The progression of diabetes would be made worse by the breakdown of glycogen, rising serum glucose levels, and stimulation of these receptors.
Some heart conditions could be improved by beta1-receptor activation, which also causes more lipolysis. Beta2-receptor stimulation would worsen diabetes since these receptors stimulate glucagon release and glycogen breakdown, which raise serum glucose levels.
The effects of the neurochemical neurotransmitter are mediated through a family of particle channels known as nicotinic receptors, which are among the best known allosteric membrane proteins from both a structural and functional standpoint. Nicotine increases or decreases heart rate and blood pressure through activating nAChRs in both sympathetic and parasympathetic ganglia.
GI motility is regulated by presynaptic nicotinic neurotransmitter receptors (nAChRs) located on myenteric neurons.
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cardiac disease is a major problem in the united states. what can you infer about cardiac disease?
Cardiac disease is a major problem in the United States. It affects the heart.
Unhealthy eating, inactivity, usage of tobacco products, and abusing alcohol are the main behavioral risk factors for heart disease and stroke. Individuals may experience elevated blood pressure, elevated blood glucose, elevated blood lipids, as well as overweight and obesity as a result of behavioural risk factors. These "intermediate risk variables" can be assessed in primary care settings and point to an elevated risk of consequences like heart attack, stroke, and heart failure.
It has been demonstrated that reducing the risk of cardiovascular disease involves quitting smoking, cutting back on salt in the diet, eating more fruits and vegetables, engaging in regular physical activity, and abstaining from problematic alcohol consumption.
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an adult client being treated for breast cancer inquired about required vaccinations. what information should the nurse provide to this client?
Live vaccinations shouldn't be administered to patients who have an active malignancy. There is no reason for a pneumococcal vaccination, and a booster dose of the tetanus, diphtheria, and pertussis vaccine.
How does breast cancer start?According to physicians, breast cancer is brought on by certain breast cells that develop abnormally. These cells keep growing and dividing faster than mitochondria do, resulting in a mass or lump. Cells may move (metastasize) from your breast to your lymphatic vessels or other parts of your body.
What is the typical age of breast cancer?Women 50 years of age or older are the ones most likely to get breast cancer. Even if a woman is unaware of any additional risk factors, she may still get breast cancer. Not all lifestyle factors have the identical effects, and having one does not guarantee that you will develop the disease.
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a nurse is caring for a patient undergoing thyroid hormone replacement therapy. what should the nurse inform this patient regarding administration of the drug?
a nurse is caring for a patient undergoing thyroid hormone replacement therapy. Preferably before breakfast.
Justification: The nurse needs to advise the patient receiving thyroid hormone replacement treatment to take the medication in the morning, ideally before breakfast. As this is typically not advised by the healthcare practitioner, the nurse shouldn't request that the patient take the medication right before bed, right before dinner, or right after lunch.The hormone known as thyroid hormone regulates your body's metabolism, or how your body turns the food you eat into energy. Thyroxine (T4) and triiodothyronine (T3), the two primary hormones your thyroid secretes, together make up thyroid hormone.
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a client with hyperthyroidism is being treated with medication that blocks the activity of thyroid-stimulating hormone. her care team has determined that she has been overproducing tsh. this client will have lost her ability to:
A client with hyperthyroidism is being treated with medication that blocks thyroid the activity of thyroid-stimulating hormone. she has been overproducing TSH. This client will have lost her ability to: have negative feedback regulation.
The thyroid gland overproduces thyroid hormone, resulting in hyperthyroidism. Overactive thyroid is another name for this disorder. The body's metabolism rises up pace while hyperthyroid. Weight loss, hand tremors, and an erratic or fast pulse are just a few of the symptoms that might result from it. The thyroid gland is controlled by thyroid stimulating hormone (TSH) and thyrotropin releasing hormone (TRH) (TSH). production of thyroid-stimulating hormone by the pituitary gland. This hormone encourages the thyroid gland to produce the thyroid hormones thyroxine and triiodothyronine.
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the labor and delivery charge nurse is making staff assignments, including assignments to a new nurse. what client is most appropriate for the new nurse?
The client that is most appropriate for the new nurse is primigravida in active phase of stage one, waiting for epidural. The correct option is 3.
What is epidural?An epidural is a back injection that relieves pain in a specific area of your body.
