?
Clinical relevance is the practical significance of a therapeutic effect in medicine and psychology—whether it has a real, true, tactile, perceptible impact on daily life. Clinically relevant findings are those that advance medical treatment and enhance a person's physical function, mental health, and capacity for social interaction. The phrase "improving quality of life" in relation to medical care covers both subjective and objective concepts.
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All of the following statements are true about appraising the clinical significance of a finding of study, except clinical significance of the study findings is always addressed in research reports.
What is clinical significance?Clinical relevance is the practical significance of a therapeutic effect in medicine and psychology—whether it has a real, true, tactile, perceptible impact on daily life. Clinically relevant findings are those that advance medical treatment and enhance a person's physical function, mental health, and capacity for social interaction. The phrase "improving quality of life" in relation to medical care covers both subjective and objective concepts.
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A nursing student is reviewing signs and symptoms of hyperthyroidism. Which of the following should she include on her list? Select all that apply.
-Weight loss
-Tachycardia
-Lethargy
-Tremors
-Cold intolerance
Weight loss, tachycardia, tremors are the symptoms the student will have for hyperthyroidism.
What is hyperthyroidism?When the thyroid gland produces too much thyroid hormone, hyperthyroidism results.
This issue is also known as an overactive thyroid. The body's metabolism is accelerated by hyperthyroidism. This can result in a variety of symptoms, including weight loss, hand tremors, and an erratic or rapid heartbeat.
There are numerous therapies for hyperthyroidism. The thyroid gland can produce fewer hormones by using radioiodine and anti-thyroid medications.
Surgery to remove all or a portion of the thyroid gland may be used in the treatment of hyperthyroidism.
Depending on the underlying cause, hyperthyroidism may occasionally go better on its own without medication or other treatments.
It is more common for older persons to experience symptoms that are difficult to recognize.
An irregular heartbeat, weight loss, depression, and feeling weak or exhausted during routine activities are a few examples of these symptoms.
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the flacc pain scale is used to assess pain in a 2-month-old to 7 years old child. what categories does it assess?
The flacc pain scale assesses five categories in children ages 2 months to 7 years old: facial expression, leg movement, activity, cry, and consolability.
What is a Flacc pain scale?
The Flacc pain scale is a 5-point scale used to measure pain intensity in children ages 2–7 years old who are unable to self-report their pain. It assesses pain behavior and facial expression in response to pain. It is often used in hospitals, clinics, and home settings to assess pain in children who cannot communicate their pain using words.
For example, facial expressions such as frowning, grimacing, or squinting may indicate that the child is in pain. Leg movement, such as kicking or tensing the legs, can also be an indicator of pain.
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which type of eye disorder will the nurse expect to read in the electronic medical record of a client who has increased blood pressure severe myopia
The nurse will expect Glaucoma in the electronic medical record of a client who has increased blood pressure and severe myopia.
Glaucoma is commonly caused by associated diseases such as diabetes, hypertension, and severe myopia. As a result, a client with all of these ailments is more likely to develop glaucoma.
Glaucoma is a common eye condition caused by damage to the optic nerve, which links the eye to the brain. It is generally triggered by fluid accumulation in the front of the eye, which raises intraocular pressure. Glaucoma can cause vision loss if it is not detected and treated early.
Blurred vision or noticing rainbow-colored circles all over bright lights can be symptoms of glaucoma. Usually, both eyes are affected. The treatment for glaucoma will be determined by your symptoms. It may consist of eyedrops, laser treatment, or surgery. Your age, ethnicity, family history, and certain medical conditions can all increase your risk of developing glaucoma.
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a client is taking masculinizing hormone therapy. what education will the nurse provide regarding masculinizing hormone therapy and the cessation of menses?
A client is taking masculinizing hormone therapy, and the nurse should educate the patient regarding masculinizing hormone therapy and the cessation of menses and in such cases, the menstrual cycle will terminate.
What is masculinizing hormone therapy?Masculinizing hormone therapy is a kind of treatment that is given to patients to convert them to male with the help of different hormones, such as the male hormone testosterone. Here, the female hormone will stop working because the patient has more male hormone, which is testosterone, and the ovarian cycle will terminate. person with a gender identity issue, go for it, but it has many critical phases.
Hence, the nurse should educate the patient regarding masculinizing hormone therapy and the cessation of menses. In such cases, the menstrual cycle will terminate.
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which of the following disease states may require a fluid restriction? a.obesity b.heart failure c.myocardial infarction d.asthma
The heart's ability to pump blood cannot keep up with the body's requirements when it has congestive heart failure. Blood starts to back up as the heart becomes weaker, pushing liquid past the capillary walls.
