Patient satisfaction is taken into account in the quality assessment that determines clinician pay.
One example of a value-based care compensation scheme that considers patient satisfaction is the Inpatient Prospective Payment System (IPPS). Patient satisfaction is taken into account in the quality assessment that determines clinician pay. Healthcare providers struggle to understand patient happiness because a hospital stay rarely results in the same amount of enjoyment as a vacation or a wonderful dinner. Patient happiness is crucial, even if the medical sector aims to compensate experts for the caliber of their work rather than the quantity of services they deliver.
Patient satisfaction, according to the Agency for Healthcare Research and Quality, "is about whether a patient's expectations surrounding a health visit were achieved."
However, the patient experience is distinctive and, in accordance with the Agency for Healthcare Research and Quality's website (AHRQ),
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imagine a 28-year-old married woman with two children who is brain dead from a car accident. in minnesota, without her written consent, consent to donate her kidneys will be sought from:
The consent to donate the kidneys of a brain dead married woman with two children who did not give her written consent will be sought from: her husband.
Kidneys are the organs of the respiratory system. They occur in a pair and are involved in the purification of the blood of the body. The basic unit of kidney in humans is nephron that perform the actual function of filtration. The nephron itself is made up of various components.
Brain dead is the condition where the brain of the person stops functioning completely. This is an irreversible condition. The condition may arise due to various reasons like swelling of brain, stoppage of blood supply, etc.
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a client reports to the clinic for follow-up after a 1-month treatment with acebutolol. the nurse determines that a therapeutic effect of the medication has occurred if which response is noted?
The response noted from the nurse is A BP of 130/84 mm Hg determines that a therapeutic effect of the medication
Blood pressure should be between 120/80 mm Hg and 129/84 mm Hg. If your readings range from 130/85 to 139/89 mm Hg, you have "high-normal" blood pressure, which is more prone to become high blood pressure. Ventricular arrhythmia is a different ailment that acebutolol is used to treat. This particular medication is a beta-blocker. It affects how some biological parts, particularly the heart, respond to nerve messages. As a result, the heart beats more slowly, which lowers blood pressure.
The most prevalent side effects include low blood pressure, a slow pulse, and lightheadedness. Significant adverse effects are rare.
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which factor would the nurse identify as the usual cause of a client developing aseptic necrosis after a fracture of the femoral head
Necrosis of the bone may occur after a fracture if the blood flow is interrupted or weakened due to a lack of oxygen and nourishment.
Correct answer is option D
Which nursing diagnosis takes highest priority for a client with a compound fracture?
The best nursing diagnostic for a patient with a fracture is acute pain.
What are the 5 early acute complications associated with fractures?
There are two types of fracture complications: immediate and delayed. Shock, fat embolism, compartment syndrome, deep vein thrombosis, thromboembolism (pulmonary embolism), diffuse intravascular coagulopathy, and infection are examples of early consequences.
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I understand that the question your are looking for is
A nurse is caring for a client who developed aseptic necrosis after a fracture of the head of the femur. the nurse understands that aseptic necrosis is associated with which factor?
a. infection at the site of the wound
b. weight-bearing before the fracture is healed
c. immobilization after reduction of the fracture
d.loss of blood supply to the head of the femur
a group of nursing students and their professor are engaged in a service learning project and will be caring for clients in a region in which malaria transmission occurs. what medication should be administered to prevent the development of malaria?
Presumptive treatment (PT) for malaria at Low Risk Area: single dose of chloroquine phosphate 10 mg/kg of body weight to all fever / suspected malaria cases.
In the past 50 years of malaria control, chloroquine (CQ) and sulphadoxine-pyrimethamine have been the most often utilized medications to treat fever patients as though they were malaria. The usefulness and effectiveness of both of these medications for prophylaxis have been amply demonstrated, and they both have a long half-life. Malaria is characterized by fever and flu-like symptoms such as shaking chills, headache, muscle aches, and fatigue. Also possible are nauseous, vomiting, and diarrhea. Due to the loss of red blood cells, malaria can result in anemia and jaundice, which is characterized by a yellowing of the skin and eyes.
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if a 140-pound woman drinks 4 drinks per hour, what would her approximate bac (grams of alcohol per 10 milliliters of blood) be?