Epidural anesthesia is a type of epidural commonly used to relieve pain during childbirth and some types of surgery.
The primigravida provides numerous opportunities for basic and diverse skills that would be extremely beneficial to a new nurse.
This is the best client to work for because it will give you valuable experience with basic labor and delivery procedures.
Thus, the correct option is 3.
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Your question seems incomplete, the missing options are:
1. A gravida 3 para 2 in active phase of stage one, expecting twins.
2. A gravida 2 para 0 at 41 weeks gestation, awaiting induction.
3. A primigravida in active phase of stage one, waiting for epidural.
4. A 12-hour post Cesarean section needing assistance to ambulate.
a patient has a malunion of an intertrochanteric fracture of the right hip that is treated with a proximal femoral osteotomy by incision. what is the correct icd-10-pcs code for this procedure?
ICD-10-PCS codes are used for reporting, morbidity statistics, and invoicing in a range of clinical and healthcare applications.
Explain about the ICD-10-PCS codes?The ICD-10-PCS will be used as the standard classification system in the US for procedures related to hospital utilization. Data collection, payment processing, and the maintenance of electronic health records will all be aided by ICD-10-PCS codes. In medicine, a procedure is classified using an ICD-10-PCS code.
ICD-10-PCS codes are more easily available than ICD-10-CM codes, which only have 68,000. In contrast to ICD-10-CM codes, which can only have numbers after the first digit, ICD-10-PCS codes can have either a number or a letter as the first digit. An ICD-10-PCS code, on the other hand, may contain any combination of numbers and letters.
A portion of the body Now, dorsal root ganglion is included in the spinal cord, cervical, thoracic, and lumbar values. Fibular and tibial sesamoid are now considered to be components of the metatarsal body.
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two days after being discharged a new mother calls the clinic stating that she is not sure that her baby is receiving enough breast milk. which information would indicate that the infant is being fed adequately?
Before 2:00 p.m., the knowledge that nurse would suggest that the child is receiving appropriate nutrition is voided four times.
A typical indicator of proper hydration is between six and eight wet diapers per day. Sleeping for 3 and a half to 4 hours in between meals might indicate low dietary intake. Because breast milk is quickly absorbed, a newborn who is nursing often naps for 112 to 2 12 hours in between feedings.
Three or even more soft yellow or mustard-colored poop each day after day four or five is typically an indication that your kid is consuming enough milk. Additionally, your baby's level of hydration may be determined by the presence of at minimum five or six wet diapers (nappies) every day and pale urine next to the filthy ones.
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influenza pandemics occur periodically due to characteristics of the influenza virus. how did these characteristics, in this case of the h1n1 strain, contribute to the spread of the swine flu pandemic in 2009?
Both swine flu and ordinary flu are illnesses caused by various strains of the influenza virus. Regular flu is classified as A, B, or C, but swine flu is a strain (H1N1 virus) thought to have originated in pigs.
It was discovered initially in the United States and swiftly spread throughout the country and around the world. This new H1N1 virus included a novel mix of influenza genes never before seen in animals or humans. This virus was identified as influenza A (H1N1)pdm09.
1 Shift might occur if an animal flu virus gets the potential to infect people. These animal-origin viruses may have HA or HA/NA combinations that are distinct enough from human viruses that most individuals are unaware of them.
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you meet a capgras syndrome patient who insists their spouse is an imposter. why do they think this?
Capgras syndrome patients feel that their partner is a cheater, they recognize their partner but feel they do not have an emotional closeness with that person.
Capgras Syndrome is a psychological condition also known as Imitator Syndrome or Capgras Delusions. Irrationally, someone with Capgras Syndrome has the belief that someone they know has been banned by impersonating impostors.
People with Capgras Syndrome can still recognize the people closest to them. Even though physically and in appearance they have the same appearance, they feel they do not have an emotional closeness with that person, giving rise to the assumption that the person is a fraud.
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label the nerves of the sacral plexus (l4-l5 and s1-s4) anterior view by clicking and dragging the labels to the correct location.
Superior gluteal nerve, Inferior gluteal nerve, Common fibular nerve, Tibial nerve, and Sciatic nerve are listed in order from top right to bottom left. Pudenal nerve on the left.