Congestive refers to the consequent accumulation of fluid in the limbs, lungs, ankles and feet, and/or other organs. Most frequently, a patient may have edoema, or fluid buildup in the legs, shortness of breath, weariness, and arrhythmias, which are irregular heartbeats. The presence of symptoms is not always evident and they might be moderate or severe. An intake visit with a cardiac specialist, nurse, or physician's assistant is routine for patients. The doctor will go through the patient's past records and current health state during this visit.
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the anticholinergic drug atropine blocks muscarinic receptors. this drug is often administered to treat bradycardia or slow heart rate. what affects does it have on the patient when it is administered?
the anticholinergic drug atropine blocks muscarinic receptors. this drug is often administered to treat bradycardia or slow heart rate. Atropine will inhibit the vagus nerve's effects on the heart, causing the heart rate to rise.
Acetylcholine's effects are counteracted by the antimuscarinic drug atropine. Atropine decreases heart rate in low dosages, and tachycardia results from the paralysis of vagal control. Atropine has a stronger and longer-lasting effect on the heart, gut, and bronchial muscle than scopolamine, but a weaker effect on the iris, ciliary body, and several secretory glands. Instead of its minor effect on vagal excitement, atropine causes bronchiolar dilatation, which may increase respiratory rate and depth of breathing.
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What is growth curve
The growth curve is a very sensitive indicator of a youngster’s overall health. Ideally, the head circumference should be measured with a rigid tape above the supraorbital ridge, parallel to the ground, and encompassing the largest circumference of the head. Accurate weight measurements are usually easier to take than length or height.
a client develops bacterial meningitis. which action is the priority nursing care? monitoring for signs of intracranial pressure. adding pads to the sides of the bed
A client develops bacterial meningitis, so the priority of the nursing care is monitoring for signs of intracranial pressure because, in this disease, the neurological signs change.
What is bacterial meningitis?The bacterial meningitis happens when the bacteria attacks the meninges that is the outer protective layers of the brain and the spinal cord and this disease would lead to various types of other neurological disorder. The neurons are affected, and the severe infection leads to the death of a person.
Hence, A client develops bacterial meningitis, so the priority of the nurse's care is monitoring for signs of intracranial pressure.
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elaboration likelihood model is used to change attitudes toward specified health behaviors in health communication campaigns. which one are not the key features of the elm?
a) ability and motivation b) self-esteem c)goal are not the key features of the elm, elaboration likelihood model is used to change attitudes toward specified health behaviors in health communication campaigns.
Not just the absence of illness or disability, health is a condition of whole physical, mental, and social well-being. Health is described as "a condition of complete bodily, mental, and social well-being" in the World Health Organization Constitution, which went into effect on April 7, 1948. The WHO Constitution states that "a state of complete physical, mental and social well-being and not only the absence of sickness or infirmity" describes health, which is often viewed as a condition based on the presence or absence of diseases.
elaboration likelihood model is used to change attitudes toward specified health behaviors in health communication campaigns. which one are not the key features of the elm?
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which lfuid shift will the nurse take into consideration when assessing a client with type 1 diabetes who is experiencing a fluid imbalance
Intracellular to intravascular as a result of hyperosmolarity will be taken into consideration by the nurse.
What is type 1 diabetes?
If one has type 1 diabetes, the pancreas either does not produce insulin or produces very little insulin. Insulin promotes the entry of blood sugar into the body's cells for utilization as energy. Without insulin, blood sugar cannot enter cells and accumulates in the bloodstream.
Hyperglycemia's osmotic impact draws the fluid from cells, resulting in cellular dehydration. Fluid is drawn from the interstitial compartment to the intravascular compartment by hyperglycemia. The extracellular compartment includes interstitial fluid; the osmotic pull of glucose exceeds that of other osmotic forces. A rise in hydrostatic pressure causes a shift from intravascular to interstitial.
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A data analyst is working with a file from a customer satisfaction survey. The survey was sent to anyone who became a customer between April and June, 2020. Which of the following is an effective name for the file?
-Survey_Responses
-April_May_June_2020_Responses_to_New_Customer_Survey_ANALYS-SDATA_928310
-Apr-June2020_CustSurvey_V
-NewCustomerSurvey_2020-6-20_V03
-NewCustomerSurvey_2020-6-20_V03
The survey was sent to anyone who became a customer between April and June, 2020 and NewCustomerSurvey_2020-6-20_V03 is an effective name for the file.