A reasonable range for moderate drinking is between 0% and 6%. That equates to 1 to 3 drinks for a 160-pound guy and 1 to 2 drinks for a 140-pound woman.
How much alcohol does a four count equal?
one-half ounce
Using a 4 count with each number equaling half an ounce poured is the standard free pouring technique and bartender counting method.
Four times the legal limit is how much alcohol?
35 milligrams is the permitted maximum. 140 milligrams would be four times the legal limit. Your husband's reading is at the upper end of what the courts are used to dealing with because readings of over 150 milligrams are uncommon.
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9. a nursing assessment of a client who has been diagnosed with neuroleptic malignant syndrome, would most likely reveal which signs:
Signs of autonomic worried machine instability that regularly accompany NMS consist of labile blood pressure, tachypnea, tachycardia, sialorrhea, diaphoresis, flushing, pores and skin pallor, and incontinence.
Neuroleptic malignant syndrome (NMS) is a life-threatening neurologic emergency related to the usage of antipsychotic (neuroleptic) retailers and characterised through a unique medical syndrome of intellectual repute change, rigidity, fever, and dysautonomia.
Neuroleptic malignant syndrome is a life-threatening, neurological sickness most customarily because of an detrimental response to neuroleptic or antipsychotic drugs. Symptoms consist of excessive fever, sweating, risky blood pressure, stupor, muscular rigidity, and autonomic dysfunction.
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the nurse is teaching a parent about promoting safety in adolescents. which statements made by the parent indicate the need for further teaching? select all that apply. one, some, or all responses may be correct.
Please minimize the adult encounters my youngster has. My kid should be allowed to play unrestrictedly with other kids are the suitable responses.
The nurse should suggest to the parent to contact adult role models. Teenagers desire to communicate with their classmates but also need guidance. Therefore, when a parent suggests that a young child's interaction with adults be limited and that the child be allowed to connect with peers, it shows a need for further education. If the nurse notices a youngster taking unwarranted risks or giving in to peer pressure, she should notify the parents. Parents need to be aware of the dangers that kids their age present in car accidents. Children should be warned by their parents to stay away from inappropriate websites and online content.
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the nurse is providing educational instruction to a client who has been prescribed lithium. what statement is the priority?
The nurse is providing educational instruction to a client who has been prescribed lithium. The priority statement is Lithium serum concentrations must be monitored with routine blood tests.
Users of lithium need to have their levels checked frequently. Testing is very important, especially if you're just starting the medication or if your doctor is changing the dosage. Lithium levels are frequently checked 5-7 days after starting a new medication in order to give blood levels time to normalize [6, 9].
to make sure you are taking the right amount of lithium and to regularly check your blood levels. Every week or two, they will be checked out first. The blood's level of lithium will be checked often (normally three times per month), usually 12 hours after the last dose.
Check for lithium toxicity at each visit. Once a steady lithium dose has been established, monitor lithium levels, thyroid and renal function, and urine.
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Dr. Roger work for the local enior center and i examining the relationhip between the peronality trait of reilience and enior citizen' compliance with medication regime. However, the reilience meaure he ue wa normed on college tudent. Baed on thi information, Dr. Roger undertand that _____ i a weakne of hi reilience meaure
Baed on thi information, Dr. Roger undertand that the relationship between resilience and personality trait is for enhancing well being.
Medical professionals' longevity and safe practise depend on their physical and mental health. The idea of resilience is acknowledged as a crucial aspect of wellbeing and plays a significant role in medical education to teach professionals how to deal with difficulty, stress, and adversity. In attempt to pinpoint the essential characteristics that foster or inhibit resilience, this study looked at the association between personality traits and resilience in doctors.
People's distinctive thought, feeling, and behaviour patterns are reflected in their personality traits. An individual with a high extraversion score is more likely to be gregarious across time and in different situations. Personality traits imply consistency and stability.
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which of the following outcomes might we expect from an adult who was diagnosed with adhd as a child?
The child who is diagnosed with ADHD as an adult He might have academic difficulties.
He can end himself in a poorer socioeconomic position than anticipated.
He might have academic difficulties.