What part of the body is the sacral plexus responsible for?The bottom half of you body, including sections of you hip, the outs of your thighs, and the majority of your ankles, ankles, and feet, is innervated by nerves in one spinal nerve system called the sacral plexus.
The sacral plexus contains the sciatic nerve, right?The sciatic nerve, which originates from the front rami of peripheral cord L4 to S3, is the biggest and terminal branch of sacral plexus.
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the nurse is teaching a client newly diagnosed. with paget disease of bone. which client statement indicates a need for further teaching?
client statement indicates a need for further teaching The normal recycling process by which old bone tissue is eventually replaced by new bone tissue is hampered by Paget's (PAJ-its) disease of the bones. Bones can deteriorate and change shape over time. The most frequently impacted areas are the legs, spine, pelvis, and head.
Age and the presence of the disease in the family both raise the risk of Paget's disease of the bones. However, the disease has been less prevalent over the past few years and is less severe when it does manifest for reasons that doctors are not aware of. Broken bones, hearing loss, and pinched nerves in your spine are examples of complications.
The mainstay of treatment involves bisphosphonates, which are drugs used to rebuild bones that have been damaged by osteoporosis. If difficulties arise, surgery might be required.
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a nurse is caring for a client with elevated triglyceride levels who is unresponsive to hmg-coa reductase inhibitors (statin). what medication will the nurse administer
The nurse is reviewing instructions for a client taking an HMG-CoA reductase inhibitor (statin). "Take this medication at the same time each day." is essential for the nurse to include.
What are triglycerides?Triglycerides are a specific form of fat. They are the most prevalent form of fat in the body. They are derived from meals, particularly butter, oils, and other fats. Extra calories are also a source of triglycerides.
These are the calories that you consume but that your body does not require straight away. These additional calories are converted by your body into triglycerides and stored in fat cells. Triglycerides are released by your body when it need energy. Triglycerides are carried to your tissues via VLDL cholesterol particles.
Normal — Less than 150 milligrams per deciliter (mg/dL), or less than 1.7 millimoles per liter (mmol/L) Borderline high — 150 to 199 mg/dL (1.8 to 2.2 mmol/L) High — 200 to 499 mg/dL (2.3 to 5.6 mmol/L) Very high — 500 mg/dL or above (5.7 mmol/L or above)
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an elderly client who lives at home with her daughter is admitted with unexplained bruises on her arms and legs. which action should the nurse take first?
Assess the patient's popular appearance, posture, and intellectual status. Is she easy and accurately dressed For the elderly client who lives at home with her daughter is admitted with unexplained bruises .
Bruising is the most common abusive harm visible in a suspected case of bodily abuse (1). They are not unusualplace in a regular lively child. However, they have a tendency to arise in unique locations - shins, elbows, foreheads. Bruising in different locations is greater suggestive of bodily abuse.
Recommended requirements for clinically assessing and documenting a bruise encompass recording its size (i.e., duration and width), appearance (i.e., shape, pattern, location, color, margins), and presence of ache or induration.
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a pediatric client has been prescribed dextroamphetamine (adderall) 2.5 mg po bid. how many mg would this client take each day?
Dosage of adderall: The maximum daily dose is 40 mg for adults and 30 mg for kids. Dosage of Adderall XR: The maximum daily dose is 40 mg for adults and 30 mg for kids.
What makes Adderall and dextroamphetamine different from one another?Dextroamphetamine is the generic name for the stimulant drug dextrodrine, which contains the active component. A mixture of dextroamphetamine and amphetamine makes up Adderall, on the other hand. Dextroamphetamine is present, but there is also amphetamine present,
Dextroamphetamine IR 10 mg duration of action?Despite the fact that the effects of dexedrine might last for up to ten hours, it takes the body 12 hours to eliminate only half of that quantity.
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a client with a systemic fungal infection has been prescribed ketoconazole 350 mg po daily. what assessment should the nurse prioritize before administration?
Observe the patient's response to the treatment (resolution of fungal infections). Observe for negative impacts (e.g. rash, local irritation, burning, etc).
By asking the patient to name the medicine, its indication, and any potential side effects, you can gauge how well they understand their drug therapy. Tracking patient adherence to medication. Antifungals are prescribed to treat mycosis, or fungal infections. Fungi are distinct from bacteria in that they include polysaccharides and chitin in their cell walls, which makes them resistant to antibiotics. In people with impaired immune systems, fungus infections are more common (e.g., patients with AIDS, those taking immunosuppressants like organ transplant recipients, etc.).