A customer satisfaction survey may be a form designed to assist businesses perceive what their customers trust their product or services, their whole, and their client support. customer Satisfaction Score (CSAT) is that the most typically used mensuration for client satisfaction.
A data analyst reviews data to spot key insights into a business's customers and ways that the info will be wont to solve issues. They additionally communicate this info to company leadership and alternative stakeholders.
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which food would the nurse encourage a client to eat while receiving treatment to prevent hypokalemia
The nurse encourage a client to eat while receiving treatment to prevent hypokalemia is Increased Potassium Intake.
Potassium is present in a variety of vegetables, such as spinach, potatoes, tomatoes, broccoli, beets, carrots, and squash. Kiwis, mangoes, oranges, bananas, and cantaloupe are among fruits that are high in potassium. Additionally high in potassium are red meats.
Additionally rich in nutrients include kidney beans, soybeans, lentils, whole-wheat bread, egg yolks, spinach, kale, turnip tops, beet greens, carrots, raisins, and apricots. An at-risk client for hypokalemia receives nursing advice on the best potassium-rich meals to eat everyday.
Low-residue diets are soft, easily digestible, and fiber-free. Processed meals with a hard membrane and a high sodium and fat content, like salami, should be avoided.
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mpaired and delayed healing in a person with diabetes is caused by long-term complications that include:
Disturbances and delays in recovery in diabetics are caused by several complications, namely kidney damage, eye disorders, nerve damage, and cardiovascular disease.
What is diabetes?Diabetes Mellitus (DM) occurs as a result of an unhealthy lifestyle which causes accumulation of sugar levels in the blood and is above the normal threshold which is chronic and long term.
Symptoms of diabetes are:
Frequently feeling thirsty or very hungryFrequent urination, especially at nightWeight loss for no apparent reasonDecreased muscle massBlurred visionUrine contains ketonesHigh levels of sugar in the body can cause complications in other organs of the body.
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a nature photographer will be embarking on a trip overseas and is beginning a protocol for malaria prophylaxis involving 500 mg of chloroquine phosphate. what instruction should the nurse include in this client's health education?
a protocol for malaria prophylaxis involving 500 mg of chloroquine phosphate. "Make sure you take your pill on the same day each week." the nurse should include in this client's health education.
An antimalarial drug called chloroquine phosphate, usually referred to as chloroquine, has been licensed in the United States for the prevention or treatment of specific kinds of malaria as well as the management of extraintestinal parasites. All parasites that are susceptible to chloroquine should be treated with it. To be swallowed whole, chloroquine phosphate is available as a tablet. Adults typically take one dosage once each week on the same day of the week to avoid malaria. pills you should take for each dose will be specified by your doctor.
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when should sterile gloves be worn? when collecting a urine sample from a patient when collecting a urine sample from a patient when removing a dressing when removing a dressing when bathing a patient when bathing a patient when treating an open wound
Answer:
When treating an open wound
Explanation:
Sterile gloves should be worn when treating an open wound.
as a reaction to the increasing rate of the birth of children with neural tube defects in the u.s., the fda instituted a fortification program for all grain and cereal products in conjunction with public health programs. which additional vitamin was added to these foods?
Folate. It is a B-vitamin that is found in numerous foods naturally. To create DNA . your body needs folate. Additionally, folate is required by your body for cell division. a kind of folate known as folic acid.
What impacts the body does folate have?Folate participates in protein metabolism and aids in the formation of DNA and RNA. It is essential for the breakdown of homocysteine, an amino acid that, in excessive concentrations, can have negative effects on the body.
Why is folic acid so crucial to the development of the fetus?Folic acid helps create the neural tube during the early stages of pregnancy when the fetus is developing. Because it can help avoid some serious birth abnormalities, folic acid is crucial.
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a nurse is caring for an older client who is prescribed an antianxiety agent parenterally. which activity should the nurse prioritize?
Caring for an older client who is prescribed an antianxiety agent parenterally, nurse should prioritize to have ave resuscitative equipment ready.
Resuscitative equipments include Oxygen mask with reservoir bag, Automated External Defibrillator (AED) with electrodes and razor, Oxygen mask with reservoir bag, Syringe and needles.
Antianxiety agents are drugs which are used to treat symptoms of anxiety, such as feelings of fear, dread, uneasiness, and muscle tightness, that may occur as a reaction to stress. It also helps to an evast extent to reduce anxiety.Most antianxiety agents block the action of certain chemicals in the nervous system. Also called anxiolytic and anxiolytic agent.