One of the most prevalent neurodevelopmental issues in children is ADHD. Typically, it starts in early infancy and lasts throughout maturity. Children who have ADHD may find it difficult to focus, control their level of activity, or control impulsive conduct.
The impulsivity, energy, and attention of children with ADHD are higher than those of typical kids their age. For kids with ADHD, learning to control their behavior, emotions, and attention could be more challenging.
Impulsivity and hyperactivity are frequent co-occurring symptoms in children with ADHD. Although impulsivity and hyperactivity lessen as a person enters adolescence and young adulthood, their indications of inattention remain worrisome.
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what is a set of screening, clinical, and functional status elements, including common definitions and coding categories, which forms the foundation of a comprehensive assessment for all residents of nursing homes that receive federal funding?
Minimum data collection serves as the cornerstone of a thorough evaluation of all nursing home patients who receive federal support.
Clinical data is information pertaining to the actual delivery of therapy or patient care. Comorbidities that emerge in a patient's medical history are a few instances, as are the results of a specific surgical intervention or medical procedure. A fundamental collection of components known as the MDS 3.0, which includes standard definitions and coding categories, serves as the basis for a thorough assessment of all nursing home residents who are eligible for Medicare or Medicaid. Nursing facilities that take part in these programs must regularly evaluate the residents' care requirements in order to create a suitable care plan.
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a client is receiving a medroxyprogesterone contraceptive injection. the nurse would instruct the client to return for the next dose at which time?
The customer would be told by the nurse to come back in 3 months for the next dose.
What three sorts of injections are there?Its three main distribution techniques were intradermal (ID), cutaneous (SC), but intramuscular (IM) injections. Each type targets a certain skin layer: Injections under the epidermis are administered into the fat layer there. Intramuscular injections are administered into the muscle.
What is a injection used for?The person's body receives liquid drugs, fluids, or nutrients by injections, commonly referred to as shots. Vaccination and other pharmaceuticals can be injected into a patient's vein, muscle, skin, and bone by a medical expert.
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the nurse reading a client's history and physical notes that the client has a history of leukopenia. the nurse interprets this to mean that the client has:
client has a history of leukopenia the nurse interprets this to mean that the client has: Decreased leukocytes
Lack of disease-fighting leukocytes in the blood is a disorder known as leukopenia. It is related to having less white blood cells in the body. The bone marrow produces white blood cells.
Leukopenia can be caused by a variety of things, such as:
The absence of new blood cell production by the bone marrow is known as aplastic anemia.
autoimmune illnesses Conditions like lupus or rheumatoid arthritis that target the bone marrow or white blood cells
disorders like multiple myeloma or cancer of the bone marrow
There are some drugs, like antibiotics, that kill white blood cells.
chemotherapy, radiation, and bone marrow transplant are cancer therapies.
Congenital ailments - Diseases that damage the bone marrow at birth
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a client is receiving tenofovir as part of a therapy regimen for hiv infection. the nurse should provide what teaching related to what the client may experience?
Try to find stress-relieving activities, like exercise or a hobby. To feel refreshed, make an effort to obtain adequate sleep each night. Learn how to relax by practising yoga, medication, or deep breathing. Reduce your coffee and nicotine intake.
There are more particular approaches to caring for your mental wellbeing, such as counselling and medication. These can be used individually or in combination to assist you manage the symptoms you're having. You can develop strategies to cope with your experiences and improve your ability to communicate your emotions, unfavourable ideas, and unhealthy habits via therapy. The management of these symptoms may benefit from medication. You should always discuss your alternatives with your physician. You may take care of your mental wellbeing in a variety of ways.
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the provider ordered ns with 20 meq of kcl to infuse at 100 ml/hr. the first liter bag was hung at 0700. what time does the nurse anticipate needing to hang the second bag of iv` fluids? (record answer in military time.)
The time the nurse anticipates needing to hang the second bag of ( intravenous fluids (IV)` fluids is 1700 hours.
What is the volume of KCl solution in 20 meq of KCL?The volume of KCl in 20 meq of KCl solution is 1000 mL
The provider ordered normal saline (ns) with 20 meq of KCL to infuse at 100 ml/hr.
Hence, the rate of flow of the infusion is 100 mL every 1 hour.