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nurse mark is caring for ms. hall, who is taking furosemide (lasix) and spironolactone (aldactone). mark would be most concerned that the medications were not working if he noted
This combination promotes diuresis but decreases the risk of hypokalemia. correct option(2)
Spironolactone is a potassium-sparing diuretic; furosemide is a potassium-losing diuretic. Giving these together minimizes electrolyte imbalance.
Spironolactone is a diuretic that reduces potassium levels (water pill). It maintains your potassium levels from falling too low and prevents your body from absorbing too much salt. This medication is also employed in the treatment and prevention of hypokalemia (low potassium levels in the blood).
If you have a sluggish or irregular heartbeat, tingling sensations, muscular weakness, or shortness of breath, your potassium levels may be too high. If you're urinating less than usual or have black, strong-smelling pee, are thirsty, or feel dizzy or light-headed, you may be dehydrated.
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Full Question: The nurse is providing education to a patient on why spironolactone (Aldactone) and furosemide (Lasix) are prescribed together. What information does the nurse provide to the patient?
1) Moderate doses of two different types of diuretics are more effective than a large dose of one type.
2) This combination promotes diuresis but decreases the risk of hypokalemia.
3) This combination prevents dehydration and hypovolemia.
4) Using two drugs increases osmolality of plasma and the glomerular filtration rate.
the nurse is conducting an education group for women at risk for self-mutilation. what is the most important goal for this group?
This group's main objective of mutilation is to develop methods for avoiding self-harm.
Which personality disorder is most frequently associated with self-mutilation?Results: The deliberate, direct altering or destruction of one's own body tissue without consciously intending to commit is referred to as self-mutilation. More than 41% of BPD patients engage in this repeating pattern of behavior, which is prevalent (occurring in 50 to 80% of instances).
Which personality disorder among the following is the most well-known?At the moment, BPD is the most frequently identified personality disorder. Our pages on borderline personality disorder have further information on it (BPD). "Having BPD is like lacking an emotional safety net.
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a nurse is working in the emergency department and is assigned to a client brought in by family members. the family thinks that the client is on methamphetamine. the nurse should assess for:
The nurse should assess for hypertension. Methamphetamine users increased atherosclerotic plaque development and acute coronary vasospasm both contribute to myocardial infarction symptoms.
The use of methamphetamine is linked to pulmonary hypertension, especially in people who have particular polymorphisms in the enzyme that breaks down methamphetamine, carboxylesterase. Following exposure to methamphetamine, remodelling of heart tissue causes dilated cardiomyopathy and may increase the vulnerability to cardiac arrhythmias. Globally, the use of methamphetamine is increasing, which has a major impact on morbidity and mortality due to an increase in a variety of cardiovascular diseases that is poorly understood. Through catecholamine toxicity or direct effects on cardiac and vascular tissue, methamphetamines may worsen cardiovascular disease.
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your assessment of a 5-year-old child reveals that he is unresponsive with a respiratory rate of 8 breaths/min and a heart rate of 50 beats/min. treatment for this child should include:
Your assessment of a 5-year-old child reveals that he is unresponsive with a respiratory rate of 8 breaths/min and a heart rate of 50 beats/min. treatment for this child should include: lower the extremities and reassess the child.
In humans, the respiratory rate is calculated by measuring the number of breaths taken in one minute and the number of times the chest rises. During a magnetic resonance imaging scan, a fibre-optic respiratory rate sensor can be utilized to monitor patients. With fever, sickness, or other medical conditions, respiration rates may rise.
In the literature, inaccuracies in respiratory measurement have been noted.
One research observed substantial changes in respiration rates when respiratory rates were recorded using a 90-second count interval vs a full minute.
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a patient has widespread damage to his right cerebral hemisphere. his wife believes he will be fine because his left hemisphere is undamaged. the doctors inform them that they should expect, among other things, difficulty with:
A patient has widespread damage to his right cerebral hemisphere. his wife believes he will be fine because his left hemisphere is undamaged. the doctors inform them that they should expect, among other things, difficulty with Interpretation of emotional aspects of language and the inability to sense stimuli or command muscles from the left side of his body
Lateralization can be seen in both the right and left hemispheres. The right hemisphere is in charge of "negative" emotions like anger and fear, as well as attention, facial recognition, and understanding the emotional nature of language. The right hemisphere is also in charge of receiving and transmitting information to the body's left side.