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which assessment finding supports the diagnosis of neuroleptic malignant syndrome in a client iwth schizophrenia being treated with haloperidol
NMS is characterized by muscular rigidity, tremors, difficulty swallowing, fever, hypertension, and diaphoresis which are effects of the use of neuroleptic agents like the haloperidol drug used to treat schizophrenia.
Neuroleptic malignant syndrome (NMS), a potentially lethal idiosyncratic reaction characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction, can be brought on by antipsychotic treatment. The neuroleptic malignant syndrome is characterized by an extremely high fever (102 to 104 degrees F), an irregular pulse, an accelerated heartbeat (tachycardia), an increased rate of breathing (tachypnea), muscle rigidity, altered mental status, and dysfunction of the autonomic nervous system leading to high or low blood pressure, profuse perspiration, and excessive sweating. During a nursing assessment, a patient with the neuroleptic malignant syndrome (NMS) is most likely to display symptoms including hyperpyrexia, severe hypertension, and diaphoresis. Fever, hypertension, and diaphoresis—the three basic symptoms of NMS—should be addressed straight away.
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the nurse is caring for a child brought to the emergency department after an animal bite. which action will the nurse perform first?
Ask if the animal was provoked prior to the bite when the nurse is caring for a child brought to the emergency department after an animal bite.
Postexposure immunization with an inactive vaccine is part of the therapy for an animal bite that may have rabies. The only vaccine should be administered to those who have already received a rabies vaccination or are receiving one as a preventative measure. Rarely emergency department have for the children for special care symptoms including headaches, nausea, cramps in the stomach, and dizziness been recorded. The animal bite of immune globulin may be followed by localized discomfort and a low-grade fever. treating child with additional care to help his/her to feel good.
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a nurse has administered estrogen and phenytoin to a client. which reaction should the nurse plan to monitor the client carefully for?
A nurse has administered estrogen and phenytoin to a client. The possibility of breakthrough bleeding is a reaction should the nurse plan to monitor the client carefully for.
Why is estrogen the most important hormone?
The growth and functioning of the sexual organs might be hampered by low estrogen levels. Additionally, they can raise your risk for cardiovascular disease, obesity, and osteoporosis. The effectiveness of treatments has increased with time.
What are the three main functions of estrogen?
Ovaries: Estrogen encourages the development of the egg follicle.
Vagina: Estrogen provides lubrication and maintains the vaginal wall's thickness.
Uterus: Estrogen improves and keeps the mucous membrane lining the uterus healthy.
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somatrem is administered to a client with pituitary dwarfism. which is the expected therapeutic effect of this medication?
Somatrem is a growth hormone. Thus if it is administered to a client with pituitary dwarfism then it is to stimulate growth.
Somatrem, a recombinant growth hormone, is used to treat Turner's disease, chronic renal failure, small stature for gestational age, and interrupted growth in children with growth hormone insufficiency or deficit. The most essential thing is that your child will grow, most likely 1 to 2 inches within the first 6 months of commencing treatment, even if it frequently takes 3 to 6 months to detect any changes in height.
The body uses somatropin to metabolize protein, retain lean muscle mass, burn calories, and burn fat. Furthermore, it promotes IGF-1 secretion (insulin-like growth factor-1). Somatropin shouldn't be used by Prader-Willi individuals who are extremely obese, have a history of sleep apnea or upper airway obstruction, or have severe respiratory impairment.
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the nurse is collecting initial data on a newborn in the delivery room. which observations would the nurse expect to note in a healthy newborn? select all that apply.
The observation that the nurse expect to note in a healthy newborn would be:
Respiratory rate of 40 breaths/minute andThree umbilical cord vessel, two arteries and one vein.That is option 4 and 5.
Who is a healthy newborn?A healthy newborn is defined as the baby that is born with the normal weight of 3.0 to 3.5kg and I'd being delivered within 37 and 40 weeks of gestation.
The anatomical and physiological observations that can be found in a healthy newborn include the following:
Respiratory rate of 40 breaths/minute; The increased breath pre minute in infants is observed because of the leftover fluid in the lungs.Three umbilical cord vessel, two arteries and one vein.Learn more about respiratory rate here:
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Complete question:
The nurse is collecting initial data on a newborn in the delivery room. Which observations should the nurse expect to note in a healthy newborn? Select all that apply.
1.
Sunken anterior fontanel
2.
Appearance of facial jaundice
3.
Heart rate of 80 beats per minute
4.
Respiratory rate of 40 breaths/minute
5.
Three umbilical cord vessel, two arteries and one vein