The first bag of intravenous fluids, IV was hung at 0700
The time it will take to for the 20 meq to complete is calculated as follows:
The time it takes = 1000 mL / 100 ml/hr
Time it takes = 10 hours
The next infusion will be in the next 10 hours.
The time for the next 0700 + 10 = 1700 hours
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the doctor prescribed 100 mg, available is 1,000 mcg/0.5 ml. how many ml should be administered to the patient?
The doctor prescribed 100 mg, available is 1,000 mcg/0.5 ml. 50 ml should be administered to the patient.
Based on the patient's known weight and the anticipated adult dose of the medication, Clark's formula is an algorithm used to determine the appropriate dosage for pediatric patients. The following example illustrates the Clark's rule equation, which states that the adult dosage of a drug multiplied by the patient's weight in pounds divided by the typical standard weight of 150 pounds (68 kg) equals the pediatric dosage:
(Weight* divided by 150 lbs.) x Adult Dose** = Pediatric Dosage
(Weight*** divided by 68 kg) x Adult Dose** = Pediatric Dosage
One of the well-known pediatric drug dosing rules that takes into account the patient's weight is Clark's rule, which is mentioned in the medical literature. Salisbury's rule, Penna's rule, and the Body Surface Area rule are further formulae that use pediatric weight to determine drug dosage. Young's rule, Webster's rule, and Fried's rule are further approaches to Clark's rule that also take into account pediatric age to determine radiopharmaceutical medicine dosages used in nuclear imaging.
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Frank has been diagnosed with Somatic Symptom Disorder. Which of the following symptom profiles would you expect when assessing Frank?
A. Multiple somatic symptoms in several body systems
B. Feet of having a serious disease
C. Loss of alteration in sensorimotor functioning
D. Belief that her body is deformed or defective in some way
Frank has been diagnosed with Somatic symptom Disorder. The symptom profiles that would be expected when assessing Frank will be multiple somatic symptoms in several body systems. So option a. is correct.
Somatic symptom disorder is characterized by an extreme focus on physical symptoms - such as pain or fatigue - that cause major emotional distress and problems functioning. Symptoms of somatic symptom disorder may be specific sensations, such as pain or shortness of breath, or more general symptoms, such as fatigue or weakness.
Unrelated to any medical cause that can be identified, or related to a medical condition such as cancer or heart disease, but more significant than what's usually expected.
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ms. teller comes to clinic because she is experiencing numbness and tingling in her right leg. she denies having any pain. what does the nurse write down as ms. teller's symptom?
Ms. Teller symptoms are of Neuropathic pain.
The sensation of nerve pain is frequently described as shooting, numbness, stabbing, or scorching. It can occasionally be as abrupt and harsh as an electric shock. People who suffer from neuropathic pain are frequently extremely sensitive to touch and cold, and they may also be painfully sensitive to stimuli like brushing their skin.
Nerve pressure or nerve injury following surgery or trauma, viral infections, cancer, vascular malformations, alcoholism, neurological illnesses like multiple sclerosis, and metabolic conditions like diabetes are some of the common causes of neuropathic pain. It might also be a side effect of a few drugs.
Amitriptyline, which is also used to treat headaches and depression, is one of the key medications for neuropathic pain that is frequently prescribed.
Duloxetine is also used to treat depression and bladder issues.
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How would a separate procedure be explained if a coder was explaining the meaning of it?
(If that procedure is in the same anatomic area as a more comprehensive procedure.)
Explanation:If a code description includes the term “separate procedure”, if that procedure is in the same anatomic area as a more comprehensive procedure (for example, lyse of adhesions followed by a colectomy) only the more comprehensive procedure, the colectomy, is reported.
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quizelet written or verbal instructions created by a patient that describes specific wishes about medical care in the event he or she becomes incapacitated or incompetent is know as ?
Advance directives are written or spoken instructions established by a patient that detail particular intentions for medical treatment if he or she becomes disabled or incapable.
Written or spoken directives made by the patient outlining particular preferences for medical care in the case of incapacitation or incompetence. A durable power of attorney and a living will are a couple of examples.
Care plans are legal papers that increase a person's ability to make decisions about their health care if they become incapacitated. Advance directives are so named because they express desires before becoming incapacitated.