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Complete question :
A patient has widespread damage to his right cerebral hemisphere. His wife believes he will be fine because his left hemisphere is undamaged. The doctors inform them that they should expect, among other things, difficulty with:
1.producing speech and the ability to understand the spoken language.
2.maintaining ongoing movement and inability to sense stimuli or command muscles from the right side of his body.
3.positive emotions such as happiness and pleasure and the inability to identify an object with its proper name.
4.interpretation of emotional aspects of language and the inability to sense stimuli or command muscles from the left side of his body.
a client who is receiving drug therapy for treatment of giardiasis asks the nurse about how she may have gotten this infection. the nurse would incorporate knowledge of transmission into what assessment question?
The nurse may utilize knowledge of transmission to question, "Have you consumed any water that might have been contaminated," to a patient asking about how she might have contracted this illness while receiving pharmaceutical therapy for giardiasis.
Metronidazole is the medicine most frequently used to treat giardiasis. Possible adverse effects include nausea and a bad aftertaste. Using this medication while consuming contaminated water. Giardiasis can spread from person to person giardia infection, through food, or through water. It usually happens in areas with poor sanitation and tainted water. An antibiotic prescription is a component of the Giardia therapy. Depending on the antibiotic used, a single day of treatment or many days may be necessary.
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the nurse is providing discharge teaching to a client who is being sent home on oral tetracycline. what instructions should the nurse include? select all that apply.
The client receiving oral tetracycline from the nurse must be instructed to take the medication on an empty stomach.
To promote complete absorption, tetracycline should be taken with a full eight ounces of water on an empty stomach either 1 hour beforehand or 2 hours after meals. Most people take tetracycline at least once every 12 hours.
When using cardiac glycosides, the pulse should be checked and the dose held if it is below 60 bpm.
When bacteria develop the ability to live and thrive in the presence of antibiotics, antibiotic resistance arises. Tetracyclines are still a go-to therapy for various sorts of illnesses, although their use has declined for some due to worries about resistance.
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The question is -
The nurse is providing discharge teaching to a patient who is being sent home on oral tetracycline (Sumycin). What instructions should the nurse include?
a. Take the medication only once a day.
b. Check pulse rate and hold the drug if lower than 60 beats per minute (bpm).
c. Take the drug on an empty stomach.
d. Take the medication with 2 ounces of water.
medical control has ordered you to administer one tube of oral glucose to a hypoglycemic patient. immediately after receiving this order, you should:
Do the following if you have signs of hypoglycemia: Consume or consume 15–20 grammes of quick-acting carbs. These are sweet, protein- and fat-free meals and beverages that the body may quickly turn into sugar.
Test your blood sugar levels using a blood glucose metre if you take insulin or another diabetic medicine to reduce your blood sugar and you experience the signs and symptoms of hypoglycemia. Follow your diabetes treatment plan if the result indicates low blood sugar (less than 70 mg/dL). Keep track of the results of your blood sugar testing and the steps you took to address low blood sugar levels so that your doctor may evaluate the data and help you modify your hypoglycemia treatment plan.
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on the third postpartum day the nurse is preparing a breast-feeding mother of twins for discharge. which statement by the client indicates a potential problem?
on the third postpartum day the nurse is preparing a breast-feeding mother of twins for discharge. which statement by the client indicates a potential problem
Helping the client express some milk manually before feeding
By manually expressing some of the milk before breast-feeding, the pressure and tenderness brought on by stored milk can be reduced. If all else fails, pain medication may be prescribed; nevertheless, the baby can get the medicine through breast milk. A prescription is also necessary for the nurse's dependent role of administering medication. Fluid intake shouldn't be restricted by the mother, especially if she is breastfeeding. Continue breastfeeding instead of giving formula to prevent engorgement and promote milk production.
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a client has been brought into the ed via ambulance, reporting acute generalized abdominal pain, nausea, fever, and constipation. the healthcare provider suspects appendicitis, but testing has not been performed yet to make a definitive diagnosis. what will the nurse most likely do while initially caring for this client?
Answer:
Inform the client of the reason why analgesics are being withheld will help to prevent disguising symptoms that might affect the diagnostic.