A long-term power of attorney regarding health care and a living will are the two major components of an advance directive. Your advance directive may be supplemented by other papers.
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after teaching a group of students about conditions that can lead to heart failure, the instructor determines that additional teaching is needed when the students identify:
The instructor determines the need for additional teaching when the students identify A) Sinusoidal, B) Recurrent variable deceleration, and C) Fetal Bradycardia indicating normal fetal acidñbase status.
When students recognize that the predictor of normal fetal acid-base status includes a baseline rate between 110 and 160 bpm, modest baseline variability, and absence of later or variable deceleration, the instructor decides that more education is necessary. Fetal bradycardia, recurrent variable deceleration, and sinusoidal pattern all signal improper fetal acid-base status. A heart attack causes the death of heart tissue, but heart failure causes a systemic oxygen shortage and is not a heart attack. A heart attack happens suddenly when the blood supply to the heart muscle is cut off by a blood clot, preventing the heart muscle from receiving the oxygen it needs to operate correctly. Heart failure happens when the heart muscle becomes weaker and is no longer able to pump enough blood or blood correctly to support the cells in the human body.
The complete question is:
After teaching a group of students about fetal heart rate patterns, the instructor determines the need for additional teaching when the students identify which of the following is indicating normal fetal acidñbase status. (Select all that apply.)
A) Sinusoidal pattern
B) Recurrent variable decelerations
C) Fetal bradycardia
D) Absence of late decelerations
E) Moderate baseline variability
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in reviewing the history of a client with borderline personality disorder, the nurse would expect to find which clinical manifestation?
The nurse would expect to find impulsivity clinical manifestation.
Which behaviors do people with borderline personality disorder exhibit?BPD patients exhibit extreme emotional reactivity, high levels of impulsivity, recurrent self-destructive behaviors, inappropriate levels of anger, intense and unstable relationships with others, as well as a sense of emptiness and confusion about their own identities.
Patients with histrionic personality disorder attract attention by acting inappropriately seductive or provocative and by using their physical appearance. They lack self-direction, are highly suggestible, and frequently act submissively to attract others' attention.
Borderline personality disorder and other personality disorders are identified using the following criteria:
Interview with your doctor or mental health professional in-depth.
psychological assessment, which may involve answering questionnaires.
examination and medical history
discussion of your symptoms and signs.
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treatment for a person's laryngeal cancer might require surgical removal of the epiglottis. what would postsurgical therapy for this person involve?
Surgically removing the epiglottis as part of laryngeal cancer treatment would be The postsurgical therapy for this person involves relearning how to swallow safely because the epiglottis prevents food from entering the trachea, which leads to the lungs.
What is laryngeal cancer?Laryngeal cancer is caused by the growth of malignant (cancer) cells in the tissues of the larynx. Both excessive alcohol use and tobacco use can raise the risk of laryngeal cancer. Laryngeal carcinoma is characterised by a sore throat and ear pain.
Smoking is the biggest risk factor for head and neck cancer (including cancers of the larynx and hypopharynx). Smokers are much more likely than non-smokers to develop certain cancers. Most persons who get these malignancies had smoked or had other exposure to tobacco in the past.
Is laryngeal cancer curable and what is the major cause of laryngeal cancer?Due to voice alterations, these malignancies are nearly always glottic (vocal cord) tumours that are discovered early. Radiation therapy or endoscopic surgery can almost always cure them.
The two primary factors that can raise your risk of laryngeal cancer are alcohol and cigarette use. They are believed to contain substances that can harm the larynx's cells. You run an increased risk of acquiring laryngeal cancer if you smoke or drink more.
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achieving an optimal level of fitness should give someone question 1 options: 1) more energy 2) better ability to deal with stress 3) improved self image 4) all of the above
Achieving an optimal level of fitness should give someone more energy, better ability to deal with stress and improved self-image.
Although "fitness" is a broad phrase with many potential connotations, it refers to your ideal level of health and general well-being. Being fit includes all three facets of health: physical, emotional, and mental. It influences your health in every way. A good diet and regular exercise are the cornerstones of fitness.
According to the Academy of Nutrition and Dietetics' Complete Food and Nutrition Guide, Third Edition, being healthy gives you the vigour to achieve your goals and increases productivity. The strength and adaptability needed to handle the pressures and emotional highs and lows of daily life. Reduced risk of heart disease, diabetes, cancer, osteoporosis, and other diseases.
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the nurse is teaching expectant parents about infant development. which parental statements indicate the need for further education? select all that apply. one, some, or all responses may be correct.
Toilet training is expected throughout infancy, a chronic sickness should not impair my kid's development, and my baby will begin to know that he or she is independent of me early in infancy, according to the parental declarations.
A youngster under the age of 12 months has no control over his or her bladder or bowel motions. Between the ages of 12 and 18 months, there is relatively little control. Most children do not have bladder and bowel control until they are between 24 and 30 months old. Toilet training begins at the age of 27 months.
Toilet training is an important developmental responsibility for families with young children. All healthy youngsters ultimately learn to use the bathroom, and the majority of them do so without medical assistance.
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The question is -
The nurse is teaching expectant parents about infant development. Which parental statements indicate the need for further education? (select all that apply)
A."My baby will enjoy sucking on a pacifier."
B. "Toilet training is an expectation during infancy.
C. "A chronic illness shouldn't impact my baby's development."
D. "My baby will begin to realize that he or she is separate from me early in infancy."
E. "If my wife experiences postpartum depression this could impact my baby's development."
the family and medical leave act requires certain employers to provide eligible employees with family or medical leave for any of the following reasons except
The family and medical leave act require certain employers to provide eligible employees with family or medical leave for any of the following reasons except a) to go on an extended family vacation.
The family and medical leave act allows employees to take extended leave in case of scenarios that are legitimate for asking for an extended vacation. In most cases, these extended vacations that are approved by the family and medical leave are unpaid.
Going on a family vacation, that too an extended one, is not a medical or family issue for which an extended leave should be granted to the employee. Hence, option a is correct. The family and medical leave act require that leave should only be granted when the reason is well enough for asking for a leave.
Although a part of your question is missing, you might be referring to this question:
The family and medical leave act requires certain employers to provide eligible employees with family or medical leave for any of the following reasons except
a) to go on an extended family vacation
b) when the employee is sick
c) when a family member of the employee is sick
d) none of the above
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aerobic exercise uses oxygen, typically involves using large muscle groups during continuous activities, and promotes cardiovascular health.
Answer:
Explanation:
that's true that is what an aerobic exercise is
a nurse manager attempts to resolve a conflict between two nurses. which communication skill should the leader use first? group of answer choices clarification. confrontation. nonverbal acknowledgement. active listening.
Answer: Active listening
Explanation:
after removing the dressing of a client's central venous access device (cvad), the nurse notes dried blood at the catheter insertion site. what is the next action by the nurse?
Put on sterile gloves and cleans the dried blood using a sterile antimicrobial wipe in a circular motion beginning at insertion site and working outward is the next action by the nurse. after removing the dressing of a client's central venous access device (cvad), the nurse notes dried blood at the catheter insertion site.
Antimicrobial goods eliminate or stop the spread of germs. In the category of microorganisms include bacteria, viruses, protozoans, and fungus like mould and mildew. 1 Your house, place of business, or place of education could include antibacterial products. Both the U.S. Food and Drug Administration (FDA) and the U.S. Environmental Protection Agency (EPA) regulate antimicrobial goods as pesticides and pharmaceuticals, respectively. Antimicrobial agents are used as pesticides on items including kitchen counters, toys, shopping carts, and medical equipment. Antimicrobial products are used to cure or prevent illnesses in humans, animals, and other living things as antiseptics.
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the nurse is assisting with the administration of a caloric stimulation test. which client response would the nurse document as an expected response?
The caloric stimulation test is being administered with the nurse's assistance. The nurse would record a client answer from Nystagmus, page 1886, as an anticipated reaction.
Stimulation testing: What is it?The results of stimulation tests reveal how the endocrine system's various hormones affect specific glands. To help the doctor identify your child's medical condition, you can schedule a variety of stimulus testing procedures.
Why is it vital to test a stimulation?A key element in simulator validation is really the simulation's goal. Some tasks merely require a simulation to be minimally predictive, such as the ability to rate scenarios according to how much stress they place on a machine, rather than to forecast overall performance. A simulation must be highly predictive for other uses.
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