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? A. Adjust the water temperature to feel hot. B. Apply 4 to 5 mL of liquid soap to the hands. C. Hold the hands higher than the elbows. D. Rub hands and arms to dry.
A nurse performing hand hygiene should apply 4 to 5 mL of liquid soap to the hands, option B.
What are the steps to perform proper hand hygiene in the hospital?In most healthcare settings, the CDC recommends using alcohol-based hand sanitizers as the primary method of hand hygiene. Alcohol-based hand sanitizers effectively reduce the number of germs on healthcare workers' hands after interacting with patients.
Hand washing is still considered the safest technique to get rid of germs. The steps include wetting hands with warm water, applying 4 to 5 ml of liquid soap, rubbing palms and fingers together while ensuring elbow is higher than hands rinsing with water and drying with a paper towel.
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what assessment should the nurse perform prior to administering pharmacologic treatments prescribed for a client diagnosed with cocaine-induced psychosis?
Prior to the administration of Pharmaceutical treatment, the nurse must check and validate the medication order, and also apply their critical thinking skills to the ordered medication and the status and condition of the client in respect to the contraindications, pertinent lab results, pertinent data like vital signs.
Pharmaceutical treatment is the practice of using pharmaceutical medications to treat or prevent disease. Pharmaceutical therapy, also referred to as pharmacotherapy or pharmacological therapy, is the use of medications to treat sickness (drugs). Diseases can be treated to alleviate pain and other specific symptoms, and their progression can be stopped. Pharmacists and other licensed medical professionals must possess a high level of training and expertise in order to successfully provide this type of therapy.
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while reviewing the prescriptions written by a primary healthcare provider, the nurse notes that ibuprofen 30 mg by mouth every 6 hours is prescribed for a child weighing 6 kg. the drug information book states that the appropriate dosage range is 20-30 mg/kg/24 hours. what action should the nurse take?
The maximum dose in 24 hours would be 30 x 6 = 180 mg. 30 mg every 6 hours is a safe dose.
What is the effect of ibuprofen?
Ibuprofen is a pain reliever that can be purchased without a prescription over-the-counter. It belongs to the class of medications known as non-steroidal anti-inflammatory medicines (NSAIDs) and is used to treat mild to severe pain, including toothache, migraine, and period pain. Ibuprofen is a widely used over-the-counter drug. Although it often doesn't harm the liver, it can be difficult for the kidneys. It's crucial to adhere to OTC dosage recommendations since this will reduce your risk of side effects, such as kidney damage.
Hence, the answer is, the maximum dose in 24 hours would be 30 x 6 = 180 mg. 30 mg every 6 hours is a safe dose.
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resolution of inflammation and return to a noninflammatory state is called: group of answer choices a) outcome host response b) rankl/rank/opg pathway c) catabasis d) pathogenesis
Resolution of inflammation and return to a noninflammatory state is called catabasis.
Hence, option C is correct.
What do you mean by inflammation?Inflammation is a protective reaction involving immune cells, blood vessels, and chemical mediators that is a component of the intricate biological response of bodily tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. Inflammation serves to remove the original source of cell injury, remove necrotic cells and tissues that have been harmed by both the initial insult and the inflammatory process, and start the repair process for injured tissues. Acute or chronic inflammation can be categorized. The body's initial response to harmful stimuli is acute inflammation, which is brought on by an increase in the flow of plasma and leukocytes (particularly granulocytes) from the blood into the wounded tissues.
Thus from above conclusion we can say that resolution of inflammation and return to a noninflammatory state is called catabasis.
Hence, option C is correct.
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the nurse is assessing a client's knee. the area has a grating sensation. what would this be documented as?
This will be documented as crepitus where the area has a grating sensation.
Crepitus, also known as crepitation, is the medical term for any grinding, creaking, cracking, grating, crunching, or popping that happens when a joint is moved. Crepitus can strike anyone at any age, but it seems to happen more frequently as people age. Crepitus can cause noises that are either faint or loud enough for other people to hear.
Typically, crepitus is nothing to worry about. In actuality, it is typical for joints to pop or crack sometimes in most people. Crepitus, however, may be an indication of arthritis or another medical issue if it occurs frequently and is accompanied by pain, swelling, or other unsettling symptoms.
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